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HomeMy WebLinkAboutCO & APPLICATION - 05-00476 - Melaleuca Office - RemodelU~4REX8°RCr~ ~jT'~)rC'~I]TY of ~1 CERTIFICATE OF OCCUPANCY -,r~ O 1 W~~\J 'e,, e,~ America'sFamityCommunity Department of Community Development ryso ` 19 E. Main St. / Rexburg, ID. 83440 Phone (208) 359-3020 /Fax (208) 359-3022 Building Permit No: Applicable Edition of Code: Site Address: Use and Occupancy: Type of Construction: Design Occupant Load: Sprinkler System Required: 05 00476 International Building Code 2003 36 S 1st W Melaleuca Office Space Type V, 1 Hour 33 No Name and Address of Owner: Melaleuca Inc 3910 S Yellowstone Hwy Idaho Falls, ID 83402 Contractor: Vance Nelson Construction Special Conditions: Occupancy: Business, professional or service, restaurants less than 50 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 vies inspected on the date listed vies found to be in compliance vtith the requirements ofthe code for the group and division of occupancy and the use for which the proposed occupancy vies classified. Date C.O. Issuec C.O Issued by: 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 Depart t: ` State of Idaho Electrical Department C.~~'Y OF REXB URG . BUILDING PERMIT APPLICATION 19 E MAIN, REXBURG, ID. 83440 208-359-3020 X322 PERMIT # Please -~-~--~'~~~ '-~~~-~*;~.n A r~r-lins~•init ~ If the qua PARCEL NUMBER: ~X~ ~ (~~ ~~ ~ ~JU SUBDIVISION: T Ul (Addressing is based on the information -must be accurate) 0_5 00476 Melaleuca :Remodel eta_~.L~~ ~~ T CONTACT PHONE # 3 t3 - ,z ~ y ~ PROPERTY ADDRESS: 3G' S~„~..~-lti 1 ~ fit~~c-5f ~e-,E-~r-ct PHONE #: Home ( ) Work ( ) Cell ( ) OWNER MAILING ADDRESS:~q~o ~, 'T<.~Ivi.:S_ CITY: T~ ~G,(~g STATE: ~~ ZIP:_~~vz, EMAIL FAX APPLICANT: (If other than owner) ~/I/ ~ (Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.) APPLICANT INFORMATION: ADDRESS STATE; ZIP EMAIL PHONE #: Home ( ) Work ( ) Cell Y: -.._ ~-~ f~ jy~ CONTRACTOR: MAILING ADDRESS: X87 ti~ 33aa %= CITY Z` STATEI~1 ZIP~~Z-- PHONE: Home# ~~S y- g 8 y ~ Work# 3 /3-73 7,3 Cell# 3 l 3 - ~7 ~, ? EMAIL K a ~ ~ ~,.. k ~? ~~y. H e f FAX 7S y~- y ~ 3 .~, How many buildings are located on this property? Did you recently purchase this property? No Yes (If yes give owner's name), Is this a lot split? ~ YES (Please bring copy of new legal description of property) PROPOSED USE: ~~ ~~.~1 -~c- v ~~~~ (i.e., Single Family Residence, Multi Family, Apartments, Remodel, 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 hearings 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 d~ys~ _ !l / Z~ /p.S Signature 6f Owner/Applicant DATE Do you prefer to be contacted by fax, email phon ~ ircle One WARNING - BUILDING P T 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 **Building Permit Fees are dy ~at time of application** **Building Permits are v if you check does not clear** Please complete the e~ire Application! If the question does not apply fill in NA for non applicable NAME PROPERTY ADDRESS SUBDIVISION Dwelling Units: SETBACKS FRONT SIDE Remodeling Your Building/Home (need Estimate) $ Permit# SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area ,~~ 3cx~ S cp ~-~--. Unfinished Basement area --`" Second floor/loft area -- Finished basement area /` Third floor/loft area - Garage area Shed or Barn / Carport/Deck (30" above grade)Area ~ Water Meter Quantity: SIDE **************** Water Meter Size• Required!!! PLUMBING 11 rr n l , numbing Contractor's Name: ~C w 7 ~ l h c- Eusiness Name: /-~!. ~ ~ ~ ~ V I k ~ S+`~ ~ i~' 4 Address 3~ 3 ~ ~,' ~ ~/ ~ N City~7 State S ~ Zip g.~~1Y Contact Phone: (~ a 8) 7 y s- 7 p •~.. ~ Business Phone: ( ) 7 ~~ S- 7 d a- ~ Email BACK Fax FIXTURE COUNT (includins roughed fixtures) Clothes Washing Machine Sprinklers Dishwasher Tub/Showers Floor Drain Toilet/Urinal Garbage Disposal Water Heater Hot Tub/Spa Water Softener Sinks (Lavatories, kitchens, bar, mop) Plumbin Estimate $ ~ 0~ IJ ~~ (Commercial Only) Re wired! Signat e of Li used Contractor License mm~ber Date The City of Rexburg's permit fee schedule is the same as required by the State of Idaho Parcel Acres: 4 P~.ease complete the ent~ ApplicatlOn ~ If the question doe~t apply fill in NA for non applicable NAME PROPERTY ADDRESS Permit# SUBDIVISION Required!!! MECHANICAL Mechanical Contractor's Name: So urL~. ~e-~rca ~E'~ ~ h Business Name: Address~d~jC7 ,:i.,~,~,,,x.~-,~'~~,,( 131v~1 City `~-~;.~, ,, ~Cl.s State L~ Zip ~3~/ Contact Phone: (app 3K1- Damon x243-7ko5`Business Phone: (~jg-) ~3~~ - ~~Oy Email j ,~rv Fig ~ ~~ urce rr_~,«~a~Se~.Fax ~~ ~s'~- `-~c~~a - 7r 1!S` ~ c=ow Mechanical Estimate $ L,JW[/ (CommerciaVMulti Family Only) FIXTURES & APPLL4NCES COUNT (Single Family Dwelling Only) Air Conditioner Space Heater Bath Fan Vents Range Hood Vents Boiler Cook Stove Vents Decorative Gas Fireplaces Dryer Vents Evaporative Cooler Exhaust or vent ducts Fuel (gas) piping fixtures or appliance outlets Furnace Furnace/Air Conditioner Combo Heat Pump Incinerator Pool Heater Heat (Circle all that apply) Gas Oil Coal- Fireplace Electric Unit Heater Mechanical Sizing Calculations must be submitted with Plans & Application Point of Delivery must be shown on plans. ~ - ~° F~-~ac--~ 1 ~~-I, / ~~- ~ -t~ ~ Sig, ature o ensed Contractor License number Date Required! The City of Rexburg's permit fee schedule is the same as required by the State of Idaho 5 12/20/2005 14:38 FAX 5282083 PLANT ADMINISTRATION ~ 002/004 OS 00476 Melaleuca Remodel 0 0 0 3 Z 0 D 5 0 1 3 r S u n .~ ~ s o r~ U1 N O 3 Z ~ C O~ 5 ~ ~ ~~ 3 Z Q. 1n 3 ~'f P ~ O 3 Q ~ Q 3 s ~o ~ o x_ ~- S `+ P O~ fO ~ O 3 ~ ~ N ~0 N ~ O Z ~o n ~o ~nn~ ~ ~o Z lA S O U1 Q 3 a Q ~D n i O A ~ r ~. ~~~~~~ DEC ~ ~ ~uu5 f UI v Vwdnp Vwdnp 03 a ~ o `~ Break Roor~ 14:38 FAX 5282083 PLANT ADMINISTRATION C~ 003/004. 12/20/2005 14:38 FAX 5282083 PLANT ADMINISTRATION f7j004/004 Res Rest Roo Roon 0 0 a s m . `.`. . .'~ -'Gr'ass. `~ .`. . ~. 34 PARKING SPACES ~• _ . . .'.'. .'.'G.a1:0.~55~-~ .. `..... . _ .~.~. ..Y.`.`. . .... . . _ . _ . . . • . . 1 • . • ` . ` . • . . . . . . . . ' . _ ~'.Grt~55'. .... ... . Rest Mechanical Roon Electrlcol ' + " .+. Roon Roon Dnto Entry Aren • ' .~ 36 South 1st West . . _ _ . _..-...-. _•~rds~-.• .- -_-_-.-. .