HomeMy WebLinkAboutAPPLICATION 2 - 18-00310 - 1450 N 2nd E - Walmart - Fitting Room/Photo Lab RemodelCITY OF
RMURG
Amerim's Family Community
Building Safety Department
BUILDING PERMIT FORM 202 City of Rexburg
°p"W toIM16 35 North In East
BUILDING APPLICATION
Commercial Tenant Improvement
Rexburg, Idaho 83440
For Office Use
Permit Number: Application Fee: ❑ $100
1. Property Owner
Name: WalMart Real Estate Business Trust
Address: 2001 SE 10th St City: Bentonville State: AR Zip Code: 72712
Phone: 479-273-4000 Email:
2. Applicant
Name: Rick Shipman Construction Inc. Role: (Owner, Tenant, Contractor, etc.) General Contractor
Address: 15018 County Road 413 City: Dexter State: MO Zip Code: 63841
Phone: 573-624-5065 Ext -120 Email: stephenwilson0d2 kshipman.Dom
Contact/Rep. Name:$bephen Wilson- Permit Coordinator
3. General Contractor
Under Idaho Building Code, a registered contractor must do the work for a Commercial Building.
Name: Rick Shipman Construction Inc. Registration #: RCE -21746 Exp.: 05/05/2019
Address: 15018 County Road 413 City: Dexter State: MO Zip Code: 63841
Phone: 573-624-5065 Ext- 120 Email: stephenwilson(e)rickshipman.cem
Contact/Rep. Name:Stephen Wilson- Permit Coordinator Phone: s73c24-sossFri- 12oEmail: stephenwilson@dckshipman.com
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General Contractor Authorized Signature: RICK SHIPMAN ��` Date: 08/23/2018
A copy ofyour state registration/license is required to be on file. If this is the first timeyou have done work in the City of Rexburg, please prom.
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: 1450 N 2nd E. Rexbum. ID 83440
Description of Work: Store Enhancement
Project Description:
• Total cost of project - materials and labor: $ 125,526.00
• Check all that apply:
❑ Mechanical: Cost $ M Electrical: Cost $ 8.850.00 ❑ Plumbing: Cost $
❑ Fire Alarm: Cost $ ❑ Fire Sprinkler: Cost $
Note: Any contractors involved will need to fill out their respective application.
• Change of Occupancy? 19 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.
APPLICANTS SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury,I herebycertify that l have read this application and stare 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 ofthis application and herebyauthorised 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 ofthe 2012
International Code in cases ofany false statement or misrepresentation of fact in the application or no the plans on which the permit or approval was based. Permitwidifnot
started within 180 days. Permit void ffwork stops for 180 days.
Applicant's Name (print): Stephen Wilson Signature:vt2� V\) ✓ — Date: 011/2ar2o1s
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.rexburgorg Permit Technician - (208) 372.2341