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HomeMy WebLinkAboutAPPLICATION & DOCS - 08-00507 - Rexburg Tabernacle- Chair LiftBull 19 E Main Rexburg, ID 83440 OWNER'S NAME PROPERTY ADDRESS SUBDIVISION PHASE LOT BLOCK Permit #08 00507 Rexburg Tabernacle - Chair Lift Required ffl ELECTRICAL Electrical Contractor's Name d Business Name d j u Address City ,J�etJ State Zip g �� Cell Phone (ab ?) 326 - 39 d V Business Phone (Do- 25 q,)5 I Fax( ) 0 5 4 1 - L v .-.— Electrical Estimate (cost of wiring & labor $ 566 (COMMERCIAL /MULTI - FAMILY ONLY) (Includes the cost of materials installed regardless of thepar y supplying it). TYPES OF INSTALLATION (New Residential includes everything contained within the residential structure and attached garage at the same time) RESIDENTIAL ONLY ❑ *Up to 1,500 sq ft - $72 ❑ *1,501 to 2,500 sq ft - $120 ❑ *2,501 to 3,500 sq ft - $168 ❑ *3,501 to 4,500 sq ft - $216 ❑ * *Over 4,500 sq ft - $216 plus $.04 /sq ft: sq ft total ❑ Existing Residential (# of Branch Circuits) - $40 plus $10 per circuit: # of circuits ❑ Temporary Construction Service, 200 amp or less, one location (for a period not to exceed 1 year) - $40 ❑ Spa, Hot Tub, Swimming Pool - $40 plus $40 grounding grid where applicable ❑ Electric Central Systems Heating and /or Cooling (when not pan of a new residential construction permit and no additional wiring) - $40 ❑ Modular, Manufactured or Mobile Home - $50 plus $10 per circuit • Other Installations: Wiring not specifically covered by any of the above: Cost of Wiring die Labor $ (Includes the cost of materials installed regardless of the party supplying it). • Pumps (Domestic Water, Irrigation, Sewage): horse power ❑ Requested Inspections (of existing wiring) - $40 /hr (1 hr minim plus $40 /hr thereafter *Includes a maximum of 3 inspections. Additional inspections charged at requested inspection rate of $40 per hour. ** Includes a maximum of 4 inspections. Additional inspections charged at requested inspection rate of $40 per hour. Safety Department City of Rexburg lanellh@rexburg.org Phone: 208.359.3020 x326 www.rexburg.org Fax. 208.359.3024 04 e,EX6UgG,! S o CITY OF REXBURG ___ Americas Family Community of Licensed Contractor License number 1 II( ate Ap 06. 2001 12:50PM Building Sdety Department 19 E mom pneOh@ mb M.Or9 Phone: 209.359,3020 x326 Rexom; N &M40 www wourao►d Foe 200.399.3024 No. 4057 C1TT OP REXBURG OWNER'S NAME �- b''' -r �v° PROPERTY ADDRESS Petmlt# aMDIVISION PHASE LOT BLO .,fie zz&ed rl! ELECTRICAL F�cctxical Coontractc�t'e Nsme �! �+ �a usinm 13� A&WA6e� 4 !et� Acess �. Comrv►�r$ City llrler�d�u�•. S ato ) ?np b¢2 Fns (7 2-SO-106 , fbLAdg CftS t ovri ecpo�cgl B,Atimafae (coat ata g > ) $ s (COMMZR 'ONLY) 77M OFMnAZAA27ON �lfeorRcI�udadan e.etg aovdr sago � �dmrEaf er�cYare anad Aseaclreal�gge at t&e eruare t6a�r) Number of itim I is being installed Up to 200 stomp Setvice" 201 to 400 amp Semice°R Over 400 mp Service Te,mposatp C.oa3stt=mm Service, 200 amp at 6®, one locafim (for a period not to caceed I year) Fadodw Residential (# of Blanch Catcuib) Spa, Hot Tub, Swig mmag Pool c Central Systems Heating and /or Coding (whm aa,pat oft mean xesidaawl amsbacdw psamdt and to additional aitig1 modala, Maaufiactuted oat Mob& Home „ Other Tnsta&tians;' Wiring not apeci&,eaIly coveted by nap of the above Cost of Wiring & L2boac S Sod - mne l t m t.► (,A c (d' w - (a.-r-t - Pamaps (Domestic Water, Iro$adm semr) ReT=ted Iaspecww (°f eTIst 9 W Temporary An memeat /Industty "Indn4 s' of 3 inspacdaw. A,dditlmd inspeadomus darrd at sagoeewd kapw im sane of $40 per hoax. 3Sla R 1 2.4 10,6 O: Tj Ca C4Vs=Cm= Lkcmm number S pe . ul Ytj, CoW 'or 5 713: 2 (92-1 (o UU � a� s+w..�rs�an�d� IIx 0910212008 12:57 STATE OF IDAHO ELEVATOR / CONVEYANCC REGISTRATION ACCEPTANCE FORM Division of Building Safety Industrial Safety - Elevator Safely Program 1090 E. Waterlower St. Meridian, ID 83642 (206) 334 - 2129, Fax (208) 855.9885 htlo:!ldb9.idsho.00vl • • Registration Is to be completed by the owner or owner's resprasentativa of the elevator! conveyance. • Installation, Modernization, Alteration must be completed by an Elovator Contractor. • Submit one complete set of plans a shop drawings for each application submitted. Plans shall bear a registered professional engineers stamp. Supporting documoritallon may be requested. • No Installation may begin until plans are approved. All work subject to final Inspection by 033. • Permit will be Pasted In Maclllne Room after recelving It from the Division of Building Safety. • S_ -Mail Addresses are MANDATORY, ❑ New ELEVATOR P rmismo t=_LEvAToR ❑ REGI MjNLI&LARQU MOD E RNI7ATION ALT1NiAT10N FUR QFWARTFArNT 1_15r O NLY Plans recePed: Plan review IS I Date a roved: Plans checked b; ACME JAM 6 a l —bla cease plaint chedod to; ASME A 17.1 6 eEplipa0lip aodea, Ra used br In actlan a . pare; SITE- lNitORVATION'. OWNER Nr0 RMATI()N- WI* Name: Old Tabernacle Owner Name: City of Rexbu Address: Center & First Street Address: 12 North Center Street C /Stale/Zip: Rexburg, ID 63440 Ci ISIMN71 : Rexburg ID 83440 Phone number. 208- 359 -3020 Phone: 208- 359 -3020 Stale ID #.: Serlal g: ❑ State City © County ❑ School (k -12) ❑ University I College Commerical Business Charter School Other Date of Ihstapaiion: Sep -08 Last Annual Inspectron: Last 6 Yr. Ins ectlon: I Model Name of Elevator: Garavenls Xpress 11 InIClnad Lift ELEVATOR CONTRAOTOR iNFORMATION Elevator Contractor. • The Elevator Company Phone: 208 - 335 - B47 Address; 2188 East Commerclal Street Fox: 203.288 -1062 City, Maddlan State: ID Zip; 03642 Point cfContact; Rand Tale GENERAL CONTRACTOR INF ORMATIO N General Contractor. Zity of Rexbu Phone: 208 - 358 -3020 Ext. 347 Address: 12 North Censer Street Fax: 208.359.359 -3022 City - Rexbur shits: ID Zip 93440 Point of Contact: AntormArija E CUIPMENT D ATA TYPE I kJ passenger Freight Material Only Elevator Moving Walk Dumbwaiter Ealoalelor . x Platform I Chalrllft Materiel Lift DANEr Triple MACHLLOCATION RATE SPEED1RISE ADDITIONAL PARAMETERS Ll Trecilan / Plea. G wlnding drum C Overhead DW 19 Ip No. ar noire; R ZI Hydraulic [3 Screw drW /Column E3 eneamenr UP; 13 rpm RDN apanhlge; 7 O Drroci plunpar a Rack 8 pinion 0 Ad]eaanl side opening I E3 Chain sprockai p Roped hydraulla ❑ Removed allnd Malaway. V N Angla or Inallne; 3a d-Ims e C3 Laver hydreulte E3 Othor O Machin beroidl trawl: 104^ Capaok)r 435 IDs. l Gaareva sad: '�{M Q, • Make chacka or money ard•ra payeblo to the ❑ VISA MASTBRCARA Division of Building Safety. CR EDIT CARD NUMBER, • Payment Is due before Inepoctlon will bo oandur led. EXPIRATION DATE; f7 • FOG echedula In localad at httpr!/db•.Idaho.poW NAME OF CAROMOLDER. $20_REIURN CHECK FEE CARDHOL 11 SIGNATLIRt:; S AMOLIN State of Idaho Division of Building Safety Received From: RISTYUMISLEA Processed By: abrumbaugh Reoelpt M 3493837 Reoelpt Date: 9/2/2008 Payment Type: CreditCard Paymwd Amount: $800.00 Authorize Pion No: Notes: 18 9g9� ° Twl ERT08 8 WRICIA14 10 82642 ML 10i oral ggi�gg IP 2891621f1M 11 xxxxxxxxxxxx9476 1 pp ,1 8511 M 888848 11RCCE: e�8es6 SIP 62�. IB AVIV E B93tt9 TOTAL rot i