HomeMy WebLinkAboutAPPLICATION - 17-00496 - 975 Hillview Dr - Remodel & Add KitchenetteC I TY OF
REXB BUILDING PERMIT FORM 4.20
[y, up&al 2t2017
Amerim's Frmify Community
BUILDING APPLICATION
Miscellaneous Electrical Work
Building Safety Department
City of Rexburg
35 North lot East
Rexbure.ldahn R3440
For Office list,.
Permit Number: ❑ Electrical Fees Paid
1. Property Owner
Name: Scott Kidd
Address: 975 Hillview Drive City:Re�rg State: ID Zip Code: 83440
Phone: 208-403-7944; 403-5713 Email: skidd@thebostongroup.us
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?
MYes (Skip to section 4 of this application and complete the Homeowner's Exemption page as well)
❑ No, I am working with the homeowner
2. Electrical Contractor
Under Idaho Building Code, a registered contractor must do the work for a Commercial Building.
Business: State License #: Exp.:
Address: City: State: Zip Code:
Phone: Email:
Contact/Rep. Name: Phone: Email:
Electrical Contractor Authorized Signature: Date:
-
A ropy ofyourstate registration/license is required to be nn file. If this is the first time you have done work in the City of Rexburg, please provide
a photo copy ofyour license. If -you on, unsw e iif your license is on fill; please check with the Permit' Technician bV codling, (2017) 372-2341.
3. Project Description
Address: -OR- Lot #: _ Block #: _ Subdivision:
What type of Property: ❑ Residential ❑ Commercial
Cost of job: $
Description of work:
}. Fees: Check all that apply:
❑ Central Heating/Cooling Systems = $65 ❑ Pumps - Water, Irrigation, Sewage (per motor)
❑ Temporary Electrical Services ONLY = $65 (200 amp o $65 - up to 25HP
or less. One location, for less than 1 year.) o $95 - 26- 200HP
M New Circuits = $(65 + ($10 x # of branch circuits)) o $130 - over 200HP
$ 75.00 ❑ Spas, Hot Tubs, and Swimming Pools = $65
❑ Miscellaneous/Requested Inspection = $65 ❑ Temporary Amusement= $65 + $10 per ride,
Cl Generators = $65 concession, or generator $
❑ Irrigation Machine = $65 for center pivot+ $10 per
tower or drive motor = $ Inspection fees can be bundled upon request. Re-inspectfees will be
enforced (f inspection requests exceed fee totals.
Anhi am M•r•c CIOMATURE
—.-----..... •••-•-•--•11— 11-1 — � — � -- ,.n: mmoe penaoy or perjury,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 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 jaws relating to the subject matter of this application and hereby authorized representatives of the
City toenter upon the above-men[loned property For inspections purposes. NOTE: The building ormial may revo permit on approval Issued under the provisions oFthe 2012
International Code in cases ofany false statement or misrepresentation of face in the a pplicatlonorontheplan hich 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): Scott Kidd -SignatureV&11�K--
Date: 08/15/17
Inspections must be called In before 8 AM on the day the Inspection is requested. Inspection requests called in after SAM will be scheduled For the next business day.
Inspection Hotline -(208)372.2344 www.rexburg.org Permit Technician -(208)372.2341
C I TY OF
REXBURG
------------ nv -----------
America's Fannay Community
HOMEOWNER'S EXEMPTION
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. A homeowner may do work on the owner's
own home. If this applies to you, please sign this form declaring your exemption from registration and return it
with your permit application.
Idaho State Statute allows a homeowner to do work on their own residence:
An owner performing construction on the owner's personal residential real property, whether or not occupied by
the owner, provided however, this exemption shall not apply to an owner who is otherwise regulated by this chapter
who constructs a building, residence or other improvement on the owner's property with the intention and for the
purpose of promptly selling the improved property, unless the owner has continuously occupied the property as the
owner's primary residence for not less than twelve (12) months prior to the sale of such property;
Title 54, Chapter 52, Subsection (2)
1 hereby cer ' that the above informa ion is true and correct to the best of my knowledge.
_ 08/15/2017
Signature Date
_Scott Kidd
Print Name
Permit Technician -(208)372.2341 - www.rexhurgnrg Revised 2/2017