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Home My WebLink AboutAPPLICATION - 18-00463 - 526 First American Cir - Suite B - Tenant FinishOF StEX a U,1C CITY o F Building Safety Department N REXBURG City of Rexburg TT n„ 35 North 1st East America's Family Community Rexburg, Idaho 83440 PERMIT POLICIES ACKNOWLEDGMENT 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 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. 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 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. 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. o The above policies will be enforced to all, regardless if this information is passed on to them or not. Initi l�� Applicant's Name (print): l P1�-- Signature: Date: 0—L{ t 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 10/2016 O� gfiXB URC � c 1 TY o> Building Safety Department 11 ,7 ExriuRG City of Rexburg `'Q"3S North 1St East Americas Family Community 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 http://rexbuEg.org/pages-/develoi2ment-code. Inspection Hotline - (208) 372.2344 www.rexburg.org Permit Technician -208 3 ( )72.2341 Revised 10/2016 °F SiEXB UqC fa c IT Y OF Building Safety Department U REXBURG BUILDING PERMIT FORM ^/ City of Rexburg `•Upda [cd 10/2016 02 America's Family Community 35 North 1St East Rexburg, Idaho 83440 BUILDING APPLICATION Commercial Tenant Improvement For Office Use Permit Number: y(p Application Fee:X$100 1. Property Owner Name: _ r4-' Address: �s� �,� R(a City: Stater Zip Code: t'3-tkU Phone: 20;- -31Z VlZ'2_ Email: 2. Applicant 'n A Name: A vt. V2 1q, Role: (Owner, Tenant, Contractor, etc.) Address: LlR L; �iLt ylJ City: 0"fS� State: Phone: 2-a', • 3 qc - t1 7 � Zip Code: Email: ,Mo 6e hL 3 Af bLjj,,« Contact/Rep. Name: Jrtta 9 3. General Contractor Under Idaho Building Code, a registered contractor must do the work for a Commercial Building. Name: IQ�Cl/- (pv,S��rz�,� L! Registration #: ELF -3S 36 _) Ex Ze 1�( Address: 61 1 �, �I _�,� Ci p.. tY State: Zi Code: Q�•3'j(IA Email: Contact/Rep. Name: Phone: Email: General Contractor Authorized Signature: __ q-2( �t A copy ofyour state registration/license is required to be o file, thi 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: Description of Work: Project Description: • Total cost of project - materials and labor: $ d Dvo VMechanical: heck all that apply:,� Cost $ C` D-`� Cgs Electrical: Cost $ e Plumbing: Cost ❑ Fire Alarm: Cost $ UIG_- ❑ Fire Sprinkler: Cost $ ilt _ Note: Any contractors involl d will need to fill out their respective application. • Change of Occupancy? K?1 o ❑ 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 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 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 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):�iV v��W�:7&__C —2 Signature: Date: Inspections must be called in before 8 AM on the day the inspection is requested. Inspec4reqts called in after,81 AM will be scheduled for the next business day. Inspection Hotline - (208) 372.2344 www.rexburg.org Permit Technician - (208) 372.2341 oQ a�Bt�R� C1 TY o f Building Safety Department "1 REXBURGBUILDING PERMITdFORM 210 City of Rexburg `► "" 35 North 1st East America's Family Community Rexburg, Idaho 83440 BUILDING APPLICATION Commercial Mechanical For Office Use Permit Number: Mechanical Fees Paid ❑ I. Property Owner Name: el-� Address:-i1%t��d ut— City; I' State: Zip Code: � 31(4 G Phone: -24,) f 1-- �'� "Z Email: 2. Mechanical Contractor Under Idaho Building Code, a regi jtered contractor must do the work for a Commercial Building. Business: t �✓ ,;� •1 State License #: f*VC; i L1 L Address:—.(66 & 7-5-C1 Exp.: City � State: Zip Code: Phone: Email: Contact/Rep. Name: Phone: Email: Mechanical Contractor Authorized Signature: _ i Date: i!- 2f l 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 photo copy ofyour license. Ifyou are unsure iyour license is on file, please check with the Permit Technician by calling (208) 372-2341. 3. Project Description ! Address: _ C,Z L fSk JAoJf,'co., l fk G Description of work: A 64.-VeV_,X_ ❑ Project Cost: $ tV, U-eD • Fees for commercial projects are charged by cost: o First $10,000 = 2% + $60. From $10,000 to $100,000 = 1 % + $260. Above $100,000 =.5% +$1,160. i.e. Work costing $15,000 will be charged $260 for the first $10,000 and 1 % of the remaining $5,000 = $260 + $50 = $310 total fee • There will also be a plan review fee totaling 10% of the above fee. APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, I hereby certify that 1 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 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 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): �) I � , 4(, J Signature: Date: g-21-1 8 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 O� gEXB [jRC fI CI TY o P Building Safety Department �i IRTEEjG BUILDING PERMITdFORM 2 3 City of Rexburg `► "" 35 North 1St East Americas Family Community Rexburg, Idaho 83440 BUILDING APPLICATION Commercial Plumbing For Office Use Permit Number: Plumbing Fees Paid ❑ 1. Property Owner Name: RVR tCY3 i, Address: 1, 5ur C Wtc. d, �D City; Ski '- C -_ State: Zip Code:.3�P Phone: 26 J�-- 3 "Z 2 Email: 2. Plumbing Contractor Under Idaho Building Code, a registered contractor must do the work for a Commercial Building, Business: �� } �}-i'1- State License #: Ex Address: S p" City: State: Zip Code: Phone: Email: Contact/Rep. Name: Phone: Email: Plumbing Contractor Authorized Signature: Date: 2 l - / le 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 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: 2C_ t5f Description of work: 2L Apji ❑ Project Cost: $ ?;—M- • Fees for commercial projects are charged by cost: o First $10,000 = 2% + $60. From $10,000 to $100,000 = 1% + $260. Above $100,000 =.5% +$1,160. i.e. Work costing $15,000 will be charged $260 for the first $10,000 and 1 % of the remaining $5,000 = $260 + $50 = $310 total fee • There will also be a plan review fee totaling 10% of the above fee. APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, I hereby certify that 1 have read this application and state that the information herein is correct and I swear that any information which may hereafter be given by me in hearings before the Planning and Zoning Commission or the City Council for the City of Rexburg shall be truthful and correct. I agree to comply with all City regulations and State laws relating to the subject matter of this application and hereby authorized representatives of the City to enter upon the above-mentioned property for inspections purposes. NOTE: The building official may revoke a permit on approval issued under the provisions of the 2012 International Code in cases of any false statement or misrepresentation of fact in the application or on the plans on which the permit or approval was based. Permit void if not started within 180 days. Permit void if work stops for 180 days. Applicant's Name (print): 11/ Ile Signature: Date: Inspections must be called in before 8 AM on the day the inspection is requested. Inspection requests called in after8 AM will be scheduled for the next business day. Inspection Hotline - (208) 372.2344 www.rexburg.org Permit Technician - (208) 372.2341 U� r7C I TY OF Building Safety Department 0 J EXBURG BUILDING PERMIT FORM 2 2 0 City of Rexburg "" °°'�`��'°'�°'� 35 North 1st East America's Family Community Rexburg, Idaho 83440 BUILDING APPLICATION Commercial Electrical For Office Use Permit Number: Electrical Fees Paid ❑ L Property Owner. ,., Name: i1-e,,,4� (`N i Address:_ S2� (�•� uCt�.� City: 12e_r State: LU Zip Code: C3`(k a Phone: 2-66 — 3 Email: 2. Electrical Contractor Under Idaho Building Code, a registered contractor must do the work for a Commercial Building, Business: /-l�Gfarriv� ri+-�l C State License #: 3 5 21 61Ex Address: q y$ 5 (� S% City: �� Sta Ci r p teZip Code: 10 3 `(L( a Phone: (?M) 390— 3304e Email: Contact/Rep. Name: Phone: Email: I�o� l�tsk, tea,,, EJ n•IS✓1 Electrical Contractor Authorized Signature: �(,�Q.sra� Date: 0/2/// P� 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. 3. Project Description Address: _ 4�,Z(, (_4 14y,0,4c 6r 6 Description of work: ❑ Project Cost: $ • Fees for commercial projects are charged by cost.- 0 ost.0 First $10,000 = 2% + $60. From $10,000 to $100,000 = 1% + $260. Above $100,000 =.5% +$1,160. i.e. Work costing $15,000 will be charged $260 for the first $10,000 and 1 % of the remaining $5,000 = $260 + $50 = $310 total fee • There will also be a plan review fee totaling 10% of the above 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. 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 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): I J8k l Lil _ f 42-?Sffi 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 04 g6XB rj* U� a� C t TY OF Building Safety Department REXBURG City of Rexburg `%'35 North 1St East America's Family Community Rexburg, Idaho 83440 SUBCONTRACTOR LIST Excavation & Earthwork: Concrete: Masonry: Roofing: Insulation: Drywall: Painting: Floor Coverings Plumbing: Heating: I -C1,1% �t 6— �I D Electrical: Special Construction (Manufacturer or Supplier) Roof Trusses: Floor/Ceiling Joists: Siding/Exterior Trim: Other: Inspection Hotline - (208) 372.2344 www.rexburg.org Permit Technician -(208) ) 372.2341 Revised 10/2016