New Home - 222222 - 1331 E SPARTAN LN - 08/12/2022 City of Eagle
New Home Permit
Permit #: 222222 Fees:
Property Owner G20 LLC New Home Plan Review Deposit $200.00
Owner Address P&Z Review Fee-Residential $50.00
Owner City State Zip Building-ACHD Fee $3,529.00
Issue Date 08/12/2022 Building Permit Fee $2,045.78
Foundation Only Issue Date Building Plan Review Fee $516.02
Builder Name Blackrock Homes LLC ICC-Residential $50.00
Builder Address 1979 N Locust Grove Rd Impact Fee®Fire $897.00
Builder CityState ZipMeridian ID 83646 Impact Fee-Police $111.00
Park Development Impact Fee $1,115.72
Builder Telephone 208-297-5940 Pathway Development Impact fee $330.50
Builder Registration# Total Fees $8,845.02
RCE-44434 Less Deposit $
Subdivision ESTRADA VILLAGE SUB NO 01 Less Foundation Only $
Balance Due $0.00
Lot 21 Block 0 l
Property Address 1331 E SPARTAN LN
Type
Deposit Receipt# 30.001100
Issue Receipt# 13.000629
[Living [Basement
SqFt LivingArea SqFt Bmnt Square Sq Ft Grg 565
Square
Feet] Feet]
[Porch
Sq Ft Porch Square Value of Improvement $287862
Feet]
Eagle Water SUEZ EM2 Fee Eagle Sewer 2200172
[Eagle ACHD [ACHD Certificate#
Development Development/Impact] � �
Notes:
Contractor's Printed Name
/-
Contractor's Signature
31
f.
City Clerk/Authorized Personnel
Call The City of Eagle Inspection Line
(208)939-4462
Said structure and/or use to conform to specifications and plans submitted and must be in full compliance with
ordinances of the City of eagle subject to inspection permits and fees as required.
Receipt No: 13 . 000629 Aug 12, 2❑22
Black Rock Homes
Previous Balance: . o❑
BUILDING PERMITS
BUILDING & INSPECTION 2, 045 . 78
PERMITS - 222222
BUILDING PERMITS
PLAN REVIEW FEES- 2222❑6 516 . 02
BUILDING PERMITS
ENERGY STANDARDS (IECC) - 50 . 0❑
222206
BUILDING PERMITS
ACHD IMPACT FEES- 3, 529. 0❑
222206 '
BUILDING PERMITS
DEV IMPACT FEES- PARKS- 1, 115 . 72
222206
BUILDING PERMITS
DEV IMPACT FEES- 33❑ . 5❑
PATHWAYS- 222206
BUILDING PERMITS
DEV IMPACT FEES - FIRE- 897 . ❑❑
222206
BUILDING PERMITS
DEV IMPACT FEES - P❑LICE- 111. ❑❑
2222❑6
Total: 8, 595 . ❑2
CHECK
Check No: 6533 8, 595 . ❑2
P ayo r:
Black Rock Homes
Total Applied: 8, 595 . ❑2
Change Tendered: . 00
❑8/12/2❑22 1 :35 PM
CITY OF EAGLE
66❑ E. Civic Lane
PG BOX 152❑
EAGLE ID 83616 (208) 939-6813
/ EAGLE SEWER
DISTP I CT
N Pal-rtett,,Ave Egle If2,83616
P-,-c L2,"),S) 39 0 37 F,(20S1,
Permit#: 2200172
Permit Date: 08/12/2022
Builder Name: BLACK ROCK HOME
Builder Phone: 208-297-5940
Builder Address: 1979 N LOCUS GROVE RD
City, State,Zip: MERIDIAN, ID 83646
Owner Name:
Subdivision: straoa #1
Lot/Block/Type: 21, 1, Residential
Service Address: 1331 E Sv°A.TAN LN
Connections: 1
Payment Type:
Check Number: 6531
Total Amount: $5,500.00
ESD Authorized Personnel: 4
Date:
Permit Expires 6 months from date of issue
This permit grants permission to hook-up to the Eagle Sewer District; in the incorporated boundaries; on real property
described in this document
"44110 iN,Iliti,„ '7.-,: T'
RESIDENTIAL BUILDING
PERMIT APPLICATION
660 E. Civic Lane, Eagle, Idaho 83616
Phone: (208)489-8760
,,,,li7 ' -.-"?
BLDG PERMIT NO:
'A NOW
NEW RESIDENTIAL SUBMITTAL 'ff,EPOSIT$250 /Slio,iik'J L PROJECTS $50
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Contractor Co.Name
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Contact Name ,, Homeowner 1!1,)Lame
Ray Adams L Owner Address I ... ,,,...)
Corm.111,,-,ny Address IIII
1979 N.Locust Grove Rd. li,
City,State,Zip Code o City,State,Zip Code 1
RCE Lice se# Meridian,ID.83646 11' CollEE: 1,1,E,IPE:)1„Elt,„„Eti,,Itit it P,E:3 Fit IEEt I'S 1:3'0 tiki SI!Ertl'„,EE 11:"Et'l)Ei:
#44434
, License Exp.Date i, itt.(:)(::IVI-11CDNI
04/19/23
Contractor Phone _„„„„„„„„,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,„„.„,_ ElEtEEEE:,;,341sEEEE,E(S.
,
208-297-5940
Contractor Email .... 1
111„ (REQUIRED) raya@blacolic,rockhs,0es.com 11 00011''',00,1Ett,rev FEt,,,,E,,:tEril'iit Ettl„,EtE fat i I,:tir3 C;f',''',,,,fe,,,,f:„';fz,!,,,,i iS t F"'" l'iti?„,,,vd (,,::)
...... .. . ,
X New E:1 Addition 1-_-_-1 Remodel i7_7.1 Other:
' 111'111'1111,111,'111111,11111,1,11177171,111:111111111,11111,111,111111'11111,:i'l:'11;.0111',1,1'111,1101',11v,,H1111,111'111111,1,',,',1,•,:'•1',111,1'1'„11,111:110,,'',11'1',1„'Ill!i,„H',11,111,,"1'1111",11'0,11,,,11,':i111',1u1,1',1:11111',:11,0,,,1111,1,,,1,,1111,11,11111,,,,1:111,,I,11,,I,,11,111,11,1111,11111,1!,11111,11,„1,:,,,,,,,,1:'111,:,,11,'11,,I,1,0,1,111,11,,I,,111,1,1,0,,,11,1,,I,I,,11,1'1,11111,,111110,,1,,,,,,,,,,,,,,,11,,,,I,,111,,111111,11,11111,,,,11,,,,11111111111,1,1,1,1,1,1,,,,,,„,,,,,,,1„,,111,1,11,1!,,111,,,11,,,11,,111111,11,111,,111,,I,,I,,I,,I,,I,,,ii,,,,I1,,i1,11,11,,,,,,,I,,,,,,1,1,11,1,,,I,,,,I,,I,,,11,,,I,I,1,1,,,I,,,,,I,1,1,1,111, , _ 10
E.:1 Home 1,-__-_,I Garage E Shed E Pool E Patio
''IIIIItl!!ll'I'l'I'l'I'l'I'll!'111','111,111111'1'1'1'1'1'111'1'1111'lliliiiiiiiiiiiiiiii0000000000000000::1000!,,,,,H,;0:01i„,„r000„
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Sq. Ft. Living Area '2;(38,,,1:3, I Lot Size
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q. Ft.Garage
I In lit,,I'tr.Et.sod,p lain?
Sq.Ft. Patio/Porch I ;221 f 0 Yes 71,)t„1.„No
HOA/ACC Req'd
Sq. Ft.Deck '"„Pu,,:Yes,n
I (I''''''of d"1/41,:,,,;)11,ice',.;,,,,3131,iii,) S 000
Int.Remodel Structural Value
Cu. Ft. Pool
I lit,t,,,,,,i(t)t AtIpr.f)ii(::tttlitiff.,t,,,,), Pool Value Req„olir,-,'',1 I $ 0.00
BUILDING DEPARTMENT INFQRMATIQN(pffice Use Only) Date Stamp:
Value "Porirl''
$ 2 1 -1 „1';,1:1:"I'll 1„,,,,, „ . 1,1,' III; 1 1
7-tini::,,cill''Iti:'',7,'-;71E:'',.!"1:5"1111111"1"":1;1""71'.,„ri7:::'::"1:1;1'"1"""j""1"I'l"*"'""'
Permit Fee l'Pl $ 12,4),e,f—
11, Plan Review Fee , '0u ,
ti: (,,,'„'4',,!,„,„,,,-„,,
„ $ -7„„„,-„11(„1„„
IECC Fee
i $ ii,'-:"- 00.1- , ' l'r 00
P&Z Review Fee lo $ 1...0..,„,,..1 . I'l .1'.,It'""0'10 I I'll ..,:14;„0.17.,
Dev Impact Fee
$ '10, 1.00,4 10L„111!!ice:L.1,7:,,,.,,,,,„' ,,
ACHD Impact Fee i'l $ '''''5(77, '','')1,-1'
Fire Impact Fee II, $ ".1 01,l'*°::0'%(01'1, ,,
Police Impact F,r1,,',, ,If $
1 1.1 .........4.,11,101010101.0.M., ,.............
Misc. Fee $ 0........ 11
posit Received
l' $ :':111111111v-,, 1011'14)111000 ''11111111) u i , 'I,IIIII:D11-:,,- - ,, Applicant's SigneoR,.ratutTr da/11S
Rece710 H''# ' 1„,„01,10„ l'''''':1,11L'Il'IIIIIIILI 111'
BP TOTAL DUE 11' $
' Water Company Fee „ tif f - ,,' $ , 00,0,16:,e,
f::':':7fAt:WITH WATER ii,' i4'ir-TAFtr—i".77.-,t)1"' 1111--'1"."""""'":1',i1
hi
!I'l Applicant Remarks
,,„„,,,,,,-' THIS PERMIT is issued subject to the regulations
,11 tk----t:,;) .-
1 11„f II;,,,,),11 , „„,„„
, „„1111,0., ...., il ,,,r„,1,2 „, 11,, contained in the 2018 IRC, IECC and Zoning regulations of
0,,, the City of Eagle and it is hereby agreed that the work be
jp,.... 1
done as shown in the plans and specifications will be
::
,00,41„,..11,F:: /001,„,,, 0,...‘,,:0000,111 ' .'e: ' 1 iLie:'/'"'''''' ' completed in accordance with the regulations pertaining
and applicable thereto.
Total : 200 . 00
PLANING & ZONING
PZ PLAN REVIEW FEES 50 . 00
Total : 50 . 00
Blackrock Homes
Previous Balance: . 00
BUILDING PERMITS
PLAN REVIEW FEES - 1331 E 200 . 00
Spartan Ln
Total : 200 . 00
PLANNING & ZONING
PZ PLAN REVIEW FEES 50 . 00
Total : 50 . 00
Blackrock Homes
Previous Balance: . 00
BUILDING PERMITS
PLAN REVIEW FEES - 153 N 200 . 00
Becknoll Ln
Total : 200 . 00
PLANNING & ZONING
PZ PLAN REVIEW FEES 50 . 00
Total : 50 . 00
CHECK
Check No: 5893 1, 500 . 00
Payor:
Blackrock Homes
Total Applied: 1, 500 . 00
Change Tendered: . 00
Duplicate Copy
06/02/2022 4 : 14 PM
CITY OF EAGLE
660 E . Civic Lane
PO BOX 1520
EAGLE ID 83616 (208) 939-6813
Receipt No: 30 . 001100 Jun 2, 2022
Blackrock Homes
Previous Balance: . 00
BUILDING PERMITS
PLAN REVIEW FEES - 1349 E 200 . 00
Spartan Ln
Total : 200 . 00
PLANNING & ZONING
PZ PLAN REVIEW FEES 50 . 00
Total : 50 . 00
Blackrock Homes
Previous Balance: . 00
BUILDING PERMITS
PLAN REVIEW FEES - 1367 E 200 . 00
Spartan Ln
Total : 200 . 00
PLANNING & ZONING
PZ PLAN REVIEW FEES 50 . 00
Total : 50 . 00
Blackrock Homes
Previous Balance: . 00
BUILDING PERMITS
PLAN REVIEW FEES - 1411 E 200 . 00
Spartan Ln
Total : 200 . 0❑
PLANNING & ZONING
PZ PLAN REVIEW FEES 50 . 00
Total : 50 . 00
Blackrock Homes
Previous Balance: . 00
BUILDING PERMITS
PLAN REVIEW FEES - 1465 E 200 . 00
Spartan Ln
CITY OF EAGL
„ .
Contractor Registration Verification Form
Name of Individual: Amy Kelley
Name of Business: BLACKROCK HOMES
Business Address: 1979 S. Locust Grove Rd. Meridian, ID. 83646
Telephone Number: I-208-297-5940
Contractor Registration Number: RCE #44434 Expires: 04/19/23
If you are exempt from obtaining a contractor registration number pursuant to Idaho Code 54-
5205,write "exempt" in the registration number field.
I acknowledge that I am in compliance with the Idaho Contractor Registration Act, Title 54,
Chapter 52, of the Idaho Code. If I claim an exemption from obtaining a registration number, I
acknowledge that it is my duty to determine if I actually qualify for such exemption. Such duty
may include consultation with legal counsel. If I claim an exemption,I will notify the City of
Eagle immediately if I cease to qualify for such exemption. If I do not claim an exemption, I
will notify the City of Eagle immediately if I fail to renew my contractor registration or if such
registration is revoked or suspended.
I further acknowledge that I am required to verify contractor registration numbers for all
subcontractors that I employ unless such subcontractor qualifies for an exemption.
I understand that a willful violation of the Idaho Contractor Registration Act, to include but not
limited to,providing a false registration number, claiming a false exemption status or hiring
unregistered subcontractors that do not qualify for exempt status may result in the immediate
suspension or revocation of any building permit issued to me by the City of Eagle that was
obtained pursuant to such violation. Such suspension or revocation is in addition to the penalties
prescribed in Idaho Code 54-5217,which can include a fine up to $1,000. and/or six months in
jail.
Date: 04/13/22
Signature: