HomeMy WebLinkAboutAPPLICATIONS & CO - 08-00342 - 759 Engleman St - AdditionINSPECTION CARD
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REX BURG Building
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"e Americas Family Community
Permit
ISSUED TO:
PERMIT #: 0800342
NAME: Dennis Steven Etux
FOR THE CONSTRUCTION OF: 759 Engleman St- Dennis JOB ADDRESS: 759 Engleman St
GENERAL CONTRACTOR: Whisperwood Homes
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 in pector
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 aooroval.
BUILDING
Date Approved
1. Mechanical Rough In
2. Mechanical Pressure
3. Layout
4. Footing
5. Foundation
6. Framing
7. Insulation
8. Drywall
9. Sidewalk
10. Final
ELECTRICAL
Date Approved
1. Rough -In
2. Electrical Service
3. Final
PLUMBING
Date Approved
1. Sewer Service Conn
2. Water Service Conn(
3. Rough -In
4. Final
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
F; � g6 %guR _ CITY of
; Certificate of Occupancy
REX BURG City of Rexburg
America'aFamityCommunily Department of Community Development
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19 E. Main St. / Rexburg, ID. 83440
Phone (2081359 -3020 / Fax (2081359-3024
Building Permit No: 0800342
Applicable Edition of Code: International Residential Code 2006
Site Address: 759 Engleman St
Use and Occupancy: Single Family Residential Addition
Type of Construction: Type V, non -rated
Design Occupant Load. Residential
Sprinkler System Required: No
Name and Address of Owner: Dennis Steven Etux
759 Engleman St
Rexburg, ID 83440
Contractor: Whisperwood Homes
Special Conditions: 341 sq. ft. addition
Occupancy: Residential - less than 2 units, permanent in nature
This Certificate, issued pursuant to the requirements of Section 109 of the Intemational Building
Code, certifies that, at the time time of issuance, this building or that portion of the building that
wes 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 wes
classified.
Date C.O. Issued
C.O Issued by:
Building Official
There shall be no further change in the wdsting 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 Ins re Inspector: V) fa
Electrical lnspector: PAZ Administrator:
U o �gExsU RG
CITY O
Please Compl ^` the Entire Application.
CW
'• America's Family Community 0800342
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RESIDENTIAL BUILDING PERMIT APPL.
19 E MAIN, REXBURG, ID 83440 759 Engleman St- Dennis
208 - 359 -3020 X326 pp��
PARCEL NUMBER: 6 1 (We will provide this for you)
SUBDIVISION: UNIT# BLOCK# LOT#
(Addressing is based on the information - must be accurate)
OWNER NAME: `,.i l- ew CA 0 C.^ 61 � 13 ti-L
CONTACT PHONE # Z[) �7 ' N 5 G
PROPERTY ADDRESS: _75H F_,0 c —1;c 56 c i
PHONE #: Home 6, 56
._ 1� ;1
Work (Zo?,) Li
9G - B t Z Cell ( )
OWNER MAILING ADDRESS:
- 759
SL
CITY: fZz,�eb f� STATE: ra ZIP: 8 3H y
EMAIL F
APPLICANT (If other than owner) N
(Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.)
APPLICANT INFORMATION: ADDRESS
STATE; ZIP
CITY:
EMAIL FAX
PHONE #: Home (
Work (
Cell ( )
CONTRACTOR iyhrsMt- Hc vv, c 5 a- .
MAILINGADDRESS: 343 4' N :fin% CITY Vc""3 STATE TA ZIP 83"42
PHONE #: Home ( ) Work (tC8) 354; -- 5 - 81 (x► Cell (Zd� 5'4. 3,301
EMAIL n '+ FAX 35-6 87(� IDAHO REGISTRATION # & EXP. DATE RC E - 54-G4
How many buildings are located on this property?
Did you recently purchase this property? & Yes (If yes, list previous ow
Is this a lot split? & YES (Please bring copy of new legal description
PROPOSED USE: H& i+,L y)
(i.e., Single Family Residence, Multi Family, Apartments, Remodel, Garage, Commercial,
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VTYOFREXHI RG
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalt 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. e t void if not started wit in 180 days. Permit void if work stops for 180 days.
Signature of Owner /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 anuary L 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 **
Buil
g Safety Departmen
City of Rexburg
19 E. Main
Rexburg, ID 83440
jonellh@rexburg.org Phone: 208.359.3020
www.rexburg.org Fax: 208.359.3024
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C I T Y OF
REXBURG
America's Family Community
Affidavit of Legal Interest
State of Idaho
County of Madison
13, 3�evcn
Name Address
1 : ao�k 0
City State
Being first duly sworn upon oath, depose and say:
(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. C
Dated this '/ / day of Z - / , 20 e 4
Signature
Subscribed and sworn to before me the day and year first above written.
otary Public of Idaho
.y
Residing at: /��/9,Q/
My commission expires:
4 � 0 IDAN�
D7/10/2008 09:40 2087455990 ADVANCED PLUMBING PAGE 02
�:T- 22�2P74 16:00 From: • 2063565896 Tc:0455990 P.2 /2
Building Safety Department �a� °gyp °x��
Ci t'Y VP
City of Rexburg T m � -�
V RG
19 Z MOO ionelth@rexburg.org Mcne; 2t7l3.359.3(T7q �, praarlco's rv"10Y (:nM1munr1Y
Rwxburg, D &VAD Fox; 206.339.3024 "• +'
Remodc"s.�,� Your BtzUd&W1Hwx2e (need Lstkute) •A _ 310
SUlU'ACls SQUARE POCYVAGL:: (Small include die "mrior wall measurcTn mrs of the building)
f'iitst Floor A.tea a4t L7nficished Basement area —
Second floo0oft or N tk Finished basement area A _
Third Boos;/loft area M h t; arAge azca —
Shed or Barn _ Carl:+ort /Deck (30" above pkdc)Asefl Nh
W(dltetMeter Quantity: Metes Size
ARCquircadMI
PLUMBING
Plumb* Coat". ceor's Name. ky Sti06 Pli- 11•,+11, 5 Ins
Address P.C. J�rx 7-'19 City q M,! We
Conmct. Phone: (Zblo) R '03Z Business Phone;
Email ��2 1 4) idit • ,� t,i" _ Fax 109 - "'
Co L1 Vr inch, ro ppO ed - AKrures
1 Clothes Washing; Machine
T7i:�liwaxh�:1'
Floor Drain
Crarbage. Disposal
/ " Win
I Sinks (i •sjv% totieti, hitchem, bar., mop)
Plumbing Estimate $ (COMMERCIALIMULTI- FAMILY ONLY)
115 OJ i o -31 - 1 0 7
u E r. of I ieeiiccd Contractor Lrccmc NLunbcr& uatirnit Ds1rc Date
Building Safety Department yo4aXSUR�.,Q
� 7
City of Rexburg � 0
19 E. Main jonellh@rexburg.org Phone: 208.359.3020
Rexburg, ID 83440 www.rexburg.org Fox: 208.359.3024
CITY OF
REXB V RG
America's Family Community
NAME 5�rttvr_ Ocnn5'j
PROPERTY ADDRESS 15ti Permit#
SUBDIVISION vtr9.^L
PHASE LOT BLOCK
RequiredN
MECHANICAL
Mechanical Contractor's Name P? i k,4 t( /v cY Business Name Al ! X? 1,/
Address i3a:% City _Sgj l , t 6 State h • Zip UYY
Cell Phone (. 3ej x"4/1 Business Phone
k
Fax (
Email
Mechanical Estimate $ (Commercial /Multi Family Only)
FIXTURES & APPLIANCES COUNT (Single Family Dwelling Only)
/ Furnace Exhaust or Vent Ducts
.v Furnace /Air Conditioner Combo Dryer Vents
Heat Pump
Air Conditioner
Evaporative Cooler
Unit Heater
Space Heater
Decorative gas -fired appliance
Incinerator System
Boiler
Pool Heater
Fuel Gas Pipe Outlets including stabbed in or future outlets
Inlet Pressure (Meter Supply) PSI
Range Hood Vents
Cook Stove Vents
Bath Fan Vents
other similar vents & ducts:
Heat (Circle all that app ) Gas Oil Coal Fireplace Electric Hydronic
7 7 X
Signature of Licensed Contractor License number Date
The City of Rexburg's permit fee schedule is the same as required by the State of Idabo
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
^^^^ CITY OF
REXBURG
__ ________
_1111______ CW _ -- 1111 __.
Americas Family Community
OWNER'S NAME
PROPERTY ADDRESS
SUBDIVISION
PHASE LOT BLOCK
Permit#
HOME OWNER'S
Home Owner's Name
Address
Cell Phone ( )
Fax ( )
Email
TYPES OF INSTALLATION
(New Residential includes everything contained within the resit
0' For power supplier requirements visit www.rockymtnpower
Number of meters being installed
Up to 200 amp Service*
201 to 400 amp Service*
Over 400 amp Service*
CTRICAL PERMIT
Phone ( )
� ;o � EXBURCl9
U �
0
to Zip
structure and attached garage at the same time)
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.
Signature of Home Owner
The City of Bexburg's permit fee schedule is the same as
Date
the State of Idaho
• •
Building Safety Department
City of Rexburg
19 E Main janellh@rexburg.org Phone: 208.359.3020 x326
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024
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CITY OF
R EX B URG
America's Family Community
OWNER'S NAME 51-CVG Di•rn
PROPERTY ADDRESS 751
SUBDIVISION Fvtrw._ccn
PHASE LOT BLOCK
Permit#
Requiredffl
ELECTRICAL
Electrical Contractor's Name tzRoy EtAwt4rdl5 Business Name G . L' Ctlw�ti E(cc•h�;C.
Address 113'L Q,- e_5 _- F Q7 e. City P Cxbu r
to Icluy,o Zip 834(40
Cell Phone ( ZL b) 1 4O'�p ° "ILt 1Li Business Phone ( 165-6 - 04&q
Fax (
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)
t 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 amaxWiurn of 3 iqs1lections. Additional inspections charged at requested inspection rate of $40 per hour.
Signature of tensed Contractor License number Date
The City of Rexburg s permit f ee schedule it the same as required by the State of Idaho
• .
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 wwwdbol.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
❑ 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
Special Construction
(Manufacturer or Supplier)
Root Ti asses: B:.
356 -9292
Floor / Ceiling Joists: Bti1C V,'est
356 -9292
Cabinets: Classy Custom Cabinets
680 -9207
Siding / Exterior Trim: All Season Construction
709 -5856
Other:
Subcontractor List
Excavation & Earthwork:
Wayne Parkinson
351 -1321
Concrete:
Eci�:l;.r_:vcr Construction
356 -9262
Masonry:
All Season Construction
709 -5856
P-oai-:
E . , -. ,. ''St
3f6 -9? 2
N � insulation
204581
Drywall:
Top Notch
535 -7588
Painting:
Serg's Painting
589 -0143
Floor Coverings:
Gunderson's Flooring
356 -4100
Plumbing:
Advanced Plumbing
356 -0322
Heating:
Mike Wood Heating
390 -6669
Electrical:
GL Edwards Electric
403 -9614
Special Construction
(Manufacturer or Supplier)
Root Ti asses: B:.
356 -9292
Floor / Ceiling Joists: Bti1C V,'est
356 -9292
Cabinets: Classy Custom Cabinets
680 -9207
Siding / Exterior Trim: All Season Construction
709 -5856
Other: