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Home My WebLink AboutAPPLICATION - 18-00034 - 1160 Bond Ave - Dish One Satellite - New BuildingCITY OF XFMURG Amnimk Pumay Community Building Safety Department City of Rexburg 35 North 1rt East Rexburp Idaho 83440 COMMERCIAL 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 site plans drawn to scale (see Site Plan Checklist) ® 3 sets of building plans (see box below to right) - stamped by a licensed professional. Include the following as applicable 01 Foundation Plan, Floorjoist Layout; Floor Plan, BoofLayou4 Truss Details, Sectional Views, Front Back and Side Elevations, Mechanical Layou4 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 (see box below) - stamped by a Seismic Design Category- D licensed Engineer (unless soil evaluation confirms category C) 0 Energy Compliance Report: As per the 2012 IECC, a COMCheck Ground Snow - 50 lbs. per sq. ft. is required (available online at wwwenergycoduyov) Roof Snow Load -35 lbs. per sq. ft W Digital Plans (PDF Format- can be submitted by USB, CD, or wind Load - 90 MPH Dropbox) Frost Depth - 36" 10 **Copies of any Contractors' State License if not on file already. Complete the Following Forms M Site Plan Checklist ® Permit Policies Acknowledgment signed ® Property Line form signed ❑ Building Permit Application signed by a registered General Contractor ❑ Mechanical Permit Application signed by a registered Mechanical Contractor ❑ Electrical Permit Application signed by a licensed Electrical Contractor ❑ Plumbing Permit Application signed by a licensed Plumbing Contractor ❑ Fire Alarm Permit Application (if applicable) signed by a registered professional ❑ Fire Sprinkler Permit Application (if applicable) signed by a registered professional ❑ Subcontractor list filled out ❑ Affidavit of Legal Interest signed by owner ® Notifications Distribution List W Business 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 athtW;I/r xxbl�ra,_g fp-geesLd velooment code. Irt Pp cn HOdine-(208)3)2.3344 www.rexburg.org Permit Technician -(208)3)3.2341 a .d 10/2016 C I T tiOF f) REXBURG Anarlrai liunlly Cmnnnnrlry SITE PLAN CHECKLIST Building Safety Department City of Rexburg 35 North let East Rexburg, Idaho 83440 M 1 Site plan must he drawn to scale, be legible and also be submitted electronically if possible. E 2. Adjoining streets labeled. ® 3. Right-of-way location and width, curb to curb widths and sidewalk location. M 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). R 7. Proposed utilities including tie in location to existing services and new easements. M S. Proposed storm drain and sanitary sewer elevations (for pipe inverts at manholes and catch basins). M 9. Storm drainage plan for parking lot and roof areas, with calculations. ® 10. Fire hydrants and fire suppression lines (including tie to City lines). IE Sprinkled ❑ Not Sprinkled M 11. Indicate Fire apparatus access. IR 12. Parking (including parking lot, drainage arrows, dimension of lot, distance between rows, and total numbers). M 13. Landscaping (type and total area, including dimensions). IN 14. Trash facilities. ❑ 1 Dumpster per 20 doors (non -dormitory) 111 Dumpster per 50 beds (dormitory) 91 15. North Arrow Included ® 16. Proposed street improvements (curb, gutter, sidewalk, pavement. etc.) IZ 17. Legal description of proposed building site included. Q 18. Percent of lot covered by building or paving calculated. In 19. Show 10% snow storage area. ® 20. Distance of entrances from street corner indicated. ® 21. Current Vicinity Map. (81h x 11") at 1" = 300'scale, showing location of the property. ® 22. Lighting Plan SITE PLANS MUST BE COMPLETE AND SUBMITTED FOR REVIEW BEFORE THE PROJECT WILL BE PLACED ON THE PLANNING & ZONING AGENDA. Impartm Hotline -(208)372.2344 .—an, a, Permit Technician -208 372,2341 ( ) RMsed 10/2016 P BVPC i b CITY OF UDURG Ametlm's Pnmiry Cbmmuriip PERMIT POLICIES ACKNOWLEDGMENT Building Safety Department City of Rexburg 35 North 151 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 ' assessed and the project to be red tagged. if your project is red tagged, halting all construction, only a City Inklals 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 o occupants maybe evicted. Nf iy 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 Inmaia 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. c Even ifyou hear from an inspector that'you're good to go', ultimately if you do not have a Building Permit or 1�d Certificate of Occupancy, the above policies will be enforced. 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. li�] o The above policies will be enforced to all, regardless if this information is passed on to them or not Applicant's Name (prmt),�/ ,o /41 .1 1 Signature: T-- g G��Date:-i-/7--,- Ir¢peMommu beolledinb.fo OAManthedayneimpecdunlsrequested.ImpedlanrequeRIcalledi..Re BAMWllbeuheduled6rn..e buoneseday. Impettion 110dlne-(208)3n.2344 w re burg.org Perml[T¢hnlclan-(20R) 372.2341 R-Ised 10/2016 OEOe e c CITY Of ° REXBURG ti A merim2 2Lmay Community PROPERTY LINES Building Safety Department City of Rexburg 35 North Vt East Rexburg, Idaho 83440 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 Developer's 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 1 have read and understand the above requirements. _ 4r!/lP hO/itanac/ Printed Name Date InepeNen HOUine-(208)3)2.2344 w .mbm,m,, Permit Txhnldan-(208)3)2.2341 aeWsed ID/2016 CITY OF Building Safety Department REXBURG BUILDING PERMIT FORM q 1 City of Rexburg ah, "°" 35 North let East An,eNa3 rvmlyr nonvmry Rexburg, Idaho 83440 BUILDING APPLICATION Fire Alarm For Office Use Permit Number: Fire Alarm Fees Paid 0 1. Property Owner Name: KAYO Pro PD .rtie5. LLG Address: 1055 Queens Dr city: American Fork state: UT zip code: 84003 Phone: 1-801-602-3792 Email: mikedhammondOmmail com 2. Contractor Business: TBD State License li: Exp.: Address: City: State: Zip Code: Phone: Email: Contact/Rep. Name: Phone: Email: Contractor Authorized Signatur Date: q� A copy ufyourstate registration/license is required to he on file. Ifthis is the frost arae you have done work in the City ofRexburg, 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 ofworlublOW Construction 0 Fire Alarm System Cost:S • Fear forfire alarm systems are charge by cost: o First $10,000=2%+$60.From510,000 to$100,000=1%+$260. Above $100,000=.5%+$1,160. ie. Work costing $15000 will be charged $260 for the first$10000 and 196 ofthe remaining $5,000= $260 ♦ $50= S31 Coad • There will also be a plan reWm fee totaling 10% of the above fee. NOTE: 180 days. Me mmnpabo. here[. the City of Erebus she xsentaflves of use City ions of she 2012 Permit void If not Applicant's Name(print)�/f% {�..�..,,� SignaNG ��/' Date: 1-/A -,9' Inspecnve" mus be rolled In before 8 AM on o. day no lnspecdon is requested Itmpedun req was coped In after 8 AM will be xheduled for fhe nett In ainem day. Inspestlon Hotline- (208) 3n.2344 ..Ib.,., Permit T-hmCan - nnaa ®—, �� peaaa°t+,b CITY O F Building Safety Department ` l�iaXU URG BUILDING PERMIT FORM Z0� City of Rexburg t,.. ""o'v'a" 35 North let East 0 Americol rami y Commmary Rexburg, Idaho 83440 BUILDING APPLICATION New Commercial Building For Office Use Permit Number: Zoning: Application Fee: 13 $1000/Building 1. Property Owner Name: KAYO F'rnnertiec I I C Address: 10650ueens Dr city: American Fork state: UT Zip Code: 84003 Phone: 1-801-602-3792 Email: mikedhammondgDgmail com 2. Applicant Name: Mike Hammond —Role: (Owner, Tenant Contractor, etc) Owner Address: 1055 0ueens Dr City: American Fork state: UT Zip Code: 84003 Phone:, -801-602-3792 Email: mikedhammoncidamail com Contact/Rep. Name: 3. General Contractor Under Idaho Building Code, a registered contractor must do the work for a Commercial Building. Name: Tallman Construction Registration#: ECE-3955R Esp.: 518/9n1A Address: 1570 Midway Dr. City: Ammon state: ID Zip Code: 83406 Phone: 208-542-7910 Email: scott(atallmanconstruction corn Contact/Rep. Name: _SCottTallman Phone:208403-5858 Email: // General Contractor Authorized Signam =• Date: ///q/(&, A copy afyourstate registration/license is required to be on file If this is the first time you 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. 4. Project Description • Address: -OR- Lot #:4 Block #: _L Subdivision: Artco Business Part( • Project Name: Dish One Satellite • Construction Type: V • Occupancy Type: A3/B . Square footage: 18.902 • Total cost of project - materials and labor: $ • Check all disciplines that apply: M Mechanical: Cost $ M Electrical: Cost $ M Plumbing: Cost $ M Fire Alarm: Cost $ M FireSprinkler: Cast $ Note: Any contractors involved will need to fill out their respective application. • # of Water Meters: 1 • Water Meter Size(s): 1-1/2" . # of Parking Stalls: 46 • # of Dumpsters: 1 • Estimated Dumpster Delivery • # of on ter Pickups/week Date: 9/ 30 / 1B 1f 2 3 4 5 • Other Comments (if any): Building Permitfees forcommercial ronsmation are charged based on square footage and the OV's estimated valuation. The applicadon fee applies toward the fee total, Far details on how fees are calculated, Contact the Building D¢partment There will also be a Plan review fee totaling 10%ofthe building permit fee. APPLICANTS SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under peoaltyafpniza,, I hereby certify dust Ihall read ties application and ante Mat no lnformatinn herein la tarred and I awear Mat any information which may hereafter be given by me In hearings before the Planning and Zoning Commission or the City Contend for the City of Rerbueg shall b,nuddnI and correct 1 agree to complywlU all Ciryregulacknu and Sete hwa relatdng to the adult" -I"' of IN Maldhatlon and herebyauMorlttd represenedves o(Ue GIry[aenter upon Ue abwementloned property forinwertlom purposes NOTE: Thebuildlvg oMdal mayrewkeapermican approval Issued under Me provisions oftbe 2012 Intonational Code In cases ofany false sMtement or inurepresenetian affect In the application or on the plans on which the permit or approval was based. PMmltwld if not aertdw 1%1.180 days Permftwid letark stops f A ]Bo drys Applicant's Name (print): Signator��t Date: Inspections must be caned in before 8 A on the day the inspection is requested Inspection requuts called in after 8 AM wiN be scheduled far thenott business day. Inspection Natline-(208)372.2344 www.c-Inn8org Permit Technician -(208)3)2.2341 TY OF Building Safety Department OW—RG BUILDING PERMIT FORM Z 10 City of Rexburg ov "°°"°°'°rs°" 35 North let East Amerimk RamayCommuniy Rexburg, Idaho 83440 BUILDING APPLICATION Commercial Mechanical For Office Use Permit Number: Mechanical Fees Paid ❑ 1. Property Owner Name: KAVD Prnnert'a5, I I C Address: 1055 Queens Dr city: American Fork state: UT Zip code: 84003 Phone: 1-801-602-3792 Email: al kedhammondno gmail com 2. Mechanical Contractor Under Idaho Building Code, a registered contractor must do the work fora Commercial Building. Business: TBD State License N: Exp.: Address: City: State: Zip Code: Phone: Email: Contact/Rep. Name: Phone: Email: Mechanical Contractor Authorized Signature: Date: A copy efyourstate registration/license is required to he on file. ¢this is the fast thri have done work in the City ofRexburg, please provide a photo copy ofyour license. ffyou are unsure ifyour license is on file, please check wkh the Permit Technician by calling (108) 372-2341. 3. Project Description Address: Description of work. New construction. HVAC system comprised of roof -top units D Project Cost: $ a Aeesforcommercialprajects are charged by cos[ o RM$10,000=2%+$60. From $10,000 to$100,000=1%+$260. Above $100,000=.5%+51,160. Le. Work costing $15,000 will be charged .$260 for the first$10,000 and 1 %ofthe remaining $5,000= $260 * $50=$310 total re a There will also be a plan revlewfee totaling 10%o rate above fee. APPLICANTS SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty ofmom,, I herebyrante as I have read this application andstao Nat Me irdnmution herein Is correct and I swear that any information which no, hereafter be given by me in hearings before One Planning and Zoning Commission or the City Countll for the Clty atBaburg shall be bmthful and correct I agree On comply wilb all City regWabons and Stag laws relating to the subject sumer maids application and hereby authorized representative of the City to enter upon me abmann endoned property for hapecdcas Fortunes. NOTE The building official may revoke a permit on approval Issued under One provisions of me 2012 Intematlonal Code In cases ofany favor, statement or misrepresentation ofhct in the application or on the plans on which the permit or approval was based. PermitvGid Ifi of martedwithin IgO days. Permitvaid Ifwork sops for og days. Applicant's Name (print): Signature• ,'_�Date: InspectionInHouma- w(208))h3e8°.a2il3e4d4 in before R AM an Me day the lnepertlon is rweqwuwestreudblunrngpoercgtlon rcgoestt cagedln after OAM will hescM1edPWecomTer<Ahennicion-(3n0wg13d8ay.. 3341 ae PL%a beC a CITY OF Building Safety Department IFD�URG BUILDING PERMIT FORM220 City of Rexburg m1 ti .,dmom 6 35 North let East ame,kak Pomay Communiry Rexburg, Idaho 83440 BUILDING APPLICATION Commercial Electrical For Office Use Permit Number: Electrical Fees Paid ❑ 1. Property Owner Name: KAYO Propp i c LLQ Address: 1055 Queens Dr city„ American Fork state: UT Zip code: 84003 Phone: 1-801-602-3792 Email:_ mikedhammond(Ei)pmail com 2. Electrical Contractor Under Idaho Building Code, a registered contractor must do the work for a Commercial Building. Business: TBD State License N: Exp.: Address: City: State: Zip Code: Phone: Email: Contact/Rep. Name: Phone: Email: Electrical Contractor Authorized Signature: Date: A copy ofyour state registration/license is required to be on file. If this is the first ameyou have done work in the City afReciburg, please provide a photo copy ofyour license. Ifyou are unsure ifyourlicense is on file, please check with the permit Technician by calling (208) 372-2341. 3. Project Description Address: Description of work: New construction power, data and lighting ❑ Project Cost: $ e Feeaforrommercfalprofects are charged by cost o First$10000=2%,$6a From$10,000 to$100,000=1%+$260. Above $100,000=.5%*53,160. i.e. Work costing $15,000 will be charged $260 for the first $10,000 and 1%ofthe remaining $5,000= $260+$50 = �totall In e There will also be a plan review fee totaling 10%ofthe above fee. APPUCAN17S SIGNATURE, C11TI1CATI11ANI AUTHORIZATION: Under penalty ofpmjpry, l herebycmtlfy that l have read tilde application and once that the Informationhcrein is mrrmt and I swear Na[ any Information wM1lah may h meager be given by me In scenario before Ne Planning and Zoning commission at me City Conned for the city of Events, sha8 be mth(l and mrreat I agree m mmplywlth all City regulations and Bite laws relating to the subject matter ofthis application and hereby erthatlsed represearativesafew City enter upon the above-mentioned property for inspections purpoam. NOTE: Thebulklm, ofitlal mayremkea permit on approval issued under the proNstam, ofdw 2012 Interear o m code In osu of arty false amtement or misrepresentation of fact In the application man me pram on which the permit or approval was sued. Permitwdd ifnot started Wthin 180 days. PerM[void donarkslops for 180 days. Applicant's Name (print): SignDate: .'- '¢ ' '¢ Uonamubecalledinbefore8AMon NedaytheImpeMen Ismqummd.inspecdonrequestsolledlnafter8AMw bescheduledfor MenmbJneasdry. travertine Hotline -(208)372.2344 xv.,w.reabY r&°rR Permit Technklan-(208)3723341 CITY a F Building Safety Department = 7�T� Ci of Rexburg 11L.� �i` BUILDING PERMIT 230 iY g f+.� "a°"°�"" 35 North iM East Amami Fundy Community Rexburg, Idaho 83440 BUILDING APPLICATION Commercial Plumbing For Office Use Permit Nunhe%Plumbing Fees Paid ❑ 1. Property Owner Name: KAYO moarties. LLC Address: 1055 Queens Or city: American Fork State: UT zip code: 84003 Phone: 1-801-602-37 Email: mikedhammond(Wilmail com 2. Plumbing Contractor Under Idaho Building Code a registered Contractor must do the wrkfor a Commercial Building. Business: IBD State License #: Address: City: State: Zip Code: Phone: Email: Contact/Rep. Name: Phone: Email: Plumbing Contractor Authorized Signature: Date: A copy ofyourstate registration/license is required to be on file If this is the first time you have done work in the City afRerburg, please provide a photo copy ofyour license Ifyou are unsure ifyourlicense is on file, please check with the Permit Technician by calling (208) 372-2341. 3. Project Description Address: Description of work: New construction with multi -occupant men's and women's restroom and rough in for future. 0 Project Cost: $ e Peesfor commercial projects are charged by cast. o First$10,000=1%+$60.From $10,000 to$100,000=1%+$260. Above $100,000=.5%+$1,160. i.e. Work costing $15,000 win be charged$260 for the ffrst$10,000 and 1% of the remaining $5,000 =$260+$50==0 baht fee e There wlll also be a Pian reviewfee totaling 1096 of the abavefee APPUGANT831GNATURE, C"TH11TI11 ANI AUTHORIZATION: Under penalty ofoubcg l hereby modify mat l have mad &isapplicamm and state Mat Me Information herein Is moral and I swear that any Information whlch may hereafter be given by me i n hearings before Me Planning and Zoning Commission or the I'll ... cd Ier the City of Rexburg shall be truMfbl and mrrest I agree to comply add, all City Name. and SUN laws relating ta me sublet mamer at this appllonma and hereby mchmaed repreuntabons of Me GUY to enter upon me above -mentos! property for hospeNans purposes NOTE: The building PENN, may revoke a permit on approval Issued undm the pmvlslost of Me 2132 Intematlonal Codeln saxes ofanyhlsesta[ementormisrepreaentatlon of6tlnme application or nn Me glare on whkb Me pmnitoraDPraval was baud Permitvoid Root droned wlMln 188 days. Permi[wld Ifworktops for Igo days. Applicant's Name (print): Xft i a A6 , Signature,-" 7" - Date: % InsPecdmu muslimmiledin before SAM on the day the Inspection is requested. lnspectlonrequesm called In altars AM will be scheduled for Me morom news day. InrUom n Rather -(288) 372.2344 no ersamargorg Permit Techniden- f2MM a72 1111 40 "'°°"q, CITY OF Building Safety Deparnnent Fe �URG BUILDING PERMIT FORM Q,QZ City of Rexburg ti °"°" 35 North 1rt East Amen}Family Commnniry Rexburg, Idaho 83440 BUILDING APPLICATION Fire Sprinkler For Office Use Permit Number. Fire Sprinkler Fees Paid ❑ 1. Property Owner Name: Address: 1055 Queens Dr City: American Fork state: UT Zip code: 84003 Phone: 1-801-602-3792 Email: mikedhamrnondna amail corn 2. Contractor Business: TBD State License Esp.: Address: City: State: Zip Code: Phone: Email: Contact/Rep. Name: Phone: Email: Contractor Authorized Signatu Date: —/ A copy ofyourstate registraHonpicense is required to be on five Ifthis is the first time you 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 (200) 372-2341. 3. Project Description Address: Description of work: New Construction Number of Heads: _ ❑ Fire Sprinkler System Cost: $ • Feesforffre alarm systems are charge by cost 0 Flrst$10,,000=2%+$60. From $10,000 to $100,000 = 1% + $260. Above $100,000=.5%+51,160. I.e. work costing $15,000 will be charged$260 far the fnt$10,000 and 1%ofthe remaining $5,000=$260+$50=$310 total kg e Them will also be a plan reviewfee totaling 10%ofthe abowfee. APPLICANT331GNATURE,cERTIFI"TIONANDAMORRATION: Underpe: rrectand l swearthat arryinformatlon v,116 mayhereaeerbe given rne betratMulandcosec[ Iagreemmmplywnall CiVr Utlesaandshtela benterupontheabove-mentioned Pmpereyforinspectlons Purpoms. NOTE: International Cade In rases ofany falsesb[ement or misrepresenbaon offatt vnnndw46in180days. Pe=kwidlfwmr1Isbpsfor180&, Applicant's Name (print): revoke. thetthe Permltvuidifnot Signature _-�—' Date: Inepedipm murtbeolled Inbefore E AM ontM1e tlay the Inapatlon is requested IuPecHon Hotline-I20813>Y334w.ruxbuMotlro8n requerts called in afbr8 AM will be schedPuelremd ftoTr eMce nniclan- linneaasudaay. nu eugc 6 CITY OF REXBURG ti Ammmi Family Cummaniry Excavation & Earthwork: Concrete: TBD Masonry: TBD Roofing: TBD Insulation: TBD Drywall: TBD Painting: TBD Floor Coverings: TBD Plumbing: TBD Heating: TBD Electrical: TBD Roof Trusses: TBD Floor/Ceiling joists: TBI Siding/Exterior Trim: T Other: SUBCONTRACTOR LIST Special Construction (Manufacturer or Supplier) Building Safety Department City of Rexburg 35 North 151 East Rexburg, Idaho 83440 ImpeNon Ratline-QO8)3R.2344 w rebu%org Permi[Te6nlclan-(208)3)2.2341 Revised 10/2016 #I_ T T O Frrn RE 7-B Anr riga U, r n, DISTRIBUTION LIST Building Safety Department City of Rexburg 35 North 151 East Rexburg, Idaho 83440 Please provide the names and emails ofanyone who should begetting automated updates for this project: Review Notes Name: Brent McFarland Name: Scott Tallman Name Name: Name: Inspection Tickets Name: MikP Hammond Name: Scott Tallman Name: Name: Name: Email: bmcfarland@jrwa.com Email: scott(cMallmanconstruction com Email: Email: Email: Email: mikedhammond mail.com Email: scott(a)tallmanconstruction com Email: mspecnon Hotline -(2081372.2344 v .rvbutgmg Permit Technician -(208)372.2341 aealsed 10/3015 CITY UY Building Safety Department � cl REXBURG City of Rexburg 'W — 35 North Vt East Ao—aa, rnn,iq co,nnn.ne, 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? 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? 0 Yes, it will change to Is this business changing ownership? Is the business registered with the City of Rexburg? MYes, License #: *If No, please apply for a business license with the Customer Service Dept Will the business have food preparations? Will there be any cooling 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? Applicants Signature Phone Date ❑Yes Ig No KYes ❑No 19Yes []No %Yes ❑No phi Yes ❑No fd No El Yes 19 No ❑ No []Yes fd No El Yes D(No ❑ Yes fd No 13 Yes VKNo f9Yes []No ❑Yes NNo I certify that the information that I have provided above is to the best of my knowledge accurate and true. inspection Hotline -(2081312.2344 wwg..hcogmg PermlTechnician -(208)382341 Revised alach, 2016