The URL can be used to link to this page

Home My WebLink AboutAPPLICATIONS & CO - 08-00244 - 276 Rebecca Ave - New SFRINSPECTION CARD � gEXB URC • • CITY OF v � REX s CW ul ing 0 America's Family Community Permit e��SNED �e • ISSUED TO: PERMIT #: 0800244 NAME: Moore Matthew FOR THE CONSTRUCTION OF: 276 Rebecca -Moore JOB ADDRESS: 276 Rebecca Dr 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 Is ed By 3 cfz 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 N O T I C E 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 approval. BUILDING Date Approved 1. Mechanical Rough In 7 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 °�AEXBUR�,a CITY OP Certificate of Occupancy REX 13URG City of Rexburg Department of Community Development Americas Family Community e rn Eo 19 E. Main St. / Rexburg, ID. 83440 Phone (2081359 - 3020 / Fax (2081359 - 3024 Building Permit No: 0800244 Applicable Edition of Code: International Residential Code 2006 Site Address: 276' Rebecca Dr Use and Occupancy: Single Family Residence Type of Construction: Type V, non -rated Design Occupant Load: Residential Sprinkler System Required: No Name and Address of Owner: Moore Matthew 270E 3rd S Rexburg, ID 83440 Contractor: Owner /Lessee Special Conditions: Unfinished Basement. Occupancy: Residential - less than 2 units, 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 was 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: September , 200 :17PM 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: ire Inspector: Y) I Q Electrical Inspector: P &Z Administrator: (� CITY OF REXB URG 4 " PERMIT # ' BUILDING PERMIT APPLICATION Please 4 0800244 19 E MAIN, REXBURG, ID. 83440 If the ques 208 - 359 - 3020 X326 PARCEL NUMBER: c,W �d 00 (W 276 Rebecca Dr-Moore SUBDIVISION: �` derz + �^ UNIT# BLOCK# LOT# (Addressing is based on the information - must be accurate) PROPERTY w Mo c) rf, CONTACT PHONE# '��L' i ? 2 °i A-e-\ r5 e, 9 �0 ck ' fa Iv PHONE #: Home (�- L7 ( - �O t� Work ( LA `t �2 3 Z Cell (6 9 7 Z S - � 6 7 Si5 OWNER MAILING ADDRESS: 2 7 0 CITY: f fi� r STATE: �'\ ' ZIP: VLNO S'6 EMAIL /V) M v 2 0 0 J 2 c FAX Z. J %' 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: CITY STATE ZIP PHONE #: Home ( ) Work ( ) Cell ( ) EMAIL FAX IDAHO REGISTRATION # & EXP. DATE How many buildings are located on this property? J Did you recently purchase this property? No r 9s (If yes give owner's name) 2 `� Is this a lot split? YES (Please bring copy of new legal description of property) PROPOSED USE: L 2 _t ^`h \� (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. Sign�ature Owner /Applicant DATE Do you prefer to be contacted by fax, email or phone? Circle One WARNING — BUILDING PERMIT MIDST BE POSTED ON CONSTRUCTION SITE! Plan fees are non - refundable and are paid in frill at the time of application beginning „lanuary Z 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 • Please complete the entire Application! NAME MV\V� PROPERTY ADDRESS 6 ,v- SUBDIVISION \ 1 Dwelling Units: Parcel Acres: `1 SETBACKS l- FRONT El Permit# SIDE� _ SIDE BACK Z Remodeling Your Building /Home ( need Estimate SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area ' y Unfinished Basement area 1 1 3 0 0 Second floor /loft area Finished basement area Third floor /loft area Garage area 46 u Shed or Barn Carport/Deck (30" above grade)Area Water Meter Quantity: X *X *Xx* Water Meter Size: Requll'edN RMB Plumbing Contractor's Name: L �14 / ty) Vb 1 � , i "" ' Business N e: f Address Z``l City I �5 State _ _zip= Contact Phone: (2 Business Phone: ( ) Email Fax FIXTURE COUNT (including roughed fixtures) Clothes Washing Machine Dishwasher Floor Drain t Garbage Disposal Hot Tub /Spa j 7 7 Sinks (Lavatories, kitchens, bar, mop) Plumbing Estimate $ d (COMMERCIAL /MULTI - FAMILY ONLY) Signature of Licensed ontractor c nse umber& piration Date Date The City of Rexburg s permit fee schedule is the same as required by the State of Idaho El Sprinklers Tub /Showers 72 Z Toilet /Urinal 2- Water Heater Water Softener j 7 7 Sinks (Lavatories, kitchens, bar, mop) Plumbing Estimate $ d (COMMERCIAL /MULTI - FAMILY ONLY) Signature of Licensed ontractor c nse umber& piration Date Date The City of Rexburg s permit fee schedule is the same as required by the State of Idaho El • Please- complete the entire Application! NAME I A&\k� PROPERTY ADDRESS bi- V_ SUBDIVISION k� e Permit# Requlred.W MECHANICAL Mechanical Contractor's Name Address �dD� I // City Cell Phone ( ' l-` Ul JO Business Phone Fax ( OFN "Is 61 Email Mechanical Estimate $ ✓b t (Commercial /Multi Family Only) FIXTURES & APPLIANCES COUNT (Single Family Dwelling Only) Furnace Exhaust or Vent Ducts Furnace /Air Conditioner Combo Dryer Vents Heat Pump Air Conditioner Evaporative Cooler Unit Heater Space Heater Decorative gas -fired appliance Incinerator System Boiler other similar vents & ducts: Pool Heater _Fuel Gas Pipe Outlets including stubbed in or future outlets Inlet Pressure (Meter Supply) PSI Heat (Circle all that apply) Vay Oil Coal Fireplace Electric Hydronic Mechanical Sizing Calculations must be submitted with Plans & Application Point of Delivery must be shown on plans. S afore of Licensed Contractor License number The Range Hood Vents Cook Stove Vents Bath Fan Vents schedule is the same as 5% I� / 09 Date the State q 5 0 0 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 iY utiX li(. Jt y, a C L C T O F IBEX ) V RG OWNER'S NAME M�V M PROPERTY ADDRESS SUBDIVISION e. n�A r5 0 PHASE \ LOT J BLOC Permit #08 00244 276 Rebecca Dr Requiredffl ELECTRICAL C--" ttai -456� 1 ci-) Electrical Contractor's Name �(�, V 1 Ct'— E1 C Business Name Address P, 4 1 �C Gr7 City �Qalg e T z s State Z16 Zip Cell Phone,(") _ 39 -&3 S 7 Business Phone ( ) Fax ( ) Ad 4 Email �ER—V l CF F—I-E: L2 / Li 1z 1 ( c I _ 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) I _ 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 Coo ling (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. Contractor License number bate The City of Rexburg's permit fee schedule is the same as nquind by the State 7 • ■■ rrrrrrrrrrrrrrrrrrrrrrr�rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr� SUBCONTRACTOR LIST Excavation & Earthwork: I r ^ 17 Concrete: `, C Masonry: Roofing: Insulation: �\ Drywall: Painting: Floor Coverings: Plumbing: l l (^ � �2 '\ Heating: �� v Electrical: Special Construction (Manufacturer or Supplier) Roof Floor /Ceiling Joists: Siding /Exterior Trim: Other: K lJ z( I ron� L- )6 V �O (V \ (, e " A. d^Cc, EXEMPTANS FROM STATE RERSTRATION 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 Tide 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 - A— 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. -PVtU sl1(0� Signature Date T I . kCVi M 0vr \ Print Name 0