HomeMy WebLinkAboutBP & APPLICATION - 05-00358 - 5378 S 2000 W - MechanicalZ
O
rn
F~o ~ ?~
~g~~~
~v°-
'~ a 3. 3
p ~ m ~. vi
v ~_~
,N.. 7 Q N
n N O C
C ~ ~
v ~
~ ~
~p c ~
m N
n c
~ o
~ a
o
~ ~
c ~
3 ~
Q
~ ~
o ~,
~ ~
N ~
~ a
v ~
v c;
o
o
a~
d~,~~Z
~~~a~
g ~s.o
~ N N d F
~ ~ N
Z () t~ S
c o ~ ~ v
.N.. N
p_ ~ N p fD
~~~ao
0
x y y ~ m
_ fD
s m o ~
N N ~ y
= 3 a ~ ~
~° F ~ ~ v
n o F °: m
~ F o ~ o
o ~
m ~ n
n
= p 3o,c»
N
M
~
3 `~ H
~~~~
W~ ~
m '~
a~
,
T ~ ~
3 ~ K ~.
O
N
~ ~
~ a
t4
~ ~~ y
_
~ ~D ~ ~ _ H
Q. ~•a"=
C $~ ~ a
~ o ~ c
~ ~_~~~
W O 3. 01 "'
.
m ~
~~a~
tN ('~ 3 ?
Q ~ 1
C H ~~
~
c
D ~_ O s;
Q' ~° Q'
Z o
~ y Z N
^" C'!
S '
a
~ ~ S 7
y d
W ~
~ 3
_
Q O1 ~ ~
C 3 ~ Q'
r
D ~p Q'
y
<D < ~ C.
11 _
'
H W o a°m
v ~ ,,~°'~
~~~
°
~ ; ~,
'
~ ~ `~
o.
2 c ~ ~
W ~~~
T
N
r ~
v Q. S ~
_ ~~,~
Z -~ o
d,~0 3
3 C y
p, ~_ ~
..
O ~
3
~
m y
m
z
m
Z
-~
n
^_
l J
L
CD
CD
L
W
g
m
w
N
0
O
z
7
N
0
m
c~
Q
C
v
0
m
0
0
0
w
00
ti
~~
a
03 ~,
Z
n
O
b ~
c0 ~.
~ ~
ti.
N,
~~
Z
m
s~
~
~
~ ~
m
c
_
C~~
3~m j
N 7 1
~ 3
0 n
°'
-
Z
~ ~ ~ C ~
610
on ~ ~'_
~ g ~ o
y ~, ~
~ ;~
w ~~
, Z z v
~~
~ o
N ~
o~
'~ O G ~
~mg
O
~ ~
c
!`F ~
~
m
z
~ ~
~` ~ ~ ~.
~
g
~ ~ a
N ~
~
n Z N
O
y0 a
SEP-21-2005 WED 01 22 PM FIRST CALL JEWEL FAX N0. 12085292793 P. 04
Jul, 15, 2005 2:21PM * ~ No, 0925 P, 2
clrY of ~rRG PE1zM>~T ~
BUILDING PERMIT APPLICATION Please complete the entire Applicationt
19 E MAIN, REXBURCi, ID. 83440 If the question t3oea not appb' fill in NA for non applicably
208-359-3020 X322
PARCEL NUMBER: (We will provide this for you)
SUBDIVISION: UNIT# _BLOCK# L01`#
(Addressing is based on the ~infocmation - must be aaatuace)
nw~vx'~, DD .r~-r~ CONTACT PHONE #
v
PROPERTY ADDRESS: ~ ~ ' O '
PHONE #; Home ~ ~ - Work ( )_ Cell ( )
OWNER MAII,INGr ADDRESS: CITY: STATE: ZIP:
g~~, FAX
^ . (If other than owner) licadon.)
(Applic®nt if other rhea owner, a statelnem aurhorJz~g applicant to act es agars for owner most at:wmpany this aPp
APPLICANT INFORMATION: ADDRESS CITY:
Zip EMAIL FAX
STATE;
PHONE #: Home ( ) Work
CONTRACTO
MAII.INa ADD SS:
PHONE; Hom~# Work#
Cell ( )
-CITY STATE, f~ZIP~
Cell# ~..
EMAIL F~ '~ ~~ ~ ~3
How niaay buildings are located on this property?
Did you recently purchase this property? No Yes (If yes give otxncx's Haute)
Is this a lot split? NO YES (Please bring copy of new legal description of property)
PROPOSED USE: cammt~rcial, Addition, Etc.)
(i.e., Sipgle Fatuity Residence, Multi Famlly, Apat4neaLs, Remodel, Garage,
APPLICANT'S SIGNATURE, CERTIFICATION AIv'D AUTHORIZATION: liadcrpeaalty pepetjury, I hereby aemfythu 7
peeve road this eppGcation cad store thrtlllr inSormatlan herein ~s cattvet and I awaar that any m6orttnetiaut wbiah aiay hartrafter bd gear by tqe in hearirp betbre the
shad be tsulhOd anA coerert I asree m comply wig all City ragNatiotts and State lows
Plronlut; and T.oairta Commladon or rho City Couoail for titC City of Rncburg
relade-~ to the aubdoct It<attor oRtbia application end hereby eedtettmed mpres~teaves oi4fe Ctry to enter upon the above-mad ptoDcnY toy IASD D~~gas•
NOTE: The building afRcirl may revoke a pcmtit op apptovd issaed under the puvvlsicna of dte 2000 Iatematiotrnl Code in aria of say ~1se statwgmt av
m3ctaepteseatatlon o1 fact In dis appUOailan aT oti ttte pJ®a oa whlah rho geapit or ryptowsl was bated, Fa'mit void if eat slotted wirhfr118a days. PerMie void iPwark
~ for 180 dt4ya.
/ /
SiP;natua'e of O'waer/Applicant DATE
Da you prefer to be contacted by fax, email or phone? Circle One
WARNIIVG - BiJ[I DING PE1t119T MYJST SE POST»A ON CONSTAUC1iON S1TEl
Play tar are aoa-refindpbla aad are psld iv lIIU at t><e gtae o! apptlasdoa OepJnalaa Jmurarv 1. ?Q0.4
City otRaibtr~'s Auael+mna of Lb. plan ra.lwtr to dory sat coatdiitaeta pbn- apptreval '
3
SEP-21-2005 WED 01 21 PM FIRST CALL JEWEL
Ju1.15, 2005 2:22PM
Please complete the entire Application!
applicable
NAME
PROPERTY ADDRESS
SUBDIVISION
FAX N0. 12085292793
• No. 0925 P. 3
If tDe gnestloa does not apply tIU 1n NA for non
Permit#
P, 02
Req uire~! ! 1 MEC~1~41VICAL
Mecbatucal Contractor's Name: Business Name: - -~ ~"
~~a~~ ~ zip ~~ ~~o/
AddT~99 Clty ~ ~~i-1-Z
Comaet phone: (~,~~ r - - `7 Business Phone. (Z~ ~ ~ ~ --7 ~ 7
Ema~1 Fax ~ ~- ~ ~- 7 ..~
Mechanical Estimate S• 1~ tCommerdaUMulti Family OnIY)
FlXT URE,S & ,~iPPLIANCES COUNT (Stu;le F~dly Dwelling Only)
~~ Furnace ~~ Exhaust or Vent Ducts
Furnacc/Air Conditioner Combo
Heat Pump
Air Conditioner
Evaporative Cooler
Unit Heater
Space Heater
Decorative gas-fired appliance
Incinerator System
Boiler
Pool Hca#cr
Similar fixtiires or Appliances
Dryer Vexes
Range Hood Vents
Cook Stove Vents
Bath Fan Vents
othex similar vents ~ duds:
~,~ Fuel Cras Pipe Outlets including stubbed is or future outlets
_~~ Inlet Fressure (Meter Supply) PSI
Heat (Circle all that apply) ~ Oil Coal ~rcplaco Elcclric
Mechanical Sizing Cakuletiong must be submitted with Plans & Application
Point of Delivery must bs shown on plans.
gnattm oFLjconsed Connector Licenso munbcr
)3egalred'.
The City of
schedule is the same as
~ -~~~~
Dec
the Stare o1'Idaha