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Home My WebLink AboutAPPLICATION - 16-00306 - 593 S Hidden Valley Rd - SFRCITY OF REXBURG rw Americus Family Community Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 SINGLE FAMILY RESIDENTIAL APPLICATION CHECKLIST The following items should be completed before you submit your building permit application. *Reasonable accommodations will be made upon request. Complete the Following: ❑ 2 sets of site plans (see Site Plan Checklist on page 2) ZI 2 sets of building plans drawn to scale (see box below) -stamped by a licensed professional ❑ Foundation Plan, Floor Joist Layout, Floor Plan, Roof Layout, Truss Details, Sectional Views, Front, Back, and Side Elevations, Mechanical Layout, Stair Details, and any details required to illustrate special construction.) ❑ Structural Calculations (see box below) -stamped by a licensed Engineer ❑ Energy Compliance Report: Asper the 2012 IECC, a RESCheck is required (available online at www.eriergycodes.gov) ❑ Homeowner's Exemption signed, if Homeowner is doing work on their own home. (see page 4) ❑ Building Permit Application signed by a registered General Contractor. (see page 3) ❑ Mechanical Permit Application signed by a registered Mechanical Contractor. (see page 5) ❑ Electrical Permit Application signed by a registered Electrical Contractor. (see page 6) ❑ Plumbing Permit Application signed by a registered Plumbing Contractor. (see page 7) ❑ Property Line form signed by builder. (see page 8) ❑ Affidavit of Legal Interest signed by owner. (seepage 9) ❑ Subcontractor list filled out (seepage 10) Subdivisions: If you plan to build in a subdivision please check the Rexburg Development Code for any requirements such as, property setbacks, architecture board approval, etc. This information isavailableathttl2://rexburg.org/12ages/development-code. Seismic Design Category- D Ground Snow - 50 lbs. per sq. ft Roof Snow Load - 35 lbs. per sq. ft Wind Load - 90 MPH Frost Depth - 36" Inspection Hotline -(208)372.2344 vmnvrexburg.org Permit Techniclan-(208)372.2341 Revised March, 2016 CITY OF REXBURG America's 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 IniBalt 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. Inhials 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 Applicant's Name (print): Signature: Date: Inspections must be called In before a 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.rexburg.org Permit Technician -(208)372.2341 Revised March, 2016 CITY OF REXBURG Americas 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. ❑ B. 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 (11 1/2 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 w .rexhurg.org Permit Technidan-(208)372.2341 Revised March, 2016 CITY OF REXBURG r� Amc&4 Family Community BUILDING APPLICATION Single Family Residence Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 For Office Use Digital Plans Included: ❑ CD ❑ USE ❑ Dropbox ❑ Not Included Permit Number: Permit Type: []New ❑ Remodel ❑ Addition []Basement Finish Deposit Amount: ❑ $500 New Const 13 $100 Other than New Const Deposit Included with Application: ❑ Yes []No 1. Prope ry0 ner Name: V44710 uk-r" Address: =nFf 5 Citv:�L�. k -2-c- -State: ljZ Zip Code: 3ci ` -Z Phone &Type: 21Of3 �A76 '10(56 ❑ 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 #4 and complete the Homeowner's Exemption) ❑ No, I am a contractor working for the homeowner NOTE: Any contactors/sub-contractors involved will need to submit their oven signed applications. 2. Appli ant Name: - eN�c2� Stt.l cTb-} Role: (Owner, Tenant, Contractor, etc.) Address:_ . D .,+` City: State: Zip Code: Phone &Type: ❑ Office ❑ Mobile Email: Contact/Rep. Name: Phone: Email: 3. General Contractor Name: Registration #: Exp.: Address: City: State: Zip Code: Phone & Type: ❑ Office ❑ Mobile Email: Contact/Rep. Name: Phone: Email: General Contractor Authorized Signature: Date: 4. Project Description Address: OR- Lot #: Block #: Subdivision: Type of work: Check one: M'IJew Construction ❑ Remodel* ❑ Addition* ❑ Basement Finish* *Check all that apply: ❑ Framing ❑ Mechanical ❑ Plumbing ❑ Electrical NOTE: Any sub-cantractoa involved will need to submit their own signed applications. *Description of work: *Total cost of project- materials and labor: $ (used to calculate permit fees) Building Total: f`400 sq. ft. Main: IS[00 sq. ft. Basement: ❑ Finished M L nfimshed sq. ft Garage sq. ft Additional Floors: sq. ft. APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty ofperjury, I hereby cenify that l have read this application and state that the information herein is correct and 1 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 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 ofany fake 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 ifwork stops for 180 days.Q Applicant's Name (print): 2811)0 1.opil;4 Signature: c Date: 7.01.6 Inspections most be called in before 8 AM on the day the inspection is requested. Inspection requests called in after 8 AM vdll be scheduled for the next business day. Inspection Hotline -(208)372.2344 www.rexburgurg Permit Technician -(208)372.2341 Revised March, 2016 CITY OF Building Safety Department o' o REXBURG City of Rexburg tw 35 North 1st East America's Family Community 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 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, U Engineers/Surveyors, 19 Public Works Contractors (exempt from fee only registration required), 26 Plumbing/Plumbers, 43 Public Works Construction Management Licensing Act (exempt from fee only registration required), or U 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 / ereby certify that the above information is true and correct to th best of my knowledge. �ZOO 1 6 Signature Date Print Name Inspection Hotline -(208)372.2344 v .rezburg.org Permit Technician -(208)372.2341 Revised March, 2016 CITY OF REXBURG cw Amer/mi Family community Affidavit of Legal Interest Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 State of Idaho Co of Madison It C 11 � �N I?rl t • tom x `� Name Address City Being first duly sworn upon oath, depose and say: (If Applicant is also Owner of Record, skip to B) State A. That I am the record owner of the property described on the attached, and I 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 sysvw.mxhurg.org Permit Technician -(208)372.2341 Revised March, 2016 CITY OF REXBURG ray Americas 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 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. I have read and understand the above requirements. Signature Printed Name I 'S:' 1A, Date Inspection Hotline -(208)372,2344 w .rexburg.org Permit Technician -(208)372.2341 Revised March, 2016 CITY OF REXBURG 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 ❑ Basement Finish Fees Paid: ❑ Yes ❑ No 1. Prop wner Name: ,p ,,nlL —Aa.I `t Address: �kQ dD t3,tn, rAlm� City: _ C_ State: t \ Zip Code: R --'2,"�O 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: 1 am a contractor working for the homeowner ❑ 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. Mechanical Contractor Name: Registration #: Exp.: Address: City: State: Zip Code: Phone & Type: ❑ Office ❑ Mobile Email: Contact/Rep. Name: Phone: Email: Mechanical Contractor Authorized Signature: Date: 3. Project Description Address: _ _ -OR- Lot #: _ Block #: _ Subdivision: Check one: 'ingle-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 Wort Sq. F ❑ 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. Fc = $325+(65 x # of additional 1,000 Sq. Ft (or portion thereof)) $ New Multi -Family Residential: ❑ Duplex = $260 ❑ Three or more Units= $((130 x# of buildings)+(65 x # of units))$_ 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 ❑ Requested Inspection = $65 ❑ Gas Line = $65 ❑ Fireplace/Solid Fuel Burning Unit= $65 ❑ Technical Service= $65/hour ❑ Plan Check =10% of Contracted Amount APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty ofpeoury, I hereby certify that l have read this application and smte 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 connect. 1 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 permiton approval issued under the provisions ofthe 2012 International Code in rases ofany fake statement or misrepresentation of fact in the application or on the plans on which the permit or approval was based. Permitvoidifnut started within 180 days. Permit volestops for 180 days. Applicant's Name (print): ' �I ( Signature: Date: f k 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. Ins pecdon Hotline -(208)372.2344 www.rexburg.org Permit Technician -(208)372.2341 Revised March, 2016 C I TY OF REXBURG CW Amerfc4 Family Community BUILDING APPLICATION Electrical Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 For Office Use Permit Number: Permit Type: ❑ New ❑ Remodel ❑ Addition ❑ Basement Finish Fees Paid: ❑ Yes ❑ No 1. Proper ner Name: Address: F p Btry, 9 City: State: k2) Zip Code: V3`lLfa Phone & Type: 7DR 13 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/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 Cl Mobile Email: Contact/Rep. Name: Phone: Email: Electrical Contractor Authorized Signature: _ Date: 3. Project Description Address: -OR- Lot #: _ Block #: _ Subdivision: Check one: ❑ Single-family Residence ❑ Multi -family Residence ❑ Commercial Check one: 13 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 Wor'k:. Sq. Ft ❑ Up to 1,500 Sq. Ft. = $130 111<501-2,500 Sq. Ft = $195 ❑ 2,501-3,500 Sq. Ft = $260 ❑ 3,501-4,500 Sq. Ft = $325 Cl 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= $((130 x# of buildings)+(65 x # of units))$ 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. ❑ Central Heating/Cooling Systems= $65 ❑ Spas, Hot Tubs, and Swimming Pools= $65 ❑ Requested Inspection= $65 ❑ Pumps -Water, Irrigation, Sewage (per motor) = O $65 up to 25HP ❑ $95 26- 200HP ❑ $130 over 200HP ❑ Irrigation Machine= $65 for center pivot + $30 per tower of drive motor $ ❑ Technical Service= $65/hour ❑ Temporary Amusement= $65 + $10 per ride, concession, or generator $ ❑ Plan Check =10% of Contracted Amoun ❑ Temporary Construction Services ONLY = 65 200 amp or less. One location for less than 1 ear. AFFUCAN I S senna I'UKE, CEKI'IFI(A'rI0N 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 Comndssion 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 permiton approval issued under the provisions ofthe 2012 International Code in cases ofany fake statement or misrepresentation offact in the application on ans onwhichthe permit or appmval was based. Permit voidifno started within 180 days. Permit void (�w Taj stopsfor 180 da s. Name (print): 1.4e .1.1�� .. trF Signature: _Date: ($ 2--elf— Applicant's 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 forthe next business day. Inspection Hotline -(208)372.2344 www.rexburg.org Permit Technician -(208)372.2341 Revised March, 2016 CITY OF REXBURG rn 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: 0 New 0 Remodel 0 Addition 0 Basement Finish Fees Paid: 0 Yes []No 1. Propr ner Name: I iPya , .®�i�.l.I T -A Address: m >ic llk3 city: State: I Zip Code: 34-L(Z) Phone & Type: 'tA8 3td) 7dcw 0 Office 0 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? 0 Yes (Skip to #3 and complete the Homeowner's Exemption page) 0 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-contractors Involved will need to submit their own signed applications. 2. Plumbing Contractor Name: Registration #: Exp.: Address: City: State: Zip Code: Phone & Type: 0 Office 0 Mobile Email: Contact/Rep. Name: Phone: Email: Plumbing Contractor Authorized Signature: Date: 3. Project Description Water Meter Quantity: Water Meter Size: Address: —-OR. Lot M Block #: Subdivision: Check one: 0 Single-family Residence 0 Multi -family Residence 0 Commercial Check one: 0 New Construction* 0 Remodel 0 Addition 0 Basement Finish Description of work: New Commercial Work: Contracted amount: $ Calculated Fee (See Below): $ 0 Up to $10,000 = (total cost of system x.02) + $60 0 $10,0014100,000 = ((total cost of system -10,000) x.01) + $260 0 Over $100,001= ((total cost of system -100,000) x.005) + $1,160 New Single -Family Residential WorSq. Ft 0 Up to 1,500 Sq. Ft. = $130 B7 501-2,500 Sq. Ft = $195 0 2,501-3,500 Sq. Ft = $260 0 3,501-4,500 Sq. Ft = $325 0 Over 4,500 Sq. FL = $325+(65 x # of additional 1,000 Sq. Ft (or portion thereof)) $ New Multi -Family Residential: []Duplex = $260 0 Three or more units= $((130 x# of buildings)+(65 x # of units))$_ 0 Gray Water Systems= $130 0 Lawn Sprinklers/Backflow device= $65 0 Multipurpose Fire Sprinkler & Domestic Water Supply System = $65 or $4 per sprinkler head whichever isgreater) New work on any other residence and Detached Shops: = $65 for sewer and water stub connections Miscellaneous: 0 Sewer Line = $65 0 Water Line = $65 0 Sewer and Water Line = $65 ORequested inspection = $65 0 Sewer Turnaround (septic to city) = $65 0 Hydronic Heating= $65 + ($10 x # of manifolds/zones) 0 Technical Service = $65/hour 0 Plan Check =10% of Contracted Amount APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty ofpedury, l hereby certifythat I have read this application and scale that he 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 0 t Council for the City of Rexburg shall be truthful and correct. 1 agree to comply with all City regulations and State laws relating to the subject matter ofthis 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 o the 2912 International Cade in cases ofany false statement or misrepresentation offact in the application or orG41lans on which the permit or approval was based. Permit vol If noel started within 180 days. Permit voidfwo stops for 180d� ) f Applicant's Name (print): 'V Signature: _ � � — �� Date:7�1L Inspections most be called in before 8 AM on the day the inspection is requested. Inspection requests called in after AM will be scheduled for the next business day. Ins perd on Hotline -(208)372.2344 www.rexburg.org Permit Technician -(208)372.2341 Revised March, 2016 oe'nq� C I TY OF Building Safety Department a m REXBURG City of Rexburg CW 35 North 1st East Americas Family Community 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 .rexburg.org Permit Technician -(288)372.2341 Revised March, 2016