HomeMy WebLinkAboutAPPLICATION - 07-00423 - Greenbriar Apartments - Mechanical & Plumbing09/05/2007 '15:31 2086243774 HOUSLEY PUMPS INC PAGE 04
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CITY OF REX 3uRG �w�- - --
CAL PERMIT APPLICATIO P] j
19 E MAIN, RMLrka, ID, 83440 u 0700423 e
208 - 339.3020X326 Greenbrier Apts -HVAC & Plb
PARCEL NUMBER:
SUBDIVISION DLIR.J\# L U O
(Addressing is based on dw informatJon - must be Wurate)
CONTACT PHONE # 310
PROPERTY ADDRESS- / e j Nic4 ., L'DU
PHONE #. Home ( )_-3 Z'_1 AVork ( ) Cell ( ) ,3 2e 26G .
OWN-ER MAILING ADDRE9S: STATE: a ZIP: ?3 .1
EMAIL FAX
APP rM f : (If other thwi owner)
(ADplicutt If otha than owner, a stat=ent authorizft applicat to act tie spent Jbr owltsr must accompany
APPLICANT INFORMATION: ADDRESS CITY:
STA7 *E;____ ZIP EMAIL FAX
PHONE #: Home ( )
MAILING} ADDRESS:_ Caj M /0-i CITY S
PHONE: Homco — work# Z sf '377Xeli# 3 9a 3 7;
EMAIL FAX
How teeny buildings ere
Work ( ) Cell ( )
TATE ZIP ,?39/5�
on this property ?,
Did you recently purchase this property? No Yes Of yes give owner's nwm)
Is this a l split? NO YES (Pleasc bring copy of new legal description ofproperty)
PROPOSED USE:
(i.e., Single Family Residouee, Mutti Family, AoRnments, Remodel, Garage, Coasstoaraial, Addldon, Etc.)
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: undo pOrMhy orpmw% i honey amury that i hsve
MW this a fftieatioo and O ka #W *m infamlom herein Is aenem sold 1 awrar thin any W6rmetioo *Mob may hereafter be Oven by me In heeuinp betbre the Pkue L7s
and UaNb Co>r "a,ce or"city cmarell Par the City of Raabwti P10 be truthllrl and 9wroo ..1 epee to amply With Nl City letttleaicse ad Staee love gelatin{ to ibe
subject master of this eypliuban so l mby mdarised rweutnht iva of the 01y so aster" the ehoV&rWniosed paropearyr w impeetians pumma . Sam 'rhs
building lad msy rcvokc u permit of yproval issued under We provrs wt Of ft 2007 haereetional Code coas of any lelae statcosrtl ar tuiaacyreseotasioa erf &a is
fist atpp.Nc tie pr ar+ a plans on b ttte penult or elrC'Orel t►ros baued. Ptamh void if not tbuud void if wort hops lbr 180 days
_ s 4- p ?
Slgueart: of Own /Appllgpt DATE T
Do you prefer to be coWacted by flue, email or phone? 410 Ona
WARNING - eUMJXNG PERMIT MUBT vX Po$TW ON CONSTRUCTION VTE!
Plea fees are eae.raf ombble and or& pall is full at the %W of opplicatloa batglpelat ANUM rr 1- mfr
Clty of Retitwrg's A epteace of tM pies review fear dam out constitute plan approval
35/2007 15: 2086243774 HOUSLEY PUMPS INC PAGE 03
?(? � 1; 3: . M No. 4t(0 r,
• *Bvildio= Psrmit lher ■rWit timr of rpplicrtloa•" "80l1dios PmrJlb on a ei»ck don not tlwr•*
Please complete the entire Application!
It the question does not apply MI. in NA for non applicable
NAB
PROPERTY ADDRESS _ 1'tjxrnit#
SUBDIVISION
Dwelling Units:__ A, Parcel Acres:
SETBACKS
FRO-4T___ ._ SIDE SIDE_ . BACK
Remade ng Your BuJilding/Hon to (need Estimate)
SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the bui)ding)
ririt Floor Area f�' Unfinished Basement area
Second floor/loft area _ Finished basement area
Third floor /loft area Oarage area
Shed or Bam Carport/Deck (30" abovr grade)Area
Water Meter Count:
Water Meter Site:
required!!!
PLUMBING
Plumbing Contractor's Name: et w k� N s t Business Name: dwal
Address (/0 L L-) M Q t Ad �._._City o a � e�?e! +- -State .�� Zip�
Contact. Phone: ( ) 9 O 3 7 "7q Business Phone: (204 2 5�, 7 T 2 -
Erauil - -- — Fax - - - ----
x17J F MENT (a lmAm mmid
M Clothes Washing Machine
Dishwasher
Floor Drain
Garbage Disposal
Sprinklers
Tub /Showers
_ Toilewrinal
� Water Hester
Hot Tub /Spa Water Softener
sil"
(Lavatories, kitchens, bar, mop)
Plumbing Eethnate S li Z ®D + (Commercial Only)
s t C -9 - r' A-7
Required! Sigarture of Licensed C,onurac License number D
97re Ci 1?. a erm;IJaa scleedteJer is the sctrne as re
quired by the State Sa,2hO
4
Mar, 1 i
5:31 2086243774
2X) 3:)9PM .
N3.353? P. 3
HOUSLEY PUMPS INC
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Building Safety Department
My of ftxburg `
19 f A4* Jorw"Mbl -ed- ft PH ww. 20 A 959.3020 '"�
Rs lcbwp, fo S,IIIo www.eftbwp,ap PM Yo 359.=4
PAGE 02
CITY O 7
REXBURG
h,
Ave*at Pho(jr mmmy
NAME - - --
PROPERTY ADDRESS pelrmit#
SUBDIVISION
Requlredl MECH,"ICAL
Mechanical Contractor's Name: Btu Name: �ct 4 A '>�
Address__ 56 r.. M4•., — City i g . State _ Zip 4 / 4 o - v .
Cell Phone: (L°� 39 - A - 1-74 / Busin"s Phone: ( 2°1) 6,4 • 1
Fax: ( ) 2 -07 `OZ Y 377 '/ Email
arm
Mechauical Estimate (Commercial/Multi Family Only)
FIXTURES & APP CAS COUNT" (Single Fnuwlly Dwellbl 01*)
Furnace %ac.w_*%A 0..z ;( Exhaust or Vent Ducts
__ Furnace/Air Conditioner Combo
Heat Pump
Air Conditioner
Evaporarivo Cooler
Unit Hater
— Space Heater
Deeoradve has -fired appliance
Incinerator System
Boiler
ad= sitni ar vents A ducts:
Pool Heater
Fuel Gas Pipe Outlets including stubbed in or future outlets
Heat (Circle all that apply' J . Coal Fireplace Nectric Hydronic
M 11 T l 1 1 i� 1 1 .Y 1
41peaae of Linease I Conft dtor Lcao" number
The OT Qf Rab" 1 1 pwail fns scheAdd k the sow
��1z
lhs swo �l�eda
Dryer Vents
Range Hood Vents
Cook Stove Verb
Both Fan Vents