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Home My WebLink AboutAPPLICATIONS - 18-00715 - 525 S Center - BYU-Idaho New Steam Turbine & Cooling Tower�;OQ gEx•UAC'' CITY OF REXBURG BUILDING PERMITFORM 2�1 Qv updated ta/xme Americo§ Fancily Community BUILDING APPLICATION Commercial Remodel Building Safety Department City of Rexburg 35 North ls' East Rexburg, Idaho 83440 For Office Use Permit Number: _ I (S Application Fee: ❑ $100 1. Property Owner Name: Brigham Young University - Idaho Address: 525 South Center Street City: Rexburg State: ID Zip Code: 83460 Phone: 208 496.2664 Email: johnsonaCbyui edu 2. Applicant Name: Big -D Construction Corp. Role: (Owner, Tenant, Contractor, etc.) CM/GC Address: 343 East 4th North Suite 112 City: Rexburg State: ID Zip Code: 83440 Phone: 208.709.9761 Email: andrew.wolford(ftig-d com Contact/Rep. Name: Andrew Wolford 3. General Contractor Under Idaho Building Code, a registered contractor must do the work for a Commercial Building. Name: Big -D Construction Corp. Registration #: RCE -4751 Exp.: 12/28/2018 Address: 343 East 4th North Suite 112 City: Rexburg State: ID Zip Code: 83440 Phone: 208.709.9761 Email: andrew.wolford0big-d com Contact/Rep. Name: Andrew Wolford Phone: 208.709.9761 Email: and rew.wolfordloibig-d.eom General Contractor Authorized Signature: Date:.)%-/ 7• A 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. 4. Project Description Address: 525 South Center Street Description of Work: _Install new steam turbine centrifugal drive chiller and cooling tower at the Central Energy Facility. Project Description: • Total cost of project -materials and labor: $ 2 fZovl o00 • Check all that apply: ❑ Mechanical: Cost $1,353.268.00 ❑ Electrical: Cost $ 110,000.00 ❑ Plumbing: Cast $ NIA ❑ Fire Alarm: Cost $ NIA ❑ Fire Sprinkler: Cost $ 6,433.00 Note: Any contractors involved will need to fill out their respective application. • Change of Occupancy? 10 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 reviewfee totaling 10% of the building permitfee. APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, I hereby certify that l 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): Andrew Wolford Signature: 7w J Date: r(, a. If 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 Aloe a.kXBURp�i r C IT Y OF REXBURG America's Family t'.onmnmity BUILDING PERMIT FORM Z 1O updaea to/:ma BUILDING APPLICATION Commercial Mechanical Building Safety Department City of Rexburg 35 North 1St East Rexburg, Idaho 83440 For Office Use Permit Number: Mechanical Fees Paid ❑ 1. Property Owner Name: Brigham Young University - Idaho Address: 525 South Center Street City: Rexburg State: ID Zip Code: 83460 Phone: 208.496.2664 Email: __ lohnsonati�bVui.edu 2. Mechanical Contractor Under Idaho Building Code, a registered contractor must do the work for a Commercial Building. Business: Mechanical Service & Systems State License #: PWC -C-14671 Exp,; 7/31/19 Address: 1055 South 700 West City: SLC State: UT Zip Code: 84317 Phone: 801-255-9333 Email: Contact/Rep. Name: Jeff Jones Phone: 901-710-6083 Email: iiones(a�mss84.com Mechanical Contractor Authorized Signature: Date: 12/13/18 A copy ofyour state registration/license h required to b rJ'6fti this is the first timeyou 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: 525 South Center Street Rexburg, ID Description of work: Installation of Steam Turbine Chiller and Cooling Tower ❑ Project Cost: $ 1,353,268.00 • Fees for commercial projects are charged by cost: o First $10,000=2%+$60. From $10,000to$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 ree • There will also be a plan review fee totaling 10% of the above fee. APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, l hereby certify that l 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 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): Jeff Jones Signature: Date: 12/13118 Inspections must be tailed 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 C IT Y OF Building Safety Department REXB CI BUILDING PERMIT FORM220 City of Rexburg claw aiE ep"""'N 35 North 15C East America's Family Cummuniry Rexburg, Idaho 83440 BUILDING APPLICATION Commercial Electrical For Office Use Permit Number: Electrical Fees Paid O 1. Property Owner Name: Brigham Young University - Idaho Address: 525 South Center Street City: Rexburq State: ID Zip Code: 83460 Phone: 208.496.2664 Email: iohnsona(&bvui.edu 2. Electrical Contractor Underldaho Building Code, a registered contractor must do the work for a Commercial Building. Business: Mountain West Electric, Inc. State License #: ELE-C-3802 Exp.: 12/31119 Address: 586 West Highway 26, #1 City: BlaCkfoot State: to Zip Code: 83221 Phone: (208)684-5463 Email: dbrown@mtmvestelecwm Contact/Rep. Name: Steven Thompson Phone: (206) 317-3166 Email: sthompson@mtnwestelec.mm Electrical Contractor Authorized Signature: �(� 1X/�1LS�+�� Date: - A copy afyour 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 afyour license. Ifyou are unsure ifyour license is on file, please check with the Permit Technician by calling (208) 372-2341. 3. Project Description Address: BY11-1 Central Energy Facility Description of work: Was and cable tray for new chiller ❑ Project Cost: $ 110,000.00 • Fees for commercial projects are charged by cost.- 0 ost:o First $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 t260fortheffrst$10,000and 1% of the remaining $S,000=$260+$50=$310 total • There will also be a plan review fee totaling 10% of the above fee. APPLICANTS SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty ofperjury, I hereby certify that l 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 omclal 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 Vold if not started within 180 days. Permit void if work stops for 180 days. Applicant's Name (print): Bart Grover Signature:J7UM !fie Date: 12110118 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 -(288) 372.2341 C I TY OF REXBURG tkW Americo Family Community BUILDING PERMITFORM MUPtla4d1011116 BUILDING APPLICATION Commercial Plumbing Building Safety Department City of Rexburg 35 North ls' East Rexburg, Idaho 83440 For Office Use Permit Number: Plumbing Fees Paid ❑ 1. Property Owner Name: Brigham Young University - Idaho Address: 525 South Center Street City: Rexburg State: ID Zip Code: 834 Phone: 208.496.2664 Email: ohnsona b ui.edu 2. Plumbing Contractor Under Idaho Building Code, a registered contractor must do the work for a Commercial But Business: State License #: Address: City: State: ip Co Phone: Email: Contact/Rep. Name: Phone: Email: Plumbing Contractor Authorized Signature: %Date: A copy ofyour state registration/license is required to be onffle. If this i e first tim u e work in the City of Rexburg, please provide a photo copy ofyour license. Ifyou are unsure ifyour license is ea heck wit e Permit Technician by calling (208) 372-2341. 3. Project Description Address: Description of work: ❑ Project Cost: $ • Fees for co cial project cha by cost: 0 Firs 0,000=2% 60. From $10,000 to $100,000 = 1% + $260. Above $100,000 =.5% +$1,160. i.e. Workcosting 15,0 ill be charged$260for thefirst$10,000 and 1% of the remaining $5,000=$260+$50=.5310 total • There wi Iso be Ian 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 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 tinder the provisions ofthe 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 iu4 pEXBUgV,O C I TY OF Building Safety Department BUILDING PERMIT FORM 4 01 City of Rexburg to °°`"""'°'"°" 35 North 1st East America's Family Community Rexburg, Idaho 83440 BUILDING APPLICATION Fire Alarm For Office Use Permit Number: Fire Alarm Pees Paid ❑ 1. Property Owner Name: g Address: City: State: Zip Code: Phone: Email: 2. Contractor Business: State License #: Address: City: Stat Zip e: Phone: Email: Contact/Rep. Name: Phone: Email: Contractor Authorized Signature: Date: A copy ofyour state registration/license is required to be on ffl 's e first ti ou ave done work in the City of Rexburg, please provide a photo copy ofyour license. Ifyou are unsure ifyour licen on fil le chec i the Permit Technician by calling (208) 372-2341. 3. Project Description Address: Description of work: ❑ Fire Alarm System $ • Fees f Ir arm systems a charge by cost: Firs 0,000=2%+$60. From $10,000to$100,000=1%+$260.Above $100,000=.5%+$1,160. i.e. Work costing $15,0 iil be charged $260 for the first$10,000 and 1% of the remaining $5,000 = $260 + $50 = 9'310 total fee There 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 l have read this application and state that the information herein 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 withal] 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 ofthe 2012 International Code In cases ofany false statement or misrepresentation of fact in the application or on the plans on which the permit or approval was based. Permitvoidifnot started within 180 days. Permit void ifwork 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 a AM will be scheduled for the next business day. Inspection Hotline - (208) 372.2344 www.rexburg.mg Permit Technician - (208) 372.2341 CITY OF REXBURG America's Family Community BUILDING PERMIT FOaRM 4�2 BUILDING APPLICATION Fire Sprinkler Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 For Office Use Permit Number: Fire Sprinkler Fees Paid ❑ 1. Property Owner Name: Brigham Young University - Idaho Address: 525 South Center Street City: Rexburg State: ID Zip Code: 83460 Phone: 208.496.2664 Email: iohnsona(rD_byui.edu 2. Contractor Business: 3-D Fire Protection State License #: FPSC-008 Exp,; 12/31118 Address: 6312 S. Burggraf Way City: Idaho Falls State: Idaho Zip Code: 83401 Phone: 208-525-8377 Email: kelly.bateman@3dfire.us Contact/Rep. Name: Kelly Bateman �Phone. 208-525-8377 Email: keily.bateman@3dfire.us Contractor Authorized Signature: �I_) JJviL4, (i Date: / Z/mhe; 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: W Viking St, Rexburg, ID 83460 Description of work: Remove and reinstall existing fire sprinkler piping that may interfere with the installation of the new chiller Number of Heads: 0 ❑ Fire Sprinkler System Cost: $ 6.433.00 • Fees forfire alarm systems are charge 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 ffrst$10,000 and 1 % of the remaining $5,000 = $260 +$50 = $310 total (ee • There will also be a plan reviewfee totaling 10%ofthe above fee. APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, I hereby certify Nat l have read this application and state that the information herein 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. 1 agree to comply withall City regulations and State laws relating m Ne subject matter ofthis application and herebyauthorized representatives of the City to enter upon the above-mentioned property for mspecttompurposes. 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 pians 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): ilei � 4 — Signature: fel i Date: /zk ie 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 Bodine - (208) 372,2344 www.rexburgorg Permit Technician - (208) 372.2341 C I TY OF REXBURG Amerim's Family Community SUBCONTRACTOR LIST Excavation & Earthwork: Concrete: Masonry: Roofing: Thomas D Robison Roofing Inc. Insulation: Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 Drywall: N/A Painting: N/A Floor Coverings: N/A Plumbing: Mechanical Service & Systems, Inc. Heating: Mechanical Service & Systems, Inc. Electrical: Mountain West Electric Inc. Special Construction (Manufacturer or Supplier) Roof Trusses: Floor/Ceiling Joists: N/A Siding/Exterior Trim: Other: Fire Sprinklers - Delta Fire Systems, Inc. dba 3-D Fire Protection Structural Steel - Intermountain Erectors, Inc. Inspection Hotline -(208)372.2344 www.rexburg.org Permit Technician -(208)372.2341 Revised 10/2016 a'�4 w.nava�.o CITY or REXBURG CW Americas family Community Affidavit of Legal Interest Building Safety Department City of Rexburg 35 North 151 East Rexburg, Idaho 83440 State of Idaho County of Madison 1, aNheEw -TDAas Cw'rr^l EI• tzxO 1 7%A,J Name Address yys >. /sem SZC )1a, ro City Being first duly sworn upon oath, depose and say: (If Applicant is also Owner of Record, skip to B) State A. That i am the record owner of the property described on the attached, and I grant my permission to: 13;k -t) Cor'5,P9,Cria^1 Name Address to submit the accompanying application pertaining to that property. B. I agree -to Indemnify, defend and hold Rexburg City and its employees harmless from any claim or liability resulting from any dispute as to the statements contained herein or as to the ownership of the property which is the subject of the application. Dated this (P dayof _DeCe,. 104b 201_ —lig ature Subscribed and sworn to before me the day and year first above written. �-.."`�p,RIE A( or, NSA GBL I C %;;� �!;'0. 452;::•'x• `�`� Residingat: QkhefT5I Z� My commission expires: ��T I �� Q..7 Inspection Hotline -(208)372.2344 www.reaburg.org Permit Technician -(208)372.2341 Revised 10, 2016 C I TY OF RMURG rn� Amerlcai Family Community 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 Notes Name: Andrew Wolford Name: Kenny Rasmussen Name: Tyler Ames Name: Name: Inspection Tickets Name: Andrew Wolford Name: Kenny Rasmussen Name: Tyler Ames Name: Name: Email: andrew.wolford(a)big-d.com Email: krasmussen@biq-d.com Email:tyler.ames@bia-d.com-d.com Email: Email: Email:and and rew.wolford�big-d.com-d.com Email:krasmussen0bia-d.com-d.com Email:tvler.ames@bia-d.com-d.com Email: Email: Inspection Hotline -(208)372.2344 w .rexburg.org Permit Technician -(208)372.2341 Revised 10/2016 C I TY OF REXBURG 04 Americai Family Community BUSINESS USE SUMMARY Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 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? Ar'Yes 0 No Will the business be doing any structural/or remodeling changes to the building? Dl'Yes 0 No Any changes to the electrical? Aes 0 No Any changes to the plumbing? 0 Yes ***N0 Any changes to the mechanical system? Aes 0 No Is the business type changing? 0 Yes, it will change to 0 Yes A0 Is this business changing ownership? 0 Yes WIN Is the business registered with the City of Rexburg? Aes, License #: 0 No *If No, please apply for a business license with the Customer Service Dept. Will the business have food preparations? 0 Yes MINo Will there be any cooking of foods? 0 Yes VIN Will there be any deep fat frying? 0 Yes INo Will you have food disposal on site? 0 Yes IeNO Will there be sumps or floor drains in the facility? 0 Yes Ao Will the business have any chemicals on site? li'TYes 0 No 2ps-w7- 971 1o• 1-7- /S Applicants Signature Phone 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 v .rexburg.org Permit Technician -(208)372.2341 Revised March, 2016 CITY OF REXBURG CW_ America's Family Community PERMIT POLICIES ACKNOWLEDGMENT Building Safety Department City of Rexburg 35 North 11t East Rexburg, Idaho 83440 The Cityof 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 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 perform the inspection. (Example: If the electrical rough in inspection is not done and the sheetrock has been nitiala 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. 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. 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): Andrew Wolford 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