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Home My WebLink AboutAPPLICATION & CO - 08-00003 - 596 Stonebridge - New SFRe gexs uRc u� f� CITY OF ' REX Id, A Bul in .A America's Family Community s " � Neo ,e 9 Permit ISSUED TO: PERMIT #: 080000 1 3 NAME: Liberty Builders FOR THE CONSTRUCTION OF: 596 Stonebridge- Shattuck JOB ADDRESS: 596 Stonebridge St GENERAL CONTRACTOR: Liberty Builders 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 bythe City Council and explained on the Building Permit Application as approved by the Building Inspector. is Date Approved 0 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 approval. INSPECTION CARD BUILDING 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 a roved 1. Rough -In 2. Final PLUMBING nn +e A.,m—. —A 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 �RTAB Ukc CITY O F Certificate of Occupancy .i r REX City of Rexburg OW America's Family Communi Department of Community Development MED 19 E. Main St. / Rexburg, ID. 83440 Phone (208) 359 -3020 / Fax (2081359 -3024 Building Permit No: Applicable Edition of Code: Site Address: Use and Occupancy: Type of Construction: Design Occupant Load: Sprinkler System Required: International Residential Code 2003 596 Stonebridge St Single Family Residence Type V, non -rated Residential No Name and Address of Owner: Shattuck Theron Etux 417 Violet St Rexburg, ID 83440 Contractor: Liberty Builders Special Conditions: 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 vies found to be in compliance with 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: May C.O Issued by: 23, 2008 (11 M 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: Electricallnspector: P &ZAdministrator: CRY OF REX-B UKG BI- ILDING PERMIT APPLICATION Pleac 0800003 1� 19 E MAIN, REXBURG, ID. 83440 If the 9 le 208 - 359 -3020 X326 cc `� 596 Stonebridge- Shattuck PARCEL NUMBER O �� `��r�,. �) � � w e wu1 Yivvruc U u3 r.,1_ y ". ) SUBDIVISION: Simelo &C UNIT# BLOCK# 3 LOT #� (Addressing is based on the information - must be accurate) CONTACT PHONE # _ .52&f, PROPERTY ADDRESS: PHONE #: Home ( ) Work ( ) u Cell( OWNER MAILING ADDRESS: 7 V 1 G je- Jt CITY: Ve 'l YG STATE: I b ZIP: EMAIL _S Qx O= `- bl, yl l . A FAX APPLICANT (If other than owner) Li tzlT &, Jd .rS (Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.) APPLICANT INFORMATION: ADDRESS 3Y0 oL 06 CITY: 1 U l a_ t F( I W STATE; ` (I n ZIP '3 3 q v EMAIL L% b -e( tq — L I d 4? no FAX vl 1 _ rs I i 0i mcu I • Cell PHONE #: Home ( ) Work ( ) Cell( b a S CONTRACTOR F- Cere Z — (_ r e! A eu MAILING ADDRESS: 39Oa oelakOci V c CITY as �1 o FO STATEA_�ZIP 3 PHONE #: Home ( ) Work ( Cell W) 3bo b Aa AX -_0L% IDAHO REGISTRATION # & EXP. DA How many buildings are located on this property? Did you recently purchase this property? No � e (If yes give owner's name). Is this a lot split ?� YES (Please bring copy of new legal description of PROPOSED USE: (i.e., Single Family Residence, M&d Family, JAN - 2 2008 Remodel, Garage, Commercial, Addition, ttct TV OF G APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalt of perjur 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 o£ an false statement or misrepresentation of fact in the application or on the plans on which the permit or approval was based. 2rmit void if not starte thin 180 days. Permit void if work stops for 180 days. o"7 Si tore of Owner /Applicant DATE Do you prefer to be contacted by fax, email or on 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 farnuar, 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** Bull Safety Department City of Rexburg 19 E. Main Rexburg, IQ 83440 janellh@rexburg.org Phone: 208.359.3020 www.rexburg.org Fax: 208.359.3024 OF RExB UR F 4 �O 's v c CITY O F REXBURG Americ6 Family Community Affidavit of Legal Interest State of Idaho County of Madison I, f-ca n K Pe.re Qr'1 VC- Name Address IJ Q-�0 ida h n 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 off the application. Dated this day of 0( e( , 20 9 Signature r Subscribed and sworn to before me the day and year first above written. Notary blic of Idaho JULIA EVANS NOTARY PUBLIC STATE OF IDAHO f 19-1;ve-T Residing at: My commission expires: — — / 3 -e;�O Ple.Ae complete the efire Ap p PP NAME 1he(o(N Sh u-4 hi PROPERTY ADDRESS Permit# SUBDIVISION - 5A7Y�� S ri r�[7►Q� Dwelling Units: Parcel Acres: SETBACKS FRONT 2S 14 SIDE 3 A f-} SIDE � a BACK 3 1 fA Remodeling Your Building /Home (need Estimate) $ SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area X03 sz 4 f+ Unfinished Basement area 1 ( a O 0 SG • 7 4 Second floor /loft area Finished basement area Third floor /loft area Garage area 6 G 3 Shed or Barn Carport /Deck (30" above grade)Area Water Meter Quantity: * * * * * * * * * * * * ** 0 Water Meter Size: Required f!l PLUMBING Plumbing Contractor's Name: 03 1 J � e_ 5 42P u `.S Business Name: 12-4er Address Pb 11 City IA&ho F�.5 State _ Zip _ U _ + _ ) 3 3 X10 Contact Phone: O Business Phone: ( ) Email Fax FIXTURE COUNT (including roughed fixtures Clothes Washing Machine �_ Sprinklers Dishwasher q Tub /Showers Floor Drain Toilet /Urinal Garbage Disposal Water Heater Hot Tub /Spa 0 Water Softener Sinks (Lavatories, kitchens, bar, mop) Plumbing Estimate $ (COMMERCIAL /MULTI - FAMILY ONLY) Signature of Licensed Contractor The yGf11 1 a -A -o License Number& Expiration Date Date Rexburg'shermit fee schedule is the same as required by the Slate of Idabo to 359-3024 Pric-co-C. Collet tbeen-Tirlell P et , . A k Plicatioul ;Vlz. : ......... ................. ...... ... .. .. ..... .... ................ . .................... at VM .. .... .... M .... - ..... ... .. ......... ... ... . ... ......................... s ........... z - X uxl ..... ? YfS ..... .. mu A ---- - -- - --- Xl. V W-jwmv�� ............. .......................... I .................. ............ ............. Wsxim - Wrmu, .......... ........ ..... PLU kl-:ir.c - 613 4, ..<. <..<. . ......... ............... ........................................................ ------------- ................... ........... . .... ..... . ..... ....... - - ---- .... . .... 002/002 ............. - ....... ................ ..... .... .. 3i! Mv- u,- T Smo b,-U, lw -M D? ..................................... 002/002 ............. - ....... ................ ..... .... .. Please complete the entire Ap P PP NAME PROPERTY ADDRESS SUBDIVISION i Permit# Required!!! MECHANICAL Mechanical Contractor's Name k1 y Gt c/ d 'L Business Name 15Q X [ I - e=�-C Address `� / rj. °� YoZ City u State T d Zip Cell Phone Gb% J6 ` US:�o� Business Phone Pes�) Fax ( ) Email Mechanical Estimate $ (Commercial /Multi Family Only) FIXTURES & APPLIANCES COUNT (Single Family Dwelling Only) Furnace 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) (! as ) Oil Coal Fireplace Electric Hydronic Mechanical Sizing Calculations must be submitted with Plans & -A-uplic Point of Delivery must be shown on plans. S6 of Licensed Contractor License number Date Range Hood Vents Cook Stove Vents Bath Fan Vents The 00 of Rexburg's permit fee schedule is the same as required by the State of Idabo 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 . ;o * B vRC l7 U � C IT Y OF REX Americas Family Community OWNER'S NAME PROPERTY ADDRESS SUBDIVISION PHASE LOT BLOCK Permit# HOME 0 W7VER - S ELECTRICAL PERMIT Home Owner's Name Address City State Zip Cell Phone ( ) Fax ( ) Home Phone ( TYPES OFINSTALLATION (New Residential includes everything contained within the residential structure and attached garage at the same time) For power supplier requirements visit www.rockymtnpower.net 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, 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 City of Rexburg's permit fee schedule is the same as the State Date Building Safety Department �o �EXa °R� e CITY o F City of Rexburg � 'a � rv�T mG REXB lJ 1G 19 E Main janellh@rexburg.org Phone: 208.359.3020 x326 Americas Family Community Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 PROPERI DRESS Permit #08 00003 SUBDIVISION 596 Stombridge PHASE 1 LOT BLOCK Requiredffl ELECTRICAL Electrical Contractor's Name �� /� ! a,L P'iCJ° ' Business Name -rrGW l5 Address & A/ City /7,N- � State Zip Cell Phone 3 1 7- - 0 Qg/ Business Phone (Xe) -7/3 —,0 0,91 Fax P-06) 2 2 - 7 - lJ y P / Email Tjrx yi? H(in -Q i �. /2 e:l Electrical Estimate ( cost of wiring & labor) $ (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 X 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 maximum of 3 inspections. Additional inspections charged at requested inspection rate of $40 per hour. Signature of Licensed Contractor The License number fee schedule is the same as Date the State Bureau of Occupational Licenses Department of Self Governing Agencies The person named has met the requirements for registration and 1s entitled under the laws and rates of the State of Idaho to operate as n(n) REGISTERED CONTRACTOR FRANK PEREZ LIBERTY BUILDERS 3802 DELOY DR IDAHO FALLS ID 83401 -'7.a Tana Cory RCT 21991 12/08/2008 Chief, B.O.L. Number Expires SUBCONTRACTOR LIST Excavation & Earthwork: n ft r I 1 Rk-CrI c A C onS'r u d i C) Concrete: S�Q ! �hj Masonry: Roofing: Cn Qrcd eS Aoo - fiAl Insulation: M - P-u) I T Drywall: L i be6 'jy GUS ! U -e(S Painting: Ll 6-ec Floor Coverings: L i b eA Lq Isu b l c "� � rS Plumbing: IP) u m b'r Heating: F -X 4 m e- i 11 Electrical: �r�► 111 S K G U Pr E l e ('{ rl C Special Construction (Manufacturer or Supplier) Roof Trusses: S umm i+ l ► US S ( Floor /Ceiling Joists: 0() - A (Q A 1,'r Siding /Exterior Trim: Y u�1JA1; yi C 116 u L] 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 I here certify that the a ve information is true and correct to the best of my knowledge. - u7 Signafure Date L, tK Pere z. 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