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Home My WebLink AboutAPPLICATION - 07-00117 - Premier Powder Coating - Cylinder DockCITYOFREXBURG BUILDING PERMIT APPLICATION 19 E MAIN, REXBURG, ID. 83440 208-359-3020 Y326 Please complete the ent 0 I ire Applicatt'ont, PARCEL NUXIBER: _(We will provide this for yo U-) SUBDIVISION: UNIT# BLOCK# LOT# (Address!'p is based on the information - must he accurate) 0UWERJV,4Jt,fE.*,Premier Powder Coating &Custom Fabricafion, ��c CONTACT PHONE #Craig L. Porter (208) 200-3006� PROPERTY ADDRESS: 115 North 2nd West [back of property, see attached aerial Griew] PHONE#-,-, Home (zos) 356-632 Work (20:3 OWNER MAILING ADDRESS: 115 Norm 2nd west EMALLcralg@ppccfab.com FAX208-3:59-5325 356- Cell ( yes CITY: Rexburg STAT]E: I D Z JP: e344o ..;NT-. (If other than owner �- (Applicant if other than owner, a statement authorizing applicant to act as agent for oNvner mus.t accompany this a li ca6on.) APPLICANT 1NF0R_N,_TAT10-N: ADDRESS CITY: STATE: ZIP EMAIL, FAX PHONE #,- Home ( ) Work ( ) Cell ( ) CONTRACTOR: owner --' MAILING ADDRESS: CITY PHONE: Cell# Work# Fax# STATE ZIP How many buildings are located on this p roperty� three (see attached aeras view Did you recently purchase this propert Is this a dot sp " . NVQ ;.'YES (Please Yes (If y give w ry not recently purchased bring copy of new legal description of property) PROPOSEDU5F'._,:Continued occupancy as F-2 Low�Hazard Industrial (i.e., Single Fa i v Resi'dence, Multi Farnily,a ntRemodel� Garage, Commerci-,d, Addition Etc.) APPLICANVS SIGNATURE,. CERTIFICATION AND Under penalty o ' yy I hL if F In havre read this application and state that the information hetero is carred and I sweat that any inforia*ori which ma 7 hereafter be Ten T e 1 gsbefore the plantuing and Zomig Comt ion or the City Council for th Cite of Rexburg shaR be truthful and corrcu. I agree to comply with all Cityregidations and State laws rcladng to the subject ratter of this applic-anion and hereby -authorized rtpr sernt dives of the City to <-,nt .r Bipart the Above, nrioned property r in actions a sera The biding off cial may revoke pest on approval issued under the provisions of the 2003 Int�ernatior�al Code cases of false rse state� p e� r t i srere.tatin offact in the appkadon or on the plans on which the pest or appwval, was based, Permit void if not staned within 180 a);,s, Permit void if work stops for 180 Via. Signature of Ow er/Applicant Da you prefer tobe MWOMAP` ZO / 7 DATE tatted by fax, email or phonc Circle One WARM — BUILDING PERMIT MUST BE POSTED ON CONSTRUCTIONSTTF.1 Plan fees are non-refundable and are paid in at the time of application beginning k-ingat City of Rcxburg9s Acceptance of the plan review fee does not constiftnte plan approval "Building Permit Fees are due at ti ne of application**"Building Permits are void if your check ,does not deat** 2 Bu'i'ld'i'ng Safety Department 19 E. Main Rexburg., D 83440 janeith@rexburg.org www.rexburg.org City of Rexburg Phone.- 2i . 0 ext 326 Fax. 206..359.3024 Office Hours: N-Tondav- Friday 8:00am-4:00pm Commercial /Multi,Famil Seismic Design Category — D (unless soil evaluation confirms tate Ground Snow — 50 lbs. per sq. ft. CITY OF 4a-e.wiwrAF�yk+eP"Fi 48P� .. .�4'i5�"-1--1-n1•'i,,+�"T"F•[�"' REXBURG v�'.a,a�rlar i•war,�.,. a$rr...�: �".�..,tixaerrvt+acS.+..e-4-+a�'�"2 xgx ra4� Pre -Construction Checklist Roof Snow Load — 35 lbs. per sq. ft. gory C) Wind Load — 90 MPH Frost Depth — 36" Tbefolloming items should be com�lete� be o�eyou subr�aityoa�r �ualding�erit c��plication. Completion ofa 13utldzng.I'exmrtAppJr'cadon: You may print this application from our website vvww.rc:xbu� .Q� or pick u� a copy at the Cit-�TAnnex Building (address above). Coznmetcial Permitg- (the fallowing must be submitted with the Application) Q 4 sets of site plans and 2 sets of building plans stamped by a licensed professional Q Site lens and bu'ldin lens in PDF format must be submitted after laps have been a roved. J Structural 0, Calculatians stamped by a licensed Engineer 0 finer,, Comp-Jaancc Report; As per the 2D03 IECC, a Cornpliance check must be completed and submitted the comchcck is available online at �.cner rcode�, rc��x�. Please complete the envelope, mechanical & fighting sections. J� Page 2 of the Application must include the Idaho Contractor's Regi'stration Number or the exemption form must be completed and signed, see Page 9. J Pale 4 of the Application mist be completed and si ed bv -your Plumber. LJ Page. 5 0f the Application must be completed by signed b,� dour �.VI�GI-�aniCal Contractor. A/lechanical system sizing and design. f] Page G of the Application must be completed and sined byyour Electrician. U Electrical layout must be included with the building plans. Flans wi11 be reviewed by the electrical inspector prior to issuance of the building permit. Lj Emergency Services Construction Permit J Lighting Plan Eleadcal Peffnits are now issued through the City of Rexburg. dee Page G of the application. .Remodels: If you are considering a remodel, a cop -of the bid or estimate for the remodel must be submitted Nvith the Permit Application. 2 set of plans (may need IECC Review) • Additions — Same as new construction .. MAS + { tl U TV W A u U 7 il ti fl 3 Building Safety Department 19 Er M Gill .Rexburg, ID 8344 State of Idaho County of Madison Name City jcinelih@rexburg.org www.rexburg.org City of Rexburg Phone," 206.359.3020 ext 326 Fox.-, 208.359.3024 Affidavit of Legal Interest Being first duly sworn upon oath, depose and sav; .e Address State (If Applicant is also owner of Record, skip to S) rc. k TY OF Ani _ ca' Fainily Conwiutfiry A. That I am the retard oK�Tner of the property. described on the attached, and I grant my permission to: Name Address 4 to submit the accompanying application pertaming to that property. B. I agree to indemnify, defend and hold Rexburg pity and its employTees harmless from any claim or liability resulting from any dispute as to the statements contained herin or as CQ the ownership of the property which is the subject of the application. Dated this day of 2'0 Signature Subscribed and sworn to before me the day and year first above written. Notary Public of Id.b o Residing MY i cion expireIP 3 R.. applyion. Please complete the enti"re Applicat* il If the uestion does. not applicable NAME Premier ger Pow r Coafing & Custom Fabri tion, LLC PROPERTY ADDRESS 1 i 5 North 2nd West SUBDIVISION Dwelling Parcel Acres: P errm't# SETBACKS (referw Table 3504,2.1 of 20031FC and Teble 602 of 200318C) FRONT 30 ft SIDE 30 ft SIDE 3.0 ft BACK 20 ft .Remade -ling Your BuBdinglHome (need Estimated $ SURFACE SQUARE FOOTAGE.- (Shall include the exterior wall measurements of the building} First Floor Area UnfinishedBasement area Second floor/loft arca Filu'shed basement area Third floor/loft area Garage area Shed or Bam Carport/Deck(30" abovegrade)Area 2$`x1s' =4as sq. ft. 'Fater Meter Quantity: N/A Required.!! PLUMBING Plumbing Contractor's dame: Address. N/A Water Met'e'r Size: Business Narni Ci"T State Z Phone: -Business Phone: ( } Email Fax FzxTunE COUN7Tmclu tmr roughed fixtures Clothes mashing Machine Dishwasher Floor Drain Garbage Disposal Hot'rub/Spa Sinus (Lavatories, kitchens,, bar, mop) Plumbing Estimate $ (Commercial Only) Sprinklers Tub/Showers Toilet/Un'nal Fater Heater Water S<>fterier Re.quired! Signature of Licensed n .r rr Ucense number Date The of Rex's pemitfee scbedoile is the same as reqUird hj the State of Idaho 4 Mi 0 Please complete the entire Application! If the question does not apply fiR in NA for non applicable NAME Premier Powder Gating & custom Fabrication, LLC PROPERTY ADDRESS 115 North 2nd West Perrmt# SUSDIVISItJN Re quired.!!/ Mechanical contractor's Name: Business Name: Address C.16ty Contact Phone-: ( usiness Phone: � ) EmaL _ Fax Mechanical Estimate (Commercial/Multi Family Only) N/A State Zip FIXTURES &APPLIANCES COUNT (Single FanwYyDweM_ng Only) Furnace Exhaust or Vent Ducts Furnace/Air Conditioner Combo Dryer Vents Heat Pump Range Hood Vents Air Conditioner Cook Stove Vents Evaporat'Ve Cooler hath Fan Vents Unit Heater Space Heater Decorative has -fired appliance Incinexatvr S -v -stem J Boiler Pool Heater Fuel Gas Pipe Outlets including stubbed in or future outlets Inlet Pressure (Nieter Supple) PSI then similar vents & ducts Heat ({Circle all that apply} was Oil Coal Fireplace Electric Hvdromc Mechani"ical SIZix�. +�alc�.�.ations must be submitted, witth Plans. & A fi .pncation lap- _M10 Point of Del'�ve must be shown ars ojans. Required! signaturc of 1-ficensed Contractor Ticense number Date The -Psof Rexburgepired by the State of Idabo ivitfee scbedule U' tbe rame as � 5 Building Safety Department City of Rexburg 19 E Main Rexburg, ID 83440 jallh rexburg.org www, rex b urg. o rg Phone: 208.359.3020 x326 Fax: 20 8,359.3024 OWNER'S NA -AME Premier Powder Coating & Custom Fabrication, LLC PROPERTY ADDRESS 1 15 North end West SUBDIVISION PHASE LOT BLOCK Required.�l.f Electrical Cnntractor's Name Address Permit# Business Name 0) f 4 E N/A Citv State. Cell Phone ( Business Phone ( Fax ( Email Electrical Estimate (cost of wiring & labor) $ W E RG - America's Family Gommwiify zip (COMMERCIAL/MULTI-FAMILY ONLY) 7"YI'ES DF11VSTA.LLA7'ION OVeur Residential in clii des e ver y&hig con tain e d ii4thin the residential s tru C tzzre and attached g -a -rage at th e carne thn e) Up to 200 amp SenTice* 201 to 400 amp Service* Over 400 amp Service* Existing Residential (# of Branch Circuits) Terrn.porarv Construction Set-6ce, 200 amp or less, one location (for a period not to exceed I vear) Spa, Hot Tub, Swirnrning Pool Electric Central Systems Heating and/or Cooling (when not part -of a new residential construction permit and no additional Wiring) Modular,, Manufactured or Mobile Home Other Installations: Wiring not specifically covered by any of the above Cc)st of Wiring & J,d6ov 5.__ Pumps Poi-nestic Water, Irrigation, Sewage) Requested Inspections (of existing wiring) Tcinporary Amusement/Industry *Includes a maxitnum of 3 inspections. Additional inspecnons charged atrequested inspection rate of $40 per hovir. Signature of Ucenscd Contractor Ucense number Dftte The Cited bj 11ye tate of Idabo y of Rexburg'spemitfte sebeduk is the same as reqvir S 0 Mj Building Safety Department City of Rexburg 19 E. Moin Rexburg, ID 83440 ja n e 11h L&re xb urg, org www, re x. u . or Phone- .359, 3020 Foxy 208.359.3024 APPLICATION: "CONSTRUCTION PERMIT" -APPLI �q & tF k REXB.URG -�d�._uLiL#MYilLra-.s�,._�Rx � Ytf]PIIMT�i�}idnaF{+M1L�iPi %^Jd-rr4 Ank ,Family jj?jjy CONSTRUCTION PERMIT #: PERMIT APPROVED: YES/ NO $50.00 FEE PAID: YES/NO T INFORMATIO Business Name: Premier Powder Cortin Office 115 North 2nd West "PROVED0 & Custom Fabrication, LLC Rexbur ID 83440 City State Zip Office Pone Number:(�oe�) ��-sss2 Contractor Performing the Work* owner Contact Person: Craig L. Porter Cell Phone # (2a8 ) zoa-coos -LOCATION OF WORK TO BE --DONE: Street Address )Xrh,ere Work Will Be Done: 1 1 5 North 2nd West (at rear -of property) Business Name Where Work Will Be Dane: Premier Powder Coating &Custom Fabrication, LLC Dates For Work To Be Done: as soon as weather permfts To Contact Person: Craig L. Porter Phone Number: 200-3006 Cell # (�l113 200-3006 PLEASE CHECK THE TYPE OF PERMITS) YOU ARE APPLYING FOR: ❑ AUTOMATIC FIRE -EXTINGUISHING SYSTEMS O✓ COMPRESSED GASES ❑ FIRE ALARM AND DETECTION SYSTEMS AND RELATED EQUIPMENT ❑ FIRE PUMPS AND RELATED EQUIPMENT 11 FLAMM" AND COMMBUSTIB LIQUIDS HAZARDOUS NIATERIALS L --j 11 INDUSTRIAL OVENS ■ - LP -GAS C PRIVATE FIRE HYDRANTS El SPRAYING OR DIPPING n STANDPIPE SYSTEMS ❑ TEMPORARY MEMBRANE STRUCTURES, TENTS, AND CANOPIES Apphcant,ls Signature ■■i■■■■■■T■■if■■■'i■■■■i■■■.■■■■■■■■■■■ ■■■i■■■■■■ ■■■■1■A■i■■■'r■■■A■tea■■#■■■■■■■■■■■■r`■■■■#�■,1 rA SUBCONTRACTOR LIST Eq'xcavatian & Earthwork: Concrete: Masonry: Roofing: Insulation.IP Painting: _ Floor covefings: Plurnibng.6, Heating: - Electric . Roof Trusses: Floor/CeilingJoists: Sidi'ng/Exxten'or Frim: Other0 Special Constniction (Manufactu.re.r, or Supplier) Relocatina existing gas cylinder storage structure {currently located at Rexburg Plumbing & Heating} to new foundation at the rear of 115 North 2nd West (see supplemental information sheet)! 0 EXEMPTIONS FROM STATE REGISTRATION As ofJanuanT 1, 2006, the C#y of Rexburg can no longer sell permits without having a copy of your State IF registration,'4 111111�� 11 0 registration number or your exemption from the State registration, Please send a copy ofyour Sregistration 91 S 1-ta fill out this form showing your exemption and send it with your license renewal or your next permit application. (Tl�s list is a summarization of Idaho Code Title 54 Chapter 5205, for full definitions of these exemptions please see the State's website at.m.A,mr.ibol..i'daho.eov/cont.htm) 0 Currently State licensed pursuant to Tide 54 Idaho Code, Chapters: 3 Architects., 10 Electrical Cantractars/Journeyman, 12 Engineers/SurrTeyors, 19 Public Works Contractors (exempt from fee only registration required), 26 Plumbing/Plumbers, 45 Public Works Gonstruetion Management LicensingAct (exempt from fee onlv registration rcqiLired), or J 50 Installation of heating, ventilation and air conditioning systems 12 Employec or volunteer of a licensed contractor or part o.f an educational curriculum or nonprofit charitable actl-VIAATwith no wacres or salary Z-7 0 Employee of a US GoIrernment agency, (State, City, County-, or other municipality) 11 Public Utili�r doing construction, maintenance., or development to its own business F-1 Involved with gas, oil or mineral operations 13 Supplier doing no 'installation or fabricating I Contract'pro}ectng a or projects with a total cost less than $2000 F7 Operation of a farm or ranch or construction of agriculture buildings exempt from Idaho Building Code El Any nape of water distxict operations El Work in rural districts for fire prevention purposes El 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 O Owner or lessee of commercial property performing maintenance, repair, a1tcrat"on or construction on that property ❑ Real estate licensee/praperty manager acting within Idaho Code Engaging in the logging indus�y El Renter working on the property where they live with the property owners approval 0 Construction of a building used fax industrial chemical processing per Idaho Code rM 1:1 Consttuction of a modular building (defined by Idaho Code) to be moved out of state I hereby certify= that the above informa�on is true and correct to the best of my knowledge. &N. Sigtiiature Craig L. Porter Print Name Date 0 , bl Iff ■06a� i �. i W I a p �. �L i WM At &. a : i I I7 I Rr i � t � i V 94 RC r r U. M , Li IF - � I WIK INN r r'` • i r i ONO i i d �I] •