HomeMy WebLinkAboutAPPLICATION - 17-00105 - 675 Canyon Springs - SFRCITY OF
REXBURG
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America's Family community
Building Safety Department
BUILDING PERMIT FORM100 City of Rexburg
Updated 10/2016 35 North 1st East
BUILDING PERMIT APPLICATION
New Single Family Residence
Rexburg, Idaho 83440
For Office Use++
Permit Number: J-7- (OS -
Zoning: L p 2 �' Application Fee Paid: O $500
1. Property Owner
Name: H[glgy Devalnnmantc I I C DBA Fall (:reek Hnma$
Address: Higley Developments LLC DBA Fall Creek Homes City: Rexhurg State: ID Zip Code:
Phone: 208522-4505 Email: 208522-4505
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)
❑ No, I am working with the homeowner
2. Applicant
Name: Wiley Developments LLC DBA Fall Creek Homes Role: (Owner, Tenant, Contractor, etc.) Contractor
Address: 282 N Pointe Drive City: Idaho Falls State: ID Zip Code: 83401
Phone: 208-522-4505 Email: mikehaycock(rDfallcreekhomes net
Contact/Rep. Name: Mike Haycock
3. General Contractor
Name: Higley Developments LLC DBA Fall Creek Homes Registration #: 28918 Exp.:
Address: 282 N Pointe Drive City: Idaho Falls State: ID Zip Code: 83401
Phone: 208522.4505 Email: mikehaycock@fallcreekhomes.net
Contact/Rep. Name: Mike Haycock Phone: 208-522-4505 Email: mikehaycock(a)felicreekhomes.nel
General Contractor Authorized Signature: Date:
A copy ofyour state registration license is required to be on file. If this is the first time you have done work in the City of Rexburg, please provide
a photo copy ofyour license. Ifyou are unsure ifyour license is on file, please check with the Permit Technician by calling (208) 372-2341.
4. Project Description
Address: 675 Canyon Springs -OR- Lot #: 38 Block #: 2 Subdivision: Stonebtkile #4
Project Description:
• Square Feet: Building Total: 3151 sq. ft. • # of Water Meters: 1 Water Meter Size:
o Main Floor: 1605 sq. ft. • Fireplace(s) Being Installed yes D No
o Additional Floors: sq. ft. • Hydronic Heating Being Installed? O YesVNo
o Basement:
Finished 1546 sq, ft. Building Permitfeesfor new homes are charged based on square
Unfinished sq. fL footage and the City's estimated valuation. For details on howfses
o Garage 1605 sq. ft. are calculated, contact the Building Department There will also be
• Estimated Total Cost:$ a plan reviewfee totaling 10% ofthe building permitfee.
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty ofperlury, I hereby couly chat l have read this application and state chat the information herein is correct and l swear that any
informationwhirh mayhereafter begivenby mein hearings beforethe Planning and Zoning Commission orthe City CouncO far Ne City cf Rmburgshul betruthful and correct 1 agreeto complywlN all City
regulations and State laws relating to the subjectmatter ofthis application and herebyauthorized representatives ofthe Cityto enterupon Neabove-mentioned property for inspections purposes. NOTE: The
building ofidal mayrevoke a parishes approval Issued under Neprovisions ofthe 2012 International Code in rases manyfalse statement or misrepresentation effort In the application or. Ne plans on
which the permit or approval was based. Permitvoidifnot aterted within 180 days. Per stvaid ifworlestops for 180 days.
Applicant's Name (print): Michael Haycock Signature: ` Date: S1,0
Inspections must be called in before 8 AM an the day the inspection Is requested. inspection requests called in after 8 AM will be scheduled for the nest business day.
Inspection Hotline - (208) 372.2344 www,rexburg.org Permit Technician- (208) 372.2341
Building Safety Department
City of Raxbura
33N 1+E Phone:208.372.2M
Rexburg. 1D 8344o wwweexbiag.org F1Mx.'20&SR.VU
OWNER'S NADiE
PROPERTY ADDS+ S. S PtiY#
SUBDIVtcsnwl
PHASE- ` ---Loi 35 _BLocx �t
Required/// ELECTRICAL
4
Electrical Contractors Name '�`:'1^t/,/it, (.' w# e" Business Name
Address_ % w, r > >. Ciro life c(. 1:. 1 iQ •�
Cell Phone (;.Z V) _ GAJ• tit/s Business Phone
Fax ( )
/�`y-U6i5
+„M A.�.1 r.4i
EleeWeel Estimate (cost ofwidug & labor) $ (COMNZERCiAL/MUL,,_FA41LY ONL
ffarbder rbc rorr afaswd#biarrelbd rg-Aw ofld' per"+apf yid sY�
TYPES OFINS2"11LLd770N
(N-1rReddeeddiecicdea ereeYefflvg aeohiaeed wA6ba the tnsideadd tttecte" Bed atme6edguage at the not rime)
RESIDENTIAL ONLY
❑ *Up to 1'500 sq ft - $72 ❑ *1,501 to 2,500 sq ft - $120
q 2,501to 3,500 sq ft - $168 e *3,50] to 4,500 sq ft - $21 G
13 "*Outs 4,500 aq 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 it period not to exceed 1 year) - $40
❑ Spa, Hot Tub, SWiuutting Pool - $40 plus $40 grounding grid where applicable
❑ Electric Central Systems Heating and/or Cooling fw6waetpartaf# aeu rrddraNa/rowrradirapuaie
494 so odriiaaaolanird) - $40
❑ Modular. Manufactured or Mobile Home - $50plus $10 per circuit
❑ Other Installations. Wiring not specifically covered by any of the above:
CwtooWBft &Labor. S pxb#1rit8rmrr fmuroiahirrmGrice
❑ Pumps (Domestic Water, Irrigation, Sewage :p
_ h
orae ower
❑ Requested Inspections (of existing wiring) - $40/ht (I hr minimum) plus $40/hr thereafter
. 'Includes a maximum of 3 inspections. Additiond inspections ebuged at requested inspection mte of S40 per hnw.
" Includes a mmmsutn of 4 lnspsedonx Additiomd inspections cbatged at requested inspection rate of Soo par hour.
r
Signglxe of Licensed Con • oz License number Date
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Building Safety DepartmentISNIIE
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Rexbua}083110 wwwmrbttp,arp foicfL9.939.7tn2 `:.. ..
SUBDIV}'crnt.] S .o•l��t�G7Q . _ Permit#
PHASE_ `i IAT `c,8 BLOCK o?
Requtredlll MECHANICAL
Mechanical Conttudoes Name
`u r �C . !iJl4�ie1�9usiness Name
Address- City Star
Cd Phone c 3 { 3 - Business Ph ) 74/ r 7Tj a J
Pax)
Mechanical Estimate S (Coamnerdal/Muld Fan* Orly) {
F.7X ZZW&rAPPZLWCSSCOUNT (SingleFimilyDweyfygOa/l%
—"�— Furnace { Exhaust or Vent Ducts (erisrbtwu)
Fume«/Air Conditioner Combo •�,_ Dryer vents {
Heat Pump { _ Range Hood Veer
Air Condtdonet Cook Stove Vents 1
Evaporative Cools I
3 % iath F.n vents i
Unit Heater
other sit ailat vents & docta:
Space Heater ;
Decorative gas-fired appliance t
Incinerator System
Boller
Pool Hater
Gas Pipe Outlets including stubbed in or future outlets
inlet Pressure (Meter Supply) PSI 1
t
HatCircle an that a t
( PPIy) Gas 017 Coal Firepla« Electric Hydropic i
SiRmturc of ed Ca
0
Building Safety Department
MY oftexbwy •." "
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rcexsme HasanwwwAwbtag.ptg Faat;20&359-V22
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NAME vP 0L#APM+
PROPERLY l7tc c
SUBj�nrjc,rnJ. Permit#
PHASE IAT ✓ J
BLOCKS
Remodeifng YourBuMfigi1jy0me (need Estimate)
SURFACE SQUARE FOOTAGE (Shag include the e:teaor wall measurements of du bull -
First Floor Atea_I l utJ5 ,
Second fioor/Ioft arm Unfinished Basement aaa—
Third floor/loft area F"mtshed basement ares 1 SN ( i
Shed or Bam Garage anak CatP rt D ace �5above gndc)Are a'
Water MeterQuandty: w.w,tt,., •.-WaterMerersize:
Required!!!
PL UMBING
Plvmblag Conrytu�e,tor's Name: �� � { � ���
' Address 6Y1��.i [/
' tat
Crn+tacrPha:e: ()7�y J i / p �ry
�-,, //�`�q //�-� 1 , nsinas Pho ... �_7�/f'76al
Email OgAra /P✓MA J P.. Airn .�-.__ _ 1-1 .. _ —_ _
FEK tJdl.�' CO✓IYI /M�.ri,�]j�n
Gotha Washing Machine
SPdnklas
.�_ Diahwasiu
Floor Drain
Tub/Showers
�— Gubage Disposal
_ __k:eNrinal
, v
_ Hot Tub/Spa
Water Heater
Wats Softener
.. Sinks (Lavatories, kitchens, bar, mop)
1 Plumbing Estimate $
(COMMERCIAL/MULTI-FAMILY ONLY)
Ido nd- �{fin
Y1i�S-m-al f
b�nwcux of Licensed Cnnnaetar Emma Number& EVI,,dw Da¢ bra
5
CITY OF
REXBURG
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America's Family Community
PERMIT POLICIES ACKNOWLEDGMENT
Building Safety Department
City of Rexburg
35 North 18t 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 not have a Pink Building Permit signed by the Building Inspector, then you do not have an
approved permit.
o Building without the pink building permit signed by the Building Inspector will result in double fees to be
assessed and the project to be red tagged. If your project is red tagged, halting all construction, only a City
Initlals Official may remove the red tag. If the red tag is removed by anyone but a City Official, citations may be
issued.
No building may be occupied without receiving a signed Certificate of Occupancy.
o If a building is occupied without receiving a signed Certificate of Occupancy, citations may be issued and the
occupants may be evicted.
Inkials
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 day.
�o If an inspection is not done, the inspector may require any measures to be taken to allow him to correctly
perform the inspection. (Example: If the electrical rough in inspection is not done and the sheetrock has been
nitial, put up, the inspector may require the sheetrock to 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 begin ONLY when you have received an official Certificate of
Occupancy from the Building Department. These documents must be signed by the appropriate authorities from
the City of Rexburg. Any approvals can be verified by calling (208) 372-2341.
o Even if you hear from an inspector that you're good to go, ultimately if you do not have a Building Permit or
Certificate of Occupancy, the above policies will be enforced.
Inkials
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.
The above policies will be enforced to all, regardless if this information is passed on to them or not.
Initials
Applicant's Name (print): -� Signature: Date: Shpllt'j—
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 neM business day.
Inspection Hotline -(208)372.2344 www.rexburg.org Permlt Technician -(208)372.2341 Revised 10/2016
CITY OF
REXBURG
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Amoa F 11 Co
Building Safety Department
City of Rexburg
35 North 1St East
enms aMy mmamry Rexburg, Idaho 83440
PROPERTY LINES
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. If you want to request a copy of your lot, see the front counter at the Community
Development Department.
1 have read and understand the above requirements.
44A2Z::�
Signature
Vv',&'-Je
Printed Name
S),61y,--
Date
Inspection Hotline - (208) 372.2344 w rexburg.org Permit Technician - (208) 372.2341 Revised 10/2016
CITY OF Building Safety Department
a o REXBURG City of Rexburg
OW 3S North 1st East
America's Family Community Rexburg, Idaho 83440
Excavation & Earthwork:
Concrete: __. Carnia Cnnctructinn
Masonry: A&S Masonry
Roofing:... Gutierrez Construction
Insulation: BDI
Drywall: Hatch Companies
Painting: Custnm Colnr Painting
Floor Coverings: Installer Dared
Plumbing: Modern
Heating: Modern
Electrical: Ideal Flertri(,.
SUBCONTRACTOR LIST
Special Construction
(Manufacturer or Supplier)
Roof Trusses: Snake River Truss
Floor/Ceiling Joists: Franklin Building Supplies
Siding/Exterior Trim: Mniintainrrest
Other:
Inspection Hotline -(208)372.2344 w .rexburg.org Permit Technician -(208)372.2341 Revised 10/2016
;o Q,pxBUp�`e C I TY OF
° REXBURG
•r
Americas Family Community
DISTRIBUTION LIST
Building Safety Department
City of Rexburg
35 North 1st East
Rexburg, Idaho 83440
Please provide the names and emails of anyone who should begetting automated updates for this project.
Review Notes
Name: Michael Haycock
Name:
Name:
Name:
Name:
Inspection Tickets
Name: _Justus Whitworth
Name:
Name:
Name:
Name:
Email:
Email:
Email:
Email:
Email:
Email:
Email:
Email:
Email:
Email:
Inspection Hodine-(208)372.2344 w .rexburg.urg Permit Technician -(208)372.2341 Revised 10/2016