PERMIT NO:  RCOM19-0092
ON-LINE PERMIT
   CITY OF IDAHO FALLS
   308 Constitution Way, ID 83402

INSPECTION REQUEST LINE
(208) 612-8269
OR
SCHEDULE EXISTING INSPECTION
ON-LINE
eTrakit
PERMIT TYPE
  RESIDENTIAL COMBINATION

PERMIT SUB-TYPE
    NEW CONSTRUCTION

JOB VALUE     192980
APN     PAR050968
DESCRIPTION
    New SFR: M 1926, UnfinBa 2009, Gar 810, Cov P 187
APPLIED DATE
3/15/2019

APPROVED DATE
4/8/2019

ISSUED DATE
4/8/2019
 
Seal    
 
    PERMIT INFORMATION
FEE SUMMARY
    SITE 5134 ROCK HOLLOW LN
IDAHO FALLS, ID 83401

    APPLICANT Touchstone Builders LLC
PO Box 50261
Idaho Falls ID 83405

    OWNER Kevin Hathaway
PO Box 50261
Idaho Falls ID 83405

    CONTRACTOR Touchstone Builders LLC
PO Box 50261
Idaho Falls ID 83405
EROSION CONTROL$50.00
NEW RESIDENTIAL CONSTRUCTION$1,337.33
PLAN CHECK$235.69
ENERGY CODE INSPECTION$50.00
WATER SERVICES$1,890.00
SEWER CONNECTION$1,085.00
TEMPORARY POWER$150.00
Total Fees Collected:$4,798.02
NOTE: The permit will expire if work is not started in 180 days, is abandoned, or does not receive an inspection for more than 180 days. Additional fees will be collected to renew expired permits. This is a Building Permit when properly filled out, signed and validated, and is not transferable.
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.
License No: Expiration Date: Contractor:
OWNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the contractors license Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Pofessions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by an applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).):

_____ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner or property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided
that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burdon of proving that he or she did not build or improve for the purpose of sale.)

_____ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner or Property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors License Law.)
I am exempt under Sec. _____________________ B.P.C. for this reason _____________
DATE ____________ OWNER ______________________
WORKERS COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
_____ I have and will maintain a certificate of consent to self-insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the permit is ussued.

_____ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are:
Carrier/Policy No:    ________________________________________________
(This section need not be completed if the permit is for one hundred dollars ($100) or less).
____ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any number so as to become subject to the workers' compensation laws or California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
DATE    _________________ APPLICANT:    ______________________________
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
DATE    _________________ APPLICANT:    ______________________________
* I certify that I have read this application and state that the above information is correct. I agree to comply with all city ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes.
SIGNATURE OF APPLICANT OR AGENT  ;_________________________________ DATE    ____________
INSPECTION SUMMARY

______  ELECTRICAL TEMPORARY SERVICE
______  WALL SHEATHING
______  FRAMING
______  WALL SHEATHING
______  WALL SHEATHING
______  WALL SHEATHING
______  WALL SHEATHING
______  WALL SHEATHING
______  ELECTRICAL FEEDER PANELS
______  ELECTRICAL SERVICE
______  ELECTRICAL BASEMENT ROUGH-IN
______  ELECTRICAL BASEMENT ROUGH-IN
______  MECH ROUGH-IN
______  FRAMING
______  FRAMING
______  FRAMING
______  INFORMATION ONLY
______  INFORMATION ONLY
______  DRYWALL
______  DRYWALL BASEMENT
______  ELECTRICAL INFORMATION ONLY
______  ELECTRICAL BASEMENT ROUGH-IN
______  ELECTRICAL FEEDER PANELS
______  ELECTRICAL GROUNDING ELECTRODE SYSTEM
______  ELECTRICAL ROUGH-IN
______  ELECTRICAL SERVICE
______  ELECTRICAL TRENCH INSPECTION
______  ELECTRICAL TEMPORARY SERVICE
______  EROSION CONTROL
______  FIRE FINAL
______  FIRE STOP
______  FOOTING
______  FOUNDATION
______  FRAMING
______  FRAMING BASEMENT
______  HVAC BASEMENT ROUGH-IN
______  INFORMATION ONLY
______  INSULATION
______  INSULATION BASEMENT
______  MECH ROUGH-IN
______  PLUMBING BASEMENT ROUGH-IN
______  PLUMBING GROUNDWORK
______  PLUMBING ROUGH-IN
______  RES. BLDG FINAL
______  RES. ELEC. FINAL
______  RES. MECH. FINAL
______  RES. PLUMBING FINAL
______  SHOWER PAN
______  SUSPENDED SLAB REBAR
______  WALL SHEATHING
______  WATER DEPARTMENT
______  ZONING FINAL
______  PUBLIC WORKS FINAL
______  FEEDER PANELS
Permit Finaled Date:  __________    Inspector Name:  __________________    Signature:  __________________