Re-Roof - 230671 - 3160 E Shadow View St - 03/22/2023 ._.. _
4+4-
_
RESIDENTIAL BUILDING PERMIT APP
DEPTPARTMENT OF BUILDING SAFETY
LICAT
ION
660 E Civic Lane, Eagle, Idaho 83616 TICII4Ii, 1, ii,,, LULHJ
Phone: (208)489-8760 yiLve w..)(Llyslt)e)34)(111),A)4()
BLDG PERMIT NO:
NEW RESIDENTIAL SUBMITTAL DEPOSIT $250 i SMALL PROJECTS $50
APPLICANT INFORMATION HOMEOWNER INFORMATION
1
Contractor Co.Name V.'#), tk C.,?w,,tail.) i, ,Isprz,40-ton Homeowner Name / /
rtsart Pi -FX ki W1C3
Company Address 1 Owner Address 3 i lib 1,- S'ocAckv4 V co: 1
PbuetriirRe,
City,State,Zip Code „ i
'''s-73' City,State,Zip Code
,
Contact Name
1 sc.pa of w 4,rk: --c.cm,- acc eA.zsti rq ciztr
RCE License# ,
gr-"C');.' -1)?..)1c-i 2. ' ,,,z,rattd, roc4Ii ivt3 de o, --174‹. '1tri i 1
License Exp.Date )lcticr-
LLI 1 LI 1202-3 1‘[(,),,N,45_,Ltwma 00-0‘,406 "S3iicirielfrot 1/4,4(1S
"-Contractor Phone#
l 20Z5) U.„0"6--SS CO? ,
AtitN4 ' 1, *frIcii "S'i frthiLli.C-• ik rakr kA' rtelfir IL.'
Contractor Email 1
rCrilitt%Ai tIti ebOV.. ilet5tia t lt, reN",,,1 1 oi +1,Xort:41
(REQUIRED) 1 o*$ce. aebrc A,(15et c al A4)64t1 swon vs
TYPE OF PERMIT D New 0 Addition 0 Remodel
PERMIT ACTIVITY' reHorne n Garage n Shed 0 Pool El Patio
0 Other
PERMIT ADDRESS . : 1)1 \L'i S" .
SUBDIVISION , LOT: Block:
PROJECT I PROPERTY INFORMATION
Sq.Ft.Living Area 1-44 "0 scz fia Lot Suc* e I
Sq, FL Garage I In 100 Yr.Floodplain? 0 Yes Cl*No fit-
Nip
Sq.FL Patio/Porch HOA/ACC Req'd 2Yes 0 No
Sq,Ft.Deck Int,Remodel Project Value $ l
Cu.Ft.Pool Pool Project Value Required $
BUILDING DEPARTMENT INFORMATION(Office Use Only)
$4/55t0 Total Project Value:,Used to calculate fees for the
Value
Permit Fee $JP-,1)imi S5 permit. Project value is the total value of all
-
Plan Review Fee is construction work for which the permit is issued
' IECC Fee $ (including overhead and profit)as well as finish
I P82 Review Fee $ - work, painting, roofing, electrical, plumbing,
Dev Impact Fee $ heating, air conditioning, elevators,fire prevention
ACHO Impact Fee I $
systems and other permanent equipment,
Fire Impact Fee ' $
Police Impact Fee $
Int Remodel Project Value should not include any
Misc, Fee $ work inside of a new addition,
Desalt Received $
R-fr,)'0 # /
BP TOTAL DUE ' $
Water Company Fee 1 $
Applicant's Signature
TOTAL WITH WATER $
Date