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Home My WebLink AboutALL DOCS - 13-00323 - 2300 University Blvd - Madison HS Modular ClassroomlJ Cily ol Rexburg Phone: 208.372.2341 Fox: 208.359.3022 C om m etcial P etmi ts: (the D 4 sets of site Planstr Thefollowingitens shoald be conpleted hpfu.Jou submitloar baildingpernit application. INC)MPIETE APPL-ICATION S V/IIJ- N OT BE ACCEPTED' Completion of a Building PemtitApplication: Youmay print this application from our website **.,olr."brrrg.org or pick.rp " .opy at the City Annex Building (address above). following must be submitted with the Application) and 3 seis of building plans stamped by a licensed professional 0 Structural Calculations stamped by a licensed Engineer D Energy Compliance ReportiAs p.r th. 2006 IECC, a Compliance check must be completed and submitted (the comcheck is available online at wwrv'energycodes'gov)' tr irug. 2 of theApplication 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 )'out Plumbet. tr pale 6 of the Application must be completed by signed by yout Mechanical Contractor. Q pale 7 of the Application must be completed and signed b)' your Electrician. D Eilctricut p"neftuyout and calculations must be included with the building plans. Plans will be reviewed by the ellctrical inspectot priot to issuance of the building permit' D Emergency Services Construction ps16i1-for fire related equipment only; to be filled out by the contractor Perfotming the work. fl Exterior Ughting Plan including photometric layout. The lighting standards are included in this packet' D Ptoperty Line form needs to be signed by the builder, see Page 4' Elecaical Petmi! arenow issued through the city of Rexburg. See Page 6 of the application. Remodels: If you are considering a remodel, a eqpy of the bid or estimate for the temodel must be submitted with the Permit Application. ' 3 set of plans (may need IECC Review) ' Additions - Same as new construction Building SofelY DePorlment www.rexourg.org Seismic Design Category - D (unless soil evaluation confirms category C) Ground Snow - 50 lbs. Per sq. ft. Office Hours: Monday-Friday 8:00am-4:00pm Comrnercial Multi F'amily Pre-Construction Checklist Roof Snow Load - 35 lbs. Per sq. ft. Wind Load - 90 MPH Frost Depth - 36" CITY OF REXBURG t\' -.-----*--' Atteri*i Fanily Cofi$tunitY o rCITY O REXBURG{:s' "***- Amzr*ni fa nily (Jcrn,nuniry COMMERCIAL & MULTI FA]\4ILY BUILDING PERIVIIT AI'PLICATION 35 N 1" E, REXBURG,ID 83440 208-372-2326 PARCEL NUMBER:(We will provide this for you) SUBDIVISION:UNIT# BLOCK# LOT# (Addressins is based on the information - must be accurate) How many buildings are located on this propefiy? Did you recendy purchase this property? U NO (If yes, list previous owner's name) ls this a lot E NO n YES @lease bdng copy of new legal description of property) PROPOSED USE:Temporary modular classroom use (i.e., Single Family Residence, Multi Family, Apartments, Remodel, Garage, Commetcial, Addition, Etc') APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: u'de.pe'altyof perjury,Iherebycertifythatl have read this application and state that the infomation herein is correct and I swru that any infomation which may hereafter be given by me in herings before the planning and Zoning Comission or the City Council for the City of Rexburg shall be truthful md correct. I agree to comply with all Gty regulations md State laws dating to th. .ib;".t -utteiof this application and hereby authorized representatives of the City to enter upon the above-mentioned prcperty for inspections. purposes. NOTE; The building official may retoke a permit on apprtval issued under the provisions of the 2003 Intemational Code in cases of any false statement or misrepresentation of fact or on the plms on which thepermit or appror.al wc bmed. Permit \oid if not stated within 180 days. Permit void if work stops for 180 d Please Complete the Entire Applicauon! lf the question doe-s not aPplv fill in NA ftrr non applicable Madison High School E] \'ES of Owner/Appl.icant ./ prefet to be contactedfi fax, email or phone? Phone WARNING - BUILDING PERMIT MUST BE POSTED ON CONSTRUCTTON SITE! Pl.n fees are non-re fundable md are paid in full at the time of application be ginning lzagzgl&5 City ofRexburg's Acceptance ofthe plan review fee does not constitute plan approval orff IER NAME: MadisonschoolDistrict CONTACT PHONE #Jordan Busbv 313-3221 PROPERTY ADDRESS: 2300 University PHONE #: Home Work 359-3995 Celt 313-3221 OWNE,R MAILING ADDRESS: CITY:-STATE,:-ZIP: EN,L\ITbusbyj@mds321.com FAX359-3346 APPLICANT (If other than owner) Jordan (Applicant if other than owner, a statement authorizing applicant to act as agent for ownef must accomPany this applicarion.) APPLICANT INFORMATION: ADDRESS 752 south fifth west ClTy. Rexburg STATE.ID ZIP8344I EMAlllylqyj@msiEe!.com FAX- PHONE #: Home 656-0295 work 359-3305 cell313-3221 CONTRACTOR: MAILING ADDRE,SS:CITY STATE-ZIP PHONE: Cell#\7ork#raxt+ EMAIT, IDAHO REGISTRATION # & EXP. DATE 15 *Building Penit Fees are due ar time of applications *Building Pemits are void if your check does nor clerr* Building Sofety Deporfment Phone: 208.372.2326 Fox: 208.359.3022 REXBTIRG Affidavit of Legal Interest State of Idaho County of Madison Name Address City State Being ftst duly sworn upon oath, depose and say: (IfApplicant is also Owner of Record, skip to B) A. That I am the record owner of the property described on the attached, and I grant my permission to: Name Address to submit the accompanying application pertaining to that property. B. I agree to indemnify, defend and hold Rexburg City and its employees harmless from any claim or liability resulting from any dispute as to the statements contained herein or as to the ownership of the propety which is the subject of the application. Dated this day of I, 20 Signature Subscdbed and sworn to before me the daY and year first above written. Notary Public of Idaho Residing at: My commission expires: Building Sofety Deporlmenl Phone: 208.372.2326 Fox: 208.359.3022 Properly Lines Each site plan that is submitted to the City of Rexburg for the Building Permit process requires that property' lines are shown accurately. It is the Developer's responsibility to corectlv identify on the site plan the location of these lines in reference to the public right-of-way, other adjoining property lines, the street, other strucrures and all utiJity lines. The Developer should find properw pins that are still available at the lot in question. If these pins do not exist or have become unrecognizable then a new survey should be performed. Accurate property line information is a must for a timely review. In addition to finding existing properfy: pins, legal descriptions should be checked. The best way to identify propefiy line location is with a land survey. The City of Rexburg has aerial photos and a parcel line layet that can be checked, but they are only a tool and are not guaranteed for accurary. If you warit to request a copy of your lot, see the front countet at the Community Development Department. I have read and understand the above tequirements. Date J4r^ C B',,t/"/ Printed Name Business 35 Norfh I't Fost Rexburg, lD 83440 Applicotion CITY OT Phone: 208.359.3020 Fox: 208.359.3022 REXSURG (\J--'---.''-..- Any.r i n.\ Itrtn ti fu (*mm w i ly Please take the time to answer all questions so that b,e csn further assist you and yourfacility Thank You. PF What type of business will be performed Educational purposed 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 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 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? OYes O No $Yes O No $Yes @ No QYes @ No $Yes O No $Yes O No $Yes@No SYes @ No SYes 0 No $Yes 0 No $Yes O No OYes O No frYes O No $Yes O No I Certify that The information that I have provided above is to the best ofmy knowledge accurate and trua Applicants Signature Phone Date Phone: 208.372.2326 Fox: 208.359.3022 n/A clTY *r. Iwxrai;nc;aw -'------------'-' Aqe?ito'6 tVn il! {::r}.aanrr*:iSP35N l"E Re tD 83440 SUBDIVISION PHASE PROPE,RTY ADDRESS Building Sofety Deportmenl City of Rexburg www.rexovrg.org Permit# LOT OWNER'S NAME Required!!!Plumbing Plumbing Contractor's Name Business Name Addres City State Zip Cell Phone Fax Business Phone (coMMERCIAL/INDUSTRIAL)TotalcostofplumbingsyStem(ContractedAmount)$- (n&tduthecostofmateialsinsta/hdregan1/estoftheparE:tpp!ingit.The;[eet/isndundertbisinspectionjpesha/lapp/1toan1anda//p/am not specifcall1 mentioned elsewberc on thfu fonr). l Up to $10,000 (tstaleosr-sf-sysl€lq x 0.02) + 60 = $ rr Between $10,001 - $100,000 ( (total cost of system - 10,000) x 0.01) + $260 = $ n Ovet $100,001 ( (total cost of s)'stem - 100.000) x 0.005) + $1,160 = $ RESIDENTIAL Nev'r Single Faaily Dwelliag, including all buildings with widng being consructcd on each ptopetty. (*Based oa liuiag space, see defrnitioa below) r Up to 1,500 sq ft - $130 a 2,507 to 3,500 sq ft - $260 I Over 4,500 sq ft $325 plus $65 fot each additional 1.000 sq. ft. or oortion thereofl). New: Muld-Faaily Dwelling (Coaazcton anly) I 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) I Existing Residence, and Detached Shop: $65 fee plus $10 per fixture up to the maximum of the corresponding so. ft. of the buildins ($65 + ($10 x # of fixtures)) n Gtay Watet Systems: $130 I Lawn Sptinklers/Bacldlow Device: $65 I Modulat, Manufactuted or Mobile Homes: $65 for sewer and water stub connections a Multipurpose Fite Sptinkler and Domestic Watet Supply System: $65 fee or $4 per sprinkler head, whichever is greater Scw*&'Vatet n $38 Sewer Line l$38 \Vater Line a$65 Sewer & Water- if inspected at the same time n $65 Sewer turnaround under house (change from septic to ciry) MISCELI-ANEOUS tr Plan Check $65 per hour I Technical Sewice: $65 per hour o Gas Line: $65 I Water Fleater Replacement $65 I 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 ut-ilized for sleeping, eating, cooking, bathing, washing, recreation, and sanitation purposes. An unfinished basement is considered part ofthe living space. Signature of Licensed Contractor License number & Exp. date I 1,501 to 2,500 sq ft - $195 n 3,501 to 4,500 sq ft - $325 l -000 sq [t. or oortion thereof $325 + ($65 x # of additional /VH Building Sofety Deporlmenl Cily ol Rexburg Phone: 208.372.2341 Fox: 208.359.3022 Permit# CITY OT REXBIIRG (\r ---^----- Am ei &\ Fawilv C o m tn wilxvwww.rexourg.org OWNER'S NAME PROPE,RTY ADDRESS SUBDIVISION PI{ASE LOT BLOCK Requircd!!! N{echanical Contractor's Name Address Cell Phone Business Phone Fax Em (COMMERCIAL/INDUSTRIAL) Total cost of plumbing system (ContractedAmount) $_(ndades tbe cost of nateiah instalhd regardlus of the partJ Mppting it. Tbefeet l^ted under this inspection 4pe sbatl app/1, to an1 antl a// mechanicalinstallations not specif m/!1 nentioned ehentben on tbit fom).n Up to $10,000 (total cost of system x 0.02) + 60 = $ n Between $10,001 - $100,000 ( (total cost of system - 10.000) x 0.01) + g260 = g I Ovet $100,001 RESIDENTIAL ( (total cost ofsystem - 100.000) x 0.005) + 91,160 = g Ncw: Singlc Faaily Dwclliag, including aII buildkgs with w*iag being coastacted on each ptopcrty. (*Based oa liuiag space,see defiaition belolz) n Up to 1,500 sq ft - 9130 n 1,501 to 2,5O0 sq ft _ g195 t 2,501to 3,500 sq ft - 9260 I 3,501 to 4,500 sq ft _ g325 tr Over 4,500 sq ft $325 plus $65 for each additional 1,000 sq ft. or portion thereof ($325 + (965 x # of additional i.000 sq. ft. or portion thereo0). Ncw: Multi-Faaily Dwelling (Conazctots 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)n Existing Residence, Modulat, Manufactured ot Mobile Homes and Detached Shop: $65 fee plus g10 per**HVAC equipment being installed up to the maximum of the coresponding sq. ft. of the building ($65 + ($10 x # of fixtures)) MISCELI-ANEOUS I Plan Check 965 perhour n Technical Service: $65 per hour I Gas Line: $65 c Watet Heatet Replacement $65 tr Requested Inspection: $65 n Fireplace/Solid Fuel Butning Appliance: g65 per inspection *Livrng Space - space within a dwelling unit intended for human habitation which may reasonably be utilized for sleeping, eating, cooking,bathing, washing, recreation, and sanitation purposes. An unfinished basement is coniidered part of the living space.x*Examples of HVAC Equipment-furnace replacement, solar, water heater, etc. Signature of Licensed Conffactor License number & Exo. date Date Mechanical Business Name City State Zip 35 N. Phone 1.,8., Rexburg, rd 83440 BUilding SOfely DepOflment - poapsrt-{oz0 / Hotline - (208)372-2344 / Fax- (208)359-30r, Cily of Rexburg CITY OT REXSURG(\' ------'-'--- A me r im\ Fzm i Iy {nmvuilt t O\X/I\IER'S NAME PHASE, PROPERTY ADDRESS 23 so \J \r r V "e rS . .ty Permit# LOT BLOCK Requircd!!!ELECTRIC,4L Add Electrical Contractor's Name Business Name City State Zto Cell Phone Fax Business Phone Email (CoMMERcIAL/INDUSTRIAL)Totalcostofelecttica|system(ContractedAmount)$- (nchdet the cost of naniak installed regardless of the party :rppfing it. The Jees listed andrr this inrpeetion Ape rhai appb to an1 and a// electical not sperifml! nentioned ebeaben on thisJorn). a Up to $10,000 (total cost of system x 0.02) + 60 = $ n Between $10,001 - $100,000 ( (total cost of s]'stem - 10.000) x 0.01) + 9260 = g n Over $100,001 ( (total cost of system - 100.000) x 0.005) + 91,160 = g Small $forks (Contractors ONLY): $10 fee for work not exceeding $200 in cost and not involving a change in service connections. Does NOT require inspection. RESIDENTIAL Nev,: Single Faaily Dwelliag, iacluding aII buildings with witing bcing coasuucted oa each ptopetty. (*Based oa liuing space, sec dcfrnidon bclow) l Up to 1,500 sq ft - $130 I 1,501 to 2,500 sq ft - 9195 n 2,507 to 3,500 sq ft - $260 n 3,501 to 4,500 sq ft - 9325 n Over 4,500 sq ft $325 plus $65 for each additional 1,000 sq ft. or portion thereof ($325 + ($65 x # of additional 1-000 sq. ft. or portion thereof)). Ncw: Muhi-Faaily Dwclling (Coadz c ton Aaly) I Duplex Apartrnent $260 n Three or more multi-family units: $130 per building plus $65 per unit: ($130 x # of buildings) + ($65 x # of units) n Existing Residence, Modular, Manufactured 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 cfucuits)) I Centtal Heating/Cooling Systems: $65 When NOT part of new residential or FIVAC permit with no additional Witirg I Spas, Hot Tubs, and Swimming Pools: $65 fee for each trip to inspect Puaps-Watct, Inigatioa, Scwage (each motot) n $65 up to 25HP r$95 - 26 to 200HP n9130 over 200 Hp MISCELLANEOUS n Tempotary Consttuction Sewices ONLY: 200 amp or less, one location (for a period not to exceed 1 year) - $65 n Temporary Amusement $65 fee plus $10 per ride, concession or genetator o Irdgation Machine: $65 for center pivot plus $10 per tov/er of ddve motor I Technical Service: $65 per hour a Plan Checkl 965 perhour n Requested Inspection: $65 xl-iving Space - space within a dwelling unit intended for human habitation which may reasonably be utilized for sleeping eating, cooking, bathing, washing, recreation, and sanitation purposes. An unfinished basement is considered part ofthe living space. ignarure of Ucensed Contractor License number & exp. dare Date 35 N. 1$ E., Rexburg, Id 83440 Phone - (208)359-3020,/ Hodine - (208)372-2344 / Fax Building Sofely Depqrfmenl City of Rexburg - (208)3s9-3022 ctTY t)l REXBURG(\r'----------- d.rtefia\ I:t rilr (nafrunitv LOCATION OF STORK TO BE DONE: Street Address Where Work S/ill Be Done: Business Name Where Work Will Be Done: Dates for Work to Be Done: Contact Person: To Phone Numben Cell #: Required!!!FIRE SPRINI<LER Fire Sprinkler Contractor's Name: Business Name Address City State_Zip Cell Phone Fax Business Phone (COMMERCIAL/INDUSTRIAL) Total cost of fire sprinkler system (Contracted Amount) (Includes the cost of nateials installed regardlex of tbe parE suppfiing it. Thefees listed under tbis inQection Ape thall appQ to an1 and allfre alarm installations not Qecifm@ mentioned elsewhere on thisform). ! Up to $10,000 (total cost of system x 0.02) + 60 = $ t Between $10,001 - $100,000 ( (total cost of system - 10.000) x 0.01) + $260 = $ D Over $100,001 ( (total cost of system - 100,000) x 0.005) + $1,160 = $ MISCELI-ANEOUS tr Existing Inspection Base: $60 tr Re- Inspection: $65 per trip n New construction $1per sprinkler head ($2,000 maximum)number head Signature of Licensed Contractor License number & exp. date Date 35 N. 1il E., Rexburg, Id 83440 Phone - (208)359 -3020 / Hodine - (208)37 2-2344 / F ax - QO8)359 -3022 LOCATION OF WORKTO BE DONE: Sreet Address rWhere Work Will Be Done: Business Name Where Work Will Be Done: Dates for Work to Be Done: Contact Person: Building Sofety Deporlmenl Cily of Rexburg To ctTY oF REXSURG**"- (\r' -. Amrx i <t & f ar ?t j ly al, n t r v a i tt Phone Number:Cell #: Requircd!!!FIRE.4L.4RM Fire Alarm Contractor's Name Business Name Address City State zip Cell Phone Fax Business Phone (COMMERCIAL/INDUSTRIAL) Total cost of fire alarm system (Contracted Amount) $ (ncludu the cost of naterials installed regardless of the pa@ nppling it. Thefees listed under tbis inspection Apeshall qppl1t to an1 and a//fre alarm installations not specifcallt mentioned elsewhere on tbisforrn). tr Up to $10,000 (total cost of svstem x 0.02) + 60 = $ tr Between $10,001 - $100,000 ( (total cost of system - 101000) x 0.01) + g260 = g tr Over $100,00L ( (total cost of svstem - 100.000) x 0.005) + g1,160 = g MISCELLANEOUS ! Plan Review per Flour: $65 per hour tr Re- Inspection: $65 per trip Signature of Licensed Contractor License number & exp. date Date l0 SUBCONTRACTOR LIST Excavation & Earthwork: Masonry: Roofi Insulation: Drywall: Painting: Floor Coverings: Plumbing; Heatin Electrical: Special Construction (Manufacturer or Supplier) RoofT Floor/CeilingJoists: Siding/Exterior Trim: Other: EXEMPTIONS F'ROM STATE, REGISTRATION As ofJanuary 7'2006, the city of Rexburg can no^longer sell permitswithout having a copyof your Stateregistration number or.your exemption frlm the st"t.'r.grrt ^iorr. pt."re send ".opy of your state registration orfill out this form showing yo"' t*.-ption and send it *il, y"", ri.ense renewal or your next pemit application. currently state licensed pursuant to Title 54 Idaho code, chapters:3 Architecs, 1 0 Electrical Contractors/J ourneyman, 1. 2 Englneers/Surveyors, 19 Public works contractors (exempt from fee only registration required),26 Plumbing/Plumbcrs, 45 Public works construction Management Licensing Act (exempt from fee only registration required), or50 Installation of heating, ventilation"and airconditioirng d,....--,Employee or volunteet of a licensed contractor or part o? an educational curriculum or nonprofit charitableactivity with no wages or salary E'mployee of a US Government agency (state, city, county, or other municipality)Public Ydtlay doing construction, Laintenance, ordevelopment to its own businessInvolved with gas, oil or mineral operations S^"Rnti.t doing no installation or fatricating Contracting a project or projecs with a toial cost less than $2000operation of a farm or ranch or construction of agriculture buildings exempt from Idaho Building codeAny type of water district operarions Work in rural districts for fire prevention purposes ;ffilHiJ'*ffiX:.",'j.ffiX,p,'ffi?# contracts with a registered conrra*or to do work as rong as owner or lessee of commercial property performing maintenance, repair, alteration or construction on thatproperty Real estate licensee/property manager acting within Idaho Code lngaging in the logging industry Renter working on the,properry where they r]v1 with the property owners approvalconstruction of a building ,x.d for industrial chemical p;"..'rG per Idaho Codeconstruction of a modular building (defined by Idaho i"a.; i" r". moved out of state I D ! ! tr D D ! D D tr tr ! D I hereby certify that the above information is true and correct to the best of my knowledge. Signature Date Print Name Bui Sofely Deporlm 35 N. 1't E., Rexbutg, Id 83440 Phone - (208)359-3020 / Hotline - (205)372-2344 /Fax- Q08)359-3022 OWNER'S NAME PROPERTY ADDRE,SS SUBDTVISION PHASE BLOCK- City of Rexburg CITY OF REIRVB9 America\ l:afrily <:ommt nity Permit# !j CAh3 " /l A,7 fc'f fia'nenf Pc'"tu^fl XPt'""'* {'c Address /, f . ,kX z ciLy Ak 4//L4 st^t -J4-zip B37K Cell Phone (24) 2o \ ( hrsiness Phone ( - ) Fax(yryfi JrX-TSd y t^^rt /on t't'/s Q ;tu''oo/'can (COMMERCIAL/INDUSTRIAL) Total cost of electrical system (Conttacted,Amount) $- (Inckdesthecostofmateialsinstalletlregard/essofih'parnppfingit.Thefeet/istedund'erthisinspectionrpetha/|app/1ltoan1andalle/eaica/ not specifca@ nentioned elseahere on thbforn). ! Upto$10,000 (lgtalcostofsystemx0.02)+60=$ jA ein ? { Between$10,001- $100,000 ((totalcostof system-10.000) x0.01) + $260 = $ f u1 t<tv I Over $100,001 ( (total cost of system - 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 tequire inspection. RESIDENTIAL New: Single Family Dwelling, including aII buildings with widng being constucted on each ptopetty. (*Based on liuing space' see defrnition below) Required!!!ELECTRICAL Electrical Contractor's Name sinessName L /rA a*> tr Up to 1,500 sq ft - $130 tr 2,501. to 3,500 sq ft - $260 tr Over 4,500 sq ft $325 plus $65 for each additional 1.000 sq. ft. or portion thereoD). New: Multi-Family Dwelling (Contactots OnIy) ! Duplex Apartment $260 tr Three or more multi-family units: $130 per building plus $65 per unit ($130 x # of buildings) + ($65 x # pf units) tr Existing Residence, Modular, Manufactured of Mobile Homes, and Detached Shop: $65 fee plus $10 per branch Jfu.rrit, up to the maximum of the corresponding sq. ft. of the building ($65 + ($10 x # bmnch circuits)) tr Central Heating/Cooling Systems: g65 \\'hen NOT part of new residential or FIVAC permit with no additional Wtuing tr Spas, Hot Tubs, and Swimming Pools: $65 fee fot each trip to inspect Pumps-Wate4 Inigation, Sewage (each motor) tr $65 up to 25HP MISCELI-ANEOUS r$95 - 26 to 200HP n$130 over 200 HP ! Temporary Construction Serices ONLY: 200 amp ot less, one location (for a period not to exceed 1 year) - $65 tr Temporary Amusement $65 fee plus $10 per dde, concession of genefator ! Irrigation Machine: $65 for centet pivot plus $10 per tower of drive motor tr Technical Service: $65 Pet hour ! Plan Check $65 per hour tr Requested InsPection: $65 *Living Space - space within a dwelling unit intended for human habitation which may reasonably be utilized for sleeping, eating cooking, finished basement is considered part of the living space. tr 1,501 to 2,500 sq ft - $195 tr 3,501 to 4,500 sq ft - $325 1,000 sq ft. or ponion thereof ($325 + ($65 x # of additional bathing washing, recaeadon, and sanitation purpos,g ture of Licensed Contractor License number & exp. date Xpress Bill Pay - Payment Processing https ://www.xPf UtPut tom/common/paymentirocess.php {{TY *s RfrXSIIRG {Sr'*------* .olrrii:J1.{*!} {i&,j,rt1F {{ilri'*eqrry Payment Service Provided By wwuxpress h i I I pay. co m Copyright @ Xpress Bill Pay 2013 - All Rights Reserved TOTAL:s2623A Transaction taken by: amanda City of Rexburg 35 Northlst East Rexburg, lD 83440 208-359€020 Billing Information Lon Ricks .83436 4fl trl, Frrint*r h Transaction detail for payment to City of Rexburg.Date: 1012212013 - 11 :57:35 Transaction Numben 2288227 4PT Maste rca rd - XXXX-XXXX-XXXX-9258 Status: Successful 10122/2013ll:57 AI\ I INSPBcTIoN TICKBT e 't!'! tr BHg. O Phmh ( n..,. O Mch' O Firc Inspction Request Rcc'd BY 7*,*-oare rt | '&lr3 t {),. [. > - phone S1o. Z7 o' tb )hReq. By Lc) I t'r r - -- Pennit No. t3o O ?11 Address Inspction Type Day ffime Req.ilrr'dc.- r-hu..rfr ire- O Res.Comm. INSPECTED ITEMS CONFORM TO APPROVED DWCS UY nN fl N/A fNSPECTOR'S ACTION / nAPPROVED MptslppRovro IRNAL Dc.o.(F|NAL)^AnI0TAPPLICABLEDD|DNor|NsPEcT AcnoN REQUIRED::;l& 4f-.'e,NFb-. - Rec'l Acknowledged t$it. - Oltr Copt F.f rR.co3 lblor -Job CoPY Pil-Nr|'.fir!@t Inspector's RePort I u.rsPncrroN TTcKET O tr BHs. O ptumb. O Ebcr. O Mcch. O Firc /) Inspecrion Reguesr Rec'd By .(/' ' . Date /t- y't3 Req. By Phone No. 3t3 - s zz I Projecl tfs ,//aclrJcu, (/u-oute'etnprnnit No. /3 ao7)g Address Qicc Ltnr rctacfu H;J Inspecrion Type Final 6/a4- Dav ffime Reo. /t- I -/ 3 e"lozL 3 e.rn * ar- bp/od Inspector's Report tr Res.tr comm. INSPECTED ITEMS CONFORM TO APPROVED DWCS flv DN flN/A NRM{L D DID NOTNSPECT INSPECTOR'S ACTION ,tr^PPRovED nc.o.(FINAL) ACTTON REQUIRED: I DTSAPPROVED D NOTAPPLICABLE ltloe . Job Co9t ft*-klprtlcogl O nspncrloN TICKET O -JF sas. n Phmb. O Ebct. O Mech. O Firc Inspction Request: Rec'd By lu ,^t" lC*,1&.- 13 Req. By Phone No. .lil"- StLl Projecl !! rg. )Pennit No. t 3: eA-3$- Address Inspection Type Day iTime Req. Inspector's Report O Res.F comm. i ,. lK"L qsPEcToR's AcTloN bOppnoveo f]c.o.(FINAL) ACTION REQUIRED: I DISAPPROVED N NOTAPPLICABLE DRNAL [] DID NOT INSPECT Sighed Rec'l Aclnowledged Wl*1. ' Ofiicr Cot F.FrA.C(p3 tbfof . Job Co9t Pr*-@rfirl@y TTEMS CONFORM TO APPROVED DWGS f msrncTroN TTcKET F BHg. n phmb. O Ebcr. O Mcch. O Firc Inspction R /'l t(trnnnC[a- Date /C - /1- I 3 Req. By _5 Phone No. 3/ 3 - 3N I Pruject Address Inspection Type Day /Time Req. Inspector's Report O Res. Sf Comm. 'lk trn ig [- INSPECTED ITEMS TO APPROVED DWCS nY otr flN/A INSPECTOR'S ACTION !APPROVED f] DISAPPROVED D FINAL DC.O. (FINAL)D NOTAPPLICABLE D DID NOT INSPECT ACTION REQUIRED: _ lblos . Job Copt Pil-rerAtoqr uest: Rcc'd By'nn fJrcb " t t//c -v i;T,i ijl- .:ii:i-r:ijiir iirli.i i::T: iitiii::jii'i sriiiiui- ii;'cTi;; liT IIlii-; ill,ij.ij.rlLij !i* i!j.!l .ir";iil'ii li!i!r'iiriill.,-r i:ifl'r-li'T iiirr ;l"jil*ij tir,ij :ii: : iil1.-!:"' ; J rf.ty fi: lij j.1-, 'i'f"liriils ij!!'u[ i.;i'i,,'tij lif ['L.llT ' ;-"lq:-{11 ': : !i': ':i!:.:Date Printed: 113112014 Madison HS Permit #: Modular Classroom Permit Type: 23OO UNIVERSITY BL' i:lili.li iliiuiji'ii l*iiiri;T ';iii:l'ilil ilii'ri:T i+i..l *ij j:; li"lrliii i:-lri r:i;'li.i iiriiiil A i'l:i[ ilriT :+'.i ii. T'-1 ! -r.i i] iii-i 1 3-00323 BLD-COMA Address: ,-uilding Permit Fee 't30.00 " zda.di" @ BP ELP W1 VA€6to 5To @7za t*-_ PAtD--l I FEB 10 2or3 |I ^INZ ?tr AEXBUBG-J Please contact the Building Department at (208)372-2341 for further questions about this permit fee summary Make all checks PaYable to Gity of Rexburg PO Box 280 Rexburg, lD 83440 *lf you are making payment with a check via mail, please attach a copy of this document to ensure the payment is properlY aPPlied* **This document is a summary of deposits, fees, and payments associated with the permit identified above** City of Rexburg Receipt#: 901 Date:212012014 I I 3tt.io l ".-----'--1 ....1 392.30 392.30Total Amount Due: Total PaYment: Code: REXBURG -Recpt9}l 20 ]]0 l4-amandasReceived By: amandas cl'rY O! REXBIIRG c\$, Ante r i ca\ fuitrt i ly t )o nt muni tY Community Development Department PO Box 280 Rexburg, lD 83440 Phone (208)359-3020 | Fax (208)359-3022 I nspection Hotline (208)37 2-2344 DatePrinted: 113112014 Nane: Address: City,Sl,Zrp: Phone: Madison School District #3 Proiwt: 60 South Sth West Rexburg, lD 83440 Address: 208-390-0022 Madison HS Permit #: Modular Classroom Pernit Tpe: 23OO UNIVERSITY BU 13-00323 BLD-COMA 08t1512013 C-BLDPERM 10t22t2013 E-$100,000 Commercial - Building Permit Fee $10,001 to $100,000 minus $10,000 BP ELP 130.00 262.30 392.30 Please contact the Building Department at (208)37 2-2341 f or fu rth er q uestio n s about th is permit fee summary Make all checks payable to City of Rexburg PO Box 280 Rexburg, lD 83t140 *lf you are making payment with a check via mail, please attach a copy of this document to ensure the payment is properly applied* **This document is a summary of deposits, fees, and payments associated with the permit identified above** V { 13 00323 Madison HS Modular Classroom 08/1 sl13 Routing: Mechanical Quinton Owens (Please review by Wednesday, August 2 1) Current Status Please complete the following: Done NA / ! Review Plans W n Enter Notes for the applicant under Checklist in the Workflow V I Update result in the Workflow { ! Return building plan and this check list to Amanda Saurey NA n I Notes: No Fra,rn;nV ?l*nS Jobsite Copy is on conference table a* C-^ano( €over r*r*p #+^llft uProve baseA a^ ineTc*idl4' 13 00323 Madison HS Modular Classroom 13 00323 Madison HS Modular Classroom Office Copy JAVE$ E. RIS('H Corcrnor Joh.r.4. \lcAllisrrl .{drDinistrrlor 13 (Y)3a3 Statc ol'ldsho Dtvrstev of BPIIDIN T: -- -- -: '- 4 1090 Enst Watcnorvcr Slrcct Metidian. ldaho E364? i3:,1',i"jHl Iteviertccf fur Cocle Conrpliattce /1 ,/) t/a';'rha /'uaas: t,i,| ; 3 iilis lltriltling I ttsllectot' (lll'\'()l,: t{Extlul{G Dear Mr. ChaunceY: I am pleased to reporr that your_Xi2 bracing system is approved for use in ldaho in conjunction with manufactured home standird or permanent foundation set homes installed in compliance with ldaho's Mamrfactured Home lnstallation Standard' The Xi? bracing syst€m eliminates the need for standard tie-down anchor devices and ,topping otherilisi required by secrion 404 of the ldaho standards. The Xi2 bracing systems musr be installed in accordance with RADCO and'fie Down Engineering installation recommendations' A minimum of two XiZ longitudinal and transverse bracing systems are required for singlewide manuf"ctur"O horics up to 76' box lcngth' Foi doublewide manufactured homes, a minimum oirf,r"" longitudinal and transverse Xi2 bracing syslems are required ior homes up to 31 ft rvide and 76 ft in length' For triplewide homes, a minimunr o-f -four longitudinal. and transverse xi2 bracing ;G#;; ,"q"rr"a r", homes up to 45.5 ft wide and 76 ft in lengrh. November 17,2006 Mr. Knute ChaunceY National Sales Manager Tie Down Engineering' Inc 5901 Wheaton Dr Atlanta GA 30336 R-E:Xi2LateralandLongitudinalstabilizationSystems Page2 Novcmber l7' 2006 CopiesofthisapprovalletterandTieDownEngineeringxi2installation recommendations ,#ffi;;"d" .n.iluur. to local building code officiars upon request. JR/eh C: Idaho Manufactured Housing lnstallation Committee Istdhtiod of &e lmgln}diml tystcn olin"inots ec nccd fot longiuldbtl mchors-(wod Zmcs I & II 94v)' Instnllatioa of 6e ,"aasee.,c sys@ elioinr*s ttc oeed for dl dtnott, dingo-l fuoc rfur od strbilizct flats cxccptvtcn notvl (I^qcod # 5 & l('te g ' -. -..Lr:,*- r-:-* --.r !- €rrltmrl indudins instrltrtba of ddcgrll rs&rl tic{mn All other home mo'erture/s iostrockms for insolhrbo of *bilizing <lcvices mustbe fdlmrc4indudinginstd -.- r r- rr\ I\rffrE vTNn TI)NE, IA AI,L vsrrlcAl,#rffimffiffi, xffi";T#;ffi ;'(w"'4 r; i .. lI). ivorr_vnlD zoNE Ir rlr vsrrrcal ANcrronsi (NoT TO ETGEED. S', SPACU'|G) Itfit#;;jrrffrs"ffiffitt*ffi#""* *rhfu; * lmc solt; i6trr€d ia eccodsaac rith ll5, rcr prmdgrrld dc* ,?;fH y*,ffiIff1ffi-*- * y* o l"y *l ?,' f..,r ft. a* shwr on pnge 3 or &c* iarnructio* ,Lk L1', lrt /9o'lmel lu,A5112odd 1tryxtlErses!hffi:H# ffiffi?H"ilii#. "".-" e6i on rr" noof pit& n bctr*ea L37 / 12 w dqt.-,t 6a sl12 d 1 tnascree svse (see rocetion dingnms vro*l {6 l rz .-*l.or "f #i}1gff.offffi ffi#r i ro*ee$c & 3 r'68ibdind :ilffiT"ffi 'dtr*." "IJiffi" ;-eos is Equiled bv homc rnrnu&cu*ec)) Aa alc,'atir,. crethod urrng the f tm CW mcnore (dty ;t;;00 C$*, .*t-t.,l t"y t" rxej m a focilg sizc of ld' dirocsx 24" dePdt tta** are designcil fmhtcnlaodtott8ihdiml ryYT:.-,, - L* --a *A ai *rhnue Frtrgeeeq ttevogybe insrru.ddrrylocntid,,, rJ*xfl:ffi*ffiffiffiffi;;d- .T g *_-y of rhc house- n'oweeef' thev oev be insuucd d '!v locntid rt lczst -' if".., Uot rrot mre Om f/i the house leogtb" in ftm frc eods of tbe bsre FoR srATE oF IWTCEIGAN .orYL. Y' f 1tq:1.1 y-:fT:to5jt *Tlffi , HHffi ffiffi; Te.o-.;1.*.r 1{ff b6cd'; tootrr ptcylniB loit nd wcdGr od&in3' tr a pti"l*o tr qt uryqu* Tgf.lg .'l-^tgs# .d$-:** -i-. h-;rr i{ timirert ro 32- with oier defined in the A}lbaoE Rcgu}nim as -3 S ff Yo'ffiir' lTffiffi * pf' hg4 l:Tr!'d ro 3r wg rier defi ned in * t@ %ffi [ *. suppg4 s-y$qg-**.uo ffi?ltFot?;lffig -iil-u-u"tt"- "it6 pi* cqr:' 2' Th€ st*c of Alah ruts'ilffi $,frH l*flF'K%'uo"' #mffi ##.tf;Tff tr's insla'dion instuctioog il nofiffiEvctdcalwall tbdortls must be r.nJairtn rrft mrtlo ONLY: Concrcte ntrd use ofdris tofr.u-o lab€led homes. FSffi""oFHoI:'sEs.:qt1o.gcrur'.Boxe"'flbmsragffi ffi f"t*#fr*-{{ft "(sccnoreH) 2.fu=IOC.rrTtO!,: OF ASF MODEL 1100 "rit- (IITERAL AND LONGITUDINAL BRACING)' OR 1100 T CATS1-{L l\l oNLg 0.1""'..i...-...=LocArIoNoFADDIfi gIlp-4$-r-VoDELllQly;-:.....:.:-*"-Glqcrrrbn-itifr rriooFnruqt-nervtrtt111/-2!''': |,.' nr@rtteadDPouqT.o i X = ffi9ftloTtu STNGLE EqE_Eo- lqq REQUTRE 2 4ryqloRs pER srDE rpcarBD Nor MoRE rHAN 2 FEEr J''' -Fibfiffiffi"liliD?\ffieiliNrutruoF3150Lo'{DRAITNG) 1f SERIES BRACES FOR 4/12 &5112 TRIPLE WIDES ONLY)FoRHoluEs_{+sgqiGJgSrft-disz-rZ-#a,oo4rrotar-.:yg3{..nrt>BE iNp-rnrrv sr INSTALI.@ ar Em{a' u.l--l-- = LoCAfioN oF ADD,1.,g-NAL Asr$oDEL 1100 Tll:gr.gIF:M (L{TERA!-9XLR-F9tr HoMEs E (CEEDING 7f IN LENGT-H, STDEWALL rmrclrr q.1cEE6ffic b;; "* YmH }g"i-p'ffii sE"ItwEEN 6/12 827 lrz TI{E ADDnoNAL sysr&MrsTo aE rNsrnLr-EDar ai*LR6ii.iersrtm'p r'rdi<iiFoFfts-l'rou-liu,rNf,i MAvsB INsrnLLEDdr ETTHEB,EITIERIORBEAM REQU|RED.NUMBERANDLocATIoNoFMoDELII00 REOUIRED NUMBERAND LOOATION OF MODEL1100'\rSERIES BRACES FOR 6/12 &7112 TRIPLE WDES LX XL srr,rar-e secrpn eu- \MOTHS ffi er-e uroEg ALL rrtJtDTl.ls L SINGLE SECTION x AILWIDTHS TRIPLEWDES ALLWIDTHS. UPTO 7d TRTPLEWEPE?dtbwDrHs UPTO 7d UPTO 7d Tie Dowrrts Patented veqror Dynanics Fouldation $y*tetn Provides* Windstorm & $eismic Protection for Manufactured Homes {Wind nrlncsl, n & ilIo Ftorida & $einrnic Loads} Foundation SYsterns f .atcr:al & [,o* git uel i nal $Yst *rrnsCoflcrrts Slocks t,rr id*{,;rl }}irrs :'- ":rt.: it.*" .r'iril l/:f lti,,ct li btr-'r'l l'it-r. Sr':,ir:rrs, rtilL stfrt r()inpr(t\irtll rtrrtrl'rr't tir llhttt rali'"rlt onlr' *r:rrr:re* i.c !]itr-rt*rs iiultt' sillr 'l,j | liltk ts St*'l lTrr t}'t.,,,' { l. I lt\T. it lr, r r : r i'tt:Frt'rii't: rnsriiir't :iu illtr"tr*tirtlr',nh. Easiest !t)'ti,tem to install $tabilir,crplat€s arrd diagonal ftar-ne ties nrc lrot requird in rrrost set'uP6 I,.,,,girrrdiiel stabilisat;L * +a,sily addcd with Tie D<rwats L$D strut 1it [Ieai1 gnlvnnized coatins on brtac]et and strut$ Fot o-=Jin rffind Zon*s t, lI & IT1, Floridn & $eisrnic Loads ) I lilxnrrr tlitlr lrr'.t lrrlqirntlirr.rl rlrt{rtus trrr illilrtr*tir-rn lxtlr: Xi? {:r$rerrci .bYster'ns liu lllrrk.'rr $1.',,1 Ititrt', Xi! ilorlcrttte $)'lit*irls l.rtl llltrt'k cr Stc.'l I'icr, X i ? {l'r"*tr nd/#*rrr:ret'e ^tys;terrr rt'ith I.*ngitnclin*l Stirbilization !.#.p***" -.fi - Xi $ruel G::uurrrl fiYstenn J,' 7 Bnihl tn Ilnsittrlinnl 'Surlilizatitxt I -'-. t rFix. rUl \lilxl Zoncs ti*'- Irt,-hrdirrg F'lt'ridt" -{hft} flE lo,fln EXOrillBflG lnc.1l {.lrH) 31{-0frn a ffi?g''Hffibffi RESOURCES APPLICATIONS DESIGNS & CoNTROLS, tNC. 545&A W. CRENSHAW STREET TAMPA FL 33634 TELEPHONE: (813) 243{370 TELECOPIER; (813) 243-tOt4 \,{ti RAIrcO TEST REFURT- Test Report RAD-3461 Project No. F-4308 Tie-Down Engineering Xi 2 Total Support System WindZone I Transverse and Longitudinal Foundation Systems By RAI}CO f.oFEfiis$ Prepared by: ngton, P.E. President RADC() rcports arc tr drs cxclusive use of the client to rvhom &cy art addrsscd. Permission is granrcd io rcproducc thts rcpon providcd it is rclproduccd in irs cntirety. '[hc usc of thc namc RADCO. (Resourccs, Applications. D(signs and Cmrrols. lnc.) in rny advcrtising or rclatcd msrerinl nrusr recoive prior wqgnfl$elal tiom RAICO. R6pottl rpply ortly to samplcs tcsted at thc timc of similar products. . This repon contaim con{idctttid informatim Resources, Applications, Designs and Controls, lnc. Listing and Testing Division 32208.59th Street d,! TSI:E: of the ad<lesset l::S;;i:'. h,g"*-.*i ', R. F. TUf[,1r_ .rl5 ,5-$ffiik* i. *ffiisEttlcfNcEt{ | Sl.- .tZ E --St i .: N0. 26070 B.F. TTJCKER E[.IGI}GER NO. ffi-.r.r"'% -* f RAYfi-orfD F. I A EL rucrEn Long Beach, CA Ph:562-272- \? 1z,Ft G6f f_i?iitntl ffiz)' ci'lY otl ;:-'I{EXBTIRG Atn( riats Fami Iy Couliltunil y August 12,2013 Madison School District #321 60 West Main Rexburg, ID 83440 Attention: Varr Snedaker Re: #13 00265 Conditional Use Permit - Madison School Distict #321 Establishing permanent locations for temporary mobile modular buildings to be used as classrooms or administrative space at the following locations: Madison High School at2300 University Blvd, MadisonJunior High School at134 Madison Avenue, Madison Middle School at 575 West 7ft South, Adams Elementary School ^t710 Notth2"d Easg Lincoln Elementary School at 358 East 2"d South, and I(ennedy Elementary School at 60 South 5ft West. Dear Mr. Snedaker, Enclosed is the Conditional Use Permit document regarding mobile modular buildings, as per the Conditional Use Permit approval given at the August 7 , 201.3 Rexburg City Council meeting. Please keep this document for your records. Please call if you have any questions or if we can assist you further. Thank you. Elaine McFerin Planning & Zonng Coordinator City of Rexburg Plannitzgdz Zming CiA nJllexbtlrgt5 Nonh ln Ea:t. Rexbury ID 8)440 Phone: 208. 3 59. 3020 Fax 208. i 5 9. )022 ci'LY ot' REXBURG A tnc r i c a\ kr m i ly Co trt ttut ni t y CONDITIONALUSE PERMIT City of Rexburg Department of Community Development 35 Noth 1" East, Rexburg, ID 83440 Phone: Q08) 359-3020 Pennit # 13 00265 Proiect Name: Madison School Disttict - Conditional IJse Petmit Site Address: 1. Madison High School at 2300 University Blvd 2. MadisonJunior High School at'1.34 Madison Ave 3. Madison Middle School at 575 West 76 South 4. Adams Elementary School at1.'1.0 North 2"dBast 5. Lincoln Elementary School at 358 East 2"d South 6. I(ennedy Elementary School at 60 South 5d West The Conditional Use Permit establishes peffianent locations fot temporary mobile modular buildings to be used as classtooms ot administrative space. Each individual structute will be evaluated by City of Rexburg staff for approvals of up to a maximum of two Q) yexs. The attached photo maps show each possible building location, as ptesented to the Rexburg City Council on August 7,2073. Pdnt Name ,"?'A,;t i ztt ,5, llf mDtn PP Signature ls Date Issued: 8/P/mB Issued By elainem Madison Middle School ronuur" classrooms (remporary Structures) Adams School oonuule classrooms(Temporary Structures) Madison Junior High School Portable Classrooms (Temporary Structures)\\trEilE Kennedy School ronuu,. classrooms (Temporary Structures) L inc o ln S cho o I portable classrooms (Temporary structures)