2. Building Permit Application
4. Not for Manufactured Homes
6. Not for Commercial Buildings
8. Parcel Number
9. SEC
10. T
11. South, R
13. EBM
14. Acres
15. Zone
17. Job Address
19. Subdivision
20. Block
21. Lot
23. Property Owner
24. Phone(s)
25. Email Address
27. Mailing Address
29. Contractor Name
30. Phone(s)
31. Email Address
33. Mailing Address
35. Registration Number
36. Expiration
38. Are there other structures on this parcel?

    1. Yes - Include on site plan
    2. No
39. Is there an existing residence on this parcel?

    1. Yes
    2. No
    3. On a Foundation
41. Is this parcel located within a half mile from a CAFO?

    1. Yes - Consult Administrator
    2. No
42. Is structure closer than 300 feet from the Snake River Canyon?

    1. Yes - Consult Administrator
    2. No
44. RIM and/or the Malad Canyon RIM?

    1. Yes - Consult Administrator
    2. No
45. Is this building site within the floodplain?

    1. Yes - Elevation Certification Required
    2. No
47. Existing Use
49. 1 The canyon rim(s) is that, which consists of a slope, exceeding 30% for a distance of 25’ or more. The location of the rim shall be determined before any excavation or grading preparatory to development occurs. In some areas there is more than one rim. Any encroachment or development within three hundred (300) feet from the top of the Snake River Canyon Rim(s) or the Malad Canyon Rim(s) shall require a Special Use Permit. Minimum requirements for a special use permit shall include an engineering study and a geological report. No structures shall be built within fifty (50) feet of the rim(s). (see Gooding County Zoning Ordinance No. 78).
51. 2 FIRM (Flood Insurance Rate Map) panels can be reviewed at the Gooding County Planning & Zoning office.
53. Description of Construction: (i.e. single family residence, 10' x 15' bedroom addition, 30'x25'x16' detached shop, etc.)
55. Proposed Use
56. Dimensions
57. Total Area
59. Total Building Area (If addition)
60. Building Height
61. Number of Stories
63. Area per Floor
65. Structure Information
67. Residence in square feet
68. Addition in square feet
69. Patio/Deck in square feet
70. Covered Patio/Deck/Porch in square feet
72. Basement (unfinished) in square feet
73. Basement (Finished/Semi Finsished) in square feet
74. Stone Veneer in square feet
75. Metal Clad Building in square feet
77. Pole 8' - 9' High Walls in square feet
78. Pole 10’-13’ High Walls in square feet
79. Pole 14’-16’ High Walls in square feet
80. Framed 9'-12' High Walls in square feet
82. Framed 13'-16' High Walls in square feet
83. Accessory to Residence in square feet
84. Framed in square feet
85. Concrete Block in square feet
87. Concrete in square feet
88. Quonset Hut in square feet
89. Free Stall Barn in square feet
90. On site Concrete in square feet
92. # of Fireplace - Masonry 0' clearance insert
93. # of Fireplace - Free Standing with Chimney
94. # of full ball - toilet, sink, bathtub, and or shower
95. # of 3/4 bath - toilet, sink, shower
97. # of 1/2 Bath - Toilet, sink
98. Moving Residence - Transport Permit - $200
99. Moving Residence - Residence in Sq Ft ($30 per sq ft)
100. Moving Residence - Foundation sq ft (On site Concrete)
102. Total Valuation $
104. Project Cost: Attach an estimate of the total value of construction work for which the permit is issued including finish work, painting, roofing, electrical, plumbing, heating and air conditioning, and other permanent equipment.
105. Upload Estimate
107. Estimate Total
109. As per IBC 110.1, construction under permit shall remain accessible and exposed for inspection purposes until approved. No building or structure shall be used or occupied, and no change in the existing occupancy classification of a building or structure or portion thereof shall be made until the building official has issued a certificate of occupancy. Although plan reviews can take up to 60 days, the average time between submittal and approval/disapproval is one week. 24-­‐Hour notice is required by law for inspection requests.
111. Please contact the building official at 208-­‐934-­‐5958 for inspection requests.
113. Separate permits and inspections are required for Electricity, Plumbing and HVAC. Electrical, Plumbing and HVAC contractors must have valid state licenses. To request an inspection from the Idaho Division of Building Safety, please call 1-800-839-9239.
115. NO WORK TO BE DONE UNTIL PERMIT IS ISSUED
117. APPLICANT/PROPERTYOWNER:
119. I hereby apply for a permit to do the work stated above, and acknowledge that I have read this application and hereby certify that the above information is complete and correct and, as the applicant, I accept the responsibility to ensure that all work and materials will be in accordance with International Building Code, Idaho State law and Gooding County Ordinances, and that all required inspections are conducted prior to use or occupancy.
121. Signature

     By checking this box I authorize my signature.

     1. Signature
122. Date
     Date
124. View Example Site Plans
     Example Site Plans (PDF)
Leave This Blank:


126. 1. Receive an email copy of this form.
127. Email address

     This field is not part of the form submission.

128. Submit

* indicates a required field