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Home My WebLink AboutALL DOCS - 14-00535 - 369 W 3rd S - DuplexBuilc 35N WE Rexburg, ID 83440 ig Safety Department City of Rexburg Phone: 208.372.2326 www.rexburg.org Fax: 208.359.3022 C I'I'1' p p RExB RG Anurica's Fmnily Cannnmity Office Hours: Monday -Friday 8:OOam-4:OOpm Single Family Residential Pre -Construction Checklist Seismic Design Category — D Ground Snow — 50 lbs. per sq. ft. Frost Depth — 36" Roof Snow Load — 35 lbs. per sq. ft. Wind Load — 90 MPH The following items should be completed be oreyou submayour building permit application. Completion of Building Permit Application: You may print this application from our website www.rexburg.or or pickup a copy at the City Hall Annex Building (address above). For Residential Permits; (the following is requited to be submitted before the Application can be approved) ❑ 2 sets. of site plans and 2 sets of building plans (must be drawn to scale) -Plans must include foundation plan, floor joist layout, floor plan, roof layout, sectional views, front, back, and side elevations, mechanical layout, stair details and any details required to illustrate special construction. ❑ Energy Compliance Report: The State of Idaho has adopted the International Energy Conservation Code (IECC). A Compliance Review must be completed and submitted (the rescheck software is available online at www.energycodes.Mv). ❑ Page 2 of the Application must include the Idaho Contractor's Registration Number or the exemption form must be completed and signed, see Page 10. ❑ Page 5 of the Application must be completed and signed by your Plumber. ❑ Page 6 of the Application must be completed and signed by your Mechanical Contractor. ❑ Page 8 of the Application must be completed and signed by your Electrician. ❑ Home owners: please complete page 6 of the application if you will be doing your own electrical work. ❑ Truss details including engineered floor joists are required. ❑ Property Line form needs to be signed by the builder or owner, see Page 4. 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 is available from the Planning & Zoning Department at the Annex Building located at 19 East Main. New Residential Homes If your building permit is for a new home, you will need the parcel number (a parcel number is the county's properly identification which recogni.Zes a plot of lan� and anew physical address will be issued. If you do not know the parcel number and cannot find a record of it, please bring the name of the subdivision, phase, and the lot and block numbers. The correct location is vital to assure correct addressin . Remodels If you are considering a remodel, a gnpy of the bid or estimate for the remodel must be submitted with the Permit Application. • 2 sets of Plans are required (may need IECC Review). • Additions are the same requirements as new construction. CITY O F REXBURC CW Areerira's Family Canna(nily 7P,Iea'scu Comple. Rhe Entire Application! fthqestion does not apply fill in NA for non applicable RESIDENTIAL BUILDING PERMIT APPLICATION 35 N 1't E, REXBURG, ID 83440 208-372-2326 PARCEL NUMBER: (We will provide this for you) SUBDIVISION: UNIT# BLOCK# LOT# (Addressing is based on the information - must be accurate) Dwelling Units: Parcel Acres: OWNER NAME: CONTACT PHONE #75' o _- PROPERTY ADDRESS: S I Xbu i 4 v PHONE #: Home ( ) Work ( ) Cell (201- 7011` YO(o I OWNER MAILING ADDRESS:_ �M#F 00 TATE: (0 ZIP: C-7VIYO EMAIL Gy i l i 5 h 5h (,(i r L� cl r� FAX APPLICANT (If other than owner) (Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.) APPLICANT INFORMATION: ADDRESS CITY: STATE; ZIP EMAIL FAX PHONE #: Home ( ) Work ( ) Cell ( ) CONTRACTOR: MAILING ADDRESS: CITY STATE ZIP PHONE #: Home ( Work ( Cell ( EMAIL FAX IDAHO REGISTRATION # & EXP. DA many buildings are located on Did you recently purchase this property? No Yes (If yes, list previous owner's name)- Is this a lot split? ® YES (Please bring copy of new legal description of property) PROPOSED USE: 6w(n di to 4-- h( (i.e., Single Family Residence, Multi Fami Garage, Commercial, Addition, Etc.) 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 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 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 of the 2003 International Code in cases of any false statement or misrepresentation of fact in the applicatipn 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 wn-O er/Applicant " J �v V DTE WARNING — BUILDING PERMIT MUST BE POSTED ON CONSTRUCTION SITE! Plan fees are non-refundable and are paid in full at the time of application beginning lanua 1 2005 City of Rexburg's Acceptance of the plan review fee does not constitute plan approval **Building Permit Fees are due at time of application's' +*Building Permits are void if your check does not clear** 2 Built 35 N I'I E Rexburg, ID 83440 ng Safety Department City of Rexburg Phone: 208.372.2326 www.rexburg.org Fox: 208.359.3022 Affidavit of Legal Interest c1 -1,Y p A REXBURG Fm.d)y Ca......,dty State of Idaho County of Madison I, 13V3 lnz,t,,�;L plf- Name Address City — State Being first duly sworn upon oath, depose and say: (If Applicant is also Owner of Record, skip to B) 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 liabilityresulting 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 2 4 day of /V V Zp signature Subscribed and sworn to before me the day and year first above written. Notary Public of Idaho Residing at: My commission expires: BuN ing Safety Departmei ii City of Rexburg 35 N W E Phone: 208.372.2326 Rexburg, ID 83440 www.rexburg.org fox: 208.359.3022 Property Lines C I'I'Y OF REXBURG OW ;lniedr(8 minify Cmnnwnity 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 S make- W �(1;5 Printed Name Date Owner or ❑ Builder 0 Building Safety Department City of Rexburg 35N PIE Phone: 208.372.2326 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3022 C I 'I' V 0 F REXBURG Cw A medrds Family Commrani(} Remodeling Your Building/Home (need total constructions estimate, excluding fire, electrical, plumbing, and Mechanical valuations) $ S 0 da Residential SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area Z L 5�- Unfinished Basement area Second floor/loft area Finished basement area �_ ZS Third floor/loft area Garage area � nl & ae-) P z Shed or Barn Carport/Deck (30" above grade)Area Commercial Construction Type: Occupancy Type: SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) New Construction sq. ft. Commercial Remodel sq. ft. Commercial Addition sq. ft. Utility, Misc. Private Garage sq. ft. Storage sq. ft. Multi-Family/Single Student Housing sq. ft. per unit Manager Unit sq. ft. 35 N. 11' E., Rexburg, Id 83440 nt., - — [W)M co Iron t rr_a: OWNER'S NAME PROPERTY ADDRESS Water Meter Quantity: Requiredfhf Plumbing Contractor's Name Cell Phone ( Fax ( ) _ Buii ing Safety Department City of Rexburg Permit# **************Water Meter Size: Plumbing Phone ( Name c I r Y OF REXBURG sw Amerieai konily Corummnoy (COMMERCIAL/INDUSTRIAL) Total cost of plumbing system (Contracted Amount) $ (Includes the cost of matena!s installed regardless of the party supplying it. The jeer listed under this in. per ion type shall apply to any and all plumbing installations not spedfually mentioned elsewhere on this form). Cl Up to $10,000 (total cost of system x 0.02) + 60 = $ ❑ Between $10,001- $100,000 ( (total cost of system —10 000) x 0.01) + $260 = $ ❑ Over $100,001 ( (total cost of system -100.000) x 0.005) + $1,160 = $ RESIDENTIAL New. Single Family Dwelling, including all buildings with wiring being constructed on each property. (*Based on living space, see definition below) ❑ Up to 1,500 sq ft - $130 ❑ 1,501 to 2,500 sq ft - $195 ❑ 2,501 to 3,500 sq ft - $260 ❑ 3,501 to 4,500 sq ft - $325 ❑ Over 4,500 sq ft $325 plus $65 for each additional 1,000 sq ft. or portion thereof ($325 + ($65 x # of additional 1 000 sq ft or portion thereof]). New; Multi -Family Dwelling (Contractors Only) ❑ Duplex Apartment $260 ❑ Three or more multi -family units: $130 per building plus $65 per unit: ($130 x # of buildings,) + ($65 x # of units) ❑ Existing Residence, and Detached Shop: $65 fee plus $10 per fixture up to the maximum of the corresponding sq. ft. of the building ($65 + ($10 x # of fixtures)) Cl Gray Water Systems: $130 ❑ Lawn Sprinklers/Backflow Device: $65 ❑ Modular, Manufactured or Mobile Homes: $65 for sewer and water stub connections ❑ Multipurpose Fire Sprinkler and Domestic Water Supply System: $65 fee or $4 per sprinkler head, whichever is greater Sewer & Water ❑ $38 Sewer Line ❑$38 Water Line ❑$65 Sewer & Water- if inspected at the same time ❑ $65 Sewer turnaround under house (change from septic to city) MISCELLANEOUS ❑ Plan Check: $65 per hour ❑ Technical Service: $65 per hour ❑ Gas Line: $65 ❑ Water Heater Replacement: $65 ❑ Requested Inspection: $65 ❑ Hydronic Heating: $65 + ($10 x # of manifolds/zones) *Living Space — space within a dwelling unit intended for human habitation which may reasonably be utilized for sleeping, eating, cooking, bathing, washing, recreation, and sanitation purposes. An unfinished basement is considered part of the living space. of Licensed Contractor License number & Exp. date Date Building Safety Department City of Rexburg 35 N Pt E Phone: 208.372.2326 Rexburg, ID 83440 www.rexburg.org Fox: 208.359.3022 SUBCONTRACTOR LIST Excavation & Floor Special Construction (Manufacturer or Supplier) Roof Siding/Exterior C IT Y OF REXBURG _... nv Americas Family Connuunity 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, 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 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 r p op ---y ❑ 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 Print Name and correct to the best of my knowledge. — G& — 0-0 / Date 10 ! m ) kk , fig, z 2 7 { U E! RLL.{\§! o%! \ �_ LO/{� Z(= oZ § /¥ ƒ�E 2 0 \ z � W U. \ \/ �\! =o� w�/ / ■ F— C4 m@Q E E x - ` § §/ / $ _ k\/ / LM{\ §2\ \ M { a/ \ Pzu _ will «e@ca af- > z - - =§ §§\2 O _ b � \0 U) LL , ;_ f�{/ / - �?! co �� \ _ S 2) 7 ° $ - _ : ( e m 0. / k \ / u 0(D ® I - -\ �o� 2 o m k _ (/§] ) E \ \ § / .. - \\!{f k 0 k _ - 2 v k $�" Q$ u $( o m 2 $ ® @ ;:a c e m e 2 » (0 ., 0. / ; ^ ° c . § /;A > U)% 7 U o � 2 § {){ / 0 LL « 0 \{ % ! INSPECTION TICKET ❑ Bldg. ❑ Plumb. �0 Elect. ❑ Mech. ❑ Fre Inspection Request: Recd By l Date Req. By "tAl/kI, - €Qe h,{V c Phone No. 1 I to - ci9al (, Project 3 0 (.(1. 3 rd S Permit No. I Y Gd 53 5 Address b`l Cil t� . ;;`-j S . Inspection Type Day /Time Req. O LE4-d-L±), Inspector's Report Res. ❑ Comm. I INSPECTED ITEMS CONFORM TO APPROVED DWGS ❑Y CIN ❑ N/A INSPECTOR'S ACTION APPROVED ❑ DISAPPROVED ❑ FINAL ❑ C.O. (FINAL) ❑ NOT APPLICABLE ❑ DID NOT INSPECT ACTION REQUIRED: I F -FIR -0003 Submit byE-mailBuilaing Safety Department 35 N. 1 I E, Rexburg, Id 83440 City of Rexburg Phone — (208)359-3020 / Hotline — (208)372-2344 / Fax — (208)359-3022 OWNER'S NAME PROPERTYADDRESS 31Q�1 IA[, 3' s . Pexrttit# /�'ODCJ3� SUBDIVISION PHASE Required!!! LOT. BLOCK ELECTRICAL c ITY OF REXBURG nW A mnlwk Family Community ❑ Approved for temporary power ❑ Approved for permanent power Electrical Contractor's Name �, CS Business Name Jl�J Address a7 2N,'14Z 0)" City _State Lot- Zip�d Cell Phone 3/3 -ZA Business Phone Fax (COMMERCIAL/INDUSTRIAL) Total cost of electrical system (Contracted Amount) $ (Includes the cost of materials installed mgardlers of the party supplying it The fees listed under this inspection type shall apply to any and all electrical installations not speeifzcaly mentioned elsewhere on this farm). ❑ Up to $10,000 (total cost of system x 0.02) + 60 = $ ❑❑ Between $10,001- $100,000 ( (total cost of t sysem=000_,10.) x 0.01) + $260 = $ Over $100,001 ( (total cost of system — 100.000) x 0.005) + $1,160 = $ Small Works (Contractors ONLY): $10 fee for work not exceeding $200 in cost and not involving a change in service connections. Does NOT require inspection. RESIDENTIAL New: Single Family Dwelling, including all buildings witb wiring being constructed on each property. ( Based on living space, see definition below) ❑ Up to 1,500 sq ft - $130 ❑ 1,501 to 2,500 sq ft - $195 ❑ 2,501 to 3,500 sq ft - $260 ❑ 3,501 to 4,500 sq ft - $325 ❑ Over 4,500 sq ft $325 plus $65 for each additional 1,000 sq ft. or portion thereof ($325 + ($65 x # of additional 1000 sq ft or portion thereofl). New: Multi -Family Dwelling (Contractors Only) ❑ Duplex Apartment $260 ❑ Three or more multi -family touts: $130 per building plus $65 per unit: ($130 x # of buildings) + 565 x # of units) ❑ Existing Residence, Modular, Manufactured of Mobile Homes, and Detached Shop: $65 fee plus $10 per branch circuit, up to the maximum of the corresponding sq. ft. of the building ($65 + ($10 x # branch circuits)) ❑ Central Heating/Cooling Systems: $65 When NOT part of new residential or HVAC permit with no additional Wiring ❑ Spas, Hot Tubs, and Swimming Pools: $65 fee for each trip to inspect Pumps -Water, Irrigation, Sewage (each motor) ❑ $65 up to 25HP 12$95 — 26 to 200HP 0$130 over 200 HP MISCELLANEOUS ❑ Temporary Construction Services ONLY: 200 amp or less, one location (for a period not to exceed 1 year) - $65 ❑ Temporary Amusement: $65 fee plus $10 per ride, concession or generator ❑ Irrigation Machine: $65 for center pivot plus $10 per tower of drive motor ❑ Technical Service: $65 per hour ❑ Plan Check: $65 per hour ❑ Requested Inspection: $65 *Living Space — space within a dwelling unit intended for human habitation which may reasonably be utilized for sleeping, eating, cooking, bathing, washing, recreation, rJ'ec/reeaa�tion, a d nitation purposes. An unfinished basement is considered part of the living space. Signature of Licensed Contractor License number & exp. date Date JJ IN 1" C Rexburg, ID 83440 www.rexburg.org Phone: 208.359.3020 Fax: Building Safety Department City of Rexburg Hotline: 208.372.2344 or Text: inspections@rexburg.c PROPERTY ADDRESS -�LR W SUBDIVISION AroQ we.xnu94:, C I '1' Y O Y REXBURG Anrer/rn4 fNnaly C'nrnnurnln• Permit# /y -Lo 5735 PHASE LU"1' BLOCK Reguiredlll K 11 p" Plumbing ) Plumbing Contractor's Name I C)C- Business Name _Qf l Ct— c9 Wrr g Address t y�� //� 9'�5� r . City State X16 Zip �tS i°YZI Cell Phone 'Y96/ Business Phone qq l Fax Email A)i(ft_ Dcli3 /�»t COuil (COMMERCIAL/INDUSTRIAL) Total cost of plumbing system (Contracted Amount) $ (Includes the ost of materials installed regardless of The party supplying it. The jeer fisted under this inspection type sball appy to any and all plumbing installations not speaficaly mentioned elsewhere on tbis form). ❑ Up to $10,000 (total cost of system x 0.02) + 60 = $ Cl Between $10,001- $100,000 ( (total cost of system —10 000) x 0.01) + $260 = $ ❑ Over $100,001 ( (total cost of system -100 000) x 0.005) + $1,160 = $ RESIDENTIAL New. Single Famil7Dwelling, including all buildings with wiring being constructed on each property. (*Based on living space, see definition below) ❑ Up to 1,500 sq ft - $130 ❑ 1,501 to 2,500 sq ft - $195 ❑ 2,501 to 3,500 sq ft - $260 ❑ 3,501 to 4,500 sq ft - $325 ❑ Over 4,500 sq ft $325 plus $65 for each additional 1,000 sq ft. or portion thereof ($325 + ($65 x # of additional 1.0Q0 sq ft or portion thereof)). New: Multi-Farai/y Dwelling (Contractors Only) ❑ Duplex Apartment $260 ❑ Three or more multi -family units: $130 per building plus $65 per unit: ($130 x # of buildings) + ($65 x # of units) ❑ Existing Residence, and Detached Shop: $65 fee plus $10 per fixture up to the maximum of the corresponding sq. ft. of the building (65 + ($10 x # of fixtures Cl Gray Water Systems: $130 ❑ Lawn Sprinklers/Backflow Device: $65 ❑ Modular, Manufactured or Mobile Homes: $65 for sewer and water stub connections ❑ Multipurpose Fire Sprinkler and Domestic Water Supply System: $65 fee or $4 per sprinkler head, whichever is greater Se wet& Warot ❑ $65 Sewer Line ❑$65 Water Line ❑$65 Sewer & Water- if inspected at the same time ❑ $65 Sewer turnaround under house (change from septic to city) MISCELLANEOUS ❑ Plan Check: 10% of Plumbing Permit Fee ❑ Technical Service: $65 per hour ❑ Gas Line: $65 ❑ Water Heater Replacement: $65 ❑ Requested Inspection: $65 ❑ Hydronic Heating: $65 + ($10 x # of manifolds/zones) *Living Space — space within a dwelling unit int nded for human habitation which may reasonably be utilized for sleeping, eating, cooking, bathing, washing, recreation,, nd s 'talion p roses. An unfinished basement is considered part of the living space. Signature of LiKensed Contractor License number & Exp. ate Date 0 C I TY OF REXBURG - Ow - America' Family Community Community Development Department PO Box 280 Rexburg, ID 83440 Date: 11/26/2014 Phone (208)359-3020 1 Fax (208)359-3022 Receipt #: 3447 Inspection Hotline (208)372-2344 Paid By: Blake D. Willis Tender Type: CHECK Reference/ Check # : 3663 Project: 369 W. 3rd S. - Duplex 369 West 3rd South Permit 4: 14-00535 Permit Type: BLD -SFR R -ELECTRIC Residential Electrical Fee 2832213 ELP 80.00 R -FIRE Fire 2035500 FIFDV 88.00 R -MECHANIC Residential Mechanical Fee 2832212 MP 80.00 R -PARKS Parks 3835500 PKIFDV 509.00 R-PLANRVW Residential - Plan Review Fee 2832220 BLPC 23.00 R -PLUMBING Residential Plumbing Fee 2832214 PLBPT 65.00 R -POLICE Police 0735500 PIF 70.00 R -SEWER Sewer 3534730 WWCCON 758.00 R -STREETS Streets 3335500 SIF 819.00 R -WATER Water 3434630 WCCON 316.00 VB-BLDPERM Building Permit - VB Anycode material 2832211 BP 224.00 Please contact the Building Department at (208)372-2341 for further questions about this receipt TOTALPAYMENT AMOUNT 24 Hour Notice for inspections Call inspection hotline at (208)372-2344 **'Credit card payments are accepted. but are subject to a 3% convenience fee on payment amounts over $500**. 1