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Home My WebLink AboutAPPLICATION - 17-00457 - Super Cuts - Tenant FinishCl I OF REXBURG ----_.... cw ------ Amc,ical Family f:nmmoai(y 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. o Building without the pink building permit signed by the Building Inspector will result in double fees to be Z assessed and the project to be red tagged. If your project is red tagged, halting all construction, only a City Initlal: 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. o If a building is occupied without receiving a signed Certificate of Occupancy, citations may be issued and the occupants may be evicted. Initials 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 Initials 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. 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 inform anyone on your project of the above policies. All sub -contractors will be held to this standard with no exceptions. DP-- 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): N9 IR&At—, Signature: Date: 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 C I TY Of REXBURG Americas Family Grana unary BUILDING PERMIT FORM 20� uzm<m 1012016 BUILDING APPLICATION Commercial Tenant Improvement Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 For Office Use Permit Number: Application Fee: ❑ $100 1. Property Owner Name: CFT NV Development, LLC (Contact - Jasmine Orozco) Address: 1683 Walnut Grove Ave. City: Rosemead State: CA Zip Code: 91770 Phone: (626) 372-8479 Email: Jasmine.0iozco@PandaRG.eain- 2. Applicant Name: GM. NJmaMfLvP CSP Role: (Owner, Tenant, Contractor, etc.) r6..a ro.Rc.'rfw- Address: 1 "`tso Fa.'w-)Ic�-,J 'rrlA.� Sr City: I>m,ort- L,AVG State: MN Zip Code: 61'172 - Phone: "(S -L ZLu -30AO Email: DAnI-12 Etw1ICE lJR1nNrRTTyn�P.ceN. Contact/Rep. Name: b^0 f,9n%Y.E 3. General Contractor Under Idaho Building Code, a registered contractor must do the work for a Commercial Building. Name: Fi•M. NOAPNI mq C* AP - Registration R: ACG —Zf. s' 331 Exp.: A 3 18 Address: IT41FO PA.AAKLAP4 -riii SE City: P2toa. 4AKE State:tA4ZipCode: M72, Phone: 9SZ A Z(o -3090 Email: 12A/1.IZEIwIKt-CJCM1Jo0TMQUPceM Contact/Rep. Name: DA44 =#&AVaIr Phone: Email: q awo General Contractor Authorized Signature: �%/L/1 . Date: 7 01 117 A copy ofyour state registration/license is required to be VJf1e. If this is the first timeyou have done work in the City of Rexburg, please provide a photocopy ofyour license. Ifyou are unsure ifyour license is on file, please check with the Permit Technician by calling (208) 372-2341. 4. Project Description Address:1480 N. 2nd ST. E., Suite 2, Rexburg, ID 83440 Description of Work: "remAN'r 1MQtlOJtt J1-% t Project Description: • Total cost of project-materialsandlabor: $ (o9.ee>D,ee • Check all that apply: ❑ Mechanical: Cost $ 7So D• ❑ Electrical: Cost $ 9$'00,es ❑ Plumbing: Cost $ 1 gQp, ee ❑ Fire Alarm: Cost $ — ❑ Fire Sprinkler: Cost $ Note: Any contractors involved will need to fill out their respective application. • Change of Occupancy? ❑ No ❑ Yes: New occupancy: Mercantile Building Permitfees for commercial construction are charged based on square footage and the City's estimated valuation. The application fee applies toward the fee fatal. 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 I. 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 withal)City regulations and State laws relating to thesubject matter of this application and hereby authorized representatives ofthe. City to enter upon the above-mentianed property for Inspections purposes. NOTE: The building official may revoke a permit on approval issued under the provisions of the 2012 International Code Incases crony 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 iiffwork stops for 180 days. Applicant's Name (print): -7),W Signature: �� Date• % �$ JJ Inspections must be called in before 8 AM on the day the inspection is requested. Inspection requests rolled 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 CITY OF REXBURG _...._.__.._—cy, - _._ Aowicas Family C raomnfty BUILDING PERMIT FORM Z 1 O ",.oa..Fmts 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: CFT NV Development, LLC (Contact - Jasmine Orozco) Address: 1683 Walnut Grove Ave. City: Rosemead .State: CA Zip Code: 91770 Phone: (626) 372-8479 Email: Jasmine Orozco(o�PandaRG com 2. Mechanical Contractor Under Idaho Building Code, a registered contractor must do the work for a Commercial Building. Business: State License #: Exp.: Address: City: State: Zip Code: Phone: Email: Contact/Rep. Name: Phone: Email: Mechanical Contractor Authorized Signature: Date: - A copy ofyourstate registration/license is required to be on file. If this is the ffrsttime you have done work in the City ofitexburg, please provide a photo copy ofyour license. Ifyou are unsure ifyour license is on file, please check with the Permit Technician by calling (206) 372-2341. 3. Project Description Address: 1480 N. 2nd ST. E., Suite 2, Rexburg, ID 83440 Description of work: ❑ Project Cost: $ • Fees for commercial projects are charged by cost.- 0 ost:o First $10,000=295+$60. From $10,000 to$100,000=145+$260.Ahave $100,000=.545+$1,160.1 e. Work costing $15,000 will be charged $260 far the first $10,000 and 145 of the remaining $5,000 = $260 + $50 = S310 total feg • There will also be a plan review fee totaling 1095 of the above fee. APPLICANTS 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 mein hearings before the Planning and Zoning Commission or the City Council for the City of Rexburg shall betruthful 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 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 offact in the application or on the plans on which the permit or approval was based. Permitvoidifnot 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 SAM will be scheduled for the next business day. Inspection Hotline - (208) 372.2344 www.rexburg.org Permit Technician - (208) 372.2341 pti%B p CQ CSG CITY OF REXBURG -- 0- A ... Mwl family G,mnwnt(y 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 be getting automated updates for this project, Review Notes Name: Mark Ebner Name: Name: Name: Name: Inspection Tickets Name: DAr1 2.6,414, Name: Name: Name: Name: Email: ebner@I-m.com Email: Email: Email: Email: Email• DAPS (Ltl�1ICC= �a C+M�io/iTr1(iy�. cetyl Email: Email: Email: Email: Inspection Hotline -(208)372.2344 w .rexbur¢.or¢ Permit Technician -(208)372.2341 Revised 10/2016 ue przaugr :.• iy —_—CITY OF r ° REXBURG 0- A ... mc.I -A,nedcai family Cnmmuniry BUSINESS USE SUMMARY Building Safety Department City of Rexburg 35 North Is, East Rexburg, Idaho 83440 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? Will the business be doing any structural/or remodeling changes to the building? Any changes to the electrical? Any changes to the plumbing? Any changes to the mechanical system? Is the business type changing? o Yes, it will change to New - Mercantile Is this business changing ownership? Is the business registered with the City of Rexburg? ❑ Yes, License #: *If No, please apply for a business license with the Customer Service Dept. Will the business have food preparations? Will there be any cooking of foods? Will there be any deep fat frying? Will you have food disposal on site? Will there be sumps or floor drains in the facility? Will the business have any chemicals on site? ❑ Yes ■ No ❑ Yes ■ No ®Yes 13 No ■ Yes ❑ No ■ Yes ❑ No ❑ No ❑ Yes ■ No ■ No ❑ Yes o No • Yes ■ No ❑ Yes ■ No ❑ Yes N No ■ Yes ❑ No ❑ Yes ■ No 9rz-2-z(e--3ou> Applica Signature Phone Date I certify that the information that I have provided above is to the best of my knowledge accurate and true. Inspection Hodine-(208)372.2344 www.rexburg.org Permit Technidan-(208) 372.2341 Revised March 2016 CITY OF REXBURG America's family Community Affidavit of Legal Interest State of Idaho County of Madison I, CFT NV Developments, LLC 1683 Walnut Grove Ave Name Address Rosemead City State 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 A. That I am the record owner of the property described on the attached, and I grant my permission to: Supercuts, Inc. 1480 N 2nd E, Rexburg, ID 83440 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 day of ( f 1A2017 1 APPR ED AS TO FORM CFT NV Dee ants, LLC B by. ZI' Signature Subscribed and sworn to before me the day and year first above written. Notary Public of Idaho My commission expires: Pl,east se.e �e�io% Ae�nowla�unerr�. Inspection Hotline -(208)372.2344 w rexburgarg Permit Technician -(200)372.2341 Revised 10, 2016 CALIFORNIA STATEMENT GOVERNMENTCODE r *I See Attached Document (Notary to cross out lines 1-6 below) ❑ See Statement Below (Lines 1-6 to be completed only by document signer[s], not Notary) Signature of Document Signer No. 1 Signature of Document Signer No. 2 (if any) A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of tos fa'Y ckw KIMBERLY TIEN Notary Public - California _ ,=r . Los Angeles County Commission •# 2190596 My Comm. Ex ires Apr 10. 2021 Seal Place Notary Seal Above Subscribed and sworn to (ore. affirm* before me on this 3/54- day of-- f20�, by Date —Jlonth Year (1) Shen (and (2) NameW of Signer(4 proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me. Signature Signature of Notary Public OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: md� e� %raa/ InA5re4 Document Date: 8f Z°f Number of Pages: I Signer(s) Other Than Named Above: N/fl 02014 National Notary Association • www.Nationa]Notary.org • 1 -800 -US NOTARY (1-800-876-6827) Item #5910