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Home My WebLink AboutAPPLICATIONS - 16-00568 - Medicine Shoppe - RemodelCITY OF REXBURG Americas Family Community C3uIcowl(n. Building Safety Department City of Rexburg 35 North 151 East Rexburg, Idaho 83440 COMMERCIAL/MULTI-FAMILY APPLICATION CHECKLIST The following items should be completed before you submit your building permit application. *Reasonable accommodations will be made upon request. Complete the Following: ❑ 3 sets of site plans (see Site Plan Checklist on page 2) ❑ 3 sets of building plans (see box below) -stamped by a licensed professional ❑ Electrical panel layout and calculations included with building plans. ❑ Exterior Lighting Plan including photometric layout. ❑ Digital Plans (PDF Format- can be submitted by USB, CD, or Dropbox) ❑ Structural Calculations (see box below) -stamped by a licensed Engineer ❑ Energy Compliance Report: Asper the 2012 IECC, a COM Check is required (available online at www.ener cgy odes.gov) ❑ Permit Policies Acknowledgment signed. (see page 3) ❑ Building Permit Application signed by a registered General Contractor. (see page 4) ❑ Exemptions from State Registration (see page 5) ❑ Affidavit of Legal Interest signed. (see page 6) ❑ Property Line form signed by builder. (see page 7) ❑ Mechanical Permit Application signed by a registered Mechanical Contractor. (seepage 8) ❑ Electrical Permit Application signed by a registered Electrical Contractor. (seepage 9) ❑ Plumbing Permit Application signed by a registered Plumbing Contractor. (seepage 10) ❑ Fire Alarm Permit Application (if applicable) signed by a registered professional. (seepage 11) ❑ Fire Sprinkler Permit Application (if applicable) signed by a registered professional. (seepage 12) ❑ Subcontractor list filled out. (seepage 13) ❑ Commercial Projects: Completed Business Use Summary. (seepage 14) Seismic Design Category - D (unless soil evaluation confirms category C) Ground Snow - 50 lbs. per sq. ft. Roof Snow Load - 35 His. per sq. ft. Wind Load - 90 MPH Frost Depth - 36" Permit Technician -(208)372.2341 Revised March, 2016 0 CITY OF REXBURG Amerimd Family Community SITE PLAN CHECKLIST Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 ❑ 1 Site plan must be drawn to scale, be legible and also be submitted electronically if possible. ❑ 2. Adjoining streets labeled. ❑ 3. Right-of-way location and width, curb to curb widths and sidewalk location. ❑ 4. Building location, sq footage and dimensions, with distance to property lines and distances between buildings. ❑ S. Show existing and proposed easements. ❑ 6. Existing utilities (waterlines, sanitary sewer lines, manholes, storm drains). ❑ 7. Proposed utilities including tie in location to existing services and new easements. ❑ B. Proposed storm drain and sanitary sewer elevations (for pipe inverts at manholes and catch basins). ❑ 9. Storm drainage plan for parking lot and roof areas, with calculations. ❑ 10. Fire hydrants and fire suppression lines (including tie to City lines). ❑ Sprinkled ❑ Not Sprinkled ❑ 11. Indicate Fire apparatus access ❑ 12. Parking (including parking lot, drainage arrows, dimension of lot, distance between rows, and total numbers). ❑ 13. Landscaping (type and total area, including dimensions). ❑ 14. Trash facilities. ❑ 15. North Arrow ❑ 16. Drawing to Scale, including a graphic scale (11 Y2 x 17" paper if possible). ❑ 17. Proposed street improvements (curb, gutter, sidewalk, pavement, etc.) ❑ 18. Legal description of proposed building site included. ❑ 19. Percent of lot covered by building or paving calculated. ❑ 20. Show 10% snow storage area. ❑ 21. Distance of entrances from street corner indicated. ❑ 22. Current Vicinity Map. (81/2 x 11") at 1" = 300' scale, showing location of the property. ❑ 23. Lighting Plan SITE PLANS MUST BE COMPLETE AND SUBMITTED FOR REVIEW BEFORE THE PROJECT WILL BE PLACED ON THE PLANNING & ZONING AGENDA. Inspection Hotline -(208)372.2344 w ..rexhurg.org Permit Technician -(208)372.2341 Revised March, 2016 CITY OF REXBURG nv America's 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. 0 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 inttials 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. 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. 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 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. IE 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. //above policies will be enforced to all, regardless if you pass this information on to them or not. Initials Applicant's Name (print): �l Sign re:\ Date:ZD%� 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 vtww.rexburg.mg Permit Technician -(208)372.2341 Revised March, 2016 CITY OF REXBURG nv 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 ❑ Not Included Permit Number:.((J'06SW Permit Type: []New ❑Remodel.❑Addition DepositAmount: ❑ $1000 New Const. ❑ $250 Addition 0 $100 Other Deposit Included with Application: ❑ Yes ❑ No 1. Property Owner Name: C;1t�. 10e, Agwnts L! L Address: City: (4(,f ajun State: WAW Zip Code: ��.��,tt �q D � Phone & Type: At �-14&IL dOfficeElMobile Email: Under Idaho Building Code, a contr ctor must do the work for a Commercial Building. 2.Applica t �l Name: JGW 4- /h CtAcTVS Role: Wwrier, Tenant, Contractor, etc.) OWAL02— i Address: _._.1ISZ *&IAvt. City:J.�State:_ 10 Zip Code: LajoU Phone &Type:-Z�,n Office O Mobile Email: r'03alrv. PO 't fr�.lr>,.. cew� p� Contact/Rep. Name: ?" t A-11 R' o+c&" Phone: 00-25,707 Email: 3. General Contractor Name: ' n Lquas, Registration #: Exp.: Address: Se A OOK ,;0 City: <, C-114 State: MA4h Zip Code: Phone & Type: 3b -Io - &2,4Z- Office ❑ Mobile Email: Contact/Rep. Name: 13"APnl q Phone: ` iAW05r_ Email: General Contractor Authorized Signature:; Date: 4. Project Descri tion Address: f 4611Ar �A li th. -OR- Lot #: 2- Block #:40 Subdivision: Type of work: Check one: New Construction,IRemodel* ❑ Addition* Check all that apply: A Framing � Mechanical M Plumbing /� Electrical NOTE: Anysub-contractorsinvolved will need to submit their own signed applications. Description of work:—iCUA"T IVVITIR llll Mey-Ir M1ir,>ddT- *Total cost of project - materials and labor: q- m (used to calculate permit fees) # Of Buildings: Building 1: Units sq. ft. Building 2: Units sq. ft. Building 3: Units sq. ft. Additional Buildings: Utility, Misc, Private Garage: sq. ft. Storage: sq. ft. 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 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 authorizedrepresentatives 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. Permit void if not started within 180 days. Permit void if work stops for 180 days. Applicant's Name (print):,91AA1 Sign,tu 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 Hmtlmn -(208)372.2344 www.rexburg.mrg Permit Technician -(208)372.2341 Revised March, 2016 CITY OF REXBURG Am erira's Family Community BUILDING APPLICATION Mechanical Building Safety Department City of Rexburg 35 North 15t East Rexburg, Idaho 83440 For Office Use Permit Number: Permit Type: []New 0 Remodel 0 Addition 0 Basement Finish. Fees Paid: 0 Yes []No 1. Property Owner Name: Address: City: State: Zip Code: Phone & Type: 0 Office 0 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? 0 Yes (Skip to #3 and complete the Homeowner's Exemption page) 0 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: Registration #: Exp.: Address: City: State: Zip Code: Phone & Type: 0 Office 0 Mobile Email: Contact/Rep. Name: Phone: Email: ,Mechanical Contractor Authorized Signature:', Date: 3. Project Description Address: -OR- Lot#: Block#: Subdivision: Check one: 0 Single-family Residence 0 Multi -family Residence 0 Commercial Check one: 0 New Construction* 0 Remodel 0 Addition 0 Basement Finish Description of work: New Commercial Work: Contracted amount: $ Calculated Fee (See Below): $ 0 Up to $10,000 = (total costof system x.02) + $60 0 $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. 0 Up to 1,500 Sq. Ft. = $130 0 1,501-2,500 Sq. Ft. = $195 0 2,501-3,500 Sq. Ft. = $260 0 3,501-4,500 Sq. Ft. = $325 0 Over 4,500 Sq. Ft = $325+(65 x # of additional 1,000 Sq. Ft (or portion thereof)) $ New Multi -Family Residential: 0 Duplex= $260 0 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: 0 Gas Pressure = $65 0 Furnace or A/C = $65 0 Water Heater = $65 0 Requested Inspection = $65 Cl Gas Line = $65 0 Fireplace/Solid Fuel Burning Unit= $65 0 Technical Service= $65/hour 0 Plan Check =10% of Contracted Amount APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, l 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 mein hearings before the Planning and Zoning Commission or the City CoundI for the City of Rexburg shall be truthful and correct. I agree to comply with all City regulations and State laws relamr gto 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 starred within 180 days. Permit void if work stops for 180 days. Applicants Name (print): Signature: Date: Inspections must be called in before DAM on the day the inspection is requested. Inspecd on 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 March, 2016 CITY OF REXBURG cy. Amerlati 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: D New D Remodel 0 Addition 0 Basement Finish. Fees Paid:.0 Yes 0 No 1. Property Owner Name: Address: City: State: Zip Code: Phone & Type: 0 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? 0 Yes (Skip to #3 and complete the Homeowner's Exemption page) 0 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. Electrical Contractor Name: Registration #: Exp.: Address: City: State: Zip Code: Phone & Type: 0 Office O Mobile Email: Contact/Rep. Name: Phone: Email: Electrical Contractor Authorized Signamrei Date: 3. Project Description Address: -OR- Lot#: Block#: Subdivision: Check one: D Single-family Residence D Multi -family Residence D Commercial Check one: D New Construction* 0 Remodel Cl Addition 0 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 0 $10,0014100,000 = ((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,SO0 Sq. Ft. = $130 0 1,501-2,500 Sq. Ft. = $195 0 2,501-3,500 Sq. Ft. = $260 D 3,501-4,500 Sq. Ft. = $325 D Over 4,500 Sq. Ft.= $325+(65 x # of additional 1,000 Sq. Ft. (or portion thereof)) $ New Multi -Family Residential: 0 Duplex= $260 0 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 $200 with no change in service connections) =$10(needs no inspection. Cl Central Heating/Cooling Systems= $65 0 Spas, Hot Tubs, and Swimming Pools= $65 Cl Requested Inspection = $65 Cl Pumps -Water, Irrigation, Sewage (per motor) = 0 $65 up to 25HP 0 $95 26- 200HP 0 $130 over 2o0HP D Irrigation Machine= $65 for center pivot+ $10 per tower of drive motor $ D Technical Service= $65/hour 0 Temporary Amusement= $65 + $10 per ride, concession, or generator $ 0 Plan Check =10% of Contracted Amoun D Temporary Construction Services ONLY = $65 200 amp or less. One location for less than 1 ear. 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 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 ofthis 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 misrepresented on 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 ifwork stops for 180 days. Applicant's Name (print): 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 Hotlim-(208)372.2344 www.rexburg.org Permit Technician -(208)372.2341 Revised March, 2016 CITY OF RMURG cy, AmerkO 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: 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. Plumbing Contractor Name: Registration #: Exp.: Address: City: State: Zip Code: Phone & Type: ❑ Office O Mobile Email: Contact/Rep. Name: Phone: Email: Plumbing Contractor Authorized Signature: Date: 3. Project Description Water Meter Quantity: Water Meter Size: Address: -OR- Lot #: Block #: Subdivision: Check one: ❑ Single-family Residence ❑ Muld-Family Residence ❑ Commercial Check one: ❑ New Construction* ❑ Remodel ❑ Addition ❑ Basement Finish Description of work: New Commercial Work: Contracted amount: $ Calculated Fee (See Below): $ ❑ Up to $10,000 = (total cost of system x.02) + $60 ❑ $10,001-$100,000 = ((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. FL = $325+(65 x # of additional 1,000 Sq. Ft. (or portion thereof)) $ New Multi -Family Residential: ❑ Duplex= $260 ❑ Three or more units= $((130 x# of buildings)+(6S x # of units))$_ ❑ Gray Water Systems= $130 ❑ Lawn Sprinklers/Backflow device= $65 ❑ 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: El Sewer Line = $65 ❑Water Line = $65 El Sewer and Water Line= $65 ❑Requested inspection= $65 Cl Sewer Turnaround (septic to city) = $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: Under penalty ofperjury, l 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 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 ofthis application and hereby authorized representatives of the City to enter upon the above-mentioned property for inspecdam purposes. NOTE: The building official may revoke a permit on approval issued under the provisions ofthe 2012 International Code in rases ofany false statement or misrepresentation offact in the application or on the plans on which the permit or approval was based. Permit void Hoot started within 180 days. Permit void if work stops for 180 days. Applicant's Name (print): Signature: 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 Hotlme- (208) 372.2344 www.rexburg.org Permit Technician -(208)372.2341 Revised March, 2016 F;o a8%e Ug�+0 CITY OF REXBURG Amencai Family Community Subcontractor List Excavation & Earthwork: Concrete: Masonry: YQ A Roofing: _ Insulation: Drywall: Painting: Floor Coverings: Plumbing: Pu n Wb, 440,0x& ( an¢Pa Heating:._ $�Odjt tl ��OJA/ n �r GK�Gt Electrical: Special Construction (Manufacturer or Supplier) Roof Trusses: Floor/Ceiling Joists: _ Siding/Exterior Trim: Other: Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 Inspecd on Hothne-(208)372.2344 w .rexburg.org PermitTechnician-(206)372.2341 Revised March, 2016