The URL can be used to link to this page

Home My WebLink AboutAPPLICATIONS & CO - 08-00266 - 621 E 5th S - New SFRo� gexs uR� 4Al rd UN� O 9 B��SNEO 1• C I T Y OF REX Americas Family Community Building Permit ISSUED TO: " PERMIT #: 08002 66 NAME: Jeppesen Joseph FOR THE CONSTRUCTION OF: 621 E 5th S- Jeppesen JOB ADDRESS: 621 E 5th S GENERAL CONTRACTOR: Alan Rasmussen Construction This permit is issued subject to the regulations contained in Building Code and Zoning Regulations of the Cityof 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 06/11/2008 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 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. INSPECTION CARD BUILDING Date ADr)rovec 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 T_ ELECTRICAL n2 +a A.,...... —A 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 XBURC,7 CITY OF Certificate of (Tccupancy G' O REX City of Rexburg `�. "n America's Fami � Communi Department of Community Development 19 E. Main St. / Rexburg, ID. 83440 Building Permit No: 0800266 Applicable Edition of Code: international Building Code 2006 Site Address: 621 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: Jeppesen Joseph 4490 Juniper Ave Rexburg, ID 83440 Contractor: Alan Rasmussen Construction Special Conditions: Unfinished Basement 2100 sq ft 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 vies inspected on the date listed vies found to be in compliance viith the requirements of the code for the group and division of occupancy and the use for vihich the proposed occupancy vies classified. Date C.O. Issued: March 09, 2 (10:04AM) 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. Electrical InsDector- .elm, J Fire Inspector: ti /GL P &Z Administrator: in Z , O� gF,X6 URC r CITY OF* 7 ° REXBURG America's Family Community MEO RESIDENTIAL BUILDING PERMIT APP 19 E MAIN, REXBURG, ID 83440 208 - 359 -3020 X326 711..__— _ r. . _ L 0800266 621 E 5th S- Jeppesen PARCEL NUMBER: i� F�AnS d �xaQ (We will provide this for you) SUBDNISION: C0. ^dam y ��Vw UNIT# BLOCK# 3 LOT# (Addressing is based on the information - must be accurate) OWNER NAME: 70e f-Af lc_ ST e�h CONTACT PHONE # 356 PROPERTY ADDRESS: _ t 03 1 S ; E_:� PHONE #: Home (zai) 356 - 6161 Work (l %) 351— 033 l Cell eva) 3 51 - (3 3 31 OWNER MAILING ADDRESS: y9U :V(Jmk !X' A✓C CITY: I?" bv,j STATE: ZIP: Z 3 Li EMAIL FAX r�l ►-� 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 P %d Ny 6:,O` CITY: STATE; C - ZIP ` L i' 40 EMAIL FAX ltir PHONE #: Home (&-6) 3�I- /x IJ Work Cell (zoSS) CONTRACTOR Co�..�trvc� MAILING ADDRESS: P -o &Y 60k CITY 1 �C. 1 6 b A STAT ZIP $ �f PHONE #: Home M) 3 S I- ` H Work (za$) 3 S I - / S 1 t f Cell (24) 3 & 1 - / t, 1 '4 EMAIL M'-c FAX VU —e- IDAHO REGISTRATION # & EXP. DATE CE -, ?3 76 How many buildings are located on this property? IW�L - Sig --, y � --,, ty v\_w Aur.e\ Did you recently purchase this property? No es (If yes, list previous owner's nat Is this a lot split? 0 YES (Please bring copy of new legal description of prop PROPOSED USE: S l kA �t �� { (Z � e•.c (i.e., Single Family Residence, Multi Family, Apartments, Remodel, Garage, Commercial, Addition, I APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: t that I have read this application and state that the information herein is correct and I swear that any informatioirThich may erea ter e 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 Internatio ode in ses of any false statement or misrepresentation of fact in the application or on the plans on which the permit or approval was base t not started within 180 days. Permit void if work stops for 180 days. igna ner /Applicant DATE Do you prefer to be contacted by fax, email o on 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 &na ar�l, 2005. � ` r, 4`A � r 12A �iiii Please com lete the entire A p p lication! P pP NAME '30t- F ►v tL��t �ep��5�'� PROPERTY ADDRESS SUBDIVISION Dwelling Units: Parcel 0 Permit# FRO 3 l SIDE o SIDE t BACK t Remodeling Your Building /Home (need Estimate) $ SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area - Z-1 1 06 Unfinished Basement area Z t Second floor /loft area 500 Finished basement area Third floor /loft area Garage are 1 00 Shed or Barn Carport /Deck (30" above grade)Area Water Meter Quantity: /4 * * * * * * * * * * * ** *Water Meter Size: (` Required ffl PLUMBING �� . L � Plumbing Contractors Name. � P � �J Business Name. Address G ! ` IN 's U.J SN City e State T,-k- k- Zip $ 3 4 Contact Phone: (" ��}" �J �� Business Phone: (7 , C) 3 0 J y� Email V �C- Fax p,4 h2 FIXTURE COUNT (in clu din ro u e d fixtures Clothes Washing Machine ' Sprinklers 1 Dishwasher Tub /Showers Floor Drain Toilet /Urinal Garbage Disposal Water Heater Hot Tub /Spa — Water Softener Sinks (Lavatories, kitchens, bar, mop) Plumbing Estimate $ 11 (COMMERCIAL /MULTI - FAMILY ONLY) J � 130G1 - 3- 3i 6- Z- 26 Signature of Lice ed Contractor License Number& Expiration Date Date The City of Bexburg's permit fee schedule is the same as required by the State of Idaho Please complete the entire Application! NAME PROPERTY ADDRESS SUBDIVISION Permit# Requiredffl MECHANICAL Mechanical Contractor's Name p�Jl business Name ' Address w i tia. �� ti City jC. s 4 ✓ State Zip �I Cell Phone (7,V4 5 1 — �-A V1 Business Phone (2u *x) 3S c l— Z 3 3 Fax ('&V) 3 S c � - 23'33 Email lCeu o--� t- yt r l-, t3 � fq 2 .), Z Mechanical Estimate $ DiS O o (Commercial /Multi Family Only) FIXTURES & APPLIANCES COUNT (Single FamilyDwe Only) Furnace ✓ Exhaust or Vent Ducts Furnace /Air Conditioner Combo l Dryer Vents Heat Pump Air Conditioner Evaporative Cooler Unit Heater Space Heater I Decorative gas -fired appliance Incinerator System Boiler Pool Heater Fuel Gas Pipe Outlets including stubbed in or future outlets Inlet Pressure (Meter Supply) PSI other similar vents & ducts: Heat (Circle all that apply) Ktas Oil Coa Fireplace Electric Hydronic Mechanical Sizing Calculations must be submitted with Plans & Application Point of Delivery must be shown on plans. I /SK Signature of Licensed Contractor The City of Range Hood Vents Cook Stove Vents 3 Bath Fan Vents License number schedule is the same as Date the State of Idaho r a Building Safety Department ik CITY OF City of Rexburg n XB m G 19 E. Main janellh@rexburg.org Phone: 208.359.3020 Americas Family Community Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 NAME -- e V)-x, � X? � PROPERTY ADDRESS I �' _C� Permit# SUBDIVISION bec2C�CP PHASE LOT BLOCK RequlredW MECHANICAL Mechanical Contractor's Name Business Name LVEnA , _s y(L *— Address 1 (� �, �i,�( . - Ci _ tate Zip - L Cell Phone ( ) `=�'� �' `�� Business Phone Fax ( ) Emai C�t� 2, yLle C% Mechanical Estimate $ (Commercial /Multi Family Only) FIXTURES & APPLIANCES COUNT (Single Family Dwelling Only) Furnace Exhaust or Vent Ducts Furnace /Air Conditioner Combo Heat Pump Air Conditioner Evaporative Cooler Unit Heater Space Heater Decorative gas -fired appliance Incinerator System Boiler Pool Heater L 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 Sign a` ense ntractor License number Date The k _ Dryer Vents Range Hood Vents Cook Stove Vents 3 Bath Fan Vents schedule is the same as required by the State of Idaho Building Safety Department 4 O City of Rexburg 9y 19 E Main ionellh @rexburg.org Phone: 208.359.3020 x326 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 ' C[ T Y OF REXBURG Americas Family Community OWNER'S NAME �J PROPERTY ADD Permit# 6 - cc SUBDIVISION r PHASE L T BLOCK HOME OWNER'S ELECTRICAL PERMIT Home Owner's Name --' J 'L J��D 4' l Address 61? / C City Cell Phone ( s' � /r)�I, Home Phone (Q%) 2716 2"?vvo Fax (2o&) Sv- r 41 (a s-Yrs ti Ceti.., TYPES OF INSTALLATION (New Residential includes everything contained within the residential structure and attached garage at the same time) 0 For power supplier requirements visit www.rockymtnpower.net ❑ *Up to 1,500 sq ft - $72 ❑ *1,501 to 2,500 sq ft - $120 ❑ *2,501 to 3,500 sq ft - $168 ❑ *3,501 to 4,500 sq ft - $216 / r* *Over 4,500 sq ft - $216 plus $.04 /sq ft: � 3do sq ft total • Existing Residential (# of Branch Circuits) - $40 plus $10 per circuit: # of circuits • Temporary Construction Service, 200 amp or less, one location (for a period not to exceed 1 year) - $40 • Spa, Hot Tub, Swimming Pool - $40 plus $40 grounding grid where applicable • Electric Central Systems Heating and /or Cooling (when notpart of a new residential construction permit and no additional wiring) - $40 ❑ Modular, Manufactured or Mobile Home - $50 plus $10 per circuit ❑ Other Installations: Wiring not specifically covered by any of the above: Cost of lYliring dam' Labor.• $ (Includes the cost of materials installed regardless of the party ,supplying it). ❑ Pumps (Domestic Water, Irrigation, Sewage): horse power ❑ Requested Inspections (of existing wiring) - $40 /hr (1 hour minim plus $40 /hr thereafter *Includes a maximum of 3 inspections. Additional inspections charged at requested inspection rate of $40 per hour. ** Includes a maximum of 4 inspections. Additional inspections charged at requested inspection rate of $40 per hour. - -S a� / Signature of Home Owner Date a a Building Safety Department ;p ExAVA CITY O City of Rexburg 7� REvnT G Tn 1tL� V 1� 19 E Main jonellh@rexburg.org Phone: 208.359.3020 x326 Americas Family Community Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 OWNER'S NAME (�� Permit #08 00266 PROPERTY ADDRESS SUBDIVISION � 621 E 5th S PHASE LOT BLOCK Required!!! ELECTRICAL Electrical Contractor's Name k Y A tli' Z66S 1AA) Business Name �g�Ae" j Address W5 ;3-Up 5T City RF X && State = , O - zip ft Cell Phone (2j) _3'?Q - .33 a (y Business Phone (200 3 57 - (c 7 -z� Fax (20 J 9 d (Q 7 Z Email 0 le s'!!1 j�d,a 10 e M Electrical Estimate ( cost of wiring & labor) $ !� 9 a (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, 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. 1 C/ 'mE ature of Licensed Contractor License number Date The 04 of Rexburg's permit fee schedule is the same as required by the State of Idabo 0 • SUBCONTRACTOR LIST Excavation & Earthwork: CV'- Vkvt Cpl s�a� Masonry: �� Uv� vv\ (- Roofing: Insulation: Drywall: Painting: �` P U-��• Floor Coverings: "Ac ✓ay 5 Plumbing: � �t" Heating: Electrical: Special Construction (Manufacturer or Supplier) Roof T Floor /Ceiling Joists: � -� " , '\ i ✓ 75 p o�N Siding /Exterior Trim: y � Other: • 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.ggyJcont.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. i Z 76 Signature ' Q I Date �� I 1 Print Name