HomeMy WebLinkAboutAPPLICATION & DOCS - 95-00012 - Madison Memorial Hospital - Expansion Phase 1Date of Application
APPLICATION FOR BUILDING
CITY OF REXBURGr IDAHO
r
OWNE-R_C0N7RACT0R
Narne
Name
4k VZleS Lt4k4
Mailing Address Mailing Address
0e,
C'r Stag
:, - 6 aP._ - 1 4 r., 11,
A115
Zip'� -� Telephone ��or
� v Tele hone c?.� ��f-5.�-
Architect or Engineering Firm ;� ,�y (��Lic. No.
LEGAL IT1�
__LIF ;�
Loi No*— Bloch F *
i.
JGb Address
r4 Information
(To be completed by applicant)
—Residence Comm. Educationc-ii Gov't
Relig•^-'�"" 4
Structure* New'
"Renewal
Total Floor Ares10
f Stones Height of BuIlding
8
footage: Unfinished Basement & E
feBasement
d
What w'11 structure be used for (include name of business if
R`.~o
applicable)
If use i
ami(apartments)
Estimated cosi7
r f
- Of
.
aY•,•4t
l
if
Use .ii- *._
Group
1995
Type Construct ion
Use Zone
i l P d
Permit '
Plan Check Fee
It eeR
Plumbiny F sZP 4P {
Dig '
Perm
Water & Sewer Hookup fee Other Fees
Signature l is
Signature of Building I
Vpector
Issued by
m
It
Excavation
.0
Earthwork.
Concrete
Masonry*
a
4
SUBCONTRACTU'm'R LIST
xc:�r� (.��5
r
r '7
z
i
Routing:
Z
insulation
ez C�
DrY wall : �'xGt f r C. f���
Painting : �
Floor Coverings:... L
01
Plumbing: 14,'1oc-f-v V_4�r
Heat i g,� � �� , �
Electrical: T/"
il
7
4#0
1%
do
.SPECIAL CONSTRUCTION,
(MANUFACTURER OR SUPPLIER)
I
Roof Trusses Ilk -
Floor Ce il ing Joists
Cabinets: 1�o 14) 4-
9C
in{ice dc7)
other
0
C
hi
CITY DF REXBURG
Building Inspection Sequence
INSPECTIONS
Types o 'Inspections:For on,site constructi-on, from '
the
F
hi li official, me to time
agent , � � �. �
nom the permit holder or his
shall make or cause to be made any necessary inspections an, shall
either approve that rt�
i.0nof the construct -ion as completed r shall
not
ifythepermitholders agent wherein the same f al'ls
With this code*
1. Layouto - �ti plc ������i-F
to
excavation.
2. Foot i o Commonly made after poles or piers
excavated.basement areas are FI
reinforcing,
vertical reinforcing cut and on job siter tied in place.
Foundation � The foundationit IF
excavations for thickened slabs intended for the
rtail
Partitionsf structural supports, or equipment and specialrequirements for
wood foundations. All forms and reinforcing
4. Truss Inspection: Designs and installation i
submitted to the city before delivery of trusses, xis
pection of trusses to
see they meet shop drawing requi-rements and that they installed �r�taiid d
braced adequately.
Plumbincro Mechanical ani P
made pri'Lor to covering
to framing inspection.
Frame and Masonry
r concealment,
T71 nnprot+_ 1 ri"
before ixtures are
Commonly made
masonry, all framing f tirestappingr dratto i .
and .a tr the 1mbi, mechanical and electrical
approved.
i
cmm-L
set, and prior
after the roof,
and bracing arein
rough inspections
place
are
0 at a ut r wdiiooara inspection: Commonly
and/or wallboard interior is in place, but before, any plaster is applied,
A i
r verore waiinoara
3 int s and
fasteners are
taped a nd
finished.
Final Plurnbing
and Heating
IBpot ion :
All systpmq
in
fixtures set r ready f oz
9. Final Electrical
completed in panel box.
10. _Final Inspection,
ready for
ll. Oco.
ready t
i. Other
occupancy..
ancv Petit.
occupancy.
Fixtures and wall covers in place.
Commonly made after the buiiding i
Directory
Completed and
Issued when, on final inspect ion,i l d i i
c c 6
Inspections.* In addition to the calieH
building department may make or r ire any other
compliancewith this code and other laws enforced
INSPECTION CARD
The permit holder or his agent shall post the
3obsite in an accessible and coni '
'cuous place
official to make the regained entries. The r
the permit holder until the final inspection
inspections above, the
inspections t ascertain
by the building department.
i.nct ion. record on the
to allow the bi ldi
ord shall be maintained
s been made and approved.
I have read the above and will comply in my requests fop inspect'ons
by giving 24 HOUR NOTICE prig fora inspection to be mn.riP _
Electrical:
Building & Plumbing:
County Plumbing:
359-3025 (8:00-9:00 a.m.)
359-3,026
656-7210
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PHILLIP E. BATT
Governor
state
DEPARTMENT
of Idaho
Of INSiIRANCE
700 West State Street
Boise, Idaho 83720
Phone 8) 3 34 � 4 3 7 0
JOHN WCHAEL 131RASSEY
Director
PON McCOY
State F3L'r�e �Iar hal
arid installati0f7 0-r- automatic
klell Pzctection in the
o e- t1le f0110'1vi'19i s for o a
onsidcj'a tion and ol,
COMPTY t�ne . I ten'■'` ma-r-kect b.Y alls x l's ■
I- O om fiancen .,C* : , a a � ��,
,.
Sept. ]9, 199,5
Joe Hargan
Gem State Fire
Box 2620
Tda.ho FaIls TD
,Joe
Protectioll
8 3 403
Madison Nlemor*aj
`-XVe_. seri l
Captioned
Rexburg
t
Sorry btit �ve are
unable F T
for many seasons. �.. Riser de����.z1V�.nca�r��Z,�t:e��s � Q presented
s�.zes, no fall drip on FPC check valve, �rx0ga ��1�e
side of ba.ck fio�� 3�,r�tr�,,.,�.� °n �L�pp1Y
Y �l� s.,�,_-, wr�ere c�oes main drain.
t�rm�.nate?, flex,cc��j�l ing at. top �,nd bo -L -tom of rdF iser �.s
,required, is the underground beingtested? flusf,ed and pressure
2w Ts I-.,Jhe existitIg build-i,n
9 Pr --L11 ered
SePara-tion between recti is
construct *
1 On 4
Calculated r ems. not
n lcul � r-
and i f rza t
building
i r n n
1;)UU Sq, f t -
so
sprinklers at�top ll�,nd� bottOM of lowere elevator �
tnrshaf 5 ,
t.
We W
sending
1-1d
-r e t ra i n
ce-rely
Don Mc,COy �
Tiaho State,
P
the plans ` unta. ].
of this
low
ILV . W"t-
r
we hear f ro . you .
the Rexburg fire
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