HomeMy WebLinkAboutALL DOCS - 13-00410 - Fall Creek Dermatology - Signl0/15/I3 08:35AH
Applicant Information
Owner Name:
Site Address:
Mailing Address:
Telephone:
Contractor Information
Contractor's Name:
Contractor's Address:
35N.lsIE. PlonningZoning@rexburg.org
Rexburg, lD 83440 www.rexburg.org
5I Gil-A-RAI{A 20852382?2 OIpo
Sign Perrnil Applicolio
Clly ol
Phone:208.359.
Fox:2a8,359
Fixed Signage
Mobife:
Contractor/sPhone: 309 S\{-1.-?/}q.-._ . -
.r oF
aali*,
city/state/Zip, QtXhrU ., I lt?, (3?40
L'o}* ><.q"7- J
r** city/state/z tp, l/'al,,tnQe,{ls , tl} ,g .rr/.d/Mocile: 3Uf, : tr<rlg
Efectricaf/specialty €ontractor lnformation (fur powered ot tighted signs)
Contractor f nformation
Contractorrs Name:
Contractor's Address:citylstate/zip:
Contractor's Phone: .a l3 * 2_{,?83. - ..-_.Mobile:
Contractor's Signature:Date:
Sign lnformation
Sign Area sq ft:Sign Height ffrom sround), / 0 '
.'''/..%Sign Description:?
For a Sitn Permlt it is manqitorv that you have the following information:
t. 2 Setsof efevationdrawingsof a sign & (plpt_ptogjLSppl\SfuS)
2' Drawn to scare with dimensions and comprete construction materiars3. Footings if appticabte
4. Engineer stamped if required
FREg.STANDIIIG sIGil WALI,S'GNS-'i:;'-TlJ'i#ff;o*'"u'
4iiil;?i,",11,:i:::i::* a"he sisnison)
iiBl LorStzE x c)ruewsrcu&AREA
i; ;l Xi,Y'i5li3il'fJ" FR.M pRopERry LrNEs .
F :i,:"r?l':,:r%::" offi*o
(must meet stote etectricot code)Ll E) PARKING tor ENTRANCE S (sign must be in regor zone for righting ond lype)ij F) D|SIANCE OF S|GN FRoM R'6HT OF WAy
i: cl EXtsTtNG stcNs LOCATTON & AREA
i--i Hl 15 SIGN LIGHTED? YEs No /mustmeet state electrical code) (si.7n must be in legal zane for righting and type)Fee: 9100r '9?5.00 refundabre at time of finrr irspection and photo of completed slgn,
Initials:-rAn extra s6s.o0 charge wi{ be applied to any powered or lighted sign.
lniliai
\'-\,,Signatureof Applicant: g71g. lL2 * | b.* 1]
l-J-.'Note: This document is for application proposes only. lthe legol sign petmitJorm must.blsigned by city olliciols before sign is apprcved)see sign ordlnance 1o2t at www.rexb$.*.org ror regurauon informatron.
10/I5/13 08:35A11 sIGN-A-RAI{A 20852,3822?p. 0z
:
CLAIM FORM
VENDOR #
VENDOR NAME
2nd LINE NAME
ADDRESS
CITY, STATE, ZIP
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CITY OF
REXBITRG
America\ Family Community
I rP CC APPROVAL
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Jrom:
Sent
To:
Subject:
Mary Flanary
Wednesday, October 76, 20L3 10:L4 AM'dave@lFSigns.com'
Emailing: Xpress Bill Pay . Payment Processing
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Quantity Item Amount
City of Rexburg
35 Northlst East
Rexburg, lD 83440
208-359-3020
;1300410 $PZ Sign Deposit i I
,.ffis*,,''
' :."'
"" -'ll" r",r '
$75.00 *s75.00
,',i 1 'j:l::,', ,.',::f:'::)i TQTAL:
Billing Infonnation
DAVID STRATTON DAVID
STRATTON
.83440
Transaction taken by: mary
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Xpress Bill Pay -
Transaction Detaits
Transaction Detai
I
t: r?f $l
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;Ur*v.i**! #;;erl$ {*net*rril?.
ls
I 1300410 IPZ Sign Deposit
i Transaction Notes: S|GN PASTED rNSpEcroN pERMrr #1300410
Billing Information
DAVID STMTTON DAVID
STRATTON
,83440
Transaction Number: 29627 1 S4pTVisa - XXXX-XXXX-XXXX-2391
Status: Refunded
Page 1 ofl
City of Rexburg
35 Narthlsf Easf
Rexburg, lD 83440
$-75.00
TOTAL:s-75.00
Transaction taken by: marianna
Email:
XBP Gonfirmation Number: 3369137
l" Transaction detail for payment to City of Date: 09/04/2014 - I 1 :09:31
https://www.xpressbillpay.com/common/trans details.php?trans id:MzA0MDc2MTy%3D... gl4l20l4
CITY OF
REXBIJRG--ct
Amc ricab fim ily Co m w un ity
Community Development Department
Phone (208)359-3020
I nspection Hotli ne: 1208137 2-2344
INSPECTION
REPORT
lnspection Tvpe
ELECTRICAL
Buildins Tvpe
SIGN
Inspection
ELEFINAL-S
Permit Number
13-00410
Address: 556 Trejo St.
Proiect
Fall Creek Dermatology - Sign
Inspection Date
9t3t20't4
Insoection Result: PASS
Wiring to sign by Nephi's
Sign itself is listed and labeled. 600.3
Disconnecting means is installed on the
exterior of the siqn. 600.6
Branch circuit conductors are sized to
on siqn. 600.5
Sign power was existing or licensed
electrical contractor must wire ahead of
disconnect to source.
Approved for a final.For sign only.
COMPLETED
COMPLETED
COMPLETED
COMPLETED
COMPLETED
Inspector: Bret Stoddard
Mary Flanary
From:
Sent:
To:
Subject:
Item
1 30041 0 PZ Sign Deposit
Billing Information
DAVID STRATTON DAVID
STRATTON
. 83440
Mary Flanary
Wednesday, October L6, 20L3 10:14 AM'dave@lFSigns.com'
Emailing:Xpress Bill Pay - Payment Processing
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City of Rexburg
35 Northlst East
Rexburg, lD 83440
208-359-3020
Item Amount Extended Amount
s75.00
$25.00 s25.A0
$65.00 ;s65.00
Transaction taken by: mary
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Payme nt Service Provid ed By wrtttw.x p re s s b i I t pay,qom
Copyright @ Xpress Bill Pay 2013 - All Rights Reserved
M City of Rexburg Receipt#:518
Daf;e:W/1612013
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16l-00 l
-- ''r6t"ool
165.00
165.00
ReceivedBy: daincm Co&: RE)BURG-Recpts I 8-f 6-10-!01 3-daioeo Pege I of I