HomeMy WebLinkAboutAPPLICATIONS - 10-00332 - 511 Park St - Basement Remodel Z -- 0 - --
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0 INSPEC TION TICKEll
p �'«e
" Bldg. Plumb.
a Elect. 0 Mech.
Date
Inspection Request:Recd By AfaX---1141214-
Phone No
Req.By 1 ► LP Permit No.
Project �� .'A, �-,
Address _ .F. ' 1- ^ 1 i � ���, De,Type 4..
pay (Time Req. Comm.
Inspector's Report
14 RCS.
D ITEMS CONFORM TO APPROVED DVIIGS ❑Y 0 N ❑N/A
INSPECTS FINAL INSPECTOR'S ACTION DISAPPROVED DID NUT INSPECT
RI
APPROVED 0 NOT APPLICABLE
�C.O.(FINAL)
ACTION REQUIRED:
��/ .: Inspector
/� Copy
Signed Fw+� 'do`s
Rec•l Acknowledged Yellow. toe White.Alice COPY
F-FIR-0003
• INSPECTION TICKET S
❑ Bldg. ❑ Plumb. ► Elect. ❑ Mech. U Fire
Inspection Request: Rec'd By
Req. By ,� __--_ Date —2-8.--i2_
`_...� Phone No._1}�;'? Tiia
Project 1 y,
,; cS Permit No. t� 0a
Address 1 ., ,
Inspection Type _,
Day/Time Req. ( 2� — 16— , L ii-{ 0 I II 4ittiaj
Inspector's Report
Res. ❑ Comm.
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Le/APPROVED ❑DISAPPROVED 0 FINAL
C.O. (FINAL) ❑NOT APP
ACTION REQUIRED. .` BLE ❑DID NOT INSPECT
Sig
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Reef Acknowledged Inspector
Mete-Office Copy *Now-Job Copy
f-FIR-0003
Pink'M�speclor+s Coq
• INSPECTION TICKET • v"'"
Bldg. ❑ Plumb. ❑ Elect. ❑ Mech. ❑ Fire
Inspection Request: Rec'd By p2g fl71 t. Date (0-2 R-1 -
Req. By XI 111 I .3h( Phone No. JO 3;_e; `
Project (.�, 2 't Permit No. /C? �-
Address ,5 // /? r4 e-�
Inspection Type .F%A/ft L
Day/time Req. -J J: /6-p .rn • (` - e,i, e ,C!e-1)
Inspector's Report Res. ❑ Comm. j S�k� P . V
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INSPECTED ITEMS CONFORM TO APPROVED DWGS ❑Y ❑N ❑N/A
INSPECTOR'S ACTION
,'PPROVED ❑DISAPPROVED NAL
❑C.O.(FINAL) 0 NOT APPLICABLE ❑DID NOT INSPECT
ACTION REQUIRED:
Signed dat t'? 4./..Jee5 Inspector
Rec't Acknowledged
White-Ogice Copy Yellow-Job Copy Pink- %Copy
f-FIR-0003
e s'EXB URG
CITY OF�i �......6 Please Com lete the Entire A lication!
REXBURG If the question does not apply fill in NA for pp applicable
America's Family Community
RESIDENTIAL BUILDING PERMIT APPLICATION
35 N 1s`E,REXBURG,ID 83440
208-372-2326
PARCEL NUMBER: (We will provide this for you)
SUBDIVISION: UNIT# BLOCK# LOT#
(Addressing is based on the information-must be accurate)
Dwelling Units: / Parcel Acres: 77
OWNER NAME: l CONTACT PHONE # 35-J - /SG Z
PROPERTY ADDRESS: ke v�� -s42 A
PHONE#: Home ( ) Work
( ) Cell ( ) yG 3 ..r 65 Z1
OWNER MAILING ADDRESS: sir me/<' 5-i--. CITY: i?e,t-44,j STATEN) ZIP: 1../Y'to
EMAIL FAX
APPLICANT(If other than owner) t &S/ey, va '/
(Applicant if other than owner,a statement authorizi g applicant to act as agent for owner must accompany this application.)
APPLICANT INFORMATION: ADDRESS se, ce"1„t.: 4 CITY: lrX W j
STATE; 2 ZIP i'..31/Li 4+ EMAIL lie S./3 6c) co GAf4/1. FAX
PHONE #:Home ( ) Work ( ) Cell ( ) S`(,,1 - /3 4 v
CONTRACTOR: LJ cj/c), v 1/ (CA)c -
MAILING ADDRESS: S'/`' G.e.mi w- .r9A CITY We..4-/ STATE X12 ZIP .3 itteo
PHONE#:Home ( ) Work ( ) Cell(7�,z) Shy •-/,3 6 c;
EMAIL FAX IDAHO REGISTRATION # &EXP. DA'T'E Re 2%Vie
How many buildings are located on this property? /
Did you recently purchase this property?e9 Yes(If yes,list previous owner's name)
Is this a lot split? &. YES (Please bring copy of new legal description of property)
PROPO _ ;E:
(i.e., ' g1e F` Residence,Multi Family,Apartments,Remodel,Garage,Commercial,Addition,Etc.)
APPLICANI'S SIGNATURE,CERTIFICATION AND AUTHORIZATION: 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 0 days. Permit void if work stops for 180 days.
/z. — 4- / ,31 / /c.)
SignatuOwner/Applicant DATE
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 Jaausry 4 2095
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
• •
Building Safety Department oR_XB�R�, C I T Y O F
City of Rexburg ,4.1° x
REXBURG
35N1nE �
Phone:208.372,2326 + America's Family Community
Rexburg,ID 83440 www.rexburg.org Fax:208.359.3022
NAME Keifer e 3./7.19,.
PROPERTY ADDRESS 39/ ,'Axle .. .i Permit#
SUBDIVISION
PHASE LOT BLOCK
Remodeling Your Building/Home (need Estimate) $ 2 7;(x)0.
SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building)
First Floor Area /i -5 ,P7" Unfinished Basement area
Second floor/loft area JSO Finished basement area ./777) i'cd.
Third floor/loft area 44 Garage area 74z) -rcq
Shed or Barn A44 Carport/Deck(30"above grade)Area
Water Meter Quantity: **************Water Meter Size:
Required.!!/
PLUMBING
Plumbing Contractor's Name: £tv, ,Z,..44,44-3 Business Name: ✓ -21
c— ,# �-/
Address City AexLc- State . D_ Zip J-.344-0
Contact Phone: (.2c5) -3/ •7— c 7 0 Z Business Phone: (2,).9) 3-j/ - 1/'/ 3
Email Fax
FIXTURE COUNT(including roughed fixtures)
f Clothes Washing Machine Sprinklers
Dishwasher Tub/Showers
Floor Drain / Toilet/Urinal
Garbage Disposal Water Heater
Hot Tub/Spa Water Softener
Z Sinks (Lavatories,kitchens,bar,mop)
Plumbing Estimate$ (COMMERCIAL/MULTI-FAMILY ONLY)
:3/`/CO
ignature of Licensed Contractor License Number&Expiration Date Date
5
• .
Building Safety Department 4EXH
°Y U$g., C I T Y O F
City of Rexburg "1 'b) n T,vT�T mG
" �tl7/74 It XI3 V 1G
n chi,
35 N 1 E Phone:208.39.3026 \ America's Family Community
Rexburg,ID 83440 www.rexburg.org Fax:208.359.3022 \�
NAME Vat/ J% /may
PROPERTY ADDRESS / 5 / r /?e Yr Permit#
SUBDIVISION
PHASE LOT BLOCK
Required/II MECHANICAL
Mechanical Contractor's Name /,/!4 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 Exhaust or Vent Ducts (Water heater)
Furnace/Air Conditioner Combo Dryer Vents
Heat Pump Range Hood Vents
Air Conditioner Cook Stove Vents
Evaporative Cooler Bath Fan Vents
Unit Heater other similar vents &ducts:
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
Heat(Circle all that apply) Gas Oil Coal Fireplace Electric Hydronic
ature of Licensed Contractor License number Date
I I
6
Buil g Safety Department o o.r. RC C I T Y O F
City of Rexburg L'F t�r+ 11'o
REXBURG
35 N 7n E Phone:208.372.2326 <���.0 America's Family Community
Rexburg,ID 83440 WWW.rexburg.org Fax:208.359.3022
OWNER'S NAME to 5Ade
PROPERTY ADDRESS 5// //KZ/ r,,: Permit#
SUBDIVISION
PHASE LOT BLOCK
' Required.!/! ELECTRICAL
Electrical Contractor's Name 2/544,e4 Business Name /arid
Address City State Zip
Cell Phone (70e)) t3%3 ' -S g
6 4 6 Business Phone ( ) t3 / C G
Fax ( ) Email
Electrical Estimate (cost of wiring&labor) $2(XU (COMMERCIAL/MULTI-FAMILY ONLY)
. (Includes the cost of materials installed regardless 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$10 per circuit
❑ Other Installations: Wiring not specifically covered by any of the above:
Cost of Wiring&Labor. ,$' (Includes the cost of materials installed regardless of the part'supplying it).
❑ Pumps (Domestic Water,Irrigation,Sewage): horse power
❑ Requested Inspections (of existing wiring) - $40/hr(1 hr 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 Licensed Contractor License number Date
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