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HomeMy WebLinkAboutAPPLICATION - 16-00799 - 24 W 1st S - TRex Properties - Expansion/Remodelof ptxeugC CITY OF REXBL 1\G BUILDING PERMIT FORM F2 072 ew Updated 10/2016 Amerim's Finally Community BUILDING APPLICATION Commercial Tenant Improvement Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 For Office Use Permit Numberi Application Fee:$100 1. Property Owner Name: y'- ('%rL1� 3 Address: ZK �• I " 5nw;d., City: R.Qy � W 4 State: w . Zip Code:�T�y Phone: TOT- /e f -Ilf to Email: 42 -Vic- . let 6 ee 4ww: CI 2. Applicant Name: 154": ra. Role: Owner, Tenant, Contractor, etS.) ©WN4p� Address: 341SP5- Pa [tSC1 ✓i. City: State: Zip Code: /f3 Phone: Zd `?' (vil -IYIS Email: eat. G • e_ It e_ AV Contact/Rep. Name: 3. General Contractor Under Idaho Building Code, a registered contractor must do the work for a Commercial Building. Name:-q.Is-f'Pa�L G* V-0.5 yda%mAl Registration#: L • Exp.: 22 117 Address: /07�/_ ' zL / City: P/�7�d.P/ 0/iW State: Zip Code: Phone: 20 _zoo -i Email: bAd C hivg Contact/Rep. Name: T ._3�,4rJG!e_ Phone: 2`70-1�Ia Email: .w ;General Contractor Authorized Signatures Date: Acopy ofyaur state registration/license is regmn file. this i le first timeyou have done work in the City of Rexbur , please provide a photo copy ofyour license. Ifyou are unsurelyour license is on file, please check with the Permit Technician by calling (208) 372-2341. 4. Project Description Address: Description of Work: Project Description: • 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. • Change of Occupancy? ❑ No ❑ 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 permit fee. APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty ofperjury,Ihereby certify that l have read this application and state that he 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 void if work stops for 180 days. O Applicant's Name (print): �`r. C �t/dBy+Aw Signature: ✓✓'Ae-® Date: Inspections must be called in before 8 AM on the day the inspection is requested. Inspection reviets called in after 8 AM will be scheduled for the next business day. Inspection Hotline- (208) 372.2344 www.rexleurg.org Permit Technician- (208) 372.2341 CITY OF REXBURG tai America's 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 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 .a 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 maybe evicted. 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 Ini iala 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. 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. �,a— The above policies will be enforced to all, regardless if this information is passed on to them or not. m Applicant's Name (print):l 6t: r_i,ee&�A°'✓( 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 Revised 10/2016 CITY OF REXBURG Amenra's Family Community Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 COMMERCIAL 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: ❑ '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. 9--Etectrical panel layout and calculations included with building plans. Zi—Exterior Lighting Plan including photometric layout. Structural Calculations (if applicable) - stamped by a licensed Engineer S—Dri ffital 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 ,p(, Mechanical Permit Application signed by a registered Mechanical Contractor Electrical Permit Application signed by a licensed Electrical Contractor C� Plumbing Permit Application signed by a licensed Plumbing Contractor Cy 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://rexburg.org/12ages/­develol2ment-code. Inspection Hotline -(208)372.2344 w .rexlurg.org Permit Technician -(208)372.2341 Revmdl0/2016 CITY OF REXBURG Amerlcai Family Community BUILDING PERMIT FORM 420 opaaWd to/2016 BUILDING APPLICATION Miscellaneous Electrical Work Building Safety Department City of Rexburg 35 North 15C East Rexburg, Idaho 83440 For Office Use Permit Number: IVO°791 ❑ Electrical Fees Paid 1. Property Owner Name: r- R -e �G Address: ca -S.. i t> City: � � Jc State: � . Ip Code: Ss3yyy Phone: do �V- Iii l g Email: e f eGeov— 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? ❑ Yes (Skip to #4 and complete the Homeowner's Exemption) No, I am working with the homeowner 2. Electrical Contractor Under Idaho Building Code, a registered contractor must do the work for a Commercial Building. t -f Xfc, ' Business State License #: c Exp.: Address T 'K �, r� City: ��H'w(/�''� State: .t d Zi Code. p Phone �.C➢- 3�/✓<MG` Email. /�?cii%iE�eLGc€ l�ciTrtE'i`a.y c Cry Contact/Rep. Name: F<'' f✓+Av/1"lt.1" Phone: _T Email: Electrical Contractor Authorized Signature; , 13t iic / Ta.%'-• - Date: 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 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: -OR- Lot #: _ Block #: Subdivision: What type of Property: ❑ Residential M.Commercial _ Cost ofjob: $ , cu? Description of work: f'r"11JC E E`'cW"CY.. a 4. Fees: Check all that apply: ❑ Central Heating/Cooling Systems = $65 ❑ Pumps - Water, Irrigation, Sewage (per motor) ❑ Temporary Electrical Services ONLY = $65 (200 amp o $65 - up to 25HP or less. One location, for less than 1 year.) o $95 - 26- 200HP ❑ New Circuits = $(65 + ($10 x # of branch circuits)) o $130 - over 200HP $ ❑ Spas, Hot Tubs, and Swimming Pools = $65 ❑ Miscellaneous/Requested Inspection = $65 ❑ Temporary Amusement = $65 + $10 per ride, ❑ Generators = $65 concession, or generator$ ❑ Irrigation Machine = $65 for center pivot+ $10 per Inspection fees can be bundled upon request Re-inspectfees will be tower or drive motor = $ enforced if inspection requests exceed fee totals. 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 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 void if work stops for 180 dags. j a / ✓ Applicants Name (print): i /ci /r rJ /i Ie?di Signature: +� frit �rti�'— Date: f� Inspections mustbe called in before 8 AM on the day the inspection is requested. Inspection requests called in after 8 AM will he scheduled for the nextbusiness day, Inspection Hotline - (208) 372.2344 wwwxexburg.org Permit Technician - (208) 372.2341 CITY OF REYBURG t»� America} Family Community 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: ias r e- �C�✓v. Name: D (ss 5 +i C"%�fLCGG Name Name: Name: Inspection Tickets Name:1 c- ' i—rC6& ✓° —6-,-1 Name: C�!;41 (ifs Name: Name: "D� f CVC... Name: Email: f� er:c- , e CeG��lZp^et Email: ce-cl r C Email Email: Email: Email: C" Plcee �rl� "D� f CVC... Email:TAICCG l va.Gp' qs!!2j. cou-- Email: Email: Email: Inspection Hotline -(208)372.2344 ry w.rexburg.org Permit Technician -(208)372.2341 Revised 10/2016