HomeMy WebLinkAboutAPPLICATIONS - 19-00139 - 111 W Main St - Grafitti Hair Salon - RemodelREXBURG
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Amerirni Family Community PERMIT POLICIES ACKNOWLEDGMENT
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City of Rexburg
35 North lrt 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
^vial: 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) 372-2167. 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.
�0 SCHEDULING I NSP ICTtONS. Schedulinginspections 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 betaken 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 S'fAiRWAYS 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
�nitlals not be completed. Extenuating circumstances will need to be approved by the Building Department
Di GI TAI As-81)ILT PI.A N,, ACertificate ofOccupancy will not be issued without digital copies of the As -Built Plans. It is
the Applicants responsibility to turn in digital copies of the As -Built Plans when the project is completed. No Certificate of
maials Occupancy will be issued without these plans, extenuating circumstances will need to be approved by the Building
Department
❑0 OCCUPY ING A FI NISHED BUI LD ING. No building may be occupied without receiving a signed Certificate of Occupancy. If
building is occupied without receiving a signed Certificate of Occupancy, citations may be issued and the occupants may
Inlnals be required to vacate.
❑0 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
�ma�ais information is passed on to them or not
Applicant's Name (print): UW�.\ 9 10�. Signature: t Date: t1
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 wwwrezburg.org Permit Technician -(208)372.2341 Revised 10/2016
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ti;• '�' __ C1 TY OF
11E1VJV1\�7 BUILDING PERMIT FORM ZO1
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AmericA lianub Community
BUILDING APPLICATION
Commercial Remodel
Building Safety Department
City of Rexburg
35 North 1st East
Rexburg, Idaho 83440
For Office Use
Permit Number: Application Fee: 0$100
1. Prope��ty Ow er
Name: f�raflS@G eDrdO
Address/: r� �•Wr'.� City: State: Zip Code: V03440
Phone: 128YiIMI Email: • (,0 M
'Applicant
Name: Rode: (Owner Tena t, Contractor, etc.) `
Address• E City ` State: Zi Code: _
Phone:__ Email: �f yVpt°r11L�. 10h/1
Contact/Rep. Name:' L
3. General Contractor
Under Idaho Building Code, a registered contractor must do the work for a Commercial Building.
Name: Registration #: p'°• $ Exp.:
Address: 'L i.3 20.2n
AddreD e- ___ City:BState: ip(Code:
Phone: Ema' :
Contact/Rep. Name: Phone: mail:0 . toy
General Contractor Authorized Signature: Date:
A copy ofyourstote registration/license is required to be on file. If 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.
4. Project Description
Address: III W. MmSTFAMJ
Description of Work: MMA
Project Description:
• Total cost of project - materials and labor: A34000-00
• Check all that apply:
❑ Mechanical: Cost $ El Electrical: Cost $� ❑ Plumbing: Cost $
❑ Fire Alarm: Cost $_V7 13 Fire Sprinkler: Cost $��
Note: Any contractors involved will need to fill out their respective application.
• Change of Occupancy? ❑ No 14 Yes: New occupancy: M K SAW14
Building Permitfees forcommemial construction are charged based on squarefootage 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 1045 of the building permitfee.
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 Rexbwg
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 ofany false statement or misrepresentation of fact in the application or on the plans on which the permit rapproval was based. Pennitvoidifnot
started within 180 days. Permit void fgw��orr�k stops for
.1190�days.
y�
Applicant's Name (print): WIN S 1�1%Y/1� Signature: r I J Date:
Inspections must be called in before 8 AM on the day the inspection is requested.Inspection esls called m er 8 AM will be scheduled for the nest business day.
Inspection Hotline- (208) 372.2344 www.rexburg.org Permit Technician - (208) 372.2341
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Calculation for inspection fee:
fO to$10,0 00=
(Cost ofproject a 2%)+$60
U a
C I T 1 o P
Greater than $100,000 =
Building Safety Department
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BUILDING PERMIT FORM 220
City of Rexburg
35 North 10 East
ar ('ommwNry
Rexburg, Idaho 83440
COMMERCIAL ELECTRICAL BUILDING APPLICATION
C1 New Constnl.W., D Addition
n Reniodel RJ Tenant improvement
O Accessory Structure> Z06sa. k
For Office Use
permit Number. Electrical Pees Paid ❑
1. Property Owner a, /1 n
Name. +r -pry V_QkV.
Address: $ ,C,��'��_SCQ [__ city: �Q�State: Zip Code: W440..--
Phone:
��a� Email:
m
� Electrical Contractor
Under Idaho Building Code, a registered contractor must do the workfare Commercial Building. 01/31/20
Business: orange Electric Ile State License No 024083 Exp
Address: 587 Reagan ave. City: Idaho Fans State: Idaho Zip Code:834o1
Phone: 9f1R- - Email: Orangeeleclric.knick@gmail.com
Contact/Rep. Name: Jean- Michel Phone: Same Email: - Siwifj
ElectTicaiContractorAuthorixedSi ure, 03/19/20'
,� !,6 Date:
,t evpy o/yourslate registration/ficens guyed col fie Isis thehrsttfrneyou hove done work in the City o(Rexhurp. please provide
o photo copy ofyour license 1f)ou art, unsure your license is on file, please check with the permit Technician by ( ailing (100) 3,'Z -Z341.
3. Project Description
Address: 111 W Main
Description of work: eagit Irilproyerl'lent _
❑ Project Cost: $ 11770
Cost of project:
Calculation for inspection fee:
fO to$10,0 00=
(Cost ofproject a 2%)+$60
f10,000to$100,000=
((Cost of miect-$10,000)' f%)+$160
Greater than $100,000 =
((Cost ofproject-$100,000)'54%)+$1160
There will also he a plan review fee totaling 10% of the above fee
APPLICANTSSIGNATURE, CRRTIFICATiON AND AUTHORIZATION: Under penalty ofpenury, i hereby cenifythat i have read thisapplicationand slate thatthe Information hem,
Is correct and I smear that any Informilon which may hereafter be given by.. In hearings before the Planningand Zoning Commission or the City Council for the City of Rexburg
shall betruthful and mired 1 agree m comply with all City regulations and Stam laws relating to the subject matter of this application and hereby authorized Tepresentanves of the
Qty to enter upon the above-mentloned property for Inspectors purposes NOTE: The building official may revoke a permit an approval Issued under the p rovlslons of the 2012
International Code In nus of any false comment or misrepresentation of fad in the application or on the plans on which the permit orapproval was based. Permavolditnut
started within 180 days Permit void if work gaps for 180 days.
Applicant's Name (print): dean-Michel0 Knickerbocker „ Dat03/19/2019
tvv� s-cov�.
Inspealons mug be called in before RAM on the day the Inspection is mquested.lnspectbn req stsalledma BAA$s. dl he xheduled for the next business day.
Inspection Notice -(20813722344 wsvw.mXburg.org Permit Technician -1208) 3722341
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CITY OF Building Safety Department
a REXBURG BUILDING PERMIT FORM230 City of Rexburg
cW UP&WO/Ial° 3S North 1st East
Americus rnmity com,uniq•
Rexburg, Idaho 83440
COMMERCIAL PLUMBING BUILDING APPLICATION
❑ New Construction ❑ Addition -16 Remodel ❑ Tenant improvement ❑ Accessory Structurez, 200 sq.ft
For Office Use
Permit Number: '
1. Property Owner
Name: ft
Address: Ill W
Phone: bans -10
Plumbing Fees Paid ❑
Zip Code: -_
2. Plumbing Contractor
Under Idaho Building code, a registered CO ntractor must do the workfora Commercial Building,
Business: Do.+�ilu+n6I +/ j{ent-�g State License #:, PLR -L- 111 H6 Exp.: c%':-x'J_=_/y
Address: H2 / Mo ti 57.N,o City: ASIn &tl State: I Q Zip Code:5.1i21-
Phone: 204f- Q52- 32g:1 Email: o/ar14plgm)it q!93 10 _2m> 4 Cd!!J
Contact/Rep. Name: Phone: .dv2 Email: Agme
Plumbing Contractor Authorized Signature: Date: -19 11
-
Acopy ofyourstateregistration/license is required to beo la lfthis is theffrstdineyou have done work in the city offiexburg, pleaseprovide.
a photo copy ofyourlicense. Ifyou are unsure ifyour license is on file, please check with the Perm it Technician by calling (200) 372-2341.
3. Project Descriptio$
Address: ��� I IARIK Wk-pff
Description of work: Ge nm ecef t.
/ 1
❑ Project Cost: $_ O� yIto - 7�
Cost of project:
Calculation for inspection fee:
$Oto$10,o00=
(Costofproject7 2%)+$60
$10,000 to$100,000=
((Costofproject-$10,000)'1%)+$Z60
Greaterthan $1 00,000=
00stofpmject-$100,000)'rii%)+$1160
An additional plan reviewfee is required which is 10%ofthe calculated inspection fee
---- --'-"--"_"•'•'.....••....••^^on ,uc,Pcnmer et PcOurY, I HCROYUmrymat I nave Rad mis'appnl3don and Efate that the Information herein
Is correctand 1 swear that any information which mayhereafterbegiven by me in hearings before the Planningand Zoning Commission or the City Council forthe City of Re%burg
shall be truthful and correct Iagree to comply with all City regulations and state laws relating to the subject matter ofthis application and hereby authorized representatives ofthe
City to enter upon the above-mentioned property for inspections purposes. NOTE: The building official may revoke a permit on approval issued under the p rovlsions ofthe 2012
International Code in cases of any false statement orm(srepresenntian affect In theapplicaaon or on the planson Which the permit orapproval wasbased. Permitvoid if not
started within 180 days. Permit void ifwork stops for 100 days.
,
Applicant's Name (print):TWIX > 1C1itt —Signature: Date: ?J
Inspections most be called in before SAM on the day the inspection is requested inspection requests called in after 8 AM will be scheduled for the neat business day.
Inspection Hotline—(208) 372.2344 www,re%burgorg Permit Technician — (208) 3721341
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C I TY OF Building Safety Department
'o
REXBURG BUILDING PERMIT FORM 210 City of Rexburg
CW upddw 03/2018
Americai Family Co,11malty 35 North 1st East
Rexburg, Idaho 83440
BUILDING APPLICATION
111aw Commercial Mechanical
For Orfice Use
Permit Number:
Mechanical Pees Paid ❑
1. Property Owner
Name: Brandee Gordo
Address: 111 W Main St Rexburg Idaho P 83440
City: g State: Zi Code:
Phone: 208-757-1187 Email: branddeggordo0gmail com
2. Mechanical Contractor
Under Idaho Building Code, a registered contractor must do the work for a Commercial Building.
Business: 24 Heating and Cooling State License#: HVc-c-6068 Exp.:05/2021
Address: 23 N 5th W city: Rexburg State: Idaho Zip Code: 83440
Phone:208716 1 Email:24hourhtgapgrr ail com
Contact/Rep. Name: Steve Dick Phone:
Email:
Mechanical Contractor Authorized Signature: _ Date: 03/2 2/19
A copy ofyourstate registrationflicense is required to be on file. If this is the first tinleyou 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 Pei nut Technician by calling (208) 372-2341.
3. Project Description
Address: 111 W Main St
Description of work: Move furnace and install aircoinditionin .
® Project Cost: $ 7300.x2%=146+60=206
of project:
Calculation for inspection fee:
ween $0 to $10,000 then:
Wgist
(Cost of project *2Vo) + $60
ween$10,001to$100,000then:
((Castofproject-$10000)*1�)+$260
aterthan$100,001then:
((Cost of Project-$100,000)*3z°/a)+$1160
Ce
-------------•r•^^• ,o,cyun ru wntcn"1 Ula Of Cne calculated inspectionfee
APPLICANT'S SIGNATURE, CERTIFICATION ANI) AUTHORIZATION: Under penalty ofperjury, 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 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 buil ding 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. Pennitvoidifnot
started within 180 days. Permit void if work stops for 180 days.
Applicant's Name (print): Steve Dick Signature: 3/22/19
t. Wl �V�Oc Date:1 us',N•'t A
Inspections must be called in before 8 AM on the day the inspection is requested. Inspection requests called in after 8 ill he scheduled for the next business day
Inspection Hotline - (208) 3 72.23 44 www.rexburg.org
Permit Technician - (208) 372.2341
C I TY OF
REXBURG
Americui Family Community
SUBCONTRACTOR LIST
Excavation & Earthwork:
Concrete:
M. `fY
•oo :� M.mi %iv\ -
insulation: 131.11
Drywall: M ML W MONIA
Painting:
Floor Coverings: V31
• W1
Heating:
Electrical: Mcg, C.lk l (j WCL
Special Construction
(Manufacturer or Supplier)
Roof Trusses:
Floor/Ceiling Joists: N yA
Siding/Exterior Trim: N6 Ar
Other:
Building Safety Department
City of Rexburg
35 North 1st East
Rexburg, Idaho 83440
Inspection Hodine-(206)372.2344 v .rexburg.org PermitTecludtlan-(206)372.2341 Revised 10/2016
C I TY OF Building Safety Department
REXBURG City of Rexburg
CW 35 North IS1 East
Ameriwk Family Community Rexburg, Idaho 83440
DISTRIBUTION LIST
Please provide the names and emails of anyone who should be reletting automated updates for this project.
Review Notes
Name
Name:
Name:
Name:
Inspection Tickets
Name: IN_I�dCii�
Name:
Name:
Name:
Name:
Email:__ G�war ,@rai I•Cohi
Email
Email:
Email:
Email:
Email: h�;aiw:�� �. Cor,
Email:
Email:
Email:
Email:
Inspecdon Hotline -(208)372.2344 w .rezburg.org Perndt Technician -(208)372.2341 Revised 10/2016
AgOF pYXBUq�,O CITY Of Building Safety Department
o � r�URG City of Rexburg
CW35 North 1st East
Amerim's Fandly Community Rexburg, Idaho 83440
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? 's(Yes ❑ No
Will the business be doing any structural/or remodeling changes to the building? WYes ❑ No
Any changes to the electrical? -4 Yes ❑ No
Any changes to the plumbing? 4 Yes ❑ No
Any changes to the mechanical system? ^tl Yes ❑ No
Is the business type changing? 14 Yes, it will change to n No
Is this business changing ownership? 4Yes ❑ No
Is the business registered with the City of Rexburg? nf`Yes, License #: ❑ No
*If No, please apply for a business license with the Customer Service Dept.
Will the business have food preparations? ❑ Yes G(No
Will there be any cooking of foods?
❑ Yes
VfNo
Will there be any deep fat frying?
❑ Yes
N(No
Will you have food disposal on site?
❑ Yes
IdNo
Will there be sumps or floor drains in the facility?
❑ Yes
lAo
Will the business have any chemicals on site?
❑ Yes
srNo
4` J 120 q6- 49 1 W
AprWants Si n ture Phone Date
I certify that the information that/ have provided above is to the best of my knowledge accurate and true.
Inspertion Hotline -(208)372.2344 w .rexburg.org Permit Technician -(208)372.2341 Revised March, 2016