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Home My WebLink AboutAPPLICATION - 17-00229 - 470 Physical Plant Way - BYUI Operations Building - AC InstallationCITY OF REXBURG Americas Family Community Building Safety Department City of Rexburg 35 North 1St East Rexburg, Idaho 83440 COMMERCIAL REMODEL/TENANT IMPROVEMENT APPLICATION CHECKLIST The following items should be completed before you submit your building permit application. *Reasonable accommodations will be made upon request. Submit the Following Documents: ❑ 3 sets of building plans - stamped by a licensed professional. Include the following as applicable ❑ Foundation Plan, Floor Joist Layout Floor Plan, Roof Layout, Truss Details, Sectional Views, Front Back, and Side Elevations, Mechanical Layout, Stair Details, and any details required to illustrate special construction. ❑ Electrical panel layout and calculations included with building plans. ❑ Exterior Lighting Plan including photometric layout. ❑ Structural Calculations (if applicable) -stamped by a licensed Engineer ❑ Digital Plans (PDF Format- can be submitted by USB, CD, or Dropbox) ❑ **Copies of any Contractors' State License if not on file already. Complete the Following Forms ❑ Permit Policies Acknowledgment signed ❑ Building Permit Application signed by a registered General Contractor ❑ Mechanical Permit Application signed by a registered Mechanical Contractor ❑ Electrical Permit Application signed by a licensed Electrical Contractor ❑ Plumbing Permit Application signed by a licensed Plumbing Contractor ❑ Fire Alarm Permit Application (if applicable) signed by a registered professional ❑ Fire Sprinkler Permit Application (if applicable) signed by a registered professional ❑ Subcontractor list filled out ❑ Affidavit of Legal Interest signed by owner ❑ Notifications Distribution List ❑ Business Use Summary Completed Subdivisions: If you plan to build in a subdivision please check the Rexburg Development Code for any requirements such as property setbacks, architecture board approval, etc. This information is available at httl2;1/rexburg.org/12ages/development-code. Inspection Hodine - (208) 372.2344 v .rexburg.org Permit Technician -(208)372.2341 Revised 10/2016 CITY OF REXBURG Americas Family Community PERMIT POLICIES ACKNOWLEDGMENT Building Safety Department City of Rexburg 35 North 15C East Rexburg, Idaho 83440 The City of Rexburg Building Safety Department is determined to provide excellent customer service. In an effort to help you understand the City of Rexburg Permit Policies, listed below are several policies which you are required to know prior to proceeding with your project. Any construction within the City of Rexburg which requires a permit shall not begin until an approved permit is obtained. If you do not have a Pink Building Permit signed by the Building Inspector, then you do not have an approved permit. FDG o Building without the pink building permit signed by the Building Inspector will result in double fees to be assessed and the project to be red tagged. If your project is red tagged, halting all construction, only a City Initials Official may remove the red tag. If the red tag is removed by anyone but a City Official, citations may be issued. No building may be occupied without receiving a signed Certificate of Occupancy. FDG o If a building is occupied without receiving a signed Certificate of Occupancy, citations may be issued and the occupants may be evicted. Initials Scheduling inspections is the responsibility of the applicant and their contractor. Inspections need to be called into the hotline and not to the inspector. Inspections called in later than 8 AM will be scheduled for the following business day. o If an inspection is not done, the inspector may require any measures to betaken to allow him to correctly FDG perform the inspection. (Example: If the electrical rough in inspection is not done and the sheetrock has been Initials put up, the inspector may require the sheetrock to be removed in order to perform the electrical rough in inspection.) Construction on any project can begin ONLY when you have received a Pink Building Permit from the Building Department. Occupancy of any structure can begin ONLY when you have received an official Certificate of Occupancy from the Building Department. These documents must be signed by the appropriate authorities from the City of Rexburg. Any approvals can be verified by calling (208) 372-2341. FDG o Even if you hear from an inspector that 'you're good to go', ultimately if you do not have a Building Permit or Certificate of Occupancy, the above policies will be enforced. Initials It is your responsibility to inform anyone on your project of the above policies. All sub -contractors will be held to this standard with no exceptions. FDG o The above policies will be enforced to all, regardless if this information is passed on to them or not. initials Applicant's Name (print): F. David Gay Signature: Date: 03/03/2017 Inspections must be called In before 8 AM on the day the inspection Is requested. Inspection requests called in after 8 AM will be scheduled for the next business day. Inspection Hotline -(208)372.2344 www.rexburg.org Permit Technician -(208)372.2341 Revised 10/2016 CITY OF REXBURG BUILDING PERMIT FORM 2O1 th+ up".410/2016 Amerfca's Family Community BUILDING APPLICATION Commercial Remodel Building Safety Department City of Rexburg 35 North 1S1 East Rexburg, Idaho 83440 For Office Use Permit Number: 17-002Z� Application Fee: $100 1. Property Owner Name: BYU-Idaho Address: 470 South Physical Plant Way City: Rexburg State: ID Zip Code: 83460 Phone: (208) 496-2667 Email: gayddbyui.edu 2. Applicant Name: BYU-Idaho Role: (Owner, Tenant, Contractor, etc.) Owner/Contractor Address: 470 South Physical Plant Way City: Rexburg State: ID Zip Code: 83460 Phone: (208)496-2667 Email: cwyf(obyui.edu Contact/Rep. Name: David Gay 3. General Contractor Under Idaho Building Code, a registered contractor must do the workfor a Commercial Building. Name: BYU-Idaho Registration #: n/a Exp.: Address: 470 South Physical Plant Way City: Rexburg State: ID Zip Code: 83460 Phone: (208)469-2667 Email: aavf(d)bvui edu Contact/Rep. Name: John Reed Phone: (208) 496-2513 Email: ree 'o(a.byui.edu General Contractor Authorized Signature __ Date: (d - A copy ofyour state registration/license is requ d to be on file. If this is the first timeyou have done work in the City of Rexburg, pleasejjrovide a photo copy ofyour license. Ifyou are unsure ifyour license is on file, please check with the Permit Technician by calling (208) 372-2341. 4. Project Description Address: University Operations Building - 470 South Physical Plant Way, Rexburg, ID 83460 Description of Work: UO 205 A/C Installation Project Description: • Total cost of project -materials and labor: $ 17,200 • Check all that apply: ® Mechanical: Cost $ 4,780 ® Electrical: Cost $ 4,809 I] Plumbing: Cost $ E3 Fire Alarm: Cost $ 8 Fire Sprinkler: Cost $ Note: Any contractors involved will need to fill out their respective application. • Change of Occupancy? ® No (3 Yes: New occupancy: Building Permitfees for commercial construction are charged based on square footage and the City's estimated valuation. The application fee applies toward the fee total For details on how fees are calculated, contact the Building Department. There will also be a plan review fee totaling 10% of the building permitfee. APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, I hereby certify that l have read this application and state that the Information herein Is correct and I swear that any Information which may hereafter be given by me in hearings before the Planning and Zoning Commission or the City Council for the City of Rexburg shall be truthful and correct I agree to comply with all City regulations and State laws relating to the subject matter of this application and hereby authorized representatives of the City to enter upon the above-mentioned property for Inspections purposes. NOTE: The building official may revoke a permit on approval Issued under the provisions of the 2012 International Code In cases of any false statement or misrepresentation of fact in the application or on the plans on which the permit or approval was based. Permitvoidifnot started within 180 days. Permit Vold If work stops for 180 days. Applicant's Name (print): F. David Gay Signature: Date: 03/03/2017 Inspections must be called in before a AM on the day the inspection Is requested. Inspection requests called in after SAM will a scheduled for the next business day. Inspection Hotline - (208) 372.2344 www.rexburg.org Permit Technician - (208) 372,2341 CITY OF j :XBURG BUILDING PERMITFORM 21� OW Uodand1012016 America's Family Community BUILDING APPLICATION Commercial Mechanical Building Safety Department City of Rexburg 35 North 1St East Rexburg, Idaho 83440 For Office Use Permit Number: Mechanical Fees Paid ❑ 1. Property Owner Name: BYU-Idaho Address: 470 South Physical Plant Way city: Rexburg State: ID zip Code: 83460 Phone: (208) 496 2667 Email:_ gavf(abvui.edu 2. Mechanical Contractor Under Idaho Building Code, a registered contractor must do the work for a Commercial Building, Business: BYU-Idaho HVAC Services State License #: Exp.: Address: 470 South Physical Plant Way city: Rexburg State: ID zip code: 83460 Phone: Email: Contact/Rep. Name: Sam Merrick Phone: (208) 469-2570 Email: merricks(cD_byui.edu Mechanical Contractor Authorized Signature: Date: 37-1'7 A copy ofyour state registration/license is required to be on file. l is is the first timeyou have done work in the City of Rexburg, please provide a photo copy ofyour license. Ifyou are unsure ifyour license is n file, please check with the Permit Technician by calling (208) 372-2341. 3. Project Description Address: University Operations Building - 470 South Physical Plant Way, Rexburg, ID 83460 Description of work: UO 205 A/C Installation ❑ Project Cost: $ 4,780 • Fees for commercial projects are charged by cost: o First$10,000=2%+$60. From $10,000to$100,000=1%+$260.Above $100,000=.5%+$1,160, i.e. Work costing $15,000 will be charged $260 for the first $10,000 and 1% of the remaining $5,000 = $260 + $50 = S'310 total fe • There will also be a plan review fee totaling 10% of the above fee. APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, I hereby certify that l have read this application and state that the Information herein Is correct and I swear that any information which may hereafter be given by me In hearings before the Planning and Zoning Commission or the City Council for the City of Rexburg shall be truthful and correct I agree to comply with all City regulations and State laws relating to the subject matter ofthis application and hereby authorized representatives ofthe City to enter upon the above-mentioned property for inspections purposes, NOTE: The building official may revoke a permit on approval Issued under the provisions of the 2012 International Code in cases of any false statement or misrepresentation of fact in the application or on the plans on which the permit or approval was based. Permit void float started within 1BO days. Permit void if work stops for 180 days. Applicant's Name (print): F. David Gay Signature: Date: 03/03/2017 Inspections must be called in before B AM on the day the inspection Is requested. Inspection requests called in after 8 AM will be scheduled for the next business day. Inspection Hotline - (208) 372.2344 www.rexburg.org Permit Technician - (208) 372.2341 0 C I TY OF REXBURG America's Family community BUILDING PERMIT FORM 22� updaua 10/2016 F2201 APPLICATION Commercial Electrical Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 For Office Use Permit Number: Electrical Fees Paid ❑ 1. Property Owner Name: BYU-Idaho Address: 470 South Physical Plant Way City: Rexburg State: ID Zip Code: 83460 Phone: (208) 496-2667 Email: QayfCcDbyui.edU 2. Electrical Contractor Under Idaho Building Code, a registered contractor must do the work for a Commercial Building. Business: BYU-Idaho Electrical Services State License #: Exp.: Address: 470 South Physical Plant Way city: Rexburg State: ID Zip code: 83460 Phone: Email: Contact/Rep. Name: Steve Price Phone: ne; 208 469-2540 Email: Electrical Contractor Authorized Signature: / _ Date: A copy ofyour state registration/license is required to be on file. If this is the first time you have done work in the CityofRexburg, please provide a photo copy ofyour license. Ifyou are unsure ifyour license is on file, please check with the Permit Technician by calling (208) 372-2341. 3. Project Description Address: University Operations Building - 470 South Physical Plant Way, Rexburg, ID 83460 Description of work: UO 205 A/C Installation ❑ Project Cost: $ 4,809 • Fees for commercial projects are charged by cost: 0 First $10,000 = 2416 + $60. From $10,000 to $100,000 = 1996 + $260. Above $100,000 =.5916 +$1,160. i.e. Work costing $15,000 will be charged $260 for the first $10,000 and 19k of the remaining $5,000 = $260 + $50 =$'310 total fe • There will also be a plan review fee totaling 10% of the above fee. APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, I hereby certify that l have read this application and state thatthe information herein is correct and I swear that any Information which may hereafter be given by me In hearings before the Planning and Zoning Commission or the City Council for the City of Rexburg shall be truthful and correct 1 agree to comply with all City regulations and State laws relating to the subject matter of this application and hereby authorized representatives of the City to enter upon the above-mentioned property for Inspections purposes. NOTE: The building official may revoke a permit on approval Issued under the provisions of the 2012 International Code in cases ofany false statement or misrepresentation of fact in the application or on the plans on which the permit or approval was based. Permitvoldifnot started within 180 days. Permit void if work stops for 180 days. Applicant's Name (print): F. David Gay Signature: Date: 03/03/2017 Inspections must he called In before 8 AM on the day the Inspection Is requested. Inspection requests called In after 8 AM will be scheduled for the next business day. Inspection Hotline - (208) 372.2344 www.rexburg.org Permit Technician - (208) 372.2341 pE%a Uq CITY OF `^ REXBURG Americas Family Community SUBCONTRACTOR LIST Excavation & Earthwork: N/A Concrete: N/A Masonry: N/A Roofing: BYU-Idaho Carpentry Services; Greg Edwards Insulation: N/A Drywall: N/A Painting: BYU-Idaho Auxiliary Maintenance Services; Doug Sorensen Floor Coverings: Plumbing: N/A Heating: BYU-Idaho HVAC Electrical: BYU-Idaho Electrical Roof Trusses: N/A Sam Merric Steve Price Special Construction (Manufacturer or Supplier) Floor/Ceiling Joists: N/A Siding/Exterior Trim: N/A Other: BYU-Idaho University Security & Safety; Thomas Moore Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 Inspection Hotline -(208)372.2344 w .rexburg.org Permit Technician -(208)372.2341 Revised 10/2016 oQ pE%BUgC CITY OF ° REXBURG America's Family rommunily DISTRIBUTION LIST Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 Please provide the names and emails of anyone who should begetting automated updates for this project: Review Notes Name: F. David Gay Name: e -Builder Name: Name: Name: Inspection Tickets Name: John Reed Name: e -Builder Name: Name: Name: Email: 9ayf@byui.edu Email: BCTR_and HRT Lockers.A - Inbox@docs.e-builder.net Email: Email: Email: Email: reedjo@byui.edu Email: BCTR—and—HRT—Lockers.A---Inbox@docs.e-builder.net Email: Email: Email: Inspection Hotline -(208)372.2344 www.rexlmrg.org Permit Technician -(208)372.2341 Revised 10/2016 C IT Y OF REXBURG tw Anrenm's Fancily Cu,nmanity BUSINESS USE SUMMARY Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 The following questions will help speed the review process along. Please take the time to answer all of them. Is this business occupying an existing building? ® Yes O No Will the business be doing any structural/or remodeling changes to the building? ® Yes O No Any changes to the electrical? ® Yes O No Any changes to the plumbing? O Yes ® No Any changes to the mechanical system? ® Yes O No Is the business type changing? O Yes, it will change to O No Is this business changing ownership? Is the business registered with the City of Rexburg? m Yes, License #: *If No, please apply for a business license with the Customer Service Dept. 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 sumps or floor drains in the facility? Will the business have any chemicals on site? 6 (208) 496-2667 03/03/2017 Applicants Signature Phone Date O Yes p No O No O Yes m No O Yes p No 11 Yes ONo O Yes O No O Yes 0 No O Yes p No I certify that the information that I have provided above is to the best of my knowledge accurate and true. Inspection Hotline—(208)372.2344 www.rexburg.org Permit Technician—(208)372.2341 Revised Mar ch, 2016 AFFIDAVIT OF LEGAL INTEREST State of Idaho ) ss. County of Madison The undersigned, being first duly sworn, 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; B. that the University is the record owner of the property described in the Application; and, C. 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: Friday, Mar 3, 2017 Subscribed and sworn to before me the day and year first above written. QQ q AR 2G Notary Public P ��G • 0 Residing at: P� Pa�"T"S , UB Z d';' •....... '` My commission expires: VA0/7