HomeMy WebLinkAboutALL DOCS - 13-00144 - 669 Pioneer Rd - Massage Therapy School - Sign$gn Permmt AF ielie ation
City of Fbxburg
.ory Phone: 20A.3SI.AO20.otg Fex:208.359.3022
Applicant r,fifiL$$tiiJn {J l:: $'i n OY
site AfiIie$ffi
Mailing Address:
Telephone:
Contractor Information
Contractor's Name: Na
Contractor's Address;
Contrsctor's Phone:
^? I - rt5B-*Electricaf/spccialty contracto/rf,-rbrmu'tion (for powered or righted signs)Contractor Information
Contractor's Name: I4erdnqll ket neur Flr"' ' "',' ''
::::::::::;:lll:"-:'' j'$'i state/Zip:
For a S*n Frrn{t it is mrndrtorv that you have the ioliowing infiorma.:{cn i
1. 2 Sets of efevation.drawings of a si6n & (&:IlS11jt142pltseb)2' Drawn to scare with dimensions
"nd .o*pi"L construction *areriars3. Footings if applicable
4. Engineer stamped if required
FREESTANOING S'GN
pLoT ptAN To scALE sHowtNG: wAu slcl
A) BUTLDTNG LocATtoN A) sq' F
B) Lor stzE
.^ ' 'v'r B) ExlsT
c) NEwslGN LocArloN c) NEw
D) DrMENstoNs ro sr6N FR.M pRopERly LrNEs 3,,,;H
o ri s i n ai i &'fDfJfft 1S 9:119
Complelic:; [1;. t
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REXBURG.(1a/ -
Am trk a'i iit *til y (n mn u n itv
G)EX|ST|NG S|GNS LOCATTON &AREA
H) ls sl6N UGHTED? YEs No fmust meet state elec,icai ":otie) (sign mast be in legal zone for lighting ond type)Frr:$lflt'-S75.0OrrfundrHorttirnoof finrlirup*,"52no"-: olroEl ,.:ln*i ito,lo,$,r.
Initials:-*An e"tra $65.00 charge wiil be appried to any powered oi" iighted sign.
_'Electrical i nspe*ion of sBn present to rGrifu listing and labcliru within intarior of thc dtn.
Signeture of Applicant:
Fixed Signage N4O.V\rf,Vvrctl\
Datc: /
ftc.st (3
only.sign permit form must be sig-ne_d by city officials before sign is approved)
APR I7 W
Note: This document isl
Srr tiijn Ordlnrnce 1O27 at wrvw.rexburq.orq for regulation information.
4/12/2013 4:06 pM
INSPECTION TICK.
Inspction Reguest Rec'd By
Req. By tbtt'f \ phone No. +nA- f\--{fi\
Inspection Type
Day ffime Req.
Inspector's Report A Res.
INSPECTED ITEMS CONFORM TO ED DWGS Ov Dt
rNsPEqroR's AcTtoN
El'tPPRovED DDIsAppRovED DFTNAL
Mee:@ - ,. flNOrAppLrcABLE D DrD NOr rNSpEcr
ACTION REQUTRED: NO\\tr,
Rec't Acknowledged
Wht. ' O!ficc Copt
F"FtF.Cqr3 rb|or . Job Copy pr* - lqro'loor
PROPERTY ADDRESS
OSTNER CONTACT PHONE
OWNER EMAIL ADDRE,SS
Requircd!!!ELECTRIC.4L
Electrical contractor's *^^. f ll-,t rrlgo Flri*. unsiness Name
Address l?US Vrr S:Szla city
CellPhone 4iJ= Sirdl-->:--z hrsinessphone
Fax Email_
Uc(lfYoLLfu(>
*Litirg Space_ - space within a dwelli :intended for human habitation which may reasonably b-e ]rtliz:d for sleeping, eating, cooking,purposes. An unfinished basement is considered part of the lirrirrg ,pr.".'--o
CTTY O$
R3X3I^IRG
A* eria\ {awily towmuni ty
t
Bul g Sofely Depqrlment
35 N. 1s E'., Rexburg, Id 83440
Phone - Q08)359-3020 / Hotline - e0B)372_2344 / Fax - e0S)359_3022
OWNER'S NAME
City of Rexburg
Permit#
tr Approved
! Approved
for temporary power
for permanent power
(CoMMERCIAL/IND.YSTRTAL) Total cost of electrical system (contractedAmount) $_(ncludu the ntt of rateials installetl regardhts ofihe pa@ nppl1tingit. Thefea l$ed mder thh inspection lype fall app[t to an1 and a// electricalnot tpcifca@ nentioned ehepberc on tltitJom).
tr Up to $101000 ^- (total cost of system x 0.02) + 60 = $n Berween $10,001 - $100,000 1 (tot"!."rt oJFrt.- - to.troo) x 0.01) + g260 = gtr ovet $1oo,oo1 r r@ x o.obs; + $r,roo = $small works (contractors oNL!: g1b'fee fo, *orTrr* .".".f,i"g-Uzoo in'.or; ;;Jrrot involving a change inservice connections. Does NOT require inspection.
RESIDENTIAL
Ncw: siaglc Faaily Dwclliag, iacludiag aII buildhgs with witiag bciag coasaucbd oa cach ptopetty. (*Bascd oa liuiag spacc,scc dcfraitioa bclow)
n Up to 1,500 sq ft _ 9130 tra 2,501, to 3,500 sq ft _ 9260 tr! Over 4,500 sq ft 9325 plus g65 for each additionai 1,000 sq ft. or1.000 sq. ft. or portion thereo0).Ncw: Multi-Feaily Dwelliag (Coa azctoti OaIy)I Duplex Aparrnent 9260tr Three or more multi_family units: g130 per building plus $65 pertr Existing Residence, Modular, Manu?actut.a oli'ofite Horbranch circuit, up to the maximum of the corresponding sq. ft. oltr Centtal Heating/Cooling Systems: $65 \X,hen NOT'par't of n,Witirg
n Spas, Hot Tubs, and Swimming.pools: $65 fee for each trip t<Puaps-V'atct, Itigatio4 Scwage (each aotir)
D 965 up to 25Hp ng95 _ 26 to 200Hp ng130 over 200
MISCELI.ANEOUS
CYanc*"1
e tecHncd/
tr Tempotary Construction Services ONLY: 200 amp or less, orD Tempomry Amusement $65 fee plus $10 per ride, concession ro *dgation Machine: g65 for center pivot plus $10 per tower of u^.,_..*.*D Technical Service: $65 per hour
tr Plan Check 965 per hour
o Requested Inspection: $65
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Contractor
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.-ICLAIM FORM
VENDOR #
VENDOR NAME
2nd LINE NAME
ADDRESS
CITY, STATE, ZIP
A,I* r'(rl lric firr clrt(:" DATE ".1..i,-, ltblZrl)-
DH APPROVAL
CC APPROVAL
CITY OF
REXBIJRG
Am e r i c ai Familv Co mmuni tv
s
DESCRIPTION ACCT#ACCT DESCRIPTION AMOUNT
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t-K..t;c' cc 1q . CT,
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CLAIMANT OR HIS AGENT SIGN HERE
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City of Rexburg
35 Northlst East
Rexburg, lD 83440
208-359€02
4rl Col, printer @ |lrerarxr;r
i) Transacdon detail for payment to Ciiy of Rexburg. Da!a;:94t19t20i3 - 11:01:F7 AM I
i Transactlon Numben 1993794fPT j
I Vlsa - xxn-xxxx-xxxxs68s iit Stahrs: Success/ul I--*JAccount # ltem
1300144 PZ $ign Deposit
1300144 PZ Ptan Check Fee
13001,f4 PZ Processing Fee
Bllling Informatlon
MARIN LOCHRIDGE MARIN
LOCHRIDGE
,83401
Quantity
,|
,|
I
Item Amount Exbnded Amount
$7s.00 s75.00
$25,00 s25.AA
$6s.00 565.aa
TATAL:Stos.oa
Traneaction taken by: mary
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t Tnnsaction Details
!l Transaction detail for to Citv of Re
Transaction N um ber: 2027 4169PT
Visa - [XX-XilX-XXXX-8685
Status: Refunded - Refunded
Billing Information
MARIN LOCHRIDGE MARIN
LOCHRIDGE
, 83401
l-Transaction Notes: refund icr sign permit on 13 00144 massage therapy
@3DafrD
City of Rexburg (10006)
4fi Col, Printer & $, or,nr*, ror**t @ $
Date: 05/13/20'f3 - 12:45:29 PM
Extended
s-75.ool
s-75.00
Transaction taken by: marianna
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j) Transrctlon detail for
Account #
1300144
1300144
1300144
lr tJ: ait:
RI{X:}lilq,{;
I tfrh
:.",:':i:r lr rr i i +r,r,li
to City of texb*rg.
Tnnsactl+n H umbor: 1 gSJ7g4SpT
Vlsa - XXXX-XXXX-XXXX{68S
Status: Success/*l
City af Rexburg
$f Northirt East
Roxburg, llt 83440
208-359-3020
Item Amount Extpndrd Amou:rt
$75.00 $tS.Ao
$25.00 s25.A0
$65.00 565.00
T#TAL: S f d$"00
?rannacticn tahen by: mary
ProcessinsI Page I of2
Item
PZ Sign Deposit
PZ Plan Check Fee
PZ Processing Fee
Quantity
I
1
1
Sllling Information
MARIN LOCHRIDSE MARIN
LOCHRIDGE
,83401
I :
I
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