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Seismic Design Category - D
Ground Snow- 50 lbs per sq. ft.
Frost Depth - 36 in.
City of Rigby
Building Department
(208) 745-8111 ext.19
Roof Snow Load - 35 lbs. per sq. ft.
Wind Load - 9{l MPH
-3a-tauf - Fmanc'to-
Residential Buildins Permit Checklist
Thefollowing items should be completed be-fore you submit your building permit application.
ForResidential Permib: (the following is required to be submifted before the Application can be approved)
n 2 sets of site plans and 2 sets of buildings plans (must be drawn to scale)-Plans must include foundation plan, floor joist layout, floor plan, roof layout, sectional views, front, back and sideelevations, mechanical layout, stair details and any details required to illushate special conshuction.
n Energy Compliance Report The State of ldaho has adopted the lnternational Energy Conservation Code (IECC). A
Compliance Review must be completed and submitted (the rescheck sofhrare is available online atwww.enerqycodes.qov )
n Page 2 of the Application must include the ldaho Contractor's Registration Number or the exemption form must be
completed and siqned, see page 9.
n Page 6 of the Application must be completed and siqned by your plumber
n Page 7 of the Application must be completed and siqned by your Mechanical Contractor.
n Page B of the Application must be completed and signed by your Electrician
n Truss details including engineered floor joists are required
n Property Line form needs to be signed by the builder or owner, see page 5
n Copy of recorded Wananty Deed (can be obtained from the Clerk's ffice in the Jefferson County Courthouse)
l
l\lew Reside ntial Homes; lf your building permit is for a new home, you will need.the lot and block numbers (rftis
information is the City's property identiJication which recognizes a plot af landjand a new physical address
will be issued. The correct location is vital to assure conect addressinq.
Remodels: lf you are considering a remodel, a copv of the bid or estimate for theiemodel must be submitted with
the Permit Application.
o 2 sets of plans are required (may need IECC Review)
o Additions are the same requirements as new construction , ni i
l; '
Construction documents should be sisned. sealbd ind datedj 2q-
\
Please Complete the Entire Application!
lf the question does not apply fill in NA for non.applical
Atl checktistinfonnation mustbe provided befop,any infonnatior 36 /U ltr 6
KELLER
associates
City of Rigby
Building Department
(208) 745-8111 ext. 19
Residential Buildi ng Application
Pleme Type or Print
BuildingAddress: tlrL 1/ .i6+A f fi.bi,, fJ, tl,a*+,L
owner: 0'w,.l71ru^a>Contractor: fuW(thn
RCE# I'J{1Address: LttL i/=36+b f Address:City, State, Zip: &
Phane: 2a{- "\tb-ttzt- Cell/Bus:
E-mail:
LegalDescdption: Lot_ Block Subdivision
SizeofParcel: SquareFeet Acres
Zoning District Existino Use: - pronosed Use:
tr New
tr Sinole Family
Description of Work:
u Addition
n Duplex
tr Remodel
tr Four-plex
f: Repair
tr Garaqe
n Foundation Only
tr Storage n Other
t'l
Tolal estimated cost of residential conskuction (excluding lot) $
Sq. ft. Living Are a 72CA Sq. ft. Garage zzA Height of Structu re I Lf '
Sq. ft. Unfinished basement /ldd Sq. ft. Finished basement # Bedrooms L
# Off-street parking spaces L Type of heatingiA C (xtS Fofiaj AtV (Must Meet Modet Energy Code)
The undersigned hereby certifies that the information contained herein and attached is true and conect to the best of theirknowledle, and agrees to comply with all ordinances and laws regulatlng building construction and acknowledges that bulldingpermits will not be issued until plans are approved by the City, anO tnat me appro-ueO permit is only for the wor[/structuresspecifically described; no changes to submitted plans or additional work or structures are allowed unless submittedseparately forreview and approval.
Contracto/r Signature 'ate /'t- lL
/-t - tuOwneds Signature
City of Rigby
Building Department
(20S) 745-8111 ext. 19
SUBCONTRACTOR LIST
Excavation & Earthwork: ( tlt,r Wt(le,/ Tf il,w * (ai,$rruttftn
Masonry: ht*1(
lnsulation. Ri;c{ Uulteu flr'W
Drywall:
Painting: l\i,rtr ut
Floor Coverin gs: {\i I r uuftu,/ (V tVn
Plumbing:
Heatinq:
Fleclrical:
Special Construction
(Manufacturer or Supplier)
Roof Trusses:
It(s* wir.{ E[ectr,L
FloorCIeiling Joists:
Siding/Exterior Trim:
Other:
City of Rigby
Building Department
(208) 745-8111 ext. 19
Affidavit of Legal Interest
STATE OF IDAHO )
County of Jefferson )
/r\ t1, IlxttuJ ihwt^ , 4rL i/ sgtc" e
(Name) (Address)
d
(State)
:ss
Being first duly sworn upon oath, depose and say:
(lf Applicant is also Owner of Record, skip to B)
A' That I am the record owner of the property described on the attached form, and I grant mypermission to:
to submit the accompanying application pertaining to that property.
B. f.tglgt to indemnify, defend and hold City of Rigby and its employees harmless from any claim orliability resulting from any dispute as to the statements contained herein or as to the ownenship ofthe property which is the subtect of this application,
Dated this 5/t day ot Saytuary ,20 i L
subscribed and swom to before me the dav and year first above written.
Nohry Public of ldaho
Residinq at:
My commission expires:
City of Rigby
Bullding Department
(208) 745-8111 ext.19
Property Lines
Each site plan that is submitted to the City of Rigby for the Building permit process requires that property
lines are shown amuratety. lt is the Developecs responsibility to conecfly identify on the site pldn thb
location of these lines in reference.to the public right-of-way, other adjoining property lines, the street, otherstructures and all utility lines. The Developer should find property pins that are still available at the lot inquestion' lf these pins do not exist or 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.
Jefferson County has aerial photos and a parcel line layer that can be checked, but they are only a tool andare not guaranteed for accr'racy. tf you want to request a copy of your lot, see the Assesso/s ffice at the
Jefferson County Courthouse.
i have read and undenstand the above requirements.
/-t- /L
6 Owner or n Builder
Buifding Depqrtment
OWNER'S NAME
PROPERTYADDRESS Permit#SUBDI\TSION
PI.IASE LOT
Requircd!!!Plambing
Plumbtng Conttactor,s Name _ Business Name
Address City State-=.-_.-Zip.
Cell Phone ( ) nusitress phone (
Fax (
(CoMMERCIAL/INDUSTRTAL) Total cost of plumbing system (contracted Amount)$_
f::ff;trL;';,{#:::trf#:'Y ;f:f#; oJ the panv :upp[ins it rh rte.r l;skd il,'d4r thir ittytction ry1>e shatt a1:pg to ary and alt pknbins inrtalktims
tr;r:##{";r:{!^yeffi*i::l"o^u,u buildinss with widns beinsconstucted on eachptopeny.
n Up to 910,000
n Between $10,001 - $100,000n Over $100,001
RESIDENTIAL
n Duple* Apartment 9260
(total cost ofsystem x 0.02) + 60 = $((tota! cost ofsvstem- 10.000) x 0.01) + g260 = g
((tbtal cost,ofsystem_ 100.000) x O.ObS; + $1,160 = $
n Up to 1,500 sq ft - 9130
n 2,501to 3,500 dq ft _ $ZOOn Over 4,500 sq ft $325 plus g65 for each addrtional
n 1,501 to 2,500 sq ft _ 9195n 3,501 to 4,500 sq ft _ 93251,000 sq ft. or portion thereof(g325 * ($OS * *vr_aqorgon,u r,uuu sq. tt. or portion thereot).
New: Multi-Family Dwelling (Contaetors OnIy)
nThreeo1mofemulti_familyrrnits:$130petbuildingplus$65perunit@
I # of units)
u Existing Residence, and Detached Shop: $65 fee plus $10 per fixtue up to the maximum of thecorresponding sq. ft. of the building ($65 + ($10 x #tf fixtures)n Gray Water Systems: $130
n Lawn,Sprinklers/BacldlowDevice: g65
c Modular, Manufactured ot Mobile fromes: $55 for sewer and water stub connectionsn Multiputpose Fire sprinkler and Domesti. v..., s6pt System: g65 fee or g4 per sptinklethead, tvhichever ib greater
Sewer& Watet
tr $38 Sewer Line n$38 Water Line n$65 Sewer & $fater- if inspected at the same timetr $0S Sewer tumaround under house (change f."." ,.pi. ," Jty;MISCELLANEOUS
n Plan Check 965 per hout
n Technical Seryice: g65 per hour
u Gas Line:965
c Water Fleater Replacement g65
n Requested Inspection: g65
n Hydronic Ffeat'rg: $65 + ($10 x # of manifolds/zones)xliving Space - space within a dwelling unit intended for human habitation which may reasonably be utilized for sleeping,eating' cooking' bathing, washing recreation and sanitation purposes. An unfinished basemcnt is considered part of theliving space.
Signature of Licensed Contractor License number & Exp. Date Date
Pennit#
PIIASE LOT- BLOCK
OWNER'S NAME
PROPERTY ADDRESS
SUBDTVISION
Building Deporlm
Requircd!!!Mechanical
Mechanical Contfactor's Name
Address
Business Name
City State Zip
Cell Phone (Business Phone (
Fax () ---.-_.-- Email
(COMMERCIALIINSYSTRIAL) Total cost of pl-umbing system (conrra4edAmount) $-(ncludes the cost of mateiah ins11//e! resardtess 9f it Pn tl tnPpVius i ru pu1rna undcr tbis irsparion gpe thal/ app! to an1 and a//muhanical installatiotts not tpecifca@ nentioned-ebewlhei oo iii for_1.I Up to $10'!!0^ ^ _ (total cost of system x 0.02) + 60 = $D Between $10,001 - $100,000 ((total cost ofqvstem - i0.oo0) x 0.01) + $260 = $n Over $100,001 tf.,rt ..., "f r*... f00,00,'e x O.O'OS; + $f ,f OO = URESIDENTIAL
{;::^i:""yi&!#!{-#,#fl::i'"o** buildinss with witiag beinsconstntcbd oa each ptopenlr.
n Up to 1,500 sq ft - g130 a 1,501 to 2,500 sq ft _ g195n 2,507 to 3,500 sq ft - 9260 r 3,501 to 4,500 sq ft _ g325n over 4,500 sq ft $325 plus g65 for each additional 1,000 sq ft. or portion thereof
New: Multi-Family Dweuing (conaacturs y;- ($65 x # of additionai 1'000 sq' ft' or portion thereoO).
n Duplex Apartment 9260lThreeormofemu1ti.familyrrnits:$130perbuildingplus$65petunit:@
($65x#ofunits)
D Existing Residence, Modulat, Manufactuted or Mobile Flomes and Detached Shop: g65 feeplus $10 per **FilrAC equipment being installed up to the maximum of the colesponding sq. ft.of the building ($65 + ($10 x # of fixtures))
MISCELI-ANEOUS
n Plan Check 965 perhour
n Technical Service: $65 perhour
n Gas Line: $65
u Water *featet Replacemene $65
n Requested Inspection: $65
n Fiteplace/Sotid Fuel Burning Aprrliance: g65 per inspection
*Living space * space within a dwelling unit intended for human habitation which may reasonably be urilizgd f61 sleeping,eating' cooking, bathing, washing, recreadon and sanitation purposes. An unfinished basement is considered part oftheliving space.
**Examples of IIVAC Equipment - fumace replacement, solar, water heater. etc.
Signature of Licensed Contractor License number & Exp. Date l)ate
OWNER'S NAME
Permit#PROPE,RTY ADDRESS
SUBDIVISION
PT{ASE LOT
Buifding Deporlmenl
Requtrcd!!!ELECTRICAL
Electrical Conftactor's
Address
Name Business Name
City State_Zip
Cell Phone () Business phone r,
Fax (
(CoMMERCIAL/TNDUSTRTAL) Total cost of electrical system (conttacted Amount) $-(Intkdcs tbe n:t of nateials instalbd rgardlex oJ the pa$ sEplng it The Jeu listed zn&r this inEut:ion gpe tball Ep! ro aqy and a/lthis fom).
D Up to $10,000 (total cost of system x 0.02) + 60 = $I Between $10,001- $100,000 ffW x 0.01) + g260 = go ovet $100,001 (fJotal cost of system - 100-000) x 0.005) + g1,160 = gSmall works (contractors oNLg: $10 fee for wotk ,ro, "*."@lzoiL cost and not involving a change in service connections. DoesNOT require inspection.
RESIDENTIAL
New: single Family Dwelling, includiag aII buildiags with winag beiag consttucted on each propetqr.(xBased on living space, see definition below)
n Up to 1,500 sq ft - 9130 I 1,501 to 2,500 sq ft _ g195
n 2,50t to 3,500 sq ft _ 9260 a 3,501 to 4,500 sq ft _ g325
oovet4,500sqft$325plus$65foteachadditional1'o0osqft.orportionthereof($325+($65x@
pa$iqn thereo0).
New: Mula-Faatib Dwelling (Conractuts OaIy)
n Duplex Apartment 9260
cThreeoImotemulti_familyunits:$130petbuildingplus$65perurrit:
n Existiag Residence, Modulat, Manufactured of Mobile Homes, and Detached shop: $65 fee plus $10 per branch circuiq upto the maximum of the cotresponding sq. ft. of the bdeg@n cental Heating/cooling systems: $65 when Nor part ofnew residential or lrvAC pelnit with no additional wiringI Spas, FIot Tubs, and Swimming pools: g65 fee for each trip to inspecthlyps-VateO Inigayon, Sewage (each notot)n $65 up to 25IIP tr$95 - Ze to ZOaflp I g130 over 200 FIpMISCELLANEOUS
n Temporary Construction Services ONLY 200 amps or less, one locatiorr-g65n Tempotary Amusemen* $65 fee plus $10 per ricie, concession or generatorI rtrigation Machine: $65 for center pivot plus $10 per tower of drive motorI Techaical Service: $65 perhour
n plan Checlc g65 perhour
n Requestedlnspection:.$65
*Living Space - space within a dweiling unit intended for human habitation which may reasonably be uili"ecl for sieeping, eating, cooking, bathingwashing' recreation, and sanitation porfo."*. ,{n unfinishcd basemcnt is .""ria"r"a part of thc living spacc.
ofLicensed Contractor License number &Date
City of Rigby
Building Department
(208)745-8111 ext. 19
EXEMPTIONS FROM STATE REGISTRATION
As of January 1 , 2006, the City of Rigby can no longer sell permits without having a copy of your state registrationnumber or your exemption frgm the State regishation. Please send a copy of you-r State'regiitration or fill out this formshowing your exemption and send it with your permit application.
(This list is a summarization of ldaho Code Title 54 Chapter 5205, for full definitions of these exemptions ptease seethe State's website at www.ibol.idaho.qov/cont.htm )
n currently state ricensed pursuant to Tiile 54 rdaho code, chapters:
I Architects,
10 Elechical Contractors/Journeyman,
1 2 Engineers/Surveyors
19 Public works contractors (exempt from fee - only registration required),26 Ptumbing/plumbers,
45 Public Works Construction Management Licensing Act (exempt fom fee - only regishation required), or50 Instalration of heating, ventiration and air conditioning systemitr Employee or volunteer of a licensed contractor or part of an educational curriculum or nonprofit charitableactivity with no wages or salary
tr Ernployee of a us Government agency (state, cig, county or other municipality)tr Public Utility doing construction, maintenance or development to its own businesstr lnvolved with gas, oilor mineraloperations
tr Supplier doing no installation or fabricating
tr contractinq a proiect or proiects with a totarcost ress than $2000
tr operation of a farm or ranch or construction of agriculture buildings exempt from ldaho Building Codetr Any type of water district operations
tr Work in rural districts for fire prevention purposes
E owner who performs work on own property.or contracts with a registered contractor to do work as long asthe property is not for resale within 12 months
tr owner or lessee of commercial property performino maintenance, repair, alteration or construction on thatproperty
n Real estate ricensee/property manager acting within rdaho codeD Engaging in the logging industry
tr Renter working on the property where they rive with the property owners approvartr Construction of a building used for industrial chemical processing per ldaho Coden Construction of a modular building (defined by ldaho Code) to be moved out of State
I certifo $afthe above information is true and correct to the best of my knowledge.
Signature Date
9
Printed Name
City of Rigby
Building Deoartment
(208)745-8111 ext. 19
permit Requirements
fttrtnl forthe permits is required at the time permit is picked up.All building permits ir,rl* wiil expire one year from il,. iir. p.r,iit was issued.Every permit issued shall become invalid iiwork permitted rtr. noicomenced within 1g0 days, or if work hasbeen suspended or abando.ned for 180 days. one or more extensions, in writing, can be granted by theBuilding Official not exceeding igO days.An application for permit will be deemid as abandoned after {80 days of filing unless such applicant has beenpursued in good faith' one or more extensions, in writing, canL gi*[o by the Building official notexceeding g0 days.
INSPECTOR CONTACT INFORMATION
Gity of Rexburg Buitding Department- (2o$lt42-2g26/tnspection Hofline- (zosl172-2344Dishict Seven Heatth Department_ Ray Keating- (20g)t4!-7ig7Plumbing Inspector-
!f99t1cat lnspector- Bret Stoddard_ (208) 972_2g32HVAC tnspector- euinton .lones- (2dB) ilZ_ZgZS
SETBACKS ARE AS FOLLOWS:
R'f and R'2 Residenti al zone: Building front porch 20' from street property line, 5, to interior lot line, and 10, to therear lot line' eaves, steps, and porches ina|l n6 considered as part of tne uriilding when determining the setbacks frominterior and rear lot lines' But they shall not be considereo,part bittre nrirorg *n.n determining setback from the streetproperty line, providing they are open on three sides and do not project over 4, from the main structure.The minimum lot width for dwellings in an R-2 ron. ir fifty feet trjo'irio* me setback tine and the minimum tot size inan R-2 zone is four thousand.five, hundred (4,500) square feet. The minimumlot *i0ft, for dwellings in an R-1 zone isfifty-five (55) feet ftom the setback line and ihe riniru* lot size is five thousano five hundred (s,b00) square feet.
RP Residential Park Zone: IUinimum building area requirements are 15,000 feet and the minimum building site widthis 100 linear feet' Buildings shall be set back i minimum of 30'from .ny pu-n-ri. rt ret. There shall be a side yard oneach side of the buildino not less than 20'and no building shalt be "r".irir to , height oreater than two (2) stories.
c commercialZone: No front.or side yards shall not be required except when a building or group of buildings abutsupon a residential zone a yard having i width of not less than 10'. rn# srrarr oe a yard of not less than fifteen feet(15') when abufting upon a public thdroughfare and not less than twentv r..i?io'f when no dedicated aley or pubticway exists at the rear of the lot. The rear of the yard may be used roi on ri".i prrking and loading.
lf you have any questions qlgate_g{f tfe Gity of Rigby Buitding Department(208) 745-811r ext. t9
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