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Home My WebLink AboutAPPLICATIONS - 16-00580 - 1050 Larch - SFRBuilding Safety Department �O City of Rexburg 35 North 1st East F;O Ry,XaUR�,9g c 1 Idaho 83440 G Rexburg CHECKLIST SINGLE FAMILY RESIDENTIAL Aimirim+ Family Community APPLICATION you submityour building permit application' e comp The following tems should b ileted *Reasonable accoeb�r ue t mmodations will be made Is )o NVis 1, I slay. Complete the Following 2) professional tans (see Site Plan Checklist on Page stamped by a licensed p Front, 2 sets of site p out, Truss Details, Sectional Views, Tans drawn to scale (see box below) - out,Floor Plan, Roof Lay details required to illustrate 2 sets 0 Fbuildingti p Floor Joist Lay Stair Details, and any ❑ Foundation Plan, Mechanical Layout, Back, and Side Elevations, stamped by a licensed Engineer special construction.) box below) - required (available online Structural Calculations ( per the 20121 ECC, a RESCheck is Compliance Report: As p Energy see page 4) atww N.ener codes. ov) work on their own home. Exemption signed, if Homeowner is doing see page 3) --e—Homeowner's Exemp ed by a registered General Contractor. ( see age 5] } Building Permit Application sign signed by a registered Mechanical Contractor.ee age 6) r'❑ Mechanical Permit Application sig Application signed by a registered Electrical Contractor. see page 'n plication signed by a registered Plumbing Contractor. ❑ Electrical Permit App ❑ Plumbing Permit App see age B) signed by builder. ( P Property Line form re owner. (see page 9) Legal Interest signed by tent Code for any g�ffidavit of Leg see age 10) exburg Develop lease check R etc. econtractor list filled out ( p approval, Subdivisions: If you plan to build in a subarchitecture board app ent-code. ro erty setbacks, a es develo rn requirements such as, property rexbur .or This information is available at htt� Seismic DesignCategory - Dlbs. So . per sq' it Ground Snow - 35 lbs. per sq. ft Roof Snow Load - Wind Load - 90 MPH Frost Depth - 36" Permit Technician - (208) 372.2341 WYNI.rexhurg.org tp¢crion Hotline - (208) 372.2344 Revised March,2016 CITY OF REXBURG Americas Family Community Permit Policies Acknowledgement Building Safety Department City of Rexburg 35 North 1st 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 initials Official may remove the red tag. If the red tag is removed by anyone but a City Official, citations will 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 will be issued and the occupants will be evicted. Initials Calling in 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 put up, the inspector may require the sheetrock be removed in order to perform the electrical rough in inspection.) Any approval for Certificate of Occupancies and Building Permits is only verified through the Permit Technician. If an inspector says something like "You're good to go", understand that you still need to receive all relevant documentation from the Permit Technician before you are truly good to go. 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. Initials It is your responsibility to relay this information on to anyone who this would be applicable to for your project. All sub -contractors will be held to this standard with no exceptions. o The above policies will be enforced to all, regardless if you pass this information on to them or not Initials Applicants Name (print): i4 � Signature: Date: Inspections must be called in before 8 AM on the day the inspection is requested. Inspection requests called in after 8 AM villi be scheduled for the next business day. Inspection Hotline -(208)372.2344 �.rexburg.org Permit Technician -(208)372.2341 Revised March, 2016 CITY OF REXBURG Americab Family Community SITE PLAN CHECKLIST Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 ❑ 1 Site plan must be drawn to scale, be legible and also be submitted electronically if possible. ❑ 2. Adjoining streets labeled. ❑ 3. Right-of-way location and width, curb to curb widths and sidewalk location. ❑ 4. Building location, sq footage and dimensions, with distance to property lines and distances between buildings. ❑ 5. Show existing and proposed easements. ❑ 6. Existing utilities (waterlines, sanitary sewer lines, manholes, storm drains). ❑ 7. Proposed utilities including tie in location to existing services and new easements. ❑ 8. Proposed storm drain and sanitary sewer elevations (for pipe inverts at manholes and catch basins). ❑ 9. Storm drainage plan for parking lot and roof areas, with calculations. ❑ 10. Fire hydrants and fire suppression lines (including tie to City lines). ❑ Sprinkled ❑ Not Sprinkled ❑ 11. Indicate Fire apparatus access ❑ 12. Parking (including parking lot, drainage arrows, dimension of lot, distance between rows, and total numbers). ❑ 13. Landscaping (type and total area, including dimensions). ❑ 14. Trash facilities. ❑ 15. North Arrow ❑ 16. Drawing to Scale, including a graphic scale (111/2 x 17" paper if possible). ❑ 17. Proposed street improvements (curb, gutter, sidewalk, pavement, etc.) ❑ 18. Legal description of proposed building site included. ❑ 19. Percent of lot covered by building or paving calculated. ❑ 20. Show 10% snow storage area. ❑ 21. Distance of entrances from street corner indicated. ❑ 22. Current Vicinity Map. (81/2 x 11") at 1" = 300' scale, showing location of the property. ❑ 23. Lighting Plan SITE PLANS MUST BE COMPLETE AND SUBMITTED FOR REVIEW BEFORE THE PROJECT WILL BE PLACED ON THE PLANNING & ZONING AGENDA. Inspection Hotline -(208)372.2344 www.rexburg.org Permit Technician --(208)372.2341 Revised March, 2016 CITY OF RMURG civ America's Family Community BUILDING APPLICATION Single Family Residence Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 For Office Use t Digital Plans. Included: ❑ CD 13 USB ❑ Dropbox ❑ Not Included PermitNumber: - °S Permit Type:�k New ❑ Remodel ❑ Addition ❑Basement Finish Deposit Amount.X$500 New Const. 0 $100 Other than New Const Deposit Included with Application:_�ff Yes ❑ No 1. Proper}}�''O�w�ner Name: 6;7t Address: 137D 506�✓f n _City: /t% Cr )i State: I-#- Zip Code: S*� Phone&Type: ❑OfficeXMobile Email: 6adt's_'yyt�n7✓�r1�- 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 44 and complete the Homeowner's ExemptionNo, I am a contractor working for the homeowner NOTE: Any contractors/sub-contractors involved will need to submit their own signed applications. 2. Applicant Name: ww�S4m (e, Role: (Owner, Tenant, Contractor, etc.) Address: City: State: _ Zip Code: Phone & Type: 0 Office ❑ Mobile Email: Contact/Rep. Name: _ Phone: Email: 3. Genera Contractor Name: i Jsr R istration #: ��'`� Exp.:'-�� Address: l R7�7 S f r City:State: 1 4ti Zip Code:QyPD_ Phone&Type: ` D ` OOfficejR�Mobile Email: //LeT/ la> SGrI Contact/Rep. Name: 7 4 Phone:05/`/ Email:-- 15jMf G eral Contractor Authorized SignatureDate: < 7,5_ 7C/ 4. Project Description Address: -OR- Lot #: Block #:Subdivision:(Y7DAae_1'� Type of work: Check one: XNew Construction , ❑ Remodel* ❑ Addition* ❑ Basement Finish* *Check all that apply: 017raming g Mechanical Plumbing Electrical NOTE: Anysub-contractorsinvolved will n edto submit[geir ownsignedapplications. *Description of work: f I amy� *Total cost of project - materials and labor: $ (used to calculate permit fees) Building Total: ' _ sq. ft. Main:/ _ sq. ft. Basement: I7 Finished Unfinished z� sq. ft. Garage 12� sq. ft. Additional Floors: sq. ft. APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty ofpedury, I 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 bymein hearings before the Planning and Zoning Commission or the City Council for the City of Rexburg shall be truthful and correcti 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 ofthe 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. Permitvoid if not startedwithin100days. Permit void ifwurkstops for I7Od Applicant's Name (print): Date:' Inspections most be called in before 8 AM on the day the inspection N requested. Inspection requests called inafter 8 AM will be scheduled for the next business day. Inspection Hotline -(208)372.2344. www.raxburg.org Permit Technician -(208)372.2341 Revised March, 2016 0 CITY OF REXBURG Amerinds Family Community EXEMPTIONS FROM STATE REGISTRATION Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 As of January 1, 2006, the City of Rexburg can no longer sell permits without having a copy of your State registration number or your exemption from the State registration. Please send a copy of your state registration or fill out this form showing your exemption and send it with your license renewal or your next permit application. (This list is a summarization of Idaho Code Title 54 Chapter 5205, for full definitions of these exemptions please see the State's website at www.ibol.idaho.gov/cont.htm) ❑ Currently State licensed pursuant to Title 54 Idaho Code, Chapters: 3 Architects, 10 Electrical Contractors/Journeyman, 12 Engineers/Surveyors, 19 Public Works Contractors (exempt from fee only registration required), 26 Plumbing/Plumbers, 45 Public Works Construction Management Licensing Act (exempt from fee only registration required), or 50 Installation of heating, ventilation and air conditioning systems ❑ Employee or volunteer of a licensed contractor or part of an educational curriculum or nonprofit charitable activity with no wages or salary ❑ Employee of a US Government agency (State, City, County, or other municipality) ❑ Public Utility doing construction, maintenance, or development to its own business ❑ Involved with gas, oil or mineral operations ❑ Supplier doing no installation or fabricating ❑ Contracting a projector projects with a total cost less than $2000 ❑ Operation of a farm or ranch or construction of agriculture buildings exempt from Idaho Building Code ❑ Any type of water district operations ❑ Work in rural districts for fire prevention purposes ❑ Owner who performs work on own property or contracts with a registered contractor to do work as long as the property is not for resale within 12 months ❑ Owner or lessee of commercial property performing maintenance, repair, alteration or construction on that property ❑ Real estate licensee/property manager acting within Idaho Code ❑ Engaging in the logging industry ❑ Renter working on the property where they live with the property owners approval ❑ Construction of a building used for industrial chemical processing per Idaho Code ❑ Construction of a modular building (defined by Idaho Code) to be moved out of state I hereby certify that the above information is true and correct to the best of my knowledge. Signature Date Print Name Inspection Hotline -(208)372.2344 w .rexburg.org Permit Technician -(208)372.2341 Revised March, 2016 R;o4 µpxeugcro CITY OF REXBURG Amedw's Fammily' Community Affidavit of Legal Interest State of Idaho County of Madison I, Name City Being first duly sworn upon oath, depose and say: (If Applicant is also Owner of Record, skip to B) Address State Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 A. That I am the record owner of the property described on the attached, and 1 grant my permission to: Name Address to submit the accompanying application pertaining to that property. B. I agree to indemnify, defend and hold Rexburg City and its employees harmless from any claim or liability resulting from any dispute as to the statements contained herein or as to the ownership of the property which is the subject of the application. Dated this day of Signature 20 Subscribed and sworn to before me the day and year first above written. Notary Public of Idaho Residing at: My commission expires: Inspection Hotline -(208)372.2344 v ..rexhurg.org Permit Technician -(208)372.2341 Revised March, 2016 CITY OF REXBURG nv AmeriaA, Family 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 utilitylines. 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 Cityof 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. I have read and understand the above requirements. 1g re Printed Name --4- /D Date Inspection Hotline -(208)372.2344 vumvrexburg.org Permit Technician -(208)372.2341 Revised March, 2016 CITY OF 1WMURG America's Family Community BUILDING APPLICATION Mechanical Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 For Office Use Permit. Number:. Permit Type: ❑ New ❑ Remodel ❑ Addition O Basement Finish Fees Paid: ❑ Yes ❑ No 1. Property Owner Name: Address: City: State: Zip Code: Phone & Type: ❑ Office 13 Mobile 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 page) ❑ No: I am a contractor working for the homeowner O No: This property is a Multi -family Residence or Commercial Property. NOTE: Any contractors/sub-mntractots involved will need to submittheir own signed applications. 2. Mechanical Contractor Name: Registration #: _ Exp.: _ Address: City: State: Zip Code: Phone & Type: ❑ Office ❑ Mobile Email: Contact/Rep. Name: Phone: Email: (Mechanical ContractorAuthorized Signature:' Date: 3. Project Description Address: _ -OR- Lot #: _ Block #: _ Subdivision: Check one: ❑ Single-family Residence ❑ Multi -family Residence ❑ Commercial Check one: ❑ New Construction* ❑ Remodel ❑ Addition ❑ Basement Finish Description of work: New Commercial Work: Contracted amount: $ Calculated Fee (See Below): $ ❑ Up to $10,000 (total cost of system x.02) + $60 ❑ $10,0014100,000 = ((total cost of system -10,000) X.01) + $260 ❑ Over $100,001= ((total cost of system -100,000) x.005) + $1,160 New Single -Family Residential Work: Sq. Ft ❑ Up to 1,500 Sq. Ft. = $130 ❑ 1,501-2,500 Sq. Ft = $195 ❑ 2,501-3,500 Sq. Ft = $260 ❑ 3,501-4,500 Sq. Ft = $325 ❑ Over 4,500 Sq. Ft = $325+(65 x # of additional 1,000 Sq. Ft. (or portion thereof)) $ New Multi -Family Residential: ❑ Duplex= $260 0 Three or more units= $((130 x # of buildings)+(65 x # of units))$_ New work on any other residence and Detached Shops: = $(65 + (10 x # of HVAC fixtures)) $ Miscellaneous: ❑ Gas Pressure = $65 ❑ Furnace or A/C = $65 ❑ Water Heater = $65 13 Requested Inspection= $65 ❑ Gas Line = $65 ❑ Fireplace/Solid Fuel Burning Unit =$65 ❑ Technical- Service= $65/hour ❑ Plan Check =10% of Contracted Amount APPLICANTS SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty ofpedury, 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 mein 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 ofthis 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 ofthe 2012 International Code in cases ofany false statement or misrepresentation offact in the application or on the plans on which the permit or approval was based. Permitvoid if not started within 180 days. Permit void ifworkstops for 180 days. Applicant's Name (print): 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. Inspecdon Hotline -(208)372.2344 www.rexburg.org Permit Technician -(208)372.2341 Revised March, 2016 oQyB%a4gC �q ♦9 CITY OF ° REXBURG America's Family Communfiy BUILDING APPLICATION Electrical Building Safety Department City of Rexburg 35 North tat East Rexburg, Idaho 83440 For Office Use Permit Number: Permit Type: ❑.New El Remodel ❑Addition 13 Basement Finish Fees Paid: ❑ Yes D. No 1. Property Owner Name: Address: City: State: Zip Code: Phone & Type: D Office D Mobile 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? D Yes (Skip to #3 and complete the Homeowner's Exemption page) D No: I am a contractor working for the homeowner D No: This property is a Multi -family Residence or Commercial Property. NOTE: Any contractors/sub-contractors involved will need to submit their own signed applications. 2. Electrical Contractor Name: Registration #: Exp.: Address: City: State: Zip Code: Phone & Type: ❑ Office D Mobile Email: Contact/Rep. Name: Phone: Email: Electrical Contractor Authorized Signature; a — _ Date: 3. Project Description Address: -OR- Lot #: _ Block #: _ Subdivision: Check one: D Single-family Residence D Multi -family Residence D Commercial Check one: D New Construction* D Remodel D Addition D Basement Finish Description of work: New Commercial Work: Contracted amount: $ Calculated Fee (See Below): $ D Up to $10,000 = (total cost of system x.02) + $60 D $10,0014100,000 = ((total cost of system -10,000) x.01) + $260 D Over $100,001= ((total cost of system -100,000) x.005) + $1,160 New Single -Family Residential Work: Sq. Ft D Up to 1,500 Sq. Ft. = $130 D 1,501-2,500 Sq. Ft = $195 D 2,501-3,500 Sq. Ft. = $260 D 3,501-4,500 Sq. Ft = $325 D Over 4,500 Sq. Ft = $325+(65 x # of additional 1,000 Sq. Ft. (or portion thereof)) $ New Multi -Family Residential:. D Duplex= $260 D Three or more units= $((130 x# of buildings)+(65 x # of units))$ New work on any other residence and Detached Shops:_ (65 + (10 x # of branch circuits)) $ Miscellaneous:[] Small Works (work costing less than $200 with no change in service connections)=$10(needs no inspection. D Central Heating/Cooling Systems= $65 D Spas, Hot Tubs, and Swimming Pools= $65 D Requested Inspection= $65 D Pumps -Water, Irrigation, Sewage (per motor) = D $65 up to 25HP D $95 26- 200HP D $130 over 200HP D Irrigation Machine = $65 for center pivot+ $10 per tower of drive motor $ D Technical Service =$65/hour D Temporary Amusement = $65 + $10 per ride, concession, or generator $ D Plan Check =10% of Contracted Amount D TemporarV Construction Services ONLY = $65 200 amp or less. One location for less than 1 ear. APPLICANT"a SHINKFUM, CERTIFICATION AND AUTHORIZATION: Under penalty ofpedury, I 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 mein hearings before the Planning and Zoning Commission or the City Council for the City of Rexburg shall he truthful and correct. I agree to comply with all City regulations and State laws relating to the subject matter ofthis application and hereby authorized representatives ofthe CTty to enterupon the above-mentioned propertyfor inspections purposes. NOTE: The building official may revoke a permiton approval issued underthe provisions ofthe 2012 International Code in cases of any fake statement or misrepresentation of fact in the application or on the plans on which the permit or approval was based. Permitvoidifnot started witMn 180 days. Permit void ifwork stops for 180 days. Applicant's Name (print): Signature: Date: Inspections mustbe called in before 8 AM on the day the inspection is requested. Inspection requests called inafter 8 AM will he scheduled for the nextbusiness day. Inspection Hotline -(208)372.2344 www.rexhurg.org Permit Technician -(208)372.2341 Revised March, 2016 CITY OF REXBURG CW America's family Community BUILDING APPLICATION Plumbing Building Safety Department City of Rexburg 35 North 1St East Rexburg, Idaho 83440 For Office Use Permit Number: Permit Type: CINew EI Remodel. ❑ Addition []Basement Finish Fees Paid: ❑ Yes. []No 1. Property Owner Name: Address: _ City: State: _ Zip Code: Phone &Type: ❑ Office ❑ Mobile 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 page) ❑ No: I am a contractor working for the homeowner ❑ No: This property is a Multi -family Residence or Commercial Property. NOTE: Any contractors/subcontractors involved will need to submit their own signed applications. 2. Plumbing Contractor Name: Registration #: Exp.: Address: City: State: Zip Code: Phone & Type: ❑ Office O Mobile Email: Contact/Rep. Name: Phone: Email: Plumbin Contractor Authorized Si nature Date: 3. Project Description Water Meter Quantity: Water Meter Size: Address: -OR- Lot #: _ Block #: _ Subdivision: Check one: ❑ Single-family Residence ❑ Multi -family Residence []Commercial Check one: ❑ New Construction* ❑ Remodel ❑ Addition ❑ Basement Finish Description of work: New Commercial Work; Contracted amount: $ Calculated Fee (See Below): $ ❑ Up to $10,000 = (total cost of system x.02) + $60 ❑ $10,0014100,000 = ((total cost of system -10,000) x.01) + $260 ❑ Over $100,001= ((total cost of system -100,000) x.005) + $1,160 New Single -Family Residential Work: Sq. Ft. ❑ Up to 1,500 Sq. Ft. = $130 ❑ 1,501-2,500 Sq. Ft = $195 ❑ 2,501-3,500 Sq. Ft. = $260 ❑ 3,501-4,500 Sq. Ft = $325 ❑ Over 4,500 Sq. Ft = $325+(65 x # of additional 1,000 Sq. Ft. (or portion thereof)) $ New Multi -Family Residential: ❑ Duplex= $260 ❑ Three or more units= $((130 x # of buildings)+(65 x # of units))$_ ❑ Gray Water Systems= $130 ❑ Lawn Sprinklers/Backflow device= $65 []Multipurpose Fire Sprinkler & Domestic Water Supply System = $65 or $4 per s rinld r head (whichever is greater New work on any other residence and Detached Shops: = 65 for sewer and water stub connections Miscellaneous: ❑ Sewer Line = $65 O Water Line = $65 ❑Sewer and Water Line= $65 - Requested inspection= $65 ❑ Sewer Turnaround (septic to city) = $65 ❑ Hydronic Heating= $65 + ($10 x # of manifolds/zones) ❑ Technical Service= $65/hour []Plan Check =10% of Contracted Amount APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty ofpedury, I hereby certify that l have read this application and smm that the information herein is correct and I swear that any information which may hereafter be given by mein 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 ofthis application and hereby authorized representatives ofthe City to enter upon the above-mentioned property for mspscdam purposes. NOTE: The building official may revoke a permiton approval issued under the provisions ofthe 2012 International Code in cases ofany false statement or misrepresentation offact in the application or on the plans on which the permit or approval was based. Permit voidifnot startedwithin 180 days. Permit void ifwork stops for 180 days. Applicant's Name (print): Signature: Date: Inspections must be called in before 8 AM on the day the inspection is requested. Inspection requests called in after AM wilf be scheduled for the next business day. Inspection Hotline -(208)372.2344 www.rexburg.org Permit Technician -(208)372.2341 Revised March, 2016 CITY OF o REXBURG tw Americds Family Community Building Safety Department City of Rexburg 35 North 1St East Rexburg, Idaho 83440 Subcontractor List Excavation & Earthwork: Concrete: Masonry: Roofing: Insulation: Drywall: Painting: Floor Coverings: Plumbing: Heating: Electrical: Special Construction (Manufacturer or Supplier) Roof Trusses: Floor/Ceiling Joists: _ Siding/Exterior Trim: Other: Inspection Hotline -(208)372.2344 w .rexhurg.org Permit Technician -(208)372.2341 Revised March, 2016