HomeMy WebLinkAboutALL DOCS - 13-00054 - BYUI Hart Gym RemediationI
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Building Sofety Deportmenl
35N )rE
Rexburg, lD 83440
Seismic Design Category * l)
(unless soil evaluation con{irms catcgerry C)
Ground Snow - 50 ltrs. pcr sq. ft.
Cily of Rexburg
Phone: 208.372.2341
l:ax: 208.359.3022
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Commercial Multi Famil)r lrre-L-c.rnstruction Checklist
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.,1 t)t\,t ( ..,1'l' loN,l Ll:' il,t_ N07' B l:j,l(.( ] t p' l' l, t ).
Completion ofa Building PennitApplicatian: You mrv pritrf rhis applicarion fronr or-rr rvcirsitc
lV:y:y;c-Ib!ll4!,J!l or pit:k rll) 1r {.r(}py at thc (lit1' ,,\nrrex l}r1[iipg (a{rlr"css llr6vtJ.
Comfiercial Petmits: (tlrr: lirlkrrvins lrrust lrl strlrrrrittrtl uril|1 111.,. :\lrllliclriorr)
E| 4 sets of site plans ;rnd 3 sers of builcling plans srampecl by a licensed
I Str:ucturul (,alcr"rl:rtiorls stttnl)(.(l hy l Iic:cnst:tl l,)ugincr:r
.- (thc cotrchcck is ar':rilablc onlinc ..i1 yry.\ra.gLrstgyc_gt[s.glf).
El l'age 2 ttithc ;\pplication mnst inclLicltr rhc, Iclaho Ci:rrtra .r.tlrr.cxernlrrio. tr'rr.rn
nrusf l:e collpli:tcd and sisilre:cl, scc I)lgc 1{}"
D i':rgc, -5 of rhc,,\pplic:ltion nrlrst Lre conrplctccl ;rrrJ:Hrlcrl l+ ),r:u!_plrurtbcr-.
I l'lrq.,6 o1 lhc Applicetion nrust bc r:ornplctcrl lrt srgncrl lry ],orrr: N{e:clianical {.onlractrir.
Ll i'agc 7 of thc Application nrr-rst l:c cr:tnplctccl .;rn<i signccl by ).urrr l:.i,lectr:icirn.
Ll Electriczil pancl layout antl calcr"rlations rnust bc includccl with the builtling plans. Plans will bc
rcvicrvccl by tlrc clcctrical inspcctor prior to issrrancc of tlrc huilding pcrmit.
tr l'}ncrllcncvSr:n'iccs(}rnslnrctionl)cnnir.furfirelsla]tcrl-qguj-pmgnt*adyj_ta-bg-Sfledgrti_byjtC
contractor pcrf<rrming thc wrlrk.
Nl,h n lixtcrior J.rghring l)larr irrcllrdinq lrlrolornctr-ic: l:rvurrf.
F{S I Property I-ine firrm ncccls rr:l bc sisr]ccl b,v thc l:rrildcr,
Elccttical Pemtfts an: trorv issrrcd llrrr:urlr thc Ciry oi llcxbur.g. Scc l)auc 6 of the ap1>licrrlir,n-
Remodels'. IIyt.rr: are cotrsiclcting a rcLnt>dcl, a copy of tl.rc bicl or estinl:rtc lirr: tlrr-: rcrnoc]cl rnust bc sg6rli6r:cl
rt,irlr tlrc Itt lrrrrt .\PPlrr';rri, rn.
. 3 set of plans (rnay need IF)CC ltcvicw)
' .\titliri, 'ns - Sirn)r irs ncw c(.'lrf ll'Llctl()lr
Roof Snow l,oad - 35 lbs. per sq. ft.
S/ind l,orrd * 90 MPII
Frost llepth - 36"
professional
rnri.ttecl after,lt ll
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I'hc lighting slan<.1:rrrls lr:c irrr:lrrclcrl in this lrlckc:t
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ACOUSTIC SPECIALTIES INC.
Phone 233-2694 Fax 233-2436
E-mai| : mlrcb"@asLdgh_o_e_An P.O. Box 4135
Pocateilo, ld B3Z0S
February 20, 2013
Rexburg Building Department
Re: BYU Idaho Hart Main Gym Floor Remediation
We are submitting an application for a building permit for the Remediationwork on the Main Gym Floor at the Byu ldaho Hart Building. The project
consists of the following:
Scope of Work Per Plans and Specifications:
Demolition: Removal of miscellaneous wood trims
Removal of metal wall diffusers
Removal of miscellaneous carpet
Remove handrail
New work: Install new ventilating access floor system
Install new handrails
Extend existing electrical to new floor boxes
Install new stair systems with carpet
Install new closure trims
ACOUSTIC SPECIALTIES INC.
Phone 233-2694 Fax 233-2436
E-mail: mheb@asldahq,go.n
BYU ldaho
Attn; David Gay
Email: gay@byui.edu
Re: Revised Cost Summary
Hart Main Gym Floor Remediation Changes
David,
We are submitting a revised cost sumrnary
per quotation dated 11l5tZA12
Original cost summary
Credit computer floor stair
P.O. Box 4135
Pocatello, ld 83205
February 19,2013
of the work for the floor remediation
$ B9,614.00
($ 4,708.00)
$ s,090.00
$ 1,590 00
($ 6eo.oo)
Add $ 1,140.00
Add $ 899.97
Add stair framing with 2 layers of 314', plywood
Add carpet install on wood floor stairs
Credit carpet by owner
PR No: 1 Remove and replace scorer tables
Add2x3handrail
Revised totalto date $ 90.935.97
Pending Costs
. Stair nose lighting (17 lf - material to be determind)
. City Permit cost not originally included (TBD)
lf the hand rail option is accepted the start date of the handrail may be impactedand delayed. Let us know if you have any questions.
Thank you,
NLI..W tlpkwtwt
Mike Heberlein
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Iinti.rc Applicationl
fili in Nr\ &rr'rron applicrl:h:
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2A8-312 2326
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SUIIDIVISION:- _-uNtr'#_ _Bi,()cK# *____i,o.r'#({:hl:.ll!':S.il..fr-,.111{.31 rhc urtirnnariorr- mus{ ltrcr;f r1l!!)',.,. . ..... -.ow\bi iian' * @_(W]q_qryJ-_____ _-,_air}ii' a l-ii:t;riilNn- # 'z0B:Ae6:266)
lrttOIrl,:it,l.\. r\t)l)Rt,,tSS^ HART BUILDING ByU IDAHO CAMPUS
PII()Nli #: Ijorrc Woll.;
()\ri,'Ntitt N'tr\g,tN(i ADDIS:SS: 21_3 UNMRSITY i'1'11'REXBURG
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I APPLICANT: (Ii ',rhcr rhau nrvncrl . ACOUSTIC SpFCIALTIES *IN.e,.li .a--
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: liltrttt._ mheb@asidaho.cofrfrArl0 REGISTITATION # & EXI'. DA.I.r nCE_SOZO EXp V24IZOI4
['l, rrv rnnn1, brriltlirrgs lr<,' loclitcrl on th:is 1:,r<t1lc,rt1.l
i)icl v<iu lccenrlv purclrasr: lhis 1rroPcr:tyrS t.tCl f] \'[,:S
([f r,cs, list prci'ious (.r\rltct.'. name)
Is rhis;r lr:r spHtlEf NIO n ylis
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(l)lel.sc ltrinq copy of ncrv ltgal rl:scr:iprion olt pft)pcl:n)
(i'e'' Single l;arnilv llcsielcncc, i\lrrlti Flnrily, .\partrncnts, Iternodel, (iaragc, (jonrrnercriLl, ;\4clrtrt.lrr, l:jtc.)
s{rc,'sry-thlfis: t""--]ttzl_?o l2ot7D;\'l'liI)tr you prcfcr ro bc contactcd by lax, cmail or phonc?
WARNING _ BUILDINC PER]I{II' MUyI'BE POSI'TJD ON CONSI,IIUTII'ION SI'I,E!PIan lces rn: orn*rrlunrrebrc aod arc prirr in fuil ar rhe rirnc ofa'plicltion hegirringf.apur ry_LarWCity of Rrrbtrrg's cccptauc<, of thc plan revicw ltc rloei oor cor*iiautc nlnn ;pJrruv;l
Siqnltrrrc of ( )rvncr/Applieant
**Building Pemrit l:ces art duc tr rinrc rrfappliclriotr++ i*Building l'crmic arc voitl ifyourchrck docs not rlear**
rvww.rexfiurg. org
Building Sofety Deportment
City of Rexburg
Phone: 208.372.2326
rox: 248.359.3022
Affidavit of Legal Interest
State of Idaho
County of Maclison
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Nanre Acldress
Stir(e
llcirrg lirst tlrrlv srvorn upun oath, dcposc ntrcl sirv:
(If Applicrurt is also Owncr of Rccord, skip to Il)
A. "I'hat I trn tltc rccorcl ()wncr ,:f thc pr<;pcrty describccl on the rt1:rchecl, ancl I frlnt n1'
l)cfn)tssl()n l()
Namc .,\rldrcss
ro strburit lhc accorrrl'r:uryirrg tpplicatit-rrr lrcrtaining to tlrat l)ropcftv
ll. I agree fo inclenrnify, clcli:nd lncl lrold l{rrxbrrrll (.ity altl its rnrpiovr:cs henllcss tirrrn:rny
cl:ritn r:r litbililv resr,rltirrg (rotn :rny dispulc as to thc statcncrrts corrt'.ritrccl hcrcirr r;r as to thr
,ru,rtct"shilt of ll'rc 1rr,1.rr'r:tv whiclr is thc suLrject r:1'tlrc: aplrlic:rtit:rr.
l)atcd this rlrry,ri'
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Subscribed and sworn to l,:eforc nrt: thc dly lncl ycar tirsf rrlr<.rvc writl,:n
Nrrtary Ptrlllic o[' Id:rhrr
ll.csicling at:
City
\'ty comtnissit:n cxpircs:
Building Sofefy Deportmenl
Cily of Rexburg
Phone: 208.37?-.2326
I'ox: 248.359.J022,
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lincs ir: rcfc,rcncc t.o thcr lrr"rlrlit
lrnes',I.hc1)cveltl1rcls1rouldfinrl1lrtlpcrtv1:,inst1ratarclstillar,tilal.r1catt'lrcltlt'itlc1trcstitxr.
esist err havL'bcc()mc unrccor;niznble t.]"ren a flerw sLrr.r''c:)' sirould bc 1'rcrfirrnrccl.
AcctrratcPr()pelrtYlitrcitrfor:twttior:isafuSttilratimr:ly
clcscripfit.rrrs shonlcl
l{cxbrrru;lrnsacrialpirtltt-rsittlt1e1r:-rrccllitrclllyt:t.tltlll'r:att
qt1Ara|1tc0dfr.rraccurac1,-Iiyclrrw..i'lttofcqu(|sttc.)l)yr'l|yot,rrlot',ser:r].le:frolrtc{)l||1tcr
I)cvrloprncnt I )cpartrncnt.
I hartc retcl ancl urrclcrstancl tire al>ovc reqlrirements.
StgtrlIurt,l)atc
Prirrted Narne
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35N lsf E
Rexburq, lD 83440 www.rexaurg-atg
Properly Lines
Business Applicotion i ! I 1 i; i.
l'];'r--i:I:!)^r"{1 t 1r i si tr! :; . -.,, \.t q-.i ) \;-_.,
;l'-1",35 Norih isl fosf
Rexburg, lD 83440
Plensc luke thc time h ilttlitt'cr all qucn'tiorts so lhol we cun turlher ussisl _you ilnrl r-aur Jhcility Thunh l'ou.
What typc- oJ'business rvill lrc pcrforrnccl
Will the business have food preparations'/
Will thcrc be any cooking o1'lbocls?
Will there be any dccp lirt {iying'/
Will you have fbod disposal on site'?
Will there be any rnaintenancc err nrechanical r,vork in thc huilding'l
Will there be sumps or floor drains in the lacility?
Will the l'rusiness require more parlcing?
Will the husincss have any chemicals on sitc?
ls this business occupying an existing building'/
Will the business be doing any stnrctur"al/or renrodeling changes tc) the building?
Any changcs ttl thrj clcctricral?
Any changcs to the plurnbing?
ls this husiness planned to be the sarne with dilJbrent or.vnership'?
Will therc bc a changc of occr-lpancy?
2q8 -233-bq+
Q Yes O{No
Q Ycs €f r.lo
Q Ycs dxu
QYes O Nu
Sv"r O No
QYes 6No
g Yes C*n
Q Ycs €t'Nu
ffv"r C Nu
y'v"r O No
efv*, O No
Q Ycs Oy'*"
Q Yes d*o
Q Yes dxo
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Applicants Signaturc Phone Date
I CerliJ.v lhat The in/itrnzation thnt I have pntvided iltove i,s ttt thc best otmy kno*,ledge accurste and tue
Applicants Signature
Building Sofety Deportmenf
Phane: 2Q8.372.2326
Fox: 208.359.3Q22 www.rexburg.org City of Rexburg J l\c' r
3.5 N i,r E
Rexburg. lD 83440
O\\AII]I1'S NAN{J]
PRO P I.,R"I'Y I\ L]D ITI'1SS Pcrmit#
SUi]DiVISION
Pt l;\S|l t -()'t'
Plumbing
lJusincss
(tgta]-ctxt-gl-risllu x {}.ti2) + 6t)
( (J o t :r I -t lxlrr-[- s)'s 1t111-- I t 1,t.tt tt )) .'
( (rotrt c<;sr ot sy
Ncw: Single Family Dwelling, including all buildings with wiring being constwcted on each properry. (*Bascd on liuing space,
sce defrnition bclow)
Flmail
=$
0.01) 1" $26(l .' li
x (1.0{}5) + $1,1(r(f : $
rl 1,5{)l to 2,500 st1 ll - $195
u l,5{)l to 4,5O0 sc1 t'( $l:5
l-()t)(l srr Ii, ot noltiort tlrrIcr'1"f$i:5 'l ($(r5 x l/ t'l-:rtltlLtiott:tl
rL [p to 1.500 sq fr , g 1 30
Lr 2,501 to -],5t10 sc1 ti - $2(r0
It ( )ver 4,5(X) sq l-t $325 plLrs $ti5 lirr cech rrlehtional
l.{)0() srr. lt. or trortion thcrt:ol)).
New: Multi-Family Dwelling (Conmcton Only)
I l)uplcx Apnrtmcnt $260
't 'llrrrt {}r'n}()r('rrrrrlli-[rrrrilv rrlrits: $| ]() l)cl lrrrildirr{ plrrs $(ri I)('r rnur: ($I 1(t s il ol lrrultlrrrSsLl (b65 x l/ ,rl'rrrrits)
n Existing Rcsidcncc, and Detached Shop: $65 lcc plrrs $ 10 lrcr: fixttrrc ul) t() {h(: rnrrxirrrurrr o1- tlrc corlcsponr-lurg
sc1. ft. of rhe l:uilelnru ($65 + 6i_1(I.\gJd hrlulc$I
u Cray Watcr Svstcnrs: $130
rl [,arvn Sprinklcrs/Backflorv Devicc: $(r5
t.: Modular, Malrufactrrrcd ot Mobilc llomcs: $65 lirr scrvcr ancl wntcr stnl) conncctiorrs
n Mrrltipurposc Fire Sprinldcr ancl Donrcstic \fatcr Srrpply Svstcrn: $65 lle or $4 pcr sprirrklcr heracl, rvlrichcvcr
is grcrtcr
Sewer& Watct
n $38 Scwcr Line n$3u Watcr l,inc u$65 Sewer & Water- if irrspected rt the sanrr tinrc
n $65 Scwct ltrflr:rror.rtrd Lrnclct lrcusc (clrlnuc f rllu scptic tr.r city)
MISCELI.ANEOTJS
r: Plan Check: $(r5 per ir<;ur
n 'l'echnicnl Service: $(r.i pcl lrour
t,t Gas Linc: $65
il Watcr Heater Replacement: $6,1
Lj Requested Inspection: $65
r: Hydronic Heating: $65 + (gl0 x ff o[ rnanilolcls,/zrxrcs)
l;;rthir-rg'rvaslring'recrr:ittion,,.tnrlsanitttiorrpt.]rposeS.'\nurrfrrishetlhasenlctrtisconsic1er:ecip:rrrrrft}rc1ivirlestct:.
Signnrure o f l,iccnscr.] Contraetor I.tct:rrsc rtrrtrber r\ l:x1r. tlatc
Required!!!
l)hrnrl:uru (}rnrrnct'r's N",r.," N, A ' .-*ll'si'css Narnc
r\ddrcss Citl'-- *-_-
l)lrone(lcll Pliorrc
Fnx
(CoMMERcIAL/INDI"]STRIAL)Tota|costofplurnbing$ystem(CrrrrtractedArnoult)$-
1[ttdrr/e.r /h co.tl l-nait:rirlt
ntl .rfi*'ifiL,r//7' lnnlinncl lku'lyrc ou tl:tit lnnt}
r Up to $10,000
tt Bctwcen $10,001 - $100,000
il 0ver $100,001
RESIDENTIAL
[)aic
Building Sofety Deportment i"
Cily of Rexburg 1,1 i.. \' IJ I i l;1 -
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35N lsrf
Rexburg, tD 83440 www.rextsurg.org
I']l{( )1., l!.1{'l'Y ADI)l{LISS
sUlrl)tv lst( )N .-
Mechlnica | (}r'rttnctor's Nrnrc
;\ dcl rcss
(.cil Plronc ._.-,,,, . lJusincss l)honc
| ,':r r ..-,.-_,1-irnril
Requircd!!! fll, A ,Mechanical
248.37?_.234t
248359.3022
l)crmit/*
IJustrress N;rnrc
(t('lel cosr of svst(.ltr -r 0.Ol't I (rO :- 5
( (total co:rt of slstcor =_1,!.lJl1]!) x t).() l) "l- g2{rt) ,.. g
( (otal cost srf:systcnr -* 10{).0{n) s {).0t)-1) t 91,160 = g
(COMMIIRCIAL/INDIISTRIAf ,)'fotal cost of plumbing sy$tr:rn (Contrrrcted Am.trnt) $ ,-, -(lrhnlel lltit roi of-tlittrtrrl-t inla/ler/ n1q,t
in-thilLltou tol .t|vilirully neulinrl e/.vn,/.uttt: ott t/.ts lintt).
r Up to $10,000
Li Betrvcen $10,001 - $100,000
rL Ovcr $100,001
RtrSIDHNTIAL
Itlew: Single Family Dwelling, includiag all buildings with wicing bcing constntcted on each ptopetty. (*Based on liuing space,sce dcrtnition below)
il ljP ro 1,5{}0 sq ti - gl jr} 11 1,5{}l kr 2,5()r) sq li, g11.r-5
n 2,5()l to.l.5(X) sq ft - g2r:0 ij .1,5{)l to 4,50i} sq it gi25
tt ()vcr4,5iX) st1 tt $325pltrs$(r5firrc;rclrlclclitional 1,0{)0sqI't.or:pr:rtiorrtlrcreof
($315 + ($65 x # o!,adtl|u.rru:rl ]-,011!_sg,ji orp:zrtrq.uLlrc.-_c:!r!.)).
New: Muld-Family llwelling (Contncton An$)
Lt [)ultlcx Apartrnctrt $2(r()
t-l 'l'hl'ec o1' lnt)rc rr"rLrlti-fnrlil-y rurits: $1 30 pcr buikling plus $ti5 pu' nnit: ($ 1 3{) x # of tlril-tlings) -t- ($(r5 x # rf urrits)
I Existing Residence, Modtrlar, M,rnufacturctl or Mobilc l-lomcs:rnd l)ctaclred Strop: $65 lcc plLts $1{f pcr
'
,1IIVACcqtriprncrltllcirrgirrst:r|lcc|rr1ltrll1tt:rrtaxilttutrltlf|hcc<lrrt:s1r<llrdirr4sr1'l.t,rlf.
($6-5 -1- ($10 x # <-'f ii,\rures))
MISCEI-I,ANEOtIS
Lt Plan Chcck g(:5 pcr hour
r: Technical Service: $tr5 per h<>ur
r i Gas Linc: $0.5
n Water Fleater Replacenrcnf: $(r5
I RcquestedInspection:965
t: Fireplacc/Solid liucl Burning Appliancc: g(r5 pcr inspcction
*I.rving Sprcc - space wrtlrin a drvclhng
lratllirrg'was}rirrg,r.ccrclt|irrlt,atrdsalriratjcln
rf Flxamplcs oi II\t.{c Eq'ipn:cnt furnacer rc1>laccment. srilar, rvrtcr h"ntcr, dc.
Stgnanrr'c of I-iccnscd (.jontrilcror Liccnsc nurllxr & l:ixp. tlatc l )ltc
35 N. 1{ [:i., l{exhr"ug, Id 83.1-10
Phole .* (2t18)359-3020 / Horline
Building Sofety Deporlmenl
- P08)372 2344 / Iiax - (208)j59-30?2 City of Rexburg
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O\\'N1-,R'S NAMIi BYU IDAHO HAHT BUILDING
lrtto Pt itt'r"Y ADt )Rliss [)ennit#
sLlIlt)lvtst()N
I'HASIJ i.()1'B]-O(;K
Requircd!!!ELECTRICAL
l:llcctrical ( lt:ntractor's N;rrnr
,\tldress 625 WEST 25TH
ARCO ELECTRIC
-.t ;;ry"-"._J.Q{H"0_. ff!! $. _.-sm te r-!dttg- " zip8,3-4Q?
Ccll l)l.ronc lirsitrcssl)horrc 208-522-2185
r,,ax 208-529-3423 lrr'ail ID@ArcoElectric.com
(COMMERCIAL/INDUSTRIAI-) Total cost of electrical system (Contracterl Anronnt) $- ._ * __*(ln./dtl //r,tt"t/ ol
nn! .rlwilitu//1, twnlioned rl.relhten an this lina)"t,l Up to $10,000 (Ural-easf_r{rystr-r:i r {}.{)?) ,} ft(} .. $tt Bctu'ccn$10,001 -$100,000 ((!.'rll-crril ,,i-s\sr(.n)_ l{).{x)i})rt).ll) r$2(,{l g
tr Ovet $100,001 ( (Lural,q-tr-s-LeA}$sur-1tlll"g1lLl) x {).(x)5) + gl.t{it} = g
Sma|lsfrrrks(()tlntrlrc|tlrs()N,|,\'):$|t)fccti.lr:r,vtrt:knc.lt
sLrr\'tcc c()lllt(:cfl()n$. l)ocs N( )'1' rc:cprirc irrspccttorr.
RESIDENTIAL
New: Singlc Family Dwelling, including all buildings with u,itiag being consftucted oo each ptopetty. (*Bescd on liuing space,see defnition below)
n L1p ro 1,5()tl sq lt - tfl3il
u l,5()l ro 3,5{l{} sq ti - $26{)
t-t ()r,cr 4,5()0 st1 {l $32.5 plus 965 lirr e..rc}r nddirional
l!l)( ) srl-!, :t11:urxr!;-nlfu&lul)).
New: Multi-Femily Dwelling (Conxacnn OnIy)
tl l.)rrplcx ;\pannrent $'16{)
pr.'r urrit: ($!.1!]_x*#_rl'builclingsL+ ($05 x # ol--u11gq)
Homes, arrd Detached Shop: $(r5 iee lrlus gl() pcr
tl. ol-thc bi-riltling S65 + lgl! x # brarrr:h cl.qrits))
of ncrv rcsident-ial or I I\/A(. Dcrr-nit rvith no :rcldit_ior:al\\.'rrrn.r1
n Spas, I{ot Tubs, and Swirnrning pools: $65Pumps-Water, Idgatioa, Sewage (cach arctor)
Lt $65 up to 25lll)t r$9-1 , 2(r to l( X )[ I l)
MISCELLANEOUS
if 'femporary Constrllctinn Services ONLY: 2t]0 a.rnp c,r ir-ss, onc k-rcatir-ru (fbr a pcriocl rrot to excc{j(l I yr:ar) - $65r-t Te rnporary Amusernent $65 lcc ph"rs $1(l pcr ritlc, corrce ssi()rl (rr g;orcraror
n Inigation Machine: $65 frrr ccrrtcr lririot plus $li) pcr t()wcr of drivc nr4{rrr
r: Tecl'rnical Service: g(r5 per hour
n Plan Check: 965 pcr hour
r-r Requested Inspection: $(r5
1J.ivingSpacc_spaccrvithinatlwcllir:reunitinrcndetl|clrhrlan
llLrsincss f'lanre
L) 1,5(li ro 2,5(X)sr1 li, gll)5
Lr 3,5tll ro .tr,5(|() sq fi - 9325
1,000 sc1 tt. or porrir:n thcrco{-($31-5 + ($65 x # of-ndcliuonal
Il 'l'hrcr: ()l' mor(: rnulti-fatniltt urrits: $l j() I'er builclirre; pli"rs $(r5
n Existing Residence, Modular, Manufactured of Mobile
lrlatrclr circuit, up ft) thc nrarintrnl.r of fhe coltt,sl:ortllrgl sq.
n Central I'Ieerting/Cooling Systems: $(r5 \\ihcn NOT 1xr:r
fce flrr c:rch trip rer inslrect
n$13{} r"rr'n' l{)0 | Il)
DatcSignattrrc of l.,iccrscd ( lontractor l.iccrrsc rrtrrnbcr' & csP. fl116.
3.5N r,,F..,Rexbursrd8l44{r Bulfdlng Sdety Depodmgr*
Ilhrv* * {2{}EJ359-302n / Hodine - (208}3?l-2}+4 i t.x - (arE3i9--X}2? clfy of rctourg
O\X,hIERT NATUE u
( l l l l)h
REXBURG
PROPER]Y ADDRT-;S.S
SUtsDIVISION
PHASE
Requircdlll ELE,
Efecaical(lorrtracror,s *r*r, /q". F/*r*E BusinessName -(.naa,.,. /A.f r.l sltrq .St'€€df C,
CellPh<xrc iOF-7O?*/"5-1J. , Busincss phooc
gq$Ilort.at jlfstcs x 0.(E) + 60
f,t*trffinf#I'HH#**":,^Ti.-".r:lT*::l'v."t*(coo*crcdAnouoo$.-*-y:!-:::!y-*tytathdy!hr!r;ui*,rnu,";;;i;;;;;i;:,;,;nt tp,q,if,nhJ tftntiand clnilnn on fbi{ora).
"il Up to 3l0,0tX)
: H::ltg$ -troo'ooo i@- ildrl * $36{} =o Ovcr Sl{Xl,lllll
:ltTJ*:."::T:"":S*:::l@ffi
,;J*li',,olinnor*ingachansein
srrvrce connc.ctions. l)oes NOT require insgrection.
RE$IDENTIAL
New: tiitgle F.mily DecgiW i,chdfuv tII buildingt viil, vititrs bciry oonaao,d qt ach'rq'ny. (a*d u riyirtg qncaccc defnitia bclou)
a up to 1,500 sq ft - $l30 o 1,501 ro 2,5f{} sq ft _ $195s 2.50t to 3,5tt0 sq ft - f260 o 3,501 to {.5o0 sq ft - S325" .i:Jfrii:T'TllinnHTii,.eorcacrr
additioo'r r'000 sq R' o'poa;oa *"**6izs ilsos t + oradd;ti.-"r
NcG NuIti-FtEi, DEery Faatu; eh)a Duphx Apartmert g260
n Tbrec or more multi,family unirs $130 pcr buildrng plus S65 per wgro Exieting Reeidence, Moirrtat, Mantacurcd
"?ii"uil" ri.rt c, *d D.t""h.dffi: $65 fce plus f t0 perbrasch cirarit' up to rhenraririnum of rhe corresponfirgxl. ft.,irh;bJi#;_fuo ccntrd Hceting/cooling Syrteme: $65 ri'hc* Ngri* ;i; reside'tial 'r Hv.,\c permit with 'o adtliriorral!7iri,rg
tr spa, Hot'rrrhr, aad swimming poore: g65 fee tbr cach ttip to mspcctA,nyv-Wr,te4 laigt6'a,,futgs (a& ^r&S
-
s feS up to 25[Ip -
btSS _ Za * 200Hp ng130 rwer t00I{p
MISCELI.ANEOUS
n Temporary c'onctnrction servicee ONLY: 2(x| amp or less, onc locati.n (for a periercl not fo (xce€d 1 year) - $65I Temporary Amusemcnc $(r5 fee plus f l0 per ddc, concessiou or gcnc.,toro Irrigation Machine: $65 fi:rr crtrtef piTor plus tl0 frer fowcr of tlriJ* nrr,,rorn Technical Scnicc: f6S pcl hour
o Plan Check 165 pcr hour
o Rcquesredlnrpection:965
Permit#
Building Sofety Deportmenl
To
"vvrr-rvrt vr. w\.r^I\ I\r.fr-c, LrlJI\_eJ:
Street Address Where Work Will Be Done:
Business Name Where Work Will Be Done:
Dates for Work to Be Done:
Contact Person:
Phone Number:Cell #:
Required!!! FIRE S&RINI{LER NA
lrirc Spnnklct (lontracfor's N ltrnc:
JJusincss Narnc
Ac{dress Statc '/,i1't-__
(}:ll Plronc
1i'lr
llusirrcss Phonc'
Iinrail
(COMMERCIAL/INDUSTRIAL) Total cost of fire sprinkler system (Contracted Amount)
$
(Inthde,r/he,ll.t/ofmaleria/linstu//tt|rqarrlle.xo/thtlfilrly,tuf1l/.yit4gir..l,/lc.lia.t/i't|eianrhr
'rltu// ttfply trt uryy und a//.firc tlarnt in.r/u/lu/ion.r'not t.ltrrufit'u/ly'm,cntinnei e/.wty/.x:ru pn iltt.r frwa).
n Up to $10,000 (t*tat crsr r x t).()2) + 6() = $in Between $10,001 - $100,000 ( (total ceist of rysre rn - 10.r,irlLl) x ().()1) + g26{) = g
n ovet $100'001 ( (total cost of slrstcrn * 1()(),(x)ij) x ().()il5) + g1,160 = g
MISCELI-ANEOUS
n Existing Inspection Base: $(r()
n Re- Inspecrion: g(r5 pcr tr:ip
n New construction $l per sprinkler head ($21000 maximum) ,-,umber hcacl
City
Signature of Licenscd (lontractor I-,iccnsc number & cxp. clatc l)atc
Building Sofety Deportment
City of Rexburg
- (208)-rr59 3022
1rStreet Address Where Work $ilill Be Done: N . A : __Business Name Where Work Will Be Done:
i- l I i 1,r !
lrl,\ i.rt:ilc'.! "i.,1\t j\.,{\\_I
i !\)
I r'.; I . l. , . -, "r'
35 N. ls li., Rexburg, Id 83,i.t0
Ilhorrc - (?08)359-302t1 / Ikrrlinc - {Zt)tt)]'j2 2.r,t4 I
Dates for Work to Be Done:To
Contact Person:
Phone Number:Cell #:
Requircd!!!
liirc r\larrn C,ontractor's Narnc
FIREALARM NN,
Iltrsincss Narnc
r\ cldr:css t,irr '/jp
(1c11 l)honc
Iiax
llrrsincss Phone
Iirnail
(COMMERCIAL/INDUSTRIAL) Total cost of fire alarm system (Contracted Amount)
$
(Inchde'rlben'r/ofra/ena/sin.sta//ttlruqart/lc.;.;rl/Illcpar/y.rupp/yin.qil.,l'hc.lii:.rli,rtu/ttntler
.rha//ap1l/yloLtlt1tand,lll.lireahrnin.t/tl//tl/ion.rnrl/.t|lcl1litu/!vnttt/itlttuda/.seu/:l,:'tt:
Statc
r.r Up to $10,000
n Between $10,001- $100,000
t-r Over $100,001
MISCELI.ANEOUS
n Plan Review per Hour: 965
Ll Re- Inspection: $65 pcr: trip
(total cost ot- systcrn x {).t)2) * 6() = $
( (total cost of syScm_l(I000) x ().t)l) + g2(rt) = g
( (total cost of systcrn * I U(),()tJtD x 0.{){_)5) + 91.16t} = $
per Irt.rur
Signaturc of Liccnscd Contract<_,r Uccnsc number &l"P;, diltt Datc
t0
SUBCONTRACTOR LIST
(loncrr:te : NA
N.[asonry:NA
lhmilug:NA
Itrsu[ation;
I)fl,rvall:
l)lintirrg:NA
Iilo<;r
(.ovcrinlls:AC0USTIC SPECIALTIES / t/{ALt- T0 WALL
lllr,rnrbirrg:
I leatin.rr;
l:r',lcclncal:ARCO ELECTRIC
Special Construction
(Manufacturer 0r Supplier)
Itoof '1'rr-rsses
I'rloor/(,ciling.l oisrs:NA
Sidi rr.q/ I'lxtcr:ior'I'ri rrr:NA
( )thr:r:BAISED ACCESS FLOOR - ACOUSTIC SFECIALTIES INC.
il
l r*s.EcTroN TTcKET O
fi BHg.Plumb.Elect.Mcch.
lnspecrionReguesr Recd By JO , '
Dare ,3e_i_ls
Req. By aa\- 3/3 >
Project
Phone No.
Pennit No./3 daa 5c/
Address
Inspection Type
Day /Time Req.
Inspector's Report O Res,F comm.
rNspEcrEDrrEMscoNffi
DY Ox nN/A'.'ff":.:;:wiJ,,,o,,RovED
Dc.o. (FTNAL)
ACTTON REQUTRED:
DFINAL
f]NOTAPPLICABLE UOIO NOTINSPECT
Signed
Rec'l Acknowfedged
llhlr. Otta CopyF.FtF.c@3 rbrol . Job Copt ft* - tnqrcblCogy
/3 daat/
lnspncTroN rrcKET O
Inspcrion Requesr Rec'd By /t*o. / *n 3-/"-t3
70s"3 /3a
l3 uo;'{
Inspection Type
Day ffime Req.
Inspector's Report tr Res.il comm.
No.
No.
INSPECTED ITEMS CONFORM TO APPROVFD DWCS
INSPECTOR'S ACTION
,Ceevnoveo l DrsAppRovED
DC.O, (FINAL) DNOTAPPLICABLE
tlv Dx flN/A
DFINAL
n DtD NOTTNSPECT
ACTTON REQUTRED:
Rec't Acknowlcdged
W?rit.. Olicc Copt
F.FtR.c0o3
ltlor . JoO Copy PH - hl9.cbrbCo't
13 00054
BYUI Hart Gym Remediation
Routing: Revisions
NA
I Quinton Owens (Please review by Friday, March 1)
U Current Status
Please complete the following:
NA
! Review Plans
I Enter Notes for the applicant under Submittals
I Update status in the Approvals tab
r Return building plan and this check list to Amanda Saurey
Notes:
Doner
il
Done
{
r
E
/
2t2U13
, Xpress Bill Pay - Payment Proline
City of Rexburg
35 Northlst East
Rexburg, lD 83440
208-359-3020
Page I ofl
* '["!'Y $ r
RXXffiUN*
f&r -*"*^--
,{,*}{1Nr'L$:{.**!na& {:fisffi *ii$it,lj
! Transaction detail for payment to City of Rexburg.Datc.0212812013 - 9:12:30 AM
I Building Permit Deposit
Notes: 1300054 :
$e3.o8 Sg3.O8
---_f " ' -------
It
TOTAL:'fl 65.75
Information
LAZDAUSKAS
,83440
Transaction taken by: shellie
ffil rt'*kssl
Provided By www.xpressb i I I pay.com
"" ___ _-* Gopyrigfr_t@Xpress Bill Pay2013-All Rights"Reserved
40 L:ul, Printer
Transaction Number: 19206860PT
Visa - XXXX-XXXX-XXXX-3609
Status: Successful
https : //www.xpressbillpay. com/common/paymentlrroces s.php 212812013
,}ff.yjl$ GigorRexburg
Department of Gommunity
o
Development Q"""iptNumber: W
35 North 1st East / Rexburg, lD. 83440
Phone (208) 359-3020 / Fax (208) 359-3022
13 00054
13 00054
13 00054
13 00054
RPR000P005l
RPR000P005t
RPR000P005l
RPR000P005t
Plan Check Fee
Building Permit Fee
Electrical Fee Based Calulation based
Deposit Applied
$93.08
$930.75
$241.92
-$100.00
Total:
$93.08
$930.7s
$241.92
-$100.00
$0.00
$0.00
$0.00
$0.00
$1,165.75
02121l/2013 Permit Fee Deposit 13 00054
CREDIT CARD
$1,165.75
tEB ? I zs$
genpmtrreceipts Page 1 of 1
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City af Rexburg
35 Northlst East
Rexburg, lD 83440
208-359-3020
Totat Paid: I StA0.OA
Transaction taken by: marianna
Page 1 of 1
Transaction detail for payment to City of Rexburg.Date: 02121 I 2013 - 2:42213 PM
Transaction Number: 19089931 PT
Visa - XXXX-XXXX-XXXX-3609
Status: Successful
Description Reference #Amt per ltem # ltems Total Amt
BUILDING PERMIT DEPOSIT $100.00 1 st0a.a0
ffi
Provided
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