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Home My WebLink AboutAPPLICATION - 18-00534 - Thomson Farms 2 Story - New MFR0� pEX B uRC CITY OF Building Safety Department REXBuRG City of Rexburg to Americas Family Community 35 North 1St East Rexburg, Idaho 83440 MULTI -FAMILY RESIDENTIAL APPLICATION CHECKLIST The following items should be completed before you submit your building permit application. *Reasonable accommodations will be made upon r_ e_ guest, Submit the Following Documents: ❑ 3 sets of site plans (see Site Plan Checklist on page 2) -0' SEir j'e,.1 t; 6-CO315 rcp- 5—C 1C:,A-5 ❑ 3 sets of building plans (see box below) - stamped by a licensed professional ❑ 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 (see box below) - stamped by a licensed Engineer ❑ Energy Compliance Report: As per the 2015 IECC, a COMCheck is required (available online at www.energycodes ov) ❑ 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: Seismic Design Category - D (unless soil evaluation confirms category C) Ground Snow - 50 lbs. per sq. ft Roof Snow Load - 35 lbs. per sq. ft. Wind Load - 90 MPH Frost Depth - 36" ❑ 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 ❑ Permit Policies Acknowledgment signed. ❑ Affidavit of Legal Interest signed ❑ Property Line form signed ❑ 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 ❑ Notification Distribution List filled out ❑ Commercial Projects: Completed Business Use Summary 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 ht- rexburg orjpages/development code. I nspecuon Hotline - (208) 372.2344 www.rexburg.org Permit Technician - (208) 372.2341 Revised 10/2016 OF ptiXBpkC U� 7 7� r,C I TY OF Community Development Department REXBURG City of Rexburg America' FammilyCommunity 35 North 1St East sMtO Rexburg, Idaho 83440 SITE PLAN CHECKLIST ❑ 1. Legal Description of proposed building site ❑ 2. North Arrow See PERMIT 18-00315 for civil ❑ 3. Drawn to scale and landscaping scope of work. ❑ 4. Lot Dimensions ❑ S. Building locations, and dimensions with distance to property lines and distances between buildings ❑ 6. Distance of entrances from street corners dimensioned ❑ 7. Show 10% snow storage area ❑ 8. Drainage Plan (with arrows) ❑ 9. Fencing/Screening ❑ 10. Landscaping/Buffering ❑ 11. Lighting Plan (if needed) ❑ 12. Existing and proposed easements ❑ 13. Existing utilities (waterlines, sanitary sewer lines, manholes, storm drains) ❑ 14. Existing right-of-way location and width, curb to curb widths ❑ 15. Existing streets labeled ❑ 16. Proposed street improvements (curb, gutter, sidewalk, pavement, etc.) ❑ 17. Parking (Lot dimensions, distance between rows, loading areas if required) 1118. Sidewalks — both along rights-of-way and internal (existing and proposed) ❑ 19. Fire hydrants and fire suppression lines (including tie to City lines) o Sprinkled o Not Sprinkled ❑ 20. Fire apparatus access ❑ 21. Proposed utilities including tie in location to existing services and new easements ❑ 22. Proposed storm drain and sanitary sewer elevations (for pipe inverts at manholes and catch basins) ❑ 23. Trash facilities (dumpsters for right-hand truck) 0 1 Dumpster per 20 doors (non -dormitory) 0 1 Dumpster per 50 beds (dormitory) 1124. Numbers needed: o Building square footage o Percent of lot covered by building o Paving Area o Drainage Plan Calculations o Parking space numbers (tenant & visitor, handicap, private) SITE PLANS MUST BE COMPLETE AND SUBMITTED FOR REVIEW BEFORE THE PROJECT WILL BE PLACED ON THE PLANNING & ZONING AGENDA. Inspection Hotline - (208) 372.2344 www.rexburg.org B B Permit Technician - (208) 359.3020 Revised 3/2018 OF gtXBt/RC �a �p CITY OF ��G Building Safety Department CW City of Rexburg America's Family Community PERMIT POLICIES ACKNOWLEDGMENT 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 o APPROVAL OF CONSTRUCTION. 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 Initials Certificate of Occupancy from the Building Department. These documents must be signed b the a from the City of Rexburg. Any approvals can be verified by calling (208) 372-2167. Even if you hear fromriatan insp ct rfes 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. o SCHEDULING INSPECTIONS. 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 initials following business day. 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.) o STAIRWAYS REQUIRED. On jobsites for multi-level buildings the contractor must provide temporary stairs so that workers and inspectors can safely access upper levels of the building. If these stairs are not provided, inspections may Initials not be completed. Extenuating circumstances will need to be approved by the Building Department. DIGITAL AS -BUILT PLANS. A Certificate of Occupancy will not be issued without digital copies of the As -Built Plans. It is the Applicant's responsibility to turn in digital copies of the As -Built Plans when the project is completed. No Certificate of Initials Occupancy will be issued without these plans, extenuating circumstances will need to be approved by the Building Department. o OCCUPYING A FINISHED BUILDING. No building may be occupied without receiving a signed Certificate of Occupancy. if a building is occupied without receiving a signed Certificate of Occupancy, citations may be issued and the occupants may Initials be required to vacate. o MAKING KNOWN POLICIES. 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. The above policies will be enforced to all, regardless if this Initials information is passed on to them or not. 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 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 OF gEXBURC �> -o ' CITY o F Building Safety Department n T 1ExBuR(i City of Rexburg ,, to mAmericasFamilyry 35 North 1St East Communi 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 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. I have read and understand the above requirements. t��7 C..W Signature Cory Ferguson Printed Name September 14, 2018 Date Inspection Hotline - (208) 372.2344 www.rexburg.org Permit Technician - (208) 372.2341 Revised 10/2016 OF VSX8URC U� 7 CITY OF Building Safety Department 1EXBURG City of Rexburg ci Updaedl0/2016 St 35 North 1 America's Family Community East iMt6 Rexburg, Idaho 83440 BUILDING APPLICATION New Multi family Residence For Office Use Permit Number: Zoning Application Fee: ❑ $1000/Building 1. Property Owner Name: RS17 Rexburo Preferred LLC Address: 160 W Canyon Crest Dr. Suite 3 City: Alpine State: Utah Zip Code: 84004 Phone: 385-429-4280 Email:—Paulftatillwatermail com 2. Applicant Name: RS17 Rexburg Preferred LLC Role: (Owner, Tenant, Contractor, etc.) Owner Address: 160 W Canyon Crest Dr. Suite 3 Citv: Alpine Phone: 385-429-42g) - Email: paulna State: Utah Zip Code: 84004 Contact/Rep. Name: Paul Brin hurst stillwatermail com 3. General Contractor Under Idaho Building Code, a registered contractor must do the work for a Multi family Residence. Name: Registration #: Address:Exp.: Phone: CIS'' State: Email: Zip Code: Contact/Rep. Name: Phone: Email: General Contractor Authorized Signature: o y / Date: A co py fyour state re istration 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 #: _ Block #: _Subdivision: Project Description: • # of Buildings: # of Units: • # of Water Meters: Water Meter Size(s): • # of Parking Stalls: • Estimated Cost: $ • Proposed Use: ❑ Dormitory Housing ® Non -Dormitory Housing • Construction Type (i.e. VA, VB, etc.): VB Building Permit fees for multi family residences are charged based on square footage and the City's estimated valuation, The application fee applies towards the total fee. For details on how fees are calculated, contact the Building Department. There will also be a plan review fee totaling IOgo 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): 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 - (206) 372.2341 �F gEXB URC Ua 7 CITY O F Building Safety Department ° REXB BUILDING PERMIT FORM City of Rexburg 0W Updated 03/2018 310 Americas Family Community 35 North 1St East �M[D Rexburg, Idaho 83440 BUILDING APPLICATION New MFR Mechanical For Office Use Permit Number: Mechanical Fee Paid ❑ 1. Property Owner Name: RS17 Rexburg Preferred LLC Address: 160 W Canyon Crest Dr. Suite 3AlpineUtah Phone: 385-429-4280 City: State: Zip Code: 84004 Email: paul@stillwatermail.com 2. Mechanical Contractor Under Idaho Building Code, a registered contractor must do the work for a Multi family Residence. Business: State License #: Address: Exp.: Phone: City: State: Zip Code: Email: Contact/Rep. Name: Phone: Email: Mechanical Contractor Authorized Signature: A copy oregistration/licenseDate: fyour state 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: -OR- Lot #: — Block #: _ Subdivision: Description of work: ❑ New MFR Construction: # of Buildings: # of Units: • Fees for new construction are charged by number of buildings and number of units. (130 x # of buildings) + (65 x # of units) =total fee (130 x 2 buildings) + (65 x 10 total units) = $260 (buildings) + $650 (units) _ $910 oral fgx ❑ Number of Fireplaces: • Note that fireplaces are not included in unit counts and will be charged $65 per inspection as shown below. o ❑ Built-in $130 ❑ Free-standing $65 • There will also be a plan review fee totaling 10Vo Of the above fee. APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, 1 hereby certify that I have read this application and state that the information herein is correct and 1 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): 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 - (206) 372.2341 of trxeuq� u, .y CI TY o f Building Safety Department REXBURG BUILDING PERMIT FORM 3 Z O City of Rexburg t� Updated 10/2016 Amerim's FamilyCnmmnnity 35 North 1St East Rexburg, Idaho 83440 BUILDING APPLICATION New MFR Electrical For Office Use Permit Number: Electrical Fee Paid ❑ 1. Property Owner Name: RS17 Rexburg Preferred LLC Address: 160 W Canyon Crest Dr. Suite 3 City: Alpine State: Utah Zip Code: Phone: 385-429-4280 Email: paul@stillwatermail.com 2. Electrical Contractor Under Idaho Building Code, a registered contractor must do the work for a Multi family Residence. Business: State License #: Address: Exp.: 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 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: -OR- Lot #: _ Block #: _ Subdivision: Description of work: ❑ New MFR Construction: # of Buildings: # of Units: • Fees for new construction are charged by number of buildings and number of units. Buildings and Units Total Fee (130 x # of buildings) + (65 x # of units) = total fee (130 x2 buildings) + (65 x 10 total units) = $260 (buildings) + $650 (units) _ $910 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 thisapplication and state that the information herein is correct and 1 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. 1 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 mayrevoke 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): 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 OF ptiX B t1,gC U> a� CITY OF Building Safety Department ° REXBURGBUILDING PERMIT,FORM 3 3 0 City of Rexburg ated 10/2016 America' FamilyCommunity35 North 1St East Rexburg, Idaho 83440 BUILDING APPLICATION New MFR Plumbing For Office Use Permit Number: 1. Property Owner Name: RS17 Rexburg Preferred LLC Plumbing Fee Paid ❑ Address: 160 W Canyon Crest Dr. Suite 3AI In Utah CIty' Alpine State: Zip Code: 84004 Phone: 385-429-4280 Email: paul@stillwatermail.com 2. Plumbing Contractor Under Idaho Building Code, a registered contractor must do the work for a Multi family Residence. Business: Address: Phone: Contact/Rep. Name: State License #: City: Email: Phone: Exp.: _ State: Zip Code: Email: Plumbing Contractor Authorized Signature: y � 9 Date: A copy o fyour state re istration 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: Description of work: -OR- Lot #: _ Block #: — Subdivision: ❑ New MFR Construction: # of Buildings: # of Units: • Fees for new construction are charged by number of buildings and number of units. Buildings and Units Total Fee (130 x # of buildings) + (65 x # of units) = total fee (130 x 2 buildings) + (65 x 10 total units) =T 6-0 (buildings) + $650 (units) _ $910 nrnl f, Pa • 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 1 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): 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 of µEx 6 uRC �p CITY O F REXBURG BUILDING PERMIT FORM 401 Qw uPaa�a i0 20 America's Family Community Building Safety Department City of Rexburg 35 North 1St East R 11 - ex urg, Idaho 83440 BUILDING APPLICATION Fire Alarm For Office Use INITIAL COST CHARGE BY COST Permit Number: Up to $10,000 = 2%+$60 Fire Alarm Fees Paid ❑ 1. Property Owner n Above $100,000 = iPW—D�+;-, 01 c nnn.... n ,________.�,..,.. ,. Name: RS17 Rexburg Preferred LLC Address: 160 W Canyon Crest Dr. Suite 3 City: Alpine State: Utah Zip Code:_ 84004 Phone: 385-429-4280 Email: oauMstillwatermail com 2. Contractor Business: State License #: Exp.: Address: Phone: City: State: Zip Code: Email: Contact/Rep. Name: Phone: Email: Contractor Authorized Signature: A copy ofyour state registration/license is required to be Date: on file. If this is the first time you have done work in the City of Rexburg, please a photo copy ofyour license. Ifyou are unsure ifyour license is on file, please check with the Permit Technician by provide calling (208) 372-2341. 3. Project Description Address: Description of work: ❑ Fire Alarm System Cost: $ • Fees for remodels are charge by cost: . total-fee� ,V w ,� Will ue uluryea b26u Jor the first $10,000 and 1 % of the remaining $5,000 = $260 + $50 = $3 10 • There will also be a plan review fee totaling 1040 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 correct and 1 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 p ermit or approval was based. Permit void if not started within 180 days. Permit void if work 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 8 AM will be scheduled for the next business day. Inspection Hotline- (208) 372.2344 www.rexburg.org Permit Technician - (ZOS) 372.2341 INITIAL COST CHARGE BY COST Up to $10,000 = 2%+$60 Up to $100,000 = 19,6+260 n Above $100,000 = iPW—D�+;-, 01 c nnn.... n ,________.�,..,.. ,. .5%+1,160 . total-fee� ,V w ,� Will ue uluryea b26u Jor the first $10,000 and 1 % of the remaining $5,000 = $260 + $50 = $3 10 • There will also be a plan review fee totaling 1040 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 correct and 1 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 p ermit or approval was based. Permit void if not started within 180 days. Permit void if work 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 8 AM will be scheduled for the next business day. Inspection Hotline- (208) 372.2344 www.rexburg.org Permit Technician - (ZOS) 372.2341 � µtx B URC pyo �p CITY OF REX ,URG BUILDING PERMIT FORM 4,02 OW Updated 10/2016 America's Family Community Building Safety Department City of Rexburg 35 North 1St East Rexburg, Idaho 83440 BUILDING APPLICATION Fire Sprinkler For Office Use Permit Number: Fire Sprinkler Fees Paid ❑ 1. Property Owner Name: RS17 Rexburg Preferred LLC Address: 160 W Canyon Crest Dr. Suite 3 City: AlpineState: Utah Zip Code: _ 84004 Phone: 385-429-4280 Email: paul@stillwatermail.Com 2. Contractor Business: State License #: Address: Exp.: Phone: City: State: Zip Code: Email: Contact/Rep. Name: Phone: Email: Contractor Authorized Signature: A co our state registration/license is required to be on file. If this is the first time you have done work n PY 0fY 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: Description of work: Number of Heads: ❑ Fire Sprinkler System Cost: $ • Fees for remodels are charge by cost: .�... $310 total fee 101 yuu nc oulur the Jlrst ju u,uuu and 140 of the remaining $5,000 = $260 + $50 = • There will also be a plan review fee totaling 1040 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 correct and 1 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): 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 INITIAL COST CHARGE BY COST up to $10,000 = 24'0 + $60 up to $100,000 = 140 + 260 Above $100,000 = .5%+1,160 o i.e.WnrkrnctinnflSnnn,..:nA A _]a,. �_ ., .�... $310 total fee 101 yuu nc oulur the Jlrst ju u,uuu and 140 of the remaining $5,000 = $260 + $50 = • There will also be a plan review fee totaling 1040 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 correct and 1 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): 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 4Exe uRc �y Jd CITY OF Building Safety Department v' RExBuRG City of Rexburg "'35 North 1St East America's Family Community MfD Rexburg, Idaho 83440 SUBCONTRACTOR LIST Excavation & Earthwork: Concrete: Masonry: Roofing: Insulation: Drywall: Painting: Floor Coverings: Plumbing: Heating: 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 OF tEXB(JRc r CITY o F Building Safety Department v' c �r RExBuRG City of Rexburg '• =Eo America's Family 35 North 1St East Rexburg, Idaho 83440 DISTRIBUTION LIST Please provide the names and emails of anyone who should begetting automated updates for this project: Review Notes Name: Cory Ferguson Name: Paul Bringhurst Name: Name: Name: Inspection Tickets Name: Name: Name: Name: Name: Inspection Hotline- (208) 372.2344 www.rexburg.org Email: cory@gouldplus.com Email: Paul@stillwatermail.com Email: Email: Email: Email: Email: Email: Email: Email: Permit Technician - (208) 372.2341 Revised 10/2016