NAME: Roadway Public Private *Site Plan (2 Sets) ZONING REVIEW DIVISIONS OF PROPERTY / / TO INSPECTOR / / FEES PAID: BUILDING PERMIT / / $ $ Rcpt.

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1 MANUFACTURED HOME STANDARD FOUNDATION BUILDING AND ZONING PERMIT CHECKLIST JEROME COUNTY BUILDING DEPARTMENT *ALL ITEMS WITH AN ASTERIC ARE REQUIRED, ALL OTHER ITEMS ARE SPECIFIC TO THE PROJECT. PLEASE CHECK WITH STAFF TO DETERMINE ALL OTHER NECESSARY REQUIREMENTS Permit # Staff Initials: NAME: PARCEL and/or ADDRESS: REQUIRED PAPERWORK: * Building and Zoning Permit Application * Summary Sheet (Assessor s Office) * Plans: (2 Sets) * Property Deed Subdivision Plat * Title AGENCY LETTERS: * Health Department or City Letter Permit# Highway Department Letter Access Permit Fire Department 150 +Fire Dept Approval Required Canal Company (Name i.e. NSCC) Other Roadway Public Private *Site Plan (2 Sets) Scale North Arrow Property Lines w/dimensions Proposed & Existing Structures Square Footage of Proposed Structure Distances Between Structures Setbacks of Buildings to Property Lines Location of Well, Septic, Drain Field Location of Existing/Proposed Access Road Name at Point of Access Location of Easements (i.e. power, water, road, access) Parking Canals Ditches, Irrigation Site Drainage System (including drainage away from the building and any swale or retention area for on-site storage of surface water) Address # s Posted: Yes No Setbacks Front Right Rear Left Structure Square Footage (i.e. living space, garage, shop) sq. feet Manufactured Home Dimensions x VIN # Year ZONING REVIEW DIVISIONS OF PROPERTY / / TO INSPECTOR / / FEES PAID: BUILDING PERMIT / / $ $ Rcpt.# ADDRESS Numbers / / $ $ Rcpt.# (site only not for bldg) Total $ Rcpt.#

2 JEROME COUNTY BUILDING AND ZONING PERMIT FOUNDATION RECEIVED BY DATE ZONING DISTRICT RP PERMIT # LEGAL SECTION TOWNSHIP RANGE PARCEL # SUBDIVISION NAME BLOCK LOT ACRES DESCRIPTION JOB ADDRESS NEW EXISTING PRIVATE COMMERCIAL PROPERTY OWNER MAIL ADDRESS ZIP PHONE CONTRACTOR MAILING ADDRESS ZIP PHONE REGISTRATION # EXPIRATION DATE CONTRACTOR NEW MANUFACTURES ADDRESS PRESENT, EXISTING USE: PROPOSED USE: NUMBER OF OFF STREET PARKING SPACES VIN # AND YEAR A) It shall be the duty of the permit holder or their agent to notify the building official that such work is ready for inspection and to comply with the current building codes. B) No building or structure shall be occupied until the building official has issued a certificate of occupancy. C) Every permit shall become invalid if the work authorized by such permit is suspended or abandoned for a period of 180 days. D) It shall be the responsibility of the owner or authorized agent to provide surface drainage to an approved point of collection so as to not create a hazard for structures on adjacent properties, and to grade lots so as to drain surface water away from foundation walls minimum 6 in 10. THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE AND IT IS HEREBY AGREED THAT THE WORK TO BE DONE AS SHOWN IN THE PLANS AND SPECIFICATIONS WILL BE APPLICABLE THERETO. THE BUILDING OFFICIAL RESERVES THE RIGHT TO REVOKE ANY BUILDING PERMIT THAT IS ISSUED IN ERROR OR ON THE BASIS OF INCORRECT INFORMATION. EXPIRATION AS PER THE 2012 IRC R105.5 WORK MUST COMMENCE WITHIN 180 DAYS AND MAY NOT BE SUSPENDED OR ABANDONED FOR MORE THAN 180 DAYS WITHOUT WRITTEN REQUEST OF APPLICANT AND WRITTEN APPROVAL OF THE BUILDING OFFICIAL. IN MAKING THIS APPLICATION, THE APPLICANT REPRESENTS THAT ALL STATEMENTS ARE A TRUE DESCRIPTION OF THE PROPOSED USES AND / OR BUILDINGS AND THAT ALL PROVISIONS OF THE LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL AND PLUMBING FROM THE IDAHO DEPT. OF LABOR AND INDUSTRIAL SERVICES. MECHANICAL PERMITS ARE AVAILABLE AT THE JEROME COUNTY BUILDING DEPT. 24 HOUR NOTICE REQUIRED FOR INSPECTIONS (208) SITING, FOOTINGS, FOUNDATIONS, MECHANICAL, FRAMING, INSULATION, SHEETROCK, FINAL (800) ELECTRICAL (STATE OF IDAHO) (800) PLUMBING (STATE OF IDAHO) DEPARTMENT USE ONLY SIGNATURE PLEASE PRINT YOUR NAME OWNER CONTRACTOR/AGENT ZONING AT SITE: COMPLIANCE: FLOOD ZONE: SET BACK COMPLIANCE: OTHER PERMITS REQUIRED: P&Z HEARING: DATE: BY: APPROVAL DENIAL OCCUPANCY TOTAL SQUARE FEET # OF DU S FIRST FLOOR GARAGE HEALTH DISTRICT SEPTIC PERMIT # CITYSEWER AND WATER PERMIT # SIGNATURE OF BUILDING OFFICIAL THIS BUILDING PERMIT DOES NOT BECOME VALID UNTIL SIGNED BY THE BUILDING OFFICIAL AND FEES ARE PAID

3 INSPECTION CRITERIA 1. ALL REQUIRED INSTALLATION, ELECTRIC AND PLUMBING PERMITS HAVE BEEN OBTAINED. 2. ALL ELECTRICAL AND PLUMBING CONNECTIONS SHALL BE INSPECTED BY THE STATE. 3. MINIMUM SETBACK REQUIREMENTS ARE COMPLIED WITH. 4. PIERS, PARTICULARY WITH RESPECT TO SIZE AND SPACING. 5. TIE-DOWN ATTACHMENTS. 6. UNDER FLOOR ACCESS. 7. ALL FOUNDATIONS SHALL BE VENTED WITHIN THREE FEET (3 ) OF EACH CORNER AND WITH TWENTY FOOT (20 ) MAXIMUM SPACING. 8. DRYER EXHAUST DUCTED THROUGH FOUNDATION. 9. DUCT CROSSOVERS,TO ENSURE THEY HAVE BEEN INSTALLED IN COMPLIANCE WITH THE MANUFACTURER S INSTRUCTION. 10. LANDINGS, STAIRS, GUARDS & HANDRAILS (WHERE APPLICABLE) 11. SITE GRADING AND DRAINAGE ADDRESS NUMBERS ON HOME

4 SITE PLAN The site plan should be drawn to an acceptable scale, showing the exact dimensions and the shape of the lot to be built upon and must include: Scale North Arrow Property Lines w/dimensions Proposed & Existing Structures Square Footage of Proposed Structure Distances Between Structures Setbacks of Buildings to Property Lines Location of Well, Septic, Drain Field Location of Existing/Proposed Access Road Name at Point of Access Location of Easements (i.e. power, water, road, access) Canals Ditches, Irrigation Parking Site Drainage System (Including drainage away from the building and any swale or retention area for on-site storage of surface water)

15 JEROME COUNTY BUILDING DEPARTMENT 300 NORTH LINCOLN ROOM 307, JEROME ID PHONE (208) FACSIMILE (208) A & B Canal th St. Rupert Mail: PO Box 675, Rupert Don Temple (208) American Falls #2 Reservoir 409 N Apple St, Shoshone Lynn Harmon (208) Big Wood Canal Co 409 N Apple St, Shoshone (208) BLM Bureau of Land Management 400 W F, Shoshone (208) County Surveyors Grade Tek PLLC & JUB Engineers Inc. Department of Environmental Quality 650 Addison Ave W, Ste. 110 Twin Falls (208) Digline 50 S Cole Road, Boise (800) Eden, City of Jackie Werener PO Box 376 Eden (208) (208) First Segregation/Eden City Fire Dept. 235 E Wilson Ave, Eden Don Utt (208) First Segregation City Fire 235 E Wilson Ave, Eden (208) Hazelton City Hall, 246 Main St P.O. Box 145, Hazelton JoAnn Wolf, City Clerk (208) Hillsdale Highway Dept.P.O. Box 265, Hazelton Keith Mills FAX: (208) Idaho Dept. of Agriculture, Dairy Bureau 2270 Old Penitentiary Rd, Boise Box 790, Boise, ID or (208) Mike Wiggs (208) Niki Holder (208) Brooke Leguineche (dairy inspections primarily) (208) Tracy Williams (208) Lynne Godfrey (208) Kari Brown (animals/dairy) (208) Idaho Dept. of Water Resources IDWR 650 Addison Ave W. Ste 500, Twin Falls FAX: (208 ) Boise Kenneth Neely/Helen Harrington (208) (208) Idaho Fish and Game, 324 South 417 East Jerome (208) Idaho Power 133 Fairfield St. N, Twin Falls (208) Idaho Transportation Dept. Div of Highways, 216 South Date, Shoshone, (208) Intermountain Gas 451 Alan Drive Jerome, ID (208) Jerome, City of 152 East Ave A, Jerome (208) Jerome County Zoning Compliance / Code Enforcement Shawn Denham (208) Jerome Highway District, 30 N 100 W, Marie Lickley & Bud Rasmussan (208) State Electrical and Plumbing Inspections and Permits Service (800)

16 Jerome Rural Fire Dept. 143 East Ave A, Jerome FAX: (208) Joe Robinette Chief (208) Larry Robbins Assistant Chief (208) Jerome School District 125 4th Ave W, Jerome (208) Jerome Sewer and Water District 110 N 800 Roy Prescott (208) North Side Canal Co 921 N Lincoln, Jerome FAX: (208) Postmaster Eden , Hazelton , Jerome , (208) Sircomm 911 East Ave H Hope (208) South Central Public Health Dept. Jerome Office: 951 East Ave H (septic) Bill Beck FAX: (208) EXT 2616 Twin Falls Office (208) Southern Idaho Solid Waste District 1178 HWY 25, Jerome (208) West End Fire Department: Box 94, Paul, ID Randy Sutton FAX: (208)

Permit # Staff Initials: NAME: PARCEL and/or ADDRESS: *Site Plan (2 ) Roadway Public Private. Address # s Posted: Yes No. Setbacks

Permit # Staff Initials: NAME: PARCEL and/or ADDRESS: *Site Plan (2 ) Roadway Public Private. Address # s Posted: Yes No. Setbacks JEROME COUNTY BUILDING DEPARTMENT MANUFACTURED HOME STANDARD BLOCK SET *ALL ITEMS WITH AN ASTERIC ARE REQUIRED, ALL OTHER ITEMS ARE SPECIFIC TO THE PROJECT- PLEASE CHECK WITH STAFF TO DETERMINE ALL OTHER