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Home My WebLink AboutAPPLICATION, BP - 08-00106 - Henry's Fork - Bldg 4l 04 gEXB UD ti� f 9 vf� o �B ��SHED ,0 CITY OF REX America's Family Community Building Permit ISSUED TO: PERMIT #: 0800106 NAME: Stevens Construction FOR THE CONSTRUCTION OF: Henry's Fork Bldq #4 -Shell 0 4 13 ADDRESS: GENERAL CONTRACTOR: Stevens Construction — � 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 Issue 08/18/2008 `— 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 O' on the premises during construction, �' 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 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 Date 1. Layout 2. Footing 3. Foun 4. Fra 5. Insulation 6. Mechanical 7. Drywall 8. Si dewalk 9. Final ELECTRICAL Date roved 1. Rough -In 2. Final OTHER Date roved 1. Fire Department Fine 11 PLUMBING Date 1. Sewer Service Conn 12. Water Service Conn( II I I 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* SEX9!)kC � f CITY O F - -- 9s PI REXBURG 1, 08 00106 ' America's Fam Community Henry's Fork Bldg #4 s j COMMERCIAL & MULTI FAMILY BUILDING PERMI' Bart Stevens Bldg -Shell Only 19 E MAIN, REXBURG, ID 83440 208 - 359 -3020 X326 PARCEL NUMBER: AP p �►`Q_' (a, Ak) (We will provide this for you) SUBDIVISION: g eole V 3 ze A UNIT# BLOCK # 21 t 3b Addressing is based on the information - must be accu OWNER NAME.• v�.+� ' CONTACT PHONE #, 73/2 PROPERTY ADDRESS: PHONE #: Home (,?et) .36& Work (ao1) 7 ' 0 02 „ '7312 Cell ( ) OWNER MAILING ADDRESS: '/0 Vcz el`44 CITY: "tai v rA STATE: 1 ZIP: '' w ..a EMAIL 4 .rues^ f . Ca .��+6 F AX(. eS) 3 tea ° 31.2 7 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 MAILINGADDRESS: „� d_Jcx ?ef`dc CITY STATE .5'0 ZIP 63� ")J PHONE: Cell ;� Y i "14 Work# Fax# i, o 7 EMAIL si e s, $ at(c a�ee ID 1H0 REGISTRATION # & EXP. DATE Qc7'" 4 -91 l2loz/ ZPog How many buildings are located On this property? I Did you recently purchase this property? No Yes (If yes, list previous owner's name) Is this a lot split ?( YES (Please bring copy of new legal description of property) PROPOSED USE: I (i.e., Single Family Residence, Multi Family, Apartments, Remodel, Garage, Commercial, Addition, Etc.) — CIRCLE ONE APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: under penalt ofperjur 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 building official may revoke a permit on approval issued under the provisions of the 2003 International Code in misre resentation of fact in the application or on the plans on which the permit or approval was based. Permit void if not started within 180" Signature of Owner /Applicant � FE$ � 6 4W Do you prefer to be contacted by fax, email or hone ?)Circle One WARNING — BUILDING PERMIT MUST BE POSTED ON CONSTR Plan fees are non - refundable and are paid in full at the time of application begi City of Rexburg's Acceptance of the plan review fee does not constitute // �� **Building Permit Fees are due at time of application ** **Building Permits are void i a OF -R C V D ! ' R ^ V E U G 2 Please complete the Are Application! r If the question does not apply fill in NA for non applicable NAME •we v ii -�� , �'a� WA PROPERTYADDRESS <SS q 'S y ew .►ad�'� Permit# SUBDIVISION Pelt f Dwelling Units: Parcel Acres: SETBACKS FRONT � SIDE I )'- I 0 ' — SIDE - 5 0' BACK ) 9 ' Remodeling Your Building /Home (need Estimate) $ SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area :1 !2�jo Unfinished Basement area Second floor /loft area Finished basement area_ Third floor /loft area Garage area Shed or Barn Carport /Deck (30" above Water Meter ty: 1 Quanti Water Meter Size: � ; � � RequiredLY PLUMBING Plumbing Contractor's Name: e,o Aloo A Business Name: Tax awrR,, i 4go � "` Address "7 loin /t✓ Ye. l)eo -> e t - W 4 , City State Zip � 3 4j 146 Contact Phone: ( ) Business Phone: Email Fax FIXTURE COUNT (includingroughed fixtures Clothes Washing Machine Sprinklers Dishwasher Floor Drain Garbage Disposal Tub /Showers Toilet /Urinal Water Heater '1 0 Hot Tub /Spa Water Softener Sinks (Lavatories, kitchens, bar, mop) Plumbing Estimate $ (Commercial On Z�� — e-- ,r Required! Signature of Licenseontractor License number Da The City of Rexburg's permit fee schedule is the same as required by the State of Idabo 4 Please complete the enti lPApplication! If the question does not apply fill in NA for non applicable NAME PROPERTY ADDRESS 16j `5 C )1 e 0 4 » o wta,, Permit# SUBDIVISION 14.� 3�orK 'PI.zjL Requlre&Y MECHANICAL Mechanical Contractor's Name: �� ^ ,A A*001 Business Name: e x ;1 � a ^� ina� 1 � �rs -� Address 7/rlP Id Tz , 9 1 ortG City tate a � Zip Contact Phone: ( ) Business Phone: (•,24 j) 3 G , 17 76 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 ffyc - C- j¢/�6 License number 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! Sig. ,a of Licensed Contractor The Dryer Vents Range Hood Vents Cook Stove Vents Bath Fan Vents other similar vents & ducts: t.4 a * Date schedule is the same as required by the State Bui Safety Departme City of Rexburg 19 E Main Rexburg, ID 83440 jonellh @rexburg.org Phone: 208.359.3020 x326 www.rexburg.org Fax: 208.359.3024 OF R�XBURC r U Q C I T Y OF REXBURG America's Family Community OWNER'S NAME V c e•!� Kl e 6 jrn - -b, 4 PROPERTY ADDRESS 'S r) 1 - 5, Ye 14 -1 e. Ni�1 SUBDIVISION — M,020- PHASE LOT 4 BLOCK Permit #08 00106 859 S Yellowstone #2901 Dr. Thomason Dental Office RequiredN ELECTRICAL Electrical Contractor's Name r 2 !tee Y4 4 rl Business Name L 4 t a c �N l"4 ri a Address qq '5"S - Yv a/ 54,4 a' City I?�t State 17 b Zip j s q` , p Cell Phone ( ,Vo q ) Sqb - 3564► Business Phone q " 7 Fax () S - L 2..- Email 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 Up to 200 amp Service* p� ; ✓ t C +`�� _ 201 to 400 amp Service* Over 400 amp Service* Existing Residential (# of Branch Circuits) Temporary Construction Service, 200 amp or less, one location (for a period not to exceed 1 year) 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. 3512 FCA 2 0 o� Signature of Licensed Contractor License number Date The City of Rexburg's permit fee schedule is the same as required by the State of Idabo R 4ExBU. Building Safety Department ' � City of Rexburg 79 E. Main jonellh@rexburg.org Phone: 208.359.3020 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 C I T Y OF REX Cy America's Family Community APPLICATION: "CONSTRUCTION PERMIT" CONSTRUCTION PERMIT #: PERMIT APPROVED: YES/ NO $50.00 FEE PAID: YES /NO - APPLICANT INFORMATION: APPROVED BY: Business Name: .5 eua n -6. 1::� A 9.. T,* a � ,, A Office Address: `b5` — ge,OVI'A ZD i ?qlyo City State Zip Office Phone Number: ( ) Contractor Performing the Work: Sa Slcor. � Contact Person: "tsar 54eue Ag Cell Phone # ( v4 ) 7 7 - LOCATION OF WORK TO BE DONE: Street Address Where Work Will Be Done: 't ` l 5 Business Name Where Work Will Be Done: Dates For Work To Be Done: To Contact Person: a 4to s AA Phone Number: ( ) Cell # 70 7 3/ 2 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 ............................................................ ............................... 7 • 0 • SUBCONTRACTOR LIST Excavation & Earthwork: KA CforiS -" J � $,7 V% Masonry: � tt0� 6 rr+s Roofing: 16! tJagA Insulation: 'S M C. t a4 S ar Drywall: D� V - 40A6.ti.'s 0t Painting: IV Af e .�/ F }e ► Floor Coverings: 25ti Jc3-1 e r Plumbing: & lu,w r` Yj f 9. � +!!j Heating: IgM4 ' Electrical: Special Construction (Manufacturer or Supplier) Roof Trusses: 5�0o g 6wt2o "" g Floor /Ceiling Joists: t: 7:SD Siding /Exterior Trim: / t - 54 , 01 e, Other: EXEMPTIAS 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 that the above information is true and correct to the best of my knowledge. 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