HomeMy WebLinkAboutALL DOCS & CO - 08-00223 - 312 Rebecca Dr - New SFRY gEXB UD
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9�,5 MEO `06
CITY OF
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Americas Family Community
Building
Permit
ISSUED TO:
PERMIT #: 0800223
NAME: Hymas Paul & Amanda
FOR THE CONSTRUCTION OF: 312 Rebecca Dr -Hymas JOB ADDRESS: 646 Johnson Ave
GENERAL CONTRACTOR: White Sands 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 ued 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
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. ,' _ 7 11
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
3. Electrical Service
PLUMBING
Date Approved
1. Sewer Service Conn
2. Water Service Conn(
3. 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
o �¢SXBU
y Certificate of Occupancy
—
CITY O F
° REX 13URG City of Rexburg
America's Fam Communi
` ry Department of Community Development
19 E. Main St. / Rexburg, ID. 83440
Phone (208) 359 -3020 / Fax (208) 359 1024
Building Permit No: 0800223
Applicable Edition of Code: International Residential Code 2006
Site Address: 312 Rebecca Dr ,
Use and Occupancy: Single Family Residential
Type of Construction: Type V, non -rated
Design Occupant Load: Residential
Sprinkler System Required: No
Name and Address of Owner: Hymas Paul & Amanda
631 Countryside Ave
Rexburg, ID 83440
Contractor: White Sands Construction
Special Conditions: Unfinished Basement.
Occupancy: Residential - less than 2 units, permanent in nature
This Certificate, issued pursuant to the requirements of Section 909 of the Intemational Building
Code, certifies that, at the time time of issuance, this building or that portion of the building that
was inspected on the date listed vies found to be in compliance vVth the requirements of the code
for the group and division of occupancy and the use for which the proposed occupancy vies
classified.
Date C.O. Issued:
C.O Issued by:
September 1 8 10
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 Insp
Electrical Inspector: i
Fire Inspector: &1 , A
P&ZAdministrator: K
04 AEXB V
r CITY OF .
o Please ComnlerP
REXBURG
CW
' America's Family Community 08 00223
tMEO
RESIDENTIAL BUILDING PERMIT APPLI 312 Rebecca Dr -Hyenas
19 E MAIN, REXBURG, ID 83440
208 - 359 -3020 X326
PARCEL NUMBER: 1� ', �V b S CC_)C % 1 Q (We will provide this for you)
SUBDIVISION: yyeodef - SOg UNIT# BLOCK# LOT#
(Addressing is based on the information - must be accurate)
OWNERNAME- Pete 4-A-y da 14Y, j CONTACT PHONE# )OY
PROPERTY ADDRESS: 5 (y
PHONE #: Home (
Work (' 7-6' Cell (V4 3 ) 7 - �6 f 3
OWNER MAILING ADDRESS: 1441. CITY: GU!:� 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
PHONE #: Home (
EMAIL F
Work (
Cell ( )
CONTRACTOR
MAILING ADDRESS:
PHONE #: Home (
EMAIL F
IDAHO REGISTRATION # & EXP. DATE _4Ce - 7 TO 1
1-11-
How many buildings are located on this property? Q
Did you recently purchase this property? No 9 (If yes, list previous owner's ni
Is this a lot split? 0 YES (Please bring copy of new legal description of prod
PROPOSED USE: .5'E +I„ N -0-
(i.e., Single Family Residence, Wffi Family, Apartments, Remodel, Garage, Commercial, Addition,
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: n� ��1 J
that I have read this application and state that the information herein is correct and I swear that any informati he ft en h}�
hearings before the Planning and Zoning Commission or the City Council for the City of Rexburg shall be tru an 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.
Signature of ner /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 kanuar X 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**
3 C c v
0
33 U CITY Z 4 - , k 10- r STATE 1P ZIP f'3 V b if
Work 9�� Cell ( )
Buil
Safety Department
City of Rexburg
19 E. Main
Rexburg, ID 83440
jonellh@rexburg.org Phone: 208.359.3020
www.rexburg.org Fax: 208.359.3024
4EX6 UR
v O
C I T Y o P
REXBURG
Americas Family Community
Affidavit of Legal Interest
State of Idaho
County of Madison
I, 1 avly�`►c�S 3I C�v�►^ ��e.
Name Address
City
Being first duly sworn upon oath, depose and say:
da t
State
(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.
7 - 7-4 t�,
Dated this c�O day of "ryA !x ,20 O d
Signature
Subscribed and sworn to before me the day and year first above written.
Notary Public of Idaho
Residing at:
My commission expires:
Please complete the Atire A lication!
� p pp
NAME l Gt of >haS a' dt- , V-S
PROPERTY ADI5RESS 9r%k S
SUBDIVISION lklo6e,39 >l
Dwelling Units: Parcel Acres: I 1 � 190 -�Z "P '
SETBACKS
FRONT
0
Permit#
SIDE SIDE BACK
Remodeling Your Building /Home (need Estimate) $
SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building)
First Floor Area 13 Unfinished Basement area j ( 3 U .0
Second floor /loft area Finished basement area
Third floor /loft area Garage area U d 4
Shed or Barn '— Carport /Deck (30" above grade)Area C�
Water Meter Quantity:
* * * * * * * * * * * ** *Water Meter Size: , (
.Required!!!
PLUMBING
Plumbing Contractor's Name: . J e e i "1 y Business Name: C
Address A fy 4, y cld 5 V City 'J '?'r i State 1 C1, Zip ` �y
Contact Phone: 312— Business Phone: ()ed)
Email Fax
FIXTURE COUNT (mcludingro ugh ed fixtures,
4 Clothes Washing Machine I Sprinklers
r�
Dishwasher X 3 Tub /Showers
Floor Drain , f 7 2 Toilet /Urinal
Garbage Disposal I Water Heater
Hot Tub /Spa Water Softener
3 Sinks (Lavatories, kitchens, bar, mop)
Plumbing Estimate $ /G' (COMMERCIAL /MULTI - FAMILY ONLY)
Signature of Licens Contractor
The
License Number& Expiration Date
schedule is the same as required by the State of Idaho
Date
Please complete the entire lic ti n
p pp a o !
NAME 1 0-ili �_ t7"ti hl
PROPERTY ADDRESS &OT
SUBDIVISION
0
Permit#
RequlredMI MECHANICAL
Mechanical Contractor's Name usiness Name
Address City State Zip
Cell Phone ( ) Business Phone ( )
Fax ( ) Email
Mechanical Estimate $ (Commercial /Multi Family Only)
FIXTURES & APPLIANCES COUNT (Single Family Dwelling Only)
?
Furnace ( 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) Gas Oil Coal Fireplace Electric Hydronic
P oint of De must be 1 on p lans.
Signature of Licensed Contractor License number Date
The
schedule is the same as required by the State
0 0
Building Safety Department o4PEXB1j*
i
City of Rexburg �; m
0
19 E Main janellh@rexburg.org Phone: 208.359.3020 x326
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024
OWNER'S NAME c� A/�G�tfG�y�iitiS
PROPERTY ADDRESS
SUBDIVISION Aif,40e , P'7
PHASE t LOT 7 BLOCK S
C IT Y OF
REXBURG
America's Family Community
0800223
312 Rebecca Dr -Hymas
Requiredffl
ELECTRICAL
Electrical Contractor's Name It • '3>o b lk� Business Name (WAtS I5'1<,c. C—
Address
City State Zip
Cell Phone ( ) Business Phone (;.o' 1 4'f 'I I
Fax ( ) 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*
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.
G -3o I � 3- I./";
of Licensed Contractor
The
License number
fee rcheduk is the same as
the State
Date
0
•
SUBCONTRACTOR LIST
Excavation &
Masonry:
Drywall:
Floor
Coverings:
Plumbing:
Special Construction
(Manufacturer or Supplier)
Roof Trusses:
Floor /Ceiling J
Siding /Exterior Trim:
Ap 0 0
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 i&ho gpvv /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.
Signature
Date
Print Name