HomeMy WebLinkAboutAPPLICAITONS, CO, BP - 07-00529 - 615 Canyon Springs Dr - New SFRof g Exs uR�
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Perm
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ISSUED TO:
PERMIT #: 0700529
NAME: Valentine Jeremy
FOR THE CONSTRUCTION OF: 615 Canyon Springs Dr -Valen JOB ADDRESS: _615 Canyon Springs Dr
GENERAL CONTRACTOR: Owner
This permit is issued subject to the regulations containe4'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 Inspe
Date Approved
10/22/2007
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
NOTICE!
2. Mechanical Pressure
on the premises during construction.
2 ) The permit will become null and void in the event of any deviation from
the building beyond the point indicated
4. Layout
the
accepted drawings.
in each successive inspection without
3) No foundation, structural, electrical, nor plumbing work'shall be concealed
approval. No structural framework of
any underground work shall be
without aooroval_
covered
INSPECTION CARD
BUILDING
Data AnnrlWar!
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
Data Onnr
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
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c irY off Certificate of Occupancy
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REX BURG City of Rexburg
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Americ4 Family Community Department of Community Development
19 E. Main St. / Rexburg, ID. 83440
Building Permit No: 0700529
Applicable Edition of Code: International Residential Code 2006
Site Address: 615 Canyon Springs 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: Valentine Jeremy J
367 E 7th N
Rexburg, ID 83440
Contractor: Owner /Lessee
Special Conditions: 1172 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 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 teas found to be in compliance vuth the requirements of the code
for the group and division of occupancy and the use for Mich: the proposed occupancy vies
classified.
Date C.O. Issued: August
C.O Issued by:
Building Official
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There shall be no further change in the existing 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: NIA
Electrical Inspector: P&Z Administrator
CITY OF KEXB URG 0
BUILDING PERMIT APPLICATION Plea
19 E MAIN, REXBURG, ID. 83440 If the q
208 - 359 -3020 X326
C 00529
1
615 Canyon Springs Dr- Valentine �e
PARCEL NUMBER: !Y k r L 2 0 (We will provide this for you)
SUBDIVISION: UNIT# BLOCK# LOT# 3;?
(Addressing is based on the informati - must be accurate)
OWNER NAME: CONTACT PHONE #
PROPERTY ADDRESS:
PHONE #: Home (&-9) 3-5 - z Y7c) Work (2o 7oq —,q Ps 7 Cell (zb� 7 -D9 o LY 7
OWNER MAILING ADDRESS: 3L 7 7 - CITY: STATE: ZIP: - & - 3Y9 4 6
EMAIL FAX
APPLICANT (If other than owner) w A
(Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.)
APPLICANT INFORMATION: ADDRESS IV A
STATE; ZIP
PHONE #: Home (
CITY:
EMAIL FAX
Work (
Cell (
CONTRACTOR lV A
MAILING ADDRESS: CITY STATE ZIP
PHONE #: Home ( ) Work ( ) Cell ( )
EMAIL FAX IDAHO REGISTRATION # & EXP. DATE
now many auucungs are located on this property ?,
Did you recently purchase this property? No <!i� (If yes, list previous owner's name) LLC ,
Is this a lot split ?�T YES (Please bring copy of new legal description of property)
PROPOSED USE:
(i.e., Single Family Residence, Multi Family, Apartments, Remodel, Garage, Commercial, Addition, Etc.)
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalt of perjur I hereb certif
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 'I Permit void if not stjrtS�witbin 180 days. Permit void if work stops for 180 days.
- 6 /_/c-) 1
ature o wner /Applicant DATE
you refer to be contacted by fax, email or ho ? Circle One
WARNING — BUILDING PE MUST BE POSTED ON CONSTRUCTION SITE!
Plan fees are non - refundable and are paid in full at the time of application beginning anaaiX L 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**
Builcgg Safety Department
City of Rexburg
19 E. Main ionellh @rexburg.org Phone: 208.359.3020
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024
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CITY OF
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RExBuRG
Americas Family Community
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Affidavit of Legal Interest
State of Idaho
County of Madison
I,
Name
City
Address
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 120
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 eltire Ap
NAME
PROPERTY ADDRESS
SUBDIVISION
Dwelling Units: Parcel Acres:
SETBACKS
FRONT
0
Permit#
SIDE SIDE BACK
Remodeling Your Building /Home (need Estimate)
SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building)
First Floor Area I � - 7:2— Unfinished Basement area 072-
Second floor /loft area Finished basement area 5 t�
Third floor /loft area Garage area (o "L5
Shed or Barn Carport /Deck (30" above grade)Area
Water Meter Quantity:
* * * * * * * * * * * ** *Water Meter Size: 3
Required!ff
PLUMBING
Plumbing Contractor's Name: Fob"4z, Business Name:
Address City f State I Zip
Contact Phone: ( ) Business Phone: ( ) `` ` — e l e —,
Email Fax 0-
FIXTURE COUNT /includin rouehed fixtures
Clothes Washing Machine
Dishwasher
Floor Drain
Garbage Disposal
Hot Tub /Spa
_ Sinks (Lavatories, kitchens, bar, mop)
Z Water Heater
Water Softener
Plumbing Estimate $ (COMMERCIAL /MULTI - FAMILY ONLY)
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Signature of Licensed Contractor License Number& Expiration Date D to
The City of Rexburg's permit fee schedul is the same as required by the State of Idaho
Sprinklers
Tub /Showers
Toilet /Urinal
Z Water Heater
Water Softener
Plumbing Estimate $ (COMMERCIAL /MULTI - FAMILY ONLY)
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Signature of Licensed Contractor License Number& Expiration Date D to
The City of Rexburg's permit fee schedul is the same as required by the State of Idaho
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
OF pEXB URC
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C I T Y OF
REXB
America's Family Community
NAME
PROPERTY ADDRESS
SUBDIVISION
Dryer Vents
Required!!!
MECHANICAL
Mechanical Contractor's Name: bAV I et j udA Business Name: JUA10 e
Address Q4 5 tF, L4 60 W r City a) tate .1 Zip �'>> 1 1S
Cell Phone: ( ) 2 5 Business Phone: ( )
Fax: ( ) �/� - 'j ZZ Email
Mechanical Estimate S (Commercial/Multi Family Only)
FIXTURES & APPLIANCES COUNT (Single Family Dwelling Only)
I Furnace Exhaust or Vent Ducts
Furnace /Air Conditioner Combo
Heat Pump
Air Conditioner
Evaporative Cooler
Unit Heater
Space Heater
Decorative gas -fired appliance
Incinerator System
Boiler
Pool Heater
other similar vents & ducts:
1 , Gas Pipe Outlets including stubbed in or future outlets
Heat (Circle all that apply) Gas Oil Coal Fireplace Electric Hydronic
Mechanical Sizine Calculations must be submitted with Plans & ADDlication
Point of Delivery must be shown on plans.
Signature of Licensed Contractor License number Date
Permit#
Range Hood Vents
Cook Stove Vents
& Bath Fan Vents
The City of Rexburg's permit fee schedule is the same as required by the State of Idaho
•
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
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CITY O F
REXBURG
Americas Family Community
OWNER'S NAME
PROPERTY ADDRESS
SUBDIVISION
PHASE _ LOT BLOCK L
Permit #07 00529
615 Canyon Springs Dr
Requlredffl
ELECTRICAL
Electrical Contractor's Name 64"c,.,, /�jn t Business Name "Xr /6,
Address 2G,2— NR 1 bcc City State Zip 15
Cell Phone Business Phone (;?.
Fax ( ) Email
Electrical Estimate (cost of wiring & labor) $ 753' c (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
Y 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, Irrigation, Sewage)
Requested Inspections (of existing wiring)
Temporary Amusement /Industry
*Includes a maxim ' f 3 inspections. Additional inspections charged at requested inspection rate of $40 per hour.
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Signature of Licensed Contractor License number D afe
The
schedule is the same as required by the State
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SUBCONTRACTOR LIST
Excavation & Earthwork:
Concrete:
Masonry: 1 "
Roofing: /V A
Insulation: Al A
Drvwall: Al A
Painting: N A
Floor
Plumbing: A,4 u r a
Heating:
Electrical: E
Special Construction
(Manufacturer or Supplier)
Roof Trusses: 13/V ( L we >,�-
Floor /Ceiling Joists: NVC G✓c -mod"
Siding /Exterior Trim: "mod
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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.My/cont.h1m
❑ 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
Cl 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 hyreby cer�fy that the above information is true and correct to the best of my knowledge.
/6�1-� -
Date
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