Loading...
HomeMy WebLinkAboutALL DOCS & CO - 08-00223 - 312 Rebecca Dr - New SFRY gEXB UD �� fd Um� O 9�,5 MEO `06 CITY OF RE) Ow 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