HomeMy WebLinkAboutALL DOCS - 13-00490 - 352 S 2nd W - New Fong's - RemodelBuildirf Sofety Deportmenl
www.rexburg.org
City of Rexburg'1tz-zs+
Phone:208.372.2326
Fox: 208.359.3022
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CITY O}:
REXBURG
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A me ri m\ Fanti ly Con n wni 4t
Office Houts: Monday-Friday 8:00am-4:00pm
sidential Pte
Seismic Design Category - D
Ground Snow - 50 lbs. per sq. ft.
Frost Depth - 36"Z gL-S
Thefollowingitems should be conpleted LgfureJou sabmitlour buildingperzit application.
Completion of a Building PermitApplication: You may print this application from our website
www.rexburg.org or pick up a copy at the City Hall Annex Building (ad&ess above).
For Residential Permits; (thc follor,ving is requn'e<l to be submitted before the ;\pplication can be approvecl)
tr 2 sets of site plans and 2 sets of building plans (must be dtawn to scale)
-Plans must include foundation plan, floor joist layout, floot plan, roof layout, secdonal views, front, back,
and side elevadons, mechanical layout, stair details and aty details required to illustrate special construction.
n Energy Compliance Report The State of Idaho has adopted the Intemational Enetgy Consewation Code
(IECC). A Compliance Review must be completed and submitted (the rescheck software is available online
at www.energycodes.gov).
! Page 2 of the Application must include the Idaho Contractot's Registation Number or the exemption form
must be completed and skned, see Page 10.
D Page 5 of the Application must be compieted and signed by your Plumber.
D Page 6 of the Application must be completed and signed by your Mechanical Contractot.
D Page 8 of the Application must be completed and signed by yout Electrician.
tr Flome owners: piease complete page 6 of the application if you will be doing your own electrical work.
tr Truss details including engineeted floor joists are required.
u Propety Line form needs to be signed by the buildet ol owfler, see Page 4.
Subdiuisions If you plan to build in a subdivision please check the Rexburg Development Code for any
requirements such as, property setbacks, atchitecture boatd approval, etc. This information is available from the
Planning &ZontngDepartment at the Annex Building located at79 East Main.
IYew Residential lfome,c If your building permit is for a new home, you will need the patcel numbet (a parcel
number is tbe counfiil propery identifcation whicb rrcogniq,es a plnt 0f knd) and a new physical addtess will be issued. If you
do not know the parcel number and cannot find a record of it, please bdng the name of the subdivision, phase, and
the lot and block numbers. The correct locadon is vital to assure correct addressing.
Remodels,If you ate considefug ^ temodel, a copy of the bid ot esdmate fot the temodel must be submitted with
the Permit Application.
. 2 sets of Plans ate tequired (may need IECC Review).
. Additions are the same requirements as new construction.
Roof Snow Load - 35 lbs. per sq. ft.
Wind Load - 90 MPH
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RE,XBURG(\,
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RESIDENTIAL BUILDING PERMIT
35 N 1* E, RE,XBURG,ID 83440
208-372-2326
Please Complete Entire Application!
If the question does not apply fill in NA for non applicable
APPLICATION
PARCEL NUMBER, {r K flp F s4x0 | ( we wiu provide this for you)
SUBDTVISION:UNIT# BLOCK# 1 LOT# +
(Addressing is based on the information - must be accurate)
Dwelling Units:Parcel Acres: O "??(
CONTACT PHONE #
PROPERTY ADDRESS:
PHONE #: Home ( )work Lft[1 c,\ g8 314 - (517
owNERMATLTNGADDRESS, SgC e,rUL_ t+" crry:STATE,:I9 ZIP:83Y-K,
APPLICANT (If other than ow
(Applicant if other tlan owner, a statement authorizing applicant to act as agent for owner must accompany this application.)
APPLICANT INFORMATION: ADDRESS CITY:
STATE: ZIP-EMAIL FAX
PHONE #: Home ( )Work ( )Cell (
CONTRACTOR
MAILING ADDRESS:CITY STATE,-ZIP
PHONE #: Home ( )lfork ( )Cell ( )
EMAIT FAX- IDAHO REGISTRATION # & EXP. DATE
How many buildines are located on this property
Didyourecentlypyqchasethisproperty?(lrJo/Yes(Ifyes,listpreviousowner's'',-e)-' ";\ 'v
Is this a lot split?($ YES pleaselringcopy of new legal descr.iption of property)
PRoPosEDUSE K6\\0d.Q-,,U
(i.e., Single Family Residence, Multi Family, Apartments, Remodel, Garage, Commercial, Addition, Etc.)
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of periury, I hereby certifii 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 subiect 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 revgke 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.stops for 180 days.
_/ _/
DATEpplican
\vAI _ BUILDING PERMIT MUST BE POSTED ON CONSTRUCTION SITE!
t
2
Signatue of
Plan fees ar{ non-refundable and are pfid in full at the time of application beginning lanuqJ,2ooS
www.rexourg.org
City of Rexburg
Phone: 208.372.2326
Fox:208.359.3022
Affidavit of Legal Interest
Buildif Sofety Deportmenf
35N l.tE
Rexburg, lD 63440
State of Idaho
County of Madison
Narne Addtess
City State
Being first duly sworn upon oath, depose and say:
(If Applicant is also Ownet of Recotd, skip to B)
A. That I am tlre record owner of the property described on the attached, and I grant my
Deffilsslon to:I
Name Address
to submit the accompanFog application pertaining to that property.
B. I agtee to indemnift, defend and hold Rexburg City and its employees harmless from any
claim or liability resulting from any dispute as to the statements contained hetein ot as to the
ownership of the property which is the subject of the application.
Dated this day of
Signature
Subscribed and sworn to before me the day and yeat fust above written.
Notarv Public of Idaho
Residing at:
C I'I'Y O F
RNXBURG
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t\me ri ca\ fttttrilv Ca n n wni tv
20
My commission expires:
35N l.tE
Rexburg, lD 83440
City of Rexburg
Phone: 208.372.2326
Fox: 208.359.3022
Properly Lines
guildilg Sofety Depqrlment
www.rexDurg.org
Each site plan that is submitted to the City of Rexburg for the Building Permit process tequires that property lines
are shown accurately. It is the Developer's responsibility to correcdy identifr on the site plan the locadon of these
iines in reference to the public right-of-way, other adjoining propefty lines, the street, other structures and all utiJity
lines. The Developet 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 teview. In addition to finding existing property pins, legal
descriptions should be checked. The best way to identi$' propetty line location is vrith aLand survey. The City of
Rexburg has aerial photos and a patcel line layer that can be checked, but they ate only a tool and are not
guaranteed for accuracy. If you want to request a copy of your lot, see the ftont countet at the Community
Development Departrnent.
I have read and understand the above requirements.
Signatme Date
tr Owner or tr Builder
Printed Name
cl'lY ()f
RSXBURG(\,,
America\ f;anily {.)onm unity
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BuildiASofeiy Deporlm:il O
www.rexburs.ors tnil;; tr3?':.3iir;3?,tr2
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RE,XBTIRG
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An rc r i u's F a n i ly Ctt nmu n i ly35N lstE
Rexburg, lD 83440
Remodeling Yout Building/Ifome (need total construcd.ons estimate, excluding fire, electrical, plumbing,
and Mechanical valuation) $ 7.660,\fl
Residential
SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the buiidind
First Floor Atea Unfinished Basement area
Second floor/loft arez Finished basement area
Thfud floot/loft ate^-Garaqe ^re
Shed or Ba Czrport/Deck (30" above gtade)Atea
Commercial
construction Tvoe: Bar^ADXlbl occuDancv Type:
SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building)
New Construction sq. ft.
Commercial Remodel sq. ft.
Commercial Addition sq. ft.
Utility, Misc. Pdvate Garage sq. ft
Storage sq. f
Multi-Familyr/Single Student l{ousing
sq. tt. pet uftt
Manager Unit sq. ft.
35 N. 1.t E., Rexburg Id 83440
Build Q Sofety Depqrlmenl
City of Rexburg
Business Name
c{1roF
RHXBURG(\,
At ne i ca\ F umily Comnwni ly
OWNER'S NAME
PROPERTY ADDRESS Permit#
Water Metet Quantity:,F***********xx\f,/a1s1 Metet Size:
Requircd!!!Plumbing
Plumbing Conftactot's Name
Address Citv Srate Zip
Cell Phone (Business Phone (
Fax (
(COMMERCIAL/INDUSTRIAL) Total cost of plumbing system (conttacted Amount) $
(ncladu the cost oJ materials installed ngardless of the parE suppfiing iL The Jees listed undcr thf iwPution lpe sball app! to an1 and a// plumbing iniallations
not Eecifca@ nentioned elsewhere on thitfom).
tr Up to $10,000 (total cost of system x 0.02) + 60 = $
o Between $10,001 - $100,000 ( (total cost of system - 10,000) x 0.01) + $260 = $
tr Ovet $100,001 ( (total cost of system - 100-000) x 0.005) + $1,160 = $
RESIDENTIAL
lr{ew: Single Fatnily Dwelling, including all buildings with witing being constructed on each propetty. (*Based on liuing space'
see defrnition below)
tr Up to 1,500 sq ft - $130
n 2,501 to 3,500 sq ft - $260
tr 1,501 to 2,500 sq ft - $195
D 3,501 to 4,500 sq ft - $325
n Over 4,500 sq ft $325 plus $65 for each additional 1,000 sq ft. or ponion thereof ($325 + ($65 x # of additional
1.000 sq. ft. or oortion thereofl).
l{ew: Multi-Fatnily Dwelling (Contractors Only)
tr Duplex Apartment $260
tr Three or more multi-family units: $130 per building plus $65 per unit ($130 x # of buildings) + ($65 x # of units)
tr Existing Residence, and Detached Shop: $65 fee plus $10 per fxture up to the maximum of the corresponding
sq. ft. of the buildins f$65 + ($10 x # of fixtures))
tr Gray Water Systems: $(10
tr Lawn Sprinklers/Bacldlow Device: $65
D Modular, Manufactured ot Mobile Homes: $65 for sewer and watet stub connecd.ons
tr Multipurpose Fire Sprinkler and Domestic Water Supply System: $65 fee or $4 per sprinkler head, whichever
15 sreatef
Sewer & Watet
tr $38 Sewer Line n$38 Water Line n$65 Sewer & Water- if inspected at the same dme
o $65 Sewer turnaround under house (change from septic to ciry)
MISCELI-ANEOUS
tr Plan Checlc $65 per hour
tr Technical Sewice: $65 pet hour
u Gas Line: $65
D Water Heater Replacement: $65
n Requested Inspection: $65
E Hydtonic Heating: $65 + ($10 x # of manifolds/zones)
xl-iving 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 basement is considered part of the living space.
ture of Licensed Contractor License number &Date
35 N. 1st E., Rexburg, Id 83440
Buildin! Sofety Depqrlmenl
City of Rexburg
Permit#
LOT BLOCK
REXtsTJRG
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tltrt|ica't lt rlib (:annfiltill
OWNER'S NAME
PROPERTY ADDRESS
SUBDtVISION
PFIASE
Required!!!Mechanical
Mechanical Contractor's Name Business Name
Address City State Zio
Cell Phone (Business Phone (
Fax
(COMMERCIAL/INDUSTRIAL) Total cost of plumbing system (ContactedAmount) $
(ncludcs the co$ of mateials installed regardler of the pa@ sappfiing it. The fees listed under this inrpection fie thall appfi to an1 and all muhanical
installations not rpecfrca$t rzentioned elsewhere on th*forw).
tr Up to $10,000 (total cost ofsystem x 0.02) + 60 = $
! Between $10,001 - $100,000 ( (total cost of system - 10.000) x 0.01) + $260 = $
tr Ovet $100,001
RESIDENTIAL
( (totd cost ofsvstem x 0.005) + $1,160 = $
New: Single Family Dwelling, including aII buildings with witing being consttucted on each ptoperty. (*Based on liuing space,
see defrnition below)
! Up to 1,500 sq ft - $130
E 2,507 to 3,500 sq ft - $260
! Over 4,500 sq ft $325 plus $65 for each additional 1,000 sq ft. or portion theteof
($325 + ($65 x # of additional 1.000 sq. ft. or portion thereo0).
New: Multi-Family Dwelling (Conttactors OnIy)
tr Duplex Apartment $260
tr Three or more multi-family units: $130 per building plus $65 per unit ($130 x # of buildings) + ($65 x # of units)
D Existing Residence, Modular, Manufactured or Mobile Flomes and Detached Shop: $65 fee plus $10 per
xxI{VAC equipment being installed up to the maximum of the corresponding sq. ft. of the building
($65 + ($10 x # of Fxtutes))
MISCELI.ANEOUS
tr Plan Checlc $65 pet hour
! Technical Service: $65 per hour
! Gas Line: $65
tr Water Heatet Replacement: $65
tr Requested Inspection: $65
n Fireplace/Solid Fuel Burning Appliance: $65 per inspection
*Lirri.rg Space - space within a dwelling unit intended for human habitation which may reasonably be utilized for sleeping, eating, cooking,
bathing, washing, recreadon, and sanitation puq)oses. An unfinished basement is considered part of the living space.
xxExamples of HVAC Equipment-furnace replacement, solat, watet heater, etc.
Signature of Licensed Contractor License number & Exp. date Date
n 1,501 to 2,500 sq ft - $195
D 3,501 to 4,500 sq ft - $325
7
Build] Sofely Deporlmenl
City of Rexburg
Permit#
CI1'Y OF
ngxrunc'"- t\
A nE rics s Fdmi 4' (:o mnun i tv
35 N. 1s E., Rexburg, Id 83,+40
Phone - Q08)359-3020 / Hotline - (208)372-2344 / Fax - Q08)359-3022
OWNER'S NAME
PROPERTY ADDRESS
SUBDTVISION
PFIASE LOT BLOCK-
Requircd!!!ELECTRICAL
Electrical Contractor's Name Business Name
Addtess Ciw State Zro
Cell Phone ( ) Business Phone ( )
Fax( )Email
(COMMERCIAL/INDUSTRIAL) Total cost of electrical system (ConttactedAmount) $
(nckdcs the cost of materials in$alhd regndlcss oJ the parg sappfing it. Thefeer listed under this inspection rpe :hall appf to an1 and all electrica
not Eecifca@ mentioned elsewhere on thisfom).
tr Up to $10,000 (total cost of system x 0.02) + 60 = $
! Between $10,001 - $100,000 ( (total cost of system - 10.000) x 0.01) + $260 = $
u Over $1001001 ( (total cost of system - 100-000) x 0.005) + $1,160 = $
Small Works (Contractors ONL\): $10 fee for wotk not exceeding $200 irr cost and not involving a change in
service connections. Does NOT tequire inspection.
RESIDENTIAL
Itlew: Single Fatnily Dwelling, including all buildings with witing being consructed on each properqr. (*Based on liuing space,
see definition below)
D Up to 1,500 sq ft - $130
tr 2,501. to 3,500 sq ft - $260
n Over 4,500 sq ft $325 plus $65 for each additional 1,000 sq ft. or portion theteof ($325 + ($65 x # of additional
1.000 sq. [t. or portion thereofl).
I{ew: Multi-Family Dwelling (Contactors OnIy)
! Duplex Apartment $260
tr Three or more multi-family units: $130 per building plus $65 per unit ($1 30 x # of buildings) + ($65 x # of units)
tr Existing Residence, Modular, Manufactured of Mobile Flomes, and Detached Shop: $65 fee plus $10 per
branch circuiq up to the maximum of the corresponding sq. ft. of the building ($65 + ($10 x # branch circuits))
tr Centtal Heating/Cooling Systems: $65 When NOT part of new residential or FIVAC permit with no additional
Wiring
! Spas, Hot Tubs, and Swimming Pools: $65 fee for each tdp to inspect
Pumps-Water, Itrigation, Sewage (each motor)
tr $65 up to 25HP n$95 - 26 to 2001{P n$130 over 200 HP
MISCELI.ANEOUS
n Tempotary Consttuction Services ONLY: 200 amp ot less, one location (for a period not to exceed 1 year) - $65
D Tempotary Amusemenc $65 fee plus $10 per ride, concession or generator
D Irrigation Machine: $65 fot center pivot plus $10 per tower of drive motor
tr Technical Service: $65 per hour
D Plan Check $65 per hour
tr Requested Inspection: $65
*Living Space - space within a dwelling unit intended for human habitation which may reasonably be utilizgd for sleeping eating, cooking,
bathing washing, recreadon, and sanitation purposes. An unfinished basement is considered part of the living space.
Signature of Licensed Contractot
tr 1,501 to 2,500 sq ft - $195
n 3,501 to 4,500 sq ft - $325
License numbet & exp. date Date
8
35N l.tE
Rexburg, lD 83440
Building Sofely Deportmenf
City of Rexburg
Phone: 208.372.2326
Fox:208.359.3022
SUBCONTRACTOR LIST
REXBURG
cw --.- - '- --'
Ame ri cab Fani ly Con mu n itywww.rexourg.org
Excavation & Earthwotk:
Conctete:
Masonry:
lnsulation:
Drywall:
Paintins:
Floor
Coverings:
Plumbing:
Heating:
Electrical:
Special Construction
(Manufacturer or Supplier)
Roof Trusses:
Floor/CeilingJoists:
Siding/Exterior Trim:
Other:
EXtr,MPTIONS FROM STATE, RE,GISTRATION
As ofJanuary 1,2006, the City of Rexbug can no longer sell permits without having a copy of your State
registration number or your exemption from the State regisration. Please send a copy of your state registration or
fill out this form showing yoru exemption and send it with your license renewal ol your next permit application.
(fhis list is a summadzation of Idaho Code Title 54 Chapter 5205, for firll definitions of these exemptions please
see the State's website at www.ibol.idaho.gov /cont.htrn)
tr Cwtently State licensed pursuant to Tide 54Idaho Code, Chaptets:
3 Atchitects,
1 0 Electrical Contractors/Joumeyman,
1 2 Engineers/Surveyors,
19 Public Works Contractots (exempt from fee only registration required),
26 Plumbing/Piumbers,
45 Public Works Construction Management Licensing Act (exempt fiom fee only registration required), ot
50 ln5tallation of heating, ventilation zlnd ar conditioning systems
tr Employee or volunteer of a licensed conttactor or part of an educational curriculum or nonptofi.t charitable
activity urith no wages or saiary
tr Empioyee of a US Govemment agency (State, City, County, or other munictpaliry)
tr Public Utility doing construction, maintenance, or development to its own business
tr Involved with gas, oil or mineral operations
tr Suppliet doing no installation or fabricating
tr Contracting a project or projects with a total cost less than $2000
tr Operation of a fatm or ranch or construction of agriculture buildings exempt from Idaho Building Code
D Any type of water district operations
tr Work in rural districts for fire prevention pu{poses
! Owner who performs work on own property of contracts with a registered contfactot to do work as long as
the ptoperty is not for resale within 12 months
n Owner ot lessee of commercial ptopety performing maintenance, repair, alteration or construction on that
property
tr Real estate licensee/property mraflger acting within Idaho Code
D Engaging in the logging industry
tr Rentet working on the property whete they live with the property owners approval
u Construction of a building used for industrial chemical processing per Idaho Code
tr Construcdon of t modular building (defined by idaho Code) to be moved out of state
I hereby certify that the above information is true and corect to the best of my knowledge.
Signature Date
Print Name
10
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City of Rexburg
35 Northlst East
Rexburg, lD 83440
208€59-3020
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) Transaction detail for
t 13 Aagfn 'Building Permit
Billing Information
JACKYY FONG
.83440
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Item Amount
s34.22
Date: 01/06/2014 - 10:13:33 AM
TOTAL:s34.22
Transaction taken by: marianna
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Transaction Number; 24052441pTVisa - XXXX-XXXX-XXXX-81 01
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Atn eri *'s &tmi $ ea m rnun ity
Community Development Department
PO Box 280
Rexburg, lD 83440
Phone (208)359-3020 | Fax (208)359-3022
I nspection Hotline (208)37 2-2344
CITY d}
ffiffiffiffi$*ffiry
Date: O1lOOl2014
Receipt #: 686
JACIC/Y FONG I New Fongs - Remodel
352 South 2nd \A/est
Fefmit,f-l . ,.13 90j-90 .
Perm it T1p9j,,g L_a:.c_-o_l4Bender Type:
C.BLDPERM Commercial - Building Permit Fee
Please contact the Building Department at
(208)37 2-234 1 f or fu rthe r q u estions about th is
receipt
24Hour Notice for inspections
Call inspection hotline at
(2081372-2344
"**Credit card payments are accepted, but are subject to a 3o/o convenience fee on payment amounts over $500***
%City of Rexburg Receipt#:611
Date; I l/L9/2013
rJl1yusll'-Pennit Fe€
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Total Psprent:
Codc: RE)(B{JRG Rccpt6ll tg ll 2013 am*ldar
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New Fongs - Remodel
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