The URL can be used to link to this page

Home My WebLink AboutALL DOCS - 14-00300 - BYU-I Hart Womens Locker Rm - RemodelREXBIJRG(1, _.-:---_ A n e ri cab Fnmily C,om m un i ty Community Development Department Phone (208)359-3020 I nspection Hotli ne: (208lg7 2-2344 INSPECTION REPORT CITY OF lnspection Tvpe ELECTRICAL Buildinq Tvpe BLD-COMR Inspection ELE-FINAL Permit Number 14-00300 Address:311S. 1stW. Proiect BYU-I Hart Womens Locker Rm - Remodel Inspection Date 915t2014 Inspection Result: FAIL Receptacles have correct polarity, grounding, no open neutrals, etc.COMPLETED COMPLETED 200.1 Verifo that unused openings have been closed. 1 1 0. 1 2(A), 408.7 Approved for a final and C.O.Need to i seismic wires for light in when ready. hallwaffneed to install coy6rfor floor box in men's lockeroo&ato re-connect washer ana dryerE46ato instail tight above ice machir(callfor a re-inspect Inspector: Bret Stoddard -721 - t-o 962- it Building Sofety Deportmenf City of Rexburg - Q08)359-3022 tr tr cr1"Y {}tj R3XSURC(Ur - Aacn$i knifu i-"{fl tusitv 35 N. 1$ E., Rexburg, Id 83440 Phone - (208)359-3020 / Hotline - Q08)372-2344 /Fax PHASE LOT- BLOCK- ovaIER'S NAME Brigham Young University - ldaho pRopERTy ADDRESS Rexburg, lD Campus Permit# ll-&% SUBDIVISIOx Hart Locker Room ADA Com Approved for temporary power Approved for permanent power Reqwired!!!ELECTRICAL Electrical Contractor,s Nr*. West Pointe Electric LLC gusiness Name 446r.11285 Cedron Road city\49!9l--stut.! 9- zip834 55 cell phone 208.201.3669 (Thomas) susiness phone 208.354. 0400 (COMMERCIAL/INDUSTRIAL) Total cost of electtical system (ContractedAmount) 513,680'00 (nclartutbecostofmateiahintta//edregard/essoJtheparf'"PPbnsit,Thefeet/indunderthisinspectionEpesba//app!toan1anda//e/ectica/inttaltiorl not sperifca@ mentioned elrcphere on thhforn). n Up to $10,000 (total cost of s)'stem x 0.02) + 60 = $ m Between $10,001 - $100,000 ( (total cost of system - 10.000) x 0.01) + $260 = $ ffi Over g100,001 ( (Jotal cost of s]'stem - 100.000) 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 Duelling, including all buildings uitb wiing being constructed on eacb propmy. ('tBased on liaing space, see definition below) m Up to 1,500 sq ft - $130 ffi 1,501 to 2'500 sq ft - $195 ffi 2,i01to 3,500 sq ft - $260 E 3,50t to 4,500 sq ft - $325 n Over 4,500 sq ft g325 plus g65 for each additional 1,000 sq ft. or portion thereof ($325 + ($65 x # of additional 1.000 sq. ft. or portion thereo0). New : Mwlti-Family Du elling ( C ontr actors Only) fl Duplex Apatment $260 m Thiee or more multi-family units: g130 per building plus $65 pet unit: ($130 x # of buildings) + ($65 x # of units) il Existing Residence, Modular, Manufactured of Mobile Homes, and Detached Shop: $65 fee plus $10 per branch &cuit, up to the maximum of the coresponding sq. ft. of the building ($65 + ($10 x # branch circuits)) tr Centml Heating/Cooling Systems: $65 When NOT pat of new tesidential or HVAC permrt with no additional Wiring m Spas, Hot Tubs, and Swimming Pools: $65 fee fot each trip to inspect Pwrnps-Vater, Irrigation, Sew age (eacb motor) m $65 up to 25HP MISCELLANEOUS n$95 - 26 to 200HP r$130 ovet 200 HP m Temporary Construction Services ONLY: 200 amp or less, one location (for a penod not to exceed 1 yeat) - $65 n Tempotary Amusement: $65 fee plus $10 per ride, concession or generator n Irigation Machine: $65 for center pivot plus $10 per tov/er of &ive motor tr Technical Service: $65 per horu tr Plan Check $65 per hour fl Requested Inspection: $65 *Living Space - space within a dwelling unit intended for human habitation which may reasonably be uti.lized for sleeping, eating, cooking, bathing, washing, recreation, and sanitation purposes. An unfinished basement is considered part of the l-iving space' Thomas Causev 007722 813112014 8t18t2014 Si pu* 208.505.6921 of Licensed Contractot License number & exo. date Date 35 N. 1il E., Rexburg, Id 83440 OWNE,R'S NAME Building Sofely Deporlmenl City of Rexburg PROPERTYADDRE permit# |4- 300 Vater Meter Quantity:xxx***,Fxx****xvatet Meter size: {:[]'Y {)t $ax*Lns An*i :als Family Co:nnu*ity Required!!!Plumbing Plumbing Contractor's Name Business Name Address cry Rr,x6r,r; sr^r. a;ol zrp gSaU cellPhone Is8' - 3t: ^ B7O>Business Phone F^* lSk-a7r/'l ,>,.:,#,y":::*!:y?"p,:lllol)ro1,r :::, grgfrylins sysrem (contracted Amount) sStg:_ f::Y:;;::,;';:{#:Y;::;::::::;f:#iorihepartl,,uppningniffi**F,;i;;;;;,;",.*'il;;6;;;'"irifuiuta//ation,not rpec$ca@ nentioned elnpbere on thisfonz). m Up to $10,000 (total cost ofsystem x 0.02) + 60 = $ ,-m ::-T:::"919f01- $100,000 ( (l","t;,r "ty".; - ib.600i* o.or; + g260 = gm Over 9100,001 irJ@lbo6srfti,*6=sRESIDENTIAL Neat single Faruily Dwelling, including all buildings uith uiring being constracted on eacb propmy. (r,Based on li.aing space,see definitionbehw) B Up to 1,500 sq ft - g130 tr 2,501, to 3,500 sq ft - g260 m Over 4,500 sq ft g325 plus g65 for each additional _ _ - 1,000 sq. ft. or portion thereog). New: Muhi-Family Dwelling (Contractori Only) E Duplex Aprtmenrg260 m 1,501 to 2,500 sq ft- g195 n 3,501 to 4,500 sq ft - g325 1,000 sq ft. or portion thereof ($325 + ($65 x # of additional H l5n::n::,f*j^tTJl,t*1:'^J11o"r'-o*$s nr,i' $65 per unir ($130 x # of buildinss) + ($65 x # of units) ffimmm sq. ft. of the building ($65 + ($10 x # of fi_xtures)) Gtay Water Systems: g130 Lawn Spdnklers/Backflow Device: $65 Modulat, Manufactuted ot Mobile Flomes: $65 for sewer and water stub connections Yll-l|"*"te Fite sprinklet and Domestic water Supply syrt.*, g65 fee o, $+ p., ,prirrklet head, whicheverrs gfeatef Seroer €t Vater m $38 Sewer Lrne ffi$38 water Line ffig65 sewer & water- if inspected at the same timem $65 Sewet turnaround under house (change fro--s.pu. to crty)MISCELLANEOUS m Phn Check g65 per hour m Technical Service: g65 per hour m Gas Line: 965 n Watet fleater Replacemenr $65 n Requested Inspection: g65 m Hydronic Heating: $65 + ($10 x # of manifolds/zones)*Living space - space within a dwelling unit intended for human habitation which may.reasonably be utitizeal for sleeping, eating, cooking,bathiog' washing, recreation, and sanitation purposes. An unfinished basement is considered part of the living space. l>saq *ei - SofContractorLicense number & Exp. date 7- 1l't'l Building Sofety Depqrtmenl Phone: 208.372.2341 Fox: 208.359.3022 Office Hours: Monday-Friday 8:00am-4:00pm mmercial Multi Famil Seismic Design Category - D (unless soil evaluation confirms category C) Ground Snow - 50 lbs. pet sq. ft. Roof Snow Load- 35lbs. pet sq. ft. Wind Load - 90 MPH Frost Depth - 36" Tbefollowingitems sbould be conpleted beforeJtou submitlour buildingpermit application. INCOMPLETE APPLfCATIONS WLLNOT BE ACCEPTED. Completion ofa Buildiag PenitApplication: You may print this application ftom out website www.rexburg.org or pick up a copy at the Ciry Annex Building (address above). Comaercial 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 ptofessional E Site plans and building plans in PDF format must be submitted aftet plans have been approved. E Structutal Calculations stamped by a licensed Engineer E Energy Compliance Report: As per the 2006 IECC, a Compliance check must be completed and submitted (the comcheck is available online at wwv/.energycodes.gov). 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. Pase 5 of the Aonlication must be comnleted and sisned bv vour Plumber. Page 6 of the Application must be completed by signed by your Mechanical Contractor. Pase 7 of the Aoolication must be comoleted and sisned bv vour Electrician.o L I I Electrical panel layout and calculations must be included with the building plans. Plans will be teviewed by the electrical inspectot pdor to issuance of the building permit. Emergency Services Construction Permit-fot fire related equipment only: to be filled out by the contractor oerforming the work. E Exterior Lighting Plan including photometric layout. The lighting standards are included in this packet. E Ptoperty Line form needs to be signed by the builder, see Page 4. Electical Petmits are now issued through the City of Rexburg. See Page 6 of the application. Rcmodels: If you are considering a remodel, a glly of the bid or estimate fot the remodel must be submitted with the Permit Application. . 3 set of plans (may need IECC Review) . Additions - Same as new construcdon tr Itr tr tr u CITY OF REXBURG c\r -'- Ame rieab Family Comm un i ty 35 N 1" E, RE,XBURG. 208-372-2326 CONTACT PHONE # PROPE,RTY ADDRESS: PHONE #: Home OWNER MAILING ADDRESS : Ll A tJ *..rc?qr^( Oel)Y : Vexel,w^ STATE: r p Z Ip : 6 Aa<do ENIATL qr^^/{6\ qi.a{q Fi\x ?4gt.4qb.?*5? APPIIC4IN.T (If other than owner) (Applicant if other than ownet, a statement authorizing applicant to ".il. "g..rt' for owner -.r., "..o-pany this application.) APPLICANTINFORMATION: ADDRE,SS 2I% \'}J\{, A?. g1TY. V.-E*,AIECA' STATE: \\-* Zrpg?*bo nl,+tr gxjQ€,El,;..r\,* pdX Z4aaX..ZatZ PHONE #: Home CONTRACTOR: DL Eeota- MAILING ADDRESS: 2-8 bO \),.C ITY-Pertg.sa-e_STATEI\>_ ZIp A4 4fu PHONE: Cell# O REGISTRATION # & EXP. DATE Howmany Did you recendy purchase (If yes, list previous oyer's name) Is this a lot split? y'NO E \T,S PROPOSE,D USE: E \G,S @iease bdng copy of new legal description of propetry) APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATIoN: underpenartyorp.4ury,rherebycertig,thatrhave read this application md state that the infomation herein is correct and I wer that any information which may hereafter be gven by me in herings before thePlanning and Zoning commission or the city council for the ciqr of Rexburg shall be truthiul and corect. I agree il .*fry *i rr "I city regulations and State laws relatingto the subiect matter of this application and hereby authorized representatives*of the city to enter upon the-above-.mentioned property for inspections purposes. NorE: Ifil}fllmjl'f#l;":',::i:":.T,:i:"-ry::1:-:::1:19:::T,ry"1"-. "rJJ jool iltemationar code; *,". "i,i"y rase statement or misrepresentation orract (i.e.,SingleFamilyResidence,MultiFamily,Apartments,Remodel,G@ tntheapplicationorontheplansonwhichthepermitorapprovalwasbased. Permitvoidir""trt"tt a"Jth;"ffi'd"^";*iffitffff"*'if,|TilT;:: Signature of Owner/A DATEtacted by fax, email or phone? WARNING - BUILDING PERMIT MUST BE POSTED ON CONSTRUCTION SITE!Plan fees are non-refundable and arc pa-id in full at the time of application be giaai^glgt4f_L-&iCity of Rexburg,s Acceptance of the ptan rcview fee does' not "oortitoi. pl"o=.!!Iii-- Do you prefer to be State of Idaho County of Madison AFFIDAVIT OF LEGAL INTEREST ) ) ss. ) The undersigned, being first duly swom, deposes and says: A. that he is the authorized representative of Brigham Young University - Idaho (the "University'') for the purpose of submitting the attached application (the "Application") including the making of this Affidavit; that the University is the record owner of the property described in the Application; and, that the University agrees 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 in this Affidavit or as to the ownership of the Property which is the subject of the Application. Dated: June 17,2014. Subscribed and swom to before me the day and year first above written. Notarv Public Residing at: My commission expires: B. C. Building Sofefy Depqrlmenl Phone: 208.372.2326 Fox: 208.359.3022 Property Lines Each site plan that is submitted to the City of Rexburg for the Building Permit process requires that property lines are shown accurate\. It is the Developer's responsibility to correcdy identi$' on the site plan the location of these lines in reference to the pubtc righrof-way, other adjoining property lines, the street, other structures and all utility lines. The Developer should find propetty pins that ate still available at the lot in question. If these pins do not exist or have become unrecognizable dnen a nev/ 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 patcel line layer that can be checked, but they are only a tool and ^re not guaranteed fot accutacy. If you want to request a copy of your lot, see the front counter at the Community Development Department. I have tead and understand the above requirements. 1.-l. t4- Date Printed Name Business Applicolion cIl'Y Otj 35 North Ist Eosl Rexburg, lD 83440 Phone: 208.359.3020 Fox: 208.359.3022 REXBURG c\, ----" Ameri ca\ Fatnily Community Please take the time to answer all questions so that we can fuilher assist 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 frying? Will you have food disposal on site? will there be any maintenance or mechanical work in the buildine? 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 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 @rfes dNo @.No eaNo @-Nro ONo dNo @/No ONo ffies O No fres O No ffi"t O No Q Yes dNo Q Yes €/No AFp Signature I Certify lhat The information {v"t O No Q Yes Q Yes $'{es ^ * .P)b.2bb1_ 1.1 ,t+ Phone Date I have provided above is to the best of my knowledge accarate and true Building Sofety Depqrfmenl City ol Rexburgwww.rexDUrg.org35N I'tE tD 83440 SUBDIVISION PHASE Phone: 208.372.2326 Fox: 208.359.3022 PROPE,RTY ADDRE,SS Permit# LOT- BLOCK- OWNE,R'S NAME, Requircdlll Plumbing Plumbing Contractor's Name Business Name Addres State Zip Cell Phone Business Phone Fax (coMMERcIAL/INDUSTRIAL)Totalcostofplumbingsystem(ContractedAmount)$- (nckdet the cost of materiah installed regardles of the paill $tpphing it. Thefeet lsted undtr this inspution flpe fiall appl1 to an1 and all plunbing installationt not tpecifca@ nentioned elsewhere on thisfonrt). tr Up to $10,000 (total cost of system x 0.02) + 60 = $ tr Between $10,001 - $100,000 ( (total cost of system - 10.000) x 0.01) + $260 = $ I Over $100,001 ( (total cost of system - 100.000) x 0.005) + $1,160 = $ RESIDENTIAL Ncw: Siagle FemilyDwclliag, iacludiag eII buildiags with wbiag beiag coasntcted oa cach propctty. (Based oa liuiag spacc, scc defraition bclow) City I Ovet 4,500 sq ft 9325 plus $65 for each additional 1,000 sq ft. or portion thereof ($3ZS + ($65 x # of additional 1.000 so. ft. or portion thereofl). Ncv: Muhi-Faaily Dvclliag (Conmcan Oaly) I Duplex Apartment $260 tr Three or more multi-family units: gt30 per building plus $65 per unit ($130 x # of buildings) + ($65 x # of units) tr Existing Residence, and Detached Shop: $65 fee plus $10 per Fxture up to the maximum of the cotresponding sq. ft. of the burldrng ($65 + ($10 x # of fixtuteO) tr Gtay Watet Systems: $130 I Lawn Sptinklets/Backflow Device: $65 I Modulat, Manufactured or Mobile Homes: $65 for sewer and water stub connections I Multipurpose Fite Sptinkler and Domestic S(atet Supply System: $65 fee ot $4 pet sprinklet head, whichevet 1s greatef Sewct& Wetet tr $38 Sewet Line r Up to 1,500 sq ft - $130 tr 2,501 to 3,500 sq ft - $260 ! 1,501 to 2,500 sq ft - $195 tr 3,501 to 4,500 sq ft - fi325 l$65 Sewer & Watet- if inspected at the same timen$38 Watet Line I $65 Sewer turnaround undet house (change from septic to ciry) MISCELI.ANEOUS I Plan Check $65 per hour I Technical Seryice: $65 pet hout tr Gas Line: $65 tr Watet Heatet Replacement $65 n Requested Inspection: $65 n Hydtonic Heating: $65 + ($10 x # of manifolds/zones) *Living Space - space within a dwelling unit intended for human habitation which may reasonably be utilized for sleeping, eating, cooking, bathing, washing, recreation, and sanitation purposes. An unfinished basement is considered part of the living space. Signature of Licensed Conttactor License number & Exo. date Building Sofety Depqrfmenl City of Rexburg Phone: 208.372.2341 Fax: 208.359.3022 Permit# CITY OF REXBURG_ c\, -"._..." America\ Family Coftmunity35N l.tE Rexburg, lD 83440 www.rexourg.org OWNER'S NAME PROPE,RTY ADDRESS SUBDIVISION PIIASE LOT Requircdlll Mechanical Mechanical Contractot's Name Address City State Zro Cell Phone Business Phone Fax Emeil (coMMERcIAL/INDUSTRIAL)Totalcostofplumbingsystem(ContractedAmount)$- (Inclades the cost of mateiak in$alled regardhs of the par! rupp jing it. The fees li$ed nnder this inspection \pe ilall appl1 to an1 and all muhanical installations not specifca@ nentioned elseahere on thisforn). D Up to $10,000 (total cost of system x 0.02) + 60 = $ tr Between $10,001 - $100,000 ( (-total cost of s)'stem - 10.000) x 0.01) + $260 = $ tr Over $100,001 ( (total cost of system - 100.000) x 0.005) + $1,160 = $ RESIDENTIAL New: Siaglc FamilyDwclliag, iaduding aII buildings with widag bciag coasfructed oa cech ptopetty. (*Bascd oa liuiag spacc, see defraitioa bclow) r Up to 1,500 sq ft - $130 n 1,501 to 2,500 sq ft - $195 a 2,501to 3,500 sq ft - $260 l 3,501 to 4,500 sq ft - $325 I Over 4,500 sq ft $325 plus $65 for each addiuonal 1,000 sq ft. or portion thereof ($325 + ($65 x # of additional 1.000 sq. ft. or portion thereoO). Ncw: Muhi-Feaily Dvclliag (Coaazcats fuIy) ! Duplex Apartment $260 ! Three or more multi-family units: $130 pet building plus $65 per unit ($130 x # of buildings) + ($65 x # of units) tr Existing Residence, Modular, Manufactured ot Mobile Homes and Detached Shop: $65 fee plus $10 pet xxHVAC equipment being installed up to the maximum of the coresponding sq. ft. of the building ($65 + ($10 x # of frxrures)) MISCELI-ANEOUS D Plan Check $65 per hout I Technical Service: $65 per hour I Gas Line: $65 ! Water Heater Replacement $65 r Requested Inspection: $65 I Fiteplace/Solid Fuel Butning Appliance: $65 per inspection xl-iving Space - space within a dwelling unit intended for human habitation which may reasonably be utilized for sleeping, eating cooking, bathing, washing, recreation, and sanitation purposes. An unfinished basement is considered part of the living space. **Examples of HVAC Equipment-furnace replacement, solar, water heater, etc. Signature of Licens ed Conttactot License number & Exp. date Date CITY OF REXBURG-c\' '-''.- - Americai Family Community OIVNER'S NAME, PROPERTY ADDRESS SUBDIVISION PHASE LOT-BLOCK- Permit# Requircdlll ELECTRIC'4L Electrical Contractor's Name Business Name Add Citv State zip Cell Phone Business Phone Fax Email (coMMERcIAL/INDUsTRIAL)Totalcostofelectricalsystem(ContractedAmount)$- (ncludu the cor of nateriak in$alled ngardless of the parE sappling it. Thefeer ksted under this inrpution 4tpe iall applt to an1 and a// ebctrical installations not specifca@ nentioned elrewhere on thisforrr). ! Up to $10,000 (total cost of system x 0.02) + 60 = $ I Between $10,001 - $100,000 ( (total cost of system - 10.000) x 0.01) + 9260 = g tr Over $100,001 ( (total cost of system - 100.000) x 0.005) + 91,160 = g Small Wotks (Contractors ONL\): $10 fee for work not exceeding $200 in cost and not involving a change in sewice connections. Does NOT require inspection. RESIDENTIAL New: Siaglc Faaily Dvclliag, includiag aII buildiags uith uiriag beiag coastuctcd oa cach propety. (*Bascd oa liuiag space, sec dcfiaitioa bclow) ! Up to 1,500 sq ft - $130 tr 1,501 to 2,500 sq ft - 9195 = 2,501, to 3,500 sq ft - $260 I 3,501 to 4,500 sq ft - 9325 I Over 4,500 sq ft $325 plus $65 for each additional 1,000 sq ft. or portion thereof ($3ZS + (965 x # of additional 1.000 sq. ft. or portion thereoO). Ncw: Multi-Faaily Dwclliag (Coa aecnn OaIy) I Duplex Apartment $260 I Three or more multi-family units: $130 per building plus $65 per unit: ($130 x # of buildings) + ($65 x # of units) tr Existing Residence, Modulat, Manufactuted of Mobile Homes, and Detached Shop: $65 fee plus $10 per branch circuit, up to the maximum of the corresponding sq. ft. of the building ($65 + ($10 x # branch circuits)) ! Central Heating/Cooling Systems: $65 When NOT part of new residential or HVAC permit with no additional Wiring I Spas, Hot Tubs, and Swimming Pools: $65 fee for each trip to inspect Puaps-Watet, Inigatio4 Sewagc (each aotot) n $65 up to 25HP n$95 - 26 to 200HP r:9130 over 200 Hp MISCELI-ANEOUS tr Temporary Consttuction Semices ONLY: 200 amp or less, one location (for a period not to exceed 1 year) - $65 D Tempotary Amusement: $65 fee plus $10 per ride, concession or generator I Ittigation Machine: $65 for center pivot plus $10 per tower of drive motor I Technical Service: $65 per hour E Plan Check $65 per hout n Requested Inspection: $65 *Living Space - space within a dwelling unit intended for human habitation which may reasonably be utilized for sleeping, eating, cooking, bathing, washing, tecreation, and sanitation purposes. An unfinished basement is considered part of the living space. ignature of Licensed Contractor License number & exp. date Date Building Sofety Depqrfmenl Ciiy of Rexburg REXBURG c\' ----- - .- Am ericab Family Cammunity 35 N. 1$ E,., Rexburg, Id 83,140 Phone - Q08)359-3020 / Hotline - Q08)372-2344 / Fax - eOB)359-3022 LOCATION OF VORKTO BE DONE: Street Address Where Work WiIt Be Done: Business Name Where Vork Will Be Done: Dates for Work to Be Done:To Contact Person: Phone Number:Cell #: Requircdlll FIRE SPRINKLER Fire Sprinkler Contractor's Nam Business Name Address City State zip Cell Phone Business Phone (COMMERCIAL/INDUSTRIAL) Total cost of fire sprinkler system (Contracted Amount) $ (ncludes tbe cost of mateials installed regardless of tbe pa@ nppbing it. Thefeu listed under tbis inspution rypeshall app! to an1 and allfre alarrz installations not specficatfu mentioned elsewhere on tbisform). n Up to $10,000 (total cost of system x 0.02) + 60 = $D Between $10,001 - $100,000 ( (total cost of system - 10.000) x 0.01) + g260 = g tr Over $100'001 ( (total cost of system - 100.000) x 0.005) + g1,160 = g MISCELI.ANEOUS D Existing Inspection Base: 960 u Re- Inspection: $65 per trip tr New construction $1per sprinkler head ($2,000 maximum) number head Si of Licensed Contractor License number & exp. date Date 35 N. 1$ E., Rexburg, Id 83.140 Phone - Q08)359-3020 / Hotline - Q08)372-2344 /Fax- Q08)359-3022 LOCATION OF VORKTO BE DONE: Sreet Address Where Vork Vill Be Done: Business Name Vhere Vork Will Be Done: Dates for Work to Be Done: Contact Person: Building Sofety Depqrfmenl City of Rexburg To REXBURG c\, *.. ---- Ameica's Family Community Phone Numben Cell #: Requircdlll FIREALARM Fire Alarm Contractor's Name Business Name Address City State_Zip_ Cell Phone Business Phone Fax Email (COMMERCIAL/INDUSTRIAL) Total cost of fire alarm system (Contracted Amount) (nclades tbe cost of mateials installed regmdless of the pa@ suppfiing it. Tb€ fees listed under this inspection Apeshall appl1 to an1 and allfre alarm installations not specfica$t mentioned elsewbere on thisform). rt Up to $101000 (total cost of system x 0.02) + 60 = $ tr Between $10'001 - $100,000 ( (total cost of system - 10.000) x 0.01) + 9260 - g n Ovet $100,001 ( (total cost of system - 100.000) x 0.005) + 91,160 - g MISCELLANEOUS tr Plan Review per Hour: 965 per hour D Re- Inspection: $65 per tdp Signature of Licensed Contractor License number & exp. date Date l0 SUBCONTRACTOR LIST Excavation & Ea Concrete: Masonry: Roofing: Insulati Drywall: Painting: Floor Coveri Plumbing: Heating: Special Construction (Manufacturer or Supplier) Roof Ttusses: Floor/Ceiiing Joists: Siding/Exterior Trim: Other: ll EXEMPTIONS F'ROM STATtr RE,GISTRATION As ofJanuary 1,2006, the City of Rexburg can no longer sell permits without having a copy of your Stateregisttation numbet or youf exemption from the State registrmion. Please send u .6y of'yo,r. state registration orfill out this fotm showing your exemption and send it wiih your license renewal o, yi* next permit application. (This listis a summarizaionof Idaho Code Title 54 Chapter 5205,forfull definitions of these exemptions pleasesee the State's website at www.ibol.idaho.gov/cont.htm) tr crrrrendr State licensed pursuant to Title 54 Idaho code, chapters: 3 Architects, 10 Electrical Contractors / J otxneyman, 1 2 Engineers/Surveyors, 19 Public wo*: contractors (exempt from fee onry registration required), 26 Plumbing/Plumbers, 45 Public Works Construction Management Licensing Act (exempt from fee only registration requfued), or50 Installation of heating, ventilation and m conditioning systems tr Employee ot volunteer of a licensed contractor or part o? an educational curriculum or nonprofit charitableactivity with no wages or salary tr Employee of a- US Government agency (State, City, County, or other municipality)u Public Utility doing construction, maintenance, or development to its own business11 Involved with gas, oil or mineral operations tr Supplier doing no installation or fabdcating tr contracting a project or projects with a total cost less than $2000D Opetation of a fatm or ranch or consttuction of agdculture buildings exempt from Idaho Building Codetr Any type of water district operations tr Work in rural districts for fire prevention purposes tr Owner who petfotms work on own property or contfacts with a registered contractor to do work as long asthe property is not for resale within 12 months tr Owner ol lessee of commercial ptoperty perfotming maintenance, repair, alteration or construcdon on that Pfoperty tr Real estate licensee/property manager acting within Idaho code tr Engaging in the logging industry tr Renter wotking_on the ptopetty where they live with the properry owflers approvaltr Construction of_a building used for industrial chemical piocessing per IdahotodeD Consttuction of a modular building (defined by Idaho Code) to b"e'moved out of state I hereby certi4t that the above information is true and correct to the best of my knowledge. Signature Date Ptint Name I rvspr tnspe*ion;ff 0' ,,0 ,, nn"to ,>i|J];@Date _7 -i_ tttrii, g.g*rrcrGr PennilrVo. t./-;;lnspecfion lype D..f /Iim. Rrg. lnspector,s R.pon O Res.h comrn. 'FoRMrcGfiE;ffi ovIETI Dc.o. (FrNAr) ACNON REQUIRED; DDrshppRove.o ONOTAPPLrcAELE DFINAT oDrD,vortNsrocT Signed Rec'l ffi"tr'* Pt't.n*G6 ;fifrm s wnity ffiffiffiffi&wY Date: OglO7l2O14 ReceiPt #: 2638 ii iY r:lF i;ji:;'ii-ii;iLi i:'ir.lir iii; i;:- FIL:ii, i.iii: I:* iii; i-i&t*T.ii{ iii ,iilili:i?'''lii ii. I ]ili: i-i:-li rili Fi[.i[li'T r]'"r: I4i4?] i;Li iii:r iiii:i.i 5 ii:'[i-.;iii, ili:iii;,:; ::'*.r;Li 'i iji liijil iiti: r'Lniltiitiltt i;;:i,r": ? !i' i:'i-ilfil , i3[iiii] i 'Liilii[ : ?n . ilLi il jji;;i.i'iijil'i:iiilii i"ii:i'iil ":ixri,t-ttl r li' iliiT. tfl;iiiiT i ; *l.iii] iU Ii iiiif i'f:F:"$ii j"li'iiiri: ,15 'ilij :i. #i ii[ili-i= i'i,q;iiiT iii'iiir-fi *:"lii: :.: tii' i'i.ijiii, i:'i:i:iiill iji'.ilil. *:1.!jij ,7, ii -fiilil, rrfifr] ili iii'ilifl ], 1l:t;lij. n';! ,''"ir:i,i,j *iiiji.liil i. uii'il'!,,,4,: i,If,i,r:r tii*i;i:[ ii"i]ii i,[iifi I I si 4"iij.j'iii ii.i*iiii Tliii *i'ili iiiitii, i i!il"i iiiii BYU-I HartWomens Locker Rm v Fee )w iew Fee r I s\lrr \! Y{ ; ' rurllJlilg f 'U" ' t"t_W F€€ Ve-eLOpEnM , BuiiOing Permit - VB Anycode material Please contact the Building Department at (20g)372-2341 lor further questions about this receipt MP BP f-"*t"-rji^ifl_:"::, 24 Hour Notice for insPections Gall insPection hotline at (2081372-2344 ***Credit card payments are accepted, but are subject to a 3% convenience fee on payment amounts over $500'** 1 ",--- -==d.-'' Date: 0711412014 ReceiPt #: 2397 Project: Address: BYU-I Hart Womens Locker Rm - Remodel 311 S. lstW Permit #: 14-00300 Permit Type: BLD-coMR Please contact the Building Department at (2OA)37 2-234 1 f or f u rther q uesti o ns a bo ut th i s receipt 24 Hour Notice for insPections Call insPection hotline at (2081372-2344 ***Credit card payments are accepted, but are subject to a 3% convenience fee on payment amounts over $500*** 1