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Home My WebLink AboutAPPLICATION - 17-00378 - BYUI - Smith RemodelCITY OF REXBURG America's Family Community BUILDING PERMIT FORM Z O 1 UPdaR 10/2011 BUILDING APPLICATION Commercial Remodel Building Safety Department City of Rexburg 35 North 151, East Rexburg, Idaho 83440 For Office Use Permit Number: Application Fee: ❑ $100 1. Property Owner Name: BYU-Idaho Address: 525 S Center St. city: Rexburg state: J� zip Code: 83440 Phone: 208-496-1000 Email; johnsOna@byui.edu 2. Applicant Name: BI -D Construction CorpRole: (Owner, Tenant, Contractor, etc.) Contractor Address: 1 88 W 200 N city: Lindon state: UT Zip Code: 84042 Phone: 801-673-5953 Email: and rew.wolford[c)big-d.Corn Contact/Rep. Name: AndreNWOlfOrd 3. General Contractor Under Idaho Building Code, a registered contractor must do life work for a Commercial Building. Name: Bi D COnstru I nCorpRegistration #: RCE -4751 Exp.: 28 Dec 2017 Address: 17 8 W 200 N City: Lindon State: UT Zip Code: 84042 Phone: 801-673-5953 Email: andrew.wolford@big-d.com Contact/Rep. Name: Andrew Wolford Phone801-673-5952mail: andrew.wolford@big-d.com General Contractor Authorized Signature: Date: 07 July 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. 4. Project Description Address: 525 S Center St. Description of Work: Convert auditorium t0 classroom space Project Description: • Total cost of project - materials and labor: $ 559.306 • Check all that apply: ❑ Mechanical: Cost $ 291 ❑ Electrical: Cost $SI .P433 ❑ Plumbing: Cost ❑ Fire Alarm: Cost $ 3. E53 ❑ Fire Sprinkler: Cost $ a lA Note: Any contractors involved will need to fill out their respective application. • Change of Occupancy? M No ❑ Yes: New occupancy: Building Permit fees 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 penury, 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 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 1n 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): Andrew Wolford Signature: \/��j� Date:07 Jul 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 ox aexeuy� ., C I TY OF Building Safety Department REXBURG BUILDING PERMIT FORM 220 City of Rexburg C% °pd'�t0/201 35 North 1st East Amerfwu Family community Rexburg, Idaho 83440 BUILDING APPLICATION Commercial Electrical For office Use Permit Number: Electrical Fees Paid ❑ 1. Property Owner Name: BYU-Idaho Address: 525 S Center St. city: Rexburg" �_ Zip Code. 83440 Phone: 208-496-1000 Email: iohnsona CDbyui.edu 2. Electrical Contractor Under Idaho Bui ding Code a reyl red c� ��cof r myst do the work for a Comf lercial Building. Business: a q tdt! S TAC State License #: O Exp,; 3l l g Address: &L6 Ai. 7,4 -?k l_ City: -VA74f"Y -f State: W_ Zip Code: 8,5q01 Phone: Zo(f— _0q /-�4'`saEmail!: Contact/Rep. Name: / i� 3n&g9_%! Phone: -IiW 00" Email: Rkno 0_ V,+. AILS Electrical Cont raetorAuthorized Signature`. Date: A copy ofyaur state registration/hcense is required to be on 1 . thi rs eyou have done work in the City of Rexburg, please provide a photo copy ofyour license. Ifyou are unsure ifyour license is o ease check with the Permit Technician by calling (208) 372-2341. 3. Project Description _ A� Address: VL -L ht dhf ?,q0 DD'tion of work: aioLL_ G(,r1s4ov — �Proroct Cost: $ _�3:3- a Fees for commercial projects are charged by cost: o First $10,000 = 296 + $60. From $10,000 to $100,000 = 196 + $260. Above $100,000 =.596 +$1,160. i.e. Work costing $I5,000will becharged $260fortheffrst$10,000and 1%ofthe remaining $5000=$260+$50=$310 totalf • 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 certifythat 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 withal] 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. Permltvoidifnot started within 180 days. Permit void If work stops for 180 days. Applicant's Name (print): ,c dlY� Signat 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 Hodine - (208) 372.2344 www.rexburg.org Permit Technician- (208) 372.2341 4�JF pEx GVge,' C I TY OF Building Safety Department ` REXBURG BUILDING PERMIT FORM 210 City of Rexburg :7 .� "°" °"°"° 35 North 15C East America's hmily Community Rexburg, Idaho 83440 BUILDING APPLICATION Commercial Mechanical For Office Use Permit Number: Mechanical Fees Paid ❑ 1. Property Owner Name: BYU-Idaho Address: _525 S Center St. city: Rexburg State: I— zip Code: 83440 Phone:_ 208-496-1000 Email: iohnsona@byui.edu 2. Mechanical Contractor Under Idaho Building Code, a registered contractor must do the work for a Commercial Building, Business: Lewis Corporation State License #: HVC-C-4440 Exp.: 5/31/19 Address: 15136 W. Hunziker Rd. city: Pocatello State: ID zip Code: 83202 Phone: 208-238-1202 Email: mason cr Icorp.eom Contact/Rep. Name: Mason Lewis - 208-238-1202 Email: mason(cD_Ieorp.eom Mechanical Contractor Authorized SignaJatrei Date: t l 1 A copy ofyour state registration/license i equired be on e. If this Is the first timeyou have done work in the city of Rexburg, please provide a photocopy ofyour license. Ifyou are u sur ' our license is on file, please check with the Permit Technician by calling (208) 372-2341. 3. Project Description Address: 525 S. Center St. Description of work: Remodel room 240 SV k -5viA4h ❑ Project Cost: $ 29,625.00 • Feesfor commercial projects are charged by cost. o First $10,000 = 2% + $60. From $10,000 to $100,000 =146 + $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 fgg q There will also be a plan review fee totaling 1046 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 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 Cityof 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 if not started within 180 days. Permit void if work stops for 180 days. Applicant's Name (print):��"f" l�+f. L.�U `v>, Signator Date: 6 t )IC �5 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 - 12081 372.2341 Flo pt.XaeRa to C I TY OF REG BUILDING PERMIT FORM 230 CVupay.�a m/ams Amedm'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: BYU-Idaho Address: 525 S Center St. city: Rexburg State: ��_ Zip Code: 83440 Phone: 208-496-1000 Email: johnsona@byui.edu 2. Plumbing Contractor Underldaho Building Code, a registered contractor must do the work for a Commercial Building. Business: Bingham Mechanical Inc. State License #: PLB-C-10702 Exp,; 9/30/17 Address: 4400 S Yellowstone Hwy City: Idaho Falls State: ID Zip Code: 83402 Phone: 208-522.4484 Email:jasonolson@binghammechanical.com Contact/Rep. Name: Jason Olson I one 8-522-4484 Email: jasonolson@binghammechanical.c Plumbing Contractor Authorized Signature: Date: 7/10/17 A copy ofyour state registration/license is requir5toeonfile. Ifthis is thefirst timeyou have done work in the City of Rexburg, please provide a photo copy ofyour license. Ifyou are unsure ifyse is on file, please check with the Permit Technician by calling (208) 372-2341. 3. Project Description Address: BYU-1 Smith Bldg Description of work: New Sink ❑ Project Cost: $ 9.500.00 • 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. Le. Work costing $15,000 willbe charged$260for thefirst$10,000 and 1% of the remaining $5,000=$260+$50=$ 10 totalf.- • There will also be a plan review fee totaling 10% of the above fee. APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHOR17ATION: Under penalty of perjury, t 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 Iagree 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 Cade 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 void If work stops for 180 days. Applicant's Name (print): 01 V m Signatre: Date: -7/0.111 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 CITY OF REXBURG Amental Family Community Building Safety Department BUILDING PERMIT FORMQ 01 City of Rexburg 0/2016 35 North 1St East BUILDING APPLICATION Fire Alarm Rexburg, Idaho 83440 For Office Use Permit Number: Fire Alarm Fees Paid ❑ 1. Propos• Owner Name: 'BYU-Idaho Address: 525 S Center St. City: Rexbura State :�_Zfir Code: 83440 Phone: 208-496-1000 Email: iohnsona(abyui.edu 2. Contractor Business: f-6CeSS &t, al NS&LAS 7R-1tn,11OUt! State License#: P014 Exp.: NI+� Address: 3210 Lt) (0�0 5 � City: rm r ct _t State: t ) i Zip Code: SLflc 7 Phone: 110 I - (0`1 l - 66q(o Email: Contact/Rep. Name: RGG LA -;5 t Plione: ?21- (412-001f Email: Ildlt/7uL/X —s Contractor Authorized Signature: Date: A copy ofyourstate registration/license is required to be n file. If d is the first [fore you have done work in the City of Rexburg, please provide a photo copy ofyour license. Ifyou are unsure ifyonr license is on ffl , lease check with the Permit Technician by calling (208) 372-2341. 3. Project Description Address:hNL1- 1M% S ;�atI NfLk ,SIFT , I�r.Yt13W_(I (D 83f00 Description 4work: A!26(lv(r r7) 6yy) +G ii , A1,,,A_,4 �p f A, - Fire Alarm System Cost: $ _221- • 21-• Fees for fire alarm systems are charge by cast: 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 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. .APPLICANTS SIGNATURE, CERTIFICATION AND AUTHORIZA'T'ION: Under penalty of perjury, I hereby certify that 1 have read this application and slate that the information herein 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 he 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 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 of approval was based. Permit void if not started within 180 days. Permit void if work stops for 180 days. 1 Applicant's Name (print): vl Yr Signature: Date: (� i 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.resburg.org Permit Technician - (208) 372.2341 F"xa`R C IT Y_0 f Building Safety Department a REXBURG City of Rexburg OW 35 North 1st East Amerimi Family Community Rexburg, Idaho 83440 SUBCONTRACTOR LIST Excavation & Earthwork: EdstrOm Construction Concrete: JM Masonry: JW Masonry Roofing: N/A Insulation: Acoustic Specialties Drywall: Acoustic Specialties Painting: Aspen Paintinq Floor Coverings: Showcase Interiors Plumbing: Bingham Mechanical Heating: Lewis Corp. Electrical: Rocky Mountain Electric Special Construction (Manufacturer or Supplier) Roof Trusses: Floor/Ceiling Joists: Siding/Exterior Trim: Other: Inspection Hotline - (208) 372.2344 w .rexburg.org Permit Technician- (208) 372.2341 Revised 10/2016 CITY OF REXBURG Amerlm5 Family Community Affidavit of Legal Interest Building Safety Department City of Rexburg State of Idaho County of Madison I, tzUt.c)N WeL.SEN 525 S.6erA-r`.K Name Address City Being first duly sworn upon oath, depose and say: (If Applicant is also Owner of Record, skip to B) WAA O State 35 North 1st East Rexburg, Idaho 83440 A. That I am the record owner of the property described on the attached, and 1 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 property which is the subject of the application. Dated this tl� day of 20_f . Signatur Subscribed and sworn to before me the day and year first above written. WVA ®q Alt y Notary Public of Idaho 9 PU V�G •: ` Residing at: _ ,' �pPQ� My commission expires: sJ_1(' ITJ n q Inspection Hotline -(200)372.2344 www.rexburg.org Permit Technician -(200)372.2341 Reviscd 10, 2016 C I r r Building Safety Department REXBURG City of Rexburg ro,— 35 North 1st East Amefic4 Family Crvn000ugy Rexburg, Idaho 83440 DISTRIBUTION LIST Please provide the names and emails of anyone who should begetting automated updates for this project. Review Notes Name: AndV Johnson Name: Chad Alldredge Name: Andrew Wolford Name: Name: Inspection Tickets Name: Andraw Wnlford Name: Name: Name: Name: Email: lohnsona@bvui.edu Email: alldredgec@byui.edu Email: andrew.wolford@big-d.com Email: Email: Email: andrew.wolford@big-d.com Email: Email: Email: Email: Inspection Hotline - (208) 372.2344 w .rexburg.org Permit Technician- (208) 372.2341 Revised 10/2016 u C IT Y OF REXBURG Ob America's 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? X Yes 0 No Will the business be doing any structural/or remodeling changes to the building? rXYes • No Any changes to the electrical? [Yes 0 No Any changes to the plumbing? XYes 0 No Any changes to the mechanical system? Yes 0 No Is the business type changing? • Yes, it will change to 1XNo Is this business changing ownership? 0 Yes Q(No Is the business registered with the City of Rexburg? 0 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? 801-673-5953 07 Jul 2017 Applicants Signature Phone Date ■� �. • Yes df No • Yes j4 No • Yes X No •Yes KNo • Yes R No • Yes (XNo 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 w .rexburg.org Permit Technician -(208)372.2341 Revised March, 2016 `F ,tkXBC••pC t C I'rY OF REXBURG _...._._..__ qv Amedats Family Cnrnrn unity 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 AW assessed and the project to be red tagged. If your project is red tagged, halting all construction, only a City nitial: 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. AW 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 AW perform the inspection. (Example: If the electrical rough in inspection is not done and the sheetrock has been nitial: 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 AW 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. o The above policies will be enforced to all, regardless if this information is passed on to them or not. Ini[ al�sv Applicant's Name (print): Andrew Wolford Signature: / Date: 07 JUIy 2017 Inspections must be called in before a 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.rexburgorg Permit Technician -(208)372.2341 Revised 10/2016