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HomeMy WebLinkAboutMULT DOCS - 07-00075 - Ben's Brand Name Shoes - RemodelBuilding Safety Department City of Rexburg 19 E. Main jonellh@rexburg.org Phone: 208.359.3020 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 CITY OF PIMURG Amerltai Family Community APPLICATION: "CONSTRUCTION PERMIT" CONSTRUCTION PERMIT #: PERMIT APPROVED: YES/ NO $50.00 FEE PAID: YES/NO APPROVED BY: -APPLICANT INFORMATION: Business Name: Office Address: Office Phone Number: ( ) Contractor Performing the Work: Contact Person: -LOCATION OF WORK TO BE DONE: Street Address Where Work Will Be Done: Business Name Where Work Will Be Done: Dates For Work To Be Done: Contact Person: Phone Number: ( 1 City Cell Phone # C��E93 State Zip PLEASE CHECK THE TYPE OF PERMITS) YOU ARE APPLYING FOR: ❑ AUTOMATIC FIRE -EXTINGUISHING SYSTEMS ❑ COMPRESSED GASES ❑ FIRE ALARM AND DETECTION SYSTEMS AND RELATED EQUIPMENT ❑ FIRE PUMPS AND RELATED EQUIPMENT ❑ FLAMMABLE AND COMMBUSTIBLE LIQUIDS ❑ HAZARDOUS MATERIALS ❑ INDUSTRIAL OVENS ❑ LP -GAS ❑ PRIVATE FIRE HYDRANTS ❑ SPRAYING OR DIPPING ❑ STANDPIPE SYSTEMS ❑ TEMPORARY MEMBRANE STRUCTURES, TENTS, AND CANOPIES Applicant's Signature Date ........................................................................................... 7 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: EXEMPTIONS FROM STATE REOTSTRATION As of January 1, 2006, the City of Rexburg can no longer sell permits without having a copy of your State registration number or your exemption from the State registration. Please send a copy of your state registration or fill out this form showing your exemption and send it with your license renewal or your next permit application. (This list is a summarization of Idaho Code Title 54 Chapter 5205, for full definitions of these exemptions please see the State's website at www.ibol.idaho.gov/cont.b-* ❑ Currently State licensed pursuant to Title 54 Idaho Code, Chapters: 3 Architects, 10 Electrical Contractors/Joumeyman, 12 Engineers/Surveyors, 19 Public Works Contractors (exempt from fee only registration required), 26 Plumbing/Plumbers, 45 Public Works Construction Management Licensing Act (exempt from fee only registration required), or 50 Installation of heating, ventilation and air conditioning systems ❑ Employee or volunteer of a licensed contractor or part of an educational curriculum or nonprofit charitable activity with no wages or salary ❑ Employee of a US Government agency (State, City, County, or other municipality) ❑ Public Utility doing construction, maintenance, or development to its own business ❑ Involved with gas, oil or mineral operations ❑ Supplier doing no installation or fabricating ❑ Contracting a project or projects with a total cost less than $2000 ❑ Operation of a farm or ranch or construction of agriculture buildings exempt from Idaho Building Code ❑ Any type of water district operations ❑ Work in rural districts for fire prevention purposes ❑ Owner who performs work on own property or contracts with a registered contractor to do work as long as the property is not for resale within 12 months ❑ Owner or lessee of commercial property performing maintenance, repair, alteration or construction on that property ❑ Real estate licensee/ptoperty manager acting within Idaho Code ❑ Engaging in the logging industry ❑ Renter working on the property where they live with the property owners approval ❑ Construction of a building used for industrial chemical processing per Idaho Code ❑ Construction of a modular building (defined by Idaho Code) to be moved out of state I hereby certify that the above information is true and correct to the best of my knowledge. Signature Print Name Date 0 © %MMar 02. , 07 .. 05 s 28p Keep. I t Market i ng 943 - 9724 p . 1 13 I understand a •building, permit Nvill be issued allowing contractors to start work on the building shell prior to sitc plan review & approval. I understand this allows work to commence on the shell only. I understand tenant finish permits will not be'issued witil the site plan has been approved. Furthermore, I understmd occupancy will not be granted until the parling lot and other site plan items have been installed. e)c- P. 1 Me*ory TX Result Report ( Mar. 2, 2& 3:12PM ) 2) Date/Time: Mar. 2. 2007 3:04PM File Page No, Mode Destination Pg(s) Result Not Sent ------------------------- -------------------------------------------------------------------------- 3792 Memory TX 18019439724 P. 2 OK ---------------------------------------------------------------------------------------------------- Reason for error E. 1) Hang up or 1 i ne fa i 1 E. 2) Busy E. 3) No answer E. 4) No facs i mi 1 e connection E. 5) Exceeded max. E—ma i 1 size e,rr of � j r9SM:rIts1D !'lsue20.tif9llR8�addf PIMUM Fox seas AarlGtif9�t ..r...,.�.. Tac Johaiaytor Fs= Jd*dHorwn I = SM.44d9M Pas= 2 Phone DW= March 1.2f07 ltor CC: O Urgent O FW Rm lew O PIcaae Coacnm+t O PUase Re;Oy D Iricaso RACya1O I e commends: John, p!oaso sign iho attached form Gow discussed %vHh you. I wanted to mcke you aworo that the butding permit Issued today was just for Improvements on use shel If you have any quest = please cal me. Thank You. JaNatl Hansen E P. 1 Meimf y TX Result Report ( Feb. 28. 20*11:24AM ) • 2 Date/Time: Feb.28. 2007 11:23AM File Page No. Mode Destination Pg(s) Result Not Sent --- : Memory TX 18019439724 P. 2 OK ---------------------------------------------------------------------------------------------------- Reason for error E. 1) Hang up or 1 i ne fail E. 2) Busy E. 3) No answer E. 4) No facs imi 1 e connection E. 5) Exceeded max. E—mail size 0� �4 C i T? O v �'r 12M CoArR M,, .T�:rc26B.9S9UT 29 � VRG �asr.�gad Pmc2�3S9.3072 "" FOX TO: ra r Pages: a Lee oc aiirprn't Q FotW*Iw& A Ptcaso C • D PW" Rgpty 0 kpav* ft-7da QCLCQi �1+7I1n ±4i5 l�i - Vi Clnanlc�: L: