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HomeMy WebLinkAboutAPPLICATION - 07-00066 - Wagon Wheel Apt. - ElectricalFEB -14 -2007 WED 05:00 PM FIRST CALL JEWEL VV I. I')I 4VV7 L L I I M CIT OF=URGO BUILDING PERMIT APPLICATION 19 E MAIN, REXBURG, ID. 83440 208 - 359 -3020 X322 FAX N0. 12085292793 PERMIT # 0 Please complete the enti If the question does not apply fill in P. 02 F10. PARCEL NUMBER: (We will provide this for yo l SUBDIVISION: UNIT# BLOCK## (Addressing is based on the information - must be accurate) C/ PROPERTY PHONE #: Homc ( ) Work ( 6MIf i � .I!I' CONTACT PHONE # S Cell ( ) ,CITY: STATE• 7 ZIP:_z xp EMAIL FAX PPLIC Y�' (If otl= than owner) v / (Applicant if other than owner, a statement authorizing applicant: to act as agom for owner APPLICANT INFORMATION: ADDRESS � /o A) ,4 7 Uri -L , K, / ,C ITY:��� �� S STATE; ZIP i EMAIL, FAX PHONE #: Home ( ) Work ( ) 6 ..7 7 ( ) CDIV2"RACTOR MAILING ADDRESS: / < CI7Y STATE.LLZIP �o PHONE: Home# Work:# EMAIL FAX How many buildinz are located on this property? Did you recently purchase this property? No Yes (If yes give owner's name) Is this a lot split? NO YES (Mease bring copy of new legal description of property) PROPOSED USE: (i.e., Si'rtgle Family Residence, Multi Famlly, Apaiunents, Remodel, Garage, Commercial, Addition, Etc.) APPLICAiNI T'S SIGNATURE, CERTII:ICATIOiV AND AUTHORIZATION: Lndapeoaky ofpe jury, z herby =*th u r hays: rued this application and sm dwttoc wormsapa btamn is om= end I swine that my iaf =mion which may bwcsft be given by me in ha mp before the Planning and Zoning Comminica or dte City Com ail .fca the City of Rexburg shall he m1hlld and cones I agree to cemply wish all City regulation and Star laws rdatt to the rubjea wA#w of this appliaation and hereby authmind reprountaWm of the City to eater upon Ole abovo moll md propcm for Lwpaod= 7xrom. NOTE: The building official may revoke n permit w approval issued under the provisi= of the 2000 Intaatnianal Coda in am of nay false 3=mc ut or mWepreaeatazion of faa.in the ayplicadon or on tltp p1m on which tiro permit or approval was based. Permit void ifnot started wMirt 180 days. Permit void ifworl stops for 180 dap. , Sigh= of Owners ,—,Q / ! L DATE tion! - L%l Do you prcferto be'coatactcd by fax, email or phone? Circle One WARNING — Wn DING PERhUT MUST BE POS72D ON CONSTAUt rION MMI Plea few in nax- rWlzndable uttd are paid la fill at tie qto of appflc d9ft DagjlllllnS Lao= 1. 20a City of RgmhwZ's Accepft4c* of the piss review Am dam not com ttufa plan apptraral FEB -22 -2007 THU 11:11 AM FIRST CALL JEWEL tZb, 17. LUUI L;urNi • -� �5 3e-2 FAX N0, 12085292793 Building Safety Department City of Rexburg 19 E Mo1n Jane"rexburg.crp Pnons; 208.354.3020 426 Rexpvrg, 10 &3440 www,rexburp,Org Fox. 209,359.30 °' OWNER'S NAME IJIZIJ 44A', PROPERTY ADDRESS 8LTBDIVISION PHASE LOT BLOC P. 01 OS CITY OP REXI3URG ��, ,, AmeHeuS Hrmdr Camnvurdey 0700066 Wagon Wheel Apts - Electrical .Requiredffl ELECTRICAL Electrical Coaasctoes NO= usinmsa Noma Addresa ?& A)m 1b ®� City State p Cell Phone ( ) Fax .!j Eleetrieal Eedmate (coat ofwidag &labor) X (COMMEMAL /MULTI•FAMILY ONLY) (Now Reddlpndd 1adudw ohetydAW vwaWied %Wilda do rrddeadal acructutr and artwhrd rsrW at the same rime) Up to 200 unp Service's Z01 to 400 mp Service* _ Over 400 amp Service* Temporary Construction Service, 200 amp or leas, one location (for a period cot to exceed 1 yeas) Existing Residential (# of Breach Circuits) Spa, Hot Tub, Swimming Pool _ EUctdc Central Systems Heating and/ Cooling (when not pact of a now residential conlmcdaft peranit and no addidoasl wfd4 bfodular Mjinu&ctured or Mobile Home Other Installation! Wiring not specifically covered by any of the above Cost of Wiring & Labor. S Pumps (Domestic Water, Irz*tion, Senvage) Raquested Inspections (of existing wiring) - Temporary Amusement /Induetry "Includes a nwdmum of 3 luspections. Additional impacaoes chupd aT P"eted inspocioa ttte of :40 pet hcUr. acute of Licensed Conttactot r I.icrosc auMba Date I TA► Cif of Rex 3 t � raw A*drb i the raw a by tbi Stag of Idalo ��, � ....,den.."" - FEB -16 -2007 FRI 08:31 AM FIRS CALL JEWEL FAX N0. 12Q85292793 Call 310 Northgate Mile I Idaho Falls, ID 83401 (SOB) r1224 Fax: (208) 529-2793 Fax Transmittal Header Cit Pages including header: Sender: Phone Numbef (208) 522 -7777 Fax Number (208) 5292793 Date: — //o 6 P. 01 Comlylent a For all your Electrical, Heating, and ,Air Conditioning Sales and Service needs, First. Call JEWEL Inc. (208) 522 -7777 igWe're the fasl service people" FED -16 -2007 FRI 08:31 AM FI T CALL JEWEL FAX N0. IJ85292793 P. 02 Jul. 15 - 2p05 M1PM iuo. VIZ) r, t CjYT OF R n UR PERMIT # BUILDING PRPNET APPLICATION please complete tlje entire Application! 19 E MAIN, REXBURG, W. 83440 If the question does not apply Ell in NA for non applicable 208- 359. 3020 X322 PARCEL NUNMER: (We will provide this for you) SUBDIVISION: UNl`Y`# BLOCK # �,OT#� (Addressing is based on the information -must be accurate) CONTACT PHONE # PROPERTY ADDKESS: 2 -1�7_6 _ PHONE #: Homc ( ) Work ( ) Cell ) OWNER MAILING ADDRESS: CITY: L STATE,2 ZIP:_J2// EMAIL FAX AP�T.I othor than owuar) / r .. &LIGA hcation.) r„Ap gcw if other thaw o"er, a statemavi auth&izi yg applicauT to act as agent for owner must accompany this app APPLICANT INFORMATION: ADDRESS r� �...0 , S'T'ATE; � _.ZIF EMS` FAQ PRONE #: Hom.e ( ) 'work CONTIM Tp MAILING ADDRESS. l —CITY r sTATEZIP PHONE: Home# Work# EMAIL ,F,A.X %) How many bizildinP are located on this property? Did you recently purchase this property? No Yes (If yea give owner's ,name) Is this a lot split? NO YES (Please bring copy ofmw legal, description of property) PROPOSED USE: S,lragle FamOy Residence, Multi Fanxily, Ap8rt2t =ts, Remodel, Garage, Commcrai, Addition, APPLICANT's SIGNATURE, CERTMCATION AN`L) ELUFHORI7.ATI ON: t;na� pmalay orpaituY, t ltercby �setify that t hive read this Mpltcad= and aM dw the iaformadoa hmvi4 is cmr=t mld I swr ur Wet gay infotmWcn which may bazAr be ;wile by me in hearings bdfare the Plaanin2 and Zonlns Comminlan orihc C4Y Catmcil far the City of Rexbtrrg shill be truW W and mufteL 1 agree to comply with all Clty mgalations and Shale lava Mating io the subject mater of Shia applieatica mad limby authoti2od repame MAM Of trig QnY to 011181 upon the 80ova- maattaaed tuoyatty Par ias� PMP cs. NOTE. E: fie building official may rcvokc a permit an avprovel issrrrd mder the provisions of dw z000 Inunationai Cade in taus of wy fel sudeutmtt ar rniarepre Manion of fact.la the appticgnon ar an the pleas on wbEah tbo permit or gpmvel wo based. P;Mdt void if pat Started wilhin 180 darya Pert>ut void irworf: stria for 180 days. w Signs = ofOwner /A ca_zc PATE Do you prefer to lx contectcd by fax, email or phone? Circle One WAW4WG — 1 8tMMING lPUMT MUST BE POSTW ON CONSTRUt':MON SUE Plait fo■a m nos rsfiadabl* and are paid W fall at *6 thN Of aap940d0ft b000njul _ gg=1. 34t1t2MI City o[Ambwl's Acceptaum of t* pbua rawivw a* don not cansttfvts plan appraral • EI3 RI O AM FIRST CALL JEWEL FAX N0, 1 85292793 P. 03 re 60 � NM ...... .�...,. _ Building Safety pepar#rnent n. 'a, c T Y o P C1ty of Rsfacbaarp � RE UR,G 19 F Main �aneilh�rexbur�.orp Phane; 209.959.3020 x526 AmEr1e�5 Afmi(rCanrnwllh loyb"T' * 83440 www,roxbu/Cl•orq Fax 209.959.9024 OWNER'S NAME PROPERTY ADDRESS Pounit# SLTMMSION PRASE LOT4..�� BLOC — ,Requlre ELECTRICAL n Y Eleotdestl Eadmat- (east ofwking & labor) gv( CQMMERcjAL /MULTI- FAM1LY ONI.) TYPES OFDMAU AT'ION avow �terdtlaaddatd owq congstard wlilt(b t6r xddeutfal itrvctura ®ard a alard �asryl�e ar de game t�ilto) I up to 200 amp Sarvice* _ 201 to 400 =V Service* Z Over 400 amp Service'" _ Temporary Cottstrucdon Service, 200 amp or lass, one location (for a period cot to exceed 1 yea) Existing Rea =dal (# of Branch Circuits) Spa, Hot Tub, Swimming Fool Electric Central Systcjns He* acrd/ of Cooling (whoa not part of I< new residential conamuctioe permit and no ad6timsl v k66 _ Modulm, Msinufactured or Mobile Hoana Othet Iovtallationc Wldng not spec ifs"lly covered by any of the above Cost of Wiring & Labor. $ Putzaps (Domestic Water, Iffigatlotr, Sewsse) Requested Inspections (o£ existing wilt* Teuaporary Atnusemear /l adouy "Earludaa a mwdmum of 3 jeapectivns. Additional itaspeciO u chUP4 It ttqumsted'WPWtiota rate of X40 pot out 1p/ 2 state el1kaosad ContMetot r T, =w number Date TM GY#y_f Rai 's errMr tnbd+�ii it rk� raar ar by rb, Sraa Xd�bo