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Home My WebLink AboutAPPLICATION - 17-00169 - 615 S Yellowstone Hwy - Stones Town & Country - RemodelC I TY OF REXBURG rn� Americas family Community Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 COMMERCIAL REMODEL/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: ❑ 3 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. ❑ Electrical panel layout and calculations included with building plans. ❑ Exterior Lighting Plan including photometric layout. ❑ Structural Calculations (if applicable) - stamped by a licensed Engineer ❑ Digital 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 Q Permit Policies Acknowledgment signed Q Building Permit Application signed by a registered General Contractor (5) Mechanical Permit Application signed by a registered Mechanical Contractor 40 Electrical Permit Application signed by a licensed Electrical Contractor ❑ Pttmtbing.Permit Application signed by a licensed Plumbing Contractor ❑ -F� Permit Application (if applicable) signed by a registered professional ❑ -Eirz-S ritnkler Permit Application (if applicable) signed by a registered professional Subcontractor list filled out ❑ Aff+4av4L-of Legal Interest signed by owner 103 Notifications Distribution List ❑ Busit}em 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 http://rexburg.org/pages/development-code. Inspection Hotline -(208)372.2344 ..rexburg.org Permit Technician -(208)372.2341 Revised 10/2016 0 CITY OF REXBURG Americas 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 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. 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 Inl Is 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. If a building is occupied without receiving a signed Certificate of Occupancy, citations may be issued and the occupants may be evicted. nitials 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 Initial: 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. 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. �o The above policies will be enforced to all, regardless if this information is passed on to them or not. Initials Applicant's Name (print): z>%.A GA(Z44'5(z—&ignature: Date: _-9-N, Inspections must be called in before a 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 C1 T Y OF REXBURG tly Amenca's Family community BUILDING PERMIT FORM 201 updated 10/2016 BUILDING APPLICATION Commercial Remodel Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 For Office Use Permit Number: 17-0461 Application Fee: $100 1. Property Owner !! Name: 5Ti] r r, S Tt7 J i CDtars:(Lwj Address: 61 C S. Yttwt Jr_M J City: ��Gyxc,� State: AP Zip Code:40 Phone: Vwg— .Cfa- (o(p Email: 2. Applicant Name: S%_AIL-LC CA94r11`7— Role: (Owner, Tenant, Contractor, etc.) CoN4KAc4ta,2 Address: 4" C. ZNA N • City: LY2-"f-4% State: 1 i� Zip Coder344c� Phone: .o8 �1af I �Ita gb Email: b.'\Ornor ewTa.Acrj CC Ly Mhlt_ •cam Contact/Rep. Name: ?iJkW&_ 3. General Contractor Under Idaho Building Code, a registered contractor must do the work for a Commercial Building. Name: G)bA41 t C�Cn Registration #: 41-12$2w Exp.: 3I 201'8 Address:E Z City: �Tt2 State: IM Zip Code: tt0 Phone: �• Email: 2 C Contact/Rep. Name: G. R-- Phone: Email: General Contractor Authorized Signature: — Date: A copy ofyourstate registration/license is require Lobe onfile. Ifthis is their, timeyou have done work in the City of Rexbu g,pl seprovide a photocopy ofyour license. Ifyou are unsure ifyour license is on file, please IN with the Permit Technician by calling (208) 372-2341. 4. Project Description Address: fjjjlS S. l,t Description of Work: _ 6 M"o-gL_ Project Description: • Total cost of project - materials and labor: $ L0010two • Check all that apply: ❑ Mechanical: Cost $I2,0uJ ❑ Electrical: Cost $ V uo0 ❑ Plumbing: Cost $ ❑ Fire Alarm: Cost $ ❑ Fire Sprinkler: Cost $ Note: Any contractors involved will need to fill out their respective application. • Change of Occupancy?yNo ❑ Yes: New occupancy: Building Permit fees far 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 perjury, l 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 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 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. t ( / Applicant's Name (print): gt Pt1L r ta1A Ra.7b1L— Signature: Date: I `T� Inspections must be called in before a AM on the day the inspection is requested, Inspection requests called in afters will be scheduled for the next business day. 6 Inspection Hotline - (208) 372.2344 wwvv.rexburg.org Permit Technician - (208) 372.2341 C I TY OF REXBURG c0+ America's Family Community BUILDING PERMIT FORM 22O ",atN 1012016 BUILDING APPLICATION Commercial Electrical Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 For Office Use Permit Number: Electrical Fees Paid ❑ 1. Property Owner Name:cs/r_d'JBs N) GcuuT9S/ Address: Yds i `f_f' -,� S fotJ Cr City: 94. g &s." State: 1 i> Zip Code: 8314 eI e7 Phone: 7.m$ Email: 2. Electrical Contractor Under Idaho Building Code, a registered contractor must do the work for a Commercial Building. Business: Ft�L P—t e C2 d 16_47 2/ L State License #: D 1'+ 4 0 Exp.: Address: City: State: Zip Code: Phone: Email: Contact/Rep. Name: Phone: Email: Electrical Contractor Authorized ignature: 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 photo copy 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: Description of work: 41Vt S63J 6 i.._ ❑ Project Cost: $- O • Fees for commercial projects are charged by cost: 0 First $10,000 = 2% + $60. From $10,000 to $100,000 = 1% + $260. Above $100,000 =.5% +$1,160. i.e. Work costing $15,000 will be charged $260 for the first $10,000 and 1 Vo of the remaining $5,000 = $260 + $50 = $310 total fee • 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 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 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 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): Signature: Date: Inspections must he 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 C IT Y OF REXBURG CW Americas Family Community BUILDING PERMIT FORM 21� upme m to/2016 BUILDING APPLICATION Commercial Mechanical Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 For Office Use Permit Number: Mechanical Fees Paid ❑ 1. Property Owner Name: SfbeSS Address: City: State: Zip Code: Phone: Email: 2. Mechanical Contractor Under Idaho Building Code, a{gistered contractor must do the work for a Commercial Building. g -4A S Business: &)rg 1-9r'��1tJ ei1 State License #: 61 � (C) Exp.: Address: City: State: Zip Code: Phone: Email: Contact/Rep. Name: PRI Phone: Email: Mechanical Contractor Authorized Signature: Date: �l 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. lfyou are unsure ifyour license is on file, please check with the Permit Technician by calling (208) 372-2341. 3. Project Description Address: Description of work: IHsS�i'(.frZ H,Project Cost: $ I ZI wo • 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. i.e. Work costing $15,000 will be charged $260 for the f rst $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. APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, I hereby certify that 1 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 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): ( 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 Special Construction (Manufacturer or Supplier) Roof Trusses: Floor/Ceiling Joists: _ Siding/Exterior Trim: Other: Inspection Hotline -(208)372.2344 a vvxexburg.org Permit Technician -(208)372.2341 Revised 10/2016 Building Safety Department C I TY OF REXBURG City of Rexburg r,, 35 North 1st East America'sFanml Community Rexburg, Idaho 83440 i SUBCONTRACTOR LIST i Excavation & Earthwork: i Concrete: Masonry: j Roofing: Insulation: Drywall: j I Painting: Floor Coverings: i Plumbing: Heating: gfy&,-� Electrical: EL IL ! p—' 1 ®G Special Construction (Manufacturer or Supplier) Roof Trusses: Floor/Ceiling Joists: _ Siding/Exterior Trim: Other: Inspection Hotline -(208)372.2344 a vvxexburg.org Permit Technician -(208)372.2341 Revised 10/2016 OQ pE%BVgC CITY OF ° REXBURG ,r av America's 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: Name: Name: Name: Name: Inspection Tickets Name: Name: Name: Name: Name: Email: Email: Email: Email: Email: Email: Email: Email: Email: Email: Inspection Hotline -(208)372.2344 w .rexhurg.org Permit Technician -(208)372.2341 Revised 10/2016