HomeMy WebLinkAboutAPPLCIATION 1 - 17-00295 - 890 Parkside Dr - New SFRCITY Of
REXBURG
cv
Amerimi Fandfy Community
BUILDING PERMIT FORM 1ZO
Updv[N[011014
BUILDING APPLICATION
New SFR Electrical
Building Safety Department
City of Rexburg
35 North 1st East
Rexburg, Idaho 83440
For Office Use
Permit Number: ❑ Electrical Fee Paid
1. Property Owner
Name: /a6z� it Tr1Y ANitvlrtvtt,•iii n/.p ..Mss kea—
Address: TO,F/oK5 U City: ��A fa &j State:�_Zip Code: 9306'
Phone: --)09 —Sa$n;-9 Email' _
Under Idaho Building Code, a homeowner is allowed to do work on their own home.
Are you a homeowner doing work on your own home?
❑ Yes (Skip to #3 and complete the Homeowner's Exemption)
,4f•No, I am working with the homeowner
2. Electrical C,ntractor
Business: ale r (i t r . State Liceenns�j #: elf,—C' 31011011(g, Exp.: r2 -3i -ioQ
Address: a Citv: T16S State: Zip Code:o i
Phone: !2 — Email:
Contact/Rep. Name: `ri - Who Email:
- —5a -t —wars
Electrical Contractor Authorized Signature: 4 Date 2Z-Zv(
A copy ofyour state registration/license fs required it be onfie. If this is the first timeyou have done work in the City of Rexburg, please provide
o photo copy ofyour license. Ifyou are unsure ifyour license is on file, please check with the Permit Technician by calling (208) 372.2341.
3. Project Description [
Address: -OR- Lo : /,(_. Block #: ZJ bdivision: QT
Description of work:
)*New SFR Construction: 10 91- sq. ft
Fees for new construction are charged by square footage: Up to 1,500 sq. ft = $130 +$65 for each additional 1,000 sq. /t or
portion thereof.
o Up to 1,500 sq.)t = $130. Up to 2,500 sq. ft = $195. Up to 3,500 sq. ft = $260. Up to 4,500 sq. %t = $325, etc. (i.e. a
home with 3,675 sq. ft will be charged $325)
❑ Spas/Pools/Generators: O Yes*N0
Note that spas/pools/generators are not included in square footage costs and will be charged $65 per inspection.
APPLICANT'S SIGNATURE. CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, l 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 forthe 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 2012
International Code In cases ofany 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.
Applicant's Name (print): Signature: Date:
Inspections must be called in before 0 AM on the day the inspection k requested. Inspection requests called In after SAM will be scheduled for the fie# business day.
Inspection Hotline - (208) 372.2344 www.rexburg.org Permit Technician - (208) 372.2341
C IT Y OF
R.G)CBLTRG BUILDING PERMIT FORM100
UPd.uatwtoaa
Americo} Fnm)iy Community
BUILDING PERMIT APPLICATION
New Single Family Residence
Building Safety Department
City of Rexburg
35 North 1st East
Rexburg, Idaho 83440
For Office Use
Permit Number: Zoning: Application Fee Paid: ❑ $500
1. Property Owner //
Name: /G�La%�� -9r-r241aA1 s
�o t�tr2c SloSS City:�n�i/(s State:
Address:
Phone: x90,9— 5a9 -6x98 Email: ha&'I •>` n40 0[f6C' tV6LV.s22
under Idaho Building Code, a homeowner is allowed to do work on their own home.
Are you a homeowner doing work on your own home?
❑ Yes (Skip to #4 and complete the Homeowner's Exemption)
,"o, l am working with the homeowner
2. Applicant //ai,((s 4reek-
Name: 11n 6,4 hL+ -4-2r A(6( lrtA4 tTCL �,1k), Role: (Owner, Tenant, Contractor, etc.) QLIJm r-
Address: P'0- 3u 6/055 V City:is b Faffs State: Zip Code: �3VOs
Phone: g- - � Email: J%in1'fa ad1rh2fnaU- clot
Contact/Rep. Name: 5
3. General Contractor
Name: Registration #: RCT 3080 Exp.:
Address: /69 6 M SYC City: I;ff5 State: 1b Zip Code: 93clO
Phone: SAq-'W93 Email:
Contact/Rep. Name: .5&W— Zev 6PIA- Phone: $ - 7&mail: f
General Contractor Authorized Signature 40,Azzp Dater 02,/7
A copy ofyour state registration/license is required to be on Fle. lythisi first timeyou have done work in the City of Rexburg, please provide
a photocopy ofyour license. Ifyou are unsure ifyour license is on file, please check with the Permit Technician by calling (208) 372-2341.
4. Project Descriptlgt� //� //
Address: l� 5;ola Z)nVe-- -OR. Lot # B16ck #I bdivision: 'Pa"hauW1
'40WA,66a
Project Description:
• Square Feet: Building Total: /6? -L- sq. ft. • # of Water Meters: Water Meter Size:
o Main Floor: 6W sq. ft. • Fireplace(s) Being Installed? ❑ Yes Z No
o Additional Floors: 798' sq. ft 0 Hydronic Heating Being Installed? 11 Yes 0 No
o Basement:
Finished sq. ft Building Permitfeesfor new homes are charged based on square
Unfinished sq. ft. footage and the City's estimated valuation. For details on howfnes
c Garage yy6 sq. ft are calculated, contact the Building Department There will also be
as Estimated Total Cost:$ aplan reviewfde totaling 10% of the building permitfee.
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, I hereby certify Ghat I have read this application and Rate drat the Information herein Is comet and I swear Nat any
Information which may hereafter be given by mein hearings before the Planning and Zoning Commlasion or the City Caundl for Ne City of Rexborgahall be t,uthhl end... I agnmw comply with all City
regulatlana and Ste. laws relating to the subledmam, of this application and hereby authorized representatives ofthe City to enter upon the above mentioned property for inspections purposes. NOTE: The
building ollidal may rc,ekea permit on approval Issued under the provis ons of the 2012 International Coda In case ofany false statement or misrepresentation of Nd In the application or an the plans on
which one poroutor approval was based. Permit void If notstartted within IN days. Permitvolciif work stops for tg0 days.
Applicant's Name (print): 965&A L si Signature:. Date: S 6'
Inspections mustbe called In before 8 AM on the day the ins caonis mquested.Inspection requests called In after 8 AM wil a scheduled for the next business da.
Inspection Hotline -(208) 377.2344 vrww.rexburg.org permit Technician- (208) 372.2341
C I Ty OF
REXBURG
b
Amerirok Fnnrtfy Community
BUILDING PERMIT FORM 130
upmma to/xota
BUILDING APPLICATION
New SFR Plumbing
Building Safety Department
City of Rexburg
35 North 1st East
Rexburg, Idaho 83440
For Office Use
Permit Number: ❑ Plumbing Fee Paid
1. Property Owner
Name: /r(is[n. �p�ry�Gtdlyl! t �a/niv �ri��t rQrelt
Address: 'PQ, ah -z S/6SSV City:_-_]rj�".i�t 15 State:JD-- Zip Code: �3
Phone: tI [)fir— SrW -09-98 Email: Aa do�i>ril/• X2221`
Under Idaho Building Code, a homeowner is allowed to do work on their own home.
Are you a homeowner doing work on your own home?
❑ Yes (Skip to #3 and complete the Homeowner's Exemption)
❑ No, l am working with the homeowner
2. Plumbing Contractor // qtf 1
Business: 'd 'Plm F4LI _ - State License
Address: �Y_I W lA Citi x!%46 6,ffS State: �_ Zip Code: 3�6 i—
Phone: 4099 — 6XP — /35�f Email:
Contact/Rep. Name: e: 6PI -/35-Sy Email:
Plumbing Contractor Authorized Signature: Date:SO �h
A copy ofyour state registration/license is required to be o fle. If this is thefirst tirneyou have done work in the City of Rexburg, please provide
a photocopy ofyour license. Ifyou are unsure ifyour license is on file, please check with the Permit Technician by calling (208) 372-2341.
1
3. Project Description
Address:y o �R�2 - -OR- Lot #' 1 Block #: ubdivision:?r,ksi� Pfrrf 9i _
Description of work:`n�
PrNew SFR Construction: sq. ft.
. Feesfor new construction are charged by squarefootage: Up to 1,500 sq. ft. = $130 + $65for each additional 1,000 sq.ft or portion
thereof.
0 Up to 1,500 sq. It = $130. Up to 2,500 sq. ft. = $195. Up to 3,500 sq. ft = $260. Up to 4,500 sq. ft = $325, etc. (i.e. a
home with 3,675 sq. ft. will be charged $325)
❑ Hydronic (in -Floor) Heating: O Yes -No
. Note that hydronicheating isnot included insquarefootagecosts and will becharged $65+($10x#ofmanifolds/zones).
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, l hereby certify that l 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 Iagree to comply with all City regulations and State laws relating to the subject matter of this application and hereby authorized representatives ofthe
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 2012
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 irwork stops for 180 days.
Applicant's Name (print): .1y,11M.14 Signature: Date:
Inspections must be called In before 8 AM on the day the Inspection Is requested. Inspection requests called in after 8 AM will be scheduled for the next business day.
Inspection Hotline - (208) 372.2344 www.rexburgorg Permit Technician - (208) 372.2341
o�nr.xnued.
C o
CITY OF
REXBcw
URG
Anerimi; Amity Cammunity
BUILDING PERMIT FORM 110
upNtexicIZ016
BUILDING APPLICATION
New SFR Mechanical
Building Safety Department
City of Rexburg
35 North 1st East
Rexburg, Idaho 83440
For Office Use
Permit Number: ❑ Mechanical Fee Paid
1. Pro a Owner �/
Name: _o12fn� ,L /
Address: i00. %Re� City:=-G/a T{i��s State: Zip Code: !H S
Phone:Sri—(i�4� Email:
UnderIdaho Building Code, a homeowner is allowed to do work on their own home.
Are you a homeowner doing work on your own home?
❑ Yes (Skip to #3 and complete the Homeowner's Exemption)
&No, I am working with the homeowner
2. Mechanical Contracto�r/� L �
Business: e,10,7AA 6Y=�f t State License #: <5/� / Exp.: q` /b/
Address:_%W /U ( City ��s State: Zip Code: S3f/fJ�f
0'
Phone: l9}?— 5ra2-- 337- Email:
Contact/Rep. Name: Bkro G hone:'t 3377_ Email:
Mechanical Contractor Authorized Signatu Date: :"
A copy ofyour state registration/license is required to be on fele. If this is the first tfineyou have dome war* In the City of Rexburg, please provide
o photo copy ofyour license. Ifyou are unsure ifyour license is an file, please check with the Permit Technician by calling (208) 372.2341.
3. ProjectDescription / / T
Address: �� k5dj JJfAle . -OR. Lot#: Block If)- Subdivision:R24151014- 7WA
Description of work:
SFR Construction: 16g9L- sq. ft.
•
Feesfor new construction are charged bysquarefootage: Up to 1,500 sq.ft, = $130 + S65for each additional 1,000 sq. Aor
portion thereof.
0 Up to 1,500 sq.ft = $130. Up to 2,500 sq. ft = $195. Up to 3,500 sq.)t = $260. Up to 4,500 sqft = $325, etc (i.e. a
home with 3,675sq.R will be charged $325)
• Number of Fireplaces:
a Note thotfireplaces are not included in square footage costs and will be charged $65 per inspection.
O Hydronic Heating: —0
• Note that hydronk heating is notincluded in squarefootage costs and will be charged and additional $65 + ($10 x # of
manifolds/zones)
APPLICANTS 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 thts 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 2012 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 160 days. Permit void If work stops for 180 days.
Applicant's Name (print): ignature: Date: 09-47
inspections must be called in before 8 AM on the day the Inspection Is requeaced. Inspection requests called la after a AM will be scheduled ter Ne nextbueiness day.
Inspection Hotline - (208) 372.2344 www.rexburg.org Permit Technician- (208) 372.2341
Ot MY SOCkC
.•,�J', CITY OF
,
° IZEXBURG
bnerlrni Fnrnily ('.ornrnunily
Excavatio)
Concrete:
Masonry
Building Safety Department
City of Rexburg
35 North 151 East
Rexburg, Idaho 83440
SUBCONTRACTOR LIST
Roofing:
Insulation: ;611L
Drywall:
Painting:
Floor Coverings:
Plumbing: -"-
Heating:
Electrical: !"i 82/ Cf �7r
Special Construction
(Manufacturer or Supplier)
Roof Trusses: to
Floor/Ceiling Joists: _
Siding/Exterior Trim:
Other:
Inspection I Iodine -(200)372.2344 mmrexiturgorg Permit Technician -(208)372.2341 Revised 10/2016
oQycxauRc
CITY OF
REXBURG
cW—
Amerfeds Fam11y Community
PROPERTY LINES
Building Safety Department
City of Rexburg
35 North 1St East
Rexburg, Idaho 83440
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. This information is available at madlson.rexburg.ora. If you want to request a copy of
your lot information, contact the Community Development Department.
I have read and understand the above requirements.
Signature
Printed Name
S//>s /7
Date
Inspection Hotline -(208)372.2344 wtvw.rexhurg.org Permit Technician -(208)372.2341 Revised 10/2016
CITY OF
REXBURG
Ow -
Americas Family Community
PERMIT POLICIES ACKNOWLEDGMENT
Building Safety Department
City of Rexburg
35 North 151 East
Rexburg, Idaho 83440
The City of Rexburg Building Safety Department is determined to provide excellent customer service. In an effort to help you
understand the City of Rexburg Permit Policies, listed below are several policies which you are required to know prior to
proceeding with your project
Any construction within the City of Rexburg which requires a permit shall not begin until an approved permit is
obtained. If you do trot have a Pink Building Permit signed by the Building Inspector, then you do not have an
approved permit.
1'� o Buildingwithoutthe pinkbuilding permitsigned by the Building Inspector will resultin double fees to be assessed and
r the project to be red tagged. If your project is red tagged, halting all construction, only a City Official may remove the red
Initials tag. If the red tag is removed by anyone but a City Official, citations maybe issued.
No buildin maybe occupied without receiving a signed Certificate of Occupancy.
j) o If a building is occupied without receiving as I gned Certificate of Occupancy, citations maybe issued and the occupants
Y 1 may be evicted.
Initials
A Certificate of Occupancy will not be issued without digital copies of the As -Built Plans.
o it is the Applicants responsibility to turn In digital copies of the As-Bllllt Plans when the project is completed. No
Certificate of Occupancy will be Issued without these plans.
Initials
Scheduling inspections is the responsibility of the applicant and their contractor. inspections need to be called into
the hotline and not to the inspector. Inspections called In later than 8 AM will be scheduled for the following business
ay.
o Required inspections can b¢ found on the Inspection sequence page In this packet If an inspection is not done, the � inspector may require any measures to be taken to allow hien to correctly perform the inspection. (Example: if the
electrical rough in inspection is not done and the sheetrock has been put up, the inspector may require the sheetrock to
Initials be removed in order to perform the electrical rough in inspection.)
Construction on any project can begin ONLY when you have received a Pink Building Permit from the Building
Department. Occupancy of any structure can begirt QNLY when you have received an official Certificate of Occupancy
from the Building Department.
o A verbal approval does not constitute approval of these documents. Ultimately if you do not have a Building Permit or
Certificate of Occupancy, the above policies will be enforced. These documents must be signed by the appropriate
Innials authorities from the City of Rexburg. Any approvals can be verified by calling (208) 372-2341.
It is your responsibility to inform anyone on your project of the above policies. All sub -contractors will be held to this
standard with no exceptions.
o The above policies will be enforced to all, regardless if this information is passed on to them or not
Initials ////
Applicant's Name (print): tai-iozao S1 Signature: �/AO Nl(Q(l%__Date:5��
Inspections mus[ be called in before 8 AM on the day the inspection is requested Inspection requests called in after 8 AM will be scheduled for the next business day.
Inspection Hotline -(208)372.2344 w .mxburg.org Permit Technician -(208)372.2341 Revised 2/2017
4ppXBUq�
CITY OF
° REXBURG
CW-
Amerimk Family Comrmmity
DISTRIBUTION LIST
Building Safety Department
City of Rexburg
35 North 1st East
Rexburg, Idaho 83440
Please provide the names and em ails of anyone who should begetting automated updates for this project:
Review Notes
Name:
Name:
Inspection Tickets
t
Name:
Name:
Name:
Email:
Email:
Email:
Email:
Inspection Hotline -(208)372.2344 s .rexhurg.org Permit Technician -(208)372.2341 Revised 30/2016
fZREScheck Software Version 4.6.2
Compliance Certificate
Project West Unit
Energy Code:
2012 IECC
Location:
Rexburg, Idaho
Construction Type:
Single-family
Project Type:
New Construction
Conditioned Floor Area:
2,091 M
Glazing Area
8%
Climate Zone:
6 (8693 HDD)
Permit Date:
20
Permit Number:
Construction Site:
Rexburg, ID 83440
Owner/Agent:
Habitat for Humanity
Idaho Falls, ID
Designer/Contractor:
Compliance: Passes using LIA trade-off
Compliance: 0.7% Better Than Code Maximum UA: 276 Your UA: 274
The % Better or Worse Than Code Index reflects how close to compliance the house Is based on code trade-off rules.
It DOES NOT provide an estimate of energy use or cost relative to a minimum -code home.
Envelope Assemblies
Ceiling 1: Flat Ceiling or Scissor Truss
Wall 1: Wood Frame, 16" D.C.
Window 1: Vinyl/Fiberglass Frame:Double Pane with Low -E
Door 1: Solid
Wall 2: Wood Frame, 16" D.C.
Window 2: Vinyl/Fiberglass Frame:Double Pane with Low -E
Wall 3: Wood Frame, 16" D.C.
Window 3: Vinyl/Fiberglass Frame:Double Pane with Low -E
Door 2: Glass
Wall 4: Wood Frame, 16" D.C.
Door 3: Solid
Floor 1: All -Wood joist/Truss:Over Unconditioned Space
Crawl 1: Solid Concrete or Masonry
Wall height: 4.0'
Depth below grade: 3.5'
Insulation depth: 3.0'
Project Title: West Unit
Data filename: C:\Users\rmalm.JRWA\Desktop\Habitat\5-30-2017\west.rck
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0.500
10
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0.250
14
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0.250
10
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0.057
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0.250
5
804
38.0
0.0
0.026
21
481
0.0
10.0
0.077
23
Report date: 05/30/17
Page 1 of 2
Compliance Statement: The proposed building design described here Is consistent with the building plans, specifications, and other
calculations submitted with the permit application. The proposed building has been designed to meet the 2012 IECC requirements in
REScheck Version 4.6.2 and to comply with the mandatory requires ]eats4btedYn the REScheck Inspection Checklist.
Jr 556 b r4
Project Title: West Unit Report date: 05/30/17
Data filename: C:\Users\rmalm.JRWA\Desktop\Habitat\5-30-2017\west.rck Page 2 of 2
fZREScheck Software Version 4.6.2
Compliance Certificate
Project East Unit
Energy Code:
2012 IECC
Location:
Rexburg, Idaho
Construction Type:
Single-family
Project Type:
New Construction
Conditioned Floor Area:
1,692 ft2
Glazing Area
10%
Climate Zone:
6 (8693 HDD)
Permit Date:
20
Permit Number:
Construction Site:
Rexburg, ID 83440
Owner/Agent:
Habitat for Humanity
Idaho Falls, ID
Designer/Contractor:
Compliance: Passes using UA trade-off
Compliance: 1.2% Better Than Code Maximum UA: 249 Your UA: 246
The % Better or Worse Than Code Index reflects how close to compliance the house Is based on code trade-off rules,
It DOES NOT provide an estimate of energy use or cost relative to a minimum -code home.
Envelope Assemblies
Ceiling 1: Flat Ceiling or Scissor Truss
Wall 1: Wood Frame, 16" D.C.
Window 1: Vinyl/Fiberglass Frame:Double Pane with Low -E
Door 1: Solid
Wall 2: Wood Frame, 16" D.C.
Window 2: Vinyl/Fiberglass Frame:Double Pane with Low -E
Wall 3: Wood Frame, 16" D.C.
Window 3: Vinyl/Fiberglass Frame:Double Pane with Low -E
Door 2: Glass
Wall 4: Wood Frame, 16" D.C.
Door 3: Solid
Floor 1: All -Wood joistrrruss:Over Unconditioned Space
Crawl 1: Solid Concrete or Masonry
Wall height: 4.0'
Depth below grade: 3.5'
Insulation depth: 3.0'
Project Title: East Unit
Data filename: C:\Users\rmalm.JRWA\Desktop\Habitat\5-30-2017\east.rck
894
0.0
50.0
0.019
17
656
21.0
0.0
0.057
30
106
0.250
27
20
0.500
10
466
21.0
0.0
0.057
25
20
0.250
5
656
21.0
0.0
0.057
32
49
0.250
12
40
0.250
10
466
21.0
0.0
0.057
25
20
0.250
5
894
38.0
0.0
0.026
23
518
0.0
10.0
0.077
25
Report date: 05/30/17
Page 1 of 2
Compliance Statement: The proposed building design described here is consistent with the building plans, specifications, and other
calculations submitted with the permit application. The proposed building has been designed to meet the 2012 IECC requirements in
REScheck Verslon 4.6.2 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist.
S�3o—Loll
Date
Project Title: East Unit Report date: 05/30/17
Data filename: C:\Users\rmalm.JRWA\Desktop\Habitat\5-30-2017\east.rck Page 2 of 2