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HomeMy WebLinkAboutAPPLICATION - 17-00283 - 470 Physical Plant Way - BYUI - Hinckley RemodelCITY OF REXBURG OW Ameriwd 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, F/oorjoist 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. E3 Electrical panel layout and calculations included with building plans. ❑ Exterior Lighting Plan including photometric layout. 9 Structural Calculations (if applicable) - stamped by a licensed Engineer ❑ Digital Plans (PDF Format- can be submitted by USB, CD, or Dropbox) 13 "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 G 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 h_tt p•//rexburg org/pages/d velopment-code. Inspection Hotline -(208)372.2344 www.rexburg.org Permit Technician -(208)372.2341 Revised 10/2016 C I T Y O F REXBURG tw America's Family fbmmunity 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. 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 be taken 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: 05/10/2017 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.rexb"rg.org Permit Technician -(208)372.2341 Revised 10/2016 CITY OF REXBURG CV Ameriais Family Community BUILDING PERMIT FORM 201 updatm 10/2a16 BUILDING APPLICATION Commercial Remodel Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 For Office Use Permit Number: Application Fee: ❑ $100 1. Property Owner Name: BYU-Idaho Address: 470 South Physical Plant Way City: Rexburg State: ID Zip Code: 83460 Phone: (208) 496-2510 Email: clarkw byui 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: gaayf(@.bvui.edu Contact/Rep. Name: David Gay 3. General Contractor Under Idaho Building Code, a registered contractor must do the work for a Commercial Building, Name: BYU-Idaho Registration #: n/a Exp.: Address: 470 South Physical Plant Way City: Rexburq State: ID Zip Code: 83460 Phone: (208) 469-2667 Email: aavf(a)bvui edu Contact/Rep. Name: John Reed PhoneQ0 51 Em reedjoDbyui edu General Contractor Authorized Signature: Date: 05/10/2017 Acopy ofyourstate regis[ration/license is requi dto eonfile, Ifthis istheffrsttimeyouhave done work inthe City ofRexburg,please provide a photo copy ofyour license. Ifyou are unsure ifyour cense is on file, please check with the Permit Technician by calling (208) 372-2341. 4. Project Description Address: Gordon B. Hinckley Building - 488 South 2nd East, Rexburg, ID 83460 Description of Work: Hinckley 307. 309 & 310 Remodel Project Description: • Total cost of project - materials and labor: $ 51,300.00 • Check all that apply: ® Mechanical: Cost $ 950.00 ® Electrical: Cost $ 7,228.00 ❑ Plumbing: Cost $ ® Fire Alarm: Cost $ 200.00 ® Fire Sprinkler: Cost $ 4,240.00 Note: Any contractors involved will need to fill out their respective application. • Change of Occupancy? ® No ❑ Yes: New occupancy: Building Permitfeesfor 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 howfees 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 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. Permitvoldifnot started within 180 days. Permit void if work stops for 180 days, Applicant's Name (print): F. David Gay Signature: Date: 05/10/2017 Inspections must be called In before 8 AM on the day the inspection is requested. Inspection requests called in after 8 QM will 8 M will bhe next business day. Inspection Hotline -(208)372.2344 www.rexburgorg II Permit Technician -(208)372.2341 CITY OF REXBURG tly America Family Community BUILDING PERMIT FORM 21� updated 10/2016 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) 496-2510 Email: clarkw(d)byui 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) 469-2.57 Email: merrlcks Gn-byul.edu Mechanical Contractor Authorized Signature: "'fie Date: 05/10/2017 A copy ofyour state registration/license is required to be on file. his 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: Gordon B. Hinckley Building - 488 South 2nd East, Rexburg, ID 83460 Description of work: Hinckley 307, 309 & 310 Remodel ❑ Project Cost: $ 950.00 • Fees for commercial projects are charged by cost: 0 First $10,000=2%+$60.From $10,000to$100,000=146+$260.Above $100,000=.546+$1,160. i.e. Work costing $15,000 will be charged $260 for the first $10,000 and 146 of the remaining $5,000 = $260 + $50 = $310 taial f • 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 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 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 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): F. David Gay Signature: Date: 05/10/2017 Inspections must be called in before a 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 Techniclan - (208) 372.2341 C I TY OF REXBURG Ameriwn Family Community BUILDING PERMIT FORM 220 Upda6 10/2016 Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 BUILDING APPLICATION Commercial Electrical 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 2510 Email: clarkw @byui.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: 208 4 9-2540 Email: prices(c)byui.edu Electrical Contractor Authorized Signature: Date: 05/10/2017 A copy ofyour state registration/license is required to be on file. If this 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 on file, please check with the Permit Technician by calling (208) 372-2341. 3. Project Description Address: Gordon B. Hinckley Building - 488 South 2nd East, Rexburg, ID 83460 Description of work: Hinckley 307 & 309. & 310 Remodel ❑ Project Cost: $ 7,228.00 • 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 costing $15,000 will be charged $260 for the first $10,000 and 1 % of the remaining $5,000 = $260 + $50 = S310 total fe • There will also be a plan review fee totaling 10% of the above fee. APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty ofperjury, 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 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 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 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. Permitvoid ifnot started within 180 days. Permit void If work stops for 180 days. Applicant's Name (print): F. David Gay Signature: Date: 05/10/2017 Inspections must be called In before 8 AM on the day the Inspection is requested. Inspection requests called in after 8 AM will a scheduled for the next business day. Inspection Hotline - (208) 372.2344 www.rexburg.org Permit Technician - (208) 372.2341 CITY OF REXBURG Amerfmi Family Community BUILDING PERMIT FORM 402 BUILDING APPLICATION Fire Sprinkler Building Safety Department City of Rexburg 35 North 1St East Rexburg, Idaho 83440 For Office Use Permit Number: Fire Sprinkler Fees Paid ❑ 1. Property Owner Name: BYU-Idaho Address: 470 South Physical Plant Way city: Rexburg State: ID Zip code: 83460 Phone: (208) 496-2510 Email: clarkw(a'.byui.edu 2. Contractor Easiness: BYU-Idaho University Security & Safety state License #: Exp.: Address: 102 E Viking Dr; room 150E City; State: Zip Code: Phone: Email: Contact/Rep. Name: Thomas Moore P o e:(208)496-3058 Email: mooret@byui.edu Contractor Authorized Signature: 4 �'� Date: 05/10/2017 A copy ofyourstate registration/license is required to be on file. If thi Y e rst 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: Gordon B. Hinckley Building - 488 South 2nd East, Rexburg, ID 83460 Description of work: Adding two sprinkler heads & lowering existing sprinkler heads Number of Heads:2 ❑ Fire Sprinkler System Cost: $4,240.00 • Fees for fire alarm systems are charge by cost: o First$10,000 =2% + $60. From $10,000 to $100,000 = 1% + $260. Above$100,000=.545+$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 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 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 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. Permltvoidifnot started within 180 days. Permit void if work stops for 180 days, Applicant's Name (print): F. David Gay Signature: Date: 05/10/2017 Inspections must be called In before 8 AM on the day the inspection Is requested. Inspection requests called In after 8 AM will b scheduled for the next business day, Inspection Hotline - (208) 372.2344 www.rexburg.org Permit Technician - (208) 372.2341 Of ptiXB �/,pC qs �a CITY OF REXBURG C Amerimk Family Community Excavation & Earthwork: N/A Concrete: N/A Masonry: N/A Roofing: Insulation: N/A Drywall: BYU-Idaho Carpentry Services SUBCONTRACTOR LIST Painting: BYU-Idaho Auxiliary Maintenance Services Floor Coverings: BYU-Idaho Auxiliary Maintenance Services Plumbing: N/A Heating: BYU-Idaho HVAC Services Electrical: BYU-Idaho Electrical Services Roof Trusses: N/A Floor/Ceiling Joists: N/A Siding/Exterior Trim: N/A Other: BYU-Idaho University Special Construction (Manufacturer or Supplier) & Safety; Thomas Moore Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 Inspection Hotline -(208)372.2344 w W.rexburg.org Permit Technician -(208)372.2341 Revised 10/2016 ` OF 0.E%BURC�i CITY OF REMURG en Amerirds Amity Community DISTRIBUTION LIST Building Safety Department City of Rexburg 3S 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 Email: 9ayf@byui.edu Name: e -Builder Email: HIN_307_309 Remodel.A - Inbox@docs.e-builder.net Name: Email: Name: Email: Name: Email: Inspection Tickets Name: John Reed Email: reedjo@byui.edu Name: e -Builder Email: HIN_307 309 Remodel.A --Inbox@docs.e-builder.net Name: Email: Name: Email: Name: Email: Inspection Hotline -(208)372.2344 w .rexburg.org Permit Technician -(208)372.2341 Revised 10/2016 C IT Y OF REXBURG tw Aniericai Family C3ammunity 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 ❑ No Will the business be doing any structural/or remodeling changes to the building? p Yes ❑ No Any changes to the electrical? m No m Yes ❑ No Any changes to the plumbing? []Yes ® No Any changes to the mechanical system? ® Yes ❑ No Is the business type changing? ❑ Yes, it will change to ONO Is this business changing ownership? ❑ Yes p No Is the business registered with the City of Rexburg? m Yes, License #: ❑ No *If No, please apply for a business license with the Customer Service Dept. Will the business have food preparations? ❑ Yes m No Will there be any cooking of foods? p Yes ONO Will there be any deep fat frying? ❑ Yes m No Will you have food disposal on site? ❑ Yes O No Will there be sumps or floor drains in the facility? ❑ Yes ONO Will the business have any chemicals on site? ❑ Yes p No E (208) 496-2667 05/10/2017 Applicants 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 Per mit Technician -(208)372.2341 Reviscd March, 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, May 10, 2017 Subscribed and sworn to before me the day and year first above written. Notary Pub Residing at. QJr My commission expires: