HomeMy WebLinkAboutAPPLICATIONS - 18-00269 - T-Mobile - Tenant FinishC I T Y o f
REXBURG
America's Family community
Building Safety Department
City of Rexburg
35 North 1St East
Rexburg, Idaho 83440
COMMERCIAL 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
❑ Permit Policies Acknowledgment 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
❑ 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 at I�tt �: rLx���.lr =.or �' 7a acs tic:velo ]dl E Ilt-cnr;le.
Inspection Hotline - (200) 372.2344 www.rexburg.org Permit Technician - (208) 372.2341 Revised 10/2016
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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 shalt not begin until an approved pernnitis
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
2 assessed and the project to be red tagged. If your project is red tagged, halting all construction, only a City
nitials 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
(Z 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.
Z� 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.
22 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): Ruben Rodela Signature: zll�Date:. 05/11/18
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.rexbtirg.org Permit Technician - (208) 372.2341 Revised 10/2016
CITY OF
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America's Family Commio ily
BUILDING PERMIT FORM
updated 10/2016 O
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
Address: 1683 Walnut Grove Ave. City: Rosemead State: CA Zip Code: 91770
Phone: (626) 372-8122 Email: charlie.shen@pandaEg.com
2. Applicant
Name: _Gary Wang & Associates Role: (Owner, Tenant, Contractor, etc.) Architect
Address: 1000 Corporate Center Dr., Suite 550 City: Monterey Park State: CA Zip Code: 91754
Phone: (626) 288-6898 Email:.ruben@garywang.com
Contact/Rep. Name: Ruben Rodela
3. General Contractor
Under Idaho Building Code, a registered contractor must do the work for a Commercial Building.
Name: Registration #: Exp.:
Address: City: State: Zip Code:
Phone: Email:
Contact/Rep. Name: _ Phone: Email:
General Contractor Authorized Signature: Date:
A copy ofyour state 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 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 E., Suite 130, Rexburg, ID 83440
Description of Work: New tenant improvement protect for a retail use(T-Mobile] within an existing -shell building.
Project Description:
• Total cost of project - materials and labor: $120,000
• Check all that apply:
El Mechanical: Cost $ 15,000 ® Electrical: Cost $15,000 ® Plumbing: Cost $ 15,000
❑ 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:
Building Permit fees for 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, 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 or the City Council for the City of Rexburg
shall be truthful and correct. 1 agree to comply withal I 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): Ruben Rodela Signature: — Date: 05/11/1
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
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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
roject.
Review Notes
Name: Ruben Rodela
Name: Carlos Linares
Name: fenny Hoesan
Name:
Name:
Inspection Tickets
Name:
Name:
Name:
Name:
Name:
Email: ruben@garywang.com
Email: carlos@garywang.com
Email: jenny@garywang.com
Email:
Email:
Email:
Email:
Email:
Email:
Email:
Inspection Hotline- (208) 372.2344 www.rexbtirg.org Permit Technician- (208) 372.2341 Revised 10/2016
Building Safety Department
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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 ❑ No
Will the business be doing any structural/or remodeling changes to the building? ❑ Yes ® No
Any changes to the electrical? ® Yes ❑ No
Any changes to the plumbing?
® Yes
❑ No
Any changes to the mechanical system?
in Yes
❑ No
Is the business type changing? ❑ Yes, it will change to
. ® No
Is this business changing ownership?
❑ Yes
® No
Is the business registered with the City of Rexburg? ❑ Yes, License #:
® No
*If No, please apply for a business license with the Customer Service Dept.
Will the business have food preparations?
❑ Yes
® No
Will there be any cooking of foods?
❑ Yes
® No
Will there be any deep fat frying?
❑ Yes
® No
Will you have food disposal on site?
❑ Yes
® No
Will there be sumps or floor drains in the facility?
❑ Yes
® No
Will the business have any chemicals on site?
❑ Yes
® No
_(626) 288-6898 O5 11 18
Applicants Signature Phone i Date
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.rexburg.org Permit Technician - (208) 372.2341 Revised March, 2016