HomeMy WebLinkAboutCO - BP - APPLICATION - 12-00180 - 110 W 4th S - Shake Out RemodelF „
r Certificate of Occupancy
P; UR City of Rexburg
8,,««a Irrn!),cor, ,ntry Department of Community Development
35 N. 1st E. /Rexburg, ID. 83440
Phone (208) 359-3020 / Fax (208) 359-3022
Building Permit No: 12 00180
Applicable Edition of Code:International Building Code 2009
Site Address: 110 W 4th S
Use and Occupancy: Shake Out
Type of Construction: Type V, non-rated
Design Occupant Load: 49
Sprinkler System Required:No
Name and Address of Owner:
Contractor: Cw Custom Building, LIc
Special Conditions:
Occupancy:Assembly -Food and/or drink consumption
This Certificate, issued pursuant to the requirements of Section 109 of the International BuildingCode, certifies that, at the time of issuance, this building or that portion of the building that wasinspectedonthedatelistedwasfoundtobeincompliancewiththerequirementsofthecodefor
the group and division of occupancy and the use for which the proposed occupancy wasclassified.
Date C.O. Issued: 2
9
C.O Issued by:
Building Official
There shall be no further change in the existing occupancy classification of the building nor shall any structural changes,
modifications or additions be made to the building or any portion thereof until the Building Official has reviewed andapprovedsaidfuturechanges.
Plumbing Inspector: - / Fire Inspector: Ili.. I=...
Electrical Inspector: t
P8Z Administrator ' _.ro_
1
cn
I 'O "tiC ...A
1,_
wm o
m -4 mrntoc .., C
MOM c TJ KX3 r ;0 n v m
c fn r S
o
x - 0 m p m 0
op
MI z 0
a, -
w
Z f!) 'Z to
o
0 0Zflt -I > Z C b tG u, w -1 *G` ..i tD
cca.row n No 0' 5.
0.,5 0 co 0 — al .. n 0 ' a m t., 1
o S..2 §.v;u n 3 O a s $
T
c N c _, 'O 13 O n CnO j
4_° D 0 o
c 8 m. 0 4 O O cn c 3
a CO F....' 0. CD C -Q7
a °'m. N Z 0. a 0 Ca.
c 3 m Z St to ce.9,.' O (Ea'
w ? .4 p aa1a
m 17
CO
tJf1CODti'iy_ '
Z M
m 7 O
n *0
n p 0-
1:::::: itallit tell111111%fti
0 O
XI 1)041411od u 3Z p < 0
co o m A) a
0, r Cmcon m d
o xi
v
O ... z M Tftlinii,„Gr'(14onZtnconCe
ywmmxmo
SSGvs.mZ7
a 0)30? Z a C O'*
Qm rn O O CDoo • ; 0° c,
1
co D m ui e w n,( r'm a. .v rn yi w I n Z
co)
o63m
70 EC w e °c FI I 0 mIm' iis 3 ° ci nc -I 3 a c s IoI I mI 1 m1mI 5- a1 _` 3I4/ g 7 C ! rt.I fC 40 — .n.. o m A I d I n xI
DZA c.0 c i iii iM-+.m 11 t'' s 0 A f i Z
3
rzC rNV.w ? v "! gI it ai m i
1> V .. a H Z ? i I - i 1
b 1- I °
fA
M 3 .m 0 O CD ce D i D IoZiv
m
ko
V p . p O
a
t^
ter"
r C I T Y OF .
Please Complel! he Entire Application!
t
J URG If the question does not apply fill in NA for non applicable
Alger; ia.r{"atratid9"(ommu my
RESIDENTIAL BUILDING PERMIT APPLICATION
35 N 1 ' I?, 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 Ateg,J lee 4 AI ro1 J LtkLAeif9 C',ON'1'AC I PE-ION E. # a93-522-1
I PROPERTY ADDRESS: V i +/v ci [ r
PHONE #: Home XQ3—S2Zf Work ( ) Cell ( )
OWNER MAILING ADDRESS: /03 I4r05ot '' S. CITY:i AI 71-4 115 STAT O ZIP:N33 O/
EMAIL w,e fa if m CrACL I e o i 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.)
APPLICAN"I' INFORMATION: ADDRESS CITY:
STATE; ZIP EIAII. FAX
PHONE #: Home ( ) Work ( ) Cell ( )
CONTRACTOR: C4 lc.r a cJ
MAILING ADDRESS:CITY 61," STATE/I ZIP 8'31/90
PI ZONE#: Home ( ) Work ( ) Cell ( ) 399®- U//$O
EMAIL FAX IDAHO REGISTRATION # & EXP. DATE. /ZC6 '2Z/O
I Iow many buildings are located on this property%
Did you recently purchase this property? No Yes(If yes,list previous owner's name) L-LRS
Is this a lot split? NO YES (Please bring copy of new legal description of property)
PROPOSED USF:
i.e.,Single Family Residence,Multi Family,"Apartments,Remodel,Garage,Commercial,.Addition,Etc.)
1PPLICANTS SI(NA'I1.1RE,C1:R'flI:ICA*1'1ON AND;A1..I'll It RIZA l'IC)N: Under penalty of perjury,t 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. 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: "l'he 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 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.
4/
Signature of Owner/Applicant DATE
WARNING-BUILDING PERMIT MUST BE POSTED ON CONSTRUCTION SITE!
Plan fees arc non-refundable and arc paid in full at the time of application beginning January I.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** **Building Permits are void if your check does not clear** 2
Bulling Safety Departme L1,. R
dx
CITY of
City of Rexburg '. "° REXBURG35N. 1st E.,Rexburg,Id 83440 f ia
yt / -----cam-
Phone— (208)359-3020/Hotline— (208)372-2344/Fax— (208)359-3022 America's Family CommunityYYY
OWNER'S NAME h& Obtl
PROPERTY ADDRESS h p `{/- //1413 Permit# 0 661g°
SUBDIVISION
PHASE LOT BLOCK Approved for temporary power
Approved for permanent power
Required!!! ELECTRICAL
Electrical Contractor's Name C-61)--Ai 8_9(410119 i Business Name El iC Q)4 El&:, ri L
Address I8%95I.tJe;-+- 5-57 cris- City 1`eXib Tr, State ,L)
Cl
Zip 0a'0
Cell Phone OA) .g 1e0---76CYZ Business Phone ( )
Fax ( ) Email
COMMERCIAL/INDUSTRIAL) Total cost of electrical system (Contracted Amount) $J( (JZi-
Includes the cost ofmaterials installed regardless oftheparty supplying it. Thefees listed under this inspection type shallapply to any and all electrical installations
not specifically mentioned elsewhere on thisform).
Id 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 = $
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 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,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 0$95—26 to 200HP o$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' tended for human habitation which may reasonably be utilised for sleeping,eating,cooking,
bathing,w ' g,recreation and urposes. An unfinished basement is considered part of the living space./
Sghat o icensed License number&exp.date Date
aEXeVeof -- z CITY OF
Building Safety Department 6;1a!+:' REXBURG
35 N. 1st E. Rexburg, d 83440 City of Rexburg r,7?
g America's Family Community
Phone— (208)359-3020 /Hotline— (2081372-2344/Fax— (208)359-3022
OWNER'S NAME 5 ,4e Oof"
PROPERTY ADDRESS Permit#
Water Meter Quantity:Water Meter Size:
Required!!! Plumbing
Plumbing Contractor's Name J'l ikGle W o l-t" Business Name ) r/ l U0,- t'1
Address a ZOIK 6 City a'(..4 State Zip lir
Cell Phone ACYCe e )i 3 Business Phone (
Fax ( ) Email -i—ve^t-k /(o 6g .A /E C
COMMERCIAL/INDUSTRIAL) Total cost of plumbing system (Contracted Amount) $
Includes the cost ofmaterials installed regardless oftheparty supplying it. Thefees listed under this inspection type shallapply to any and allplumbing installations
not specifically mentioned elsewhere on thisform).
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 FamilyDwelling,including all buildings with wiring being constructed on eachproperty. (*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-FamilyDwelling(Contractors Only)
Duplex Apartment$260
Three or more multi-family units: $130 per building plus$65 per unit: ($130 x# ofbuildings) + ($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))
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 0$38 Water Line 0$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.
G- lZ5 5 2
algir e o tensed Contractor License number&Exp.date Date