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