HomeMy WebLinkAboutALL DOCS & CO - 08-00099 - 248 Rebecca Dr - New SFRoe gexsUR
vr CITY OF
REX
B Id,
Div
°" a E c e America's Family Community ul ing
Permit
•
ISSUED TO:
PERMIT #:
NAME: Lees, Preston
FOR THE CONSTRUCTION OF: 248 Rebecca Dr -Lees JOB ADDRESS: 248 Rebecca Dr
GENERAL CONTRACTOR: Teton Holding & Construction Inc
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
03/01/2008
Issue By
'a'
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 an
on the premises during construction. y part of
NOTICE!
the 2) The permit will become null and void in the event of any deviation from the in each successive inspecltion indicate thout
accepted drawings.
3) No foundation, structural, electrical, nor plumbing work shall be concealed any underground work shall be covered
without approval.
INSPECTION CARD
BUILDING
Date
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 roved
1. Rough -In
2. Final
PLUMBING
Date
1. Sewer Service Conn
2. Water Service Conne
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
EXBUkGrd C ITY OF Certificate of Occupancy
v 9a REXBT RG City of Rexburg
tJ
1-� Department of Community Development
cZv 19 E Main St. /Rexburg, ID 83440
America's Family Community Phone (208) 359 - 3020 /Fax (208) 359 -3024
SkED
.Building Permit No:
Applicable Edition of Code:
Site Address:
Use and Occupancy:
Type of Construction:
Design Occupant Load:
Sprinkler System Required:
Name and Address of Owner:
Contractor:
Special Conditions:
Occupancy:
0800099
International Building Code 2006
248 Rebecca Dr
Single Family Residence
Type V, non -rated
Residential
No
Preston Lees
248 Rebecca Dr
Rexburg, ID 83440
Teton Holding & Construction Inc
Unfinished basement
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 of issuance, this building or that portion of the building that was
inspected on the date listed was found to be in compliance with the requirements of the code for
the group and division of occupancy and the use for which the proposed occupancy was
classified.
Date C.O. Issuec
C.O. Issued by:
There shall be no future 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 ove=ire s.
Plumbing Inspector: Inspector: Aj Gl�
Electrical Inspector:
• •
CITY OF REXB URG P
BUILDING PERMIT APPLICATION Please co 0800099
19 E MAIN, REXBURG, ID. 83440 If the questioi
208 - 359- 3020 X326 �i 248 Rebecca Dr -Lees
PARCEL NUMBER: ')W) J� ,�(AdO (We w
SUBDIVISION: "e, n wi Cikx/ UNIT# BLOCK# s LOT# /Z
(Addressing is based on the information - must be accurate)
OWNER NAME. .�. t CONTACT PHONE # D • 837/
PROPERTY ADDRESS:
PHONE #: Home WorVZd$) ,��3/9 � Cell
OWNER MAILING ADDRESS: fY?'`'��- /n T CITY: STATE:Z ZIP &3 k6
EMAIL 7�er�lo� s�.f✓4 !ms-, FAX /
APPLICANT (If other than owner)
(Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.)
APPLICANT INFORMATION: ADDRESS CITY:
STATE; ZIP EMAIL FAX
PHONE #: Home (
Work ( )
Cell (
CONTRACTOR
MAILING ADDRESS: A/ CITY ,fie
7 STATEZL_ �3yy°
PHONE #: Home ?W 3s5; - 7 Work eQ$ f/9� - 3 / 9 — Cell Yep A >a .;9Z7/
EMAI W as ,0W, FAX , 3 93.- . 1 IDAHO REGISTRATION # & EXP. a P
How many buildings are located on this propert)?
Did you recently purchase this property? No 'e (If yes give owner's name)
Is this a lot split? ETC YES (Please bring copy of new legal description of property)
PROPOSED USE: "z -6 r . s � � Pf,'a �.✓G cr
(i.e., Single Family Residence, Multi Family, Apartments, Remodel, Garage, Commercial, Addition, Etc.)
W
EB 2 6� p� g
U RG
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 Co of any false statement or misrepresentation of fact in the application or on the plans on which the permit or approval was
based. Pe void if not ted0 days. Permit void if work stops for 180 days.
SignAfure of Owner /Applicant DALE
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 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**
14
• 0
Building Safety Department ��_�,
CITY OF
City of Rexburg
R
19 E. Main ionellh@rexburg.org Phone: 208.359 elrn6rxcu's CV10-- 11 nit
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024
Affidavit of Legal Interest
State of Idaho.
County of Madison
I, A kzwii R. L £f S IM W 7
Name Address
RE
City State
Being first duly sworn upon oath, depose and say:
(If Applicant is also Owner of Record, sldp 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 27 day of t 2K �► 20
Subscribed and sworn to before me the day and year first above written.
�ON P GFT
�QTA Notary Public of Idaho
�-� Residing at: Eestb (SE
S+ A�lBL�G O My commission expires: A 26 2&, a 1; _
tq OF �VP�
3
FE,B -21 -2008 02:54P FROM:MBA PAING (208)357 -3007
LV: tJ.VN. YJ.G�G VU JJGGJ
Please complete the entire Applicationt
NAME
PROPERTY ADDRESS
SUBDIVISION
Dwelling Units: Parcel Acres:
9 18013038361 P.2
Permit#
SETBACKS
FRONT SIDE SIDE BACK
Remodelitig :'ourBuilding /Home (need Estimate);
SURFACE SQUARE FOOTAGE: (Shall include the exterior wau measurements of the building)
First Floor Area / Ya it Unfinished Basement area
Second floor /loft area _ Finished basement area_
7.1�ird floor /loft area. Garage area - -_
Shed or .Barn Carport /heck (30" above grade)Area
Water Meter Quantity:.. --- - -.... -_ - -.. ***** ******** *Water Meter Size:
Required f!l
PLUMBING .
Plumbing Contractor's Name: usutess Name.
Address (A " City State ' AML2__ 7ip -74
Contact Phone: ( aI& Busine Phone: ( L
T7 mail
fMIM COUNT dadudl4g bed
Clothes Washing Machine Sprinklers
. Dishwashex Tub /Showers
Floor Drain r _ Toilet /Urinal
�— Garbage Disposal Watcr Heatet
I Iot Tub /Spa Water Softener
�- Sinks (Lavatoties, kitchens, bar, mop)
PlumbingEadmatc $'1 (COMMERC ULTI -FAMILY OR
�
Sigantre of Uemsed Contractor License"— ba&.Espiration Datc Date
The
sthedak it the rams as re qbvd by the State
4
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
OF p6XB Ug
�
U �
CITY OF
REXBURG
OW
Americas Family Community
NAME
PROPERTY ADDRESS
SUBDIVISION
Permit#
Required!!! F�I-d ECHANICAL
Mechanical Contractor's Name: e.S i g4f6a fi ,J u ✓' Business Name: � � I ! u
nn a
Address -3 7 f � - RNde��o�' City �-d� 4 k� l s State �r7 Zip 83y
Cell Phone: (Z0 9 9 3 O 9 Business Phone: (-Log) S ZS -933
Fax: ( 207) S LS 9 3-3 2 Email T rcJ rt.J dQ,_ u14* /nsN - C�
to
Mechanical Estimate $ y (Commercial/Multi Family Only)
FIXT RES & 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
3 Fuel Gas Pipe Outlets including stubbed in or future outlets
other similar vents & ducts:
Heat (Circle all that apply) ras Oil Coal Fireplace Electric Hydronic
ing Calculations must be su
_�_ Dryer Vents
Range Hood Vents
Cook Stove Vents
2— Bath Fan Vents
Point of Delivery must be shown on plans.
Signature of Licensed Contractor
The City of
/ 1' o
License number
Is permit fee schedule is the same as
z --7-6 - 08-
Date
y the State of Idaho
ool f, ►✓
Building Safety Department
City of Rexburg
19 E Main jonellh@rexburg.org Phone: 208.359.3020 x326
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024
OWNER'S NAME K`A Y\
PROPERTY ADDRESS � u0 CC�C,
SUBDIVISION.
PHASE LOT 4-1 �!- BLOCK
,� REX a L'RC
a �G
C I T Y OF
REXBURG CW
America's Family Community
Permit #08 00099
248 Rebecca Dr
Required.!!f
ELECTRICAL
Electrical Contractor's Name 1 ) L Lfse t Business Name .zllr,N'!
Address (1 (a /y City State Zip y
Cell Phone � Business Phone
Fax ( ) Email b IQ Y- IO l �6 gi) r1 5il • �jYti1
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)
_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 ins ections. Additional inspections charged at requested inspection rate of $40 per hour.
2 Z426, �5
Signatur censed Contractor License number Date
The
.schedule is the same as required by the State of Idaho
7
0 •
SUBCONTRACTOR LIST
Excavation & Earthwork: 7j A.)
Concrete: IC G
Masonry:
Roofing:
l.¢..�1� s ()�i •r r ; -7'F�i . S
Insulation:
Z _!J aG
Drywall:
5ez
Painting:
S'F� �' /'�,2 r rj,Q •. -rt��
Floor
Coverings:
.6 ti� y
Plumbing:
#A 14 Pt tl�ir
Heating:
4? 4 ,, 4.) f&252F276%
Electrical:
X?vL F�yi j if - Z /L/ 'e-
Special Construction
(Manufacturer or Supplier)
Roof Trusses: � /C zr
Floor /Ceiling Joists: S7a t /C / l�R IAJK i DL y
Siding /Exterior Trim:
Other:
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.
('Phis list is a summarization of Idaho Code Title 54 Chapter 5205, for full definitions of these exemptions please
see the State's website at wu�v.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 thot above information is true and correct to the best of my knowledge.
Signature
R . e ety-
Print nt Name
L,