HomeMy WebLinkAboutALL DOCS - 12-00022 - 76 E 1st S - SFR RemodelCertificate of Occupancy
Gity of Rexburg
Department of Community Development
35 N. 1st E. / Rexburg, lD. 83440
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:
12 00022
International Building Code 2009
74E1stS
Single Family Residential
Type V, non-rated
NA
No
Galbraith Properties Llc
P.O. Box 494
Sugar City, lD 83448
Owner/LesseeGontractor:
Special Conditions:
Occupancy:Residential - 2 units or less, permanent in nature
This Certificafe, issued pursuant to the requiremenfs of Section 109 of the lnternational Building
Code, certifies that, at the time of issuance, this building or that portion of the building that was
inspected on the date listed was found to be in compliance with the requirements of the code for
the group and division of occupancy and the use for which the proposed occupancy was
classified.
Date C.O. lssued:
C.O lssued by:
There shall be no further change in the existing 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 lnspector:
Building Official
Electrical lnspector:P&Z Administrator
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Inspction Request Rec'd By - ( Datrc 4-13-17
Req. By Phone No. 3/3 -/Cc'Z
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Day /Time Req.
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INSPECTED ITEMS CONFORM TO APPROVED DWGS
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INSPECTOR'S ACTION
!APPROVED
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ACTION REQUIRED:
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Rec'l Acknowledged
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Inspclion Rqucst: Rec'd BY ajfrc{^-.-Dzig t/*l z_/ 2-
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pruiect ,ER- Pcrnd./e( Perrnit No. lQ oo a &a'
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Inspector's RePort f, n".tr comm.
INSPECTOR'S ACTION
NAPPROVED
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ACNON REQUIRED:
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Req. By \(e^o-, - . , Phone r'r"' 6tSFl \
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Address
Inspection Type
Day /Time Req.
Inspector's Report O Res.
rNsPEJiroR's ACTION
M4rrnovso IDISAPPRoVED DFINAL
Mc.o. (FTNAL) ! Nor APPLICABLE I DID Nor lNsPEcr
ACrroN REQUIRED: l.)oNs-.
Rec'l Acknowledged
tinril. . Cllic. Cogy
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Building Sofety Depqrtmenl
www.rexourg.org
City of Rexburg
Phone: 208.372.2326
Fox: 208.359.3022
CITY OF
REXBURGcrr, . ._'',- ,,
Ame icai Family Com muni ty
Office Hours: Monday-Friday 8:00am-4:00pm
ercial nstruction
Seismic Design Category - D
(unless soil evaluation confirms category C)
Ground Snow - 50 lbs. per sq. ft.
Roof Snow Load - 35 lbs. per sq. ft.
Wind Load - 90 MPH
Ftost Depth - 36"
Thefollowingiteas should be conpleted b{oreJtou submitlour buildingperwit application. INC)MPIETE
APPLf,CATIOI{S W'IIf. NOT BE ACCEPTED.
Completioa ofa Buildiag Penit&plicatioa.' You may print this application from our website
www.rexburg.org or pick up a copy at theTity Annex Building (address above).
Coaaetcial Petmits: (the following must be submitted with the Application)
E 4 sets of site plans and 3 sets of building plans stamped by a licensed professional
E Site olans and building plans in PDF formattust be submitteJ after plans have been approved.
E Structural Calculations stamped by a licensed Engineer
E Energy Compliance Report: As pet the 2006IECC, a Compliance check must be completed and submitted
(the comcheck is avaiiable online at www.energcodes.gov).
E Page 2 of the Application must include the Idaho Contractor's Registration Number or the exemption form
must be completed and signed, see Page 10.
D Page 5 of the Application must be completed and signed by your Plumber.
E Page 6 of the Application must be completed by skned by your Mechanical Contractor.
E Page 7 of the Application must be completed and signed by your Electrician.
E Electrical panel layout and calculations must be included with the building plans. Plans will be
reviewed by the electrical inspector prior to issuance of the building permit.
E Emergency Services Construction Permit-for fire related equipment only; to be filled out by the
contfactor perfoming the work.
E Exterior Lighting Plan including photometric layout. The lighting standards are included in this packet.
E Property Line forrn needs to be signed by the builder, see Page 4.
Electical Penia are now issued through the City of Rexburg. See Page 6 of the application.
Reaodels: If you are considering a remodel, a copy of the bid or estimate for the remodel must be submitted
with the Permit Application.
. 3 set of plans (may need IECC Review)
. Additions - Same as new construction
REXBURG
cl!' ---"*'*""""'
Ameiml Family Comrnunity
COMMERCIAL & MULTI FAMILY BUILDING PERMIT APPLICATION
35 N 1" E, RE,XBURG,ID 83440
208-372-2326
CITY OF
PARCEL NUMBER:
SUBDIVISION:
Addressins is based on the information - must be accurate
Please Complete the Entire Application!
Ifthe question does not apply fill in NA for non applicable
( We will ptovide this for you)
UNIT# BLOCK# LOT#
CONTACT PHONE #
PROPERTY ADDRESS:
PHoNE#:Home p8y 3f i- tOozwork( )
OWNE,RMAILINGADDRE,SS,ITI E. ISt SOWtI,t CITY, (,.* borq srArE:E EFrp, g r ?9 o
.l-------TBrrnur 6"*bV is;o,r ct*hr e frtftt*jD8 - Jf 6 -J IBJ----n-
J - loo Z{ell (
APPLICANT: (If other than owner)
(Applicant if other than ownet, a statement authorizing applicant to act as agent for owner must accompany this application.)
APPLICANT INFORMATION: ADDRESS CITY:
STATE: ZTP EMAIL FAX
PHONE #: Home f ) Work ( )Cell (
MAILING ADDRE,SS:
PHONE: CelI#
?EMAIL IDAIIO REGISTRATION # & EXP. DATE :
How many buildings are located on this property?
I u l\ / lL
Did you recently
ryltase
this property? No Yes (If yes, list previous owner's name) t$ nn 4e S\
"
a (
Is this ^ tot .pltfNO\ VaS @lease bring copy of new legal description of properry)
PROPOSED USE: t b.&tanr- ti
ln t {U,lt,,rj i.y. ht lsgtT'.ertt '. ----- - ---
(i.e., Single Family Residence, Multi Family, Apartmeits, Remodel, Gatage, Commercial, Addition, Etc.) - CIRCLE ONE
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: u'd.'p.naltyof perfury,Iherebycertituthatr
have read this application md state that the information herein is correct md I wer that my information which may heteafter be given by me in hearings before the
Plmhg and Zoning Commission or the City Comcil for the City of Rexburg shall be tmthful and cotrect. I agiee to comply with all City tegulations md State laws relating
to t}re subiect matter of this application and hereby authorized representatives of the City to enter upon the above-mentioned property for inspections putposes. NOTE:
The building official may revoke a pemit on approval issued under the provisions of the 2003 Intemational Code in cases of my false statement or mistepresentation of fact
on &e plms on or approval was based. Pemit void if not started within 180 days. Pemit void if work stops for 180 days.
Signature of Ownet/Applicant DATE
Do you prefer to be contacted by fax, email or phone? Circle One
WARNING - BUIIDING PERMIT MUST BE POSTED ON CONSTRUCTION SITE!
Plo fees te non-teffrndable and rc paid in frrll at the time of application begiming lpgryl,ZniCity of Rexburg,s Acceprance of the plm review fee does not consdtute ple approval'*Building Pemit Fees re due al time of application** r*Building Pemiie re void if you check doee not cleafr
Building Sofety Depqrlmenl
City of Rexburg
Phone:208.372.2326
Fox: 208.359.3022
Affidavit of Legal Interest
State of Idaho
Countv of Madison
I,
Name Address
City State
Being first duly sworn upon oath, depose and say:
(If Applicant is dso Owner of Record, skip to B)
A' That I am the record owner of the property described on the attached, and I grant my
pemrsslon to:
Name Address
to submit the accompanying application pertaining to that properry.
B. I agtee to indemnify, defend and hold Rexburg City and its employees harmless from any
claim or liability resulting ftom 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 day of
CITY OF
REXBURG
Ameicai Family Communitywww.rexburg.org
20
Subsctibed and
Dlgnatufe
swofn to before me the day and year first above written.
Notary Public of Idaho
Residing at:
My commission expires:
Property Lines
E'ach site plan that is submitted to the city of Rexburg for the Buitding permit process requires that property lines
are shown accurately' It is the Developer's responsibility to correctly identift 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
Iines' The Developer should find ptoperty pins that are still avallableat the lot in question. If these pins do not
exist or have become unrecogni zabre thena new survey should be performed.
Accurate Pfoperty line information is a must for a timely review. In addition to finding existing pfopefty pins, legal
descriptions should be checked. The best way to identify property line location is with aland,survey. The city of
Rexburg has aeial photos and a parcelline layer that canbe checked, but they are only a tool and are not
guaranteed fot accutacy' If you want to fequest a copy of your lot, see the front countef at the community
Development Department.
I have read and understand the above requiremenrs.
l-13-ll
Date
REXBURG
c\' --.-*'--"-
America\ Family Community
Building Sofety Depqrtmenl
City of Rexburg
Phone:208.372.2326
Fox: 208.359.3022
CITY OF
www.texburg.org
Signature
l'finted Name
Business Applicotion CITY OT
35 Norlh Ist Eqst
Rexburgt lD 83440
REXBURG
c\""'- '" -
Am e ricai Family Com mu n ity
Please take the tin e to answer all questions so that we can farther assht you and your facility Thank you
What type of business will be performed
Will the business have food preparations?
Will there be any cooking of foods?
Will there be any deep fat ftring?
Will you have food disposal on site?
will there be any maintenance or mechanical work in the building?
Will there be sumps or floor drains in the facility?
Will the business require more parking?
Will the business have any chemicals on site?
Is this business occupying an existing building?
Will the business be doing any structuraVor remodeling changes to the building?
Any changes to the electrical?
Any changes to the plumbing?
Is this business planned to be the same with different ownership?
Will there be a change of occupancy?
Yes
Yes
No
No
Yes No
Yes_ No
Yes No
Yes No
Yes No
Yes_
Yes
No
No
Yes
Yes
Yes
Yes
- No_
No
Yes No
No
No
I Cettify that The information that I have provided above is to the best of my knowledge accurote and true.
Applicants Signature Phone Date
35N lsrE
Rexburg, lD 83440 www.texourg.org
Building Sofety Deporlmenl
City of Rexburg
Phone: 208.372.2326
Fox: 208.359.3022
Remode/zng Tozr'BztUzVzg/Eome (need total constructions estimate, excluding fire,
electrical, plumbing, and Mechanical valuations) SM
REXBURG
America\ Family Communil
ReszVentz7
SURFACE SQUARE FOOTAGE :
Fint FloorArea
Third floor/loftarea
(shall include the exterior wall measurements of the building)
(--,A - Co.vz* b4 Qginfon
Aryor/Oe
Commerczh/ N
C-onstruction Type:OccupancyTp.i
SURFACE SQUARE FOOTAGE: (Shall include the exteriorwall measurements of tJre building)
New Construction sq. ft.
Crmmercial Remodel sq. ft.
Commercial Addition sq. ft.
Utfiry Misc. Private Garage sq. ft,
Storage sq. ft.
tVz/tz:.Famz7y/SzVzg/eStzdeztEozszVzg
sq. ft. per unit
ManagerUnit sq. ft.
ng Sofety Deporlme
City of Rexburg
CITY OF
REXgVB9
Aneicab Familv Communiry
35 N. 1't E., Rexburg, Id 83440
Phone - Q08)359-3020 / Hodine - Q08)372-2344 /Fax- (208)359-3022
OWNER'S NAME
PROPERTY ADDRE,SS
SUBDIVISION
PHASE LOT BLOCK
permit# lL 0&LL
n Approved for temporary power
fl Approved for permanent power
Requircd!!!ELECTRICAL
Elecrical Con Name
Address
Cell Phone f usiness
Fax (
(COMMERCIAL/INDUSTRIAL) Total cost of electtical system (ContactedAmount) $
(nclufsthecostofmateiakin$a//edregard/essofthepan1supp!ingit.TheJees/istedunderthisinspection!peila//app!toartanda//electica/
not specifca@ mentioned elsewhere on tltisfom).
n Up to $10,000 (total cost of svstem x 0.02) + 60 = $
! Between $10,001 - $100,000 ( (Jotal cost of system - 10-000) x 0.01) + $260 = $
tr Over $100,001 ( (totat cost of svste x 0.005) + $1,160 = $
Small Works (Contractors ONL\): $10 fee for work not exceeding $200 in cost and not involving a change in
service connections. Does NOT require inspection.
RESIDENTIAL
New: Single Family Dwelling, including aII buildings with wfuing being constucted on each ptopetty. (*Based on liuing space,
see definition below)
! Up to 1,500 sq ft - $130 ! 1,501 to 2,500 sq ft - $195
! 2,501 to 3,500 sq ft - $260 . 3,501 to 4,500 sq ft - $325
! Over 4,500 sq ft $325 plus $65 for each additional 1,000 sq ft. or portion theteof ($325 + ($65 x # of additional
1-000 so. ft. or oottion thereofl).
New: Multi-Family Dwelling (Contractorc OnIy)
tr Duplex Apartment $260
n Three or more multi-family units: $130 per building plus $65 per unit: ($130 x # of buildings) + ($65 x # of units)
D Existing Residence, Modular, Manufactured of Mobile Homes, and Detached Shop: $65 fee plus $10 per
branch cfucuit, up to the maximum of the corresponding sq. ft. of the building ($65 + ($10 x # btanch circuits))
! Central Heating/ Cooling Systems: $65 \X/hen NOT part of new residential or FIVAC permit with no additional
Wirirg
D Spas, Hot Tubs, and Swimming Pools: $65 fee for each trip to inspect
Putnps-Wa tet, ftrigation, Sewage (each motot)
tr $65 up to 25HP
MISCELI-ANEOUS
n$95 - 26 to 20oHP n$130 over 200 HP
*Lir.irg Space - space withinT dwelling unit in^tended for human habitation which may reasonably be u.'lized for sleeping, eating, cooking
bathing, washing, tecrgirgt(^fld saytan2ry{fipfses. An unfinished basement is considered pat of the living space.
! Temporary Construction Services ONLY: 200 amp or less, one location (for a period not to exceed 1 year) - $65
! Temporary Arnusement $65 fee plus $10 per ride, concession or generator
n Itrigation Machine: $65 for center pivot plus $10 pet tower of drive motor
tr Technical Sewice: $65 per hour
tr Plan Check $65 per hout
! Requested Inspection: $65
Contractol Date
35 N. 1" E., Rexbuqg,Id 83440
-lLV6lt11-,lt/t) / nnrllne -
Building Sofety Deporlmenl
City of Rexburg
CtTY OF
REXBURG
Ameicai Family Community
O\\AIERS NAME Slno.rpw 6"tbrci * h
PROPERTY$Dre permi#
- Relb.r..{t, E0 SjrltorVaterMeterQuantity: _
' :&**'r+******+**VaterMeterSize:
Reqatred///?/zmbz'ng
PlumbingContractortName ilrS-v+ {4ucnnS BusinessName DOo* q Re na,'r
add'ess 22<l CI, B20su So\,+h sot._t6_
'
z; J1lr{n
(COMMERCIAL/INDIJSTRIAL) Total cost of plumbing sysrcm (c-onn:acted Amount) g:35€g=_3 DOO(Includu the co$ of nateials installed ngardtess of the pa@ s4pling it. ltttPu t;tttinndcr rbit inspution fpe thalt appfnot specifcal! nentioned elsewltere on thhfom).
! Up to $10,000 (total cost of sFtem x 0.02) + 60 : $
tr Between $10,001- $100,000 ( (totd cost of slatem - 10.'000) x 0.01) + $260 : $n over 9100,001 ( (total cost of slatem - 10o.o0b) x o.obs) + $1,160 : $RESIDENTIAL
tVerz: Sng/e Fam/7'&ee//zrzg, zzc/zdtizg a//bddzhgs zutb urlzhg be/rzg cozstntctedon eacbpropezy. (xBarcdon /z'tzhg s?ace,see defizthbn be/oa/
CrllPhone( ) .qgl -6YOO rusinessphone( ) J5L..*3q_t/
Fo(Ernail
F Up to 1,500 sq ft - $130
! 2,501to 3,500 sq ft - $260
tr Over 4,500 sq ft $325 plus $65 for each additional
-lJ00sS-ft-or portion thereo0).
tVe sa: /az/tz:Fdn r// Doehng /A zrucn i On/y)
D Duplex Apartment $260
! Threeormoremulti-family_units:$l3Operbuildingftys$gsperunic($130x# of buildings) +($65x# of units)tr Existing Residence, and Detached Shop: $55.fJe phs $10 p.rfi"t
!9. ft. of the building ($65 + ($10 x # of fixnres))
tr Gray Vater Systems: $tiO
n Lawn Sprinklen/Backflow Device: $65tr Modular, Manufactured or Mobile Homes: $65 for sewer and water stub connectiorsn Multipurpose Fire Sprinkler and Domestic Vater Supply System: $65 fee or $4 per sprinkler head whicheverrs greater
,Sesrr€ Wzter
n $38 Sewer Line r$38 \fater Line r$55 Sewer&\ilater-if irspected at the same time! $65 Sewer turnaround under house (change from septic to ciq)MISCELLAI\EOUS
tr PlanCheck $65perhour
! Technical Service: $65 per hour
tr Gas Line: $65
r'$flaterHeaterReplacement $65
tr Requested Inspection: $65
! Hydronic Heating: $65 + ($10 x# of.manifol&/zones)*Living Space - space within a dwelling unit intended for human habitation whi:h ma{r:asonablyb-e utilized for sleeping eating cooking,bathing, washing recreation, and sanitation purposes. An unfinished basement it .""iA.i"Jp#.f the living s;;;-'--"'
-'
License number &date Date
tr 1,501 to 2,500 sq ft - $195
D 3,501to 4,500 sq ft- $325
1,000 sq ft. orportion thereof ($325 + ($65 x # of additional
Buildi Sofety Deporlmenl
35 N. 1,t E., Rexburg,Id 83440 City of Rexbulg
Phone -(208)359-3020 / Ftrotline -(208)372-23+4 / Fax -eo8)359-3022
ovri.tERs NAME 5hq.,:* Ga.i b,l-..;tt^PROPERTYADDRESS ffn g- t,<l S^*tU,Permi#SUBDIVISION
PFIASE BLOCK
CITY OF
REXBURG
Ameri cai Fa mily Community
LOT
Requzred///Z'ZCZAIUZ
Electrical Contractor's NameElectrical Contractort Name _-_€d;tFtsi r \nr mo'n Business Name L0*acI El rc\-s i c
nddress 4qqq lJ 5t. oo a------cr---J
GllPhone(2d) qSt- lqtA Business Phone (
Fo(Email
(COMMERCIAL/IND-U. STRIAT) Total cost of electrical system (c-onracted Amount) $_ISOO_(nc/udlstheco:tofmateia/sinstal/edregard/esofthepa@supp!ingit.Tbefeer/itteduidzrtfi)spution!pesha//app!ltoan1andal/electical
not specifca@ mentioned elsewbere on thisfom)
tr Up to $101990 (tptal cost of s)ntem x 0.02) + 60 : $! Between $10,001- $100,000 ( (total cost of sptem - 10.b00) x 0.01) + $260 : $
! over $100,001 ( (tgt"l=.ott of s*t.- - toooob) x o.obs) + $1,160 : $SmallVor|rs(C.ontractonoNLY):$10.feefo@$zooi'',cosi*J"oiinvolvingachangein
service connections. Does NOT require inspection.
RESIDENTIAL
^rVera'.fzhg/e Fam/y'Drze//*zg, zhclzdzrzg a/lbuildzhgs rzz?b urnhg bethg conshzctedoz ('Basedoz /z?tbg s?ace,see defizzhbn belora)
A Yry: 1,s^09sq ft -- $130 tr 1,501 to 2,500 sq fr _ $19s! 2,501 to 3,500 sq ft - $260 D 3,501 to +,SOO sq ft _ $325tr over 4,500 sq ft $325 pl* $61 for each additional 1,000 sq ft. or portion ,tr"r*f lSizi ilSes x # of additional1.000 sq. ft. or poftion thereoO).
tVe u' tVz/ti Fam ly Dur//tVtg, (A ntucb i Ar4//
n Duplex Apartment $260
! Three or more muki-familyunits: $130 per building ll": L65_p-.r unit: ($1,30 x # gf blildings) + ($65 x # of units)tr Existing Residence, Modular, Manuiactured oll\4obile Ho-.r,;ab\branch circuit, up to the maximum of the_c-or:resp_olgg sq. ft. of rh. b"tHi"g Gi i (s-r-o'" * i"-.tn "i**r)DCrnfialHeating/C-oolingSystems:$65\WhenNoT;;ofnew*'ld."tiiffinoadditional
wtrulg
spas, Hot f"b:, and svimming pools: $65 fee for each trip to inspect?zmps - Wzte a,(tngaab 4 .fe azge (eacb m o tiy'
D $65 up to 25HP n$95 - 26 to zooFP r$130 over 200 Hp
MISCELLAINEOUS
tr Temporary Constrtrction Services ONLY: 200 amp or less, one location (for a period nor ro exceed 1 par) - $65tr Temponary Amusement $65 fee plus $10 per ride, concession o, g"rr.oro,
tr Irrigation Machine: $65 for center pivot plus $10 per rower of drive motor
tr Technical Service: $65 perhour
n PlanCheck $65perhour
tr Requested Inspection: $65
lt#: tff;"'*::":*:-*Hl,:._::i*_d t:'_hyll fraflatlon whigh malyasonablybe.",'t139d for sleeping, eatins cookins,bathing, washing, recreation, and sani*ition pu{poses. An unfinished basement is considered part of the Iiving space.
Si of Licensed Crntiltoi-License number &date Date
CITY OF
35 N. 1" E., Rexburg,Id 83440
OVA{ERS NAME
Building Sofety Deporlmenf
City of Rexburg
Permi#
LOT BLOCK
REXBURG
Ame ricsb Family Communily
PROPERTY ADDRESS
SI.JBDIVISION
PFIASE
Reqared///Llecbanz'ca/
Mechanical C-ontractor's Name
Address
Business Name
Gty State zip
Cell Phone (Business Phone (
Fo(Email
(COMMERCIAL/INDUSTRIAL) Total cost of plumbing system (C-onncacted Amount) $_
(ncludes the cost of mateials inttalled regardless of the pary sappfiing it. The feet listed undzr this inspection jpe shall app[t n an1 an,l a// ,ultanical
in$allations not specifca@ mentioned elseahere on thisforw).
tr Up to $10,000 (total cost of slstem x 0.02) + 60 : $
! Between $10,001- $100,000 ( (total cost of slntem - 10.000) x 0.01) + $260 : $! Over $100,001 ( (total cost of slntem - 100.000) x 0.005) + $1,160 : $
RESIDENTIAL
tVeu:.fng/e Fznz/7Dur//thg, nc/zdhg a//bn/&bgs uztl zunhg bezhg constrz.tctedorz eacbproperty. (*Rasedon /z'uhg s?ace,see defnzbbz be/ou/
! Up to 1,500 sq ft -- $130 ! 1,501 to 2,500 sq ft - $195
tr 2,50lto 3,500 sq ft- $260 tr 3,501 to 4,500 sq ft- $325
tr Over 4,500 sq ft $325 phx $65 for each additional 1,000 sq ft. or portion thereof
-
($325 + ($65 x # of additional 1.000 sq. ft. orportion thereo0).
Ne u,: tVz/tz: lqam // Dzoelzhg /Co zuao r A/7/
tr Duplex Apartment $250
!
tr
Three or more muhi-familyunits: $130 per building plus $55 per unit:
E.lt{lq Residence, Modular, Manufactured orMobile Homes and Deached Shopi $55 fee plus $10 per**HVAC equipment being installed up to the maximum of the corresponding sq. ft. of the building -
($65 +($10x# of fixtures))
MISCELLANIEOUS
tr PlanCheck $65perhour
! Technical Senice: $65 perhour
tr C'as Line: $65
tr'VaGrHeaterReplacemenc $55
I RequesGd Inspection: $65
tr Fireplace/Solid Fuel Burning Appliance: $65 per inspection
]Ltypg SPac.e - space within a dyell$e unit intended for human habitation whigh ma1 r_easonably be utilized for sleeping, eating, cooking,b.?Shc, yashfg, recreation, and sanitation pu{poses. An unfinished basement is considered pan of the living space.' o'
**Examples of FrvAC Equipment-furnace replacement, solar, water heater, erc.
of Licensed Contractor License number &Date
Buildi Sofely Deporlment
35 N. 1" E., Rexburg,Id 83440
Phone -(208)3s9-3020 / Hotline -Q08)372-23++ / Fax -Q08)3s9-3022
LOCATION OF VORKTOBE DONE:
Street Address Vhere \[or{r'sfiill Be Done:
Business Name Vhere l$florh \7ill Be Done:
Dates for'$flor{r to Be Done:
C-ontact Peson:
To
CITY OF
City of Rexburg REXBURG
c\' -'-'****'*
Americs\ Family Communitv
Phone Numben (_)c-ell # (_)
Reqrred/// ^FI/?E '4L.4R/V/
Fire Alarm C.ontractot's Name
Business Name
Address State
Crll Phone ( )Business Phone ( )
Fo[___J
Email
(COMMERCIAL/INDUSTRIAL) Total cost of fire alarmsystem (Cnntracted Amount)
$
(ncludes tbe cost of naterials installed regardless of the pa@ sappling it. Tltefees listed under tltis inspection Upe
sball appfi to an1 and allfre alarm installations not specifcalfi mentioned elsewhere on thisforrn).
n Up to $10,000 (total cost of slntem x 0.02) + 60 : $
n Between $10,001 - $100,000 ( (total cost of qntem - 10.000) x 0.01) + $260 : $
n Over $100,001 ( (total cost of slntem - 100,000) x 0.005) + $1,160 : $
MISCELLAINEOUS
! Plan Review per Houn $65 per hour
n Re- Inspection: $65 per trip
Signature of Licensed C.ontractor License number 6r exp. date Date
Gty zip
Buildi Sofety Deporlmenl
35 N. t't E., Rexburg,Id 83440
Phone -(208)359-3020 / Hotline -QO8)372-2344 / Fax -eO8)359_3022
LOCATION OF \fORKTOBE DONE:
Street Address Vherc Vor{r \{iill Be Done:
Business Name Vhere Vor* Vill Be DoneJ
Dates for'tUflor{r to Be Done:
C-ontact Person:
To
City of Rexburg REXBURG
Ame rin\ Family Communi ty
Phone Numben (_)
Reqzzred///FL?E.fn?l/VruER
Fire Sprinkler C.ontractor's Name:
Business Name
Address State zip
Crll Phone ( )Business Phone ( )
FoL_-J
Email
(COMMERCIAL/INDUSTRIAL) Total cost of fire sprinkler system (Cnntracted Amount)
$
(I1clldes tbe cost of m(eials installed regardlex of tbe pa@ sappfiing it. Thefees listed under tbis inspution Upeshall applJ to an1 and allfire alarm installations not specfrca$t mentioned elsewltere on tbisforn).
! _up to $10'000 (total cost of slntem x 0.02) + 60 : $! Between $10,001 - $100,000 ( (total cost of slatem - 10,dOO) x 0.01) + $260 : $tr Over $100,001 ( (total cost of slatem - 1OO.OOb) x O.ObS) + $1,160 : g
MISCELLAI{EOUS
D Existing Inspection Base: $60
tr Re- Inspection: $65 per trip
n New consbuction $1 per sprinkler head ($2,OOO maximum) number head
L Drt.
SUBCONTRACTOR LIST
Excavation & Earthwork:
Conctete:
Masonryr
nlxRoofin
Insulation:
Painting:
. rl.hroor. N lA(LOVCfINES:"
/\Heuti"g' (Jor^ct Auzr*S
Electrica: 5 ca tt Ltishrnncu rzt
Special Construction
(Manufacturer or Supplier)
Floor/CeilingJoi
Siding/Exterior Trim:
Other:
EXEMPTIONS F'ROM STATE REGISTRATION
As ofJanuary 7,2006, the city of Rexburg can no^ longer sell permits without having a copy of your statetegistration number or your exemption from the st tJ..girt *io.n. please send a copy of your state registration orfill out this form showing yo.tt .*i-ption and send it wit yonr license renewal o, yor* next permit application.
(fhis list is a summari zaion of Idaho code Title 54 chapter 5205, forfull definitions of these exemptions pleasesee the State's website at www.ibol.idaho.gov/cont.htm)
D currendy state ricensed pursuant to Title 54 Idaho code, chapters:
I Architects,
10 Electrical Conftactors/|oumeyman.
1 2 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), or50Installation of heating, ventilation and air cond,itioiing systemstr Employee or volunteer of a licensed contractor or part olan educational curriculum or nonprofit charitableactivity with no wages or salary
D E'mployee of a US Govemment agen:y (State, ciry county, or other municipariry)D Public Utility doing construction, L^int.nrnce, or development to its own businessD Involved with gas, oil or mineral operations
tr Supplier doing no installation or fabricating
! Contracting a project or projects with a total cost less than $2000D operation of a farm ot ranch or construction of agdculture buildings exempt from Idaho Building codetr Any type of water district operations
! !7ork in rural districts for fire prevention purposestr owner who performs work on own Property or contracts with a registered contractor to do work as long asthe property is not for resale within i2 months
D owner or lessee of commerciai property performing maintenanc e, repair,alteration of constfuction on thatPfoPefty
D Real estate licensee/property manager acting within Idaho codeD Prgugtrg in the logging industry
D Renter working on the property where they live with the property owners approvaltr Construction of-a building used for industrial chemical processing per Idaho Codetr construction of a modular building (defined by Idaho iode) to b"eLoved out of state
I hereby certify that the above information is true and correct to the best of my knowledge.
Signature Date
Print Name
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P.O Box 280
35 North 1st East
Rexburg, ldaho 83440
Phone (208) 359-3020
Fax (208) 359-3022Review Action
January 26,2012
Permit Number:
Project Name:
Project Type:
12 00022
76 East 1st South - Remodel
Single Family Remodet
Review ltem
Interior Environment
Mechanical Review
Structural Review
Complies with approved Site plan Review
Energy Conservation Compliance Review
Height and Area Review
Parcel#'s RPRRXBIO49OOI I
Approved
01t25t2012
01t25t20127 foot min. ceiling height required. (6'g', allowedin bathroom & laundry room)
Lower floor at entrance door to apt.or raise
door and install landing on apt. side of door.
As discussed on site, bottom of duct will beraised to about 7' and moved close to outside
wall in bedroom.
2 hr fire separation between apartment and
office space, and t hr fire separation around
common area including stairway. Fire
separations must extend to foundation wall.
01t25t2012
01t25t2012
01t26t2012
01t26t2012
01t26t2012
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PERMIT ESTIMATE
FEE SUMMARY
STREET IMPACT FEE
PLAN CHECK FEE
BUILDING PERMIT FEE
POLICE IMPACT FEE
FIRE IMPACT
VALUATION DETAILSBUILDING TYPE
SToRAGE, LOW HAZARD (ANy CODE MATERTALS)
QUANTITY
slOSQFT
VALUATIOIiI
$35.607.60
$22.39
$50.29
$501.86
$141.18
$37.13
TOTALS:St0soFT $3s,607.60
PLUMBING FIXTURES
QTY UNITCOST EXTENDED COST
MECHANICAL FIXTURES
QTY UNTTCOST EXTENDEO COST
ELECTRICAL FIXTURES
QTY UNITCOST EXTENDED COST
DESCRIPTION
TOTAL FEES:
SUBMITTAL DOCUMENT GHECKLIST
_ PERMTTTECH NOTES
_ ACCESSIB|L|TY REVTEW
_ EX|T|NG REVTEW
_ ENERGYCONSERVATTONCOMPLTANCE
REVIEW
_ |NTER|OR ENVTRONMENT
_ BU|LDING CODE F|RE COMPLTANCE REVTEW
- HEIGHTAND AREA REVIEW
_ MECHANTCAL REVTEW
- WATERAND SEWER SERVICE
- PLUMBING SEWER DRAIN REVIEW
_ PLUMBTNG STORM DRATN REVTEW
- PLUMBING POTABLE WATER REVIEW
_ coMPLtES W|TH APPROVED S|TE PLANREVIEW
STRUCTUML REVIEW
BUILDING TYPE COMPLIANCE
WASTE WATER APPLTCATION
WASTE WATER GREASE TRAP FORM
REQUIRED FIRE FLOW
WATER SUPPLY
FIRE ACCESS ROADS
FIRE EXTINGUTSHERS
AUTOMATIC FIRE EXTINGUISHING SYSTEMS
STANDPIPES
COMMERCIAL COOKING
ALARM SYSTEMS
OTHER COMMENTS
ELECTRICAL CIRCUITS REVIEW
ELECTRICAL SERVICE REVIEW
ELECTRICAL ENERGY LIGHTING COMPLIANCEREVIEW
DESCRIPTION
DESCRIPTION
Page 1 of 1
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