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Home My WebLink AboutAPPLICATIONS, CO - 07-00555 - Eclipse Marketing - RemodelF CITY of Certificate of Occupancy R Americas Family Community City of Rexburg Department of Community Development 19 E. Main St. / Rexburg, ID. 83440 Phone (208) 359 -3020 / Fax (208) 359 -3024 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: 0700555 International Building Code 2003 305 W Main St Eclipse Marketing Type V, non -rated Commercial No Eclipse Marketing 2601 N Canyon Rd Suite 201 Provo, UT 84604 Contractor: Owner /Lessee Special Conditions: - M'C' b"('L I ( 4 ry H p�aCfSS i � be 9far fir -� 0j&b or lard - s i re Wp N �1o�c r 1 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 vWth the requirements of the code for the group and division of occupancy and the use for vihich the proposed occupancy wes classified. Date C.O. Issued: January 24, 8 10:1 AM) C.O Issued by: Y 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 Inspector - Electrical Inspector: Fire Inspector P &Z Admin istrator: TEMPORARY ,o�gexspq�ra - CITY OF ..... Certificate of .Occupancy y u a >> REX Cit of Rexburg 01V D of Communi Development '•�,:� America's Family Community p `7 p 19 E. Main St. / Rexburg, ID. 83440 Phone (208) 359 -3020 / Fax (208) 359 -3024 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: 0700555 International Building Code 2003 305 W Main St Eclipse Marketing Type V, non -rated Commercial No Eclipse Marketing 2601 N Canyon Rd Suite 201 Provo, UT 84604 Contractor: Owner /Lessee �} I I► s cJAfj t 9 �,� l g Special Conditions: a ifar i(. ram -V J9°c �'� i FJ ' � ) vvtl .fop , need +o k i f v ylq btu i is ; har►cl r coy 5fait moved s 0 I OG f S tC�S 61 rLQ. Ww t� kce% ramp Vpj=4 arcas ta"Capfd . Occupancy: Business - office, professional or seance 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 i th 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: January 24, 8 10:1 AM) C.O Issued by: Y 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 Inspector- Electrical Inspector: Fire Inspector: i P&Z Administrator: 10/26/2007 13:46 FAX 12083563379 fo c�7'1' OF REM URG BUILDING PERMIT' .A.PPLICATION 19 E MAIN, REXBURG, ID. 83440 208 - 359 -3020 X326 QUICK SHIP N COPY R 002 0 Pleg 0700555 Eclipse Marketing Remodel PARCEL NUMBE d" �� (We will provide this for you) SUBDIVISION: UNIT# BLOCX <# LOT# (Addressing is based oh the information - mast be accurat ACT PHONE #. PROPERTY ADDRF SS: 30,5 olps 10ta ST xWa& V PHONE ##: Home ( ) Work (pt 374 .— 07 Cell ( ) OWNER MAILING ADDRESS: a t N.' -i°�'� — CITY: 46 STATE: J U TZ IP:( EMAIL FAX �PIsLYCA T: (If ocher than owner) SY F, K 12 ( ,\pplicant if other than cmmc; a statement autho47ing applicant to act as agent for owner must accompany thie application.) APPLICANT INFORMATION: ADDRESS 3YZ 04 KTR , y- W CZTY: Rane2wit& STA'T'E :.2640 zIP gzq_gV 1~MAIL FAX PHONE #: Home { ) _ Work : �$J' �C7_ Cell M ) Qd�3 2,!? GQJYRACT MAILING ADDRESS: PRONE: Cell #. Work# Fax# EMAIL IDAHO REGISTRATION # & EXP. DATE How many building-s axe located on this property? _ 0 N a Did you recently purchase this property? No Yes (If yes, last previous owner's name) A1,61- YES (Please bring copy of new legal description of property) Is this a lot split? 0) PROPOSED USE: CoAWSe"6.1A_i_ 5'*tes Q0 (e., Single Family Residence, Multi Family, Apartinents, Remodel, Garage, Commercial, Addition, Etc -) APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZA'T'ION Under penalty of p erjury, I hereby certify that I have read this aq>plication and state that the information heecin is cornet and I swear that any information which may hereafter be given by me in bearings before the Mannieg and Zoning Commigsion or the Gry Council for the City of Rexhap; shall be ttuthfvl and correct I agree to comply with Al City regulations and State laws relating to the subject rnatter of this al pllcation and hereb authorized represeotativeF; of the City to enter upon the abow mentioned property for inspections purpose& NOTE„ The budding official may revoke s permit on rip v¢ iasucd nJ er thep06aong of the 2003 International Code in cases of any false statement or misrepresentation of f er in the application or on the plans on which t lip N ovaiw4gwed. yc4rit void if oot started within 180 days. Penn it void if work stops for 180 days. Signature of Owner /Applicant DATE Do you prefer to be contacted by fax, email or .1e? Circle One WARNING — ]BUILDING PE 4 0;1 BE POSTED ON CON Plan fees are non - refundable and are paid in full at the time of applievAon b U City of Rexbwg's Acceptoatce of the plan review fee does not consti 1 **Building Permit Pees are due at time of application" **Building Permits are vo r check does not clear** NOV - 5 2.0 7 j 2 CITY STATE ZIP, CITY OF REXBURG 10/26/2007 13:46 FAX 12083563379 QUICK SHIP N COPY • Building Safety Department exe� City of Rexburg 19 E. Mein janellh @rexburg.org Phone: 208.359.3020 ext326 *., Rexburg, ID 83440 www.rexburg.org Fax: 208.339.3024 2 003 CITY OF REX BURG Amcriw' Family Community Affidavit of Legal Interest State of Idaho County of Madison Name cit 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 X grant my Permission to: _ - 78-"13 K 1p-D 912. O/kk11ki L [)I2.- 0,-9"f& 117 * ?iYy0 Nam 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 grope which is the subject of the application. Dated this Subscribed and sworn to before me the day and year first above written. a ERIK T. JACKLIN NOTAAf PUBLIC STATE e/ UTAH 1 4554 LANDMARK CIRCLE Notary Public 4 l inhe- U rq 'o. CEDAR HILLS, UT 84082 3�8'21N� Residing at: q,5 LAW bwl 6; e My cotnmission expires: 9ofZC N g, ZOO _ gYcZL 3 Please complete the e0aire Application! If the question does not apply fill in NA for non applicable NAME 1FC1_ fose A p K"%4q PROPERTY ADDRESS 306' Ldf ST M I} :i w O &K SUBDIVISION Dwelling Units: / Parcel Acres: SETBACKS FRONT SIDE SIDE BAun Remodeling Your Building /Home (need Estimate $ &00 4 '-f' SURFACE SQUARE FOOTAGE.- (Shall include the exterior wall measurements of the building) -e. First Floor Area Z4 Phi PJ i 1 , 8W SIB Ufinis nhed Basement area ft rjl� S Is Second floor /lo area 2_kY 5 R Finished basement area 1199 sot Third floor /loft a a Garage area N A, Shed or Barn /V& Carport /Deck (30" above grade)Area /t) -::;,o r- T Water Meter Quantity: Water Meter Size: Requiredffl PLUMBING Plumbing Contractor's Name: oj_I S 4 tyr Business Name: i / ol- R_ �1 Address Cih; i State .J M40 Zip Contact Phone: (2D -'3 i 7 100 1 Business Phone: ( ) Email Fax FIXTURE COUNT (including rowhed fixtures) Clothes Washing Machine Dishwasher Floor Drain Garbage Disposal Hot Tub /Spa Sinks (Lavatories, kitchens, bar, mop) v� of Licensed Contractor The City of Be Water Heater Water Softener (Commercial Only) C- //S / 7_ License number Date $urg's permit fee schedu is the same as required by the State of Idaho 0700555 Eclipse Marketing Remodel Sprinklers Tub /Showers 2-- Toilet /Urinal 4 BUM Safety Department o4 �Exa� R � . F; O 's U C City of Rexburg 19 E Main jonellh@rexburg.org Rexburg, ID 83440 www.rexburg.org Phone: 208.359.3020 x326 Fax: 208.359.3024 CITY O F REXBURG America's Family Community OWNER'S NAME 90 N\kRK FT #J6 PROPERTY ADDRESS 305 W , tA t>to SUBDIVISION PHASE LOT BLOCK 0700555 Eclipse Marketing 305 W Main St Required f!l ELECTRICAL Electrical Contractor's Name p� ��,�,, ��uu��. R _��SA 00 #!�u� Busmess Name � U 1. ( TN. � �� t � Address 3570 � K.- ] -� L/`1 City -, — kj�1�d 6i (1 State Zip Cell Phoneg) 6W —f Business Phone Fax ( ) Email Electrical Estimate (cost of wiring & labor) $ OMMERCIAL /MULTI - FAMILY ONLY) TYPES OFINSTALLATION (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 Residential (# of Branch Circuits) Temporary Construction Service, 200 amp or less, one Spa, Hot Tub, Swimming Pool ear) 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 maxim 11,1 3 inspections. Additional inspections charged at requested inspection rate of $40 per hour. Lg:�� -1 7 ki C .1 -k Sign a a of Licensed Contractor License number Date The City of Rexburg's permitfee schedule is the same as required by the State of Idaho rol Please complete the ent*Application! If the question does apply fill in NA for non applicable NAME _ f-G1 . 5e MA" ILM19 PROPERTY ADDRESS 30,' W. 101 1?a6tA Permit# SUBDIVISION _ RequiredLY lVh MECHANICAL Mechanical Contractor's Name: Business Name: Address City State Zip, Contact Phone: ( ) Business Phone: ( ) 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 -- __�..' __ ., I M.M71771T Z 1 ' : .fit..._. P o i nt o De must be shown o p Required! Signature of Licensed Contractor License number The City of Bexburg's permit fee schedule is the same as Date the State of Idaho 5 Build g Safety Department City of Rexburg 19 E. Main Rexburg, ID 83440 janellh@rexburg.org Phone: 208.359.3020 www.rexburg.org Fax: 208.359.3024 OF pEXBUgC �Y �O 'y v a CITY OF REXB Americas Family Community APPLICATION: "CONSTRUCTION PERMIT" CONSTRUCTION PERMIT #: PERMIT APPROVED: YES/ NO $50.00 FEE PAID: YES /NO - APPLICAN INFORMATION: APPROVED BY: Business Name: C- (-( PS_ M AAK IF—T ►06- Office Address: ?, u)E3&T Am%=i4 City State Zip Office Phone Number: ( Contractor Performing the Work: aA- Contact Person: N k Cell Phone # ( ) - LOCATION OF WORK TO BE DONE: Street Address Where Work Will Be Done: SDS 0. IL Rk i N Business Name Where Work Will Be Done: CZL i PSG, PA AA K r_vti Dates For Work To Be Done: NQ � j_ 2,c;67 To `t7 EP— 30 2007 Contact Person: X006 t-< iDD Phone Number: Vj2E3 Z_ 1 d.3? j Cell # PLEASE CHECK THE TYPE OF PERMITS) 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 ❑ STANDPIP YYTEMS 11 TE MEMBRANE STRUCTURES, TENTS, AND CANOPIES I /_r,2- 7 plic Si ure Date .. .... ........................................... ..............................� 7 • • SUBCONTRACTOR LIST Excavation & Earthwork: N kr Concrete: Ath Masonry: Roofing: /v A Insulation: A Drywall: '�- D i mot.. ' 1 i �� S I r t� Floor Plumbing: NA Heating: F.lPrtriral• I�/ Special Construction (Manufacturer or Supplier) Roof Trusses: N � Floor /Ceiling Joi Siding /Exterior Trim: EXEMI'TIAS FROM STATE REATRATION 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 www.ibol.idaho.gov /cont.htm ❑ 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 ❑ Construytion modular building (defined by Idaho Code) to be moved out of state I hereby certi ' ove information is true and correct to the best of my knowledge. Signature at `<'i�a Print Name 6