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Home My WebLink AboutAPPLICATION - 16-00638 - 16-00643 - 565 Pioneer Rd - Rockcreek Townhomes Units #181-186CITY o F Building Safety Department --- _--- ---.---.-.-..-.....__....---. aY4 a REXBRG stiemit ev Emall City of Rexburg 35 North 1St East Aznerfca's Family Community Rexburg, Idaho 83440 BUILDING APPLICATION Commercial/Multi-family Residence For Office Use Digital Plans Included: ID CD ❑ USB ❑ Dropbox ❑ Not Included Permit Number: f b��3 Permit Type: ❑ New ID Remodel ❑Addition Deposit Amount: ❑ $1000 New Const 11$250 Addition ❑ $100 Other Deposit Included with Application: ❑ Yes 17 No 1. Property Owl, Name: 1-e2^ 4 60� t Address: /00, % e�< �Y? City: pte+,� State: Z�o Zip Code: �3yjy Phone &Type: 0'Office❑Mobile Email: Gress ori Under Idaho Building Code, a contractor must do the work for a Commercial Building. 2. Applicant nn q/ / Name: C � 1 ld-so/moi Role: (Owner, Tenant, Contractor, etc.) Address: U City: State: Zip Code: Phone&Type: ❑ Office ❑Mobile Email: Contact/Rep. Name: Phone: Email: 3. General Coni ctor Name: /(/lei h lG� Gtr Registration#: 4CE 7,y;b Exp.: Address: Pa, /3oX l`7 Z City: /I -Qu t, State: ;t76 Zip Code: 93Y3� Phone&Type: 2eJ8-'751-13R0'11ffice❑Mobile Email: G av4 Y 166: pow. Contact/Rep. Name: Gl- ljlelsoti hone: Email: General ContractorAuthorized Signature: Date: 4-. Project Des ription 6 C Address: %��l ti -OR- Lot #: Block #: I�% o�ssxnr�ks. clTx of REEXBURG rw Arncricc> (mnity C'on:rnmrity Building Safety Department City of Rexburg s 6mlt ay Eman 35 North 1st East Rexburg, Idaho 83440 BUILDING APPLICATION Electrical For Office Use Permit Number: Permit Type: ❑New ❑Remodel ❑Addition ❑ Basement Fh sh Fees Paid: ❑ Yes ❑ No 1. Property0yyj�ner / Name: C% /l��C / SOf2 r� y Address: AIU U159X IyZ City: State: / Zip Code: 8 3y3 Phone & Type: `%5 / q38r1 Office ❑ Mobile Email: �%r Pio G. `i e. 7vt� 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-contra time involved will need to submit their own signed applications. 2. Electrical/Contractor /p Name: /V�SON G(rre/'e, Reistration#: ife321Z-% Exp,; 1/-30-16 Address: PW 13ov A 2— City: State: _Zip Code: A3q3!f Phone & Tyoe- 20b' S�/ �3�1 ffice ❑ Mobile Email:�vc�s✓vL4° Contact/Rep. Name: it /i� S'D w Phone: �z 3. Pro'ectDes�riphon / � /g1-/0,( DM1� Address: J6_S %�ihln2h✓ 044 __ //-ux- Lot #: I + Check one: ❑ Single-family Residence Q'Multi-family Residence ❑ Commercial Check one: ❑New Construction* ❑ Remodel ❑ Addition ❑ Basement Finish ommercial Work: Contracted amount: $ Calculated Fee (See Below): $ Ne $10,000 = (total cost of systemx.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 XIngle-family Residential Work: Sq. Ft o 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�8q. Ft. (or portion thereof)) $ New Multi -Family Residential: ❑ Duplexz: $260 hree or more units= $((130 x# of buildings)+(65 x # of unitsp$_ 1 new work on any other residence and uetacned shops: = $(65 + 110 x # of branch circuitsll $ Mis - laneous: LI Small Works (work costing less than $200 with no change in service connections) =$10(needs no inspecti Central Heating/Cooling Systems= $65 ❑ Spas, Hot Tubs, and Swimming Pools:z $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 ❑ Temporary Amusement= $65 + $10 per ride, concession, or generator $ ❑ Plan Check =10% of Contracted Amo I L -I 1 e1i1p UI dly 1.011b Lr UGL1U❑ JerVlcebylyl.r = YOJ I LVU amn or less. une location for less than 1 year.) APPLICANTS 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 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 shallbetruthfulandcorrect I 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: Thebuildingaf6cialmay okeapermitor ap valissued under the provisions of the 2012 International Code in cases of any false statement or misrepresentation offact in the application or on the a which the er orapproval wasbased. Permit void ifnot started within 180 days. permit void if w,oia�stops for 1,8jry�dayys. Applicant's Name (print): C%/� A'45' 0tft Signature: Date: inspections must be called in before 8 AM on the day the inspect on is requested, Inspection requ sts fled in after 8 AM will be scheduled for the next business day. Inspection Hotline -(208)372.2344 www.rexburg.org PermitT chmcian-(208)372.2341 Revised March, 2016 CITY OF REXBLTRG Amarica's Iwmily community Building Safety Department City of Rexburg submit sy Email 35 North 1St East Rexburg, Idaho 83440 BUILDING APPLICATION Mechanical For Office Use Permit Number: Permit Type: ❑ New ❑ Remodel ❑ Addition ❑ Basement Finish Fees Paid: ❑Yes ❑ No 1. Property O� Name: k& Address: City: _ State: Z_ip Code: Phone & Typ - ❑ Office FKMobile Email: do, 5 Under Idaho Building Code, a homeowner is allowed to do work on eir 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: 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. Mechani 4Ct Ar- tI' LLC I Name: r�xH t Re tration #: C'G� Exp.: Address: Wig. State: f JA Zip Code: Phone & Type: U ❑ Officeobile Email: h `.1 Contact/Rep. Name: hone: — Email: iM ' Mechanical Contractor Authorized Signature: Date:/ � b 3. Project Description `!�%'"/ eg 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: $ Calculated Fee (See Below): $ ❑ 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. ❑ 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: ❑ 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 ❑ Water Heater = $65 ` ❑ Requested Inspection = $65:'r ❑ 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 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 mein hearings before the Planning and Zoning Commission orthe 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 an 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 2hIhhepermit or approval was based, Permit void if not startedwithin 180 days. Permit void ifwrklstops for 180 days. e or Applicant's Name (print): N `04V �t�JWVK 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 March, 2016 ��g6Xnp�C, � o ctrr OF REX.BURG ,I Aw- Amarfcds Awnily Communhy Submit By Email 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 ❑ Nol 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 ❑ No: This property is a Multi -family Residence or Commercial Property. NOTE: Any contractors/sub-contractor; involved will need to submit their own signed applications. 2. Plumbing Contractor Name: � ! L Le rtAL iL 6 Reg�istration #: L+� 11 Exp.: Address: 6 � E' ZZId Yy City: kState: Zip Code: "14 Z Phone & Type: Di7l S (p9 // 2 6 ❑ Office-oMobile Email: P Contact/Rep. Name: JeWvny WM v Phone:C 1/2(iEmail: t .Plumbing Contractor'AuthorizedSi nature: 01 Date: f 3. Project De c �'pdo I W ter Meter Qu�s Ity: Water Meter Size: Address:) ilOt w✓ Ib'I -Iv -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: $ Calculated Fee (See Below): $ ❑ Up to $10,000 = (total cost of system x.02) +$60 ❑ $10,001-$100,000 = ((total costo£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: ❑ Duplex= $260 ❑ Three or more Units= $((130 x# of buildings)+(65 x # of units))$_' ❑ 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: ❑ Sewer Line = $65 ❑ Water Line = $65 []Sewer and Water Line= $65 []Requested inspection= $65 ❑ Sewer Turnaround (septic to city) = $65 ❑ Hydronic Heating= $6'5 + ($10 x # of manifolds/zones) ❑ Technical Service= $65/hour ❑ Plan Check =10% of Contracted Amount 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 I swear that any information which may hereafter be given by me in hearings before the Planning and Zoning Commission or the City Council forthe Cityof Rexburg shalt 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 rases of any fake statement or misrepresentation of fact in the application or on the plans on which the permity approval was based. Permitvaidifnot started within 180 days. Permit void if work stops for 180 days.. L/— 11 Applicant's Name (print): sr6vrL MC4LM&PV Signature: ��P� !! Date: 6/7116 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.rexhurg.org Permit Technician -(208)372.2341 Revised March, 2016 .61A, CCK) •+