HomeMy WebLinkAboutAPPLICATION & BP - 08-00453 - 138 N 3rd E - Window Replacement04 BU
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Americas Family Community
Building
Permit
ISSUED TO:
PERMIT #: 0800453
NAME: Smith Kade Etux
FOR THE CONSTRUCTION OF: 138 N 3rd E- Window Replace JOB ADDRESS: 138 N 3rd E
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
09/24/2008
ed By
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,
N O T I C E 2) The permit will become null and void in the event of any deviation from the
the building beyond the point indicated
in each successive inspection without
3. Drywall
■ 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.
INSPECTION CARD
BUILDING
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1. Framing
2. Insulation
3. Drywall
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
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0800453
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AmericaiFainilyCornmunity 138 N 3rd E- Window Replacement
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RESIDENTIAL BUILDING PERMIT AP
19 E MAIN, REXBURG, ID 83440
208 - 359 -3020 X326
PARCEL NUMBER: g to wQ 3b S I (We will provide this for you)
SUBDIVISION: Z61 0111t 1 WN S 1 TE UNIT# BLOCK# LOT# S
(Addressing is based on the information - must be accurate)
Dwelling Units: I Parcel Acres: 1 N 3 cd1
CONTACT PHONE #
PROPERTY ADDRESS: I 'W /J 7:1` E
PHONE #: Home ( ) - L5Q - (�q 3 5 Work ( ) X 30 7 Cell (
OWNER MAILING ADDRESS: (V N 3 E CITY: V x $ U e�4 STATE: IQ ZIP: r31J14
EMAIL F
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.
PHONE #: Home (
EMAIL F
Work (
Cell (
CONTRACTOR C) LJ lu E �
MAILING ADDRESS: CITY STATE ZIP
PHONE #: Home (
Work (
Cell (
EMAIL FAX IDAHO REGISTRATION # & EXP. DA
How many buildings are located on this property? 2
Did you recently purchase this property? No Yes (If yes, list previous owner's name) 1 4 r l" qry
Is this a lot split ?(N YES (Please bring copy of new legal description of property)
PROPOSED USE �;"
(i.e., Single Family Residence, Mul Family, Apartments, R model, Garage, Commercial, Addition, Etc.)
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTfIORIZATION: Under penalty of perjury, 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.
Signature o w er Appli ant DATE � /
W ING — BUILDING PERMIT MUST BE POSTED ON CONSTRUCTION SITE!
Plan fees are non - refundable and are paid in full at the time of application beginning J anyaiX 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**
Building Safety Departmeffi
City of Rexburg
19 E. Main jonellh @rexburg.org Phone: 208.359.3020
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024
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Americas Family Community
Property Lines
Each site plan that is submitted to the City of Rexburg for the Building Permit process requires that property lines
are shown accurately. It is the Developer's responsibility to correctly identify on the site plan the location of these
lines in reference to the public right -of -way, other adjoining property lines, the street, other structures and all utility
lines. The Developer should find property pins that are still available at the lot in question. If these pins do not
exist or have become unrecognizable then a new survey should be performed.
Accurate property line information is a must for a timely review. In addition to finding existing property pins, legal
descriptions should be checked. The best way to identify property line location is with a land survey. The City of
Rexburg has aerial photos and a parcel line layer that can be checked, but they are only a tool and are not
guaranteed for accuracy. If you want to request a copy of your lot, see the front counter at the Community
Development Department.
I have read and understand the above requirements.
Signature
Date
❑ Owner or ❑ Builder
Printed Name
Building Safety Department
City of Rexburg
79 E. Main jonellh@rexburg.org Phone: 208.359.3020
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024
04 *V,xaL',pC
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CITY OF
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America's Family Community
NAME
PROPERTY ADDRESS
SUBDIVISION
PHASE LOT BLOCK
Permit#
Remodeling Your Building /Home (need Estimate $ c;�y 00
SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building)
First Floor Area Unfinished Basement area
Second floor /loft area Finished basement area
Third floor /loft area Garage area
Shed or Barn Carport /Deck (30" above grade)Area
Water Meter Quantity:
* * * * * * * * * * * ** *Water Meter Size:
Required!!!
PLUMBING
Plumbing Contractor's Name: Business Name:
Address City State Zip
Contact Phone: ( ) Business Phone: ( )
Email Fax
FIXTURE COUNT (including roughed fixtures
Clothes Washing Machine
Sprinklers
Dishwasher
Tub /Showers
Floor Drain
Toilet /Urinal
Garbage Disposal
Water Heater
Hot Tub /Spa
Water Softener
Sinks (Lavatories, kitchens, bar, mop)
Plumbing Estimate $
(COMMERCIAL /MULTI - FAMILY ONLY)
Signature of Licensed Contractor License Number& Expiration Date
Date
•
Building Safety Department T,XB���.,�
City of Rexburg
19 E. Main joneiih @rexburg.org Phone: 208.359.3020
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024
C I T Y OF
REXBURG
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Americas Family Community
NAME
PROPERTY ADDRESS
SUBDIVISION
PHASE LOT BLOCK
Permit#
Require&Y MECHANICAL
Mechanical Contractor's Name Business Name
Address City State Zip
Cell Phone ( ) Business Phone ( )
Fax ( ) Email
Mechanical Estimate $ (Commercial /Multi Family Only)
FIXTURES & APPLIANCES COUNT (Single Family Dwelling Only)
Furnace
Furnace /Air Conditioner Combo
Heat Pump
Air Conditioner
Evaporative Cooler
Unit Heater
Space Heater
Decorative gas -fired appliance
Incinerator System
Boiler
Pool Heater
Fuel Gas Pipe Outlets including stubbed in or future outlets
Inlet Pressure (Meter Supply) PSI
Exhaust or Vent Ducts (water heater)
Dryer Vents
Range Hood Vents
Cook Stove Vents
Bath Fan Vents
other similar vents & ducts:
Heat (Circle all that apply) Gas Oil Coal Fireplace Electric Hydronic
Signature of Licensed Contractor
License number
Date
Building Safety Department o City of Rexburg 19 E Main janellh@rexburg.org Phone: 208.359.3020 x326 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024
C IT Y OF
11. XBURG
America' Family Community
OWNER'S NAME
PROPERTY ADDRESS Permit#
SUBDIVISION
PHASE LOT BLOCK
HOME 0 W7VER'S ELECTRICAL PERMIT
Home Owner's Name
Address
Cell Phone ( )
Fax ( )
City State Zip
Home Phone ( )
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
• *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
• * *Over 4,500 sq ft - $216 plus $.04 /sq ft: 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 (mben not part of a new residential construction permit
and no additional ndring) - $ 40
• Modular, Manufactured or Mobile Home - $50 plus $10 per circuit
• Other Installations: Wiring not specifically covered by any of the above:
Cost of IYliring & 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 minimum) 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.
Signature of Home Owner
Date
Bull
19 E Main
Rexburg, 1D 83440
g Safety Department
City of Rexburg
jonellh@rexburg.org Phone: 208.359.3020 x326
www.rexburg.org Fax: 208.359.3024
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CITY O F
REXBURG
Americas Family Community
OWNER'S NAME
PROPERTY ADDRESS
SUBDIVISION
PHASE LOT BLOCK
Permit#
Required f
ELECTRICAL
Electrical Contractor's Name Business Name
Address City State Zip
Cell Phone ( ) Business Phone ( )
Fax ( )
Electrical Estimate (cost of wiring & labor) $ (COMMERCIAL /MULTI - FAMILY ONLY)
(Includes the cost of materials installed re of the party supplying it).
TYPES OF INSTALLATION
(New Residential includes everything contained within the residential structure and attached garage at the same time)
RESIDENTIAL ONLY
❑ *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
❑ * *Over 4,500 sq ft - $216 plus $.04 /sq ft: 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 not part 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 d9' Labor. (Includes the cost of materials installed regardless of the party supping it).
• Pumps (Domestic Water, Irrigation, Sewage): horse power
❑ Requested Inspections (of existing wiring) - $40 /hr (1 hr 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.
Signature of Licensed Contractor
License number
Date
9 SUBCONTRACTOR LIST 46
Excavation & Earth
Masonry:
Insulation:
Floor
Plumbing:
Special Construction
(Manufacturer or Supplier)
Roof Trus
Floor /Ceiling Joists:
Siding /Exterior Trim:
EXEMPTI06 FROM STATE RE*STRATION
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 - vvww.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
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.
/'
Date
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Print Name