HomeMy WebLinkAboutAPPLICATION - 08-00534 - Syringa Wireless Cell Tower - Sugar CitySUGAR CITY ELECTRICAL, HVAC & PLUMBING PERMIT T " LICATION
19 E MAIN, REXBURG, ID 83440
208 - 359 -3020 X326 0 i
PARCEL NUMBER: 1 (D (We will provide *t"
SUBDIVISION: _ UNIT# Syri n g a
(Addressing is based on this information - must be accurate) 21
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0800534
Wireless Cell Tower
N 1 st E, Sugar City
CONTACT PHONE #
PROPERTY ADDRESS:
PHONE #: Home #
OWNER MAILING ADDRESS:
EMAIL: FAX:
Cell #
ATE: ZIP:
I APPLICANT NAME (If other than owner) S a M 2 OL -5 C y 1171? C &T O ff �
APPLICANT INFORMATION: ADDRESS ITY:
I
STATE: ZIP: EMAIL: FAX: 1
I i
PHONE #: Home # Work # Cell # I
CONTRACTOR TYPE:
Electrical
❑ HVAC
❑ Plumbing
CONTRACTOR NAM
k6 A T
A A VA Lze
BUSINESS NAME:
1E1t 29,_t /? "C_
MAILING ADDRESS` �%S , 11! _zSoO 6 CITY e STATE g5 ,5zP
PHONE: Cell# -2,08 — N19 Work# Fax# r,
EMAIL IDAHO LICENSE # & EXP. DATE 3
How many buildings are located on this property?
Did you recently purchase this property? No Yes (If yes, list previous owner's name)
PROPOSED USE:
(i.e. Single Family Residence, Multi Family, Apartments, Remodel, Garage, Commercial, Addition, Etc.) — CIRCLE ONE
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, I hereby certify that I have read this ap-
plication 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 regula-
tions 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
2006 International Code in cases of any false statement or misrepresentation of fact in the application or on the plans on which the permit or ap-
proval was based. Permit void if not started within 180 days. Permit void if work stops for 180 days.
of
Signature of Contractor
Work #
CITY:
J l DATE
DATE
oQ `eXSUgC
�� a CITY OF
`N REX
America's Family Community
Plan fees are non -refun le and are paid in full at the time of applicau n beginning , anuary 1.2005.
City of Rexbur4cceptance of the plan review fee does not tute plan approval
**Building Permit Fees are due at time of application** **Building Permits a e void if your check does not clear**
TYPES OF INSTALLATION 1. ❑ Electrical ❑ Plumbing ❑ HVAC
(Please choose all that apply) 2. ❑ New Residential ❑ Commercial ❑ Remodel
3. ❑ Homeowner ❑ Idaho Licensed Contractor
❑
ELECTRICAL TEMPORARY CONSTRUCTION SERVICES ONLY: 200 amp or less, one location: $62 basic fee
•
NEW RESIDENTIAL - SINGLE FAMILY DWELLING:
❑ up to 1500 sq ft $124* ❑ 1501 to 2500 sq ft $185* ❑ 2501 to 3500 sq ft $247*
❑ 3501 to 4500 sq ft $309* ❑ over 4500 sq ft $309 plus $.04 /sq ft: sq ft total
*Fee includes a maximum of 3 inspections for up to 2500 sq ft, 4 inspections for 2501 to 3500 sq ft and
5 inspections for over 3501 sq ft. Additional inspections charged at rate of $62 per hour
*Fee is for each installation type i.e. Electrical, HVAC and Plumbin
•
NEW RESIDENTIAL — MULTI - FAMILY DWELLING (Contractors Only): ❑ Duplex: $247
❑ Three or more multi -famil units $124 per building plus $62 per unit - # bl s # units
•
EXISTING RESIDENTIAL:
• Electrical: # of circuits being added $62 plus $10 for each additional branch circuit
• Plumbing: # and type of fixtures being added /replaced
$62 plus $10 for each fixture
• HVAC: # and type of fixtures being added /replaced
$62 plus $10 for each fixture
HVAC Only: ❑ Fireplace installation - $124 (for two inspections)
❑ Hydronic Flooring: $62 plus $10 for each additional manifold (zone)
*Fee is for each installation type (i.e. Electrical, HVAC and Plumbing) and not to exceed the maximum of the
corresponding square footage of the residential buildin
OTHER INSTALLATIONS — COMMERCIAL /INDUSTRIAL (Contractors Only): Work not specifically covered by
any of the other fee schedu s. Fee xg on the cost of all labor, materials and equipment installed:
Cost Labor & Material l�
of
*Fee is for each installatio type (i.e. Electrical, HVAC and Plumbing)
* *See attached fee schedules
•
MODULAR, MANUFACTURED OR MOBILE HOMES:
❑ Electrical - $62 for each electrical connection plus $10 for each additional circuit
❑ Plumbing - $62 for sewer and water stubs connection
❑ HVAC - $62 plus $10 for each fireplace or piece of eq uipment u to maximumsquare footage
•
ELECTRICAL CONTRACTORS ONLY — SMALL WORKS: $10 for work not exceeding $200 in cost and not involving
a change in service connections
❑
ELECTRICAL RESIDENTIAL SPAS -HOT TUBS -HYDRO MASSAGE TUBS - SWIMMING POOLS:
$62 p lus $62 grounding gri where applicable
❑
RESIDENTIAL ELECTRIC CENTRAL SYSTEMS HEATING AND /OR COOLING:
When NOT part of a new residential permit, or HVAC permit, and no additional wiring: $62
❑
RESIDENTIAL ELECTRIC PUMPS (DOMESTIC WATER, IRRIGATION, SEWAGE): Each pump
❑ Up to 25 HP: $62 ❑ 26 to 200 HP: $90 ❑ Over 200 HP $124
❑
ELECTRICALLY DRIVEN IRRIGATION MACHINE: $62 for center pivot plus $10 per tower or drive motor
#Pivot #Tower
❑
ELECTRIC SIGNS AND OUTLINE LIGHTING: ❑ Signs - $62 for each sign ❑ Outline Lighting - $62 per each oc-
cupan
•
ELECTRICAL TEMPORARY AMUSEMENT — INDUSTRY: $62 basic fee plus $10 for each ride, concession or gen-
erator
•
HVAC GAS LINE: $62
❑
PLUMBING RESIDENTIAL SEWER AND WATER: $36 or $62 for the combination if inspected at the same time
❑
❑ PLUMBING LAWN SPRINKLER * ❑ WATER HEATERS* ❑ WATER CONDITIONERS*
*$62 per item
❑
PLUMBING MULTI - PURPOSE RESIDENTIAL FIRE SPRINKLER AND DOMESTIC WATER SUPPLY SYS-
TEM: $62 or $4 per firesprinkler head, whichever is greater
❑
REQUESTED INSPECTIONS- REINSPECTION- TECHNICAL SERVICE: $62 per hour or portion thereof in
excess of one hour
*Fee is for each installation type i.e. Electrical, HVAC and Plumbin
❑
PLAN CHECK FEE: $62 per hour minim plus $62 per hour or portion thereof in excess of one hour