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APPLICATIONS, BP, MULT DOCS - 06-00560 - BYUI Alumni Center - Remodel
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�rn rn� =N(Ann rn 00 Q E� ➢� C r r z- O >➢ c rn C �J =O �D �u6 (�J) rn�` p M 00 Zr N DQ 0 Q N rn� rn LyJ � U'Q ➢���z_ u �z O r N IPD� Oz, N p ([ 1 rn rn - n D -o Oz 7 0 70 rn C) Torn D O rnz p zDarnG) O z - z )> zO a�Oy0 Dp 70 z -1z ' � rrn oC � D U)z -oO_y 0 n n D z z z O n r 7o D n N oo�z O 0O O 03 79 7o Fn O O K z - c = c 0 7u 0 a O rn C) z V J O O rn a N // A� I c )=ROVED-2--�- 4 a C m C 3 m y = 0 O 1 C z _ "A m x 9 � �tzz o z M � O lj ly � polz H 9 IV n IV N N P W N O p - O an iC� iND rn nrn rnC rn rn x �°➢ ern Oprnrn; �rn rn� =N(Ann rn 00 Q E� ➢� C r r z- O >➢ c rn C �J =O �D �u6 (�J) rn�` p M 00 Zr N DQ 0 Q N rn� rn LyJ � U'Q ➢���z_ u �z O r N IPD� Oz, N p ([ 1 rn rn - n D -o Oz 7 0 70 rn C) Torn D O rnz p zDarnG) O z - z )> zO a�Oy0 Dp 70 z -1z ' � rrn oC � D U)z -oO_y 0 n n D z z z O n r 7o D n N oo�z O 0O O 03 79 7o Fn O O K z - c = c 0 7u 0 a O rn C) z V J O O rn a N // A� I c )=ROVED-2--�- 4 a C m C 3 m y = 0 O 1 C z _ "A D z a rn rn p 000 p 0 o O� N 0070 N O 7u m 70 Q z C CD CS+ V (n N -3a W N 3 N 1S () p - i C �-� 3. -� W can ( N j 3 " C n C. cu D D R tA � � � 5 C7 t N 0 � � t� y � e� f u ` W N 3 p O CT N � R ` � � p ca� —°`S1 N NG� h 3 � 3 Yc 91 m �v � ='- N �'j.r_- �- 4 p (j o o � 0 - 0 Ulm �°� _ .. cr' O w � �n��s `e ga N `<g�m 3 m =� O rn v �° 3 z o = p �a N ii c'e D z} Za rn 7u O 3 p �/ � p v N -�' fJ 3 u+ g c S C Lb Fn o o rn O R g- Z: s cu 7N w b o _ $ L ' o z MARK Do cD� V N- � !`� rn CA - rn --i :� - CA O arn-� p � D T�OF r rn z I=n n vN °- Q Q TYPE ? =i � =tA Cnz7oz� �7o�oO�aO rn rn 7u K z �cn " _ x , c rnrn-1 c�G� r `� c � p `C Oz LO u�i� NF �g oz � ou F, '� -z FAX C 70 C-) � g D�N� w rn cpZ�o � ➢ -+ -+ X o O ,o - o 7 o �z -n 0 c� z —1 ° �" ➢ I rn rn 51NGLE S CP pc7C� rn Z DO irnrn�v rn y 70 7Q � g � g � c � �pp nUiOj�CD- Fn Oz to N O Z m i� z ��° -� c°nypr�l9 O �rn0 O � - - rn SIZE 0 �' z <rn - ' �O°g c �'c� O O08 , G� �' GLA55 � -v �> - � - n Nrn N 6 z O o O� Z o z rn N r. ➢ N �� a z0� nb°Oz��J;a 00(- am N .n PROFILE nO X v�g0 D r r�i��2z Utz WN -v 7o a 7o D C _ z a �O a rn �o � � Fn £� N D Z 7p CP p v = (b N -� TYPE rn N N 1 C D cn 3��a s =�„p g n?�CD� N v� 3� �� r S rncC�� �. c S co rn 07-2 n o rn <� z Cn� �DnnfJ =�� ��z ASSEMBLY S 73 FIRE RATING O -c W & 70 -, cr - m v Z� n Z ^ < �- ` =1=g - n�i o 5 D O O (`gyp O O c� cn � �� 5 � 0NZ 1- O z z NO� t�,�� C 70 pz c D o�z v rns N 4. pa N 3 N v �n D rin z�zg7 zrn 0 Oo 00� N �v c3o rn 02 rn z O [� � � C rn � rn X 3 N D N 3 ( l< O t O D 3 () C) �-+ - � O 74 H �.?.� z v V Ct : n N ➢ CR� N � 00 N J = v r rn =O —� O W :rte • : +' •'v• = �, • � = D l`J iF .:,....• 7-9 aw W ' c + z p O w o cn -i rn a] O Z 0 �_ Dr�r D 0���0� nD rrnn rn rl 70 D n y N 0 I 7n q (Drn °ANN �N N Q rn 7 rn D° D N :E X C Ul C C o NZ7uZ aK �_ -"o��� r O Zn >Z N c �"�rn 0 D j0 °� �� rn F� ° ° DZ ��aa 70 I o _ F; 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O = to =- n a CD 3 n � Q. 0 0° v C 0 0 d !Z m ° y CD 00 CL ^ ° n m 0 o N m o N - n 'fl w - y 3= •06 m m go m v a 0 ova _ -_i c�� 3� O w 00 N a 3 Q M Z z�" v z c O' c n - On w 3 `.`n = r u z 0 v 00 5 m' p r . mZg is o� m o L:5 O v Z v v r o c m O m 0 a m �• �. zoo - ' CL n -� N a D 0 o ^' 0 < c F 0 1D a o c °� CD a � � m m m m 0 0 CL CO OD V � ?� Cn O 5 T - n T r n v, o o 2) 4 m CL CITY OF 0 KERB UKG PERMIT # BUILDING PERMIT APPLICATION Please complete the entire Application! 19 E MAIN, REXBURG, ID. 83440 208 - 359 -3020 X326 PARCEL NUMBER: (We will provide this for you) SUBDIVISION: UNIT# BLOCK# LOT# Addressing is based on the information - must be accurate OWNER NAME.• o 'qiy Al - 8 ' Las' C . Oe"_31 CONTACT PHONE # PROPERTY ADDRESS: /!a E.-sT ^6 fjX. ,e�2 /,0 et'3yy0 PHONE #: Home ( ) Work ( ) Cell ( ) OWNER MAILING ADDRESS: CITY: STATE: ZIP: EMAIL FAX 1 11 APPLICANT (If other than owner) SYIJ - 1A* - sta (Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.) APPLICANT INFORMATION: ADDRESS Or,ic-- *2 -/ 3 CITY: STATE; l D*"0 ZIP�� EMAIL e. e. y° BYell tD �AX "a - W6.6 1 /5/9 PHONE #: Home Work (2.4) Cell ( CONTRACTOR 8Y11 /&4W a MAILING ADDRESS: CPYicF #2/3 4P67 PHONE: Cell# W? • CITY ,QE?sBdAW— STATE I ' ° ZIP S3Y4 Work# `/�G ZYy7 Fax# /9G • & 1 /1/9 EMAIL !y_K WAv1r6RW/. 6 k 4DAHO REGISTRATION # & EXP. DATE A C - IF - /& - _- 1 .11 i avw airy vuuuutga A1C IULaLCU 0I1 rut properryr r Did you recently purchase this property? No ) Yes (If yes give owner's name) Is this a lot split? 0 YES (Please bring copy of new legal description of property) PROPOSED USE: CoM�l�Loi ��nt (i.e., Single Family Residence, Multi Family, Apartments, Remodel, Garage, Commercial, Addition, Etc.) APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalt of perjur I hereb certif that I have read this application and state that the information herein is correct and I 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 2003 International Code in cases of any false statement or misrepresentation of fact in the application or on the plans on which t jpermit or approval was based. Permit void if not started within 180 days. Permit void if work stops for 180 days. ..... ra rte, Jr— _Jh nn 7.a _ —, Signatuy6 of Owner /Applicant Do you prefer to be contacted by fax, email or phone? Circle One WARNING — BUILDING PERMIT MUST BE POSTED ON Ete tj: Plan fees are non - refundable and are paid in full at the time of app lic City of Rexburg's Acceptance of the plan review fee does not **Building Per mit Fees are due at time of application** **Building Permit CITY OF RE 2 Building Safety Department' City of Rexburg 19 E. Main jonellh@rexburg.org Phone: 208.359.3020 ext 326 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 OF RBRB URC U O C I T Y OF REXBURG America's Family Community Affidavit of Legal Interest State of Idaho County of Madison Name City Being first duly sworn upon oath, depose and say: yG Address !DA-No State (If Applicant is also Owner of Record, skip to B) to submit the accompanying application pertaining to that property. B. I agree to indemnify, defend and hold Rexburg City and its employees harmless from any claim or liability resulting from any dispute as to the statements contained herin or as to the ownership of the property which is the subject of the application. A. That I am the record owner of the property described on the attached, and I grant my permission to: ,BYV - /ogHo 526 Joss/ CffAr/t,rz S�: . A&C&C"'ca /c. Name Address 835/6 Q Dated this y �7 day of 20 Subscribed and sworn to before me the day and year first above written. G Q f O -vARY 0 w� PUB \G Notary Public A Idah n Residing at: My commission expires: Please complete the entire Application! NAME B/11 - /dot -I o If the question does not apply fill in NA for non applicable PROPERTY ADDRESS & F#s, - A*/,y Permit# SUBDIVISION Dwelling Units: Parcel Acres: SETBACKS FRONT SIDE SIDE BACK Remodeling Your Building /Home (need Estimate $ (a4O f41 � i ooh °= SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area CPO 50 Unfinished Basement area Second floor /loft area Finished basement area (A0 Third floor /loft area Garage area Shed or Barn Carport /Deck (30" above grade)Area Water Meter Quantity: Water Meter Size: Required.!! PLUMBING /city ^z"" -we, &.=&& 0 0 &;z0M`a0+sdn Plumbing Contractor's Name: 111A Business Name: Address City State Zip Contact Phone: ( ) Business Phone: ( Email FIXTURE COUNT Cinduding roughed fixtures Clothes Washing Machine Sprinklers Dishwasher Tub /Showers Floor Drain Toilet /Urinal Garbage Disposal Water Heater Hot Tub /Spa Water Softener Sinks (Lavatories, kitchens, bar, mop) Plumbing Estimate $. (Commercial Only) Required! Signature of Licensed Contractor The City of Re License number schedule is the same as Date the State of Idaho 4 Please complete the entire Application! If the question does not apply fin in NA for non applicable NAME S PROPERTY ADDRESS ! 4 >G?13fi Msf- l J?zdia T_ Permit# SUBDIVISION Requiredffl MECHANICAL Mechanical Contractor's Name: /�� Business Name: Address City State zip Contact Phone: ( ) Business Phone: Email Fax Mechanical Estimate $ (Commercial /Multi Family Only) FIXTURES &APPLIANCES COUNT (Single Family Dwelling Only) Furnace Exhaust or Vent Ducts Furnace /Air Conditioner Combo Heat Pump Air Conditioner Evaporative Cooler Unit Heater Space Heater Decorative gas -fired appliance Incinerator System Boiler Pool Heater Fuel Gas Pipe Outlets including stubbed in or future outlets Inlet Pressure (Meter Supply) PSI Dryer Vents Range Hood Vents Cook Stove Vents Bath Fan Vents other similar vents & ducts: Heat (Circle all that apply) Gas Oil Coal Fireplace Electric Hydronic Mechanical Sizing Calculations must be submitted with Plans & Application Point of Delivery must be shown on plans. Required! Signature of Licensed Contractor License number Date The City of Rexburg 's permit fee schedule is the same as required by the State of Idaho E Building Safety Department City of Rexburg 19 E Main janellh@rexburg.org Phone: 208.359.3020 x326 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 aF �¢xa °Rc s� 's u O CITY OF REXBU Americds Family Community OWNER'S NAME 901 0--reW PROPERTY ADDRESS /G 64Arr / WIll Permit# SUBDIVISION PHASE LOT BLOCK Requiredffl ELECTRICAL Electrical Contractor's Name S7EYe Poe./ c6_ Business Name Q W - /A -s Address Qf�G6 *213 PRZ-7- City I State X0 Zip Cell Phone (7_�) 31 3 - Business Phone (2.08) Y ?to - �Y Fax ( Electrical Estimate ( cost of wiring & labor $ 3CO )',etcES v a Val. E u (COMMERCIAL /MULTI - FAMILY ONLY) TYPES OF INSTALLATION (New Residential includes everything contained within the residential structure and attached garage at the same time) Up to 200 amp Service* 201 to 400 amp Service* Over 400 amp Service* Existing Residential (# of Branch Circuits) Temporary Construction Service, 200 amp or less, one location (for a period not to exceed 1 year) Spa, Hot Tub, Swimming 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 X Other Installations: Wiring not specifically covered by any of the above Cost of Wiring & Labor: $ 300 Pumps (Domestic Water, Irrigation, Sewage) . Requested Inspections (of existing wiring) Temporary Amusement /Industry *Includes a maximum of 3 inspections. Additional inspections charged at requested inspection rate of $40 per hour. ='- 77 r` ignature of Licensed Contractor The !08/3 License number schedule is the same as required Date the State 2 Building Safety Department ;o �EXBU i City of Rexburg 19 E. Main ' o janellh@rexburg.org Phone: 208.359.3020 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 C1 T Y OF REXBURG ____...__. ow Americas Family Community APPLICATION: "CONSTRUCTION PERMIT" CONSTRUCTION PERMIT #: PERMIT APPROVED: YES/ NO $50.00 FEE PAID: YES /NO - APPLICANT INFORMATION: Business Name: Office Address: . APPROVED BY: 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: ( ) Cell # ( ) 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 Appli cant's Signature . ............................... Date. ............................... To Cell Phone # ( ) Cit State Zip 7 • 0 SUBCONTRACTOR LIST Excavation & Earthwork: Concrete: Masonry: Roofing: Insulation: Drywall: 8 Y - AbAy10 Painting: & Yv - 4 6 A a Floor Coverings: Plumbing: Electrical: Special Construction (Manufacturer or Supplier) Roof T Floor /Ceiling Joists: Siding /Exterior T Other: EXEMPTIONS FROM STATE REISTRATION 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.httn ❑ Currently State licensed pursuant to Title 54 Idaho Code, Chapters: 3 Architects, 10 Electrical Contractors /journeyman, 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 /property 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 6 0 0 Walker, Jedd From: Val Christensen [valc@rexburg.org] Sent: Wednesday, January 17, 2007 1:03 PM To: Walker, Jedd Subject: RE: Alumni Center Follow Up Flag: Follow up Flag Status: Completed Jed, The intent meets the minimum requirements of the code and will be allowed as requested. Val From: Walker, Jedd [mailto:WalkerJe @byui.edu] Sent: Wednesday, January 17, 2007 12:25 PM To: Val Christensen Cc: Nielsen, Rulon; Clark, Wayne; Andersen, Charles Subject: Alumni Center Val, I have received bids to perform the work at the Alumni Center. The bids are as follows: Vestibule Items Storefront system: $5,600 Subtotal: $5,600 ADA Items Restroom doors: $1,100 Remove Urinal and Feleeate watef $66& Electrical modifications for switches -$rwg. 03(no near doors -heate 4 we" and floor at water heatet $6ee - and- uOna1: - --$3GG Replase Ii ReleHm ,$690 Subtotal: $4,220 �y00 In reference to Exception 1 under paragraph 3409.6 of the 2003 IBC, we propose spending 20% of $5,600 or $1,120 to address accessibility issues. As such we will address the width of the doors at an amount of $1,100 plus a portion of the electrical cost to move the switches impacted by the doors. Please let me know if the city is amenable to this. Thanks, jedd walker Campus Architect 496.2449 1/25/2007 Building Safety Department City of Rexburg 19 E Main ionellh @rexburg.org Phone: 208.359.3020 x326 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 "E0 ' CITY OF REXBU America's Family Community OWNER'S NAME J f /a 0--rCW PROPERTY ADDRESS /G EAr; A141y .lrn�r SUBDIVISION PHASE LOT BLOCK 0600560 Main Street Alumni Center Remodel RequlredN ELECTRICAL Electrical Contractor's Name sTevix,-- / cc- Business Name a YU - /,o q " 0 Address �,gCZ' ?f PPL-r /o Zip dDs'e. - Cell Phone p8) 31 3 - '/6 55' Business Phone (208) `/ 9(0 - 2-y31 Fax ( ) Email - ,elce y p Val. E,o v Electrical Estimate ( cost of wiring & labor $ 3CO (COMMERCIAL /MULTI - FAMILY ONLY) TYPES OF INSTALLATION (New Residential includes everything contained within the residential structure and attachedgarage at the some time) Up to 200 amp Service* 201 to 400 amp Service* Over 400 amp Service* Existing Residential (# of Branch Circuits) Temporary Construction Service, 200 amp or less, one location (for a period not to exceed 1 year) Spa, Hot Tub, Swimming 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 X Other Installations: Wiring not specifically covered by any of the above Cost of Wiring & Labor: $ 300 Pumps (Domestic Water, Irrigation, Sewage) Requested Inspections (of existing wiring) Temporary Amusement/ Industry *Includes a maximum of 3 inspections. Additional inspections charged at requested inspection rate of $CFO per hour. �ignature of Licensed Contractor License number Date The schedule is the same as required by the State of Idaho CITY OF REXB URG • PFR MTT :U BUILDING PERMIT APPLICATION 19 E MAIN, REXBURG, ID. 83440 Plea 0600560 n! 208 -359 -3020 X326 If the q1 Maid Street Alumni Center Remodel le BYU[ PARCEL NUMBER 1 Q � D ��� y� �.�J SUBDIVISION: UNIT# BLOCK# LOT# OWNER: /f/ e / [ais f! : oa e2y CONTACT PHONE # PROPERTY ADDRESS: /& Fwr AV, PHONE #: Home ( ) Work ( ) Cell ( ) OWNER MAILING ADDRESS: YO i2icH 64Mr CITY: STATE: lD. ZIP: 8SZ2 APPLICANT (If other than owner) ,8Y(J - &*.ofo (If applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.) /IV A NJ ADDRESS OF APPLICANT C�E ;02,13 P/t7 CITY: STATE; 1,44 a ZIP 65 y&6 - W 5 PHONE #: Home ( ) Work Cell( ) CONTRACTOR: 6 YU - 444WO PHONE: Home# Work# Cell# MAILING ADDRESS: CITY STATE 7.TP How many houses are located on this property? k�A Did you recently purchase this property? No Yes (If yes give owner's name ' Is this a lot split? O YES (Please bring copy of new legal description o PROPOSED USE: com at i`ciilt - (i.e., Single Family Residence, Multi Family, Apartments, Remodel, Garage, Commercial, Addition, Etc.) 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 I 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 2000 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. Signature of Owner /Applicant WARNING — BUILDING PERMIT MUST BE POSTED ON CC Plan fees are non - refundable and are paid in full at the time of applicati City of Rexburg's Acceptance of the plan review fee does not co "Building Permit Fees are due at time of applici "Building Permits are void if you check does not It / /0 / OG 19 b 9 U W 19 JU111 wing January 1. 2005. plaiNr4v@ 2006 iLOJ CITY OF REXBURG NAME b ZPA O PROPERTY ADDRESS Permit# SUBDIVISION Dwelling Units: Parcel Acres: SETBACKS FRONT SIDE SIDE BACK Front Footage (if applicable) Storm Water Length SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area 60050 Second floor /loft area Third floor /loft area Shed or Barn Remodel (Need Estimate) $ S 8CC� Water Meter Count: Water Meter Size: PLUMBING Plumbing Contractor's Name: Business Name: Address State Contact Phone: ( ) Business Phone: ( ) FIXTURE COUNT Clothes Washing Machine Dishwasher Floor Drain Garbage Disposal Hot Tub /Spa Sinks (Lavatories, kitchens, bar, mop) Plumbing Estimate $ (Commercial Only) Sprinklers Tub /Showers Toilet/Urinal Water Heater Water Softener Zip Signature of Contractor License number Date The City ofRexburg's permitfee schedule is the same as required by the State ofldaho Unfinished Basement area Finished basement area &0 50 Garage area Carport/Deck (30" above grade)Area 1 8 NAME PROPERTY ADDRESS SUBDIVISION Permit# MECHANICAL Mechanical Contractor's Name: _ l� Business Name: _ Address State Zip Contact Phone: ( ) Business Phone: ( ) FIXTURES & APPLL4NCES COUNT ❑ Furnace ❑ Furnace /Air Conditioner Combo . ❑ Heat Pump ❑ Air Conditioner ❑ Evaporative Cooler ❑ Unit Heater ❑ Space Heater ❑ Decorative gas -fired appliance ❑ Incinerator ❑ Boiler ❑ Pool Heater ❑ Similar fixtures or Appliances: ❑ Exhaust or Vent Ducts ❑ Dryer Vents ❑ Range Hood Vents ❑ Cook Stove Vents ❑ Bath Fan Vents ❑ Other similar vents & ducts: ❑ Fixtures or Appliance outlets of the gas piping system Mechanical Estimate $ (Commercial Only) Heat (Circle all that apply) Gas Oil Coal Fireplace Electric Point of Delivery must be shown on plans. Please check all that Apply: Signature of Contractor License number Date The City of Rexburg s permit fee schedule is the same as required by the State of Idaho 3 Total