The URL can be used to link to this page

Home My WebLink AboutAPPLICATIONS, CO, BP - 07-00269 - Family First Medical - Tenant FinishINSPECTION CARD CITY OF RE Americo Family Community Building Permit OSSUED TO: PERMIT #: 0700269 NAME: Stevens Bart Etux FOR THE CONSTRUCTION OF: Family First Medical JOB ADDRESS GENERAL CONTRACTOR: Stevens Construction -0 tl0 This permit is issued subject to the regulations contained in Building Code and Zoning Regulations of the City of Rexbug. It is specifically understood that this Permit does not allow any Variance to the regulations of the City of Rexburg or Zoning Codes unless specifically approved by the City Council and explained on is the Building Permit Application as approved by the Building Inspector. Date Approved 07/10/2007 Issu d B Building Inspector THIS PERMIT MUST BE PROMINANTLY DISPLAYED AT THE BUILDING SITE THE BUILDING MAY NOT BE OCCUPIED OR USED WITHOUT FIRST OBTAINING ACERTIFICATE OF OCCUPANCY 1) A complete set of approved drawings along with the permit must be kept No work shall be done on any part of on the premises during construction. the building beyond the point indicated N O T I C E 2) The permit will become null and void in the event of any deviation from the in each successive inspection without ■ accepted drawings. approval. No structural framework of 3) No foundation, structural, electrical, nor plumbing work shall be concealed any underground work shall be covered without approval. BUILDING Date Approved 1. Framing 2. Insulation 3. Drywall 4. Sidewalk 5. Final . ELECTRICAL Date Approved 1. Rough -In 2. Final OTHER D 7 ' � 1. Fire Department Fina PLUMBING Date Approved 1. Rough -In 2. Final 24 Hour Notice and Perrtiit Number required to make inspection appointments For Inspections Call 359 -3020 option 2 ACERTIFICATE OF OCCUPANCY CAN NOT BE ISSUED PRIOR TO FINAL ELECTRICAL & PLUMBING INSPECTION 0 Q�xBU$� a " CITY OF Certificate of Occupancy � ° RE URG City of Rexburg Department of Community Development America's Family Community 19 E. Main St. / Rexburg, ID. 83440 Building Permit No: Applicable Edition of Code: Site Address: Use and Occupancy: Type of Construction: Design Occupant Load: Sprinkler System Required: 0700269 International Building Code 2006 859 S Yellowstone #1101 Family First Medical Type V, non -rated Commercial No Name and Address of Owner: Stevens Bart Etux 210 Nez Perce Rexburg, ID 83440 Contractor: Stevens Construction Special Conditions: Occupancy: Business - office, professional or service transactions 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 ales found to be in compliance vvth the requirements of the code for the group and division of occupancy and the use for vihich the proposed occupancy vies classified. Date C.O. Issued: April C.O Issued by: 30, 2009 (11:15 Building Official There shall be no further change in the eAsting 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. Plumbing Inspe Electrical Inspector: Fire Inspector- 9�- PU Administrator: � . CITY OF KEAB 6700269 UKG Family .First Medical BUILDING PERMIT APPLICATION Please Coy 859 S Yellowstone # 1101 19 E MAIN, REXBURG, ID. 83440 208 - 359 -3020 X326 $T H V 1 F o p , Ll PARCEL NUMB • WV V-�tDj _ (We will provide this for you) FP .1 (S SUBDIVISION: f �e ��K P LAZA UNIT# BLOCK# LOT# �► .� (Addressitlg is based on the information - must be accurate) rt PROPERTY ADDRESS: 0,5 5 J E uo0 ST*b -eJ F. PHONE #: Home ( ) ? L I I L Work ( ) Cell ( ) 799 7 3 1 a) OWNER MAILING ADDRESS: - 110 NEZ PER CITY: F ojeja STATE DZIIP: 341/0 EMAIL FAX APPLICANT of 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 CITY: STATE ZIP EMAIL FAX PHONE #: Home ( ) Work ( ) Cell( ) CONTRACTOR MAILING ADDRESS: 0110 X 161 - PUC4 Aje. CITY CE LJt► . STATE - ZIP M O PHONE: Cell# ®`j ! a Work# Fax .3 "31 a EMAIL IDAHO REGISTRATION # & EXP. DATE _ ALT No) xq How many buildings are located on this property? I AVIN Did you recently purchase this property N Yes (If yes give owner's name) Is this a lot sph YES (Please bring copy of new legal description of property) PROPOSED USE: O MM A L (Le., Single Family Residence, Multi Family, Apartments, Remodel, Garage, Commercial, Addition, Etc.) APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: under penalt of per;ur I hereb certif that T have read this application and state that the information herein is correct and I swear that any infomration 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 tmtter of this application and hereby authorized representatives of the City to enter upon the above - mentioned property for inspections purposes. NO'T'E: 'The building official may revoke a pemvt on approval issued under the provisions of the 2003 International Code in rases 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. AAA d i 6 _ Signature of Owner /Applicant DATE Do you prefer to be contacted by fax, email or phone? Circle One WARNING — BUILDING PERMIT MUST BE POSTED ON CONSTRUCTION SITED Plan fees are non - refundable and are paid in full at the time of application beginning hmu a{v 1. JWS, City of Rexburg's Acceptance of the plan review fee does not constitute plan approval **Building Permit Fees are due at time of application** **Building Permits are void if your check does not clear** 'r� )4 , jr L0P,A ; S- 5 &00." 2 06 /1J U n 0 7 1 5:21 F A X N Please complete the entire Application! If the qumtkm does not apply M i NA�I� PROPERTY ADDRESS SUBD M SION N o. qJd/ r. 1 001 0700269 Family First Medical 859 S Yellowstone #1101 Dwelling Units: Parcel Acres- s SSETBACKS L FRONT SIDE SIDE BAC,K Remodehkg YourBuBdmg/Home (need Estimate) SURFACE SQUARE FOOTAOR (MnAR include the extenor wall measurements of the bwldiag) First Floor Atea Unfinished Basement are Second floor /loft are Finished basement arcs Third fjoor /loft azca Garage aka Shed or Barn Carport/Deck (3(Y above gmde Water Meter QU=VtT. Water Meter Size: Requ&cd!11 F -LUMBWG �l�o�J O IE A j Plumbing Contractor's Name: B usiness Name: Adaxcss City Ststo Zi p Contact Phone: ( ) Business Phone: ( ) Rmafl __- F ax F7X97 ECO T" /j�mb.rou h& &arr ` Clothes Washing Machine = Sprinklers Dishwasher Tub /showers Moor Dxai o °�` Toilet /Uibw Gazbage Disposal Water Heater not Tub /Spa Water Soft ener �Sinks (Lavatories, kitchens, bar, mop) Plumbing Estimate $ `�Q (Commercial Only) /L4 I N of Ljm=vd Cmuscox The py �j rr mbe&u if tht MW ar nvAih Date the A* qjr"o 4 Please complete the entire 1 If the question does notloply fill in NA for non applicable NAME PROPERTY ADDRESS Permit # SUBDIVISION t � R A �•� � � p,� Required!!! -1 , 4 ki c , w = �fo MECHANICAL Mechanical Contractor's Name: Business Name: Address City State Zip Contact Phone: ( ) Business Phone: ( ) Email Fax Mechanical Estimate $ (Commercial /Multi Family Only) FIXTURES & APPLIANCES 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 Fuel Gas Pipe Outlets including stubbed in or future outlets Inlet Pressure (Meter Supply) PSI Dryer Vents Range Hood Vents Cook Stove Vents Bath Fan Vents other similar vents & ducts: Heat (Circle all that apply) Gas Oil Coal Fireplace Electric Hydronic Mechanical Sizing Calculations must be submitted with Plans & Application Point of Delivery must be shown on plans. Required! Signature of Licensed Contractor The License number Date 's hermit fee schedule is the .came as required by the State of Idaho 5 Building Safety Department ik CITY OF City of Rexburg � X nT m B V1\ G 0& 19 E Main janellh @rexburg.org Phone: 208.359.3020 x326 America's Family Community Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 OWNER'S NAME PROPERTY ADDRESS Permit# SUBDIVISION PHASE LOT BLOCK Required!!! ELECTRICAL Electrical Contractor's Name Business Name City State Zip Cell Phone ( ) Business Phone ( Fax ( Electrical Estimate ( cost of wiring & labor)'; ( 11 (COMMERCIAL /MULTI -FA"` 'ONLY) TYPES OF INSTALLATION I -r-' Q CO (New Residential includes everything contained witivn the residential struc, ` � re time) Number of meters being installed Up to 200 amp Service* 201 to 400 amp Service* C Over 400 amp Service* Existing Residential (# of Branch Circuits) Temporary Construction Service, 200 amp or less, one location (for a period not to exceed 1 year) Spa, Hot Tub, Swimming Pool Electric Central Systems Heating and / or Cooling (when not part of a new residential construction permit and no additional wiring) Modular, Manufactured or Mobile Home Other Installations: Wiring not specifically covered by any of the above Cost of Wiring & Labor: $ Pumps (Domestic Water, Irrigation, Sewage) Requested Inspections (of existing wiring) Temporary Amusement /Industry *Includes a maximum of 3 inspections. Additional inspections charged at requested inspection rate of $40 per hour. Signature of Licensed Contractor License number Date The City of Rexburg's permit fee schedule is the same as required by the State of Idaho