HomeMy WebLinkAboutALL DOCS - 08-00060 - Walters Ready Mix - AdditionINSPECTION CARD
V, BU rQ jJ �C"II T YYTO PF Buildin
9
�I Americas Family Community
Permit
•
ISSUED TO:
PERMIT #:
NAME: Walters Ready Mix Inc
FOR THE CONSTRUCTION OF:
Walters Ready Mix Additio JOB ADDRESS: 342 W 4th N
GENERAL CONTRACTOR:
Owner /Lessee
This permit is issued subject to the regulations contained in doe ld not allow any Va ianc Rothe egulat of the
Cit of Rexbug. It is specifically understood that this roved b the City Council and explained on
of the City of Rexburg oi Zonin n as approved by the c Build nglnspector
the Building Permit Appli
Date Approved
03/11/2008
Is d
Building Inspector
THIS PERMIT MUST BE PROMINANTLY DISPLAYED AT THE BUILDING SI OCCUPANCY
THE BUILDING MAY NOT BE OCCUPIED OR USED WITHOUT FIRST OBTAINING ACERT
No work shall be done on any part of
1) A complete set of approved drawings along with the permit must be kept the building beyond the point indicated ar
on the premises during construction.
2) The permit will become null and void in the event of any deviation from the approval. al uNo structural fra of
NOTICE ■ accepted drawings.
3) No foundation, structural, electrical, nor plumbing work shall be concealed any underground work shall be covered
without approval.
BUILDING
D
1. Layo
2. Foot
3. Fou n d ation
4. Framing
5. Insulation
6. Drywall
7, Final
OTHER
Date roved
1. Fire Department Fina
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� p�xaUR�
CITY OF
REXBURG
' America's Family Community
F9
COMMERCIAL & MULTI FAMILY BUILDING P
19 E MAIN, REXBURG, ID 83440
208 - 359 -3020 X326
Please Compte�e the Entire Application!
If the question does nr,t ar r.l., All :., nr A t_
0800061
Walters Ready Mix Shop Addition
PARCEL NUMBER: ( we will provide this for you)
SUBDIVISION: UNIT# BLOCK# LOT#
AcIclressmg is based on the information - must be accurate
OWNER NAME• W1q rJ — r - 1 ? 5 851912V Ml) CONTACT PHONE
PROPERTY ADDRESS: 34f )L_ w, 5r" r Ti-f /C/01?rH
PHONE #: Home ( ) 3 56- Work ( ) Cell ( )
OWNER MAILING ADDRESS: /' 13 3 CITY : /?f- xt3, tV 6- STATE -TO ZIP: 8 3"t- 0
EMAIL FAX 3 5G - �, S 5,
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 CITY:
STATE; ZIP EMAIL FAX
PHONE #: Home (
Work ( ) Cell (
CONTRACTOR 0 4VV--7
MAILING ADDRESS: CITY STATE ZIP
PHONE: Cell# Work# Fax#
EMAIL IDAHO REGISTRATION # & EXP. DATE
How many buildings are located on this property?
Did you recently purchase this property ?& Yes (If yes, list previous owner's name) -
Is this a lot split? (9 YES (Please bring copy of new legal description of property)
PROPOSED USE: STD /F R (,F /_
(i.e., Single Family Residence, Multi Family, Apartments, Remodel, Garage, Commercial, Addition, Etc.) — CIRCLE ONE
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: under penalt ofperjur 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 approval issued under the provisions of the 2003 International Code in cases of any false statement or misrepresentation of fact
in the a or on the plans on which the emvt 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 f d] at the time of application beginning las m 2005.
City of Rexburg'8 Acceptance of the plan review fee does not constitute plan approval
**Building Permit Fees are due at time of application** * Permits are void if your check does not clear*
Builds g Safety Department Grp CITY OF
City of Rexburg 7�
°
REXB
19 E. Main jonellh@rexburg.org Phone: 208.359.3020 exf 326 �'
* , America's Family Gammuniry
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024
written.
Notary Public of Idaho
Residing at:
My commission expires:
State of Idaho
County of Madison
I,
Name
Affidavit of Legal Interest
Address
State
Being first duly sworn upo oath, depose and say:
(If Applicant is also owner of Record, skip to B)
A. That I am the record o er of the property described on the attached, and I grant my
permission to:
Name Address
to submit the accompanying applic\andold ining to that property.
B. I agree to indemnify, defen Rexburg City and its employ ees harmless from any
claim or liability resulting frpute as to the statements contained herin or as to the
ownership of the property e subject of the application.
Dated this
of
20
Signature
Subscribed and sworn to before me the day and year first
Please complete the efire Application!
NAME If the question does not apply fill in NA for non applicable
PROPERTY ADDRESS Permit#
SUBDIVISION
Dwelling Units: Parcel Acres:
SETBACKS
FRONT__
SIDE SIDE BACK
Remodeling Your Building /Home (need Estimate $
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 7 �O 571 F7✓
Shed or Barn Carport /Deck (30" above grade)Area
Water Meter Quantity:
Water Meter Size:
Require&Y
PLUMBING
Plumbing Contractor's Name: Business Name:
Contact Phone: ( )
Clothes Washing Machine
Dishwasher
Floor Drain
Garbage Disposal
Hot Tub /Spa
Sinks
(Lavatories, kitchens, bar, mop)
Plumbing Estimate $
City State Zip
Business Phone: (
Fax
shed rx es
Sprinklers
Tub /Showers
To Urinal
Water Heater
Water Softener
(Commercial Only)
Required! Signature of Licensed Contractor
The City of &
License number
schedule is t he same as
Date
the State of Idaho
4
EXEMPTA�S FROM STATE REASTRATION
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 wxvw.iboI.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
❑ Construction of a modular building (defined by Idaho Code) to be moved out of state
I hereby certify that the above information is true and correct to the best of my knowledge.
Signature
Date
DPVIP 7- w 4 - � - c
Print Name
E
0800060
Walters Ready Mix Addition
342 West 400 North • P.O. Box 390 • Rexburg, Idaho 83440
PHONE (208) 356 -5491 • FAX (208) 356 -5553 EMAIL: wrmQida.net
March 11, 2007
City of Rexburg:
This letter is to confirm that we have contracted with Zollinger Construction to install a fire
hydrant at Walters Ready Mix, as per my conversation with Chuck Mickelsen, as soon as weather
permits.
David. Z. Walters
President
40 A110
tE 4�i cDJ
Proposal
ZOLLINGER CONSTRUCTION, INC
4 West 2 North
Rexburg, ID 83440
Phone:208- 356 -5516 - Fax: 208 - 356 -5392
An Equal Opportunity Employer
DAVID WALTERS Phone 3/5/08
street Job Name WALTER REDI MIX FIRE HYDRANT
City, State and Zip Code Job Locatic REXBURG, ID
fax
..... ............................................................................................... i.........................................................:..................................................................... ...............................
6" ........ ... _MAIN LINE WITH 6" GATE VALVE
$1 465 00
................................. a......................................................... i.................................... ....� ...... .. ...............................
486 FEET 6" GLASS 50 Dl PIPE . .............. 23:......... ...............................
......... .........................
............................................................................................ 4...................................;.......$ 3 . 50 0 . 00 ...............................
1 FIRE HYDRANT COMPLETE € ................................................ t.........:......... ................I..............
............................................................................... ............................... ............................. ............................... po ............................... .. ...............................
CANAL CROSSING WITH BENTONITE COVER COAT ................
......... ............................. ....................................................
..................... . .. ......................................................................................................................... ............................... 00 00.. ...............................
................
.ALL REQUIRED THRUST BLOCKS INSTALLED ONLY NO CONCRETE ..... ............................... ...........$ 6......:......... ............,..................
................... ........................... ............................i.. ................................. 4.............................. ...............................
CLASSA BACK FILL COMPACTION € ............................................................................................................................. ............................... 11
..................................................................... ............................... _................................... s............................... ...............................
................................................................ ...............................
........................................................................... ............................. ;. TOTAL
' ..................... 4................................... 4..........
...... ........................... ................................................................... 4..... ............................... ....................... ............................... 688.00
.. ................... ............................
........................................................................................................... .....4......................... .... .. � .... �.... • t► •.... �';
•ice/ ............. ...............................
.............................. ...0........................... .... ........ ...... .... ............... ...............................
.................................................... .............................. A
.......... ................................................. ...............................
.................................................................. ............................... ......... ....... I ..... .............................
......................... n.............................. �j
NO COMPACTION TESTING FEES a.�: 3
................................................................................ ............................... _ - k �..
..................................................................................... ............................... n.......................... ............................... ..................................... a........... ...............................
Upon beginning improvement, if there are unforeseen sub grade soft areas, we may . need to excavate these areas and install proper fill material
........................................... ................................................................... ..................I .......
....
We {Propose hereby to furnish material and labor - complete in accordance with above specification, for the sum of:
Payment to be made as follows:
7 Days After Pa ent from owner
All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above specifications
involving extra costs will be executed only upon written orders, & will become an extra charge over & above the estimate. All agreements contingent upon strikes, accidents or delays
beyond our control. Owner to carry necessary insurance. Our workers are fully covered by Workmen's Compensation Insurance.
Note: This Proposal may be withdrawn if not accepted within 30 days.
CCep ence O Oposia The above prices, specifications and conditions are satisfactory and are hereby accepted. You are
authorized to do the work as specified. Payment will be made as outlined above.
R.
Date of Acceptance: ®� signature: �' -~
Feb 21 08 01:50p
Wa lters
0
Ready Mix
- 7sy
3 u� L ►
2083565553
0800061
N I A T E R I A L SAF c Walter's Ready Mix
PRODUCT GAME: H1 - 94
NBCC MSDS NO. CCO5300
CAS NUMBER: N/A
" C4 HILL BROTHERS CHEMICAL CO.
1675 No. Main Street
" hi Orange, California 926x7 Telephone No: 714-498-$$00
� i�tte Outside. Calif: 800 - 821 -723
19- C H E MT R E C: 800 -424 -4300
Revision issued: 4/04!95 Supersedes:
4/04195 First issued: 4/04/95
IM PORTANTt Read this MSDS before use or disposal of this oroduct. Pass aloe the information to
emolovees and aiY other ersons who could be exposed to the oroduct to be sure that thev zre aware of the
information before use or other exposure. This MSOS has been prepared according to the OSHA Hazard
Communication Standard [29 CFR 1910.1290]. The MSDS information is based on sources believed to be
reliable. However, since data, safety standards, and government regulations are subject to change 'and the
conditions of handling and use, or misuse are beyond our control, HILL 8FiHERS CHi3vi1 COMPANY makes
OT
no warranty, either expressed or implied, with respect to the completeness or continuing ng accuracy 0f the
information contained herein and disclaims all liability for reliance thereon. Also, additional information may
be necessary or helpful for specific conditions and prior of use. It is the user's responsibility t
determine the suitability of this product and to evaluate risks to use, and then to exercise appro
orecauti0ns for protection of employees and others.
SECTION I - PRODUCT IDENTIFICATION
SYNONYMS / COMMON NAMES: Anhydrous Calcium Chloride, Prilled Calci h d C ci
Dichloride
CHEMICAL FAMILY I TYPE: Inorganic Sal( _ J
DOT PROPER SHIPPING NAME: NIA r'
DOT HAZARD CLASS I I.D. NO.: NIA
REPORTABLE QUANTITY: N I A ��� ®C �cV�l t�f'
NFPA RATING: HEALTH - 1; FIRE - 0; R1= P.CTIVITY - 1 (( E U
O= lnsienificant 1 =S4 ht 2---Moderate 3 =Hick 4-- Extreme
SECTION II - HAZARDOUS INGREDIENTS in Air
CAS Exposure Limits (fWAs)
Chemical Name Number % ACGIH TLV OSHA PEL Other
CALCIUM CHLORIDE
10043- 52-4 90 -100 N/A --
SECTION III - PHYSICAL AND CHEMICAL PROPERTIES
Physical State: SOLID pH: 9 -10 Melting PointlRange: 782 C; 1440 F
Appearance /Color /Odor: • Colorless to white, deliquescent crystals.
Boiling Point/Range: >1600 C; 2912 F
Solubility in Water: Approx. 40 weight percent @ 20 C with evolution of heat
Vapor Pressure(mrnHg):
NIA Specific Gravity(Water = 1): 2.15 @ 25
Molecular Weight: 110.986 Vapor Density(Air = 1): ' NIA
Volatiles: N/A How to detect this co mpound N/A
SECTION IV - FIRE AND EXPLOSION l� ible Fire Hazard
Flash Point: Negligible Fire Hazard Autcignition Temperature: Neglig
Lower Explosive Limit: N/A Upper Explosive Limit: • N/A
Unus'u'al Fire - and Explosion Hazards= Negligible fire hazard when exposed to heat or flame.
larger tires, use
Extinguishing Media: Dry chemical, carbon dioxide, water spray or regular loam: For
water spray, fog or regular foam. (1990 ,Emergency Response Guldebcok, DOT P 5800.5).
Feb 21 08 01:50p Walters Reads
Product/Trade Name •HI - 84
Mix
2083565553
i
p.3
SECTION IV - FIRE AND EXPLOSION - CONTINUED
Special Firefiahting Procedures: Move containers from fire area if you can do it without risk. Apply
cooling water to sides of containers that are exposed to flames until well after fire is out- Extinguish fire
using agent suitable for type of surrounding fire_ Do not use water directly on material_ Avoid breathing
corrosive vapors; keep upwind.
SECTION V - REACTIVITY
Stability: Stable Hazardous Polymerization: Nil Not Occur
Conditions to Avoid: Anhydrous form reacts exothermically with water. Flammable, poisonous gases
may accumulate in tanks and hopper cars. May ignite combustibies (wood, paper, oil, etc.).
Materials to Avoid: Boric Acid + Calcium Oxide, Bromine Trifluoride, Furan- 2- Peroxycarboxylic Acid,
Metals (Corrosive in the presence of moisture), Methyl Vinyl Ether. Zinc.
SECTION V- REACTIVITY- CONTINUED
Hazardous Decomposition Products: Thermal decomposition products may include toxic and corrosive
fumes of chlorine and hydrogen chloride.
SECTION V1 - HEALTH HAZARDS
Routes of Exposure: Inhalation, Skin
Summary of Acute Health Hazards
INGESTION: Acute Exposure: - May cause abdominal spasms and nausea. Overdoses may cause gas -
intestinal tract or cardiovascular irregularities. The fatal dose is estimated to be about 30 gms.
Chronic Exposure: No adverse effects have been reported from its use as a food additive.
INHALATION: Acute Exposure: inhalation of dust may cause irritation with coughing and shortness of
breath. Chronic Exposure: Reported cases of burning sensation and pain in the nasal cavities. Occasional
nose bleed, and tickling in the throat Perforation of the nasal septum has been reported.
SKIN: Acute Exposure: Single, snort exposure not likely to cause significant skin irritation. However,
direct contact with dust or solutions may cause severe irritation_ Erythema, blistering, exfoliation,
ulceration, necrosis, and scarring. The degree of irritation depends on the concentration and duration of
contact Chronic Exposure: Effects depend on concentration and duration of exposure. Repeated or
prolonged contact with corrosive substances may result in dermatitis or effects similar to those in acute
exposure.
EYES: Acute Exposure: Direct contact with the dust may cause irritation with redness and pain and
superficial injury. Lacrimation and eye discharge may also occur. Direct contact of calcium chloride in
solution is essentially innocuous. Application of 2 - 10% solution to rabbit eyes caused no permanent injury.
Chronic Exposure: Repeated or prolonged exposure may result in conjunctivitis.
Carcinogenicity Lists: No NTP: No RC Monograph: No OSHA Regulated: No
Summary of Chronic Health Hazards: N/A
Signs and Symptoms of Exposure:_,. NIA
Effects of Overexposure: NIA
Emergency and First Aid Procedures
NIA - Not._. Applicable
u
Page 2 of S
Feb 21 08 01:51p
' Product/Trade Name :
Walters Ready Mix
0-94
2083565553
0
p.4
.;E CTION V1 - HEALTH HAZARDS
EEST10N: Treat symptomatically and supportively. Get meCical attention immediately. It vo nitina
SN
occurs, keep head lower than hips to prevent aspiraticn.
INHALATION: Remove from exposure area to fresh air immediately. If breathing has stopped, per arm
artificial respiration. Keep person warm and at rest Treat symptomatically and supportively. GET MEDICAL
AT i ENTION IMMEDIATELY.
SKIN: Remove contzminated clothing and shoes immediately. Wash affected area with soap or mild
detergent and large amounts of water until no evidence of chemical remains (at least 15 -20 minutes). In case
of burns, cover area with sterile, dry dressing. Bandage securely, but not too tightly. GET MEDICAL
A T TEI1TION IMMEDIATELY.
EYES: Wash eyes immediately with large amounts of water or normal saline solution, occasionally lifting
upper and lower lids until no evidence of chemical remains (approx. 15 - 20 minutes). GET MEDICAL
ATTENTION IMMEDIATELY.
Medical Conditions Generally Aggravated by Exposure: NIA
Note to Physicians: N/A
SECTION VII - PRECAUTIONS FOR SAFE HANDLING AND USE
Steps To Be Taken In Case Material Is' Released Or Spilled: Do not touch spilled material. Stop
leak if you can do it without risk. For small spills, take up with sand or other absorbent material and place
into container for later disposal. For small dry spills, with clean shovel place material into clean, dry
container and cover. Move containers from spill area. For larger spills, dike far ahead of spill for later
disposal. Keep unnecessary people away. Isolate hazard and deny entry.
.Handling and Storing Precautions: Observe all federal, state, and local regulations when storing this
substance. Store in a tightly closed container. Store away from incompatible substances.
Waste Disposal Methods: observe all federal, state and local regulations when disposing of this
s u bstanca.
Other Precautions: NIA
SECTION V III CONTROL MEASURES
Respiratory Protection: Avoid breathing dust If necessary, use only MSHA- or NIOSH- approved
respirators.
Ventilation: NIA
Protective Clothing: Employees must wear protective clothing, shoes and equipment to prevent repeated
or prolonged skin contact with this substance. to prevent
Eye Protection: Employees must wear safety glasses with splash shields or safety goggles p
contact with this substance.
Other Protective Clothing or Equipment: Where there is any possibility that an employee's eyes
wash fountain and quick
andlor skin may be exposed to this substance, the employer should provide an eye
drench shower within the immediate work area for emergency use.
Work/Hygienic Practices: Wash hands with soap and water before eating, drinking, smoking, or using
toilet facilities.
N/A - Not Applicable Page 3 of 3
I b 21 08 01:49p Walters Ready Mix 2083565553 p.l
WA
L T TD S
\ , L l I 342 West 400 North • P.O. Box 390 • Rexburg, Idaho 83440
DATE:
TRANSMITTED FROM:
TRANSMITTED TO:
PHONE (208) 356 -5491 • rPA tN81 auu-v—
FAX NO.:
A Fax containing a total of , Pages, including this cover page, is being transmitted. In the event
of Walters Ready Mix
that you do not receive all the pages, please contact
at (206) 356 -5491 or Fax Number (208) 356 -5553 immediately.
Thank you.