HomeMy WebLinkAboutALL DOCS - 14-00323 - 328 N 2nd E - Mountain America Credit Union - Onsite Modular BldgoI
CITY OF Gertificate of Occupancy
City of Rexburg
Department of Community Development
35 N. lst E. / Rexburg,lD.83440
Phone (208) 359-3020 I Fax (208) 359-3022
REXBURG
Ameri ca's Family Co m mun i ty
Building Permit No: 14-00323
Applicable Addition of Gode: IBC 2012
Site Address: 328 N. 2nd E.
Use and Occupancy: Mountain America Credit Union - Onsite Modular Building
Design Occupant Load: 15
Sprinkler System Required: No
Name and Address of Owner: Mountain America Credit
7181 South Campus View Dr.
West Jordan, UT 84084
Contractor:
Special Gonditions:
BATEMAN-HALL INC
Occupancy:Business = 1,500.00 sq. ft.
This Certificafe, lssued persuant to the requirements of Section 109 of the lnternational Buitding
Code, ceftifies that, at the time of issuance, this building or that porTion of the buitding 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 G.O. lssued: 10 / OA I ZOIA
c.o. fssued by, 4%*+- Buitdins Inspector: / /-**,
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.
Mechanical Inspector: , t= a '/
Plumbinglnspector: . f \ f
Electrical Inspector: -EX t ,_O.
,;Lii
35 N lil 8., Rexburg, Id 83440
O\XA{E,R'S NAME
PROPERTY ADDRESS 328 North ast
SUBDIVISION
PFIASE LOT
Permit# lQ -CC 3ZZ
Building Sofety Deportmenl
City of Rexburg
c{TT O$::_ '' ---
ITEXBURG
i-l*/
Af hviiut fiisx il]' C,3prft iltr,i?*
BLOCK
Reqwired!!!Mecbanical
Mechanical Contractor,s yu-. Kim lvie nusiness 1rtru,,,. Select comfort systems
646r.116678 south 3235 West City]/y:Jerdan g1r1"Utah 2ip84084
Cell phone 801 -647-5589 Business phone 80 1 -9697088
p'u* 8010-955-9081 p*u;1 ki m@selectcomfortsystems. com
(coMMERcIAL/INDUSTRIAL)Totalcostofplumbingsystem(ConttactedAmount)$-
(nchdet tbe cost of mateials iuttalled regardhr of the par! suppjing it, The feet litnd unfur tbh inspection lpe sha/l appl1 to an1 ancl a// mechaniml
instal/ations not rpecfica@ mentioned elnwhere on thisforrn).
m Up to 910,000 (total cost of system x 0.02) + 60 = $g Between $10,001 - $100,000 ( (total cost of system - 10.b00) x 0.01) + g260 = g
E Over g100,001 ( (total cost of system - 100.00b) x O.ObS) + g1,160 = g
RESIDENTIAL
Neut: Single Farnily Dwelling, including all buildings roitb wiring being constructed on eacb property. (,tBased on living space,
see definition belou)
q Up to 1,500 sq ft - g130 E 1,501 to 2,500 sq ft - g195
m 2,501 to 3,500 sq ft - 9260 E 3,501 to 4,500 sq ft _ g325
ffi Ovet 4,500 sq ft $325 plus $65 for each additional 1,000 sq ft. or portion thereof
($325 + ($65 x # of additronal 1_000 sq. ft. or portion thereo0).
Nero : M wlti-Family Du elling (C ontractors Only)
m Duplex Apartment 9260
ffi Three ot more multi-family units: $130 pet building plus $65 per unit: ($130 x # of buildings) + ($65 x # of units)
fl Existing Residence, Modulat, Manufactured or Mobile Ffomes and Detached Shop: $es i.. plrl ffi p..**HVAC equipment being installed up to the maximum of the corresponding sq. ft. of thi building
($65 + ($10 x # of fixtrues))
MISCELI.ANEOUS
m Phn Check 965 per hout
fl Technical Service: 965 per hour
tr Gas Line: $65
n Vatet Heater Replacement: g65
n RequestedInspection:965
ffi Fireplace/Solid Fuel Burning Appliance: g65 per inspection
*Lrving Space - space within a dwelling unit intended for human habitatjon which may reasonably be utilized for sleeping, eating, cooking,bathing, washing, recreation, and sanitation purposes. An unfinished basement is coniidered pari of the living space.*xExamples of HVAC Equipment-furnace replacement, solar, water heater, etc.
635694e-5501 (S2 1 1 ((5350 9-23-2014Kim lvie
of Licensed Contractor License number & Exo. date Date
Submit by E-mail ng Sofety Deportme
City of Rexburg
- Q08)3se-3022
CITY OF
BEIRqg
Ameiub Family Community
35 N. 1.t E., Rexburg, Id 83,140
Phone - Q08)359-3020 / Hotline - Q0S)372-2344 /Fax
OWNE,R'S NAME
PROPERTY ADDRESS
SUBDIVISION
PHASE LOT BLOCK-
Permit# !{ co3z3
n
!
Approved for temporary power
Approved for permanent power
Required!!!ELECTRICAL
Electdcal Contractor's **t ,lrU dr'cL, F6u , unsiness N^^, L,-* /rZZ!, EG-,
Address /, O, /h< a*)tflalcity /*4.&t4 st^t =-D(_np 83?3(
Cell Phone aa?- ryC- / d 3 6 s'siness phone 2zg-Tst'./zZS
Fax
(COMMERCIAL/INDUSTRIAL) Total cost of electrical system (contractedAmount) g- 5{0O ?(ncludu the n$ of nateriak in:talled regardhr of the parq ntppl1ing it. The feu bsted under this inspection {pe shall appl1 to ar1 artd all electrical
nol genfcgll1 nentioned elsetyhere on thisforn).
{ Upto$10,000 (totalcostof systemx0.02)+60=$ dl ,--.,4 @
E Between$10,001-$100,000 ((totalcostofslzstem-10.000)x0.01)+g260=g 'l / b
n Over $100,001 ( (total cost of system - 100.000) x 0.005) + g1,160 = g I
Small Wotks (Contractors ONLY): $10 fee for wotk not exceeding $200 in cost and not involving a change in
serrice connections. Does NOT require inspection.
RESIDENTIAL
Neu: Single Family Duelling, inclading all buildings zoitb wiing being constracted on eacb property. (u,Based on living space,see definition below)
q Up to 1,500 sq ft - 9130 tr 1,501 to 2,500 sq ft _ g195
LI 2,501. to 3,500 sq ft - 9260 E :,50t to 4,500 sq ft _ g325
tr Ovet 4,500 sq ft $325 plus $65 for each additional 1,000 sq ft. or portion thereof
'(m:ZS
* (g65 x # of additional1,000 sq. ft. or porrion thereog).
Neu : Multi- Family Dwelling (Contractors Only)
n Duplex Aparment 9260
tr Three or mote multi-family units: $130 per building plus $65 per unit: ($130 x # of buildings) + ($65 x # of units)
tr Existing Residence, Modular, Manufactured oiMobile Ao-.r, and Detached Shop: g65 fee plus g10 perbranch circuit, up to the maximum of the corresponding sq. ft. of the building ($65 + S10 x # bran& circuitq))
tr Central Heating/Cooling Systems: $65 When NOT"pari of new residen 'il or FIVAC permit with no "aationAWitirg
tr Spas, Hot Tubs, and Swimming Pools: $65 fee for each trip to inspect
Pumps-Water, Irrigatio n, Sezaage (eacb motor)
tr $65 up to 25HP rg95 - 26 to 200Hp rg130 over 200 Hp
MISCELI.ANEOUS
q Tempotary Construction Services ONLY: 200 ampor less, one location (for a period not to exceed 1 year) - $65
n Temporary Arnusement: $65 fee plus $10 per ride, concession or generator
tr Inigation Machine: $65 for center pivot plus $10 per tower of drive motor
E Technical Service: g65 per hour
tr PhnCheck g65perhour
n Requested Inspection: 965
*Litiog Space - space within a dwelling unit intended for human habitation which may reasonably be utilized for sleeping, eating, cooking,
bathing, washing, g:reation, and sanitation pulposes. An unfinished basement is considered part of the living space.
c-774
of Licensed Contractor License number & exo. date
aIU_
Building Sofely Deporlmenl
www.rexourg.org
City of Rexburg
Phone: 208.372.2341
Fox: 208.359.3022
CI'TY OF
REXBURG
c\!,
Anr e rica\ Family Co n m uni ty
Office Flouts: Monday-Friday B:00am-4:00pm
Pre-Co
Seismic Design Category - D
(unless soil evaluation confitms category C)
Ground Snow - 50 lbs. Per sq. ft.
Roof Snow Load - 35 lbs. Per sq. ft.
Wind Load - 90 MPH
Ftost Depth - 36'
Thefoltowingitems should be conpleted beforeltou submitlour buildingperwit application. INC)MPI'ETE
."7PPLI(ATIOI'{ S V/TI.I. NOT BE ACCEWED.
Completion of a Building PemitApplication: You may print this application from our website
www.rcxburg.otg or pick up a copy at the Ciry Annex Building (address above)'
Commercial Petnitsz (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
tr
tr
tr
tr
Structural Calculations stamped by a licensed Engineer
Energy Compliance Report: As per the 2006 IECC, a Compliance check must be completed and submitted
(the comcheck is available online at www.energycod€s.gov).
iug, 2 of the Application must include the Idaho Contractor's Registration Number or the exemption form
must be completed and signed, see Page 10.
E Page 5 of the Application must be completed and signed by your Plumber.
E Page 6 of the Application must be completed by signed by your Mechanical Contractor.
E Page 7 of the Application must be completed and signed by your Electrician.
E Electtical pane1layout and calculations must be included with the building plans. Plans will be
reviewed by the electrical inspectot prior to issuance of the building permit.
E Emergency Sewices Construction Permit-for fite telated equipment only; to be filled out by the
contractor petforming the wotk.
Exterior Lighting plan including photometric layout. The lighting standatds are included in this packet.
Property Line form needs to be signed by the builder, see Page 4'
Electtical Pemtits are now issued through the City of Rexburg. See Page 6 of the application.
Remodels: If you are considering a remodel, a gspy 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 construcdon
tr
tr
o
rCI'TY O
REXBURG
c\,
rlm e ri m\ t^amily Co nn un ity
COMMERCIAL & MULTI FAMILY BUILDING PERMIT APPLICATION
35 N 1" E, REXBURG,ID 83440
208-372-2326
Please Complete the Entire Application!
If the question does not apply fill in NA for non applicable
PARCEL NUMBER: ( we will provide this for you)
SUBDIVISION: UNIT# BLOCK# LOT#
_-.llA<l!lre!sin&is based on the information - must be accurate)
OWNER NAME: Mountain America Credit Union CONTACT PHONE #801.g25_62gg
pROpERTy ADDRESS.328 N 2nd East Rexburg tD
PHONE #: Home Work (801)325-6233 Ceil (801)991-0229
OWNER MAILING ADDRESS. 7181 South Campus View prive 611y. West Jordan STATE: UT 71p.94094
EMAILctapia@macu.com FAX
APPLICANT, (If other than owner) Richard Stqphenson - Bateman-Hall, Inc.
(Applicant if other than owfler, a statement authorizing applicant to act as agent for owner must accompany this application.)
AppLICANT INFORMATION: ADDRESS 1405 Foote Drive CITy: ldaho Falls
STATE: f D 71p 83402 EIy1AIT. richard.stephenson@bateman-hall.com FAX
PHONE #: Home work (208) 523-2681 6.1 (208) 221-7354
CONTRACTOR. Bateman-Hail, tnc.
MAILING ADDRESS. 1405 Foote Drive clTY.lgglgF3!!9__STATEID 2rp83402
pHONE: Cell#(208)221-7354 Work#(208)s23-2681 Fai# (208) 524-4435
EIVL\IT richard.stephenson@bar€man-har.6m IDAHo REGISTRATIoN # & Exp. DATE RcE-1195 ',12r14r2014
How many buildings are located on this property?
Did you recendy purchase this property? E NO E YES
(If yes, list previous owner's name)
Is this a lot split? tr NO E YES @lease bring copy of new legal description of properry)
pROpOSED USE: Commercial Modular Buitding Unit - Banki
(i.e., Single Family Residence, Multi Family, Apartments, Remodel, Garage, Commercial, Addition, Etc.)
Signature of Owner/Applicant DATE
Do you prefer to bc contacted by far, email or phone? Email
IYARNING - BUILDING PERMIT MUST BE POSTED ON CONSTRUCTION SITE!Plan fees are non-rcfundable md arc paid in full at the time of application b eginring leante+L&tCity ofRexburgrs Acceptance ofthe plan rcview fee does not constituie pl."
"pp-".1
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: una..penaltyorpesury,rherebycertirythatr
have read this application and state that the information herein is correct and I swer that any infomtion which may hereafter be given by me in herings before thePlanning and Zoning Comission or the Qity Council for the City of Rexburg shall be truthful and correct. I agree to comply -itliall City regulations aid State laws relatingto the subject. matter of this application and hereby authorized representatives of the City to enter upon the aboi'e-mentior"d p.op".ty foi inslections purposes. NOTE:The building ofFrcial may revoke a permit on approval issued under the provisions of the 2003 Intemational Code in cases of any i^lr" .tut"-*t o. misrep'resentation of factin the application or on the plans on which the pemit or approval wa based. Permit void if not stated within 180 days. pernit void if work stops for tbo days.
July 28,2014
*Building Pemit Fees are due at time of application* sBuilding Pemits arc void if your check does not clear#
Building Sofety Depqrfmenl
City of Rexburg
Phone: 208.372.2326
Fox: 208.359.3022
Affidavit of Legal Interest
State ofldaho
Countv of Madison
I,
Name Address
City State
Being first duly sworn upon oath, depose and say:
(If Applicant is also Owner of Recotd, skip to B)
A. That I am the record owner of the property described on the attached, and
Permlsslon to:
Name Address
to submit the accompanying application pertaining to that propety.
B. I agree to indemniSr, defend and hold Rexburg City and its employees harrnless from any
claim or liability resulting fiom 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 day of
CIl'Y OF
REXBURG
c\,
Am e ri ca's Family Co mmunitywww.rexburg.org
I grant my
20
Subscribed and sworn to
blgnature
before me the day and year first above written.
Notary Public of Idaho
Residing at:
My commission expires:
lu
Building Sofety Deporlmenl
City of Rexburg
Phone: 208.372.2326
Fox: 208.359.3022
c|l'Y oF
REXBURG
c\,
Am eri cab Fatn ily Oo mntunitywww.rexburg.org
Properfy Lines
E'ach site plan that is submitted to the City of Rexburg for the Building Permit process requires rhat properry lines
are shown accurately. It is the Developer's responsibility to co'ectly identi$' 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 arc still available at the lot in quesrion. 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 alandsurvey. The City of
Rexburg has aeriai photos and a parcel line layer that can be checked, but they are only a tool and are not
guatanteed fot 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 requirements.
Signature
Pdnted Name
Business Applicqlion CITY OF
35 Norlh I't Eosl
Rexburg, lD 83440 Phone: 208,359.3020
Fox: 208.359.3022
Please take the lime to answer oll questions so that we can further assist you and your facility Thank you.
What type of business will be performed Banking
Will the business have food preparations?
Will there be any cooking of foods?
Will there be any deep fat frying?
Will you have food disposal on site?
will there be any maintenance or mechanical work in the buildins?
Will there be sumps or floor drains in the facilitv?
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 structural/or 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?
Q Yes
Q Yes
Q Yes
Q Yes
Q Yes
Q Yes
Q Yes
Q Yes
Q Yes
Q Yes
ONo
ONo
ONo
ONo
ONo
ONo
ONo
ONo
ONo
ONo
QYes O No
QYes @ No
QYes O No
QYes O No
I Certify thal The information thal I have provided above is to rhe best of my knowledge accurale and true.
Applicants Signature Phone Date
RH,)il3{JI{G
<!
..l,tL,r/ilr'r I i rrrttlt, a .:<t tr'rt urt i t1"
City of Rexburg
Permit#PROPERTY ADDRESS
LOT
SUBDIVISION
PHASE,
Building Sofety Depqrlmenl
35 N I'r E Phone: 208.372.2326
Rexburg,lD83440 Fox:208.359.3022
OWNER'S NAME
www.rexburg.org
Requircdlll Plumbing
Plumbing Contractor's \2ms Justin Hill Business Name Mountain west Mechanical
Address 2336 west 5200 south _City x-brlg__State]q__Zip$aao
cell Phone (208) 356-0253 Business phone (208) 356-0370
Fax
(COMMERCIAL/IND_USTRIAL) Total cost of plumbing system (conttactedAmount) $-(ncludes the cost of materiak instal/ed regardlus of the par4t suppfingit. Thefeu lisniunier this inspurion rpe thall app! n'*1 *a oiptorlngnot spenfca@ nentioned ehewhere on thhfom)
tr Up to $10,000 (total cost of system x 0.02) 1 69 = g 0.00
! Between $10,001 - $100,000 ( (total cost of slrstem - 10.000) x 0.01) + g260 = g
r ovet $100,001 ( (total cost of system - 100.000) x o.obs) + g1,160 = g
RESIDENTIAL
New: Siagle Faaily Dwelliag, includiag aII buildings with widag bciag coasauctcd oa cach propetty. (*Based on liuiag spacc,sce defraitioa bclow)
r Up to 1,500 sq ft - 9130
n 2,501 to 3,500 sq ft - 9260
I Over 4,500 sq ft 9325 plus 965 for each additional
1.000 sq. ft. or porion thereo0).
New: Multi-Faaily Dwclliag (Coa&zctots OnIy)
tr Duplex Apartment 9260
n Three or more multi-family units: $130 per bLrildrng plus $65 per unit: ($130 x # of buildingq + ($65 x # of units)tr Existing Residence, and Detached Sho_p: $65 fee plus $10 per fixture up to the maximum of ihe correspo.rdirrg
sq. ft. of the building ($65 + ($10 x # of fixtureg)
I Gray Water Systems: gill0
I Lav,.n Sprinklers/Backllow Device: 965
o Modular, Manufactured or Mobile Homes: $65 for sewer and water stub connections
fl Multiputpose Fite Sprinklet and Domestic Watet Supply System: $65 fee ot $4 per sprinkler head, whichever
rs grearef
Sevzct& Watet
I $38 Sewer Line l$38 Watet Line o$65 Sewer & Water-if inspected at the same timeD $65 Sewer turnaround under house (change from septic to city)
MISCELLANEOUS
I Plan Check 965 perhour
! Technical Service: $65 per hour
I Gas Line: $65
I Water Heatet Replacement $65
tr Requested Inspection: $65
I Hydronic Heating: $65 + ($10 x # of manifolds/zones)
*Living Space - space within a dwelling unit intended for human habitation which may reasonably be utilized for sleeping, eating cooking,bathing, washing, recreation, and sanitation pufposes. An unfinished basement is considered pari of the living space.
PLB-C-9383 6t30t2015 July 28,2014
Signature of Licensed Contractor License number & Exp. date Date
! 1,501 to 2,500 sq ft - 9195
I 3,501 to 4,500 sq ft - 9325
1,000 sq ft. or pottion thereof ($3ZS + (965 x # of additional
lt-
35N l.tE
Rexburg, ID 83440 www.rexburg.org
Building Sofety Depqrfmenl
City of Rexburg
Phone: 208.372.2341
Fox: 208.359.3022
Permit#
CITY OF
REXBURG
c\,
A m eri ca\ Family Co mtn un ity
OWNE,R'S NAME,
PROPERTY ADDRESS
SUBDIVISION
PHASE LOT B
Requitedlll Mechanical
Mechanical Contractor's Name _ Rrrs.inessName
Address City-State Zip
Cell Phone Business phone
Fax _ F.m
IC9I\'IMER9IAL4IND_USTRIAL) Total cost of plumbing system (contractedAmount) $_(Lnclades the rost oJ mateiak ns!//e( wrllm of the pa@ suppiing it. Thefees li$ei ilnier thh intpection gpe shall app! to anlt antl a// me6arlrainstallations not rpedfca@ nentioned eheahere on tbirfom).
rt Up to $101000 (total cost of system x 0.02) + 60 = $r Between $10,001 - $100,000 ( (total cost of system - 10,b00) x 0.01) + g260 = g
r over $100'001 ( (total cost of system - 100,00b) x o.obs) + g1,160 = g
RESIDENTIAL
New: Siagle Faaily Dwelling, iacluding aII buildiags with witiag bciag coasnuctcd oa each prcpefiy. (*Bascd on liuiag spacqsec defrnition bclow)
D Up to 1,500 sq ft - 9130 I 1,501 to 2,500 sq ft _ g195
z 2,501, to 3,500 sq ft - 9260 ! 3,501 to 4,500 sq ft _ g325
D Over 4,500 sq ft $325 plus $65 for each additional 1,000 sq ft. or portion thereof
'
New: Multi-FaailyDwelliag (contuectots 83;-
($65 x # of additional 1'000 sq' ft' or portion thereo0;'
tr Duplex Apartment $260
I Thtee or more multi-family units: $130 per building plus $65 per unir ($130 x # of buildings) + ($65 x # of units)u Existing Residence, Modulat, Manufactured or Mobil. Ao-.. and Detachea snolifrFE. pt * gtg p..xxHVAC equipment being installed up to the maximum of the corresponding sq. ft. of the Ujai.rg'($65 + ($10 x # of fixtrues))
MISCELLANEOUS
ft Plan Check 965 per hour
u Technical Service: $65 per hour
n Gas Line: 965
tr Water Fleater Replacemenr $65
tr Requested Inspection: $65
I Fireplace/Solid Fuel Burning Appliance: g65 per inspection*Living Space - space within a dwelling unit intended for human habitation which may reasonably be utilized for sleeping, eating, cooking,bathing, washing, recreation, and sanitation pu{poses. An unfrnished basement is considered pari of the living space.**Examples of HVAC Equipment-furnace replacement, solar, water heater. etc.
Signature of Licensed Contractor License number & Exp. date Date
35 N.
Phone
r.,E., Rexburg, rd 83440 Building Sofety Depqrlmenl
- (208)359-3020 / Hot]flrle - Q08)372-2344 / Fax - (208)359-30r, clly ol Rexburg
CITY
REX3URG
An eri c al Iafi i Iy ( :o n munity
OWNER,S NAME Mounrain America Credit Union
PROPERTY ADDRESS 328 Norrh 2nd East Rexburs, tD
SUBDIVISION
PHASE LOT BLOC
Permit#
Requiredlll ELECTRIC,4L
Electrical Contractor,s l\J"r1" Lon Ricks Business \2ms Lon Ricks Electric
Addt... 415 chrt.h st""t Ciry Ngyqg!. Sta tep__Zip
Cell phone (208) 458-4363 Business phone (2OS) 4SS-4373
Fax
(COMMERCIAL/INDUSTRIAL) Total cost of electtical system (contractedAmount) $_(ndudu the co$ of mateiah iytalled regardhx of tbe parE stppling it. Thefees bstett uider thb ispection 4pe shall qp! n no1 nrd olklrrtri*l in$allationtnot rpecifca@ nentioned elsewhere on lhisforn).
I Up to 910,000 (total cost of system x 0.02) + 60 = $D Between $10,001- $100,000 ( (total cost of system - 10.b00) x 0.01) + g260 = g
r ovet $100,001 ( (total cost of system - 100.00b) x o.obs; + g1,160 = g
Small wotks (Contractors oNL\Q: $10 fee for work not exceeding $200 in'cost and not involving a change in
service connections. Does NOT require inspection
RESIDENTIAL
Ncw: Siagle Faaily Dwclling, iacluding all buildiags with vzidng bciag coasbucted oa cach prcpctty. (*Based oa liuiag space,sce defrnitioa bclow)
I Up to 1,500 sq ft - 9130
n 2,501 to 3,500 sq ft - 9260
I Over 4,500 sq ft 9325 plus 965 for each additional
1.000 sq. ft. or portion thereoO).
New: Multi-Family Dwelliag (Coaazcton OaIy)
I Duplex Aparment 9260
! Three or more multi-family units: $130 per building plus $65 per unir ($130 x # of buildings) + ($65 x # of units)o Existing Residence, Modular, Manufactuted of Mobile Ao-.., r"a o.t""n.a Sn"illGE. ptr. $10 perbtanch circuiq uP to the maximum of the_c_o-rresp_"lllg sq. ft. of the building ($65 + ($10 x # branch circuits))tr Central Heating/Cooling Systems: $65 When NOT part of nevr residentii'l or HVAC permit *itt .ro "ddeo.,"tMnng
! Spas, Hot Tub^s, and Swimming pools: $65 fee for each trip to inspectPumps-Wate4 Inigatio4 Scwage (each motot)
I $65 up to 25HP lg95 - 26 to 200Hp ng130 over 200 Ifp
MISCELLANEOUS
tr Tempotary Construction Services ONLY: 200 amp or less, one location (for a period not to exceed 1 year) - $65n Temporary Amusement $65 fee plus $10 per dde, concession or generator
r Irrigation Machine: $65 for center pivot plus $10 per tower of drive motor
! Technical Setvice: $65 per hour
I Plan Check $65 per hour
D Requested Inspection: $65*Living Space - space within a dwelling unit intended for human habitation which may reasonably be utilized for sleeping, eating, cooking,bathing, washing, recreation, and sanitation purposes. An unfinished basement is considered pari of the living space.
! 1,501 to 2,500 sq ft - 9195
I 3,501 to 4,500 sq ft _ 9325
1,000 sq ft. or portion thereof ($325 + (g65 x # of additional
ELE-M-10848 9t30t2016 July 28,2014
DateLicense number & exo. dateof Licensed Contractor
uv
Building Sofely Deporlmenl
1l N. 1" E., Rexburg, Id 83440 Cily of RexburgPhone - Q08)359-3020 / Hotline - e0B)372_2344 / Fax - (208\359_3022
Street Address Where Work Sfill Be Done:
Business Name Sfhere Work Will Be Done:
Dates for Work to Be Done:To
ctIY OS
nEXnUnC
C\I,
A u.t ri csi Fa tnill <:o n muni t I
Contact Person:
Phone Number:Cell #:
Requircdlll FIRE SPRINI<LER
Fire Spdnkler Contractor's Name:
Business Name
Address City State--=-Zip
Cell Phone Business phone
Fax
(COMMERCIAL/INDUSTRIAL) Total cost of fire sprinkler system (Contracted Amount)
$
(Iyludes the cost of naterials installed regardless of the parE supplting it Tbefees listed under tbis inspection rypesball appfi to an1 and a//fre alarm installations not $erifcal/1t mentioned elsiwhere on tbisform).
! up to $10'000 (total cost of slzstem x 0.02) + 60 = $! Between $10,001 - $100,000 ( (total cost of system - 10.000) x 0.01) + g260 = g
! Ovet $100'001 ( (total cost of system - 100.000) x 0.005) + g1,160 = g
MISCELI.ANEOUS
! Existing Inspection Base: g60
tr Re- Inspection: 965 per trip
rt New construction $1per sprinkler head ($21000 maximum) number head
Si of Licensed Contractor License number & e date Date
-uv
35 N. 1s E., Rexburg, Id 83440
Phone - Q08)359-3020 / Hotline - Q08)372-2344 / Fax - e0B)359-3022
LOCATION OF WORKTO BE DONE:
Street Address Where Work Will Be Done:
Business Name Where Work Will Be Done:
Dates for Work to Be Done:
Building Sofety Depqrlmenl
City of Rexburg
To
CII'Y Of
ruXBURG(\,
Amerircls Fatnily Commu nity
Contact Person:
Phone Number:Cell #:
Requircdlll FIRE r4L'4RM
Fire Alarm Contractor's Name
Business Name
Address City State zip
Cell Phone Business Phone
Fax
(COMMERCIAL/INDUSTRIAL) Total cost of fire alarm system (Contracted Amount)
$
(nclades the cost of materials installed regardlex of the pa@ MPPbnS it The fees listed under this ineection Apeshall appfi t0 anJ/ and a//fre alann installations not gecifca$t mentioned elsewhere on thisforvt).
! Up to $10,000 (total cost of system x 0.02) + 60 = $! Between $10,001 - $100,000 ( (total cost of system - 10,000) x 0.01) + g260 = g
! Over $100'00L ( (total cost of system - 100.000) x 0.005) + g1,160 = g
MISCELLANEOUS
D Plan Review per Ffour: 965 per hour
n Re- Inspection: 965 per trip
of Licensed Contractor License number &. date Date
SUBCONTRACTOR LIST
Excavation & Earthwor6. Lott construction
Concrete:
Masonry:
Roofing:
Insulation:
Drywall:
Painting:
Floor
Coverings:
Mountain West MechanicalPIumbi
Heating:
Electdcal: Lon Ricks Electric
Special Construction
(Manufacturer or Supplier)
Roof Trusses:
Floor/CeilingJoists:
Siding/Exterior Trim:
Other:
tw
E,XE,MPTIONS trROM STATE RE,GISTRATION
As ofJanuary 1,2006, the City of Rexburg can no longer sell permits without having a copy of your Stateregistration number or your exemption ftom the State registration. Please send a .6y of^yory state registration orfilI out this form showing your exemption and send it with your license renewal o, yo.rr next permit application.
(This list is a summarizatton of Idaho Code Title 54 Chapter 5205, fot full definitions of these exemptions pleasesee the State's website at www.ibol.idaho.gov/cont.htm)
rt currendy State licensed pursuant to Title 54Idaho 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), or50 Installation of heating, ventilation and air conditioning sysrems
tr Employee or volunteet of a licensed contractor or part ol an educational curriculum or nonprofit charitableactivity with no wages or salary
u Employee of a- US Govetnment agency (State, City, County, or other municipality)
tr Public Utility doing construction, maintenance, or development to its own business
tr Involved with gas, oil or mineral operations
tr Supplier doing no installation or fabricating
D contracting a project or projects with a total cost less than $2000tr Operation of a farm or ranch or construction of agriculture buildings exempt from Idaho Building Codetr Any type of water district operations
D STork in rural districts for fire prevention purposes
u Owner who performs work on own pfoperty or contracts with a registered contractor to do work as long asthe property is not for resale within 12 months
o Owner or lessee of commercial property performing maintenance, repair, altetation or construction on thatpfopefry
D Real estate licensee/property manager acting within Idaho code
D Engaging in the logging industry
! Renter working-on the property whete they live with the property owners approval
D Construction of a building used for industdal chemical processing per Idaho^Code
tr Consffuctionof amodula"rbuilding(definedbyldahoiode) tobemovedoutof state
I hereby certify that the above information is true and correct to the best of my knowledge.
Signature
Print Name
Xpress Bill Pay - Payment processing
XBP Gonfirmation Number: S56d0Zl
Billing Information
David Waters
, 83403
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City of Rexburg
35 Northlst East
Rexburg, lD 83440
208-359€020
Item Amount
i
r:199i
s317.00TOTAL:
Transaction taken by: amanda
t- Transaction detail for payment to C.ity of Rexburg.Date: 09/{5/20i4 - 9:53:25 AMTransaction Number: Z8gZ33;77pT
Visa - XXXX-XXXX-XXXX-6092
Status: Successful
9/15/2014 9:53 AM
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4.t1tty
Date: O8lO8l2O14
Receipt #: 2642
: Mountain America Credit Union^"--,: On$rt6 Mcidtilar Buildins-*-- " -
Permit Type: sto-cot\l
503.19*ii"6.oo- !
65.00"...-90.oo..-l
-..'1iaad""' ,,
316.00 |
32.50 ,uE5r\rltKVvil Ollg f lqtl l\gr,vrJ | ;d
2832214
, 3534730
' 3434630
) 2832321
Please contact the Building Department at
(208)37 2-234 1 f or f u rther q uestion s about th i s
receipt
0 8 2014
24 Hour Notice for insPections
Gall inspection hotline at
(2081372-2344
***Cred1 card payments are accepted, but are subject to a 3% convenience fee on payment amounts over $500***