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Home My WebLink AboutAPPLICATIONS, CO, MULT DOCS - 07-00380 - 70 Douglas Dr - Remodelo4 1tEXS pRC • • CITY T O �J F {� REX RG N� 01v .� America's Family Community Permit ��SHED ,s • INSPECTION CARD BUILDING Date Annroved 1. Framing 2. Insulation 3. Drywall 4. Mechanical 5. Final ELECTRICAL ISSUED TO: PERMIT #: 0700380 NAME: Lauritsen James E Etux FOR THE CONSTRUCTION OF: 70 Douglas- Garage Remodel JOB ADDRESS: 70 Douglas Dr GENERAL CONTRACTOR: This permit is issued subject to the regulations contained in Building Code and Zoning Regulations of the City of Rexbug. It is specifically understood that this Permit does not allow any Variance to the regulations of the City of Rexburg or Zoning Codes unless specifically approved by the City Council and explained on the Building Permit Application as approved by the Building Inspector. Date Approved Issued By Building Inspector THIS PERMIT MUST BE PROMINANTLY DISPLAYED AT THE BUILDING SITE THE BUILDING MAY NOT BE OCCUPIED OR USED WITHOUT FIRST OBTAINING ACERTIFICATE OF OCCUPANCY 1) A complete set of approved drawings along with the permit must be kept No work shall be done on any part of on the premises during construction. the building beyond the point indicated 2) The permit will become null and void in the event of any deviation from the in each successive inspection without NOTICE! accepted drawings. approval. No structural framework of 3) No foundation, structural, electrical, nor plumbing work shall be concealed any underground work shah be covered without aDDroval. Date roved 1. Final 2. Final PLUMBING Date Approved 1. Rough -In 2. Final 24 Hour Notice and Permit Number required to make inspection appointments For Inspections Call 359 -3020 option 2 ACERTIFICATE OF OCCUPANCY CAN NOT BE ISSUED PRIOR TO FINAL ELECTRICAL & PLUMBING INSPECTION 4 . �o48Exe6,�C C 1 T Y o r Certificate of Occupancy RE XBU RG � City of Rexburg ` America's Family � Communi ( Department of Community Development E tNEY 19 E. Main St. / Rexburg, ID. 83440 Building Permit No: Applicable Edition of Code: Site Address: Use and Occupancy: Type of Construction: Design Occupant Load: Sprinkler System Required: Name and Address of Owner: Contractor: Special Conditions: Occupancy: 0700380 International Residential Code 2006 70 Douglas Dr Residential Type V, non -rated Utility No Lauritsen James E Etux 70 Douglas Dr Rexburg, ID 83440 General Utility This Certificate, issued pursuant to the requirements of Section 109 of the Intemational Building Code, certifies that, at the time time of issuance, this building or that portion of the building that vies inspected on the date listed ales found to be in compliance Wth the requirements of the code for the group and division of occupancy and the use for v►hich the proposed occupancy vies classified. Date C.O. Issued: July 16, 2008 (09:41AM) C.O Issued by: Building Official There shall be no further change in the e)asting occupancy classification of the building nor shall any structural changes, modifications or additions be made to the building or any portion thereof until the Building Official has reviewed and approved said future changes. Plumbing Inspector Fire Inspector: Electrical Inspector: P&ZAdministrator: !LV' .__ CzrY of REXBVURG • PERMIT # • BUILDING PERMIT APPLICATION Please ' 19 E MAIN, REXBURG, ID. 83440 If the qut 208 -359-3020 X326 0700380 PARCEL NUMBER T \ N=ACU 70 Douglas- Garage Remodel SUBDIVISION: UN I I tt v �. (Addressing is based on the information - must be accurate) - - PHONE #: Home OWNER MAILING s rte' l y — 7 1 D 1L2 ( ) .--- Cell ( S: ® CITY: TATE :ZIP; APPLICANT (If other than owner) (Applicant if other than owner, a statement authorizing 4plicant to act as agent for owner must accompany this application.) APPLICANT INFORMATION: ADDRESS CITY: STAT ZIP EMAIL FAX PHONE #: Home ( Work ( ) Cell ( CONTIUCTOR MAILING ADDRESS: CITY STATE ZIP PHONE #: Home ( ) Work ( Cell ( EIv • FAX IDAHO REGISTRATION # & EXP. DATE How many buildings are located on this property? Did you recently purchase this propert-03 Yes (If yes give owner's name) Is this a lot split? 00 YES (Please bring copy of new legal description of property) - PROPOSED USE: , O-e., single Family R esidence, G arage, Commercial, APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalt of perjury, I hereby certify that I have read this application and state that the information herein is correct and I swear that any information which may hereafter be given by me in hearings before the Planning and Toning Commission or the City Council for the City of Rexburg shall be truthful and correct. I agree to comply with A City regulations and State taws relating to the subject matter of this application and hereby authorized representatives of the City to enter upon the above - mentioned property for inspections purposes. NOTE: The building official may revoke a permit on approval issued under the provisions of the 2003 International Code in cases of any false statement or misrepresentation of fact in the application or on the plans on which the permit or approval was based Permit void if not st tetl within 1180 days. Permit void if worts stops for 1$0 days. re of er Ap ant I DW , Do u prefer to be contacted by fax, email or hon . Circle One WARNING — BUILDING PE UST BE POSTED ON CONS N SITEt {� Plan fees are iron- r+efimndable and are paid in firth at the time of application 4 207 City of Rexburg's Acceptance of the plan review fee does not cwrntitut **Building Permit Fees are due at time of application** **BcrikhM Pemvts are void i your does riot clear** CIV OF REXBURG Bullfflfig Safety Department IF, VJ'XB{.Rr � cIrvoF City of Rexburg _ _----- --- y REXBURG 19 E. Main - OW Rexburg ID &344D �netth�rexburg.org Phone: 208.359.3020 Arnerica' Family Community www- rexburg.org Fax: 208.3593024 Affidavit of Legal interest State of Idaho County of Madison I, Name `\zt'Y'" " cit Being first duly sworn upon oath, depose and say: e u ' A-s O Address 1 A-AA d State (If Applicant is also Owner of Record, skip to B) A. That I am the record owner of the property described on the attached, and I grant my permission to: Name .Address to submit the accompanying application pertaining to that property. B. I agree to indemnify, defend and hold Rexburg City and its employees harmless from any claim or liability resulting from any dispute as to the statements contained herein or as to the ownership of the property which is the subject of the application. Dated this f 1 day of .20 -0-77- r - I a.AAA' Siinafia Subscribed and sworn to before me the day and year first above written. Notary Public of Idaho Residing it. My commission expires: 3 let h ► • Please complete e t e entire Application. NAME V—U PROPERTY ADDRESS _ 7o Permit# SUBDIVISION Dwelling Units: Parcel Acres: SETBACKS FRONT SIDE SIDE BAC .Ret dating Y'aur Buffd&g/Home (need Estimate) 3= SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area Unfinished Basement area Second floor /loft area Finished basement area Third floor/loft area Garage area Sh ed o B arn Carport /Deck (30" above g rade)Area Water Meter Quantity; * * * * * *** * * ** **Water Meter Size: .RequiredL Y PLUMBING Plumbing Contractor's Name: Business Name: Address City State Zip Contact Phone: ( ) Business Phone: ( Email Fax P.IXfi`ITXE C0UArT Cwcfudin rorr, f lied &tures) Clothes Washing Machine Dishwasher Floor Drain Garbage Disposal Hot Tub /Spa Sinks (Lavatories, kitchens, bar, mop) Sprinklers Tub /Showers Toilet /Urinal Water Heater Water Softener Plumbing Estimate $ (COMMERCIAL /MULTI - FAMILY ONLY) Signature of Incensed Contractor License Number& Expiration Date The Cary of Rexbwrg's permit fee sch eAfke u the same as rrgwred by the State Date 4 "Building Permit Fees are Are time of application" "Building Permits are v if you check does not clear" Please complete the Application! If the question does not apply fill in NA for non applicable NAME PROPERTY ADDRESS `1 U,, 'll`�watLs Permit# SUBDIVISION Dwelling Units: Parcel Acres: SETBACKS FRONT SIDE SIDE It Axel Remodeling Your Building/Home (need Estimate) $ SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area Second floor /loft area Third floor /loft area Shed or Barn Unfinished Basement area Finished basement area Garage area 0" above Water Meter Count: Water Meter Size: Required!!! PLUMBING _ / / / Plumbing Contractor's Name: �(� tir ( % �, r ?' Business Name: J A/ � Address / ,tJ City 6 e k State v Zip &3y ,, J , ,, Contact Phone: ( ) S i - Z . 2y e Business Phone: ( ) 7 J r __ a J - Email Fax FIXTURE COUNT (including roughed fixtures) Clothes Washing Machine Dishwasher Floor Drain Garbage Disposal Hot Tub /Spa I Sinks (Lavatories, kitchens, bar, mop) Plumbing Estimate $ 1,o �,, `� (Commercial Only) Required! Sign tute of Licensed Contractor License number Date The City of Rexburg's permit fee schedule is the same as required by the State of Idaho Sprinklers Tub /Show (� - Toilet/Uri Pher ((� " `� 0 W Water He Water So AUG 14 2001 CITY OF REXBURG 4 • Please complete the entire Application! z. NAME ��1 X- L " t A ,tit PROPER14 ADDRESS SUBDIVISION • Permit# Requir f MEC.T "ICAL Mechanical Contractor's Name -(I Business Name Address Cite State Zip Cell Phone ( ) Business Phone ( ) Fax ( ) Email Mechanical Estimate $ (Commercial /Multi Family Only) FIXTURES & APPLIANCES C0UNT" (Single FamilyDwelJing Only) Furnace Furnace /Air Conditioner Combo Heat Pump Air Conditioner Evaporative Cooler Unit Heater Space Heater Decorative gas -fired appliance Incinerator System Boiler Pool Heater Exhaust or Vent Ducts Dryer Vents Range Hood Vents Cook Stove Vents Bath Fan Vents other similar vents & ducts: Fuel Gas Pipe Outlets including stubbed in or future outlets Inlet Pressure (Meter Supply) PSI Heat (Circle all that apply) Gas Oil Coal Fireplace lljjc Hydronic Mechanical Sizing Calculations must be submitted with Plans & Application Point of Delivery must be shown on plans. Signature of Licensed Contractor The License number schedule is th same ar Date Me Stak of Idaho 5 Building Safety Department r� CI T 0 F City of Rexburg ^` --------- -.___- REXBURG Ow 19 € Man ionetlh@rexburg.org Phone: 208.359.3020 X 326 lmrerica's Family C:nmrnunity R+exbufg, K? 83440 www.rexbwg.org Fox: 208.3593024 OWNER'S NAME \ Vlc k L lil 1.1 i''1 s �l PROPERTY ADDRESS Permit# SUBDIVISION PHASE I OT BLOCK IUOME O PER'S ELECTRICAL PERMIT Y Home Owner's Name Address City State Zip Celt Phone Fax ( ) _ Home Phone ( TYPES OFINSTAI.LATION (New Residential includes everything contained within the residential structure and attached garage at the same time) Up to 200 amp Service* 201 to 400 amp Service* Over 400 amp Service* Temporary Construction Service, 200 amp or less, one location (for a period not to exceed 1 pear) _ Existing Residential (# of Branch Circuits) Spa, Hot Tub, Swimming Pool Electric Central Systems Heating and /or Cooling (when not part of a new residential construction permit and no additional wiring Modular, Manufactured or Mobile Home Other Installations: Wiring not specifically covered by any of the above Cost of Wiring & Labor: $ Pumps (Domestic Water, Irrigation, Sewage) Requested Inspections (of existing wiring) Temporary Amusement /Industry *includes a maximum of 3 inspections. Additional inspections charged at requested inspection rate of $40 per hour. Signature of Home Owner The sebeAde is the same as nghm the state T Building Safety Department City of Rexburg 14 E Moro janeffh @rexbwg.org Phone: 208.359.3020 x326 Rexburg V 83440 www.rexburg.org Fax: 208 359.3024 ,� Rr.xai,R r, CITY OF - (1w America's Fainify Cnnnnunity OWNER'S NAME PROPERTY ADDRESS SUBDIVISION PHASE LOT ,BLOCK Permit# Requiredt �� ELECTRICAL Electrical Contractor's Name Business Name Address City State Zip Cell Phone ( ) Business Phone ( } Fax ( ) Email Electrical Estimate (cost of wiring & labor) $ (COMMERCIAL/MULTI- FAMILY ONLY) TYPES OFINSTA.L.rLATION (New Residential includes everything contained within the resideadal structure and attachedgar:W at the same time) Up to 200 amp Service* 201 to 400 amp Service* Over 400 amp Service* "Temporary Construction Service, 200 amp or less, one location (for a period not to exceed I year) Existing Residential (# of Branch Circuits) Spa, Hot Tub, Swimming Pool Electric Central Systems Heating and /or Cooling ( when not part of a new residential construction permit and no additional wiring) Modular, Manufactured or Mobile Home Other InstaIlations: Wiring not specifically covered by any of the above Cost of Wiring & Labor. $ Pumps (Domestic Water, Irrigation, Sewage) . Requested Inspections (of existing wiring) Temporary Amusement /Industry *Includes a maximum of 3 inspections. Additional inspections charged at requested inspection rate of $40 per hour. Signature of Licensed Contractor License number The City of Rexbsrg's permitfee sche&dt u the same as Date the State efldahe 7 ■ rwwwwrwwrrrrwwwrwrrrrwrrwrwwrw wrrwwrrrrrrrwrwrrrrwwrwrrrrwrrwwwrrwwwrwrwwrwwrwwrwrrrwrrr w � SUBCONTRACTOR LIST Excavation & Earthwork: Concrete: Masonry: Roofing. Instilation: Drywall: Painting. Floor Covering's: Plumbing: Heating. Electrical: Special Construction (Manufacturer or Supplier) Roof Trusses: Floor /Ceiling Joists: Siding/Exterior Trim: (other: EXEMPTICS FROM STATE REGOI'RATION As of January 1, 2006, the City of Rexburg can no longer sell permits without having a copy of your State registration number or your exemption from the State registration. Please send a copy of your state registration or fill out this form showing your exemption and send it with your license renewal or your next permit application. (Ibis list is a summarization of Idaho Code Title 54 Chapter 5205, for full definitions of these exemptions please see the State's website at ww%v.ibol.idaho.Wv /cont.htm 0 Currently State licensed pursuant to Tide 54 Idaho Code, Chapters: 3 Architects, _IQ Electrical Contractors /journeyman, 22 Engineers /Surveyors, 12 Public; Works Contractors (exempt from fee only registration rewired), 26 Plumbing/Plumbers, 45 Public Works Construction Management Licensing Act (exempt from fee only registration required), or 50 Installation of heating, ventilation and air conditioning systems ❑ Employee or volunteer of a licensed contractor or part of an educational curriculum or nonprofit charitable activity with no wages or salary 0 Employee of a US Government agency (State, City, County, or other municipality) 0 Public Utility doing construction, maintenance, or development to its own business 0 Involved with gas, oil or mineral operations 0 Supplier doing no installation or fabricating 0 Contracting a project or projects with a total cost less than $2000 0 Operation of a farm or ranch or construction of agriculture buildings exempt from Idaho Building Code ❑ Any type of water district operations 0 Work in rural districts for fire prevention purposes Owner who performs work on own property or contracts with a registered contractor to do work as long as the property is not for resale within 12 months • Owner or lessee of commercial property performing maintenance, repair, alteration or construction on that property • Real estate licensee /property manager acting within Idaho Code • Engaging in the logging industry • Renter working on the property where they live with the property owners approval • Construction of a building used for industrial chemical processing per Idaho Code • Construction of a modular building (defined by Idaho Code) to be moved out of state I hereby certify that the above information is true and correct to the best of my knowledge. Date Print Name 9 0700380 70 Douglas - Garage Remodel 0 b6vt_ �?C j ID r } F i S+c J.s1.Sw4.�e� �JOO'f EC E Ow E AUG 14 1001 CITY OF REXBURG e , r� S+c J.s1.Sw4.�e� �JOO'f EC E Ow E AUG 14 1001 CITY OF REXBURG