The URL can be used to link to this page

Home My WebLink AboutAPPLICATIONS, CO, BP - 07-00504 - 602 Harvest Dr - New SFRg cxs vR �Al4 �r CITY OF 0 ° REX CW 'fHED `° A Americas Family Community s e � Permit ISSUED TO: PERMIT #: 0700504 NAME: Brett Jensen Construction FOR THE CONSTRUCTION OF: 561 Autumn Dr- Jensen JOB ADDRESS: 602 Harvest Dr GENERAL CONTRACTOR. Brett Jensen 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 bythe Building Inspector. Date Approved Issued By 10/09/2007 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. N O T I C E 2) The permit will become null and void in the event of any deviation from the the building beyond the point indicated in each successive inspection without 3. Mechanical Final Ins ■ 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 aooroval. 5. Footing INSPECTION CARD BUILDING Date ADDroved 1 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 ELECTRICAL Date Approved 1. Rough -In 2. Final PLUMBING Date ADDroved 1. Sewer Service Conn 2. Water Service Conn( 3. Rough -In 4. Ground Rough -In 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 o��EXBUR� F amil y O F arnil Com munity Certificate of Occupancy yy f R.EX City of Rexburg America's `� ty Department of U Community Development �ENEp � 19 E. Main St. / Rexburg, ID. 83440 Phone (208) 359 -3020 / Fax (2nR% 35a - Building Permit No: 0700504 Applicable Edition of Code: International Residential Code 2003 Site Address: 561 Autumn Dr Use and Occupancy: Single Family Residence Type of Construction: Type V, non -rated Design Occupant Load: Residential Sprinkler System Required: No Name and Address of Owner: Smith Richard F & POBox8 Rexburg, ID 83440 Contractor: Brett Jensen Construction Special Conditions: Unfinished basement 1770 sq. ft. Occupancy: Residential - less than 2 units, permanent in nature This Certificate, issued pursuant to the requirements of Section 109 of the International 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 Wth the requirements of the code for the group and division of occupancy and the use for vihich the proposed occupancy vies classified. Date C.O. Issued: March 21 C.O Issued by: Building Official There shall be no further change in the wdsting 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 Insp e 4o Fire Inspector: Electrical Inspector. P &Z Administrator: d CITY OF AEXB UKG 0 PERMIT # BUILDING PERMIT APPLICATION Please coi 19 E MAIN, REXBURG, ID. 83440 If the question 07 208 - 359 -3020 X326 561 Autumn Dr- Jensen PARCEL NUMBER: �� f kaon (We wi SUBDIVISION: JUf itf- i t L 1 a C UNIT #_ BLOCK# LOT# (Addressing is based on the information - must be accurate) OWNER NAME CONTACT PHONE # PROPERTY ADDRESS: Q (A iffiU -bIM10 PHONE #: Home ( OWNER MAILING ADDRESS: Work ( CITY: EMAIL F Cell ( ATE: ZIP: APPLICANT (If other than owner) `r��5— e- 11 'f•. � - ~ (Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.) APPLICANT INFORMATION: ADDRESS /P'� e f �� ' CITY: AFX b / / STATE; I � ZIP 19WY0 EMAIL _?Ji s��d' � - FAX PHONE #: Home ( ) ��"��9� Work ( ) .T�J- /�-� Cell ( ) 313 6 5 -_:�C CONTRACTOR 4 . Wit. r 7iZ-, v/� MAILING ADDRESS: �f� V7 CITY. C PHONE #: Home ( ) 3.S " �5 / 3 Work ( ) ATE ZIP (> 3/3 -G 7 3G EMAIL FAX IDAHO REGISTRATION # & EXP. DATE How many buildings are located on this property? Did you recen p ase this property? N'es )(If yes, list previous owner's name) Is this a lot sp]Z NO YES (Please bring copy of new legal description of property) PROPOSED US f(i.e., Single Family Residence, Multi Family, Apartments, 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 and 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 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 n t started within 180 days. Permit void if work stops for 180 days. Signature of Own Applicant - -° -- DATE Do you prefer to be contacted by fay4'email or �1� Circle One WARNING — BUILD G PERMIT MUST BE POSTED ON CONSTRUCTION SITE! Plan fees are non - refundable and are paid in full at the time of application beginning h ingLar 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** Buil 19 E. Main Rexburg, ID 83440 g Safety Department City of Rexburg janellh@rexburg.org Phone: 208.359.3020 www.rexburg.org Fax: 208.359.3024 of RBxB JJ � � CITY OF 9 REXBURG Americas Family Community Affidavit of Legal Interest State of Idaho County of Madison I, Name Address City State 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 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 day of 3 20 Signature Subscribed and sworn to before me the day and year first above written. Notary Public of Idaho Residing at: My commission expires: Please complete the •tire A p p lication! _ NAME tZ PROPE TY ADDRESS SUBDNISION /4, t/L !r ✓-- Dwelling Units: Parcel Acres: 0 Permit# SETBACKS FRONT 6,0 SIDE 3 5 SIDE 9 BACK ,fin Remodeling Your Building /Home (need Estimate $ SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area , !j� 7: Unfinished Basement are 1770 Second floor /loft area Finished basement area Third floor /loft area Garage area FS 7 Shed or Barn Carport /Deck (30" above grade)Area Water Meter Quantity: * * * * * * * * * * * ** *Water Meter Size: - /,k Requiredffl PL UMBING Plumbing Contractor's Name: 1�� Business Name: Address City State Zip Contact Phone: ( ) {� " PZ2 Business Phone: Email Fax �y FIXTURE COU NT (mcludin _- rou --hed fixtures / Clothes Washing Machine Dishwasher Floor Drain / Garbage Disposal 0 Hot Tub /Spa Sinks (Lavatories, kitchens, bar, mop) Sprinklers Tub /Showers 11) __12 _ Toilet /Urinal Water Heater l Water Softener Plumbing Estimate $ (COMMERCIAL /MULTI - FAMILY ONLY) ignature of Licensed Contractor License Number& Expiration Date Da The 00 of Rexburg's permit f ee schedule is the same as required by the State of Idaho Please complete the entire A p p lication! • NAME LW PROPERTY ADD SS Permit# SUBDIVISION Requiredffl MECHANICAL Mechanical Contractor's Name 4 / ( A Business Name Address City State U Zip v Cell Phone ( ) Business Phone ( ) 25-- 8770 Fax ( ) Email Mechanical Estimate $ (Commercial /Multi Family Only) FIXTURES & APPLIANCES COUNT (Single Family Dwe Only) Furnace t Exhaust or Vent Ducts Furnace /Air Conditioner Combo Dryer Vents Heat Pump Air Conditioner Evaporative Cooler Unit Heater Space Heater Decorative gas -fired appliance Incinerator System Boiler Pool Heater _ Fuel Gas Pipe Outlets including stubbed in or future outlets Inlet Pressure (Meter Supply) PSI other similar vents & ducts: Heat (Circle all that apply) Oil Coal Fireplace Electric Hydronic Mechanical Sizing Calculations must be submitted with Plans & APPlication Point of Delivery must be shown on ul n . ,,Z4,0 C) Signatur icensed Contractor License number Date Range Hood Vents Cook Stove Vents Bath Fan Vents WVA The City of Rexbura's permit fee .schedule is the same as required by the State Building Safety Department City of Rexburg 19 E Main ionellh@rexburg.org Phone: 208.359.3020 x326 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 Permit #07 00504 561 Autumn Dr C I T Y OF REXBURG Americas Family Community OWNER'S NAME PROPERTY ADDRESS SUBDIVISION AG. ;, S PHASE LOT BLOCK RequlredLY ELECTRICAL r r \ Electrical Contractor's Name' l/ ' T L !�cl4 iness Name Address /� .,, `l, s'- city_ State � Zip Cell Phone Business Phone ( ) ��'� - 3,7"� Fax ( Electrical Estimate (cost of wiring & labor) $ (COMMERCIAL /MULTI - FAMILY ONLY) TYPES OFINSTALLATION (New Residential includes everything contained within the residential structure and 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 Existing Residential (# of Branch Circuits) Spa, Hot Tub, Sw immin g Pool OF 4EX B URC f; �o U 70 NEO k U k 9 W E LJJ C EC - 5 2007 Q!TY OF REXBURG on or a period not to exceed 1 year) 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) Tempry Amusement /Industry Signature of Licensed Contractor The inspections charged at requested inspection rate of $40 per hour. , ��-5 / ;�-. License number fee schedule is the ,rage as Date the State of Idaho 1 0 --,"4, 0 • SUBCONTRACTOR LIST Excavation & Earthwork: Masonry: Insulation: Floor Coverings: Irl Special Construction (Manufacturer or Supplier) Roof Trusses: Floor /Ceiling Joi Siding /Exterior Tri Other: ! • 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.g-Qy/cont.h ❑ 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 I h eby certify that the above information is true and correct to the best of my knowledge. 4 c c? Signature Date Print Name