HomeMy WebLinkAboutAPPLICATIONS, CO, MULT DOCS - 08-00504 - Boy Scout Office #304 - Tenant Finisht V gEXBU
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ISSUED TO:
PERMIT #: 0800504.
NAME: Stevens Bart Etux
cep
FOR THE CONSTRUCTION OF: Henry's Fork #304 - Tenant Fin J B ADDRESS:
GENERAL CONTRACTOR: Stevens Construction
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.
ML
Date Approved
Issued
101 Am
Building Ins ct r
THIS PERMIT MUST BE PROMINANTLY DISPLAYED AT THE B"G 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
on the premises during construction.
No work shall be done on any part of
N ®T'
2. Insulation
C "'' 2) The permit will become null and void in the event of any deviation from the
the building beyond the point indicated
in each successive inspection without
■ accepted drawings.
3) No foundation, structural, electrical, nor plumbing work shall be concealed
approval. No structural framework of
without aDDroval.
any underground work shall be covered
INSPECTION CARD
BUILDING
nnto Ann.....
1. Framing
cY
2. Insulation
3. Drywall
4. Final
ELECTRICAL
Date Annrnvpei
1. Rough -In
2. Final E El
OTHER
Date Approved
1. Fire Department Finz 11 1
PLUMBING
Date roved
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�p6X8(VJ CITY O F Certificate of Occupancy
"» REX 13URG City of Rexburg
America's Fam il y C ommuni t y " Department of Community Development
'•,, �.o
19 E. Main St. / Rexburg, ID. 83440
Building Permit No: 0800504
Applicable Edition of Code: International Building Code 2006
Site Address: PR S 11410W *W U
Use and Occupancy: Boy Scouts of America Office
Type of Construction: Type V, non -rated
Design Occupant Load: 20
Sprinkler System Required: No
Name and Address of Owner: Gem Development Llc
1270 S 2nd E
Rexburg, ID 83440
Contractor: Stevens Construction
Special Conditions:
Occupancy: Business -office, professional or service transactions
This CertiFcate, 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 v►as found to be in compliance Wth the requirements of the code
for the group and division of occupancy and the use for %hick the proposed occupancy vlas
classified.
Date C.O. Issued: March 2
C.O Issued by:
i�
Building Official
There shall be no further change in the epsting 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 Inspect 0 Fire Inspector• nz_ W�
Electrical Inspector: P�ZAdministrator: /`
Conditional Occupancy Permit
Community Development
19 East Main St janellh@rexburg.org Phone: 208.359.3020046
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024
EXaVR
CITY OF
REX
America's Family Community
March 13, 2009
Bart Stevens
1232 Pleasant View
Rexburg, ID 83440
RE: Permit #08 00504, Boy Scout Office Tenant Finish
Dear Bart:
You have requested an occupancy permit for the office space at 859 S Yellowstone #304. At this
time it appears all requirements have not been met for the issuance of a Final Occupancy Permit.
However, it has been determined by the Building Department that a conditional occupancy permit
may be granted with the following requirement being met.
1) Landscaping needs to be completed around the entire perimeter of the building.
A temporary occupancy permit will be issued until 6 /1/2009 at which time the above requirements
need to be completed. If you would like to discuss this item with Gary, please call or email him at
359.3020 ext. 314 or g_arvinu ,rexburg.org
Upon completion of the above requirements, please call the City of Rexburg Building Department at
(208) 359 -3020 extension 326. An inspector will be sent out and a Final Occupancy Permit will be
issued.
Sincerely,
cu gqjw�
JaNell Hansen
Permit Coordinator /Tech
� XXB V
�0 1� CITY OF
REXBURG 0s 00504
- - -- -
hF�
CV
America's FamilyCommunty Henry Fork #304- Tenant Finish
COMMERCIAL & MULTI FAMILY BUILDING PE_
19 E MAIN, REXBURG, ID 83440 7,d rA1ot f tO4, f-4 EAj6 p dam ,, 3
208 - 359 -3020 X326
PARCEL NUMB R (We will provide this for you)
SUBDIVISION: ffG. Jk J LvRK ®GAZA UNIT# �o BLOCK# _ LOT#
is based on the information - must be
OWNER NAME: 6 -- JF t�® NTACT PHONE # 70 - 1_
PROPERTY ADDRESS: �S s �l' o•�' m.�� g
PHONE #: Home ( ) 3 S' 7 3 1), Work ( ) Cell( ) 701
OWNER MAILING ADDRESS: CITY: et)(RdtZ& STATE: T� ZIP: FS O
EMAIL FAX 3 5[n - 3 1 A
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
STATE; ZIP EMAIL FAX
PHONE #: Home ( ) Work ( ) Cell (
CONTRACTOR: cE" LAO UQeJS I , ►a-"T A71-iJf "_)
MAILING ADDRESS: 0 3 A PI ifa) cj_V t&J CITY (z- a -46 STATE Q ZIP &_ 440
PHONE: Cell# 70 7 31 )- Work# 35� '7 3 i . , Fax# 3 J a7
EMAIL IDAHO REGISTRATION # & EXP. DATE q d
How many buildings are located on this pro erty?
Did you recently purchase this property? N Yes (If yes, list previous owner's name)
Is this a lot split ?N (O YES (Please bring copy of new legal description of property)
PROPOSED USE: 6MXE JI14 L
(i.e., Single Family Residence, Multi Family, Apartments, Remodel, Garage, Commercial, Addition, Etc.) — CIRCLE ONE
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: under penalt of perjury, 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 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.
cam, & ,41 / / 9 / 01f
Si ature of Owner /A licant DATE
CITY:
pp
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 ,lanuarxl. 2005.
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**
•
Building Safety Department Q���Xd�.A� e C , T Y o F
City of Rexburg 7� ^-
REXBURG
CW-
19 E. Main jonellh @rexburg.org Phone: 208.359.3020 ext 326 Americas Family Community
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 ` 40s
Affidavit of Legal Interest
State of Idaho
County of Madison
Name
OJeL
City
),13) ®lest, --,J i)o � J
Address
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 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 harmless from any
claim or liability resulting from any dispute as to the statements contained herin or as to the
ownership of the property which is the subject of the application.
Dated this Q � day of p 13 1- , 20 D
Signature
Subscribed and sworn to before me the day and year first above written.
Notary Public of Idaho
Residing at:
My commission expires:
Z
Buildfing Safety Department
City of Rexburg
19 E. Main janellh@rexburg.org Phone: 208.359.3020 ext 326
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024
Y� REXtl��RClO
Eo
CITY O F
REXI3URG
Americas Family Community
Property Lines
Each site plan that is submitted to the City of Rexburg for the Building Permit process requires that property lines
are shown accurately. It is the Developer's responsibility to correctly identify on the site plan the location of these
lines in reference to the public right -of -way, other adjoining property lines, the street, other structures and all utility
lines. The Developer should find property pins that are still available at the lot in question. If these pins do not
exist or have become unrecognizable then a new survey should be performed.
Accurate property line information is a must for a timely review. In addition to finding existing property pins, legal
descriptions should be checked. The best way to identify property line location is with a land survey. The City of
Rexburg has aerial photos and a parcel line layer that can be checked, but they are only a tool and are not
guaranteed for accuracy. If you want to request a copy of your lot, see the front counter at the Community
Development Department.
I have read and understand the above requ irements.
Signature
Printed Name
Date
CI
0800504
Buildin g fY De Safe al H enry's Fork 4304 - Tenant Finish
p
CRY REX
CW
JCEMOM jonaMerexbLeg.o►g Phone: 206.359.3020x326 +,,,, ,.' AMCrO)FdmilyCorxrmuniO
, ID 83440 www•rexovfg.org Fax 20a359.3024
RernodeXi V Your BuddrnglHome ( deed Estimate) S _,37 [W.
SURFACE SQUAREFOO AGE.- (Shall include the exmemor waIl measurements of the bv2ding)
First Floor Area AO DO 'Unfinished Basement area
Second floor /loft Finished basement area
Third floor /loft area Garage area,
Shed ox B ard, C2Tmr/Deck (W above gradeMmea
Water Meter Quantity:
R"
a-A fe- l lt&V
Witex Metet Size:
Req u&edLY
PLUMBING I
Plumbing Contractor's Name: D-� (4 Od' J S sinness Name: &(Odf4 P LA41,�6 4
Address City w! State T!q i gl�
contact Fho=. ( ) Busioess phme!
Email Fax
FTX7VRECOUNT ftdg " rowedfixture��
Clothes Washing Machine Sprinklers
Dishwasher Tub /Showers
Moot Drain � Toilet /Urinal
Garbage Disposal Water Heawl
Hot Tab /Spa Water SofNwer
Sinks
(Lavatoi ites, lsi t chess, bas, mop)
PYwmbing Eatiaaa 19 (Commercial Only)
— 1,4� - - IM99 IB 0C- - -o0
RoquireM Sipatm of I,iomsed Conuaator License amber Dato
Building Safety Department
Cc'fy of Rexburg
9 E Moan IdneAhOwburg org Phone: =35 9.302 0 x326
Rexburg, ID 83440 www.rexbulg.org Fwc 208.359.302
Fl31A
� I CI TY OF
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'•., �.' Amsdaz} Family r4WMYAnlly
O WNM'SN AME 6tA $ nw5 0800504
PROPERTY ADD RESS tx K dL'�o , 61
RMDLi MON Ham. P azo.. Henry's Fork #304-Tenant Finish
PHASE l T n BLO
Requked!1!
MECILWICAL
Mechanical Contractox's Name: 4i4 B usiness Name: 464 Pl.• -.,e �;ud r,. i:a
Address City slate Zip
Contact Phone: ( ) Business Phone.. - 770
EMAR F ax FZ2%a -S1 I l0
Mechanical Estimate $ 65 - (Commeteial /Multi Family Only)
FIXl'URES &APPLIANCES COUNT" (Smgle P v7.v D dhWg OW7)
Furnace Exhaust or Vent Ducts
Furnace /Air Conditioner Combo �_ Dryer Vents
Heat Pump
Air Conditioner
Evaporative Coolcx
Unit Heater
Space Heater
Decorative gas -Bred appliance
Incinerator System
Boiler
Pool Beater
9W Hood Vents
Cook Stove Vents
Bath Fan Vents
other similar vents & ducts:
Fuel Gas Pape Outlets including stubbed in or f iune outlets
Islet Pressure (Meter Supply) PST
Heat (Circle all that apply) Gas Oil Coal Fireplace Electric Flydroaic
R,equuedf ftwtare of Lueased C*wnctw I ken number
p�fi QQ
Date
Building Safety Department
City of Rexburg
Of gEX B UD
CI1Y OF
REXBURG
CW
Americas Family Community
19 E Main janellh @rexburg.org Phone: 208.359.3020 x326
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024
OWNER'S NAME beA SkvCA4S
PROPERTY ADDRESS PeA Div t K VI
SUBDIVISION ( j) f6 i- K P L -7 A
PHASE I LOT - 5 BLOCK i
Permit #08 00504
Henry's Fork Plaza- Tenant Finish
859 S Yellowstone #304
Requlredffl
ELECTRICAL
Electrical Contractor's Name e4 i L -sSllIA Business Name L E&tic. H lle es c'
Address � 5 (,1 (a 5 T. City ( � State Y• A) . Zip S WO
Cell Phone (& 3219 3'0(42 Business Phone (Z60) 359
Fax (Z(:�) S °/ " N 072- Emai e, ► i;h ina vi & m so
Electrical Estimate (cost of wiring & labor) $7, (COMMERCIAL ONLY)
( Includes the cost of materials installed regardless of the party supplying it).
TYPES OF INSTALLATION
(New Residential includes everything contained within the residential structure and attached garage at the same time)
RESIDENTIAL ONLY
❑ *Up to 1,500 sq ft - $72 ❑ *1,501 to 2,500 sq ft - $120
❑ *2,501 to 3,500 sq ft - $168 ❑ *3,501 to 4,500 sq ft - $216
❑ * *Over 4,500 sq ft - $216 plus $.04 /sq ft: sq ft total
❑ Existing Residential (# of Branch Circuits) - $40 plus $10 per circuit: # of circuits
❑ Multi - Family Only: # of units per building - $120 /bldg + $60 /unit
❑ Services: Alterations /Repairs that require utility disconnection. (Estimate applicable for commercial).
❑ Temporary Construction Service, 200 amp or less, one location (for a period not to exceed 1 year) - $40
❑ Spa, Hot Tub, Swimming Pool - $40 plus $40 grounding grid where applicable
❑ Electric Central Systems Heating and /or Cooling (when not part of a new residential construction permit
and no additional wiring) - $40
❑ Modular, Manufactured or Mobile Home - $50 plus $10 per circuit
❑ Other Installations: Wiring not specifically covered by any of the above:
Cost of Wiring & Labor. $ (Includes the cost of materials installed regardless of the party supplying it).
❑ Pumps (Domestic Water, Irrigation, Sewage): horse power
❑ Requested Inspections (of existing wiring) - $40 /hr (1 hr minimum) plus $40 /hr thereafter
❑ Temporary Amusement /Industry - $40 plus $10 per ride, concession or generator
*Includes a maximum of 3 inspections. Additional inspections charged at requested inspection rate of $40 per hour.
** Includes a maximum of 4 inspections. Additional inspections charged at requested inspection rate of $40 per hour.
Signature of Licensed Contractor
License number
Date
7
u
SUBCONTRACTOR LIST
Excavation & Earthwork: d4
0
Concrete: /V 4
Masonry:
A)
Roofing:
/'J A'
Insulation:
6- C
Drywall:
�4ppO
Painting:
W i abe�i
Floor / 1
Coverings: �� F.
Plumbing: f �Jy�t rJ b 0�,asJ b
tl
Heating:
Special Construction
(Manufacturer or Supplier)
Roof Trusses: I
Floor /Ceiling Joists:
Siding /Exterior Trim: r "