Loading...
HomeMy WebLinkAboutAPPLICATION - 16-00614 - Henry's Fork - Office Space BuildoutgpExBURc �a � V p CITY OF REXBURG Amerinds Family Community Permit Policies Acknowledgement Building Safety Department City of Rexburg 35 North 1S1 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 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. 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. 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 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. � s 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. FVi o The above policies will be enforced to all, regardless if you pass this information onto them or not. Applicant's Name (print): iJKS/i/9/CUhG[-f' Signature /1� Dater Inspections must be called in before 8 AM on the day the inspection is requested. Inspeflo .quests calleQAtafter 8 AM will be scheduled for the next business day. Inspection Hotline -(208)372.2344 w vrexburg.org Permit Technician -(208)372.2341 Revised March, 2016 CITY OF REXBURG ab 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 ❑ Dropbox ,)rNot Included .Permit Number: Permit Type: ❑ New 0 Remodel 12 Addition Deposit Amount: ❑ $1000 New Const. O $250 Addition)2f$100 Other Deposit Included with Application: XYes ❑ No 1. Property Owner Name: Address: City: State: Zip Code: Phone &Type: ❑ Office ❑ Mobile Email: Under Idaho Building Code, a contractor must do the work for a Commercial Building. 2. Applicant / nZ� Name: fd' 4 �, LdfVX_ktS Role: (Owner, Tenant, Contractor, etc.) Address: _ VOX 76'9 City:� o im/Cs State:— Zip Code: &3t103 Phone &Type: Zas ZOF -/9// ❑ Office G3 -Mobile Email: �1S'h,n 13 sfe✓ensilo,! tpS eo— Contact/Rep. Name: Phone: Email: 3. General Contractor Name: ,S'/y'���5 '% S Registration #: �, Zai/` O Exp.: ��/`�l/ % _ Address: _ '?d X2751 City: Z7 (so x'11 -f State:Zip Code: C3 P'10 3 _ Phone &Type: V?-Z-6tr/4/5 ❑ Office obile Email: iurtvl (a Sfe[ t!/1'IldvnP /111 + Contact/Rep. Name: Phone: W Email: �General_ContractorAuthorized Signatur 1 Date: 4. Project Description Address: .45q S. t%a :;6W y -OR- Ot #: _ Block #: _ Subdivision: Type of work: f � Check one: ❑ New Construction ❑ Remodel* M -Addition* Check all that apply: ❑ Framing ["echanical eumbing electrical NOTE: Any sub-contractars involved will need to submittheirown signed applicanews. Description of work: �era�u it"Al_rV u�N.d,(�—a �e9 .;iotce- h'Z/&: *Total cost of project - materials and labor: $'�9I Szy (used to calculate permit fees) # Of Buildings: Building 1: 4 JWUnits 1<06 sq. ft Building 2: _Units sq. ft. Building 3: _Units sq. ft. Additional Buildings: _ 6601w: Utility, Misc, Private Garage: NA— sq. ft. Storage: Aek�� sq. ft. APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty ofperjuty, 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. 1 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 permiton approval issued under the provisions ofthe 2012 International Code in cases ofany fake statement or misrepresentation of fact in the application or on the plans on which the permit or approval was based. Permit voidif not started within 180 days. Permit void ifworkstops for 180 days. Applicants Name (print): dV,4rJ 1iP�eEQ,cf Signatorgonreques Date: Inspections must be called in before 8 AM on the day the inspection is requested. Ins called in after 8 AM will be scheduled forthe next business day. Inspection Hotline -(208)372.2344 www.mxburg.org Permit echnician-(208)372.2341 Revised March, 2016 CITY OF REXBURG n� Americas Family Community BUILDING APPLICATION Mechanical Building Safety Department City of Rexburg 35 North 1st East Rexbur& Idaho 83440 For Office Use Permit Number: Permit Type:. O New ❑ Remodel []Addition ❑Basement Finish Fees Paid:. ❑ Yes ❑ No 1. Property Owner Name: Address: City: State: Zip Code: Phone & Type: ❑ Office ❑ 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? ❑ Yes (Skip to #3 and complete the Homeowner's Exemption page) ❑ No: I am a contractor working for the homeowner O No: This property is a Multi -family Residence or Commercial Property. NOTE: Any contractors/sub-contractors involved will need to submit their own signed applications. 2, Mechanical Contractor ++�� Name: 241' ` Registration #: Ryc- L- 1416 Ex q 3� � ©B Address: P y 75 7 City State: y p a _ Zip Code: 83`C—) Phone & Type: 357 '- S 7 '7Q yOffice O Mobile Email: Contact/Rep. Name: Phone: Email: Mechanical Contractor Authorized SignatureDate: 9' C 3. Project Description Address: -OR- Lot #: _ Block #: _ Subdivision: Check one: ❑ Single-family Residence ❑ Multi -family Residence ❑ Commercial Check one: ❑ New Construction* ❑ Remodel ❑ Addition ❑ Basement Finish Description of work: _ New Commercial Work: Contracted amount: $ 9 406 '— Calculated Fee (See Below): $ I ❑ Up to $10,000 = (total cost of system x.02) + $60 ❑ $10,0014100,000 = ((total cost of system -10,000) x.01) + $260 ❑ Over $100,001= ((total cost of system -100,000) x.005) + $1,160 New Single -Family Residential Work: Sq. Ft I7 Up to 1,500 Sq. Ft = $130 ❑ 1,501-2,500 Sq. Ft = $195 ❑ 2,501-3,500 Sq. Ft = $260 ❑ 3,501-4,500 Sq. Ft = $325 ❑ Over 4,500 Sq. Ft = $325+(65 x # ofadditional 1,000 Sq. Ft (or portion thereof)) $ New Multi -Family Residential: D Duplex= $260 ❑ 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 HVAC fixtures)) $ Miscellaneous: ❑ Gas Pressure = $65 ❑ Furnace or A/C = $65 ❑ WaterHeater = $65 ❑ Requested Inspection= $65 ❑ Gas Line = $65 ❑ Fireplace/Solid. Fuel. Burning Unit= $65. ❑ Technical Service= $65/hour ❑ Plan Check =10% of Contracted Amount APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty ofperjmy,l herebycertify that l have read this application and state that the information herein is correct and I swear that any information which may hereafterbe given by mein hearings before the Planningand Zoning Commission orthe 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 ofthe 2012 International Code in cases ofany false statement or misrepresentation effect in the application or on the plans on which the permit or approval was based. Permit voidifnot started within 180 days. Permitvoidifworkstops for 180 days. /- Applicant's Name (print): 6lttr>Fin S a v, f- Signatur : � �- Date: 9 /E_ f Inspections must be called in before 8 AM on the day the inspection is requested. Inspec t requests calle in after 8 AM will be scheduled for the next business day. Inspection Hotline -(208)372.2344 www.rexburg.org PermitTechni an -(208)372.2341 Revised March, 2016 0 C I TY OF REXBURG OW America's Family community BUILDING APPLICATION Electrical Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 For Office Use Permit Number: Permit Type: ❑.New ❑ Remodel ❑ Addition ❑ Basement Finish Fees Paid: ❑ Yes ❑ No 1. Property Owner Name: Address: City: State: Zip Code: Phone & Type: ❑ Office El 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? ❑ Yes (Skip to #3 and complete the Homeowner's Exemption page) ❑ No: I am a contractor working for the homeowner O No: This property is a Multi -family Residence or Commercial Property. NOTE: Any contractors/sub-contractors involved will need in submit their own signed applications. 2. Electrical Contractor C c, Name: �,gaey �1RLl�y%/c Registration #: �r�Z 1 /_Exp.: Address: — City: State: Zip Code: Phone & Type: ❑ Office O Mobile Email: Contact/Rep. Name: ._ Phone: Email' [Electrical Contractor Authorized Signature _ Date: ' 3. Project Description Address: -OR- Lot #: _ Block #: _ Subdivision: Check one: ❑ Single-family Residence ❑ Multi -family Residence ❑ Commercial Check one: 0 New Construction* ❑ Remodel ❑ Addition ❑ Basement Finish Description of work: New Commercial Work: Contracted amount: $ 304)n ° Calculated Fee (See Below): $ -I'Jp to $10,000 =,(total cost of system x.02) + $60 ❑ $10,0014100,000 = ((total cost of system -10,0 )"r- + 60 0v ❑ Over $100,001= ((total cast of system -100,000) x.005) + $1,160 ro New Single -Family Residential Work: Sq. Ft ❑ Up to 1,500 Sq. Ft = $130 ❑ 1,501-2,500 Sq. Ft = $195 13 2,501-3,500 Sq. Ft = $260 ❑ 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: ❑ Duplex= $260 ❑ 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:. ❑ Small Works (work costing less than $Z00 with no change in service connections)=$10(needs no inspection. ❑ Central Heating/Cooling Systems= $65 []Spas, Hot Tubs, and Swimming Pools= $65 ❑ Requested Inspection= $65 ❑ Pumps -Water, Irrigation, Sewage (per motor)= ❑ $65 up to 25HP ❑ $95 26- 200HP ❑ $130 over 200HP ❑ Irrigation Machine= $65 for center pivot+ $10 per tower of drive motor $ ❑ Technical Service= $65/hour Cl Temporary Amusement= $65+ $10 per ride, concession, or generator $ ❑ Plan Check =10% of Contracted Amoun ❑ Temporary Construction Services ONLY = $65 200 amp or less. One location for less than 1 ear. APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Underpenalty ofpedury, 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 bymein hearings before the Planning and Zoning Commission or the City Council for the City ofRexbwg 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 ofthe 2012 International Code In cases ofany false statement or misrepresentation of fact in the application or on the plans on which the permit or approval was based. Permit voidif not starfedwithin180 days. Permit void ffrk stow for 180 ays.{ Applicant's Name (print): gnature: Inspections most 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 rent business day. Inspection Hotline -(208)372.2344 www.rexburg.org Permit Technician -(208)372.2341 Revised March, 2016 CITY OF REXBURG OW America's Family Community BUILDING APPLICATION Plumbing Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 For Office. Use Permit. Number: — Permit Type:. ❑ New ❑ Remodel ❑ Addition ❑ Basement Finish Fees Paid: ❑ Yes ❑ No 1. Property Owner Name: -- Address: -79 01 1 U City: _ State: Zip Code: Phone &Type: ❑ Office O 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? ❑ Yes (Skip to #3 and complete the Homeowner's Exemption page) ❑ No: I am a contractor working for the homeowner ❑ No: This property is a Multi -family Residence or Commercial Property. NOTE: Any contractors/sub-contractors involved will need to submit their own signed applications. 2. Plumbing Contractor Name: >����� a/ /(,� Registration #: P�� t 3i,¢ Exp.: Address: 0 f6 / 75 ,,// (Uity: State: Zip Code: Phone & Type: Cl Office O Mobile Email: Contact/Rep. Name: Phone: Email: Plum bing Contractor Authorized Signature Date: 3. Project Description Water Meter Quantity: Water Meter Size: Address: -OR- Lot #: _ Block #: _ Subdivision: Check one: Cl Single-family Residence ❑ Multi -family Residence ❑ Commercial Check one: ❑ New Construction's ❑ Remodel M -Addition ❑ Basement Finish Description of work: New. Commercial Work: Contracted amount: $ r oao Calculated Fee (See Below): $ ❑ Up to $10,000 = (total cost of system x.02) + $60 0 $10,0014100,000 = ((total cost of system -10,000) x.01) + $260 ❑ Over $100,001= ((total cost of system -100,000) x.005) + $1,160 New Single -Family Residential Work: Sq. Ft ❑ Up to 1,500 Sq. Ft. = $130 ❑ 1,501-2,500 Sq. Ft = $195 ❑ 2,501-3,500 Sq. Ft = $260 ❑ 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: 0 Duplex= $260 ❑ Three or more units= $((130 x# of buildings)+(65 x # of units))$_ ❑ Gray Water Systems= $130 ❑ Lawn Sprinklers/Backflow device= $65 O Multipurpose Fire Sprinkler & Domestic Water Supply System = $65 or $4 per sprinkler head (whichever is greater) - New work on any other residence and Detached Shops: = $65 for sewer and water stub connections Miscellaneous: ❑ Sewer Line = $65 ❑ Water Line = $65 []Sewer and Water Line= $65 ❑Requested inspection= $65 ❑ Sewer Turnaround (septic to city)z: $65. ❑ Hydronic Heating= $65 + ($10 x # of manifolds/zones) ❑ Technical Service= $65/hour ❑ Plan Check =10% of Contracted Amount APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Underpenaltyofperjuty, I hereby certify that l have read this application and state that the information herein is correct and I swear that any infonnadonwhich may hereafter he 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 ofany false statement or misrepresentation offact in the application ?ionnque s on which the p , tit orappmval was based. Permitvoid ifnot startedwithin180 days. Permit voidifwork stops for 180 days. Applicant's Name (print): -GtS'�{Lneoetie j Signatur> +�, Date: 15 /Inspections must be ra8ed in before a AM on the day the inspectlon is requested. lnspj called inafter B AM will he scheduled for the neat business day. Inspection Hotline -(208)372.2344 www.rexburg.org Permit Te inician-(208)372.2341 Revised March, 2016 °4 EEXBVAC, ,y ro CITY OF REX-BURG America's Family Community Subcontractor List Excavation & Earthwork Concrete:A�A" Masonry: AV -A -- Roofing: Insulation: IL iZ Drywall: l Painting: p // Floor Coverings: Plumbing: /Le L fhb l ✓�i�s� Heating: Electrical: Special Construction (Manufacturer or Supplier) Roof Trusses: Floor/Ceiling Joists: _ Siding/Exterior Trim: Other: /14- Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 Inspecdon Hotline -(208)372.2344 w ..rexburg.org Permit Technician -(208)372.2341 Revised March, 2016