HomeMy WebLinkAboutAPPLICATION/JOISTS - 18-00270 - 753 S 2275 W - New SFRCITY O F
REXBURG
CW
America's 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.
Submit the Following Documents:
❑ 2 sets of site plans (see Site Plan Checklist)
❑ 2 sets of building plans drawn to scale (see box to right)
❑ 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.
Note: All Plans and Construction must conform to IRC 2012 standards.
❑ Structural Calculations (see box to right) - stamped by a licensed Engineer Seismic Design Category - D
❑ Energy Compliance Report: As per the 2012 IECC, a RESCheck is required Ground Snow - 50 lbs. per sq. ft
(available online at www.energycodes.gov) Roof Snow Load - 351bs. per sq. ft
Wind Load - 90 MPH
❑ Digital Plans (PDF Format - can be submitted by USB, CD, or Dropbox) Frost Depth- 36"
❑ "Copies of any Contractors' State License if not on file already.
Complete the Following Forms:
❑ Site Plan Checklist completed.
❑ Permit Policies Acknowledgment signed.
❑ Property Line form signed by builder.
❑ Building Permit Application signed by a registered General Contractor.
❑ Mechanical Permit Application signed by a registered Mechanical Contractor.
❑ Electrical Permit Application signed by a registered Electrical Contractor.
❑ Plumbing Permit Application signed by a registered Plumbing Contractor.
❑ Subcontractor list completed.
❑ Homeowner's Exemption signed, if Homeowner is doing work on their own home.
❑ Affidavit of Legal Interest signed by owner, if applicant is not working directly with owner.
❑ Notifications Distribution List.
Note: Please check the Rexburg Development Code for any requirements such as property setbacks,
design board approval, etc.
This information is available athttp:./-/rexburg.org/pages/development-code.
Inspection Hotline- (208) 372.2344 www.rexburg.org Permit Technician- (206) 372.2341 Revised 2/2017
CITY OF
REXBURG
CW
Americas Family Community
PERMIT POLICIES ACKNOWLEDGMENT
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, thele 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 Official may remove the red
In ial 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.
ni ars
A Certificate of Occupancy will not be issued without digital copies of the As -Built Plans.
o It is the Applicant's responsibility to turn in digital copies of the As -Built Plans when the project is completed. No
Certificate of Occupancy will be issued without these plans.
InRials
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 Required inspections can be found on the inspection sequence page in this packet. 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 to
Initials 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.
o A verbal approval does not constitute approval of these documents. Ultimately if you do not have a Building Permit or
Certificate of Occupancy, the above policies will be enforced. These documents must be signed by the appropriate
Initis authorities from the City of Rexburg. Any approvals can be verified by calling (208) 372-2341.
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.
o The above policies will be enforced to all, regardless if this information is passed on to them or not,
Init al '
Applicant's Name (print): _ `l Signature: _ Date: -449, D
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.
Inspection Hotline - (208) 372.2344 wtu<v.rexbu g.org Permit Technician - (208) 372.2341 Revised 2/2017
C I TY OF
REXBURG
Cw-
America's 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. This information is available at madison.rexburg.org. If you want to request a copy of
your lot information, contact the Community Development Department.
I have read and understand the above requirements.
Sig at e Dat
Printed Name
Inspection Hotline - (208) 372.2344 www.rexburg.org Permit Technician - (200) 372.2341 Revised 10/2616
CITY OF
,G BUILDING PERMIT FORM
Updated 10/2016 19�fl �
Building Safety Department
City of Rexburg
35 North 1St East
AmzericasFamily Community Rexburg, Idaho 83440
BUILDING PERNH T APPLICATION
New Single Family Residence
For Office Use
Permit Number: Zoning:
Application Fee Paid: ❑ $500
1. Propertywn r
Name:
Address: fW
City: State:_ Zip Code:SL�
Phone: oy 3i— i`l Z ,( Ce
Email: 1j��+�,L�
Under Idaho Building Code, a homeowner is allowed to do work on their own hVine.
Are you a homeowner doing work on your own home?
❑ Yes (Skip to #4 and complete the Homeowner's Exemption)
o, I am working with the homeowner
2. Applic
Name: uP
0.1
Role: (Owner, Tenant, Contractor) etc.)
Address: Alkiv 7o
City: A State: ,XXL Zip Code: _R
Phone:
Email:
Contact/Rep. Name: O_Ul
3. General Contractor // // �
Name: 9`!1 tl.Q.,t�Yy�S
Registration Exp.: !Z 3
Address:
City: State: ;A9_ Zip Code:
Phone: 2b 'S
Email:
Contact/Rep. Name:
Phone, Mo - `Y/2gEmal : Vf , r
General Contractor Authorized Signature.
Date: Jr
A copy ofyour state registration/license is required to beon file. If this is the first ' ne you have done i.vork in the City of Rexburg, Please provide
a photo copy ofyour license. If you are unsure ifyour license is on file, please the with the Permit Technician by calling (208) 372-2341.
4. Project cription
Address- -OR-
Lot #:13 Block Subdivision: 5 /M/'Yll t^�f.��
Project Description:
• Square Feet: Building Total: sq. ft.
# of Water Meters: �_ Water Meter Size:1
o Main Floor: sq. ft.
Fireplace(s) Being Installed? ❑ Yes�
o Additional Floors: /D j1p sq. ft.
Hydronic Heating Being Installed? ❑ Yes�lNo
o Basement:
Finished sq. ft.
/
Building Permit fees for new homes are charged based oil square
Unfinished sq, ft.
footage and the City's estimated valuation. For details on how fees
o Garage �X-Y(e sq. ft.
ore calculated, contact the Building Department. There will also be
• Estimated Total Cost: $ 724 t 6K)�
a plan review Jae totaling 10015 of the building permittee.
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, I hereby certify that i have read this application and state that the information herein is correctand I swear that any
information which may hereafter he given by me in hearings before the Planning and Zoning Commission or the City Council for the City of Rexhurg shall be truthful and correct I agree to comply with all City
regulations and State lacus relating to the subject matter of this application and hereby authorized representatives of the City to enter upon the above-mentioned proper 'nspectmns purposes. NOTE: The
building official may revolve a permit on approval issued under the provisions of the 2012 International Code in cases of any false statement or misrepresentation of f t in th 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.
\41
Applicant's Name (print): 1\ �� �i�) Signature: Date:
Inspections must be called in before 8 AM on the day the inspection is requested. Inspection requests ailed in after 8 AM I be scheduled for the next business day
Inspection Hotline — (208) 372.2344 www.rexburg.org Permit Technician— (208) 372.2341
CITY O P
REXi3URG
Amerlcds Fen1UjContrnuenry
BUILDING PERMIT FORM 13 0
UpdaleJ le/ZOIC
BUILDING APPLICATION
New SFR Plumbing
Building Safety Department
City of Rexburg
35 North 15t East
Rexburg, Idaho 83440
For Office Use
Permit Number: 0 Plumbing Fee Paid.
1. ['roper wile •
Name: 5
Address: eitav,�Jmp 101 City: _State:hCc:
Phone: %�" —� l L-0 Entail' ►C(J�R
lhrder Idaho Building Code, a homeowner is allowed to do work on their own hog.
Arc you a homeowner doing work on your own home?
0 Yes (Skip to #l3 and complete the Homeowner's Exemption)
I am woridng with the homeowner
2, Plumbing C nt1•actoState License
Ue5lic It: rl- P�'C_
Address;%ee)
f
n • ,'cam G%,.' t Y `�� �t _ State; Zip Code: 83 ? 66
Phone: •Z"6 :5-33- % U 6 Email; , l c% �, ti�h 6.15' (P e co
Contact/Rep, Name' -r 0" de Phone: Email;
Plumbing Contractor Authorized Signature: Date; "
A copy ofyour state registratlon/license is required to be on file, if tlils lsil first time you lnnve date work in the City of Rexburg, please provide
a photo copy ofyonr license. lfyou are unsure Ifyonr license is on file, please check with the Permit Tecluntctan by calling (208) 372-2341,
3, Project Description y �J
Address: a • -S L4-) -OR- Lot #; A3Blocic #:qq _L Subdivisio4SL�'1'I 'P_) _
Description of work; A
0 New S1rR Construction: sq, ft.
o
Peesfol. new construction are charged by square footage: Up to 1,500 sq. ft. = $130 + $65 for each additional 1,000 sq. ft. or portion
thereof.
o Up to 1,500 sq. ft. = $'130. Up to 2,500 % ft. = $195. Up to 3,500 sq. ft. = $260. Up to 4,500 sq. f t. = $325, etc. (i.e, a
home w1th 3,675sq. ft. will be charger!$325)
n Hydronic (In -Floor) Heating: 0 Yes%Y, No
o Note that it0ronic heathng is no included is square footage costs and will be charged $65 + ($1 o x # of manifolds/zones).
APPLICANT'S SIGNATURE, CRRTIPICATION AND AUTNORI7,ATION, Under penalty of perjury, Illereby cerlify that I have read this application and state that the information herelit
Is correct and I swear ilia ttiny Information which may hereafter be given by ole in hearings before the Plaanlug and'Loning Commission or ilia City Council for the City of Ituxburg
shall be inuhrul and correct. I agree to comply with all City regulal Ions mild State laws relating to ilia subject matter of tills appl lent ion and hereby authorized roprese0t, Va. of the
City to enter 1111011 the above•nhentioned property for Inspections purposes. NOTE, The bullding official may revoke a permit on approval Issued titter the provislous of the'Ln1 •L
International Code In cases orany false statement or misrepresentation of fact In tho appllcntion or on the plans on which the pernhttor epprovat was hased. Permit void if fiat
starlyd within inn days. Prrndt void If wart stops for 1flo days.
Applicant's Name (print); �`IC"\� 1 _ Signature; Date;
pP - I
Inspections must be called In Before D AM on the day Ilia Inspection is requested. Inspection requests called In after U AM tvIII be scheduled for the next bushhoss day.
Inspection I lotlht0 - (2tlo) 372.2344 wmvxexburg,org Pe call Technician - (208) 372.2311
pRXOUR Building Safety Department
oF�o� �, o CITY OF BUILDING PERMIT FORM 1Z0 City of Rexburg
REXBURG 35 North 1St East
Auiericn'sFamily Gruuumdty Rexburg, Idaho 83440
BUILDING APPLICATION
New SFR Electrical
For OFlice Use O Electrical Fee Paid
Permit Number:
1. PropertyQ�'net•' � � � p�
Name: 1z A � _ 0,7 Ll Q
Addt'ess: � � . \tkt ou)SA-t r --im "-City: State lip Code:
.r
Phone: 2-6 t5� Zt l l4
Emaill�)IP,�rCA,f-#-P lnr•�erh�oS
Under•/dalio 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 43 and complete the Homeowner's Exemption)
�to, I am working with the homeowner
2. Electrical Contractor {
Business: 3t�z rhe_ State License #: aj3Exp.:
y / /(s City; !� ` �— State:. �_ Zip Code: �—
Address:
Phone: (�
2Q1—� —t •- ..._ _ Email:c s.• i �-e- n C3 �—'%
Contact/Rep. Name: APhone: Email:
Electrical Contractor Authorized Signature:
Date.
—
A copy ofyour state registration/license is require be on fue.1f as is the first tune your have done work in the City of Rexburcd, please provide
a photo copy afyour license. Ifyou are unsure 1 our license is on/iie, please check ivith the Permit Technician by caUhlg (208) 372-2341.
3. Project Description _ rape;; , i�
Address: I -OR- Lot #: Block #: Sttbciivision:IYYI
Description ofwol k
I i OC)
❑ New SFR Constructian:.sq. k•
Pees for new construction are charged by square footage: tip to 1,500 sq. ft. = $130 + $65 for each additional 1,000 sq, ft. or
portion thereof.
o Up to 1,500 sq. ft. = $130. Up to 2,500 sq. ft. = $195. Up to 3,500 sq. ft. = $260. Up to 4,500 sq. ft. = $325, etc. (i.e. a
home with 3,675 sq. ft. will be charged $325)
❑ Spas/Pools/Generators: ❑ Yes �(No
• Note tluit silos/pools/generators are not Included in square footage costs and ivill be charged $65 per Inspection.
APPLICANT'S SIGNATURI:,CERTIFICATION AND AUTHORIZATION: Under penally of perjury, I hereby certify that I have read tilis application and state that tile Information herelft
Is correct and I sweet- that any Information which tray hereafter be given by me in hearings before the Planning and ZuningCommissiou or the Clty Cotncll for the City of Rexburg
shall be truthful and correct. 1 agree to comply with all City regulations and State laces relating to the subject matlerof this application and hereby authorized representatives of the
City to enter upon the above-mentioned property for iaspecttmas purposes. NOTE: The building official may revoke a perndt oil approval issued under the provisions of the 2012
International Code lu cases orally false statement or misrepresentation of fact in the application or on the plans on w)dcia the perndt or approval wasbased. I'ernilt void If not
started within loo Clays. Perinit void If work stops for 100 days.
Applicant's Name (print): Signature: Date;
Inspections must be called In before 6 AM oil the day the hnspection Is requested. haspectiun requests called lu after 0 AM will be scbedided t r clitthe ext business day. 41
Inspection Hotlhie- (200) 3%2.2:34.1 %viv%mexburg.org
atxnuR Building Safety Department
CITY OF City of Rexburg
a D
REXB RG BUILING PERMIT FORM 35 North 1St East
., no,ud 1012516 110
L
AnieriuisFamily Cornmunity Rexburg, Idaho 83440
BUILDING APPLICATION
New SFR Mechanical
For Office Use D Mechanical Fee Paid
Permit Number:
1. Propert , Owner
Name:�%� Y
Address: S • City-, State: _Zip Code:
Phone: 2A
Email: Y!1' ill o P IC� rd+' hne rha � �
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)
D No, I am working with the homeowner
2, Mechanical Contractorr -- .- [ +fit )a9
Business: r ick t t_W" #� State License #: % may-- Exp,: / CS
� rr"!'''� o City:-
State: �— "Lip Code: 'X,
Address:
cL�
Phone: t`t `✓- "Z / Em il:= Irl t t z-^-
Contact/Rep. Name:
r Phone: • - �-1, Email: y�c
Mechanical Contractor Authorized Signature:
.�( Dater!
A copy of your state registration/license is required to be on file. if this is th first thneyou have done work
in the City of Rexburg, please provide
a photocopy ofyour license. Ifyou are unsure ifyour license is on fele, please check with the Permit Technician by calling (208) 372-2341.
3. Project Description p�Subdivision;A P
Address: -OR- Lot #: � Block #: _ L_ _
Description of work:
D SFR Construction: sq. ft.
Feesfor new construction are charged by square footage: Up to 1,500 sq. fh = $130 + $65 for each additional 1,000 sq. ft. or
portion thereat
o Up to 1,500 sq. f t. = $130. Up to 2,500 sq. ft. = $195. Up to 3,500 sq. ft. = $260. Up to 4 500 sq. ft. _ $325, etc. (i.e. n
home with 3,675 sq. ft, will be charged 1325)
D Number ofPireplaces. 0-
0
_• Note that fireplaces are not included in square footage casts and will be charged $65 per inspection.
D Hydronic Heating:
• Note that hydro is heating is not included in square footage costs and will be charged and additional $65 + ($10 x ## of
unanifolds/zones)
APPUCANI'SSIGNA`fURE,CERTIFICATIONAND AUTHORIZATION; Under penalty of perjury, 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 tine in hearings before the Planting and Zontng 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 of the City to enter upon theabove-mentioned property for inspections purposes. NOTE: The building official may revoke a permit on approval issued under the
provisions of the 20121 nternational 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. Permit void if not started within 180 days. Permit void if work stops for 180 days.
Applicant's Name (print): Signature: Date:A / I U
inspections must be called in before 8 AAI on tine day the inspection is requested. Inspection requests called in after Ahi will be schedei it it Technician for the nextbusiness day. 41
Inspections Hotline— (208) 372.2344 www.rexburg.org
4exn vp
"��� CITY OF
MMMG
CW -
America's FamilyConutuntity
SUBCONTRACTOR LIST
Excavation & Earthwork:
Building Safety Department
n
Concrete: Uk�a�d C0f\Cy�' I
Masonry: C J � / �i C Co(1 nr' ag "C
Roofing: _
Insulation: 1')� �"r ��Y t ��- ►'�
Drywall:
Painting: PFJ\ C -
Floor Coverings:
Plumbing: 0
Heating:%�i�M�Ji
Electrical:
a (I
Special Construction
(Manufacturer or Supplier)
Roof Trusses: y J gst
Floor/Ceiling Joists: C NNCS,± (-0 C VD
11
Siding/Exterior Trim:
Other:
City of Rexburg
35 North 1St East
Rexburg, Idaho 83440
Inspection Hotline - (208) 372.2344 www,i-exbtirg.org Permit Technician - (208) 372.2341 Revised 10/2016
o 00-00-6Z 00-00-9
00-00-63 '0 00-00`7