HomeMy WebLinkAboutAPPLICATIONS & CO - 08-00290 - 258 Pollard Dr - New SFRINSPECTION CARD
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C I T Y OF
R EX B URG
Ow
Americas Family Community
Building
Permit
ISSUED TO:
PERMIT #: 0800290
NAME: Burnside Scott
FOR THE CONSTRUCTION OF: 258 Pollard Dr- Burnside JOB ADDRESS: 258 Pollard Dr
GENERAL CONTRACTOR: Oswald Chavez
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
06/25/2008
Issued By
Building Inspecto
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
2) The permit will become null and void in the event of any deviation from the in each successive inspection without
NOTICE!
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 aDDroval.
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
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
8xsUq�lG CITY of Certificate of Obcupancy
° REX City of Rexburg
OW
America's Family Community
Department of Community Development
N,0
19 E. Main St. / Rexburg, ID. 83440
Building Permit No: 0800290
Applicable Edition of Code: International Residential Code 2006
Site Address: 258 Pollard 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: Rancho Coachella Properties Lp
1570 Linda Vista Dr
San Marcos, CA 92078
Contractor: Oswald Chavez
Special Conditions: Unfinished Basement 1201 sq ft
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 vies found to be in compliance v►ith the requirements of the code
for the group and division of occupancy and the use for vthich the proposed occupancy vies
classified.
Date C.O. Issued: December
C.O Issued by:
:57AM)
ing
k
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. Fire Inspector: '
Electrical Inspector: P &Z Administrator: AL 1A
06/16/2008 09:18
2083542636
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America3 FamikCmttmunity
ARROWHEAD MORTGAGE
PAGE 02/08
No. 6318 P. 3
__ 0 Please Comple the Entitc Ant�liea+:....t
RESIDENTIAL BUILDING PERMIT AP]
19 E MAIN; REXBURG, ID 83440
208- 359 -3020 X326
08 Oo290
258 Pollard - Burnside
PARCEL IVUMl3ER: (We will ptocide this for you)
SU$DIVTSION:
(Addressing is based on the information - must be accurate) UNIT #� 3 #
LVA - ' M 0,41 ' 9.- CONTACT PHONE
PROPERIYA.DDRF.SS: 'LS'b o k" bt ;v.., 1 9"Ioww- gs 0
PHONE #: Rome (zoa) S` - Work Can
OWNER MAILING ADDRESS: 1§ 20 a CITY: STATE:ZI2';�
APPIJCAN?' (If other than owner)
(Applicant if othea than owner, a stab menu anthmdaing applicant to act as argent fogy owner Must aceompsny this application.) -
.APPLI INFORMATION: ADDRESS CITY:
STATE - _ „_ Z,jp RMAM
PHONE #: Home ( ) Work ( ) Celt ( )
0
MAILING ADDRESS: •ID • LN 0 CITY s STATE 8 2 - —
PHONE #: Home (2eg) � - S d Work (, _ -, U Celt
IDAHO REGISTRATION # & F_P. DATE � 2 0 � I 07
Hoev many buildings are located oot this PzoPerty? _
Did you xecendy purchase this pmpeaty? No es (If yes, list previous ownees xlm) F. (- Amly i Q , _
Is this a lot split? UO
PROPOSED USE: _
Cie., ^NO& Family Residence,
Remodel, Garage, Commer4al, Addition, _R
APPI•ICANT'S SIGNATURE, eERTIFICA'7ON .A.ND AUTHORIZAnON: pip
Under penalty of perjttty, I bcccby c
that I bave =d *is aMlicadom and state that the infannadon bcm in i8 carnet sod I sweat that any iofbmmtiom Which fl b�f be hcxc by w in
he�ag9 befa re the Plmviag and Zoning.Cammisdm or the City Covnral for the 1q Crty of Rexburg shall be t:uthf„ 1 and tomcat I agree m comply ttcida aA
City regalations and State lame relating to the mNea matoer of this application and b=by autho:ixcd xVrmentat ivn of the City m enter upon tlu above -
mentioncd pmpttcty for iaxpcctions purposes. NOTE: The building official may ncvokc a permit cm approval issued under the ptovieions of the 2001
Ineatu deal Codc m caeca of any fuisc atar I eat or misrepresentation of fact io the npplirai;on or on the plans on which the peemit arc appal v w
bred• Permit wad if nor arnrtcd vitltia 180 days, Permit vpW if work soups fot 180 days.
Sdgnaitttt of Chsmer /Appltcant
Do you peefer to be eontacoed by fax, ? Circle Ow DATE
W.ARMN1G _ SE'E'DING P$RMIT MUST BB POSTED ON CONSTR SrM
Plan fces ate non- retandable and ue paid ip fia11 sat the dmc of appilention bang f �, ��
City of Roc mWs Aaeeptatece of the plaint review tl:e dots not comdtatc plan approval
O*Buildit Permit Fcee are due at time of appucadon** **Haildiiag ptftnits rem void if your chwk does not dieaat
YES (Please bring mpy of new legal description of ProP.,,Y)
06/16/2008 09:18 2083542636
Ask
ARROWHEAD MORTGAGE
suliding Scrtety , Department
CRY of Rojtburg
19 E. Main JaneAhOrexbv a
Raacbury, ID e3440 � � Phone_ 208.359.3b20
!Mbwg.orj Fox. 208.359.3024
PAGE 03/08
No. 6318 P. 4
C I T Y T�Y OF
C i ` �- �.C�uR r
C% - �--�-
�'' Z .1 e , ' AwrW Fwd ' Commu,10,
.davit of Legal Interest
State of Idaho
county of Madison
Name
City
Address
state
3,e g f>x€t duly swosm upon, oath, depose and say;
(If Applicant is- also Ov mer of Record,_sidp to S)
A. That I am the record owner of the poroperty described on the attached, and I S=t my
permission to:
Ne0 Address
to submit the accompanying application pertaining to that popery
B. I agree to indemnify, defend and hold Rexburg City and its employees harmless from any
claim, or liability resulting fi any dispute as to the stattments contained herein of as to the
ownership of the pCOperiy which is the subject of th e application.
Dated this day of 20
Sagttatuz�
Subscribed and sworn to before me the day and year £rst above Witten.
Notary Pablic of �dako
Residing at
/tidy commission expires:
06/16/2008 09:18 2083542636 ARROWHEAD MORTGAGE PAGE 04/08
As/19/2006 11:19 2002636
May, 12, 2008 0,42AM
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No. 6319 P. 5
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06/16/2008 09:18 2083542636
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Webster
Esc comn ea ate mdm ,ca dun!
NAME F4.�.x,
FROPMTYAD0 1.S'1
SUMMON-
ARROWHEAD MORTGAGE
2e45
No. 6318
P. 6
PAGE 05/08
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ARROWHEAD MORTGAGE
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PAGE 06/08
rs+� uYi �r.•
No. 6318 P. B
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• ti•., t�� CenesorrP,r
OWNERS ?V'_9AS y.ieAbc4.
Permit #08 00290
r 258 Pollard
Er r7a"M"
WCAL
i s.�..� •'�/ 1 � / sir._. _ ,
Fax f !L 14 G —�_
d r ►" Golx
Mecft WjF.atjwa.t e (mot of. & 'WSJ 9 pC/MULZ� F�IZ.Y ONI.X�
?WPBS D UAU0 Y
( NOw�amrdr �dblsedaaierc .�ddq�eaoedutr�/.�6s R6 e „ ype4yr�oall�+�al�tx� of�esief�ealo�r)
�✓ Up to s.D� amp SetaireF
2M to 400 amp Service*
Ower 400 anrtp Savicer
—� TmP* C0m=cf n -Icrw* 2QQ amp ar ias% ooe bod�yga �; patiod sat m aomd 1 Rat)
--- Exigft xmk6o w & of smacb Ciramigs)
�.,.. Sm IIot Tob Swift& ft peal
.� .� Eteettfe Cep v � m $y s Heamag tea/or coolt Cie Nt Pw of a, nee eai rasenwem pa,
�...
MOdd2r. 'fir WU&Ctated f= Mobne Here
111 kwr �gnot epeyr eav�eti b9 of the sbvera
COS ^f Vhdng &,Zoa s
Rested l pftn�. [vf cjd
--- re° L'Iadas�v
Uwe te
drse*
06/16/2008 09:18 2083542636 ARROWHEAD MORTGAGE PAGE 07/08
' I JL. LuVO 0
No. 6318 P. 10
EXEMPTIONS FROM STATE REGISTRATION
As of January 1, 2006, the City of Rexburg can ao longer sell peanits without raving a copy of your State
r*ttmtion number or your exemption from the State re&tmation, Please send a copy of Your state registraftm or
fill out this four sbo" g your exemPp On and send it with your license rmmval or your next pe application.
(This list is a suf oma&ati of Idaho Code Tide 54 Chapter 5205, for £ull definitions of these exeaTdons please
see the State's website at
4 Cuxtently State licensed purs to Title 54 Idaho Code, Chapters:
2 Arclvxects,
14 Electrical Contractors /Jonmeyn=
1 Z EA9 /Surveyors,
9 Public Works Contractors (exempt from fee onl registration xequ
26 Plumbing/Plumbers,
4� Public Works Construction Management Licensing Act (exempt ftom fee only registration requtr
IQ Installation of heating, ventilation and air conditioning systems ' �`
❑ Employee or volunteer of a licensed contractor or part of an educational curriculum or nonprofit charitable
ac iv:ity with no wages or salary
o Employee of a US Government agency (State, City, County, or other municipahty)
o Public Utility doing construction, maintenamce, or development to its own busupess
❑ Involved with gas, oil or miuexal opezations
❑ Supplier doing no installation or $abricafmg
❑ Contracting a project or projects with a total cost less than $2000
operation of a fatm of ranch or construction of agriculture buildings =empt from Idaho Building Code
a Any type of water district opemations
❑ Work in rural districts for &0 pxePention purposes
n owner who performs work on own property or con.t mcts with a regi mVed wot factor to do work as long as
the property is not for resale within 12 months
Q owner oz lessee of commetcial pxopetty performing maintemonce, repair, altxsation or constmcdon on that
propertY
❑ Real estate licensee /property m anna arci vAthin Idaho Code
0 Engaging in the logging industry
o Renter worltimg on the property where they live math the property owners approval
Q Construction of a building used for industrial chetuical processing per Idaho Code
L3 Co nstruction of a modular building (defined by Idaho Code) to be moved out of state
I hereby certify that the above usformation is tMe and correct to the best of my knowledge.
Date
Prirxt Nam
06/16/2008 09:18 2083542636
6VVU U•LL(MIYI
ARROWHEAD MORTGAGE
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PAGE 08/08
No. 6318 P, 9
■ rsrr■ rr■■■■ A■■■■ rr■■■■■ r■ a■ rrrrrr■ rirr■ rrrrrrrrr■ rrrrr■■ .■ ■ ■ ■■a■■■r■rrr a■■rrrrrrr■rrrrp
SU BCONTRACT OR IIS
P=R mt= &
M,2sontq:
I 1
•
♦I1�1� ',
a m- m a
Special Construction
(Manufacturer or Supplier)
Roof `Trusses:
Floo= /Ceiling joists: qL
kh
Siding/Extesior 7'xim•
Other:
0 f
Bureau of Occupational Licenses
Department of Self Governing Agencies
The person named has met the requirements for registration and is
entitled under the laws and rules of the State of Idaho to operate as a(n)
CONTRACTING BUSINESS
PONDEROSA CONSTRUCTION LLC
OSWALDO CHAVEZ, ET AL
PO BOX 730
DRIGGS 83422
Tana Cory RCE -24101 01116/2009
Chief, B.O.L. Number Expires