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Home My WebLink AboutAPPLICATION - 19-00307 - 39 E Viking Ave - Spori Building - Remodel°y C 1 1 Y 0 1 Building Safety Department REXBURG City of Rexburg 35 North 1St East !i1}iPT11 tl; {i1/17t71' i Elitl�iltil11i7' Rexburg, Idaho 83440 COMMERCIAL REMODEL/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, F1oorioist 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://rexburg.org/pages/`development-code. Inspection Hotline - (208) 372.2344 www.rexburg.org Permit Technician - (208) 372.2341 Revised 10/2016 pf X 81 `qr, CI I ' " ` Building Safety Departmen PEXBURG City of Rexbur€ n„ Americo Farniii c, PERMIT POLICIES ACKNOWLEDGMENT 35 North 1st Eas Rexburg, Idaho 8344( 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 nitials 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. 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.) TT:�v 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 maybe 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: S $ - 1_ 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 �µtVfl( �R, 6 Or Y t, 1 Building Safety Department REX-BURG BUILDING PERMIT FORM 2 01 City of Rexburg d tn„riu(c f+.milt (n�nuiunin 35 North 1St East Rexburg, Idaho 83440 BUILDING APPLICATION Commercial Remodel For Office Use Permit Number: Application Fee: ❑ $100 1. Property Owner Name: 'RJYU - QZ, VA- C2 Address: 5Z:5- !!E,. C�:grs %Z= S -r. City: �j� ��_ State: b Zip Code: f Phone: Email: 2. Applicant Name: '(7av t, r> Role: (Owner, Tenant, Contractor, etc.) Address: 21';!, U o City: _i ,c Pym VZ 4--- State: 1 J-_> Zip Code: �34�d-f52.o Phone: �o� 4�I b Q la�-Z Email: q.M.4k" .Pc k L Contact/Rep. Name: 3. General Contractor Under Idaho Building Code, a registered contractor must do the work for a Commercial Building. Name: P�� L - beta Registration #: Exp.: p'' City: State: Zip Code: Phone: Email: Contact/Rep. Name: Phone: Email: General Contractor Authorized Signature: V�YL( - 1 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. 4. Project Description Address: 31 V Description of Work: SPoRA Project Description: • Total cost of project - materials and labor: $ 41�; V`- Check 3Check all that apply: ❑ Mechanical: Cost $ r) ❑ Electrical: Cost $ 1?,% eOC> ❑ Plumbing: Cost $ O ❑ Fire Alarm: Cost $ D ❑ Fire Sprinkler: Cost $ b Note: Any contractors involved will need to fill out their respective application. • Change of Occupancy? 9 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. 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 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): 4h -f- Signature: ��= ��_�n Date: S g • 01 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 t µ48f"R; REXBURG Anfemak Fam11y Coyn"fu n.) 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? Will the business be doing any structural/or remodeling changes to the building? Any changes to the electrical? Any changes to the plumbing? Any changes to the mechanical system? Is the business type changing? ❑ Yes, it will change to Is this business changing ownership? Is the business registered with the City of Rexburg? Q' es, License #: *If No, please apply for a business license with the Customer Service Dept. Will the business have food preparations? Will there be any cooking of foods? Will there be any deep fat frying? Will you have food disposal on site? Will there be sumps or floor drains in the facility? Will the business have any chemicals on site? Applicants Signature Phone Date ®'Yes ❑ No ayes ❑ No ia"Yes ❑ No ❑ Yes Bl1 o ❑ Yes [! `No gIKo ❑ Yes E]'No ❑ No ❑ Yes [;AO ❑ Yes C'No ❑ Yes V&O ❑ Yes FO/No ❑ Yes M No ❑ Yes [Ao 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 www.rexburg.org Permit Technician - (208) 372.2341 Revised March, 2016 µtX6('R -` '•Y < I r , « l Building Safety Department 1\�.7 r �7-� City of Rexburg 1�,� V 3S North 1St East :tntt'ritw's Family('ururnuntry Rexburg, Idaho 83440 DISTRIBUTION LIST Please provide the names and emails of anyone who should be getting automated updates for this project; Review Notes Name: Email: Name: Email: Name: Email: Name: Email: Name: Email: Inspection Tickets Name: Email: Name: Email: Name: Email: Name: Email: Name: Email: Inspection Hotline - (208) 372.2344 www.rexburg.org Permit Technician - (208) 372.2341 Revised 10/2016 CITY OF Building Safety Department r7 REXBURG BUILDING PERMIT FORM 2 Z City of Rexburg �� Updated 03/2019 35 North 1St East America's Family Community Rexburg, Idaho 83440 COMMERCIAL ELECTRICAL BUILDING APPLICATION ❑ New Construction ❑ Addition I$l Remodel ❑ Tenant Improvement ❑ Accessory Structure > 200 sq, ft. For Office Use Permit Number: Electrical Fees Paid ❑ 1. Property Owner Name: Address: 152-S c � ,�- �_ City:iZr }t�1� State: I b Zip Code: 8341P c Phone: ___ _ Email: 2. Electrical Contractor Under Idaho Building Code, a registered contractor must do the work for a Commercial Building. Business: _ State License #: Exp.: Address: _ City: State: _ Zip Code: Phone: ___ Email: Contact/Rep. Name: P ne: _ Email: Electrical Contractor Authorized Signature: _ Date: �- A copy ofyour state registration/license is required to be on file. If this is th 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: Sl E r<� �►.1� _ Description of work: ❑ Project Cost: $ 12, 43r-�c Cost of project: Calculation for inspection fee: $0 to $10,000 = (Cost of project * 2%) + $60 $10, 000 to $100, 000 = ((Cost ofproject - $10, 000) * 1 %) + $260 Greater than $100, 000 = ((Cost ofproject - $100,000) * % %) + $1160 There will also be a plan review fee totaling 10% of the above fee. AVVLII:AN CS 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 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