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Home My WebLink AboutALL DOCS & CO - 08-00019 - 49 S 4th W - Duplex Remodel, Apt 1 & 2O� OXB URG V � d ��SHED \tl CITY O F REX Americas Family Community Building Permit ISSUED TO: PERMIT #: 080001 NAME: Workman Bill FOR THE CONSTRUCTION OF: 4 S 4th W- Workman Duple I JOB ADDRESS: 49 S 4th W GENERAL CONTRACTOR. Gordon Wood 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 01/10/2008 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 N O T I C on the premises during construction. 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 4. Mechanical ■ 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 Annrnvari 1. Framing 2. Insulation 3. Drywall 4. Mechanical 5. Final ELECTRICAL Date Approved 1. Rough -In 2. Final PLUMBING Date A roved 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 o�gExavk�fG CITY o r Certificate of Occupancy ° RE City of Rexburg America's Family Community p De artment of Community Development 19 E. Main St. / Rexburg, ID. 83440 PhnnP t9nm 35Q_3n9n i cm. mnai icn_ -2nnw Building Permit No: 0800019 Applicable Edition of Code: International Residential Code 2003 Site Address: 49 S 4th W Use and Occupancy: Duplex Type of Construction: Type V, non -rated Design Occupant Load: Residential Sprinkler System Required: No Name and Address of Owner: Workman Bill 785 Hankins Rd Twin Falls, ID 83301 Contractor: Gordon Wood Special Conditions: 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 Mich the proposed occupancy vies classified. Date C.O. Issued: February 28, C.O Issued by: Building Official There shall be no further change in the eAsting 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 approve said future changes. Plumbing Inspector: A zb Electrical Inspector: PAZ Administra c � TEMPOf#RY '�QRexspgGr9 CITY OF Certificate of Occupancy C 9 ° REXBj,jjZG City of Rexburg fe',EM ED America's A2mily Cammuni Department of Community Development 19 E. Main St. / Rexburg, ID. 83440 Phone (208) 359 -3020 / Fax (208) 359 -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 49 S 4th W Duplex Type V, non -rated Residential No Name and Address of Owner: Workman Bill .785- Hankins Rd .. Twin Falls, ID 83301 Contractor: Gordon Wood p S � ;�'IS ` �? ( Special Conditions: ( ~ 0n �� D CLW P 4 � r K Y .. ; Occupancy: Residential - less than 2 units, permanent in nature This Certificate, issued pursuant to the requirements of Section 909 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 Mh 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: February 28, C.O Issued by: There shall be no further change in the eAsting 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: tifrrgpector: Electrical Inspector: P&Z Admin istrator: �j Building_Official ' CI�'Y OF REXB URG . PERMIT # • BUILDING PERMIT APPLICATION PleasE 19 E MAIN, REXBURG, ID. 83440 If the qu 08 000 1 9 208 - 359 -3020 X326 PARCEL NUMBER: C7�� 49 S 4th W- Workman Duplex SUBDIVISION: UNIT# BLOCK# LOT# (Addressing is based on the information - must be accurate) OWNER NAME &"- (--0 c CONTACT PHONE # s PROPERTY ADDRESS: 4 ( 1 S . `l '-,4 Lk:) PHONE #: Home (2q) Work 3oS - 1 ,1, , �5 Cell (z,) �c 8 Y0 'ts- OWNER MAILING ADDRESS: 7 bs i4,q .K ou5 �� CITY: � � N f-A -z5 STATE: I _C> ZIP: 9 ' 5 �o f EMAIL _c �? r 1C� �' .1� r f►�r 1 FAX APPLICANT (If other than owner) (Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.) APPLICANT INFORMATION: ADDRESS ". ,.. >>` CITY: 9 STATE; ZIP PHONE #: Home ( EMAIL F. Work ( ) Cell ( CONTRACTOR MAILING ADDRESS: 2 ct `, .''a vif C CITY 2 � 4/ STATE T IP L PHONE #: Home Work ( ) Cell (,cg) - 7, D EMAI LiIIJt . [��r 5 - ��rnQi� FAX IDAHO REGISTRATION # & EXP. DATE R(1'7-,2_D0 I r ruw ili uuuuuigs are iocareu on uus property: t Did you recently purchase this property? No es If yes, list previous owner's name) _Po l 8P— YA-t1,1 i Is this a lot split ?( YES (Please bring copy of new legal description of prope ) PROPOSED USE (i.e., Single Family Residence, Multi Family, Apartments, Remodel, Garage, Commercial, Addition, JAN APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Ui ider pe alt of perjury, I hereby certi that I have read this application and state that the information herein is correct and I swear that any information hic er �r hearings before the Planning and Zoning Commission or the City Council for the City of Rexburg shall be truth a r ct.�l r c M City regulations and State laws relating to the subject matter of this application and hereby authorized representatives- o€4he- o 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 started within 180 days. Permit void if work stops for 180 days. of Owner /Applicant Do you prefer to be contacted by fax, email or how Circle One WARNING — BUILDING PE RM1T MUST BE POSTED ON CONSTRUCTION SITE! Plan fees are non - refundable and are paid in full at the time of application beginning raeuar1. 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** T) ATR LJ • J Building S afe ty ®epaFtment ti "�' �q r, r z x OE - CHy of Rexburg RMURG 19 E_ Mdn jarielJhere*Ujq,otg Pham. 208.399 3WO CAW ° - Fi�afl�rCoe Rftbvig, O 83Q/0 www.rexbugolg Ftnc 2D&359,3024 _- Affidam of I&gai Interest State flf Idaho County of Madison 1, WWI ,m 110 A)NCLMcwn 786 gnn RA Name AA&C88 �tiWLyI s Cky Being first duly sworn upon oath, depose and say: (If Appaic mt is also Ovvmer of Rccmd, slip to B) A. That I am the record owner of the patty described on the attached, and I grant my Permissim ta• Name to submit the accomp oft application peru=ng to .that property B_ r agree to mdcnm&p, debad and hold Rexb ug C* and its firm sag claim or hab;lity nemAtmg firma any de pute as to the statements contained herein or as to the ownership of the property which is the su*ct of the apphcauoo. Dated. this (4 4h day of 50NltxO i ! Subsenbcd and sWOM to before me the day and year first above wsiimm. �pTA19� B I Residing at my commisszoa s ��14011 PC Please complete the etre Ap NAME PROPERTY ADDRESS SUBDIVISION Dwelling Units: Parcel Acres: 0 Permit# SETBACKS FRONT SIDE SIDE BACK Remodeling Your Building /Home (need Estimate $ It CA t (Doc 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 Shed or Barn Carport /Deck (30" above grade)Area Water Meter Quantity: * * * * * * * * * * * ** *Water Meter Size: Required.! PLUMBING Plumbing Contractor's Name: 4 S''3 FIO M61 j10 Business Name: �0 n Address F(2 )6� ' 17� q City Zd1r Aci 6 // tate —7 Zip; Contact Ph ne: () L {�� 5� �� Business Phone: (�c) ��l �9 9 01 Email /,^ /Q t, /% Z5 0 ✓'TFax 50 W3 FIXTURE COUNT (including ro y hed fixtures, Clothes Washing Machine Sprinklers Dishwasher Floor Drain Garbage Disposal Hot Tub /Spa Sinks (Lavatories, kitchens, bar, mop) Tub /Showers Toilet /Urinal Water Heater Water Softener o Plumbing Estim to $() ` (COMMERCIAL /MULTI - FAMILY ONLY) Signa6Ve Licensed Contractor License Number& Expiration Date Date The City of Rexburg's permit fee schedule is the same as required by the State of Idabo Please complete the entir•A hcation! P Pp °NAME PROPERTY ADDRESS SUBDIVISION RequiredW MECHANICAL Mechanical Contractor's Name ��\ J_ Business Name Address City State Zip Cell Phone ( ) Business Phone ( ) Fax ( ) Email I Mechanical Estimate $ (Commercial /Multi Family Only) FIXTURES & APPLIANCES COUNT (Single Family Dwelling 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 Fuel Gas Pipe Outlets including stubbed in or future outlets Inlet Pressure (Meter Supply) PSI Exhaust or Vent Ducts Dryer Vents Range Hood Vents Cook Stove Vents Bath Fan Vents other similar vents & ducts: Permit# Heat (Circle all that apply) Gas Oil Coal Fireplace Electric Hydronic Mechanical Sizing Calculations must be submitted with Plans & Application Point of Delivery must be shown on plans. Signature of Licensed Contractor The City of Kexburg's License number schedule is the same as Date the State of Idaho • • Building Safety Department City of Rexburg 19 E Main lanellh @rexburg.org Phone: 208.359.3020 x326 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 0 REXB(!RG' f A. o C I T Y OF REXBURG Americas Family Community OWNER'S NAME PROPERTY ADDRESS SUBDIVISION PHASE LOT BLOCK Permit# RequlredLY ELECTRICAL Electrical Contractor's Name _Vi r6'A Business Name Address City C CK State - d�� `Ca Zip s �/CS Cell Phone a) �O Business Phone 9(_,Y) " 5 f b 72Z 6 Fax ( ) Email Electrical Estimate ( cost of wiring & labor) $1 L100 . k " %UMERCIAL /MULTI - FAMILY ONLY) }dd(n9 a� TYPES OF INSTALLATION (New Residential includes everything contained within the t / � , arage at the same time) l ��Ct� Number of meters being installed Uyp#460 Up to 200 amp Service* /17-lt 201 to 400 am p 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 may jmum of 3 inspections. Additional inspections charged at requested inspection rate of $40 per hour. r `Signature of Licensed Contractor License number Date The City of Kexburg'r permit fee schedule is the same as required by the State of Idaho • SUBCONTRACTOR LIST Excavation & Earthwork: 1� A Concrete: Masonry: Roofing: /0 Insulation: A A ? Painting: 4V Floor Plumbing: Heating: —mil dFf Special Construction (Manufacturer or Supplier) Roof Floor /Ceiling Joi Siding /Exterior 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.him ❑ 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 Cl 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 hereby certify that the above information is true and correct to the best of my knowledge. Signature Date Print Name