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Home My WebLink AboutAPPLICATIONS, CO, BP - 07-00509 - Stampede Marketing - Tenant FinishO� g6X6 Ukc �4 f 0 o iXED C I T'Y OF R E B V 1\x.1 America's Family Community Building Permit ISSUED TO: PERMIT #: 0700509 NAME: Moulton Phillip FOR THE CONSTRUCTION OF: Stampede Marketing JOB ADDRESS: S V21�dWS X 11 GENERAL CONTRACTOR: Owner 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 the Building Permit Application as approved by the Building Inspector. Date Approved 11/02/2007 Issued,.Bfr," 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. 2) The permit will become null and void in the event of any deviation from the NOTICE! the building beyond the point indicated in each successive inspection without 3. Drywall 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 aDDroval. 5. Final INSPECTION CARD BUILDING no ♦e A..... __A 1. Framing 2. Insulation 3. Drywall 4. Sidewalk 5. Final ELECTRICAL Date rov 1. Rough -In 7 2. Final OTHER Date Ap roved 1. Fire Department Fina PLUMBING Date Approved 1. Rough -In 2. Final 24 Hour Notice and Permit 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 o� Rexa�R� � CITY OF REX Americas Family Community Certificate of Occupancy City of Rexburg Department of Community Development 19 E. Main St./ Rexburg, ID. 83440 Phone (2081359 -3020 i Fair t9nR► aso_gnod Building Permit No: 0700509 Applicable Edition of Code: International Building Code 2003 Site Address: Use and Occupancy: Stampede Marketing Type of Construction: Type V, non -rated Design Occupant Load: Commercial Sprinkler System Required: No Name and Address of Owner: Vista Del Lago P O Box 12061 Prescott, AZ 86304 Contractor: Owner /Lessee 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 vies found to be in compliance vdth the requirements of the code for the group and division of occupancy and the use for vthich the proposed occupancy vees classified. Date C.O. Issued: December 277(03: P C.O Issued_ by: Qi� 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. Plumbing Inspector . .... __ Fire Inspector: Electrical Inspector: M ...a P &Z Administrator: CITY OF REXBURG 1 BUILDING PERMIT APPLICATION Please c 0700509 19 E MAIN, REXBURG, ID. 83440 208 - 359 -3020 X326 Stampede Marketin PARCEL NUMBER: PI Di � I (� SUBDIVISION: 's Foy (>14 , L4 UNTi lloz Di.v�.�„ _ (Addressing is based on the information - must be accurate) NER E: &S w r,,Vjj � — CONTACT PHONE # PROPERTY ADDRESS: $59 S. Vkllcw% +an.r � lIyZ PHONE #: Home (qvb) esti$ -6/z 11 Work( ) ) OWNER MAILING ADDRESS: CITY: STATE ZIP: gs EMAIL T..t.b,,,,,1 if- CyC&61 e nA + FAX APPLICANT (If other than owner) a M av t,�n (Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.) APPLICANT INFORMATION: ADDRESS 101- W_ a D ..1. CITY: d o STATE. 0 Nk ZIP `t%0by EMAIL •�o�l ()s •-� 2TT PHONE #: Home Work (W ) _3�S - o I o Cell ( ) - U b Q TY STATE � ZI lo PHONE: Cell r Work# � " - , Cy. - Fax# EMAIL IDAHO REGISTRATION # & EXP. DATE How many buildings are located on Did you recently purchase this property? No Yes (If yes, list previous owner's name) Is this a lot split? NO YES (Please bring copy of new legal description of property) PROPOSED USE: (i.e., Single Family Reside_ Multi Family, Apartments, Remodel, Garage, Commercial, Addition, Etc.) APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: under penalt of perjur I hereb certif that I have read this application and state that the information herein is correct and I swear 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 ssued under the provisions of the 2003 International Code in cases of any false statement or misrepresentation of fact in the ppli bon or on the p s o v I hich tPermit he pernut or approval was based. Permit void if not started within 180 days. P void if work stops for 180 dw+s —� /� I , Signature of O ner /Apple ant V " V Do you prefer to be conta ted by fax, ema phone? rcle Ol WARNING — BUILDING PE S BE POST'. Plan fees are non - refundable and are paid in full at the time t City of Rexburg's Acceptance of the plan review fee * *Building Permit Fees are due at time of application ** * *Building 0 SITE! �dC�onstitate plan appeoval �v .. are void if your check does of * �i�YO� REXB�RG Buil &g Safety Departme City of Rexburg 19 E. Main jonelih@rexburg.org Phone: 208.359.3020 Rexburg, 1D 83440 www.rexburg,org Fax: 206.359.3024 cQ psx.Atre n it .._. 0 F ... REXBURG 11 1-1-I.-I. OW ... _ ..._..._. _ Aw6Ws Fa mily C arnmuniry * .Affidavit of Legal Interest State of Idaho County of Madison !wW-IT IV31111013 � (P0 9 10 x Z 2 fa— Address 2� C4 Cit ' �c State Tieing first duly sworn upon oath, depose and say: (If Applicant is also Owner of Record, slidp to B) A. That I am the record own i of the Property desctibed 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 hazxnless from any cls or liability resulting from any dispute as to the statements contained herein or as to the ownership of the property which is the subject of the application. Dated this S day of QC � 66 'e- 20 6 Signature Subscribed and sworn to beforc me the day and year first above written. NotaryPu 1iG o 1�2126 Residin at: My commission expires: / Notary Pu! state of Arizona Yavapai County Peggy A Hackett My Commission Expires 09/14 2 11 0 • Please complete the entire Application! If the question does not apply fill in NA for non applicable NAME PROPERTY ADDRESS 5151 s. 1161, Permit# SUBDIVISION He -rY F• It P14%4, Dwelling Units: Parcel SETBACKS FRONT SIDE SIDE BACK Remodeling Your Building /Home (need Estimate $ 2 5 b 0 U SURFACE SQUARE FOOTAGE. • (Shall include the exterior wall measurements of the building) First Floor Area 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: Water Meter Size: Required.!! PLUMBING ( Plumbing Contractor's Name: c Business Name: Tr '_ 6, 1�� n.. �r ! 4'� - 4 �1 Address - J S�(7 //�'� City State ^ , zip 3 Contact Phone: , 4,71) r��(�/n Business Phone: (;u;s3 . 74 Email Fax 174 q FIXTURE COUNT /including rout bed frxtutes 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) y Plumbing Estimate $ %y 'OV. 640 (Commercial Only) 4. /, - YfegLUred! Signature of Lic ed Contractor License number Date The City of Rexbu o's permit fee schedule is the same as required by the State of Idaho S CITY OF REXBURG PERMIT # MECHANICAL PERMIT APPLICATION Please complete the entire Application! 19 E MAIN, REXBURG, ID. 83440 If the question does not apply fill in NA for non applicable 208 - 359 -3020 X326 PARCEL NUMBER: ( We will provide this for you) SUBDIVISION: UNIT# BLOCK# LOT# (Addressing is based on the information - must be accurate) OWNER: CONTACT PHONE # PROPERTY ADDRESS: south Yellowstone suiteJ102 PHONE #: Home ( OWNER MAILING ADDRESS: EMAIL FAX CITY: Cell ( STATE: ZIP: 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 CITY:Rigby STATE; Idaho ZIP 83442 EMAILhighcountryhtg (?netscape.com FAX 2087450817 PHONE #: Home (208 )709 -4650 Work ( )_same_ Cell( )_same CONTRACTOR MAILING ADDRESS: CITY STATE ZIP PHONE: Home# Work# Cell# EMAIL FAX 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? NO YES (Please bring copy of new legal description of property) PROPOSED USE: (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 swear 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 2003 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 Owner /Applicant DATE Do you prefer to be contacted by fax, email or phone? 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 ADDRESS Box 627 Work ( ) Building Safety Department City of Rexburg 19 E Main janellh @rexburg.org Phone: 208.359.3020 x326 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 Business Phone: ( 208 ) 745 -8056 Email highcountryhtg @netscape.com C IT Y OF REXBURG Americas Family Community NAME PROPERTY ADDRESS _859 south Yellowstone Suite 102 SUBDIVISION Permit# Required!!! MECHANICAL Mechanical Contractor's Name: Steve Dick Address P.O. Box 627 Cell Phone: (208 ) 709 -4650 Fax: ( 208 ) 745 -0817 City Rigby Business Name: High Country Heating State Idaho Zip 83440 Mechanical Estimate $ (Commercial/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 Dryer Vents Range Hood Vents Cook Stove Vents Bath Fan Vents other similar vents & ducts: Fuel Gas Pipe Outlets including stubbed in or future outlets 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. _Steve Dick Signature of Licensed Contractor The _6068 License number �F gEXBUgr i c 7 -31 -07 Date 's permit fee schedule is the same as required by the State of Idaho Mechanical Contractor's N ame: 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 City of Rexburg's License number schedule is the same as Date by the State of Idaho Building Safety Department `��tXa�R�,� c, , o E City of Rexburg y __ _------ ____ - - -_- -_._ REXBURG 19 E Main ionellh@rexburg.org Phone: 208.359.3020 x326 Anzericas Family Community Rexburg, ID 83440 www.rexburg.org Fax. 208.359.3024 OWNER'S NAME �o,�t �✓r��c.4.� PROPERTY ADDRESS 851 5 Permit# SUBDIVISION Ncn FWV PHASE - LOT i ► t z. BLOCK Required!!! ELECTRICAL M Electrical Contractor's Name Business e X C I << P� _ Address ) O 9 6 L r✓- Im Z City s Stat � �� Zip- ��-3 J90� Cell Phone (Zc) -- /190 Business Phone ( Fax (Zoe) - 5 - Z Al 7 (o Email x1 ► £ etc �l'� ` Q Electrical Estimate (cost of wiring & labor) $ O G O (COMMERCIAL/MULTI- FAMILY ONLY) TYPES OF INSTALLATION (New Residential includes everything contained within the residential structure and attached garage at the same time) Number of meters being installed Up to 200 amp Service* 201 to 400 amp Service* Over 400 amp Service* Existing Resi&ftf # (# 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 t Zc� Other Installations: Wiring not specifically covered by any of the above Cost of Wiring & Labor: $ ZM o 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 sa as required by the .ctnto of hinho Building Safety Department City of Rexburg 19 E. Main janellh@rexburg.org Phone: 208.359.3020 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 `X REXBUR �G C I T Y O F REXBURG Ow Americas Family Commumtc APPLICATION: "CONSTRUCTION PERMIT" CONSTRUCTION PERMIT #: PERMIT APPROVED: YES/ NO $50.00 FEE PAID: YES/NO APPROVED BY: ,J� - APPLICANT INF RMATION: Business Name: •1 Office Address: , o i c o z City ro S°5y State Zip Office Phone Number: 2 Contractor Performing t*Vork: srw.�. Poo Mrae� Contact Person: V�;%. _v__ Cell Phone # ( Los - ) s`, - c. o $ - LOCATION OF WORK TO BE DONE: Street Address Where Work Will Be Done: 85 ct u AV 11 z Business Name Where Work Will Be Done: Htnv4•5 0rir Pia%LQ Dates For Work To Be Done: To Contact Person: 3 ue� 1c- rank s� Phone Number: �a s�g - two •1s -i Cell # (-z!t) s 69 - c. a -i PLEASE CHECK THE TYPE OF PERMIT(S) YOU ARE APPLYING FOR: 0 AUTOMATIC FIRE- EXTINGUISHING SYSTEMS 0 COMPRESSED GASES 0 FIRE ALARM AND DETECTION SYSTEMS AND RELATED EQUIPMENT 0 FIRE PUMPS AND RELATED EQUIPMENT 0 FLAMMABLE AND COMMBUSTIBLE LIQUIDS 0 HAZARDOUS MATERIALS 0 INDUSTRIAL OVENS 0 LP -GAS 0 PRIVATE FIRE HYDRANTS 0 SPRAYING OR DIPPING 0 STANDPIPE SYSTEMS 0 TEMPORARY RANE STRUCTURES, TENTS, AND CANOPIES / / q4�L App 'cants Signai6ii Dat mom 77 • 0 SUBCONTRACTOR LIST Excavation & Earthwork: Masonry: Roofing: Insulation: Ad yRv► ccd rv►s Ai4yian Drywall: Le barer. CkrY wA ll Painting: 9 a:.. fin..... Fts1. rn Floor Coverings: ETh c•td•Lc T' It Plumbing: Ackcl c n y Heating: Electrical: YC t f ( g ,c4-,; c Special Construction (Manufacturer or Supplier) Roof Trusses: '^ Floor /Ceiling Joists: — Siding /Exterior Trim: — Other: r" • 0 EXEMPTIONS FROM STATE REGISTRATION As of January 1, 2006, the City of Rexburg can no longer sell permits without having a copy of your State registration number or your exemption from the State registration. Please send a copy of your state registration or fill out this form showing your exemption and send it with your license renewal or your next permit application. (This list is a summarization of Idaho Code Title 54 Chapter 5205, for full definitions of these exemptions please see the State's website at Nv\N .ibol.idah<>>.g( /cont.httn ❑ Currently State licensed pursuant to Title 54 Idaho Code, Chapters: 3 Architects, 10 Electrical Contractors /Journeyman, 12 Engineers /Surveyors, 19 Public Works Contractors (exempt from fee only registration required), 26 Plumbing /Plumbers, 45 Public Works Construction Management Licensing Act (exempt from fee only registration required), or 50 Installation of heating, ventilation and air conditioning systems ❑ Employee or volunteer of a licensed contractor or part of an educational curriculum or nonprofit charitable activity with no wages or salary ❑ Employee of a US Government agency (State, City, County, or other municipality) ❑ Public Utility doing construction, maintenance, or development to its own business ❑ Involved with gas, oil or mineral operations ❑ Supplier doing no installation or fabricating ❑ Contracting a project or projects with a total cost less than $2000 ❑ Operation of a farm or ranch or construction of agriculture buildings exempt from Idaho Building Code ❑ Any type of water district operations ❑ Work in rural districts for fire prevention purposes ❑ Owner who performs work on own property or contracts with a registered contractor to do work as long as the property is not for resale within 12 months Owner or lessee of commercial property performing maintenance, repair, alteration or construction on that property ❑ Real estate licensee /property manager acting within Idaho Code ❑ Engaging in the logging industry ❑ Renter working on the property where they live with the property owners approval ❑ Construction of a building used for industrial chemical processing per Idaho Code ❑ Construction of a modular building (defined by Idaho Code) to be moved out of state I hereby Fert)fy that tie tb f vJ information is true and correct to the best of my knowledge. V Pr V1 Nam 7 LINE OF ROOF AEIOVE I ® - e, d► § a 6 — T 6z 7 B I FIRST FLOOR PLAN E W nz.l 1/4"= 11-01, 0 N I I — — WALL LEGEND TYPICAL $TO UALL TYPCCAL PI"SING A4J.L A APPROVED v BUILDING INSPECTOR HENRY'S FORK PLAZA OFFICE BUILDING #101 -102 — 859 S. YELLOWSTONE REXBURG, IDAHO MADISON COUNTY — —� DUBBE— MOULDER Apa4fECTS, P.0 ARCHITECTURE- HISTORIC PRESERVATION- INTERIORS S P.O. BOX 9227 • 1160ALPMEUNE• SUITEIA — — —� JACKSON HOLE, WYOWNO 930M P.O. BOX 169 • 37 NORTH HRSTEAST • SURE I DRICGS, IDAHO 83422 OWNERSHIP @ USE OF DOCUMENTS �AwR+os s>;eBCmLCnnous. As marPtR�ria oP Pvaeesmoruc - aeRVUSeReArmsxnunmeamx >mexamlTrar>�A.aemcc n®eenaa�InsaRBaorm Be 113®Hi P/FNiHQiB PAarewcetry esnmx: roRPURPaseswRATSOS9 >�,wrntomnmPUOa �PCne R'RCI'IffilAVOiOBIZA]ILRi OP ➢UBBBJf00LD)AAtLHR&.7&PF Shat 151te: FIRST FLOOR PLAN REVISIONS I It I II EE jE D Dm wn By. . �. K.D sh at x�: 7�� CITY TY Sale_ TED A2.1 A