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Home My WebLink AboutAPPLICATIONS - 16-00559 - 840 N 2nd E #2 - New dance hallCITY OF REXBURG t� America's Family Community BUILDING APPLICATION Commercial/Multi-family Residence Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 For Office Use Digital Plans Included: ❑ CD ❑ USB ❑ Dropbo of Included Permit Number: Permit Type: E]NewlpKremodel ❑ Addition Deposit Amount: ❑ $1000 New Const: ❑ $2S0 Addition ❑ $100 Other Deposit Included with Application: ❑ Yes ❑ No 1. Property Owner Name: d' 15 Address R4D _0 ZNO y atT Z— city: QEXIfoRG State:ZipCode:93yV() Phone & Type: 390' 3306 ❑ Offic�eMobile Email: r ( p t�� mk)1k1V Under Idaho Building Code, a contractor must do the work for a Commercial Building. 2. Applicant Name: Role: (Owner, Tenant, Contractor, etc.) Address: City: State: Zip Code: Phone & Type: ❑ Office ❑ Mobile Email: Contact/Rep. Name: Phone: Email: 3. General Contractor Name: 't? h M C_ Registration #: Expo Address: City: State: Zip Code: Phone & Type: ❑ Office ❑ Mobile Email: Contact/Rep. Name: Phone: Email: Q General Contractor Authorized Signature: Date: 8' j L ') co 4. Project Description Address: -OR- Lot #: _ Block #: —Subdivision: Type of work: Check one: ❑ New Construction .Remodel* ❑ Addition* Check all that apply: gaming ❑ Mechanical ❑ Plumbing electrical NOTE: Any sub -contractors involved will need to submit their own signed applications. Description of work: Arnl*5 Dm2i fiQFF MjAll f Hen 2AjL. *Total cost of project - materials and labor: $ (used to calculate permit fees) # Of Buildings: Building 1: Units sq. ft Building 2: _Units sq. ft. Building 3: Units sq. It. Additional Buildings: Utility, Misc, Private Garage: sq. It. Storage: s ft 9• APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty ofperjury, l hereby certify that l have read this application and sere that he 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 coned. 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 ffact in the application or on the plans on which the permit or approval was based. Permit void ifnot starbedwithin 180 days. Permit void ifworkstops for 180 days. Applicants Name (print): 91Ftnl L9 ISHmAN Signature: Cit 4 ' Date: Inspections must be called in before 8 AM on the day the inspection is requested. Inspecdon requests called in after AM will be scheduled for the next business day. Inspection Hotline -(208)372.2344 wwwrexburg.org Permit Technician -(208)372.2341 Revised March, 2016 n CITY OF REXBURG wN OW Building Safety Department City of Rexburg 35 North 1st East Americas Family Community Rexburg, Idaho 83440 BUILDING APPLICATION Electrical For Office Use Permit Number: Permit Type: 0 New 0 Remodel D Addition 0 Basement Finish .Fees Paid: 0 Yes ❑ No 1. Property Owner Name: Address: City: State: Zip Code: Phone &Type: 0 Office D Mobile Email: Under Idaho Building Code, a homeowner is allowed to do work on their own home. Are you a homeowner doing work on your own home? D Yes (Skip to #3 and complete the Homeowner's Exemption page) 0 No: I am a contractor working for the homeowner D No: This property is a Multi -family Residence or Commercial Property. NOTE: Any contractors/sub-contracmrs involved will need to submit their own signed applications. 2. Electrical Contractor / q Name: JZV AJ 0i51ff*r Registration #: 352i 1 1 Exp.: Address: City: State: Zip Code: Phone &Type: D Office 0 Mobile Email: Contact/Rep. Name: Phone: Email: Electrical Contractor Authorized Signature: Date: -1 %i 6- 3. Project Description Address: -OR- Lot #: _ Block #: _ Subdivision: Check one: D Single-family Residence 0 Multi -family Residence 11 Commercial Check one: 0 New Construction* D Remodel [3AqAiiiuv D Basement Finish Description of work: New Commercial Work: Contracted amount: $ Calculated Fee (See Below): D Up to $10,000 = (total cost of system x.02) + $60 10,001-$100,000 = ((total cost of system -10,000) x.01) + $260 0 Over $100,001= ((total cost of system -100,000) x.005) + $1,160 New Single -Family Residential Work: Sq. Ft D Up to 1,500 Sq. Ft = $130 0 1,501-2,500 Sq. Ft = $195 D 2,501-3,500 Sq. Ft = $260 D 3,501-4,500 Sq. Ft = $325 []Over 4,500 Sq. Ft = $325+(65 x # of additional 1,000 Sq. Ft (or portion thereof)) $ New Multi -Family Residential: D Duplex= $260 D Three or more units= $((130 x # of buildings)+(65 x # of units))$ New work on any other residence and Detached Shops: _ (65 + (10 —x# of branch circuits)) $ Miscellaneous: 0 Small Works (work costing less than $200 with no change in service connections)=$10(needs no inspection. 0 Central Heating/Cooling Systems= $65 Cl Spas, Hot Tubs, and Swimming Pools= $65 0 Requested Inspection= $65 D Pumps -Water, Irrigation, Sewage (per motor) = 0 $65 up to 25HP D $95 26- 200HP D $130 over 200HP D Irrigation Machine= $65 for center pivot+ $10 per tower of drive motor $ D Technical Service= $65/hour D Temporary Amusement= $65 + $10 per ride, concession, or generator $ D Plan Check =10% of Contracted Amoun 0 Temporary Construction Services ONLY = $65 200 amp or less. One location for less than 1 year.1 APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Underpenalty ofperjury, 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 mein hearings before the Planning and Zoning Commission or the City Council for the City of Rexburg shall be truthful and coma. 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 startedwitlun180 days. Permitvmfdffwits, stops for180days. Applicant's Name (print): �Af I �iE(Sf!>»An/ Signature: /Gr�UI oC��vl/ Date: Inspections must he called in before 8 AM an the daythe inspection is requested. Inspection requests calledinaftere AM will he scheduled forthe mexthusiness day. Inspection Hotline -(208)372.2344 www.mxburg.org Permit Technician -(208)372.2341 Revised March, 2016 Oe gEXatlgC CITY OF ° REXBURG mAmerlcas Family Community Permit Policies Acknowledgement 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 Initials Official may remove the red tag. If the red tag is removed by anyone but a City Official, citations will 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 will be issued and the occupants will be evicted. Initials Calling in 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. 2L/ o If an inspection is not done, the inspector may require any measures to betaken to allow him to correctly 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 be removed in order to perform the electrical rough in inspection.) Any approval for Certificate of Occupancies and Building Permits is only verified through the Permit Technician. If an inspector says something like "You're good to go", understand that you still need to receive all relevant documentation from the Permit Technician before you are truly good to go. 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 relay this information on to anyone who this would be applicable to for your project. All sub -contractors will be held to this standard with no exceptions. o The above policies will be enforced to all, regardless if you pass this information onto them or not Initials Applicants Name (print): Signature: Inspections must be called in before 8 AM on the day the inspection is requested. inspection requests called in afters AM will be scheduled for the nextbaslness day. Inspection Hotline -(208)372.2344 w .rexburg.org Permit Technician -(208)372.2341 Revised March, 2016 a aR ��oQ CSO CITY OF REXBURG CW America's Family Community Building Safety Department EXEMPTIONS FROM STATE REGISTRATION City of Rexburg 35 North 1st East Rexburg, Idaho 83440 As of January 1, 2006, the City of Rexburg can no longer sell permits without having a copy of your State registration number or your exemption from the State registration. Please send a copy of your state registration or fill out this form showing your exemption and send it with your license renewal or your next permit application. (This list is a summarization of Idaho Code Title 54 Chapter 5205, for full definitions of these exemptions please see the State's website at www.ibol.idaho.gov/cont.htm) ❑ Currently State licensed pursuant to Title 54 Idaho Code, Chapters: 3 Architects, 10 Electrical Contractors/Journeyman, 12 Engineers/Surveyors, 19 Public Works Contractors (exempt from fee only registration required), Zfi Plumbing/Plumbers, 45 Public Works Construction Management Licensing Act (exempt from fee only registration required), or 50 Installation of heating, ventilation and air conditioning systems ❑ Employee or volunteer of a licensed contractor or part of an educational curriculum or nonprofit charitable activity with no wages or salary ❑ Employee of a US Government agency (State, City, County, or other municipality) ❑ Public Utility doing construction, maintenance, or development to its own business ❑ Involved with gas, oil or mineral operations ❑ Supplier doing no installation or fabricating ❑ Contracting a project or projects with a total cost less than $2000 ❑ Operation of a farm or ranch or construction of agriculture buildings exempt from Idaho Building Code ❑ Any type of water district operations ❑ Work in rural districts for fire prevention purposes ❑ Owner who performs work on own property or contracts with a registered contractor to do work as long as the property is not for resale within 12 months ❑ Owner or lessee of commercial property performing maintenance, repair, alteration or construction on that property ❑ Real estate licensee/property manager acting within Idaho Code ❑ Engaging in the logging industry ❑ Renter working on the property where they live with the property owners approval ❑ Construction of a building used for industrial chemical processing per Idaho Code ❑ Construction of a modular building (defined by Idaho Code) to be moved out of state I hereby certify that the above information is true and correct to the best of my knowledge. Signa re Date Print Name Inspection Hotline -(208)372.2344 w .rexburg.org Permit Technician -(208)372.2341 Revised March, 2016