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Home My WebLink AboutAPPLICATION - 17-00335 - 1069 Summers Dr - OfficesCITY OF REXBURG ry, Americas Family Community Building Safety Department City of Rexburg 35 North 1st East COMMERCIAL APPLICATION CHECKLIST Rexburg, Idaho 83440 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 site plans drawn to scale (see Site Plan Checklist) ❑ 3 sets of building plans (see box below to right) -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 (see box below) - stamped by a licensed Engineer ❑ Energy Compliance Report: As per the 2012 IECC, a COMCheck is required (available online at www.energycodes.govl ❑ 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 ❑ Site Plan Checklist ❑ Permit Policies Acknowledgment signed Seismic Design Category- D (unless soil evaluation confirms category C) Ground Snow - 50 lbs. per sq. ft. Roof Snow Load - 35 lbs. per sq. ft. Wind Load - 90 MPH Frost Depth - 36" ❑ Property Line form 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 o 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://rexburg.org/12ages/develoi2ment-code. Inspection Hotline -(208)372.2344 www.rexburg.org Permit Technician -(208)372.2341 Revised 10/2016 CITY OF REXBURG America's Family Community SITE PLAN CHECKLIST Building Safety Department City of Rexburg 35 North 15t East Rexburg, Idaho 83440 ❑ 1 Site plan must be drawn to scale, be legible and also be submitted electronically if possible. ❑ 2. Adjoining streets labeled. ❑ 3. Right-of-way location and width, curb to curb widths and sidewalk location. ❑ 4. Building location, sq footage and dimensions, with distance to property lines and distances between buildings. ❑ 5. Show existing and proposed easements. ❑ 6. Existing utilities (waterlines, sanitary sewer lines, manholes, storm drains). ❑ 7. Proposed utilities including tie in location to existing services and new easements. ❑ B. Proposed storm drain and sanitary sewer elevations (for pipe inverts at manholes and catch basins). ❑ 9. Storm drainage plan for parking lot and roof areas, with calculations. ❑ 10. Fire hydrants and fire suppression lines (including tie to City lines). ❑ Sprinkled ❑ Not Sprinkled ❑ 11. Indicate Fire apparatus access ❑ 12. Parking (including parking lot, drainage arrows, dimension of lot, distance between rows, and total numbers). ❑ 13. Landscaping (type and total area, including dimensions). ❑ 14. Trash facilities. ❑ 1 Dumpster per 20 doors (non -dormitory) ❑ 1 Dumpster per 50 beds (dormitory) ❑ 15. North Arrow Included ❑ 16. Proposed street improvements (curb, gutter, sidewalk, pavement, etc.) ❑ 17. Legal description of proposed building site included. ❑ 18. Percent of lot covered by building or paving calculated. ❑ 19. Show 10% snow storage area. ❑ 20. Distance of entrances from street corner indicated. ❑ 21. Current Vicinity Map. (8 1/2 x 11") at 1" = 300' scale, showing location of the property. ❑ 22. Lighting Plan SITE PLANS MUST BE COMPLETE AND SUBMITTED FOR REVIEW BEFORE THE PROJECT WILL BE PLACED ON THE PLANNING & ZONING AGENDA. Inspection Hotline—(208)372.2344 www.rexburg.org Permit Technician—(208)372.2341 Revised 10/2016 C I TY OF REXBURG rn� Americas Family Community PERMIT POLICIES ACKNOWLEDGMENT Building Safety Department City of Rexburg 35 North 1st 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. 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 In als 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. o If a building is occupied without receiving a signed Certificate of Occupancy, citations may be issued and the occupants may be evicted. Initr Is 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 be taken to allow him to correctly perform the inspection. (Example: If the electrical rough in inspection is not done and the sheetrock has been al: 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. 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. itials 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. 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): C_ I ' ow� Signature: lDate: 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. I nspection Hotline -(208)372.2344 www.rexburg.org Permit Technician -(208)372.2341 Revised 10/2016 Cl T Y OF REXBURG en, Americas Family Community PROPERTY LINES Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 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 correctly 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 structures and all utility lines. The Developer should find property 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 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 parcel line layer that can be checked, but they are only a tool and are not guaranteed for accuracy. If you want to request a copy of your lot, see the front counter at the Community Development Department. 1 have read and understand the above requirements. J Z 6)-k 4 Si ture n U • ice` Pri ed Name � 21.2017 Date Inspection Hotline -(208)372.2344 www.rexburg.org Permit Technician -(208)372.2341 Revised 10/2016 C I TY OF 1�XB BUILDING PERMIT FORM 200 ow Updated 10/206 America's Family Community BUILDING APPLICATION New Commercial Building Building Safety Department City of Rexburg 35 North 1ST East Rexburg, Idaho 83440 For Office Use Permit Number: Zoning: Application Fee: ❑ $1000/Building 1. Property Owner Name: A. R.A�,IQ ws1604 Address: N f1 6_ City: zlc-t6 t State: J) Zip Code: 93 y Phone:a0U , 35 l . lO l l7 Email: R W1 . FIOG LSO Ik G 141 L, GO r^'t 2. Applicant 0 Name: J 3 . . Kh� ('ANS non lag e LL r— Role: (Owner, Tenant, Contractor, etc.) G /V7W r—VP_ Address: 900 VI,57'A .4V�_City: O�"UaA State: I1 Zip Code: "9qD Phone: aV13 • `l1 le , Z3 71+ Email: _41RvD �IiK.hC/YVSry.. C"0A . com Contact/Rep. Name: YAEEQ 3. General Contractor Under Idaho Building Code, a registered contractor must do the work for a Commercial Building. Name: S. 3. KAY CV14S rRUP7-10A/, LL G Registration #: I2GE' 3 S09S Exp.: 031,75_12VI 8 Address: 1515' VISTA 4%/F— City: 2F_X (We -Q1 State: In Zip Code: - F3-3 4 y to Phone: 7-09 . -11 Le, 7-2)7H Email: Contact/Rep. Name: ITAILE 0 Phone: —I11F-Z/37N Email:JAUO .1G1Uya7rusM%)4;M01d GO General Contractor Authorized Signature: � • !� Date: le J T/ 7 A copy ofyour state registration/license is required o eon file. if this is the first of you have done work in the City of Rexburg, please provide a photo copy ofyour license. Ifyou are unsure ifyou cense is on file, please check with the Permit Technician by calling (208) 372-2341. 4. Project Description Address: 10LPq sornrvtiy �2 , Project Description: tt • Square footage: ye& Lia e 1nra4r Itct s +, S'� t C I • Total cost of project - materials and labor: $ • Check all that apply: ❑ Mechanical: Cost $ ❑ Electrical: Cost ❑ Plumbing: Cost $ ❑ Fire Alarm: Cost $ ❑ Fire Sprinkler: Cost $ Note: Any contractors involved will need to fill out their respective application. • Number of Dumpsters: _ Estimated Delivery Date: _ Number of Pickups: • Other Comments (if any): 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 permit fee. APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, I hereby certify that I have read this application and state that the information herein is correct and 1 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 shal I 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 ofthe 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 if not started within 180 days. Permit void if work stops for 180 days. Applicant's Name (print):SA"O Q r �� Signature: le 9 X a Date: b- A% 20/ Inspections must be called in before 8 AM on the day the inspection is requested. InspexVn requests called in after 8 A A will be scheduled for the next business day. Inspection Hotline - (208) 372.2344 www.rexburg.org Permit Technician - (208) 372.2341 CITY OF ,G BUILDING PERMIT FORM 210 CUA uaaam 1012016 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��11 Name: r� Address: S43 /d. LiCV0l� 26ICC% / City: 6)( State: IZipCode: Z Phone: ;_2779.3 -TI- IOiO Email: rand ,Cohk.504 01 4VVAIL�.GOr1 2. Mechanical Contractor Under Idaho Building Code, a registered contractor must do the work for a Commercial Building. Business: r(%X�Ou, V�W"k\ -t- fi-Aic" State License #: I t-{ I to Exp.: Address: City: State: Zip Code: Phone: Email: Contact/Rep. Name: Phone: Email: Mechanical 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 City of Rexburg, please provide a photocopy 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: Description of work: ❑ Project Cost: $ • Feesfor commercial projects are charged by cost: 0 First$10,000 = 2% + $60. From $10,000 to $100,000 = 1% + $260. Above $100,000=.5a/+$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 = $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, l 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 mein 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 ofthe Cityto 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 if not started within 180 days. Permit void if work stops for 180 days. Applicant's Name (print): Date: 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) 3 72.2 344 www.rexburg.org Permit Technician - (2 08) 372.2341 C IT Y OF REXBURG BU[LDINGPERMITFORM ZZO t� upeam i 10/2016 Amerm ua Family community BUILDING 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: A. po"D RAQI609 Address: .50�3y L40X f%_ City: 1Z 1� State: �1 Zip Code: 1) e4 Phone: .2 t9A. 351 . 10'70 Email: Rhyjf) r JZC701SON e 6^4it. Co -i 2. Electrical Contractor Under Idahg Building Code, a regist red contractor must do the work for a Commercia uilding. Business L=0XIl2 FZ>yv State rLicense #: 2YExp.: 1 c Address: �1`l� City: 1�-C:_^ State: Zip Code: Phone: q Email: Contact/Rep. Name: � Ph ne: � Z0 Email: Electrical Contractor Authorized Signature: �1n�^ Date: Zd� A copy ofyour state registration/license is required to be on file. If this is the first time you have done work in the City of Rexburg, 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: Description of work ,RProjectCost:$._4 • Feesfor commercial projects are charged by cost: o First $10,000 = 2% + $60. From $10,000 to $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 = $310 total fee • There will also be a plan reviewfee totaling 10%ofthe abovefee. 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 1 swear that any information which may hereafter be given by mein 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 ofthe 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 ifnot started within 180 days. Permit void if work stops for 18\`0 days. // �/� Applicant's Name (print): ��,Jek !�� AV,4,a \ Signature:6-- bV Inspections must be called in before 8 AM on the day the inspection is requested. Inspection requests called in after 8 AM will he scheduled for the next business day. Inspection Hotline - (208) 372.2344 www.rexburg.org Permit Technician - (208) 372.2341 1, e -&"I, Ryo 0. B0g�J9 7� CITY OFF REXBURG BUILDING PERMIT FORM 23O CIA Updaud 1012016 Amencn's Family Community BUILDING APPLICATION Commercial Plumbing Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 For Office Use Permit Number: Plumbing Fees Paid ❑ 1. Property Owner Name: A. )24mo 1Zl'1Sii50A-1 Address: City: State: Zip Code: Phone: Email: 2. Plumbing Contractor Under Idaho Building Code, a registered contractor must do the work for a Commercial Building. Business: QC%%>ti pliwk + {'1'"eycH State License#: );4779 Exp.: Address: ✓ City: State: Zip Code: Phone: Email: Contact/Rep. Name: Phone: Email: Plumbing Contractor Authorized Signature: Date: - A copy of your state registration/license is required to be on file. If this is the first time you have done work in the City of Rexburg, 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: Description of work: ❑ Project Cost: $ • Fees for commercial projects are charged by cost: o First$10,000 = 2% + $60. From $10,000 to $100,000 = 1% + $260. Above $100,000 =.5% +$1,160. i.e. Work casting $15,000 will be charged $260 far the first $10,000 and 1 % of the remaining $5,000 = $260 + $50 = $310 total fee • There will also be a plan review fee totaling 10916 of the above fee. APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, l hereby certify that 1 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. 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 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 ifnot started within 180 days. Permit void if work stops for 180 days. Applicant's Name (print): Signature: Date: 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 C IT Y OF REXBURG Americds Family Community SUBCONTRACTOR LIST Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 Excavation & Earthwork: KAt7IF,2 0061 1906TWAI 35-1- 0001 Concrete: C0/1 ce cm I oe'lf' S 3 -5-1 - q 17 Masonry: JM 1 tvTJOiIZy Roofing: L5 VY\ G Insulation: 40VAI6JFA 114, iL47 Drywall: NAVt 5 nayU/ALL Painting: S ISA fLA`S P)ZO PAIA17T Floor Coverings: L) -W 1lr(,IZ 4L r�ljgo ) Plumbing: PLl9W\Z Heating: Electrical: l �C-✓iG �� %1/��%7L1 C Special Construction (Manufacturer or Supplier) Roof Trusses: SNA - f jZ%�Yre J JZ V 5 S Floor/Ceiling Joists: e) M e— Siding/Exterior Trim: Mw/uT.A-m )ZDVEC, 1�YV11% Other: Inspection Hotline -(208)372.2344 w .rexburg.org Permit Technician -(208)372.2341 Revised 10/2016 CITY OF REXBURG CIW- Americas Family Community 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 Io No Will the business be doing any structural/or remodeling changes to the building? ❑ Yes X No Any changes to the electrical? ❑ Yes q) No Any changes to the plumbing? [:]Yes No Any changes to the mechanical system? ❑ Yes $f No Is the business type changing? o Yes, it will change to sn No Is this business changing ownership? [:]Yes K No Is the business registered with the City of Rexburg? C1 Yes, License #: SI No *If No, please apply for a business license with the Customer Service Dept. Will the business have food preparations? ❑ Yes XTNo Will there be any cooking of foods? ❑ Yes A No Will there be any deep fat frying? ❑ Yes V No Will you have food disposal on site? ❑ Yes X No Will there be sumps or floor drains in the facility? S Yes IT No Will the business have any chemicals on site? ❑ Yes )(No Y ao - ►1� �Z37�/ �. I9, � 7 App icants Signature Phone Date 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 March, 2016