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Home My WebLink AboutALL DOCS & CO - 08-00068 - 109 S Center - Remodeloe gexs v .� r 7 U � s� A s CITY OF REX Americas Family Community Building Perm- it ISSUED TO: PERMIT #: 0800068 NAME: Andersen Mark Etux FOR THE CONSTRUCTION OF: 109 S Center - Anderson JOB ADDRESS: 109 S Center 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 bythe City Council and explained on the Building Permit Application as approved by the Building Inspector. Date Approved 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 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. 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 aDDroval. INSPECTION CARD BUILDING Date Annrevad 1. Framing 2. Insulation 3. Drywall 4. Final ELECTRICAL Date Approved 1. Rough -In 2. Final PLUMBING ' Date ADDroved 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 8 %B pR `G C IT Y OF Certificate of Occupancy 7y - - ° RE X.Bt7RG City of Rexburg ` D of Community Development America's Family Community p ty p 19 E. Main St. / Rexburg, ID. 83440 Building Permit No: Applicable Edition of Code: Site Address: Use and Occupancy: Type of Construction: Design Occupant Load: Sprinkler System Required: 0700416 International Residential Code 2006 109 S Center St Single Family Residential Type V, non -rated Residential No Name and Address of Owner: Andersen Mark Etux 2140 Dar Es Salaam PI Dulles, VA 20189 Contractor: Owner /Lessee Special Conditions: Residential Only. Also covers permit 08 00068 Occupancy: Residential - less than 2 units, permanent in nature This Certificate, issued pursuant to the requirements of Section 109 of the Intemational 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 v►es found to be in compliance mith the requirements of the code for the group and division of occupancy and the use for v►hich the proposed occupancy tees classified. Date C.O. Issued C.O Issued by: 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 Inspect Fire Inspector: A-( A— Electrical Inspector. PBZAdministrator: t' A_ o4 EXBUR C _, r 7 C I Ty O F 0800068 � 1 `311 ° REXBURG P 109 SCenter- Andersen __ __ America's Family Community 1 ME(I RESIDENTIAL BUILDING PERMIT APPLICATION 19 E MAIN, REXBURG, ID 83440 208 -359 -3020 X326 PARCEL NUMBER: :REQYY� -2 D � � C01 0 (We will provide this for you) SUBDIVISION: UNIT# BLOCK# LOT# (Addressing is based on the information - must be accurate) OWNER NAME CONTACT PHONE # Sn�P PROPERTY ADDRESS E (J' *I f �� S ,YG 10 PHONE #: Home 3 ,2q _ `6Oq �5 Work ( ) Cell ( ) OWNER MAILING ADDRESS: CITY: STATE: ZIP: EMAIL 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: STATE; ZIP EMAIL FAX PHONE #: Home ( Work ( ) Cell ( ) CONTRACTOR MAILING ADDRESS: 1 0Q /,M+rr !�EL CITY STATE D PHONE #: Home (aa�) A5q ao!29< Work ( ) Cell ( ) AX IDAHO REGISTRATION # & EXP. DA How many buildings are located on this property? 0 n e , Did you recently purchase this property? No Yes (If yes, list previous owner's name)_ Is this a lot split? NO YES (Please bring copy of new legal description of property) PROPOSED USE: Kg A-VIC2, v (i.e., Single Family Residence, Multi Family, 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 not started within 180 days. Permit void if work stops for 180 days. ✓ J Si a pp / ture of O Vet r A hcant DATE� Do you pre 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 January 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** Build 19 E. Main Rexburg, ID 83440 Safety Department City of Rexburg ionellh@rexburg.org Phone: 208.359.3020 www.rexburg.org Fax: 208.359.3024 of pBxB U p �a 'o U O CITY O F REXB America's Family Community 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 , 20 Signature Subscribed and sworn to before me the day and year first above written. Notary Public of Idaho Residing at: My commission expires: 02/12/2008 14:01 2087455990 ADVANCED PLUMBING sI ue com&te the entire .Aw icaationt NAME _ A rIZ. PROPERt'Y ADDRESS _� Cj Permit# SUBDIVISION Dwclling Units: Parcel Acres: SF.TSACKS FRONT SIDE SID BACK X Re mOdeliOg YVUtBU ldingl., OMC Geed Estimate) $ X 0 6 SURFACE SQUARE FOOTAGE: (Shall include the extcrior wall measurements of the PAGE 01 First Rovt.Area 1.1n6nished %serzment area Second floor /loft area Finisbcd basctncn,t area '.Gird floor /loft a.tCa Garage area Shed or Barn Cu vort /Deck (30" above nade)Area Water Meter Quantity: Meter Size: Reguirea�►t! PLUMB,I1V.G «: � OA Plumbing Conmcioes Name. -- �� .Business Name: [ adress � o -7 � /f C � ontact Phone: =i _ B usiness Phonc. ) Em Clothes W2shing Machine 1Divhwashcr Floor Drain Garbage D Sprinklcrs Tub Showers ToiI,et Una] Water Heater H b. /Spa A vatories, kitchens, bar, mop) Water Softener I'dttanbitxg Estimate 5 - � OMMERCiAL /MULTI- FAMTLY ONLY) r sivna6c of ice sed tomcat,. I.ieazsc Numbest $xpiraticm Uatc ate 7 6, rcbedwk i s the .raxw"ng4vd by 44 Swo of I"# Z/Z e6e4 !WdSO:E 60 ZG •ga� 0801_95E90Z `r assay :A8 1,uaS Please complete the entire Application! P PP NAME PROPERTY ADDRESS SUBDIVISION is Permit# Required!!! MECHANICAL Mechanical Contractor's Name Business Name Address City r ` Cell Phone ( Business Phone Fax ( ) Email Mechanical Estimate $ (Commercial /Multi Family'Only) FIXTURES & APPLIAN S COUNT (Single Family Dwelling Only) Furnace Exhaust or Vent Ducts Furnace /Air Conditioner mbo Dryer Vents Heat Pump Range Hood Vents Air Conditioner Evaporative Cooler Unit Heater Space Heater Decorative gas -fired applianc Incinerator System Boiler Pool Heater Fuel Gas Pipe O ets including stubbed in or future outlets Inlet Pressure eter Supply) PSI Cook Stove Vents Bath Fan Vents other similar vents & ducts: Heat (Circle all thaopply) Gas Oil Coal Fireplace Electric Hydronic Signature of Licensed Contractor The City of Rexburg's License number schedule is the same as Date 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 RExB .� 7 U O CITY OF REX.BURG I- --"-.--- Ow-- America's Family Community OWNER'S NAME PROPERTY ADDRESS SUBDIVISION PHASE LOT BLOCK Permit# �( HOME OWNER'S ELECTRICAL PERMIT H ome • VI�Mr,4 == ll��1TA A ddress rq �,•. 1 -3 - T city Cell Phone Fax( ) TYPES OF INSTALLATION (New Residential includes everything contained within the residential structure and attached garage at the same time) 0' 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 Date The City of Bexburg's permit fee schedule is th same as required by the State of Idaho r� u Building Safety Department City of Rexburg 19 E Main janellh@rexburg.org Phone: 208.359.3020 x326 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 O� pEXB(t,PC U O CITY OF ._ C1Y.....___.._..._ ..............- Family Community OWNER'S NAME PROPERTY ADDRESS SUBDIVISION PHASE LOT BLOCK Requiredffl ELECTRICAL Permit# Electrical Contractor's Name Business -�Yar Address Cltj, rr Cell Phone ( ) Business Phpne ( ) Fax ( ) Electrical Estimate (cost of wiring & labor) TYPES OF INSTALLATION (New Residential includes everything contained within Number of meters being Up to 200 amp Service* 201 to 400 amp Service* Over 400 amp Servicef *Includes a OMMERCIAL /MULTI - FAMILY ONLY) residential structure and attached garage at the same time) Temporary Constrt Rion Service, 200 amp or less, one location (for a period not to exceed 1 year) Existing Residetial (# of Branch Circuits) 1 Spa, Hot Tub,; Swimming Pool Electric C�fitral Systems Heating and / or Cooling (when not part of a new residential construction permit and no adc 1 - 6onal wiring) rf Modul: , Manufactured or Mobile Home Othgf Installations: Wiring not specifically covered by any of the above Colt of Wiring & Labor: $ Pumps (Domestic Water, Irrigation, Sewage) Requested Inspections (of existing wiring) Cmporary Amusement /Industry i of 3 inspections. Additional inspections charged at requested inspection rate of $40 per hour. of Licensed Contractor License number Date The City of Rex burg's permit fee schedule is the same as required by the State SUBCONTRACTOR LIST Excavation & Earthwork: tJ Concrete: Masonry: N /A Roofing: N JA Insulation: /A Drywall: Floor Coverings: Heating: Special Construction (Manufacturer or Supplier) Roof Trusses: Floor /Ceiling Joi Siding /Exterior 0 • 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.ibolJdaho,gQy/c nt htm ❑ Currently State licensed pursuant to Tide 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 that the above information is true and correct to the best of my knowledge. 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