HomeMy WebLinkAboutALL DOCS & CO - 08-00159 - 815 Johnson - New SFR0 4 g �xs uRC • •
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Americas Family Community
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Permit
ISSUED TO:
PERMIT #: 0800159
NAME: Harris David Etux
FOR THE CONSTRUCTION OF: 815 Johnson - Harris JOB ADDRESS: 815 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.
2) The permit will become null and void in the event of any deviation from the
NOTICE!
the building beyond the point indicated
in each successive inspection without
3. Mechanical Final Ins
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.
5. Footing
INSPECTION CARD
BUILDING
Date Ani3roved
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 Aonroved
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
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CITY O F
REX BURG
Americas Family Community
Certificate of Occupancy
City of Rexburg
Department of Community Development
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:
0800159
International Residential Code 2006
815 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 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 vies found to be in compliance vuth the requirements of the code
for the group and division of occupancy and the use for ttihich the proposed occupancy vies
classified.
Date C.O. Issued: July 10, 2008 0:26AM)
C.O Issued by:
Building Official
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 Inspector:
Electrical Inspector:
Fire Inspector: ' `7
P &ZAdministrator: ►'��0�
CnY,.0F KEXB UKG !�
]�UiLDING PERMIT APPLICATION Please co 080
19 E MAIN, RFXBURG, ID. 83440 If the quesfi p
208- 359 - 3020X326 I c 01 5 Johnson Ave - Harris
PARCEL NUMBER -- --
sy 1
SUBDIVISION: UNIT# BLOCK #
(Addressing is based on the information - must be accurate)
0WAWR NAME j)Az
PROPERTY ADDRESS:_
CONTACT PHONE # �
PHONE #: Home ( ) 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 F iT FAX
PHONE #: Home ( } Work ( ) Cell ( }
CE?NTRAC!'Ol PHU v v NAe-4( s -
MAILING ADDRESS: S `d L .702 1 �' A). CITY - STATETV ZIP -93
PHONE #: Home ( ) Work ( ) Cell (W _?sl - 2 S33
EMAIL , r �,,,s FA 45 IDAHO REGISTRATION # & EXP. DATE 0006_ ` � S $G
How many buildings are located on this property? - z� - —
Did you recently purchase this property? No ( �s` I f yes give owner's nam
Is this a lot split.? 9 YES (Please bring copy of new legal description o erty)
PROP S D� USE - 2008
(i.e_ le Fami Residence ultt Family, Apartments, Remodel, Garage, Commercial, Ad tton, tc.)
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATI >y�
that I have read this application and state that the information herein is correct and I swear that any ml shay -lief y me in
hearings before the Planning and Zoning Commission or the City Council for the City of Rexburg shall be tx aliful 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.
tgnature of Owner /Applicant DATE
Do you prefer to be contacted by fan, email or one One
WARNING — BUnDING ST BE POSTED ON CONSTRUCTION SITE!
Plan fees are non - refundable and are paid in full at the time of application beginning Tzavaq 1 ZOY/5
City of Rexbures 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 dear**
M
Safety Departm
f gY?CBLd�C
v
CITY OF
Bui
City of Rexburg
19 E. Main
Rexburg, ID 83440
%anellh@rexburg.org Phone. 208.359.3020
www.rexburg.org Fax: 208.359.3024
XL
Amerisa 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 —1 Cn-� `:e � dap of —�- . 2 - 0
C.7
Signature
Subscribed and sworn to before me the day and year first above written.
NOTARY
*
PUBLIC * = Notary Public of Idaho
Residing at
( 111111111\ \� �� _� `� ' '1
My commission expires:
Please complete the entire Appli cation!
NAME OAV► O #A a
PROPERTY ADDRESS Permit#
SUBDIVISION �?r��lPr�ati
L Dwelling Units: Parcel Acres•
SETBACKS
FRONT T 7, SIDE r SIDE G BACK
Remodeling Your Building /Home ( need Estimate $ '
SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building)
First Floor Area Z Unfinished Basement area �
Second floor /loft area Finished basement area -49
Third floor /loft area :: Garage area 71
Shed or Barn -15;� Carport (30" above grade)Area �-
Water Meter Quantity: ************* *Water Meter Size: 1�
Requ red ►tt
P.LUMBIIVG
Plumbing Contractor's Name: 94 Business Name: C T 1
Address I/ 3 Z ! dZ• City _Lk State �� Zip s
Contact Phone: (pe) Z - ZZ Business Phone: ( )
Email Fag 4
FIXTURE C0UAfT CwcludY*naroq bed fxtures)
Clothes Washing Machine
Dishwasher
Floor Drain
Garbage Disposal
Sprinklers
_�-- Tub /Showers
- Toilet /Urinal
I _ Water Heater
Hot Tub /Spa Water Softener
Sinks (Lavatories, kitchens, bat, mop)
Plumbing Estimate S (COMMERCIAL /MULTI - FAMILY ONLY)
1
Signature of Licen ed Contractor License Number& Expiration Date Date
The Csty of Bexbnsg'spmxitfee schedule is t same as required b the State
fete the entire Ap
Phase comp pp
NAME _02LV I P A1046.
PROPERTY ADDRESS
SUBDIVISION 44 &,z-
Permit#
Required!!!
MEC11"ICAL
„ � fi- Business Name J 5
Mechanical Contractor's Name � ��" ,rt�,�, ,,,v
Address 2 - y /1./ ejzoo City 9eP%iA State - Zip
Cell Phone (to b) J 13 a00 z Business Phone ( )
Fax ( ) 3559 Email k -,Pif . 41
Mechanical l Estimate $ (Commercial /Multi Family Only)
FIXTURES & APPLIANCES COUNT (Single Fanvly Dwelyng Only)
Furnace Z- Exhaust or Vent Ducts
_ Furnace /Air Conditioner Combo �_ Dryer Vents
Heat Pump Range Hood Vents
Air Conditioner Cook Stove Vents
Evaporative Cooler Z Bath Fan Vents
Unit Heater other similar vents & ducts:
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
Heat (Circle all that apply) (9) Oil Coal Fireplace Electric Hydronic
Mechanical Sizing Calculations must be submitted with Plans & Applicarion
Point of Delivery must be shown on plans.
91V 66ohg
Signature of Licensed Contractor License number Date
The City of Rexbrrrg's pemirt fee scbedak is the same as regrdrrd by the State
}
0
Building Safety Department
City of Rexburg
19 F Main janellh@rexburg.org Phone: 208.359.3020 x326
Rexburg, 1D 83440 www.rexburg.org For 208.359.3024
OWNER'S NAME
PROPERTY ADDRESS O
SUBDIVISION
PHASE �_ LOT BLOCK
h xst
CITY of
REXBUR
cW _ __
Americas Family Community
Permit 408 00159
815 Johnson Ave
Required ff
ELECTRICAL
Electrical Contractor's Name Tel L %n- Business Name 1"r"ni L.. � >2
Address �l �'v.Lr° -r' City `,�1 rx State Ziprr
Cell Phone (j Q) 3 r1 — / - Business Phone
Fax ( ) Email
Electrical Estimate (cost of wiring & labor) $ (COMMERCIAL /MULTI - FAMILY ONLY)
TYPES OFIIVSTALLATION
(New Residential includes everything contained within the residential structure and attached garage at the same time}
t umber of meters being installed
1 " to 200 am Service*
P P
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 Coo ling (when not part of a new residential construction permit
and no additional wiring)
Modular, Manufactured or Mobile Home
Other Installations: W iring 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 chatged at requested inspection rate of $40 per hour.
Signature of Licensed Contractor License number Date
The City ofRexbwy's ponmit fee schedule is the same as required by the State
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SUBCONTRACTOR LIST
Excavation & Earthwork: J`'u �r G� a►
i
Concrete: G C�.A) CR g7-2:-r
Masonry _,6J,Av45
Roofing.
Insulation: Azee�!
Drywall: _
Painting: /e,4L -
Floor
Coverings:
Plumbing.
Heating. 1 ? I
Electrical• U)y`�,i,�
Special Construction
(Manufacturer or Supplier)
RoofTrusses: -9/tc G G.,egA
Floor /Cei1ing joists: c 4..je a
Siding/Extenor Trim: 7e,W 4 � . s
Other.