The URL can be used to link to this page

Home My WebLink AboutALL DOCS - 14-00084 - 32 W 1st S - Upper Valley Family Practice Urgent Care - Sign'l ,tl Sign Permil Applicolion 35N. lsrE. ptonningZoning@rexbvrg.org Rexburg, lD 83440 www.rexburj.ori City of Rexburg Phone: 208.359.3020 Fox: 208.359.3022 ! fn\t1 \]rc\frO L \ r o( Y\\ ('nvc, CITY OF REXBURG c\r- .. .. ' Ame rica\ Family Community Fixed Signage Applicant Information Owner Name: Jeff Site Address: 32 w 1st Mailing Address: 32w 1 Telephone: 208-881 -64j 6 Contractor Information Contracto/s Name: Nathan Smith [r:i1, ; '. Contractor's Address: Contractor's Phone:2-1 City/State/Zip: ldaho Falls, tD 83401 Mobile: City/State/Zip: ldaho Falls, lD 83401 D Electrical/specialty contractor Information (for powered or tighted signs)Contractor Information Contractor's Name: Marshall Kenney - AL "ri ,.,,.'., Contractor's Address: Contractor's Phone: Contracto/s Signature: Sign Information WALI SIGNS f A) SQ. FOOTAGE OF WALL (thot the sign is on) I B) EX|ST|NG STGNS & AREA T C) NEW SIGN & AREA T D) LOCATION OF SIGN ON WALL Initials: BL *Electrical inspectionofsignmustbecompletedwithsigncontractorpresenttoverifolistingand,labelingwithininteriorofthesign. cA F / rflz_\355/Z),:cr\Q Sign Area sq ft: 78.8' s i g n D e s c r i pti o n, c h uffi : 'itt, J, 1""' u n' (f r o m s r o u n d ) : For a Sign Permit it is mandatorv that you have the forrowing information: 1. 2 Sets of elevation drawings of a sign C (pl9lglotsjf_Sfulcobte) 2. Drawn to scare with dimensions and comprete construction materiars3. Footings if applicable 4. Engineer stamped if required FREE STANDING SIGN ! PLOT PLAN TO SCALE SHOWING: n A) BUtLDtNG LOCATTON ! B) LOT S|ZE ! c) NEW S|GN LOCATTON L] D) DTMENSTONS TO StGN FROM pROpERTy LTNES I G) EXtSTtNG STGNS LOCATION & AREA ll H) ls slGN LIGHTED? YEs No (must meet stote electrico! code) (sign must be in legot zone for lighting ond type) Fee: $199* - s7s.@ refundabre at time of final inspection and photo of completed sign. Initials: BL *An extra g65.00 charge wiil be appried to any powered or righted sign. Signature of Applicant:Date: Feb/24/2014 crryo'FFEm FEB 2 7 20t4 Note: This document is for application proposes only. (the legot sign permit form must be signed by city officiols before sign is opproved)see sign ordinance 1027 at www.rexbure.ors for reguration information. "a Sign Permil Applicqlion City of Rexburg Phone: 208.359.3020 Fox: 208.359.3022 CITY Of 35 N. lsr E. Plonningzoning@rexburg.org Rexburg, lD 83440 www.rexburg.org REXBURG Ame rica\ Fatnily Com nt u n ity Applicant Information Owner Name: Jeff Hopkin Fixed Signage Site Address: 32 w 1st s Mailing Address: 32 w 1st s City/State/Zip: Rexburq, lD 83440 Telephone:208-881-6416 Mobile: Contractor Information Contractor's Name: Nathan Smith Contractor's Address: 340 E Elva City/State/zip:ldaho Falls.lD 83401 Contractor'sPhone: 208-552-1355 Mobile: Electrical/Specialty Contractor Information (for powered or tighted signs) Contractor lnformation Contractor's Name: Marshall Kennev Contracto/s Address: 2294 lona Road City/State/Zip: ldaho Falls, lD 83401 Contractor's Phone: 208-524-4458 Mobile: Contractor/s Signature:Date: Sign Information Sign Area sq ft: 1 13'Sign Height (from ground): front: 9.5' Sign Description: Channel Letterinq For a Sien Permit it is mandatory that you have the following information: 1. 2 Sets of elevation drawings of a sign & (p!pt-p!S!2!l_Sppli ) 2. Drawn to scale with dimensions and complete construction materials 3. Footings if applicable 4. Engineer stamped if required FREE STANDING SIGN ! PLOT PLAN TO SCALE SHOWING: I A) BUTLDTNG LOCATTON ! B) LOT S|ZE n c) NEW S|GN LOCATTON wAtrstcNs r A)sQ. FOOTAGE OF WALL (fhor I B) EXTSTTNG S|GNS & AREA T C) NEW SIGN & AREA T D) LOCATION OF SIGN ON WALL ! D) DIMENSIONS TO SIGN FROM PROPERTY LINES I E) lS SIGN LIGHTED? E NO (must meet stote electricol code) ! E) PARKING LOT ENTRANCES (sign must be in legal zone for ligh6ng and type) tr F) DISTANCE OF SIGN FROM RIGHT OF WAY tr G) EXTSTTNG STGNS LOCATTON & AREA ! H) lS SIGN LIGHTED? YES NO (must meet state electricol code) (sign must be in legol zone for lighfing ond type) Fee: 5100* - 575.00 refundable at time of final inspection and photo of completed sign. Initials:-!l-*An extra 565.00 charge will be applied to any powered or lighted sign. Initials:-ll*Electrical inspection of sign must be completed with sign contractor present to verify listing and labeling within interior of the sign. Signature of Applicant:Datez Feb/24/2014 Note: This document is for application proposes only. (the legal sign permit form must be signed by city ofiicials before sign is opproved) See Sign Ordinance 1027 at www.rexburs.ore for regulation information. P I o n ni n gZo ni n g @ rexb u rg. org www.rexburg.org Sign Permil Applicqlion Cily of Rexburg Phone: 208.359.3020 Fox: 208.359.3022 Fixed Signage CITY OF 35 N. tsr E Rexburg, tD 83440 REXBURG Am e i ca\ Family (bm m unity Applicant Information Owner Name: Site Address: 32 w 1st s Mailing Address: 32 w 1st s Talanlr^^^. 1..'o odr city/state/Zip: Contractor's Address: ',te/Zip:,@contractor'sphone: zog-ssz-tgss-uit", % Efectricaf/speciarty contractor Information (for powered or tighted signs)Contractor Information Telephone: er rtt Jiq rs/ arP' Contractor Information Contracto/s Name: Contractor's Name: Contractor's phone: 2}g-524-445g Mobile:Contracto/s Signature: Sign Information Sign Area sq ft: 15' Sign Height ffrom ground): front:9,,SiEn DescriPfion, 'r'v"' r'vv"vt' "vttr' t Date: For a Sien Permit it is mandatorv that you have the following information: L. 2 Sets of elevation.drawings of a sign A @9Lfulr!_Spplpobh)2. Drawn to scale with dimensions and comp.ete construction materials3. Footings if applicable 4. Engineer stamped if required FREE STANDING SIGN ! PLor pLAN To scALE SHowtNG: WALL slcNs ! A) BUf LD1NG LOCAT,'N f A) SQ' FOOTAGE OF WAIL (thot the tr B) Lor srzE v'r : :l :):]l:.'cNs & AREA n c) NEW srGN LocATroN I c) NEW slGN & AREA I D) LOCATTON OF S|GN ON WAL|_! D) DrMENstoNs ro stGN FRoM pRopERTy LtNEs I E) ts stGN LIGHTED?" E^"'! E) PARKING LOT ENTRANCES (sign must be in legal zone for tighting and type)I F) DISTANCE OF SIGN FROM RIGHT OF WAY ! G) EX|ST|NG STGNS LOCAflON & AREA ! H) fs slGN LIGHTED? YEs No (must meet stote electricol code) (sign must be in legol zone for tighting ond type)Fee: $100* ' s75.00 refundabre at time of finar inspection and photo of compreted sign. Initials: BL *An extra 565.00 charge wiil be appried to any powered or righted sign. Initials: BL *Electrical inspection of sign must be completed with sign contractor present to verify risting and rabering within interior of the sign. Signature of Applicant:Datet Feb/24/2014 FF? ? 7 20t4 NO (must meet state electricol Note: This document is for application proposes only' (the legat sign permit form must be signed by city officiots before sign is opproved)see sign ordinance 1027 at www.rexburs.ois for regulation information. . a at CLAIM FORM VENDOR # VENDOR NAME 2nd LINE NAME ADDRESS CITY, STATE, ZIP 'f:.' \-rut \, r,fu-z DATE ,' l,-\t't ,. 1 /, t t t' / / aeL+ 5 tJUl'1 v \.f a,*ht^q 5.r.f/; , DH APPROVAL 3./0 E &.va* 3l*/n '4tjj ," T D ,?4 qot CC APPROVAL {-. I 't' y {l ir RH,XBLTRG A m e r i c a\ Farni ry\ Ca m m un ity DESCRIPTION ACCT#ACCT DESCRIPTION AMOUNT (k'""*r/ ('toc'c'8'/ /s -1,q2 u t/"uL"r [t r*, 1 lL tJu* adi,';lhlu-- t'T^ tulu xt"t"1U^* 0"1t"-^t ^tk",& l*n )'-'oJ" U,aLtet-. o.o-ntL ) l^t",l/.t Wl\vs/ r l'4 $7s. oo ,,_\?':6X Aq'' tokprxsi *)_,IJ/ TccM tc*\yr, - 3.:9'>a-<: - o<),lr. ac-\ C, , AA, .f. lLn i tt A, I l\-Lfl,\,VLA-/\--) CLAIMANT OR HIS AGENT SIGN HERE .press.Bill Pay - Transaction Details hffps ://* " w.xpressbillpay. com/utils/printerFriendly.phpI Print - Close lrTransaction detail for payment to City of Rexburg- Transaction Details XBP Confirmation Numberz 100374V Date: 0412812014 - 4:01:02 PM i i Account # ltem Notes: 1400084 Notes: 1400084 Notes: 1400084 Billing Information Nathan Smith Nathan Smith . 83401 PZ Sign DePosit PZPlan Check Fee 1 PZ Processing Fee 1 Quantity ltem Amount 1 $75.00 $25.00 $65.00 Extended Amount s7s.00 s2s.00 565.ao TOTAL:s155.00 Transaction taken by: natalie Transaction Number:26168597PT l Mastercard XXXX-XXXX-XXXX-9909 Status:Successful *- "-j ,Xpress Bill Pay - Transaction$tails Navigation Home Billing Tools Receipt Payment View Xpress Cart Xpress Wallel eBill History My Till Report Admin Tools Reports Download Daily Batch Manage My Profile Technical Support Technical Support :' Transaction Details | << Back i /d.\fu\ l'r€iA I ir r .l I /j&]iBe '. n.{#ilffiM-i xnx&lffi*UItDiIlr* Itf;*X"e*/ :'-:" {:v'--"----" \ffi1 ;it|*ir#i.|re*,{lffirri"y XBP Gonfirmation Number: 1110452 Transaction detail for to City of { i Transaction Notes: sign passed inspection Billing lnformation Nathan Smith Nathan Smith , 83401 552@fastsigns.com O Capyright 2003 - 2014 Xpress BiI pay LLC Page 1 ofl City of Rexburg (10006) 4[ col, Frinter ,S I printer rormet @ { City af Rexburg i5 Northlst East Rexburg, tD 83440 Date: 05/08/201 4 - 1O:21 :23 TATAL:s-75.0A Security I Contact Us I privacy policy Transaction taken by: marianna I I neseno Receiot I Transaction Number: 26J2AO149TMastercard - XXXX-XXXX-XXXX-9909 Status: Refunded TESTED DAILY 8-}TAY https://www.xpressbillpay.com/common/trans_details.php?trans_rd:MjgxNTA4MDc%3D... 5lg/2014 ffiffi City of Rexburg Receipt#: 1786 Date:4/29/2014 r6s.00 r65.00 Page: I ofl Total Amount Due: Total payment: Code: REXBURG_R ecptlT 86]9 _4 )014_elainem CREDIT- Credit Card Sub Total: SIGN-PERM- Sign permit Fee Received By: elainem Xpress Bill Pay - Tiansaction Details Account # Notes: 1400084 Notes: 1400084 Notes: 1400084 Transaction Detaits XBP Confirmation Numberl. 1003747 Transaction Number: 26i6gS97pT Mastercard XXXX-XXXX-XXXX-9909 Status:Successful Quantity ltem Amount 1 $75.00 $65.00 Extended Amount s75.00 s25.00 s65.00 TOTAL: S | 65.00 Transaction taken by: natalie ) htFs:T'xpressbillpay.com/utils/printerFriendly.php Print - Close Item PZ Sign Deposit PZPlan Check Fee PZ Processing Fee Billing Infomation Nathan Smith Nathan Smith .83401 )Transaction detail for payment to City of Rexburg.Date: 041281201 4 - 4;01 :02 pM