HomeMy WebLinkAboutAPPLICATION 16-00493 - 255 Jefferson Dr - SFR Basement FinishoE°p ep"4 CITY OF Building Safety Department
„ a REXBURG City of Rexburg
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35 North lot East
Arr¢ncaS rmnfly Community Rexburg, Idaho 83440
BUILDING APPLICATION
Single Family Residence
For Office Use Digital Plans Included: D CD D USB O Dropbox ❑:Not Included
Permit Number: Permit Type: ❑New ❑Remodel DAddition OBasement Finish
DepositAmount:. 0 $500 New Const: ❑ $100 Other than New Const .Deposit Included with Application: Dyes ONO
1. Property Oftener
Name: Mr- & Mrs. Sam Simmons
Address: 255 Jefferson Drive City: Rexburg State: ID Zip Code: 83440
Phone &Type: (703) 929-1941. D Office ® Mobile Email: ssimmons@eereed.com
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) n No, I am a contractor working for the homeowner.
N07E:Anymntramp/suMmnttaauminvolvedwUsiu edmsubmittheiravmsgnedappbutiom.
2. Applicant
Name: - Role: (Owner, Tenant- Contractor, etc)
Address:_ City: State: Zip Code:
Phone &Type: D Office D Mobile Email:
Contact/Rep. Name: _ Phone: Email:
1 General Contractor
Name: Registration #: Exp.:
Address:. city: State: Zip Code: _
Phone 9, Type: D Office ❑ Mobile Email:
Contact/Rep. Name: Phone: Email:
Goneral Contractor Authorized' Signature; _ Date:
4. Project Description
Address:255 Jefferson Drive Rexburg, ID 3440 -OR- Lot #:_ Block #:_Subdivision:
Type of work:.
Check one: ❑New Construction ❑Remodel* DAddition* 19 Basement Finish*
*Check all that apply: ® Framing ® Mechanical ® Plumbing ®Electrical.
NOTE: Any sub-mntracum involved will need to submit their own signed applications.
*Description ofwork Framing, pinmbinF electrical dilmli mint and carpP�ng bacment
*Total cost of project -materials and labor: $8.000 (used to calculate permit fees)
Building Total: 2800 sq. ft Main: 2000 sq, ft Basement: D Finished ®Unfinished 800 _ sq. ft.
Garage 700 - sq. ft Additional Floors: - sq. ft
APPLICANTS SIGNATURE, CERTIFICATION ANDAUTHORI2ATION: Under penalty nfperjuty. I hereby certRy that have read this application and state that the infommtianhmein
is carred and 1 swa.1mat any infonnadonwhich mayhereafterbe given by mein hearings before the Plmming and Zmdag Commission or the City Council far rhe MY& Rexburg
shallbe trvti feland correct. I agree to complywith all City regulations and Sate laws relating m the subject mmterofthis application and hereby authorized representatives of the
Cltymemerupontheabow-mendonedpmperryf*rinspec ompurposes. NOTE: Thebuthhngot9cUlmayrevokeapermltonappmvalissuedunderthepmvisiamoftbe2012
Intematiooel Code in cares ofany false statement or misrepresentation offzct in the application or on the plans on which the permit or approval was based. Permitvoidifnor
started witMn rBO days. Peremouldifsvorksmp, for 180 days.
Applicant's Name (print): Marissa Simmons Signature:I I INJViA t,3 I W W4 Date: 7/7/2016
Inspections menthe ca0edin before 8 AM on thedaythe inspection is requested. Inspection requests called in aher8 AM will be scheduled fartheneztbusiness day.
Inspection Hodine-(208)372.23" www.rnxhur&otg Permit Technician -(208)372.2341 Revised Mmch,2016
CITY OF
REXBURG
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Amei & R+mE( Cammunity
Building Safety Department
City of Rexburg
35 North 1st East
Rexburg, Idaho 83440
EXEMPTIONS FROM STATE REGISTRATION
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 summarization of Idaho Code Title 54 Chapter 5205, for full definitions of these exemptions please
see the State's website atwww.ibol.idaho.g(iv/cont.htm)
❑ Currently State licensed pursuant to Title 54 Idaho Code, Chapters:
.aArchitects,
10 Electrical Contractors/Journeyman,
12 Engineers/Surveyors,
12 Public Works Contractors (exempt from fee only registration required),
26 Plumbing/Plumbers,
AS 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 project or 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
Marissa Simmons
Print Name
knowledge.
Impecdon Hodine-(208)372.2344 %~.mburg.org PermItTechnidan-(208)372.2341 ge . Mamh,2016
n4pcxe0Rc
F� 4 CITY OF
REXBURG
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Amsdrai Family Community
Permit Policies Acknowledgement
Building Safety Department
City of Rexburg
35 Northlst East
Rexburg, Idaho 83440
The City of Rexburg Building Safety Department is determined to provide excellent customer service. to an effort to help you
understand the City of Rexburg Permit Policies, listed below are several policies which. you are required to know pilot to
proceeding with your project
Any construction within the City of Rexburg which requires a permit sball 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
Ian Is 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.
E
o Ifa building is occupied withoutreceiving a signed Certificate of Occupancy, cirations will be issued and the
Ioccupants will be evicted.
na
Calling in inspections is the responsibility of Phe 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
In',�;ajs 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.
IE
o
Even if you hear from an inspector that'you're good to go', ultimately ifyou do not have a Building Permit or
Certificate of Occupancy, the above policies will be enforced.
It is your responsibility to relay this information on to anyol
Allsub-contractorswill be held to this standard with no exe
E
o The above policies will be enforced to all, regardle:
Applicant's Name (print): Marissa Simmons Signature:
mspecronsmust be called In before a Mon the day the insp Alun is requestedAnspectlon requestscalled In aftere AM%i8 be scheduled for the nextbadne%day.
Inspection Hotline -(208)3722344 w ,erburg.org PermltTechnician-(209)372.2341 Revised March, 2016