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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 t CITY O}: REXBURG .(\'t^ 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 ct'f Y 0f RE,XBURG(\, r\ m e ri ca's rltnilly Oa w m un i qt 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 c\)r 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 4 BuildiASofeiy Deporlm:il O www.rexburs.ors tnil;; tr3?':.3iir;3?,tr2 ct'tY ()F RE,XBTIRG c\a' ' 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 t\ 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 $2000 tr Operation of a fatm or ranch or construction of agriculture buildings exempt from Idaho Building Code D Any type of water district operations tr Work in rural districts for fire prevention pu{poses ! Owner who performs work on own property of contracts with a registered contfactot to do work as long as the ptoperty is not for resale within 12 months n Owner ot lessee of commercial ptopety performing maintenance, repair, alteration or construction on that property tr Real estate licensee/property mraflger acting within Idaho Code D Engaging in the logging industry tr Rentet working on the property whete they live with the property owners approval u Construction of a building used for industrial chemical processing per Idaho Code tr Construcdon of t modular building (defined by idaho Code) to be moved out of state I hereby certify that the above information is true and corect to the best of my knowledge. Signature Date Print Name 10 Xpress Bill Pay - Payment Processing v Page I of2 KffX$UT{,G {rir *^--" - ,4rl+'4;a13 rl$!!lli/ {;rr$Fr txtri$, City of Rexburg 35 Northlst East Rexburg, lD 83440 208€59-3020 r 4rl Col, Frinter e f *ffi@ffirffif ) Transaction detail for t 13 Aagfn 'Building Permit Billing Information JACKYY FONG .83440 igllgry _- t1 Item Amount s34.22 Date: 01/06/2014 - 10:13:33 AM TOTAL:s34.22 Transaction taken by: marianna ---J " Payment Service Provided By www.xpressbiilpay.com 9gglrght_O^Xpress Biil Pay 2014 - Ail Rights Reserved Transaction Number; 24052441pTVisa - XXXX-XXXX-XXXX-81 01 Status: Successful https ://www.xpressbillpay. com/common/paymentjroces s.php ll6t20r4 I p RSXBTJITG cll'----- 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 $500*** %City of Rexburg Receipt#:611 Date; I l/L9/2013 rJl1yusll'-Pennit Fe€ Tol*l Amsq$f Iluer Total Psprent: Codc: RE)(B{JRG Rccpt6ll tg ll 2013 am*ldar rss.00 1{p.00 Pagr: I oflReccived By: arna{dac z-P, F 9f^*o ExFe-rior t'a+l I [.*[ ,r*tu li:i icri,-.ri iil. (.crle (,i,1ipli,rrrec /o;"/*n J*oo DEC i r I$13 Il u i lrl irr g Irisltectol ct 1'\' ot] frE.\t] tJ t{G 13 00490 New Fongs - Remodel Office Copy 4 7g EL ?*ry EG,Y" s f tA-5' \\a\L \\t. \ \x \ +T