HomeMy WebLinkAboutALL DOCS & CO - 08-00112 - 805 Johnson - New SFR4 oQ gexsu' c
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CITY OF
REX
America's Family Community
Building
Perm i t
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ISSUED TO:
PERMIT #: 08001 12
NAME: Harris David &
FOR THE CONSTRUCTION OF: 805 Johnson - Harris JOB ADDRESS: 805 Johnson Ave
GENERAL CONTRACTOR: Night Owl Builders
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 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,
the building beyond the point indicated
NOTICE!
2) The permit will become null and void in the event of any deviation from the
in each successive inspection without
4. Layout
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 Approved
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 Approved
1. Rough -In
2. Final
PLUMBING
Date Approved
1. Sewer Service Conn
2. Water Service Conn(
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
0
cEREXBUg CITY O F Certificate of Occupancy
RE XBURG City of Rexburg
`
America's Fam il y Communi Department of Community Development
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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:
Name and Address of Owner:
Contractor:
Special Conditions:
Occupancy:
08 00'112
International Residential Code 2006
805 Johnson Ave
Single Family Residence
Type V, non -rated
Residential
No
Harris David &
382 E 3000 N
Rexburg, ID 83440
Night Owl Builders
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 vuth the requirements of the code
for the group and division of occupancy and the use for Ahich the proposed occupancy vies
classified.
Date C.O. Issued: July 10, 2008 (10:33AM)
C.O Issued by:
Building
There shall be no further change in the e)asting 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 I
Electrical Inspector:
Fire Inspector: A-1 A --
P&ZAdministrator: V G�
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CITY OF
Please
REXBURG I
Americas Family Community
Fo
RESIDENTIAL BUILDING PERMIT APPLI(
19 E MAIN, REXBURG, ID 83440
208 - 359 -3020 X326
Entire Application!
0800112
805 Johnson - Harris
PARCEL NUMBER ���zxL� (We will provide this for you)
SUBDIVISION: UNIT# BLOCK # Z
(Addressing is based on the information - must be accurate)
CONTACT PHONE # 7,354 7f7%-r13
PROPERTY ADDRESS
PHONE #: Home ou - F Work (? 3s/ 25 Cell (
OWNER MAILING ADDRESS: 39 Z E 3 oao A) CITY: J?t)c(,vn) STATE: ZIP: $3Yy,,
EMAIL Gt DI (o 7 em" . co-* FAX 268 G.Sb 0
APPLICANT (If other than owner) 6,60kF
(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 F2
PHONE #: Home ( ) Work ( ) Cell (
CONTRACTOR 4-,7
MAILING ADDRESS: CITY STATE ZIP
PHONE #: Home (
Work (
Cell (
EMAIL FAX IDAHO REGISTRATION # & EXP. DA
How many buildings are located on this property?
Did you recently purchase this property? Yes (If yes, list previous owner n(
Is this a lot split? 0 YES (Please bring copy of new legal description of
PROPOSED USE: *i � t �dc.,
J FMAR r 4 2008
(i.e., Single Family Residence, Multi Family, Apartments, Remodel, Garage, Commercial, Ad lion, #tc.)
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATI NC> Ti d p ey R
that I have read this application and state that the information herein is correct and I swear that any into33fI ITwtfttT play here'diiettic g ii 6�tti2 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.
dZ_1,0 2/ 6a
Signature of Owner /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 Tamar L 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**
Builcfg Safety Department
City of Rexburg
79 E. Main janellh @rexburg.org Phone: 208.359.3020
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024
0 pEXB URC,7
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CITY O F
1EX VRG
Americas Family Community
Affidavit of Legal Interest
State of Idaho
County of Madison
I, 2%4i Aas'' S ,
Name
Cit
39'z- 6 3 &a ..J
Address
=o &A
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 AV-c4 , 20 1'9
Subscribed and sworn to before me the day and year first above written.
fC � y A.esomoN�� ds
I1 A nP '0.,,
•
A, 6e`' AR y :,Notary Public of Idaho
y
r Is
t �G ? Residing at:
Y
0 . PUB V : O
• •• •• � /
��'• d'j ••••.••••� My commission expires:
TEt of
Please complete the entire A p p lication!
p pp
NAME &IA /r44tC
PROPERTY ADDRESS
SUBDIVISION
Dwelling Units:
Parcel Acres:
u
Permit#
SETBACKS /
FRONT 3Z SIDE j SIDE 6 / BACK ZO
Remodeling Your Building /Home ( need Estimate $
SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building)
First Floor Area /5 Unfinished Basement area 16L
Second floor /loft area -8 Finished basement area .a
Third floor /loft area $ Garage area 4 37-
Shed or Barn 10' Carport /Deck (30" above grade)Area -9-
Water Meter Quantity: * * * * * * * * * * * ** *Water Meter Size: 3�
Required!!!
PLUMBING
Plumbing Contractor's Name: 9/7tia C" t Business Name: G /.�yrS�,� A1.4,;',
Address P 37-Y Al. S� Zip
Contact Phone: Z g) j_s7 _ZCS Business Phone: (
Email F
FIXTURE COUNT (including roughed fixtures
Clothes Washing Machine
Dishwasher
Floor Drain
Garbage Disposal
Hot Tub /Spa
N 3 Sinks (Lavatories, kitchens, bar, mop)
Plumbing Estimate $,
Sprinklers
I Tub /Showers
Z, Toilet /Urinal
Z Water Heater
I Water Softener
(COMMERCIAL /MULTI - FAMILY ONLY)
Signature of Licensed Contractor
The
schedule is the same as required by the State of Idaho
Z y 3 'gl3n�ot 2 -- Z0046
License Number& Expiration Date Date
Please complete the entire Application!
NAME /9,9 4;/ AV-1 3
PROPERTY ADDRESS
SUBDIVISION In •Cc�ss�,`
Permit#
Required ff!
MECHANICAL
Mechanical Contractor's Name �� �lC��h" Business Name ��.a 1�' f kc /C46611-
Address 32,M Al 3 0oo Al City Rc� State X-P Zip 5? vyo
Cell Phone (2a) 3 13 — Oao /, Business Phone (
Fax (Pj ) 3 rl 067- Email 'i & d g , G.fl •y.
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
Z Exhaust or Vent Ducts
/ Dryer Vents
Range Hood Vents
Cook Stove Vents
2-- Bath Fan Vents
other similar vents & ducts:
Fuel Gas Pipe Outlets including stubbed in or future outlets
Inlet Pressure (Meter Supply) PSI
Heat (Circle all that apply Gas Oil Coal Fireplace Electric Hydronic
d o
Signature of Licensed Contractor License number Date
The City of Rexburg's permit fee scbedule is the same as required by the State of Idabo
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
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CITY OF
REXBU
_____ Ow __
Americas Family Community
OWNER'S NAME IJu✓s:� ,�/�•�'s
PROPERTY ADDRESS Permit#
SUBDIVISION
PHASE 3 LOT L BLOCK 9
HOME OWNER - S ELECTRICAL
Home Owner's Name
Cell Phone ( )
Fax ( )
TYPES OFINSTALLATION
(New Residential includes everything contained within the
For power supplier requirements visit www.rockymtnp
Number of meters being installed
Up to 200 amp Service*
201 to 400 amp Service*
Over 400 amp Service*
'KNIT
Zip
structure and attached garage at the same time)
Temporary Construction�8'ervice, 200 amp or less, one location (for a period not to exceed 1 year)
Existing Residential (#/of Branch Circuits)
Spa, Hot Tub, Switytming Pool
Electric Central ystems Heating and / or Cooling (when not part of a new residential construction permit
and no addition g)
Modular, M ufactured or Mobile Home
Other I allations: Wiring not specifically covered by any of the above
Cost o iring & Labor: $
Pum s (Domestic Water, Irrigation, Sewage)
Inspections (of existing wiring)
Temporary Amusement /Industry
*Includes a maximum of 3 inspections. Additional inspections charged at requested inspection rate of $40 per hour.
City
Home Phone (
Signature of Home Owner Date
The City of Bexburg's permit fee schedule is the same as required by the State of Idaho
LA
Building Safety Department
City of Rexburg
19 E Main janellh @rexburg.org Phone: 208.359.3020 x326
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024
OF R$X H UQ
o
OWNER'S NAME A,nS
PROPERTY ADDRESS
SUBDIVISION �C,c�•�Cifo,�
PHASE 7 LOT Z BLOCK I
C IT Y OF
REXBURG
Americas Family Community
Permit 408 00112
805 Johnson
Requiredffl
ELECTRICAL
Electrical Contractor's Name - 'Tenr �Vi(, t � Business Name
Address X11 /�/. ceA, - City x� State .� Zip
Cell Phone (208) -7-57 — / l Business Phone ( )
Fax (
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)
I 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.
/� C - �/,:: 2
Sf g o � -ature4f � LicensecfContractor License number Date
The
schedule is the same as required by the State of Idaho
SUBCONTRACTOR LIST
Excavation & Earthwork: /SA1w (' 0Afj'i74011)br^-
Concrete: 0
Masonry: lflr 4 f
Roofing: M C
Insulation: h"G4
Painting:
Floor
Coverings: 4.10
Plumbing: CWo
Heating: ; g
Electrical: ✓,f 1A
Special Construction
(Manufacturer or Supplier)
Roof Trusses: &C (J EST
Floor /Ceiling Joists: SA6 l_T&fT
Siding /Exterior T
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.gQv /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
Cl 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