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Home My WebLink AboutALL DOCS - 14-00285 - 611 N 2nd E - LDS Philanthropies - Remodelv - CITY OF Certificate of Occupancy City of Rexburg Department of Community Development 35 N. lst E. / Rexburg, tD. g3440 Phone (208) 359-3020 I Fax (208) 359_3022 REXBURG \ry --- Am eri ca\ Family Community Building Permit No: Applicable Addition of Code: Site Address: Use and Occupancy: Design Occupant Load: Sprinkler System Required : Name and Address of Owner: 14-00285 tBc 2012 611 North 2nd East LDS Philanthropies - Remodel N/A Yes Corporation of the presid 50 East North Temple Street Salt Lake City, UT B41SO . Harold Harris ConstructionGontractor: Special Conditions: Occupancy:= sq.ft. This certificate, issued persuant to the requirements of section l0g of the lnternationat Buildingcode, ceftifies that, at the time of issuance, this buitding or that portion of the buiping that wasinspected on the date listed was found to be in compliance with the requirements of the code for thegroup and division of occupancy and the use for which the proposed occupancy was ctassified. Date C.O. tssued: 10 I zt I ZOlq G.o. fssued av, ? &T{ 0,{* ,, . Buitding tnspector: There shall be no further change in the existing occupancy classification of the building nor shall any structural changes,modifications or additions be made to the building or any portion thereof until the building official has reviewed andapproved said future changes. Mechanical Inspector: Plumbing Inspector: Electricattnspecror: JShU n Fire Alarm: FireDept./Sprinkler: /;Z*l fi /4 P&ZPublic Works: N/A | run " o Juty t stu- CI M.3a ," ol REXBURG clt, Am e ricab Family Co mn uni ty 35 N 1"E, REXBURG.ID 83440208-372-2326 PARCEL NUMBER: RPRNECHOOOOO3O SUBDIVISION:We will provide this for you) is b3!gl oglbe:inrFormation _ must b. ...*"r. uNrT#_BLOCK#_LOT# Howmanybuildings *.@ Did you recently purchase this property? El NO E \G,S (If yes, list previous owner,s name) Is this a lot split? E NO E \CS pROpOSEDUSE: Commercial @lease bring copy of new legal description of property) (i.e., Single Family Residence, Multi F" 91the pemit or aprrovar was based. pemit void irnot .;#;#ffi"#::';J#;ffi ,1T:ffL[:t":T|iffi: Signa Applicant Do y,6u prefer to be contacted by fax, email or phone? phone IZjHT-":lyl--.If g.TRMIT.{ulrBpposrEDoNcoNsrRucrroNsrrE!"""r"?,T"?f"-;flu:1:":*::*,:.1_g;*_.,,'f ;ffi:"l""Ji"' jI"l",JIj"l?I* APPLICANT'S SIGNATURE' CERTIFICATION AND AUTHORIZATION: underpenaltyorperjury,rhaebycertifi,thatrhave read this application md state that the information herein is correct and I wer that any information which may hereafter be given by me in herinqs before thePlanning and Zoning commission or the citv council f-ilclrv;;R;*g.rriiu. "riii,ilo .o..*r. Ir*,;;o .";;;;h ail C-ity regulatior. uia ii"i"iu-. r"rua.gf':T,Tjfi'.trJtrSiT:#f.Tt:ffii" ffl;ffi ,*"*;:i:*:n:ff*ig?rr- ,*,,n.i tr'",ry1'"--."J#*ry f"r inspections pu4nses NorE:intheapplication^ron-th:-plgngpv4ig\ttrep"-itoruoo-rutwasbaserr pemir-;r,.-^-::T::ll,godeincases.ofan)'falsestatemmtormisrepresentationoffact pRopERTyADDRESS.6ll North 2 nd East Rexburg tdaho 83440 PHONE #: Home OItrA{ER MAILING ADDRESS.50 East NoTth Temple St CITY: EMAIL FAX Salt Lake City STATE: UT 71p.841s0 APPLICANT. (If other thu' (Applicant if other than owner, a statement * APPLICANT INFORMATIoN: ADDRESS 1152 Bond Ave STATE; ldaho ,tO PHONE #: Home STork 359-2309 MAILING ADDRESS: PHONE: Cell# CITY-STATE-ZIP EMAIL IDAHO REGISTRATION # & EXP. DATE cityorRexburg,sA"""p*""'oio"p.o;;;;ilJffi il;]"fi i:T;l-ffi *{'lludtliq$ Pcrn't Ft$ as dre {. titu ol Bpp$iliaab{ eBqi[d4]E prB jr, a* roid if-!,sl cb&li dw lrr r:err* Bu$i*frxg $mfefy ffiepudmenf City of Rexburg wr,yl.v.rdrti itrat,i;;is P' tr ;e : 2{J8,J / Z,Z!iI6 Foxj 908.J59"J02? ( I 1 \ r.ri It"lixlti.fix.; State of ldutl{:} {ounqy of Madissx I. scoTr Nanrc Affrdavir ef 5-egal Xrrtereet -ffi* _-91.! a-o"Er a*{ nlo*t* Addrssr tf}.I**t'd -$;'xtr? 7',,i;ii::':::$ '0,- 'lTE rr9 \--r\- -"//1rr,,.....,..rt\$'' 'rrrrt tt a I ltt l!! - Rr::ridine;rt 1I5' con'.missinr: cxpirr-r: 35 in I'f Rcxbr,fgr tl 83441 - 6rxq"es' .Cirf' Betr;g ftrst dujt $\'Lrfti upofl $iirh. depc,sc an<J sr1; {tr{Applicant is also O*,ner of ll"ecord, $kiF tCI Bi '\' That i aln fhe recor<l cnvr:crof fhe l)ropcrr describerl on flre att rched, anc1 I urant m*5:errnissi*n r,r' :tt#.L.Ae.ge.lAdx,_ _ _...ltf . _e#r" " gS.${*llnnrr: .{t}clr*s rc submir rhc *cci"*:pr*ti'iug application pertaining tr: Jral pnrpertr,. B. I agree rr: i*demniiy, de:fend a:rd l:uhJ llexi:urt Cin a;rd its emplovees harmlesr frorn anyclainr' cxliabilitt resBlting fro.qr 1x dispr:tr'*s tr:: thr-'rrntemtnts ctintainccl berein or a.s io fhcown*ship <rf dre properry" uticlr is the r*bjecr of fhe rLpplicaur:n. . aebrrattd this - * o -* dal q:f _-.**15*r.tl*:l.-* 20*1l.** /1-8"e &L=*_ - e" *"2:* #- &,;t;tt.t.iggrnue Subscribed and $p'or& :,, hcfore rnc th* d:6. and rear first abor.e *nirren. ^\r,.,u1: l,rulr rr jdaho 'zQ ,t asiS What type of business will be performed LDS philantropies Will the business have food preparations? Will there be any cooking of foods? Will there be any deep fat frying? Will you have food disposal on site? will there be any maintenance or mechanicar work in the building? Will there be sumps or floor drains in the facilitv? Will the business require more parking? Will the business have any chemicals on site ? Is this business occupying an existing building? will the business be doing any structural/or remodering changes to the buildine? Any changes to the electrical? Any changes to the plumbing? Is this business pranned to be the same with different ownership? Will there be a change of occupancy? OYes @ No QYes @ No QYes @ No QYes @ No @Yes O No QYes @ No QYes@No QYes @ No @Yes O No @Yes O No @Yes O No @Yes O No QYes @ No QYes O No _3ba-rca7 0 -Vo -ur,j0 -Vo - zo/4PhoneDate Business Appficqlion CITY OF ffiuRGc\r'.. Americals Family Com munity 35 Norlh l" Fosl Rexburg, tD 83440 Phone: 20e.359.3020 Fox: 208.359.3022 Please tahe the time to answer all questions so that we can further assisr you and your faciliry Thank you. Iinformation that I have provided above is to the best of my hnowredge accurare and trua Submit by E-mail B 35 N. 1" E., Rexburg Id 83440Phone - Q08)359-3020,/ Hotline - e0S)372_2344 / Fax CITY OF BEIB"'URq Afrericai Familt Commanity /er Permit# ! Approved for temporary power tr Approved for permanent power ng Sofety Deportnre City of Rexburg - (208)35e_3022 O\XA{ER'S NAME i1^{PROPERTYADDRESS SUBDIVISION PI{ASE, T clT Name Reqwired!!!ELECTRICAL Electdcal Contractor,s Address Cell Phone 3?o -ld 9{ hrsiness phone Fax '/( Aza- Name"zCity Business C -/7 a( License number & exp. dare 1o,", 4at", AroA,, _state 'T/ zip g 9?J ( (coMMERcIAL/INDusrRrAL) Total cost of electrical system (contractedAmount) $_--- f:;3::;;::,;';:{##;:f,;;Y:::: ;:,:f9;o1ihe pa't1 tapp/1'tng it Ttefeet li$ed under tttis inspedion gpe :ba// appl1 to an1 and a// etectrica/ insrallationt tr Un t" Sro,ogo^^- s" Between $10,001- $100'000 r'@ x 0.01) + g260 = g -/lg?n ovet$100'001 ^ - ii@x0.005)+g1,160=gSmall works (contractors oNL!: $1b'8" fo" -oEr,*l"Fdi"g-gzoo ir,'.o*l.rJ.rot involving a change inseryice connections. Does NOT require inspecflon. RESIDENTIAL Nezo: single Family DarcIling, inclading atl buitdings witb wiring being constructed on edcb property. (,tBased on lioing space,see definition belozo) tr Up to 1,500 sq ft _ g130 E Z;0ir;3"ir0 sq ft - g260 n 1,501 to 2,500 sq ft - g1e5 ^, -U- ml;t *"*:i*:*r;roreach additionar 1,000 sq -i",';::J":fi1$t-lrJTi*rxturadditionar New :lahi;Family Dzoelhng lCo"t dr' Ootg D Duplex Apartment g260 LlThreeormoremulti-familyunits:$130perbuildingplus$651et'dt, n Existing Residence, Moi.,r.f nl"rulactuted oltvrotir. rio-.., ,;;E;;;d shop: g65 fee plus g10 perbranch circuit, up to the maximum of thc co-rresr-"g*;;:l:f th;;11tdl,_@E cental Heating/co"li"ts;t;-s: $65 when Nor;*lt of new residential or HvAC permit with no additionarWirins tr Spasr-Hot t.O^., and Swimming pools: $65 fee for each tnp to inspectPamps-Water, Irigation, Seuage (eacb monT)Ll $65 up rc 25HP rg95 - 26 io 200Hp ng130 over 200 Hp MISCELLANEOUS tr Tempomry construction services-oNlY: 200 amp or less, one location (for a period not to exceed 1 year) - g65n Temporary Amusement: $65 fee plus $10 per ride, iorr..rrro' or generatorq rnigation Machine: $65 for center pivot plus $10 pef towef of drive motoftr Technical Service: $65 per hour tr Phn Check: g65 perhour tr Requested Inspection: gO5 lu:rg Space - space within a dwelling unit intendedbathing, washing, rc9tezion,"rd r-ititio., p"rp;;, For human habitation which may.reasonably be ut_ilized for sleeping, eating, cooking,An unfinished basement is considered p"rt of th. li_ng space. ture of Licensed Contractor PROPERTY ADDRESS 611 East 2 nd North {lt1'v of XBORGtu..Ar' cri fr ? Iatui lt' I :oDrtrru rrrty Permit#SUBDIVISION PHASE LOT BLOC Requited!!!PIumbingL" Plumbing Conftactor's Name -- Business Name Address City_______s tate_____:zip Cell Phone Fax (CoMMERCIAL/IND-I]SrR.IAL) Total "::t gfplrybing system (contractedAmount)(ncludes the coi of mahriah inltalhd rgardbx olihepar $pp!,lng;t.'ru@es litnZznder tbis inqetion rpe thall app[t to art and a//plumbingnol spedfca@ nentioned elrephere on tbhfonz). tr Up to $101000 ^ - (total cost of system x 0.02) + 60 = $tr Between $10,001- $100,000 ( (t"t"l.ort oJErt - _ IO.6OO) x 0.01) + g260 = gtr Over 9100,00t 1 (to,rt ."r, ;f ,y". 00.000) x O.ObS; + gt,tAO = 6RESIDENTIAL New: single FaailyDwclling, iacluding all buildings uith witing beiag consrucrcd on cach prcpetty. (*Based on liuing spacc,see defiaition below) I 1,501 to 2,500 sq ft _ 9195. 3,501 to 4,500 sq ft _ 93251,000 sq ft. or portion thereof ($325 + ($65 x # of additional tr Up to 1,500 sq ft _ 9130 tr 2,50't to 3,500 sq ft _ g260 tr Over 4,500 sq ft 9325 plus g65 for each additional _ - - 1.O00 sq. ft. or portion thereog). New: Multi -Family Dweltiag (Coaaz ctoi OnIy)tr Duplex Apartrnent $260 tr Three or more multi-famil_y-'nits: g130 per building plus $65 per unit: sq. ft. of thet"ildi"g ($65 + ($10 x # of fixrures)tr Gtay Water Systems: g130 tr Lawn Spdnklers/Backflow Device: $65tr Modulat, Manufactured ot Mobile Fromes: $65 for sewer and water stub connectionstr ftftigu+ose Fite Spdnklet and Domestic water supply system: g65 fee or g4 per sprinkler head, whicheverrs gfeatef Sewet& Watet tr $38 Sewer Line n$38 water Line ng65 Sewer & water- if inspected at the same timetr $65 Sewer tumaround under house (change from septic to crty)MISCELI.ANEOUS I Plan Check 965 perhour D Technical Service: $65 per hour tr Gas Line: 965 tr Water Ffeater Replacement $65 I Requested Inspection: g65 I Hydronic Heating: $65 + ($10 x # of manifolds/zones) *Living Space - space within a dwelling unit intended for human habitation which may.reasonably be utilized for sleeping, eating cooking,bathing' washing recreation, and sanitition purposes. An unfinished basement is considered part of the living space. Signature of Licensed Contractor License number & Exp. date Date 6 Buitdins Soferv Deporr,llgll ffi i phone:20g.I www.rexburg.org ,"rr,*,*fjj@ OWNER,S NAME Corporation of the presiding Bishop PROPERTY ADDRESS 611 East2nd norrh SUBDIVISION PHASE LOT Permit# Requited!!!Mecltanical I'> Mechanical Contractor's Name _ Business Name Address City State_Zip Cell Phone Business phone Fax (COMMERCIAL/IND_USTRIAL) Total cost of plumbing system (conractedAmoun0 $---(nckdu the na of nateials installed. regardhs of tbe parE suppling lt. int {tu li$etrun;er rh^ inspction jpe shall Ep! to anlt and a// muhauicalin$allations not specifca@ nentioned ekewhere on thiiform). tr Up to $10,000 itotal cost of sl,stem x 0.02) + 60 = $. Between $10,001 - $100,000 ( (total cost of iystem _ 10.b00) x 0.01) + g260 = g rt Over 9100,001 ( (total cost of s],stem _ 100.00b) x O.ObS; + g1,160 = gRESIDENTIAL New: Single Faaily Dwelliag, iacluding aII buildiags with vziting beiag coas*actcd oa cach ptopetty. (*Based on liuiag space,see definition below) tr Up to 1,500 sq ft - 9130 tr 1,501 to 2,500 sq ft _ g195 a 2,501to 3,500 sq ft - 9260 3,501 to 4,500 sq ft _ g325 ! Ovet 4,500 sq ft $325 plus $65 for each additional 1,000 sq ft. or portion thereof ' New: Mutti-Famity Dwelliag (coa*actorc 8i?; . ($65 x # of additional 1'000 sq' ft' or portion thereoO)' tr Duplex Apartment $260 tr Ttree or more multi-family units; $130 per building plus $65 per unir ($130 x # of buildings) + ($65 x # orunits)tr Existing Residence, Modulat, Manufactured or Mobile Aome" .od D.t""h.d snoJi$osE. ffiio p.,xxHVAC equipment being installed up to the maximum of the corresponding sq. ft. of the U1,1ai,,g' MISCELLANE.'' ($65 + ($10 x # of fixtures)) tr Plan Check 965 perhow tr Technical Service: $65 per hour tr Gas Line: $65 tr Vater Heater Replacement $65 D Requested Inspection: $65 tr Fireplace/Solid Fuel Burning Appliance: g65 per inspection*Lititg Space - space within a dwelling unit intended for human habitation which may reasonably be uritized for sleeping, eating, cooking,bathing washing recreation, and sanitation purposes. An unfinished basement is considered part of the living space.**Examples of HVAC Equipment-furnace replacement, solar, water heater, etc. Signature of Licensed Contractor License number & Exp. date Date 35 N. 1s E., Rexburg,Id 83440 BU Phone - Q08)359-3020 / Hotline - e0S)372-2344 / Fzx, (208)35e_3022 C,tY of Rexburg OWNER,S NAME Corporation of the presiding Bishop PROPERTY ADDRESS ng Sofely DeportmenT Permit# ctf Y oF REXBURG' c\' -- ,\ me rica\ Faft ily (a mmuni tl SUBDIVISION PITASE LOT BLOC Requircd!!!ELECTRIC.,{L\# Electrical Contractor's Name _ Business Name Address city.--.-state---=-.---.Zip. Cell Phone Fax Business Phone (CoMMERCIAL/IND-USTRIAL) Total cost of electtical systern (contractedAmount) $--(ncludes the cost of nateiah lyund rsarahy of thepa@ nrppfingir. Thefeet tls*a uiaer rn;s l)Eection f,pe shall app! ro anlt antl a// electiralnot rpecifca@ nentioned ekeahere on thhfonz). tr Up to $101000- - (total cost of system x 0.02) + 60 = $tr Between $10'001 - $100'000 ( (total cost of system - 10.b00) x 0.01) + g260 = gtr Over 9100,001 ( (total cost of s),stem _ t00.o0b) x O.ObS; i $t,tao = $small wotks (contractors oNL!: $10 fee for work rJ .o..ling $200 in'cost and not involving a change inseryice connections. Does NOT require inspection. RESIDENTIAL New: Siagle Family Dwelliag, iacludiag aII buildings with witing bcing coastuctcd on each ptopetty, (*Based oa liuiag spacc,sec defrnition below) tr Up to 1,500 sq ft - 9130 tr 2,501. to 3,500 sq ft - 9260 D Over 4,500 sq ft 9325 plus g65 for each additional 1,000 sq i.000 sq. ft. or portion thereo0). Ncw: Multi-Faaily Dwelliag (Conaz c ai OnIy) ! Duplex Apartrnent $260 tr Three or more multi-family units: $130 per budding plus $65_p_er unir ($130 x # of buildings) + ($65 x # of units)tr Existing Residence, Modulat, Manulacturea oliaotite Ao-"", ."d D.t"r"h.d shop: g65 fee plus g10 perbranch circuit, up to the maximum of th;-:o:resp"llbg sq. ft. of the building ($65 + ($10 x # branch circurts))tr central Heating/cooling systems: $65 rJrhen NoT;a; of new residerrtiillr gvAC permit with no additionalWitirg tr Spas, Ffot Tub^s, and Swimming pools: $65 fee for each trip to inspectPumps-Vate4 Inigation, Sewage (each aotir) tr 965 up to 25HP lg95 _ 26 to 200Hp 1g130 over 200 Hp MISCELLANEOUS tr Temporary construction services ONLY: 200 amp or less, one location (for a pedod not to exceed 1 year) - $65tr Temporary Amusement: $65 fee plus $10 per ride, concession or generator t rrrigation Machine: $65 for center pivot plus $10 per rower of drive motor tr Technical Service: $65 per hour tr Plan Check $65 per hotu tr Requested Inspection: $65*Utitg Space - space within a dwelling unit intended for human habitation which may rcasonably be utilizsd for sleeping, eating, cooking,bathing, washing, recreadon, and sanitation pulposes. An unfinished basement is considered part of the living space. rure of Licensed Contract<_rr tr 1,501 to 2,500 sq ft - 9195 D 3,501 to 4,500 sq ft - 9325ft. or portion thereof ($325 + ($65 x # of additional License number &date Date Building Sofety Deporlmenl Street Address Where Work Will Be Done: 611 East 2nd North Business Name Where Work Wiil Be Done: rDS phitanrhropies Dafac f^o lY/^-l- +^ tD^ T\^ -- ,Dates for Work to Be Done: Juty 15,2014 =October 31,2014 REXBURG Anericat Family Co mftunity Contact Person:Malm Phone Number: (20s) 3se-230e-Cell #: Requited!!!FIRE SPRINI{LERye> Fire Sprinkler Contractor,s Name: TBD Business Name Address Cell Phone Business phone ! Up to $10,000u r,rp ro DrurUUU (total cost of svstem x 0.02) + 60 = $tr Between $10,001- $100,000 ( (tstaleost of sl.t - - 1o ooo\ w o o1' (CoMMERCIAL/INDUSTRIAL) Total cost of fire sprinHer system (Congacted Amount) $_ (ncludu the cost of nateiats inltalled rugardlus of the par! suppfiing it Thefeu listed under this insputiorl apesball app! to an-1t and allfrv alarn insillations ,* $taj*ry'mentioned elsiwlterc on tbisfom). State--Zip ( (total cost of svstem - 10.000) x 0.01) + g260 = g ( (total cost of system - 100.00b) x 0.005) + g1,160 = gtr Over $100,001 MISCELLANIEOUS ! Existing Inspection Base: g60 I Re- Inspection: g65 per trip I New consffuction $l per sprinHer head ($21000 maximum) number head Si ture of Licensed Conractor License number & exp. date Date Fax Building Sofety Deporlmenl 35 N. 1s 8., Rexburg Id 83440 city of Rexburg Phone - Q08)359-3020 / Hotline - Q08)372-2344 /Fax- Q0B)359-3022 LOCATION OF WORKTO BE DONE: Street Address Where Work Will Be Done: 611 East 2nd North Business Name Where Work Will Be Done: LDS phitantropies Dates for Work to Be Done: Contact Person: Ryan Malm July 15,2O'14 To October 31.2014 Phone Number: (208) 359-2309 Cell #: Requircd!!! Fire Alarm Contractol's \2ms TBD FIRE r4,Lr4RMY' Business Name Address City State zip Cell Phone Business Phone Fax (COMMERCIAL/INDUSTRIAL) Total cost of fire alarm system (Contracted Amount) $ (ncludes the cost of nateriak instalhd rugardler of the pa@ suPPbinyit. Ttrefees listed under thit inspertion Apeshall app! to an1 and allfrc alann installations not tpecifcallt mentioned elsewlterv on thisfonz). tr Up to $101000 (total cost of system x 0.02) + 60 = $ ! Between $10,001 - $100,000 ( (total cost of system - 10.000) x 0.01) + g260 = g D Over $100'001 ( (total cost of system - 100.000) x 0.005) + g1,160 = g MISCELLANIEOUS tr PIan Review per Flour: 965 per hour ! Re- Inspection: $65 per trip ignature of Licensed Contractor License number & exp. date Date 10 i:iT'f iii'';i"rii!-i'qjir i:'ni.il ti: li{ii i' '!ii:iii:il";l :jilii:: iit,i:!,jiil iif ,'iilli,rr;i:l"i1ii I iiit t ii : i4 : {! ijii:;i i!:' I i+ii I '1+*h;": i;i:r i';iil i i4*qi liitlii iililuii i l*'iii[ii"i {iii*i,iiiI i:''tiii{3 i i+ iriiii::i'q:' Ti.i*iiii ii.li +i.;ii ,;i.iiiE SP-PZPLAN 'ii: ltiii-. iJiiiiili i:; Lii;irt ri' iii:ii:i" i'iFiiilI ii:iiiiii;l liF i',j,iL il'i.F i'r**i'iiiii'ii1' ii'r.iii-iiiiltj :''l.iii'i;i Jl i'ii ijF il'f ii ' i'i'{:ii:i i i .lF ;itiii. ii.illi:i uliiiEii !';i pi"iii,iii irirr i,;:iiiiI i'l1 i ;8ffi.,.*\ J i9;v ' ..r:'i !::1 ;: l'i 'iiii . f, iiill-" ur '-:i r'* ;:i = iil :..irij ' ?r-i i :r':.i ilii i:ii'-r : _' i: "'.1i1 Address: Date: 0812912014 Receipt #: 2856 T lii ii '!: iq LDS Philanthropies ; Remodel 611 North 2nd East Permit # 1 :14--00285 Permit Type: eLo-cot\4R a rl fi'! irr'r!: i:l'-'I- *'!" .,, -, , ;e PZPlan Review Fee rit Fee laa 2832211 2832212 2832220 2822010 2832213 2832212 2832320 BP MP BLPC BPD ELP MP'iziC 1,659.00 274.00 165.90 -1,000.00 65.00 32.50 32.50 Please contact the Building Department at (208)372-2341 for further questions about this receipt $1,228.90 AI AUG 2I 2014 crTY oF REXBURq 24 Hour Notice for insPections Call inspection hotline at (208)372-2344 ***Credit card payments are accepted, but are subject lo a 3o/o convenience fee on payment amounts over $$99*** 1 Xpress Bill Pay - Payment Processing RXXSlJ}S ,4i,idi*$t Jki*ir).' {;ff!*r*l*.it XBP Gonfirmation Number: 3270561 Transaction Number: 28528805PT Mastercard - XXXX-XXXX-XXXX€929 Status: Successful Account # 14-00285 Electrical Permit https ://www.xpressbillpay. com/common/paymentjrocess.php City of Rexburg 35 Northlst East Rexburg, lD 83440 208-359-3020 $425/0 i b Transaction detail for payment to City of Rexburg.Dale:'0812812014 - 2:19:35 PM TOTAL: 5425.4A Transaction taken by: amandaBilling Information Lon Ricks .83440 8128/2014 2:19 PI\ IiTT iir t:t;iiiLiFirr i'irlii i;?: -iF:id,i *i:-iil[1*TiS iiHT[: ;.]*,t.lr-t,/i 4 i'if ,i [*ii-],ri:i';TF; lilit: ii'rI*r1l [if[Ifl iiil:.i]?:8t liF ilil; ilii!I ii Fil:Lii;iifi ti!ri4Il iitriiii i 1iiilil.ilii ili"itlii fri'iilLli.ii i,uiiil,iiii f $ ?i4tl'{T i. , ilijii . ilil [HAti,;t i:],ilil Fi[:i{]T #i4illit8: iilAi'iii Ti-lU 'itil HriVH A iiili liti? ..\ T i,y Date: 0613012014 Receipt #: 2279 LDS Philantropies - Remodel 61 1 North 2nd East Permit # I 14-00285 Permit Tlpe: ssp-cqnlp 2822010 Please contact the Building Department at (208)372-2341 for further questions about this receipt JUN 3 0 ?[]1'l 24 Hour Notice for insPections Call inspection hotline at (2081372-2344 **"Credit card payments are accepted, but are subject lo a 3o/o convenience fee on payment amounts over $500**n