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APPLICATIONS 3 - 16-00577 - 117 S 2nd E - Mattson Apts - Bldg B NO 23 Units
C IT Y OF REXBURG nv Ameritui Family Community Building Safety Department Submit ey Email City of Rexburg 35 North 1st 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: m 3 sets of site plans (see Site Plan Checklist on page 2) m 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) G3 Structural Calculations (see box below) - stamped by a licensed Engineer ❑ Energy Compliance Report: As per the 2012 IECC, a COMCheck is required (available online at www.energycodes gov) Permit Policies Acknowledgment signed. (see page 3) ❑ Building Permit Application signed by a registered General Contractor. (see page 4) m Exemptions from State Registration (see page 5) ❑ Affidavit of Legal Interest signed. (see page 6) 0 Property Line form signed by builder. (see page 7) ❑ Mechanical Permit Application signed by a registered Mechanical Contractor. (see page 8) m Electrical Permit Application signed by a registered Electrical Contractor. (see page 9) ❑ Plumbing Permit Application signed by a registered Plumbing Contractor. (see page 10) m Fire Alarm Permit Application (if applicable) signed by a registered professional. (see page 11) ❑ Fire Sprinkler Permit Application (if applicable) signed by a registered professional. (see page 12) G3 Subcontractor list filled out. (see page 13) m Commercial Projects: Completed Business Use Summary. (see page 14) Seismic Design Category - D (unless soil evaluation confirms category C) Ground Snow - 50 lbs. per sq. fL Roof Snow Load - 35 lbs. per sq. ft. Wind Load - 90 MPH Frost Depth - 36" lunpech.n Hothm (208)3722344 www.rexbwg.org Permi[Technician-(208)372.23M11 Revised March, 2016 o p£xsUkC ., C I TY OF Building Safety Department REXB RG Submit By Email City of Rexburg "4 35 North lst East Arnenm's Family Community Rexburg, Idaho 83440 SITE PLAN CHECKLIST 0 1 Site plan must be drawn to scale, be legible and also be submitted electronically if possible. 0 2. Adjoining streets labeled. 0 3. Right-of-way location and width, curb to curb widths and sidewalk location. 0 4. Building location, sq footage and dimensions, with distance to property lines and distances between buildings. 0 S. Show existing and proposed easements. 0 6. Existing utilities (waterlines, sanitary sewer lines, manholes, storm drains). 0 7. Proposed utilities including tie in location to existing services and new easements. 0 8. Proposed storm drain and sanitary sewer elevations (for pipe inverts at manholes and catch basins). 0 9. Storm drainage plan for parking lot and roof areas, with calculations. 0 10. Fire hydrants and fire suppression lines (including tie to City lines). 0 Sprinkled o Not Sprinkled 0 11. Indicate Fire apparatus access. 0 12. Parking (including parking lot, drainage arrows, dimension of lot, distance between rows, and total numbers). 0 13. Landscaping (type and total area, including dimensions). 0 14. Trash facilities. 0 15. North Arrow Included 0 16. Proposed street improvements (curb, gutter, sidewalk, pavement, etc.) 0 17. Legal description of proposed building site included. 0 18. Percent of lot covered by building or paving calculated. 0 19. Show 10% snow storage area. 0 20. Distance of entrances from sweet corner indicated. 0 21. Current Vicinity Map. (81/2 x 11") at 1" = 300' scale, showing location of the property. 0 22. Lighting Plan SITE PLANS MUST BE COMPLETE AND SUBMITTED FOR REVIEW BEFORE THE PROJECT WILL BE PLACED ON THE PLANNING & ZONING AGENDA. InspecHon Hothm-(208)372.2344 w .rexburg.org Permit Technician -(208)372.2341 Revised March, 2016 of gEXBUgC u o CITY OF REXBURG Americn's Family Cmomunity Submit By Email Permit Policies Acknowledgement Building Safety Department City of Rexburg 35 North 11t East Rexbure, 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. rccM 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 m.°ahs 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. KCM o 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 rccM 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 sonlething like "Yogi re good to go", itndel:stand that you still need to receive all relevant documentation Iron the Permit Technician before you are truly good to go. KCM 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 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. KCM o The above policies will be enforced to all, regardless if you pass this information on to them or not. Initials Applicant's Name (print): Karl C Mattson 1 Signature: _; _ --Date: 8 Februarym inspections must he called in before 8 AM on the Clay the inspection is requested. Inspection requests called inoften g AM nAll be scheduled for the next business day. Inspection Hotline -(208)372.2344 w rexburgong Perm it Technician -(208)372.2341 Revised Marc],, 2016 OF ptiXBVRC ,p CITY OF Building Safety Department 0 77 ExB conJj�l7 Submit By Email City of Rexburg C1435 North 1st East Ameriw'r rnmily Community Rexburg, Idaho 83440 BUILDING APPLICATION Commercial/Multi-family Residence For Office Use Digital Plans Included: ❑ CD ❑ USB ❑ Dropbox ❑ Not Included Permit Number: Permit Type: ❑ New ❑ Remodel ❑ Addition Deposit Amount: O $1000 New Const ❑ $250 Addition ❑ $100 Other Deposit Included with Application: ❑ Yes ❑ No 1. Property Owner Name: Erik Mattson Address: 230 EIstS Rexburg, ID 83440 City: Portland State: Oregon ZipCode: 97225 Phone&Type: 503-297-2575 ©Office❑Mobile Email: erik.mattaon@Wetiandinyestom.Com Under Idaho Building Code, a contractor must do the work for a Commercial Building. 2. Applicant Name: Karl C Mattson Role: (Owner, Tenant, Contractor, etc.) Developer Address: POBox220 City: Ashton State: ID Zip Code: 83420 Phone&Type: 208-652-7881©Office❑Mobile Email' kadm@myldahomail.com Contact/Rep.Name: KarlCMattson Phone: 208-652-7881 Email: karlm@myidahomaiLcom 3. General Contractor Name: Headwaters Construction Company Registration#: Ex Address: 639 w9500S Suite #1 City: victor State: ID P Phone & Type: 866-496-9868 Zip Code: 83455 YP DOffice❑Mobile Email: Contact/Rep. Name: Cody Summers Phone: 208-521-7228Email: csummers@headwaterscc.com / General Contractor Authorized Signature: Swl - Date: 8 February2017 4. Project Description Address: 230 E 1st S Rexburg, ID 83440 -OR- Lot #: Type of work: _Block #: _Subdivision: Check one: 0 New construction []Remodel* ❑Addition* Check all that apply: © Framing IZI Mechanical ❑ Plumbing © Electrical NOTE: Any sub -contractors involved will need to submit their own signed applications. Description of work: Construction of dormitory housing *Total cost of project- materials and labor: $ 4,500,000 (used to calculate permit fees) # Of Buildings: 1 Building 1: 23 Units 41205 sq. ft Building 2: _Units sq. ft. Building 3: _Units Additional Buildings: sq. ft Utility, Misc, Private Garage: ft Storage: APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Underpenalty ofpedury, I hereby certify that l have read this application and state that the infomtation herein is correct and 1 swear that any information which may hereakerbe 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 vnth all City regulations and State laws relating to the subject matter ofthis application and hereby authorized representatives of the City ton enter upon the above-mentioned fa red property for inspections purposes. NOTE: The building ofAcial may revoke a permit on approval issued under the provisions of the 2012 International Cade in rases ofany fake statement arm, srepresentation of fact in the application Oran 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): Karl CMattson Signature:. Date: 8 Feb 2017 Inspections most be called in before 8 AM on the day the inspection is requested. Inspection requests called in after RAM will be scheduled for the next business day. w• Inspection Hotline -(208)372.2344 wwrB�orrexbu g Permit Technician -(208)372.2341 Revised March, 2016 f PE%e UqC CITV OF REXBURG nv Amenm's Family Community State of Idaho County of Madison 1, .=r1K Name city Submit By Email Affidavit of Legal Interest Being first duly sworn upon oath, depose and say: (If Applicant is also Owner of Record, skip to B) Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 1&o6 SNi C rl I i7/s 6ivdl Sk /o 1,6 Address State A. That I am the record owner of the property described on the attached, and I grant my permission to: Name Address to submit the accompanying application pertaining to that property. B. I agree to indemnify, defend and hold Rexburg City and its employees harmless from any claim or liability resulting from any dispute as to the statements contained herein or as to the ownership of the property which is the subject of the application. Dated this y1)/I day of o Signature Subscribed and sworn to before me the day and year first above written. OFFICIAL STAMP otary Public of idahe 6iP &&-on/ ROSENAM KDIDALL NOTARYi MW-oaEcM Residingat: COMMiS M No. 818066 MY COMMISSION EXPIRES MARCH 03, 2020 My commission expires:Cj 3- 6)_3- Inspecd.n Hatline-(208)372.2344 w .rezbur.o B Permit TechNcian-(208)372.2341 Revised March, 2016 OF pV.XBLgC C r TY OF Building Safety Department REXBURG Submit By Email City of Rexburg ror 35 North 1st East Arnericas Family Community Rexburg, Idaho 83440 Property Lines Each site plan that is submitted to the City of Rexburg for the Building Permit process requires that property lines are shown accurately. It is the Developers responsibility to correctly identify on the site plan the location of these lines in reference to the public right-of-way, other adjoining property lines, the street, other structures and all utility lines. The Developer should find property pins that are still available at the lot in question. If these pins do not exist or have become unrecognizable then a new survey should be performed. Accurate property line information is a must for a timely review. In addition to finding existing property pins, legal descriptions should be checked. The best way to identify property line location is with a land survey. The City of Rexburg has aerial photos and a parcel line layer that can be checked, but they are only a tool and are not guaranteed for accuracy. If you want to request a copy of your lot, see the front counter at the Community Development Department. I have read and understand the above requirements. __ Signature Karl C Mattson Printed Name 8 February 2017 Date Inspection Hotline -(208)372.2344 v✓wuvrexborg.org Permit Technician -(208)372.2341 Revised March,2016 o�pEXBURC .o C l TY OF Building Safety Department IZEXBURG Submit ey Email City of Rexburg CW35 North ht East Arnerim's Family Corvmtmity Rexburg, Idaho 83440 Subcontractor List Excavation & Earthwork: DePatco Concrete: 1M concrete Masonry: Roofing: Rooftop Solutions Insulation: RDI Drywall: Jensen Drywall Painting: Troy Warwick Painting Floor Coverings: Carpet Direct Plumbing: AProPlumbil Heating: iM Mechanical Electrical: Nephi Electric Special Construction (Manufacturer or Supplier) Roof Trusses: Floor/Ceiling Joists: _ Siding/Exterior Trim: Other: Inspectionllotline-(208)372.2344 w .rexbnrg.org Permit Technician -(208)372.2341 Revised March, 2016 C I TY OF REXBCW- URG Amedcds Family Community Building Safety Department Submit By Email City of Rexburg 35 North 1st East Rexburg, Idaho 83440 BUSINESS USE SUMMARY The following questions will help speed the review process along. Please take the time to answer all of them. Is this business occupying an existing building? ❑ Yes EjNo Will the business be doing any structural/or remodeling changes to the building? ❑Yes ❑r No Any changes to the electrical? ❑Yes❑ No Any changes to the plumbing? []Yes +❑ No Any changes to the mechanical system? ❑Yes [Z]No Is the business type changing?❑Yes, it will change to No Is this business changing ownership? []Yes O No Is the business registered with the City of Rexburg?❑Yes, License #: [Z]No *If No, please apply for a business license with the Customer Service Dept. Will the business have food preparations? []Yes E]No Will there be any cooking of foods? []Yes r❑No Will there be any deep fat frying? ❑Yes ONo Will you have food disposal on site? []Yes p No Will there be sumps or Floor drains in the facility? ❑Yes ONo Will the business have any chemicals on site? C] Yes EjNo Karl C Mattson 208-652-7881 8 February 2017 Ap lica �tsIgn re Phone Date ri,.- I certify that the information that I have provided above is to the best of my knowledge accurate and true. Inspection Hotline—(208)372,2344 www.rexburgorg Permit Tech, ic,an—(2081372,2341 ReviseA March, 2016