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HomeMy WebLinkAboutAPPLICATIONS, CO, BP - 05-00249 - Sage Day Spa - Tenant FinishZ .~ O = ~ m m n W ~ c ~ rn v ~ .~ z ~ ~ ~ Z °' 1 0 D ~ C D o m `° s o ~° ~_~ ~ ~ `~~-~ Z -~ ~, QQ 3 m m o . ~ ~ a n ~ m 1 W °~~.~~ ~ m .°' T~ Q N o 0 co m a ~ ~ 3 ~ a n m ~ tQ o C m ~ ° `~° ~ O ~Na m -- °~ ` ~ v Z o ~ a~~ C ° ~ v s fR m --I o r' 6 ry ~ S 5 co R ~ 0 3 ~ v 0 ;~ ~ ~ C V) 3 °' `D T r ~- ~ ~ ~ D -~ -t ° o ~ o m 3 W v II a ~ z D ~ z ~ ~ ~ g Z ~ ~ D = m o 0 m ~ 3~0 ~ ~vNa~ ~ ~ ~ z n cQ ~ _ T C o O n O' ~_ c N m (~ r C D ~~~ao m °v~~~~ o Z u, -_ ~ o m m n a ~ T O ^ Y/ . ~ "? ~ ' f7 a m ~ ~ ~ ~ n~ (7 C p ° ~ n °1 T m O o ~ o '~ g m m ~ a a n { W C C. 7 0 N C lD Q. ~ ~' ~ ? m p ~ ~ ~Y~aLCc ~ z ~ ~: 00 ~ ~, ,a ~ -i R1 ~ ~ ~; = C a ~ T ~~,,,, ~ ~ a~ ~ ~ ~ ~ ~ 111 +8~s..ot~4~ cQ o a- r' n p ~ 0 ~~ ~wQ ~ C a ~. ~ ~^ v ~~ ~ N ~ ~ ~ O ~p C ~ O ; ,,,~ .~~~- o ACT; ~ n ~ Z ~ ~l o .~ ~ m '~ ° _ ° ~ l 01 O ~ ~ .a Q ~ -~ ~ . ~ ufD, u, cQ p ~ ~ _ "~ _ --n ~ ~ oo n; Q ~ a~ a-• v ~ ui S y O ~ .~- V1 ,~.~, O S 'C ,Y n m m ?3 W~~ ~, ~• (~• 3 Q ~ ~ ~ 3.,~3a ~ ~ ~ 3. tin ~ O W 'o O ~ ~~ ~<yQ ~ oQO~ o ~ C~ ~~ W ~ s ~~~ g ~ m ~ m O n~ v ~ 3 m ~~ a ~ n m ~ ~ o ~ mod= ~+ ~ ~ 3 • ~ n co `° ~ Q O ~ xfDS; ~_~~ - - ~~ ~° m o d. (Q 7 3 C y O.~-~+~ O O ? ~ N fD m o A i w !v ~~ -' ~ ~ au v j m cn A w?tv ~~ m ~ i I i ; ' ; ~ ~A m ~ m ~ ~ to ~~Im ~ ?il ~-n~u>jo S I~~~i'nir'~ ~ ~ i m ;~ ~ ~ i I I ~ ~ I m ! ~ ~ ~ 13 ~ ° ~! o ~ n ~ v n c ~ -p' m ~ .m = ll ~~ m i~ ~ ~ im v o,I~•~~ '~ ~ "'~ v Am ~ ~ cn ~ i I m ~ I~ ~ ~ ~ o ~ ~ ' p ZOO obi ~ Z ~ ~ ~ ~m ', r ~c~p ~ ~ I ~ ~ i 1 W Z 000 Z " w Ul o ~ ~ ~ ~ . I In C7' j ~ ~ O ~ C ~ T I ~ TI j ~ i I " C r ~ C ) cnT'C ~ z ;o ~ ~ 7 L '> j 00 i5 m . ~ p_ ~ ~ ~ ~ p w o ~ ~ o 0 -- - -- - ,o Z ~ ~~~ ~- v :U ~ - - - - -- --- - Z z r ~ ~ I iv ~ Z n D ~ Q I D - -- - - o 'G O t O '~ ' Im , ;a Im o i '< v ~_ ~D ~~ O I~ 0. CITY OF RExBURG AMERKA5 FAMILY C:OMMUNIfY Building Permit No: Applicable Edition of Code: Site Address: Use and Occupancy: Type of Construction: Design Occupant Load: Sprinkler System Required: Name and Address of Owner: Contractor: Special Conditions: ` t~10~ ~. Occupancy: 05 00249 International Building Code 2003 ~AUE ~~ SQ~- $59 ~.~~~~ s~'~'~ ~` Rol Business Type V-N, Unprotected Tenant Finish No Futures Of Idaho ~~ 1~1 C'~`C~ v20~`C\ . This Certificate, issued pursuant to the requirements of Section 109 of the International Building Code, certifies that, at the time time of issuance, this building or that portion of the building that sties inspected on the date listed vdes found to be in compliance v-ith the requirements ofthe code for the group and division of occupancy and the use for v-hich the proposed occupancy uses classified. Date C.O. Issued: October 28 005 (08:53AM) C.O Issued by: Building Official There shall be no further change in the e~asting occupancy classification of the building nor shall any structural changes, modifications or additions be made to the building or any portion thereof until the Building Official has reviewed and approved said future changes. Water Department: ~wQQ~~ '- I~~~ Fire CERTIFICATE OF OCCUPANCY City of Rexburg Department of Community Development 19 E. Main St. / Rexburg, ID. 83440 Phone (208) 359-3020 /Fax (208) 359-3022 State of Idaho Electrical Department (208-356-4830): ~ - CIfiY OF REXB UR G BUILDING PERMIT APPLII 19 E MAIN, REXBURG, ID. 208-359-3020 X322 PARCEL NUMBER: RPR ~ SUBDIVISION: PERMIT # CATION Please complete the entire Application! 83440 If the question does not apply fill in NA for non applicable } N -~ F 0©I 00`~~ (We will provide this for you) UNIT# BLOCK# LOT# (Addressing is based on the information -must be accurate) OWNER: CONTACT PHONE ~ _ o o q - 6 3 3~ PROPERTY ADDRESS: g ~-Q ~ y~~~~ -..~,2. `f S F'o t2 ~ ~ L ~-z. P PHONE #: Home ( ) ~ Work ( ) Cell ( ) 1 6 ~, - (~ ~ ~ 7 OWNER MAILING ADDRESS: ~..3b t,~ K l w~7zc. CITY: t3~-~~ STATE: ~~ ZIP: 1 EMAIL FAX 'T gS - ~ 2- 43 APPLICANT: (If other than owner) (Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.) APPLICANT INFORMATION: ADDRESS STATE; PHONE #: Home ( ) Work Cell FAX CONTRACTOR: ~ l~l,'t tt (Z~ S O ~ ~ D ~ Hsu MAILING ADDRESS: -43~ l~ Ft t w ~r 7 Z-4~ CITY 13 ~ ~T' STATE l-D PHONE: Home# EMAIL ZIP EMAIL Work# 7 $~- 6 3`3~ Cell# ~ C9 °~ - 6 33 7 FAX 7 $ ~ - ~ ~-4 zIP 3 zz How many buildings are located on this property? SEE 51 T-E F't, ~ -~1 Did you recently purchase this property? ~ e Yes (If yes give owner's name) Is this a lot split? 1~ YES (Please bring copy of new legal description of property) PROPOSED USE: C~ rU !~ M ~ ~. ~ 114 l._. ~' ~ F~ y ~ ~.pr (i.e., Single Family Residence, Multi Family, Apartments, Remodel, Garage, Commercial, Addition, Etc.) APPLICANT' S SIGNATURE, CERTIFICATION AND AUTHORIZATION: under penalty of perjury, I hereby certify that I have read this application and state that the information herein is correct and I sweaz that any information which may hereafter be given by me in heazings before the Planning and Zoning Commission or the City Council for the City of Rexburg shall be truthful and correct. I agree to comply with all City regulations and State laws relating to the subject matter of this application and hereby authorized representatives of the City to enter upon the above-mentioned property for inspections purposes. NOTE: The building official may revoke a permit on approval issued under the provisions of the 2000 International Code in cases of any false statement or misrepresentation of fact in the application or on the plans on which the permit or approval was based. Permit void if not started within 180 days. Permit void if work stops for 180 days.-~ _ Signature of Do you prl CITY: Applicant DATE be contacted by fax, email or one: Circle One WARNING -BUILDING PERMIT MUST BE POSTED ON CONSTRUCTION SITE! Plan fees are non-refundable and are paid in full at the time of application beginning January 1.2005. City of Rexburg's Acceptance of the plan review fee does not constitute plan approval 3 dr4 C[TY C~ ~ _,= ~ l RE~BLIR~ = - __ ~p ~4~ AMER[CA'S FAMILY G~?MMUNFFY 19 E. Main (PO Box 280) Phone: 208-359-3020 x326 Rexburg,ldaho 83440 Fax:208-359-3024 www. rexbu rp.or4 comdevCilrexburg.org State of Idaho County of Madison I, Name City Affidavit of Legal Interest Address State Being first duly sworn upon oath, depose and say: (If Applicant is also Owner of Record, skip to B) A. That I am the record owner of the property described on the attached, and I grant my permission to: Name Address to submit the accompanying application pertaining to that property. B. I agree to indemnify, defend and hold Rexburg City and its employees harmless from any claim or liability resulting from any dispute as to the statements contained herin or as to the ownership of the property which is the subject of the application. Dated this day of , 20 Signature Subscribed and sworn to before me the day and year first above written. Notary Public of Idaho Residing at: My commission expires: 2 ' **Building Permit Fees are d t time of application** **Building Permits are ~f you check does not clear** Please complete the ere Application! If the question does not apply fill in NA for non applicable NAME PROPERTY ADDRESS Permit# SUBDIVISION }-{ ~ IJ ~7 S I= 0 2, ~ ~C•F~Z A Dwelling Units: Parcel Acres: SETBACKS S E A 54-C E ~' L A tit FRONT SIDE SIDE BACK Remodeling Your Building/Home (need Estimate) $ 30 ~~ SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area b ~ ~ ~ ~ Unfinished Basement area Second floor/loft area Third floor/loft area_ Shed or Barn Finished basement area Garage area Carport/Deck (30" above grade)Area Water Meter Count: N « ~-- S Required i ~ ~ '~ PLUMBING '~ Plumbing Contractor's Name: Address Contact Phone: ( ) Email City Business Phone: Fax Zip FIXTURE COUNT (including roughed fixtures) Clothes Washing Machine Dishwasher Floor Drain Garbage Disposal Hot Tub/Spa Sinks (Lavatories, kitchens, bar, mop) ', Plumbing Estimate $ ~ ~Db (Commercial Only) Required! Signature of Licensed Contractor License number The City of Rexburg's permit fee schedule is the same as Sprinklers Tub/Showers Toilet/LJrinal Water Heater Water Softener Date the State of Idaho Water Meter Size: Business Name: State 4 Please complete the ent~ Application! If the question doeat apply fill in NA for non applicable NAME PROPERTY ADDRESS Permit# SUBDIVISION Required!!! MECHANICAL Mechanical Contractor's Name: `6"~ ~ ~- ~- !S Business Name: Address City State Contact Phone: ( ) Email Business Phone: Fax Zip, Mechanical Estimate $~ (Commerciall'Multi Family Only) FIXTURES & APPLL4NCES COUNT (Single Family Dwelling Only) Furnace Exhaust or Vent Ducts Furnace/Air Conditioner Combo Heat Pump Air Conditioner Evaporative Cooler Unit Heater Space Heater Decorative gas-fired appliance Incinerator System Boiler Pool Heater Similar fixtures or Appliances Fuel Gas Pipe Outlets including stubbed in or future outlets Inlet Pressure (Meter Supply) PSI Heat (Circle all that apply) Gas Oil Coal Fireplace Electric License number Mechanical Sizing Calculations must be submitted with Plans & Application Point of Delivery must be shown on plans. Signature of Licensed Contractor Required! The City of Rexburg's Dryer Vents Range Hood Vents Cook Stove Vents Bath Fan Vents other similar vents & ducts: Date fee schedule is the same as required by the State of Idaho 5 ~~ c~rY a~ ?q~~• A~vtERICA'S FAMlC.Y Cc"?MMUNffY APPLICATION: "CONSTRUCTION PERMIT" CONSTRUCTION PERMIT #:_ PERMIT APPROVED: YES/ NO -APPLICANT INFORMATION: BUSINESS NAME: OFFICE ADDRESS: city OFFICE PHONE NUMBER: (_ CONTACT PERSON: APPROVED BY: X50.00 FEE PAID: YES/NO State Zip CELL PHONE # -LOCATION OF WORK TO BE DONE: STREET ADDRESS WHERE WORK WILL BE DONE: BUSINESS NAME WHERE WORK WILL BE DONE: _ DATES FOR WORK TO BE DONE: CONTACT PERSON: PHONE NUMBER: TO CELL # PLEASE CHECK THE TYPE OF PERMIT(S) YOU ARE APPLYING FOR: ^ AUTOMATIC FIRE-EXTINGUISHING SYSTEMS ^ COMPRESSED GASES ^ FIRE ALARM AND DETECTION SYSTEMS AND RELATED EQUIPMENT ^ FIRE PUMPS AND RELATED EQUIPMENT ^ FLAMMABLE AND COMMBUSTIBLE LIQUIDS ^ HAZARDOUS MATERIALS ^ INDUSTRIAL OVENS ^ LP-GAS ^ PRIVATE FIRE HYDRANTS ^ SPRAYING OR DIPPING ^ STANDPIPE SYSTEMS ^ TEMPORARY MEMBRANE STRUCTURES, TENTS, AND CANOPIES APPLICANTS SIGNATURE DATE 6 SUBCONTRACTOR LIST Excavation & Earthwork: b ~ ~ ~ ~G O Concrete: (~ ~ ~ E--~ Masonry: ~ ~- ~ Roofing: Insulation: ~ ~.- l•5 Drywall: ~ ~ ~ ~ E Painting: ~ ~ ~ ~ ~ Floor Coverings: ~~~ ~ O ~~ Plumbing: u ~ ~-~-- S Heating: ~~ ~ 1._-(~S Electrical: ~3 ~ ~ ~ ~~ ~ O g ~ 1 1~5 Special Construction (Manufacturer or Supplier) Roof Trusses: J T~ G k' Floor/Ceiling Joists: ~ ~ ~ ~ Siding/Exterior Trim: ~ ~ Ie-/~ ~ Q~~ ~, Other: 7