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APPLICATIONS, CO, BP - 07-00422 - 648 Wheatland Dr - New SFR
a � gEXB pR ti� r CITY O F • • UN� ° REX B l d � CW B S 00 +. Americas Family Community 9 Permit ISSUED TO: PERMIT #: 0700422 NAME: Se /Z Construction Llc FOR THE CONSTRUCTION OF: 64 8 Wheatland Dr- Harrison JOB ADDRESS: 648 Wheatland Dr GENERAL CONTRACTOR: Se /Z Construction 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 I- I V-4 7 Issued B r 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 shall be covered without aDDroval. INSPECTION CARD BUILDING Date Annrnvpd 1. Mechanical Rough In 2. Mechanical Pressure 3. Mechanical Final Ins 4. Layout 5. Footing 6. Foundation 7. Framing 8. Insulation 9. Drywall 10. Sidewalk 11. Final PLUMBING Date Annrnvpd 1. Sewer Service Conn 2. Water Service Conn( 3. Rough -In 4. Ground Rough -In 5. 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 ��QpBXaURClO — CITY OF Certificate of (Tccupancy U Q REX City of Rexburg m m America'sFaii y Community _ Department of Community Development ' 19 E. Main St. / Rexburg, ID. 83440 Phone (208) 359 -3020 / Fax (208) 359 -3024 Building Permit No: 0700422 Applicable Edition of Code: International Residential Code 2003 Site Address: V WheVO(O A DK Use and Occupancy: Single Family Residential Type of Construction: Type V, non -rated Design Occupant Load: Residential Sprinkler System Required: No Name and Address of Owner: Harrison E Marc & 125 Woodhaven Ln Idaho Falls, ID 83404 Contractor: Se/Z Construction Special Conditions: 1,370 sq ft unfinished basement. Occupancy: Residential - less than 2 units, permanent in nature 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 vies found to be in compliance vuth 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: March 03, 2009 (04:03PM) 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 Inspect _ : �`�''� Fire Inspector: / G1 Electrical Inspecto . PBZAdministrator: n C17 Y OF AEXB UG 4A_V_*TNG PERMIT APPLICATION Pleasl 0700422 19 E MAIN, -KEX•URG, ID. 83440 If the qu 208 - 359- 3020X326 648 Wheatland Dr- Harrison PARCEL NUMBER: SUBDIVISION: Neo �L _ UNIT# BLOCK# 7 LOT# �z (Addressing is based on the information - must be accurate) OWNER NAME: CONTACT PHONE # t J all PROPERTY ADDRESS: bAl PHONE #: Home (7,a6) 6 5-8775 Work (2o$ 313- a'Y/7' �� Cell OWNER MAILING ADDRESS: /;ZS" 1/ kV, CITY: __ i�; STATE ZIP: S3�D EMAIL FAX a©0— 'Y'70 "15:7 b" APPLICANT (If other than owner) e�> /;•ZC �0�7 ��I%, LC C (Applicant if other than owner, a statement authorizing applicant t a as agent for owner must accompany this a pplication.) ) APPLICANT INFORMATION: ADDRESS lea %) Nu/dtSP&A4 CITY E,1 STATE ZIP EMAIL PHONE #: Home ( Work '/'i4L�' Cell CONTRACTOR MAILING ADDRESS: 5g41 t q_ CITY STATE _ , ZIP 93L101 PHONE #: Home (�$) J�,2g qyg Work ") 5?a4V - W Cell W§ (eOAP' 33 79 IDAHO REGISTRATION # & EXP. DATE kT E- 1-3 3 How many buildings are located on this property? Did you recently purchase this property? No Yes (If yes give owner's name) ,, Is this a lot split? 8 YES (Please bring cop of new legal description of prop E ((a E 9 � l l�� V PROPOSED USE: S('44 UZb&tom lI��JJ 11 U (i.e., Single Family Residence, Multi Family, Apartments, Remodel, Garage, Commercial, Addition, 11111 SEP 1 3 2007 APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: der p nalty of perjury, I hereby cer that I have read this application and state that the information herein is correct and I swear that any infonnatio whic hlma); herenfter he gi u . P hearings before the Planning and Zoning Commission or the City Council for the City of Rexburg shall be trut lc City regulations and State laws relating to the subject matter of this application and hereby authorized represent tiv h Ct e t mentioned property for inspections purposes. NOTE: The building official may revoke a permit on approval issued under the provisions of the 2003 Inte onal 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 b ed. P t void if not started in 180 days. Permit void if work stops for 180 days. " _24tj VA __S_/ / — Signature f Owner /Applicant DATE Do you prefer to be contacted by fax, email or phone? Circle One WARNING — BUILDING PERMIT MUST BE POSTED ON CONSTRUCTION SITE! Plan fees are non - refundable and are paid in full at the time of application beginning &auary 1, 2 005. City of Rexburg's Acceptance of the plan review fee does not constitute plan approval * *Building Permit Fees are due at time of application ** **Building Permits are void if your check does not clear ** Please complete the enfre App lication! NAME � t n� 4 v t PROPERTY ADDRESS Permit# SUBDIVISION t6ue4r #-E 11 15 Dwelling Units: t Parcel Acres: SETBACKS , FRONT '50 SIDI SID a� BACK 750� Remodeling Your Building /Home (need Estimate $ ozr�' SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area -2,9 7;M.4. Unfinished Basement area Second floor /lo area .9 Finished basement area Third floor /loft area -P' i l l Garage area 10 " < �ar�- _ Shed or Barn -s;;' Carport /Deck (30" above g de)Area Water Meter Quantity: / * * * * * * * * * * * ** *Water Meter Size: Required!!! PLUMBING Plumbing IT Contractor's Name: Micho& �- y i)? 4 a Business Name: 6 9)o bal y Address (47W (47W pUz°c/ City —lkifil r�_ State -LL - 2— Zip ;R3,2L ( Contact Phone: (90 Business Phone: (, - 716 NG Fax a 5 7 3007 FIXTURE COUNT (including roughed frxtures� � Clothes Washing Machine 1- Dishwasher Floor Drain Garbage Disposal �-- Hot Tub /Spa Sprinklers Tub /Showers Toilet /Urinal _e s� Water Heater 1, Water Softener l( Sinks (Lavatories, kitchens, bar, mop) Plumbing Estimate $ g(9 000 (COMMERCIAL /MULTI - FAMILY ONLY) Contractor License Number& Expiration Date T Date The City of Rexburg's permit fee schedule is the same as required by the State of Idaho 09/13/2007 09:12 2085520594 ALPINEHEATING Building Safety Department City of ROW% 19 r- Main ione0orexnu►a.0rg Phone. 208.359.3020 x326 Rexburg. ID 93440 www. /exburg.org FOOT. 209.339.3024 N 4HV? PAGE 02 P � CITY OF RMUR .4msria'e Firnty Gornniunny NAME, _ -- PROPERTY - ADDRESS SUBDIVISION Permit# .Required'111 MECHANICAL Mecbanical Contractor's Name: Z� A241yf Business Name: J�7�d, �` Al1dr et , ! 2 City - 0 � s 5tatc Zip g d d Cell Phone: (' _7 t / � Business Phone: (.20, f Fax: (W Frail C ,:- Mechanical Estimate $,gD,&QW.,_ (CommervfaUMulti Family Only) FIXTURES & APPLL4NC.ES COUNT (Single Family DwelUgg Only) OF l:umacc Exhaust or Vent Ducts Farnace/Air Conditioner Combo Heat Pump Air Conditioner Evaporative Cooler Unit Heater - -_ _ --- 4oace Heater Decorative gas-fired appliance Ineincrator Systom Boiler Fool Heater Dryer Vents Range Hood Vents Cook Stove Vents � - Bath Fan Vents other similar vcnts & ducts: Fuel Gas Pipe Outlets including stubbed in or future outlets Heat (Cinle all that apply4w Oil Coal Fireplace Electric Hydronic M ec h go i ca l §hdng C8j jWnt: ns must tie submitted with PIAR dt ARdI8 28 Point 9f R&e,[Y..n111 1 hj skgZn on p hnL I.Wensed Contractor A V License number schedule is the same as the State af1daho Building Safety Department o4aEXBUR� i City of Rexburg � 19 E Main jonellh @rexburg.org Phone: 208.359.3020 x326 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 '���' "`° 1e,, CITY or R ____ _ -_ - - ---- k EXBURG _,,, Americas Family Community OWNER'S NAME MAKH St� i'1 50AI PROPERTY ADDRESS M4 LANb Wye Permit# SUBDIVISION PHASE LOT Id2 BLOCK RequlredN �FLFCTRICAL Electrical Contractor's Name Business Name AiLck," f- Address 3 c - M � /?ivrtfa City ` State Zip Cell Phone (�� 3 /-3 - sw Business Phone ( -) / 3 - -30 - 3 Fax qv� - 7 Email b At, r �V lJ Q Electrical Estimate ( cost of wiring & labor $ /7, t / - /-';? (COMMERCIAL /MULTI - FAMILY ONLY) TYPES OF INSTALLATION (New Residential includes everything contained within the residential structure and attached garage at the same time) Number of meters being installed 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 year) Existing Residential (# of Branch Circuits) Spa, Hot Tub, Sw immin g 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 o 3 inspecti s. Additional inspections charged at requested inspection rate of $40 per hour. 7e2 Signature censed Contractor License number The schedule is the same as Date the State of Idaho SUBCONTRACTOR LIST Excavati( Concrete Masonry: Roofing: WQ$r Insulation: l ° 3;?65 , �' ° ��r4L.._ ..� ".� _{' ll.� ..,,,?',� � /Or Ct�elnl.!'�.ral •��_.�� /�r2 r Floor , Coverings: !Ot Plumbing: ' .20 w('0 ? - 35 '7'� 3 'y Heating: 0 1)j 4e tk � P 46 1 \,A/, I I to - 5a 3 -- ,ST(a (64,y 5,5'.2 Electrical: "WMC 313 603 Roof Trusses: Floor /Ceiling Joists: Siding /Exterior Trir Other: Special Construction (Manufacturer or Supplier) eve ped 4) t 1 6 0 EXEMPTIONS FROM STATE REGISTRATION 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. (This list is a summarization of Idaho Code Title 54 Chapter 5205, for full definitions of these exemptions please see the State's website at www.ibol.idaho.gov /cont.htm ❑ Currently State licensed pursuant to Title 54 Idaho Code, Chapters: 3 Architects, 10 Electrical Contractors /Journeyman, 12 Engineers /Surveyors, 19 Public Works Contractors (exempt from fee only registration required), 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 ❑ Employee of a US Government agency (State, City, County, or other municipality) ❑ Public Utility doing construction, maintenance, or development to its own business ❑ Involved with gas, oil or mineral operations ❑ Supplier doing no installation or fabricating ❑ Contracting a project or projects with a total cost less than $2000 ❑ Operation of a farm or ranch or construction of agriculture buildings exempt from Idaho Building Code ❑ Any type of water district operations ❑ 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 certify that above information is true and correct to the best of my knowledge. Sigtfature Date j 08/30/2007 14:59 FAX 208 528 2316 w CITY OF REXB URG - UILDING PERMIT APPLICATION 19 E MAIN, REXBURG, ID. 83440 208 - 359 -3020 X326 se /z construction Please • Cin 0001/0004 ...... ........ ............................... 0700422 If the que 648 Wheatland Dr- Harrison PARCEL NUMBER: CA (We will. provide tins for you) SUBDIVISION: Q CMG UNIT# BLOCK# 7 I.OT# �" (Addressing is based on the information - must be accurate) 0 R NAME: CONTACT PHONE # PROPERTY ADDRESS: X04 f� 1/N r'12A. D 4' PHONE #: Home (2*) 5 .28- Work ( - 1-94 313- 477/ Cell OWNER MAILING ADDRESS: IFS" WnpAh u/W kV, CITY: AW; STAT ZIP: g 3 A& EMAIL FAX ,�200- 'V%' ; APPLICANT (If other than owner) L-A-C (Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.) APPLICANT INFORMATION: ADDRESS 760 IK Q&l — CITY -- STATE W41 ZIP g3 0l EMAIL FAX 4RS6 S Srij* PHONE #: Home ( Work (aq) Cell 0,6 7� CONTRACTOR MAILING ADD �u LL(! ATE - ZIP — .3 PHONE #: Home Work ") - %?R 4 F Cell (°� �"�' 3 MM 3 `lq F.MATTL,.41 -h*iAA FA ' -R3(Io IDAHO REGISTRATION # & EXP. DATE K`E Hnw many buildings are located on this vroberty? Did you recently purchase this property? No Yes (If yes give owner's name) �'1'.�LQIr1('1[ Fitti/�9bf�l Is this a lot split? (NO) YES (P bjing copy of new legal description of property) PROPOSED USE: ��14 �&14 (i.e., Single Family Residence, Multi Family, Apartmen Remodel, Garage, Commercial, Addition, Etc.) APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION Under penalty 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 Zoning Commission or the City Council for the City of Rexburg shall be truthful and correct. I agree to comply with all City regulations and State laws 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 Inte onal 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 b ed. mit void if not started n 1 0 days. Permit void if work stops for 180 days. C/ 157 Signature £ Owner/Applicant DATE Do you prefer to be contacted by fax, email or phone? Circle One WARNING — BUILDING PERMIT MUST BE POSTED ON CONSTRUCTION SITE! Plan fees are non - refundable and are paid in full at the time of application beginning lanuary 1.2005. City of Rexburg's Acceptance of the plan review fee does not constitute plan approval **Building Permit Fees are due at time of application** **Building Permits are void if your check does not clear** 08/27/2007 16:19 FAX 208 528 6 se /z construction • Building Safety Department City of Rexburg 19 E. Main ionellh @rexburg.org Phone: 208.359.3020 Rexburg, 1D 83440 www.rexburg.org Fox: 208.359.3024 V � r •E �a kEia ��' Q 0001/0001 CITY OF MX Americas Family Community Affidavit of Legal Interest State of Idaho County of Madison 0 Name T City Being first duly sworn upon oath, depose and say: (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 — J- State 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 1 9 day of _ � .200 0 Subscribed and sworn to before me the day and ye4 first above written. P AY G e r C !a O: z a =: eV e Pv Public of Idaho Residing at: My commission expires: /U 08/30/2007 14:59 FAX 208 528 2316 se /z construction U0002/0004 Building Safety Department �o QEXHtil Q CITY OF City of Rexburg � 'a RMT G m +� nv It 19 E Main ionellh@rexburg.org Phone: 208.3S9.3020 x326 �. s Americas Family Community Rexburg, ID 83440 www.rexburg.org Fax_ 208.359.3024 OWNER'S NAME MAR /1 SMARC [To d ! 1 Ai i #07 00422 PROPERTY ADDRESS v Permit SUBDIVISION HFIU415 648 Wheatland Dr PHASE LOT IA2 BLOCK Requiredffl & FLFCTRICAL Electrical Contractor's Name _ Business Name Address PY3. :S /7 City, i State Zip 3 C Cell Phone ()1* 37-373W Business Phone - Fax '7 V,5-- &7:�L Email 'rti [<' Q 1 "1` 100 MS" . Electrical Estimate ( cost of wiring & labor $ / (COMMERCIAL /MULTI - FAMILY ONLY) TYPES OF INSTALLATION (NewResidential includes everything contained within the residential structure and attachedgarage at the same time) Number of meters being installed 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. 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 Installations: Wiring not specifically covered by any of the above Cost of Wiring & Labor: $ Pumps (Domestic Water, I Sewage) Requested Inspections (of existing wiring) Temporary Amusement /Industry *Includes a maximum o 3 inspecti s. Additional inspections charged at requested inspection rate of $40 per hour.. V72 l- Signature censed Contractor License number Date The Gi ro Re pemit fee schedule u the same as required by the Sta 08/30/2007 14:59 FAX 208 528 2316 se /z construction U 0003/0004 SUBCONTRACTOR LIST Masonry: Roofing: 1 Insulation: - ds ���i Drywall: t— r=1c3 . - 105tY •z2�al l t �5�� ) , x!! 02 P� ;nrinrr• ra, 11 Floor It P Plumbing: P "�t� r %�'' " m�� ® 3T t.tl ^ �' � y/. I Heating: ` - 3Y GJr Electrical: �l�. 'E - ''� ' c -3 Roof Trusses:_ Floor /Ceiling Jc Siding /Exterior Special Construction (Manufacturer or Supplier) C� 4, 08/30/2007 14:59 FAX 208 528 2316 se /z construction 0 0004/0004 EXEMPTIONS FROM STATE REGISTRATION 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. (This list is a summarization of Idaho Code Title 54 Chapter 5205, for full definitions of these exemptions please see the State's website at wwwlboLidaho.,gov /conthtrn ❑ Currently State licensed pursuant to Title 54 Idaho Code, Chapters: 3 Architects, 10 Electrical Contractors /Journeytnan, 12 Engineers /Surveyors, 19 Public Works Contractors (exempt from fee only registration required), 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 • Employee of a US Government agency (State, City, County, or other municipality) • Public Utility doing construction, maintenance, or development to its own business ❑ Involved with gas, oil or mineral operations ❑ Supplier doing no installation or fabricating ❑ Contracting a project or projects with a total cost less than $2000 ❑ Operation of a farm or ranch or construction of agriculture buildings exempt from Idaho Building Code ❑ Any type of water district operations ❑ 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 certify that the above information is true and correct to the best of my knowledge. to . ta � �7 Date ._