HomeMy WebLinkAboutALL DOCS - 13-00364 - 151 W 4th S - Colonial House #104 - RepairLIIT fJF
P1ease Hntire
If thr: qnet*rn dr:e* *ot apply filt in NA fir non ryplicr5ttREXtsilH#
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35 N 1" E, REXBURG, TD 83440
2{18-372-2326
IIARCEI. NUIvISSR:
$USDIVISION:UNI'T# . B:-OCK# LOT#
inp is based on the information - must be
PROPHR?Y ADIJRESS:
PHONE Home ( )- Wntk ( )
O$t/N:xR h,IAILING thD DIIUSS:
N:hfAIL-FAX
CONTACT PHONffi #
Cell (
C I"IY:-STIA'|'H':-ZIP:
AP?LICANT (If othet rhan c:wner)
1,,Lppt *nt if other tiran owner, a sraterne*r nuth*ri*ing applicant to act as agent for o\uncr muFt 1r{company this application')
APPLICAN:I' INFORIVIATION: ADDR$SS Ct"IY:
HMAII. - UAX
Work { )Cell (
CONTfrACTOft.
IvlAII.rN(; ,\DDRESS , 'l'',(/. t!?'y' I )11 . crwT")"L' f'llS s'l''\'l
FFroNl* ce'#- w,,k#(k/i)52'l- 6762 F^*#
I:rhrr\r'-IillA1rs n*fitsrnATlo* # s{ Ex?. y,LTE RLE -&73 -- l?/ 7ll 3
it*w many bxildings are located on this prrrpertyl
11id you recently purchase this propertv? No Yes (lf yes,list previnus ou/ner'$ name)
Is this a lot split? NO YHS pleasc b*ing copy of ncw ltgal description of ptopetry)
FROPOSE,} LTSE:
(i.e., $ingle !'amily Residence, &fulti ltamily, Apartment*, Rr:model- Ci*tage, C*mmercial, Addition, H,tc') - CInCLt ONS
Ap?LICAN'r'S SIGNA"IURH,, CH,RTIFICATION rtND :\UTHORIZATION: Lln*lur pcrralty r:rperiurl', I henbv ccrtifv rlrnr l
h:rveretdt}ris,applictticrnenrlstlrtethntllrcinlixmlrtirxrhcrcinisc+rrcct-rndJsrrexrth*turyirrl+rmnti*lv
lll*nning ancl
t.,th*o,,hi*ct*utrur'ofthis*1r}iclrtionnlr<lh*rebyauthoriacclrepl*stlntltivcJifJiif;;f 6;;'',' ;;;"* ;; #;;';r i,,*rr*d urrir:r th
;;-a*ti;*.,fo'it'"pt"4fon5hichthepcrmitofar}Pr0Y'ilsa$bos{d.P{mitvoidiirrot*t;lrttdg.ithinl8{}days,Permitrt:irlifw*r:kstopfot
-1-r l'1 / t3
of Applicant DATh,
d by fax, email or ph*nc? ilircle Orte
rrerir*txc * nur"utNc pen:rltr MUsr Bn rosrSD oN coN$TRUcrloN slrgt
Tlnn frtc *rc nrn-afundeblc nnrt *rc peid in full rt tht t*mt of *PPlif,*listr bcSint}i|rg rtr'trilg't, tr5'
City of Rcrburt'n Acttptract nf tht pl*n mvice fct dm* not conftitutc Plen rppmnl
r*Buitd**g Fc:mii Frcs nrc d; er timl cf rpplicetion'** ro*Buildin8 Pcmirn rru vuid if your c*cck d*l mt clelrrr
prcfer to be
Buil g Sofety DePorlmenl
35 N. 1't E., Rexburg, Id 83440
Phone - pOepSO-{OzO / Hotline - Q08)372-2344 /Fax- Q08)359-3022
OWNER'S NAME Colonial House apts
PROPERTY ADDRESS 151 w 4th s #104
OV/NER CONTACT PHONE,
OWNE,R EMAIL ADDRESS
City of Rexburg
Permit# l) cWgu 4
! Approved for temPorary Powertr Approved for Permanent Power
cl o:
REXBURGclu
A n r t: r i at'.s F 4 hi lv ( I o n mr u tr i l )'
Requircdlll ELECTRIC'4L
Electrical Conttactor's Name Terry Purcell Business Name Electrical SuPPort Services LLC
Address 1037 E 1400 N City t!9!l9Y-S121s ldaho ZiP$27q
Cell phone (208) 251-6021 Business Phone QoSl251-6o22
Fax
(CoMMERCIAL/INDUSTRIAL) Total cost of electrical system (contracted.Amount) $-----.--
(nc/uduthecostofnateialsinsta/ledregard'/essoJihepar.l1lippbingit.Thefeestistedliderlhisinspntionrpeshattapp!toan1andallelectical
not rpecifcalfi nentioned ebewhere on thb fom)' ; Up to $10'000 (total cost of system x 0'0?) + 60 = $
tr Between $10,001- $100,000 ( (Lotal cost of system - 10.000) x 0.01) + $2!0 = !
I Over $100,00i ( (total cost of system - 100'000) x 0'005) + $1'160 = $
Small works (Contractors oNL\]: $10 fee for work not exceeding $200 in cost and not involving a change in
service connections. Does NOT tequire inspection'
RESIDENTIAL
New: siaglc Family Dvcilkg, includiag aII buildiags with widag beiag consnttctcd on cach pmpctty- (Bascd oa liuiag spacc'
see definitioa below)
tr Up to 1,500 sq ft _ $130 l 1,501 to 2,500 sq ft - $195
tr 2,507 to3,500 sq ft - $260 n 3,501 to 4'500 sq ft - $325
n Over 4,500 sq ft'SfZS plus g65 for each additional 1,000 sq ft. or portion thereof ($:ZS + ($65 x # of additional
1.000 sq. ft. or Portion theteoO)'
New: Multi-Family Dwelliag (Coaaectos OaIy)
n Duplex APartment $260
n Three or more -rrLi-fr-ity units: g130 per building plus $65 pet unit ($1-3Ox # qf buildings) + ($65 x # -of units)
I Existing Residence, Modulat, Maniactuted oiMobil. Ho-.", and Detached Shop: $65 fee plus $10 pet
branch circuit, op to ih" maximum of the corresponding sq. ft. of the tuilding. ($65 + ($10 x # brar-rsh circuitO)
tr Central Heating/Cooling Systems: g65 \When NOT pari of new tesidential or HVAC permit with no additional
Witi"g
r spasfHot Tubs, and Swimming pools: $65 fee for each trip to inspect
Puaps-Wate4 Inigatioa, Sclzage (cach motot)
! $65 up to 25HP - n$95 -26 to 200HP n$130 over 200 HP
MISCELI-ANEOUS
I Temporary Construction Services ONLY: 200 ampor less, one location (fot a period not to exceed 1 year) - $65
I Temporary Amusement $65 fee plus $10 per ride, concession or generator
trIrigationMachine:$65fotcenterpivotplus$l0peftowefofdrivemotof
tr Technical Service: $65 Per hour
tr Plan Check $65 Perhour
o Requested Inspection: $65 -,.-- ^^^1-;^^*Li..iog Space - space within a dwelling unit intended for human habitation which may reasonably be utilized for sleeping, eating, cooking,
bathin!, .irarhirrg,^....eation, and sanitation purposes. An unfinished basement is considered part of the living space'
Terrv Purcell ele-c4342
isnature of Licensed Contractor License number &
September 19,2013
TNSPECTION TICKET
F BHs.
lnsPcrion Request: Rcc
n - ".ia-Dare JU-.,duy lf*nffi;,_W,l
il;; *,-J3Jt3vj --Req. BY
Proit:ct
lnslrcction TlPe
Day /Time Req'
C Res'
( .ot*'
D DWGS
rxsp#ron's AcTloN
dAPPnouro r oto Not lNSPEcrilDISAPPROVED
$6PPIw'o"
d.o (FINAL)
4/**lL. aNorAppLrcABLE
t-'v'v 4-:{rorrtNAL) .r-ii-
|ji.,,i *rort*to,nv t '*'
O HNAL
il.rncPaotrCer
j..'1 fi-6Sowledged Y.ros ' Job cooy
rvher - €tticc coPl
F-f lF'c003
I nspncflon rtcrrr
Rec'd Bv frn+ao''{tu rrarc Ll
( t-. ,^" Phone No. SS-L
;.;;; *o7 ca3u4
Fitc
i3
lnspection TYPe
lnspector's RePort O Res. F comm'
ED DWGS NY CN
f]RNAL
D DID NOT INSPECT
nc.o.(FINAL)
SignegJ=lFlt
Rec'l Acknowledgc<t
Mech.
Inspction
Projecl
Address
Pi*-fr*rOo6coe;
YGlor ' Job Cogt
U,hir . OtSc. Cogt
F-FrR.c003
TNSPECTION TICKEa
U Bldg. O Plumb'io. n Mech'O Firt
4*-*rtu-Dat 7*70-/?
,'n,qT Phone No' j)S/-bda l'.InsPction Requcst: Rec'd B';;;:; tk.h,,'{Jr ,o ?./ 1t^Lf
Perrnit No. / ) ('r' - c" /
Inspection TYPe
Day ffime Req'
oY oN
il RNAL
]::-:lJi, n ;r,T;;;T,ff. nDrD-*Y"
AcTloN nEqulnrn
Rec't Acknowledged
$rl*1. - Cltc. CoPY
F-FrR.c0o3
tbfo0 ' Jot CoPl Pr* - h.9.c5.!co9t
INSPECTIoN rIcKBra
tnspctionleq*"' H.l': M":';ffi
Req. BY
Prujecl
D RNAL
N NgT APPLICABLE f)DtD NOr NSPECT
nCo.(FINAL) ^, -t!v' "---
i',r- -toUrRED: )t):"8' -
Address;;'"*, e Rau'/'t Jr' rJl'r'u+t- -'
;;;;. Req Q't7- t3 e' uctc 'Yt
lnsPector's RePort O Res. R comm'
ED DWGS ilY nN flN'A
'*tflll:Acno* n DISAPPR''EDNfnPPnoveo -.--,i^ar
Rec't fiknowledged
lirhi. .Olfic. CoPY
F-FlF.cul3
Pr* - frcfrcto.tCoef
{.for .Job Co9Y
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City of Rexburg
35 Northlst East
Rexburg, lD 83440
208-359-3020
-r-' ^. n^'.a',, Date: 09/19/20{3'3:39:19
I fra*""iion detail for paymentto CitY of Rexburg'
Account #
13 00364
,13 00364
Item
a.
lBuildinO
Permit
BP Plan Check Fee
;QuantitY
rl
rl
Item Amount
,$86.00
:
$8.60
s86"A0:,
i
s8:6At:
s94.60TOTAL:
Billing Information
JOSH STUMPP
. 83403
*O {*1, Frinter
iransaction Nu mber: 2233227 1PT
Visa - XXXX'XXXX'XXXX401 3
9lr9l2}l3 3:39
lpress Bill Pay - Payment Processing
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City af Rexburg
35 Northlst East
Rexburg, lD 83440
208-359-3020
4rl C,rl, Printer t)
o
Visa - XXXX-XXXX'XXXX-1813
Status: Successful I
.-'"",---- *----"'l
Item Quantity ,ltemAmount Extended Amount
Account #
13 00364
Billing Inforrnation
Brent Purcell
,83274
Electrical Permit :1 $65.00
TOTAL:
565.00
s65.00
Transaction taken bY: amanda
i i"v,r*"t s"*i"f i'ouio"o ;t ; iniiipii'i'iiii'
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