The URL can be used to link to this page

Home My WebLink AboutALL DOCS - 08-00030 - Apex Alarm - RemodelG. U Q HFD C I T Y O F REX America's Family Community Building Per- it ISSUED TO: PERMIT #: 0800030 NAME: Haynie Brian J _ FOR THE CONSTRUCTION OF: Apex Alarm Remodel JOB ADDRESS: 66 E Main St GENERAL CONTRACTOR: Owner /Lessee. 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. r . Date Approved Issue 01/18/2008 Building THIS PERMIT MUST BE PROMINANTLY DISPLAYED AT THE'B 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. 2) The permit will become null and void in the event of any deviation from the NOTICE! the building beyond the point indicated in each successive inspection without 3. Drywall 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. INSPECTION CARD BUILDING nnf. A. — --- A 1. Framing 2. Insulation 3. Drywall 4. Final ELECTRICAL Date roved 1. Rough -In 2. Final OTHER Date Approved 1. Fire Department Fine 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 CITY OF REXB URG BUILDING PERMIT APPLICATION Please cc 19 E MAIN, REXBURG, ID. 83440 208 -359 -3020 X326 PARCEL NUMBE 9 ) ffi (We N SUBDIVISION: UNIT #. • PERMIT # 0800030 Apex Alarm Remodel Addressing is based on th i ntormatio n _ mist be ac{Yurate) OWNER NAME: K Q; � RWc _ ONTACT PHONE # I PROPERTY ADDRESS: �y L Fast pq q r I'A PHONE #: Home ( ) Work (IN) 37`7 - Q111 Cell (biro 56'.5 ' I 93 OWNER MAILING ADDRESS: 5 f 3Z Al _ x fir' CITY: i fyw — STATE: (4 EMAIL �Aelle.SMf0oDxa6m,a*A '&1 - 371 - 4114 APPLICANT (If other than owner)_ 13 r,41) 1 e (Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.) APPLICANT INFORMATION: ADDRESS FS77 L, b- - CITY: STATE; 10 ZIP 2Y O EMAIL &CIV Ye 99CAR A4JQ^, e.,, FAX 7 zo PHONE #: Home ( ) NA Work ( ) AAA Cell;?oy..351 -pgy3 CONTRACTOR n MAILING ADDRESS: CITY STATE ZI PHONE: Cell# Work# # JAS! 16 2008 EMAIL IDAHO REGISTRATION # & EXP. D TE Hnw mnnv hliddinas ar lnr-nt,-rl nn tl,ic n t'f TT 1 1 o r r' -- J' Did you recently purchase this property ? f) Yes (If yes, list previous owner's name) _ Is this a lot split? O YES (Please bring copy of new legal description of property) PROPOSED US : (i.e., Single Family Residence, Family, Apartments, Remodel, Garage, Commercial, Addition, Etc.) APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalt of perjury, 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 build' ma r pemrit on appr i issued under the provisions of the 2003 International Code in cases of any false statement or misrepresentation of fact in the plicatiQn e p a on which emrit or approval was based. Permit void if not started within 180 days. Permit void if work stops for 180 days. Signature of weer /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 fanuary 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** 2 Building Safety Department City of Rexburg 19 E. Main jonellh@rexburg.org Phone: 208.359.3020 ext 326 Rexburg, ID 83440 www.rexburg.org Fox: 208.359.3024 04 y,EXBu U 'O C I T Y a E RE XBURG 11 CW -- -- America's Family Community Affidavit of Legal Interest State of Idaho County ofMadison Name City Being first duly sworn upon oath, depose and say: 0 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 herin or as to the ownership of the property which is the subject of the application. Dated this , �t day of .20 06 Subscribed and sworn to before me the day and year first above written. Address State (If Applicant is also Owner of Record, skip to B) That I am the record owner of the property described on the attached, and I grant my permission to: ;Ctt' 4 Notary IUC o J � A Residing at: Commission Expires 07 -I5- :- My commission expires: ..... 3 Please complete the entire A p p licat i on! p If the question does not apply fill in NA for non applicable NAME PROPERTY ADDRESS Permit# SUBDIVISION Dwelling Units: Parcel Acres: SETBACKS FRONT SIDE SIDE BACK Remodeling Your Building /Home (need Estimate $ I � 4CU w SURFACE SQUARE FOOTAGE. • (Shall include the exterior wall measurements of the building) First Floor Area /, '' Sy F Unfinished Basement area 3%t'� Second floor /loft area X Finished basement area -9:xy Third floor /loft area Garage area X Shed or Barn X Carport /Deck (30" above g rade)Area Water Meter Quantity: (Commercial Only) Require&Y PLUMBING Plumbing Contractor's Name: Business Name: Address City State Zip Contact Phone: ( ) Business Phone: ( ) Email Fax FIXTURE COUNT (including roughed fixtures Clothes Washing Machine Dishwasher Floor Drain Garbage Disposal Hot Tub /Spa Sinks (Lavatories, kitchens, bar, mop) Plumbing Estimate $ Required! Signature of Licensed Contractor The City of Ri Water Meter Size: License number s permit fee schedule is the same as Sprinklers Tub /Showers Toilet /Urinal Water Heater Water Softener Date the State of Idaho El Please complete the entire Application! If the question does�t apply fill in NA for non appficable NAME PROPERTY ADDRESS Permit# SUBDIVISION Required.!! MECHANICAL Mechanical Contractor's Name: Business Name: Address City State zip Contact Phone: ( ) Business Phone: ( ) Email Fax Mechanical Estimate $ (Commercial /Multi Family Only) FIXTURES & APPLIANCES COUNT (Single Family Dwelling Only) 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 Fuel Gas Pipe Outlets including stubbed in or future outlets Inlet Pressure (Meter Supply) PSI Dryer Vents Range Hood Vents Cook Stove Vents Bath Fan Vents other similar vents & ducts: 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. Required! Signature of Licensed Contractor The City of Rexburg's License number schedule is the same as Date the Sta te of Idaho 5 Jan. 17 2008_11;00AM Cu is Electric Inc. No.2729 P. 1 Pullumq Safety Department oepassugc City of Rexburg CITY a P 1 REXBURG 19 E Main lonellh ®rexburg.org Phone: 200.334,3oRo x326 � Rexburg, ID 83440 www.rexburg.org Fox 20&359.3024 Americai Family Commrnlry ' , NAME PROPERTY ADDRESS Pernut# SUREIMSION PHASE LOT BLOCK Requited4 f ELECTRICAL Electri Contractor's Namt: Our h ts 't�2. ',C, h l usiness Name Address - Ciry State ' Cell Phone ( c ) , `7 ,) 4. - � i gZ. Busi Phone Fax '] X'-t"I _mad] Electrical E (coat n(wi & labor) $ zt50D,l (COMMERCIAL /M[1LTI- FAMILY ONLY) 7YPES OFMS7'ALLA770N (New R4yldontia) incJudas evrrydrin,g cant*1ried widiin rh moidendal errrrcrure and atwuhed ga Vo at nc� saline dine) Number of meters being ingtallecl Lip to 200 amp Service* 201 to 404 amp Service' Over QU amp Survioe Rxitlring Rv- siduntial (# of Brduch Circuirs) Temporary Construction Service, 2()D amp or lei., one location (for a period not to exceed 1 year) Spa, Hot Tub, Swimming Pool F lectric Central Systems Heating and /or C 0011ng (when not parr of a new residential cena lruerlon permit and An addirional wirittj) Modular, Manufactuted or Mobile Home v'", Other Installations: Wiring, not specifically coveted by any of the above Cost of Wiring & Labor, $ e ,— Pumps (Domcstic Watcr, ItrigAtion, Scvwagc) Requested Inspections (of existing wiring) Temporary Amusement /industry 4 aximum (I 3 i �eciions..lddirieuyl ;n4reCtio is charged ai ceyucstcd inspccdon rate of $41) per. hour. / ' + .^ --U ,ignantre of T. .icenacd (�nnnarmr I icrnan member Hate 12M (:rt o l&+cbarX't permit Jk r,*fdak it the.romr os ngKned ly!be Stine of lduho T, "d 608LSO4902 :01 :woad S2 :20 6 0002-ST- -in) Building Safety Department City of Rexburg 19 E. Main janellh @rexburg.org Phone: 208.359.3020 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 cit APPLICATION: "CONSTRUCTION PERMIT" CONSTRUCTION PERMIT PERMIT APPROVED: YES/ NO - APPLICANT INFORMATION: Business Name: Office Address: APPROVED BY: Office Phone Number: ( ) Contractor Performing the Work: Contact Person: - LOCATION OF WORK TO BE DONE: Street Address Where Work Will Be Done: Business Name Where Work Will Be Done: Dates For Work To Be Done: Contact Person: Phone Number: ( ) Cell # ( ) PLEASE CHECK THE TYPE OF PERMITS) YOU ARE APPLYING FOR: ❑ AUTOMATIC FIRE- EXTINGUISHING SYSTEMS ❑ COMPRESSED GASES ❑ FIRE ALARM AND DETECTION SYSTEMS AND RELATED EQUIPMENT ❑ FIRE PUMPS AND RELATED EQUIPMENT ❑ FLAMMABLE AND COMMBUSTIBLE LIQUIDS ❑ HAZARDOUS MATERIALS ❑ INDUSTRIAL OVENS ❑ LP -GAS ❑ PRIVATE FIRE HYDRANTS ❑ SPRAYING OR DIPPING ❑ STANDPIPE SYSTEMS ❑ TEMPORARY MEMBRANE STRUCTURES, TENTS, AND CANOPIES Applicant's Signature Date ............................................................ ............................... To Cell Phone # ( ) O� 4EXBUQC 7 ,y f C I T Y OF REXBURG ._..........._- -- America's Family Community $50.00 FEE PAID: YES /NO State Zip VA 0 0 SUBCONTRACTOR LIST Excavation & Earthwork: 4 Concrete: A Masonry: A14 Roofing: Y Insulation: /VA A Drywall: 0� jl) < �' Painting: Floor Coverings: Plumbing: IVA Heating: .414 Special Construction (Manufacturer or Supplier) Roof Trusses: / /' Floor /Ceiling Joists: IVA Siding /Exterior Trim: '41* Other: /IA EXEMPTI0RS FROM STATE REATRATION 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 hereby certify �l�e 4foration is true and correct to the best of my knowledge. Signature Date «4 Print Name E JO A-LIO rTPOD�� 90 91 NVP Al c — 1 C3� l � td pop ,.-h, Apa AR w e-W o ge ;O- lopoLuo uuulV xodV NOW so