HomeMy WebLinkAboutAPPLICATIONS & CO - 08-00231 - 333 E 5th S - New SFR�� 4Sf=
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CITY OF
REX
CW
Americas Family Community
Building
Permit
ISSUED TO:
PERMIT #: 0800231
NAME: Hancock Jeffrey
FOR THE CONSTRUCTION OF: 333 E 5th S- Hancock JOB ADDRESS: 333 E 5th S
GENERAL CONTRACTOR: Owner /Lessee
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
06/12/2008
Issued By
Building Inspec or
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 aooroval.
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
Ox B
ly r
c 1 T Y O P
REXBURG
Americas Firmly Community
Certificate of Occupancy
City of Rexburg
Department of Community Development
19 E. Main St. / Rexburg, ID. 83440
Building Permit No: 0800231
Applicable Edition of Code: International Residential Code 2006
Site Address: 333 E 5th S
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: Hancock Jeffrey
458 Yale St
Rexburg, ID 83440
Contractor: Owner /Lessee
Special Conditions:
Occupancy: Residential - 2 units or less, permanent in nature
This Certificate, issued pursuant to the requirements of Section 109 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 with 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:
June 30 9
Building Official
There shall be no further change in the ebsting 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.
Fire Inspector:
ec nca nspector: P &Z Administrator tai t
O4od!_ UDC
f� CITY O F
REXBURG
Americas Family Community
�MEO
Adk
Please Complete tie Entire Application!
If the question does not apply fill in NA for non applicable
RESIDENTIAL BUILDING PERMIT APPLICATION
19 E MAIN, REXBURG, ID 83440
208 - 359 -3020 X326
PARCEL NUMBER: (Le f-bs ts 6(�7>0 +,[ Q (We will provide this for you)
SUBDIVISION: S �" woo P M iLL- S UNIT# BLOCK# 3 LOT# It fi W %2 L• 1- i D
(Addressing is based on the information - must be accurate)
OWNER NAME: � V: rFitc- Y b. 4 � a u<- CONTACT PHONE # 7-0 2, 30 1 31,
PROPERTY ADDRESS:
PHONE #: Home (mss) -o(a-7 Work (108) gs(a - g55q Cell (;Ds) a1 - i3(otf-
OWNER MAILING ADDRESS: }Se, YAt,if Ave CITY: RExpVie4 STATE: I D ZIP: 5 34'-to
EMAI FAX aoi> 3'9 1- 1 4 ol
APPLICANT (If other than owner) N / A
(Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.)
APPLICANT INFORMATION: ADDRESS
STATE; ZIP EMAIL FAX
PHONE #: Home ( ) Work ( ) Cell ( )
CONTRACTOR J . n ,
MAILING ADDRESS: ! 2 -i' S. 1 --- w E s' CITY i?_o x e y f_, STATE ZIP $ 3 -+-yu
PHONE #: Home (,w6) 3s., - gb53 Work (14) Cell (2-�3) 36 1 - g b5 3
EMAIL FAX IDAHO REGISTRATION # & EXP. DATE
How many buildings are located on this property ? P
Did you recently purchase this property? (o � (If yes, list previous owner's name) M,crl£wE so ✓„y,=
Is this a lot split? NO, ' YES (Please bring copy of new legal description of property)
PROPOSED USE:
(i.e., Single Family Residence, Multi Family, Apartments, Remodel, Garage, Commercial, Addition, Etc.)
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjur I hereby certify
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 permit or approval was
based. Permit void if not started within 180 days. Permit void if work stops for 180 days.
m
Signature of Owner /Applicant DATE
Do you prefer to be contacted by fax mail o phone? Circle One
WARNING — BUI ERMIT MUST BE POSTED ON CONSTRUCTION SITE!
Plan fees are non - refundable and are paid in full at the time of application beginning Ignua{v 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**
CITY:
Please complete the Atire A lication!
p pp
NAME
PROPERTY ADDRESS
SUBDIVISION
Dwelling Units: Parcel Acres:
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 2-06 '3 Unfinished Basement area
Second floor /loft area 72-g7- Finished basement area �S8
Third floor /loft area Garage area l u O
Shed or Barn Carport /Deck (30" above grade)Area
Water Meter Quantity:
* * * * * * * * * * * ** *Water Meter Size: 3 / 4
Requlred.!!f
PLUMBING s
Plumbing Contractor's Name: r�14/�'/� /s �. �� Business Name: Ck/ Z�
Address City 57 AgZ#ANA State .Z1a4he Zip 6
Contact Phone: (40 3 Business Phone: f�V� .� 3J7o2
Email �,0&17i
FIXTURE COUNT (includingroughed fixturesl
Clothes Washing Machine
Dishwasher
I Floor Drain
Garbage Disposal
13 Hot Tub /Spa
Sinks (Lavatories, kitchens, bar, mop)
Sprinklers
Tub /Showers
Toilet /Urinal
2 Water Heater
Water Softener
Plumbing Estimate $ �� % (COMMERCIAL /MULTI - FAMILY ONLY)
Signature of Lice ed Contray License Number& Expiration Date D to
The City of Rexburg's permit fee schedule is the same as required by the State
Please complete the entire Ap
P PP
NAME
PROPERTY ADDRESS
SUBDIVISION
61._0 3 1
Permit# j � C
�
Required!!! MECHANICAL
Mechanical Contractor's Name T fws/ Business Name /�aC� 5 --�'•
Address 7V t1 1 e_<T 1 - ) ' 1A;A1 City �/ ��}�/Y %l`'� � State � Zip s S
Cell Phone W55 J LO' 6 I3 Business Phone 5 77u2
Fax Email
�
Mechanical Estimate $ A 49, (Commercial /Multi Family Only)
FIXTURES & APPLIANCES COUNT (Single Family Dwelling Only)
Furnace
2_ Furnace /Air Conditioner Combo
Heat Pump
Air Conditioner
Evaporative Cooler
Unit Heater
Space Heater
_ Decorative gas -fired appliance
Incinerator System
Boiler
Pool Heater
2 Fuel Gas Pipe Outlets including stubbed in or future outlets
Inlet Pressure (Meter Supply) PSI
other similar vents & ducts:
Heat (Circle all that apply) Gas Oil Coal Fireplace Electric Hydronic
Point of y must be h• •
Signature of icensed , ory4 actor License number
The
+_ Exhaust or Vent Ducts
_I. Dryer Vents
0
Range Hood Vents
Cook Stove Vents
& Bath Fan Vents
fee schedule is the same as
VX�
Date
the State
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
R
Americas Family Community
OWNER'S NAME
PROPERTY ADDRESS
SUBDIVISION
PHASE LOT BLOCK
Permit#
HOME OWNER'S ELECTRICAL PERMIT
Home Owner's Name
Address City State Zip
Cell Phone ( ) Home Phone ( )
Fax ( ) Email
TYPES OF INSTALLATION
(New Residential includes everything contained within the residential structure and attached garage at the same time)
For power supplier requirements visit www.rockymtnpower.net
4 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)
J Spa, Hot Tub, Sw immin g 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 $40 per hour.
Signature of Home Owner Date
The City of Rexburg's permit fee schedule is the same as required by the State of Idaho
0 a
Building Safety Department
City of Rexburg
19 E Main ionellh@rexburg.org Phone: 208.359.3020 x326
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024
O � R$X B [lA
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U G
CITY OF
REX
Ow
Americas Family Community
OWNER'S NAME
PROPERTY ADDRESS
SUBDIVISION
PHASE
LOT BLOCK
Permit # 08 00231
333 E 5th S
Requiredffl
ELECTRICAL
Electrical Contractor's Name /l/�!i tsc � so Business Name eeg -v u, "e
Address 227 rFL 26a- Sai t City &Li� ty State -7V zip Z"
Cell Phone (abd) 3(3 - L)V 3 Business Phone ( )
Fax (2us) 351 Email 4::�2 tj.5ei1 �'c,� -... Ae K R W,sa . crio
Electrical Estimate ( cost of wiring & labor) $ & doa (COMMERCIAL /MULTI - FAMILY ONLY)
TYPES OFINSTALLATION
(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)
I Spa, Hot Tub, Sw immin g 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 ma of 3 inspections. Additional inspections charged at requested inspection rate of $40 per hour.
Signature of Licensed Contractor License number Date
The
schedule is the same as required by the State of Idabo
0
SUBCONTRACTOR LIST
Excavation & Earthwork: _�Va y , t e, P, ; ;<<, < < .
Concrete: Je-o sc i 66,e:rcfe +
Masonry:
Roofing: PhcG_vUesf
Insulation: (Ksj kA'cH
Drywall: Cover It - Jessr Mc,,Xa
Painting: Dc L.� !D, — k z
Floor
Coverings:
Plumbing:
Electrical:
Special Construction
(Manufacturer or Supplier)
Roof Trusses: Su�.wi '7
Floor /Ceiling Joists:
Siding /Exterior Trim: F ; S� di L � - N uC so i ,' b
• A
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.gov /conthtm
❑ 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
Cl Real estate licensee /property manager acting within Idaho Code
Cl 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
—4-
0
s /2/oa
Date
JEFf v.
Print Name
0 0
Company Name
;Contact Name
;Address :Telephone Fax :email
;Bid
YATES CABINETS, INC.
REXBURG,
Cabinets
Sutherlands Cabinets -------------
........ -------------------------------
i 2083536178
--------------------- - ------------------------------------- ---- ------------ - ---------------------------
: Cabinets
-----------------------------
... . .
Todd Steiner
:
Cover it
Jesse Montoya
351-7943
Drywall
KAM Drywall
Kirk Becker
1800 John Ada,:390-7751
;Drywall
Nephi Electric
Nephi
Electrical
Leishman Electric
----------------- --------- ---------------------------
; : Electrical
-------- -------- -----------
-------------------------------------------- ------------------------ -------------------------------
Leroy Electric
- -------------- 1 ----------------------------------------------------------------------
------------------------------------------
!Leroy Edwards
I ------------ -----------------
---------------------------
L -------- 1 ------- ---------- ------------ ---------------------------- -------------------------
-
Electrical --
---------------------------
Frank Johnson Electric
:
:4186 N 3000:(208)390-133i(208)-716-2561
;_ ----------- --------------------- ---------------- ---------------------------------------------
; Electrical
-----------
----------- ---------------- ----------------------------------------------------
Kauer Construction
--------------------- ---------------------------------
: :Gary Kauer
T
: South
Excavation
Wayne Parkinson
Excavation
Gil Shirley
Finish Carpentf
Mike Arave
-------------
: Finish Careen tr
---------------------------- -
---------- ------- ------------------ ---------
Jared Finn
-----------------------------------
--
--------------------------- -------------- --------------- ------------------------ - -------------
'Fascia Soffit In
Adam Harris
------- ---------------- --------------------------------------------------------
!Fascia Soffit In :
- -----------------------------
--
------------- ------------------------------------------------
Nick Saliby
------------------------------------------------------------
---------
Fascia Soffit In
Judco Heating
....... ..........-------- --------------------------------------------------
; 2453 East 40 624-14(!(208) 624-7223
-- ----------- -------------- --------------- ---------------- ----------------- --------- ----------------------------------------------------------
Fireplaces
1 ----- ----------------
Johnson Heating
--------
:6461 N Willovi(208) 356-0525 :johnsonheatin: : Fireplaces
Fireplace by Desi g n -----
iFireplaces ------
-- ------------------ -
_Desi
_ � ---------------------------------- ----------------------------------
----- ------------ ---- --- ---- --
Houselys
------------
--------------------------- ------ ------------ ----------------------- --------------------------------
-
�Fireplaces
Jensen Concrete & Construction, Inc.
- ------------------- ----------------------------
;400 North :(208) 745-8624 I
Flatwork
---------- -------------
Jim Spilleta
--------------------------------------------------------------------
------------------------------------- ----------------- -----------------------------------------------------------
Flatwork
----
--------------------------------- ----------------I
Ryan Sutton
--
- •------------------------------------
I -- --
- ---------- --------------------------- -------------- ------------------------- ---------------------------
- -------------------- --------
Flatwork
Showcase Interiors Inc
Railroad Ave (208) 356-9100
Flooring
Shippen Construction Inc.
E. 313-6241
Foundation
Jensen Concrete & Construction, Inc.
--
------------------------- ------- ---------------- ----------------------------------------------------------------
'4105 East 40 745-8624
------------------ -------- --
--------- --------------- ---------------- ----------
:Foundation
- -------------------------
----------------------------
;Foundation
TBC Construction Co mpany Inc.
--- - ------ ---------------------------
travis Chapple
- ---------------------------------------------------------------
:Rexburg, ID i(208) 317-29[i(208)-356.3150
- --------------------------------------- ---- ------------ ------------ --------------
; Framing
-----------------
------- -- --
Do U Jenson
6
iFraming
n Muir nd
Brandon ----- ------- ----------- -------------------------- --------------- ----------------------------------------------------
---- — --------- ----- -- -
!Framing .... ........
Curtis Rolfe
--------------------------- ; ----------------------------- : --------------------------- : ----------------------------
- -------------
Framing
BMC West
� W Main, Rexbu E9_
*- Garage
-------------------------- -------------------------------------------------
Johnson Heating
I -------------------------------------------------------------
----------- ----------- --------- ----------------- ---------------------------- * ---------- ...... ........
- - - ---
;Willowbrook : :(208) 356-0525 : iohnsonheatin:HVAC
:
Houselys
Main Street
HVAC
Judco Heating
400 North :(208) 624-14(!(208) 624-7223
MVAC
---------- - ------------------------------------------------------------------------------------------------------------------------------------------------------
CRF MECHANICAL LLC
--------------------------------------------------------------- ------
--------------------- ------------------
---------------------------------------
-------------- --------- - -------------- - r -
; :564 N. 4107 E. RIGBY, 10 83442
---------------------------
------------------
;HVAC
*
River Ridge Plumbing
-------------------------------------------------------------------------------------
T.O.Box 300 38 So. 1st E., Teton ID 8345V
------------------------------
:HVAC
Advanced Insulation
HAROLDSEN
Insulation
BMC West
202 W Main, Rexburg
Materials
Yellowstone Do-It Center
:Yellowstone
!Materials
WILEY PAINTING
----------- -------------------- ----------- ----------------------------------------------
------------------------
* 208-356-8739
---------------------------------------------------------
Pai qT9
Studboy Painting
: Drake
--------------------------- ---------------------------
:Drive :
--------------
:Painting
Houselys
Main Street
Plumbing
MODERN PLUMBING & HEATING INC.
:3939 E. 240 f
:Plumbing
M&A PLUMBING
--- ----------- ---------------------------------------- I ----------------_----
:Michael EddinQton
------ ----------- ------------------------------------------------
: :690 Holley, shelley, ID 8327i357-3007
: ------- --------- — ------------------------------------
: ...........
River Ridge Plumbing
------- I -------- I
AO.Box 300 38 So. 1st E., Teton ID 83451:
- ------------
: :Plumbing
BMC West ------------------------------- ----------- ---------
------------------- --------------------
: 202 W Main, Rexburg L
;Roof Materials
BMC West ---------------- --------- 1- -------------- ---------------
V
----------------------------- I --- ....... .................. ---------------------------
:202 W Main, Rexb!�99 1.
• -- - - -- -- ---------------------
:Roofi_nqLabor
Mickelson Marble
- -- ----------------- -------------------- ---------- --------------
--------------- -----------------
------------------------------------------------------------------------------------------------
--------------------- ----------------------- _
------------- -------------------------
11;208 -529 -2082 429 South �208-529-2082
-- ----------------------------- -------------------------
_.
: :Solid Surface
---------------------------
West
------------------- --------------- I -----------------------------------
-
-----------------------------
W Main, Rexbu K9
: Trusses
Yellowstone Do-It Center
T -------------------------------------------------
------------------------------- --------- - ----------------- --------------------
:272 N. Yellowstone Hwy Rigby, ID 83442
--------------------
:Windows
BMC West
202 W Main, Rexburg
Windows