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Home My WebLink AboutALL DOCS - 08-00114 - Delta Phi Apartments - Roof RemodelINSPECTION CARD e gEXBtlR 0 0 a , CITY OF Building Permit BUILDING RE L W V ltG Ow Americas Family Community ISSUED TO: PERMIT #: 0800114 NAME: Dayley Jimmy Etux FOR THE CONSTRUCTION OF: Delta Phi Apartments Roof RE JOB ADDRESS: 139 W 4th S GENERAL CONTRACTOR. Merrill 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 04/17/2008 Issued 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 Data Annreved 1. Layout 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 3. Foundation 2) The permit will become null and void in the event of any deviation from the in each successive inspection without NOTICE 5. Insulation 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. Data Annreved 1. Layout 2. Footing 3. Foundation 4. Framing 5. Insulation 6. Drywall 7. 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 . P.O Box 280 Fcexsugo 77r.�TnUR ity of Rexb u rg 19 E. Main 11 83 o n r. Rexburg, Idaho 83440 -- CW - -- -- Phone (208) 359 -3020 Ameri(ds Family Commmuly C 1 1 l T t Y 7 v 1 \LT STATE OF IDAHO Fax (208) 359 -3022 e-Mail April 15, 2008 REQUEST FOR A CONDITIONAL BUILDING PERMIT FOR PARTIAL BUILDING CONSTRUCTION TO: Building Official for the City of Rexburg Pursuant to the provisions of the International Building Code 2000, the undersigned requests that a building permit be issued for: Footings and Foundations only at: 139 W 4th S Rexburg, Acknowledgment is made that the plans for the complex are not complete and that final approval of the building will not be given until the final plans have been approved. We recognize that proceeding with partial construction at this time is entirely at the risk of the Architect/Owner with there being no assurance that the final Certificate of Occupancy for the entire building or structure will be granted. We further absolve the City of Rexburg and officers and employees thereof, of all resposibility for the issuance of a partial permit and further agree that any work performed under this permit will be removed or otherwise corrected to be in accord with the requirements of the final approved plans when a permit for the entire building of structure is finally granted. Dated: Tuesday April 15 2008 Approved: Tuesday April 15 2008 CITY OF REXBURG Permit Tech / Receptionist 0 �,� ♦ CITY OF REXBURG T � j " Americas Family Community COMMERCIAL & MULTI FAMILY BUILDING PE] 19 E MAIN, REXBURG, ID 83440 208 - 359 -3020 X326 Please Complete the Entire Application! 0800114 Delta Phi Apartments Roof Remodel PARCEL NUMBER: V (We will provide this for you) SUBDIVISION: UNIT# BLOCK# LOT# Is based on the mtormatlon - must be accurate OWNER NAME: Tarn - Doty /e v CONTACT PHONE # &54 1 /06 9 11 PROPERTY ADDRESS: / 9 o k;n 4 Zr-, ve LS PHONE #: Home ( ) 35G 5 17109 Work ( ) Cell ( OWNER MAILING ADDRESS: /OT/ S, 2 CITY: S w-4r,*4 STATE: ZIP: $ YYY 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: 1,3 ✓ Q. 1 6 - =�E. CITY u � C� / STATE Z d ZIP 9 Y PHONE: Cell# �/- /KO/ Work# 35"6 - '1Z,26 Fax# 3.5 _ yZ 7 G EMAIL - ;Wc.huld yvd2 ldc,..yeyI REGISTRATION # & EXP. DATE 2.S32- /Z L2 L0Fl How many buildings are located on this property? Did you recently purchase this property ?CLO, Yes (If yes, list previous owner's Is this a lot split? do YES (Please bring copy of new legal description of proper �J MAR - 6 2008 PROPOSED USE: (i.e., Single Family Residence, Multi Garage, Commercial, Addition, 11 APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under p` n`lt of perjur 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 cases of any false statement or misrepresentation of fact in the application or on the plans on which the pem or approval was based. Permit void if not started within 180 days. Permit void if work stops for 180 days. 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 fang 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** 2 Building Safety Department � C I T Y o F City of Rexburg � rvnT mG � 0 1�I:i1�1_) lJ 1� 19 E. Main janellh @rexburg.org Phone: 208.359.3020 ext 326 Americas Family Community Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 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 herin 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: 3 0 City of Rexburg NAME J .'m 1�. le hkc P hi 4"e i . Please Complete the Entire Application! PROPERTY ADD SS 1,3 0k;hc D' vG Zexb r� If the question does not apply fill in NA for non applicable SUBDIVISION Dwelling Units: lt Parcel Acres: ti/A SETBACKS FRONT SIDE .v SID BACK ti Remodeling Your Building /Home ( need Estimate $ 1, 2 T SURFACE SQUARE FOOTAGE. • (Shall include the exterior wall measurements of the building) First Floor Area nfinished Basement area Second floor /loft area Finished basement area Third floor /loft area Garage area Shed or Barn Carport /Deck (30" above grade)Area Water Meter Quantity: Requiredffl PLUMBING Plumbing Contractor's Name: Water Meter Size: Name: City State Zip Contact Phone: ( ) Business Phone: ( ) Fax FIXTURE COUNT (including roughed fixtures Clothes Washing Machine Sprinklers Dishwasher Tub /Showers Floor Drain Toilet /Urinal Garbage Disposal Water Heater Hot Tub /Spa Water Softener Sinks (Lavatories, kitchens, bar, mop) Plumbing Estimate $. (Commercial Only) of Licensed Contractor License number Date El 11 The City �Mxburz's permit fee schedule is the same as required by gate of Idaho I NAME PROPERTY ADDRESS SUBDIVISION Please Complete the Entire Application! If the question does not apply fill in NA for non applicable Permit# Requiredff Mechanical Contractor's Name: Contact Phone: ( ME Name: City State Zip 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 Point of Delivegy must be shown on plarm. Required! Signature of Licensed Contractor License number Date The City of Bexburg's permit fee schedule is the same as required by the State of Idaho V 5 0 • Building Safety Department a F�EXe�R� . ciTY or City of Rexburg 90 G T rXB m 1\.G1� lJ 1\ Ow — -- 19 E Main janellh@rexburg.org Phone: 208.359.3020 x326 America's Family Community Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 OWNER'S NAME S''m �- ay/ey / L'-1-16 & *� 4 PROPERTY ADDRESS 139 Permit# SUBDIVISION PHASE LO �( t/ BLOCK Requ .red f!! ELECTRICAL `To old le,•� Electrical Contractor's Name =/� 4_ Business Name Address - { 0. 190.r y90 City lR..ex burl State XV Zip w3 Wo Cell Phone ( ) 390 - 5 ( 6 Business Phone ( ) 3S6 3770 Fax ( Electrical Estimate ( cost of wiring & labor $ 200. - (COMMERCIAL /MULTI - FAMILY ONLY) TYPES OF INSTALLATION (New Residential includes everything contained within the residential structure and attached garage at the same time) w Q. Number of meters being installed Up to 200 amp Service* 7 201 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 - I, ,Other Installations: Wiring not specifically covered by any of the above Cost of Wiring & Labor: $ Z,00 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. T Signature of Licensed ContractoW License number Mir Date The City of Kexburg's permit fee schedule is the same as required by the State of Tdahn Building Safety Department 0 �REX9(R C f City of Rexburg �; o 19 E. Main jonellh@rexburg.org Phone: 208.359.3020 s'• <, Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 C1 T Y O F REX IiURG - Cw - - - - - -- America's Family Community APPLICATION: "CONSTRUCTION PERMIT" CONSTRUCTION PERMIT #: PERMIT APPROVED: YES/ NO $50.00 FEE PAID: YES /NO — Al 1 L1Vf11V 1 1i Business Name: Office Address: ,/L r OVED BY: 0 State Zip Office Phone Number: ( ) Contractor Performing the Work: Contact Person: Cell Phone # - 1- "CATT()N n1P WinnW V RT - n"XTF• Street Address Where Work Will Be Done: 139 (/r Business Name Where Work Will Be Done: cam r Dates For Work To Be Done: 70My.,0(- //- zoo 8 To 4 - Is— zoo Y Contact Person: 4,4,4o4z > // Phone Number: ( ) , 35G - Yz 2c, Cell # ( ) 3 51- /eb / 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 • • SUBCONTRACTOR LIST Excavation & Earthwork: Concrete: �7e/r'• !� (�Oi7S �� ib� Masonry: Roofing: Drywall: 4/ 1,4 Paintina: Floor Coverings: y Heating: Electrical: • i lPC�/^i r Special Construction (Manufacturer or Supplier) Roof Trusses: sys�yirrr,' �r'us S Floor /Ceiling Joists: Siding /Exterior Trim: ✓t/�,4 EXEMPTI#14S FROM STATE REASTRATION 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 Cl 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. Signature Date Print Name E