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Home My WebLink AboutALL DOCS - 13-00015 - BYUI Romney Rm#255 - RemodelBuilding Sofety Depqrtmenl www.rexbvrg.org City of Rexburg Phone: 208.372.2326 Fox:208.359.3022 CITY OF REXBURG Ctlr,**_ Am er ica's Family Cont munily Offi.ce Hours: Monday-Friday 8:00am-4:00pm Pre-Co Seismic Design Category - D (unless soil evaluation confi.tms category C) Ground Snow - 50 lbs. Per sq. ft. Roof Snow Load - 35 lbs. Per sq. ft. Vind Load - 90 MPH Frost Depth - 36" Thefoltowing items should be conpleted btfore:tou submitlour buildingpermit application. INCOMPLETE APPLf,CATIONS WIJ- N OT BE, ACCEPTED. Completion of a Building Petmit Application: You may print this application from our website www.rexburg.org or pick up a copy at the City Annex Building (address above). Commercial Petmits: (the following must be submitted with the Application) E 4 sets of site plans and 3 sets of building plans stamped by a licensed ptofessional E Structural Calcuiations stamped by a licensed Engineer E Energy Compliance Reporr As per the 2006 IECC, a Compliance check must be completed and submitted (the comcheck is available online at wrnw.enetgycodes.gov). E Puge 2 of theApplication must include the Idaho Contactor's Registration Numbet or the exemption form must be completed and signed. see Page 10. E Page 5 of the Application must be completed and signed by your Plumber. fl Page 6 of the Application must be completed by signed by your Mechanical Contractor. E Page 7 of the Application must be completed and skned by your Electrician. E Electdcal panel layout and calculations must be included with the building plans. Plans will be reviewed by the electrical inspector pdot to issuance of the building permit. fl Emergency Services Consffuction Permit-fot fire related equipment only: to be filled out by the contractor Performing the work. E Exterior Lighting Plan including photomeuic layout. The lighting standards are included in this packet. E Propetty Line form needs to be signed by the buildet, see Page 4. Electical Petmits are now issued through the City of Rexburg. See Page 6 of the application. Remodele,If you are considering a remodel, a copy of the bid ot estimate for the remodel must be submitted with the Permit Application. '3 set of plans (may need IECC Review) r A']'lid^-" - Som. 4e nc\rz ennsfnrclion tr '3 set of plans (may need IECC Review) . Additions - Same as new construction (Addressine is based on the information - must be accurate) 7TwNERNAME: BYU - loA|*to ]ONTACTPHONE+ ztrO- Y4b-?(cz PROPERTY ADD PHONE #: Home ( )- Work (lq Y4h- LbbT Cdd ( )- ovArER MATLTNG ^""rR{ti% g,nylJ Wn/W*' ?-eph,r3 srArE: tD zrp: o4bo-??6 F,wrAr ltvse nA e hlni . e da eax 0"Q) Wlk - h?( I CtTY OF Please Complete the Entire Application! If the question does not apply fill in NA for non applicableREXBURG c\J -.-"'. Anre rica\ Family Co nnr w i t1' COMMERCIAL & MULTI FAMILY BUTLDING PERMIT APPLICATION 35 N 1" E, REXBURG,ID 83440 208-372-2326 PARCEL NUMBER:( We will provide this for you) SUBDIVISION:UNIT# BLOCK# LOT# APPLICANT. (If other than owne (Applicant if other than ov/ner, a statemerit authorizing applicant to act as agent for owner must accompany this application) APPLICANT INFORMATION: ADDRE,SS CITY: STATE,: ZIP- PHONE #: Home ( )-Work ( )CeII ( Did you recently purchase this property/@ v.t r, ,f,1, , tor rpti l@ YES e;"r;;* *n, CONTRACTOR MATLTNG ADBfiffJ,?r tls-l g. w\st,J Pth"t % ctTY aqfuA-srArE-tD-zw tiltt- fr pHoNE: Cell#- work# Z.tf|-t{lh- ?,tobL rax* QOo) Wb-4vl swtAtt- h*nLohyi,eda IDAHO REGISTRATION # & ExP. DATE How many buildings are located on this property? (If yes,list previous ownels name) of new legal description of ptoperty) PROPOSED USE: (i.e., Single Family Residence, Multi Family, Apartments, Remodel, Gange,Addition, Etc) - CIRCLE ONE APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHOzuZATION; u"d.'p"naltyof perjury,Iherebycertigthatl have read this application and state that the infomation herein is corect and I swear that any information rvhich may hereafter be gircn by me in herings before tle Signature of Owne aLJ 2.^ / 201 3 DATE be contacted by fax, email or phone? Circie One WARNING-BUILDING PERMIT MUST BE POSTED ON CONSTRUCTION SITE! Plan fcs re non-refundable and are paid in frrlt at the time of application beginningknggJ'$@ City of Rexbutg's Aaeptanc€ of dr€ plan review fee dcs not onstitute Plan aPProval sBuildingPmitFeesaredueattimeofapplication# *BuildingPemitsarevoidifyourcheckdmnotcleaitsr PlanningandZoningCommissionortheCityC-ouncilfortheCiry'ofResburgshallbetruthfulandiorrect. IagretocomplyrvithallCtyregulationsandStatelarvsrelating to the subject matter of this application and hereby authorized representatives of the City to enter upon the aborc-mentioned property for inspections purposes. NOTE: The building official may revoke a pemit on approval issued under the provisions of the 2003 International Code in cares of any false statement or misrepresentation of fact intheapplicationorontheplansonwhbhthepermitorapprovalv'asbased. Pemitvoidifnotstanedwithinl80days. PemitvoidifworkstopsforlS0days. Do you prefer to Building Sofety Depqrlmenl City of Rexburg Phone: 208.372.2326 Fox: 208.359.3022 REXBURG Affidavit of Legal Interest State ofldaho County of Madison Address City State Being fust duly sworn upon oath, depose and say: (If Applicant is also Owner of Record, skip to B) A. That I am the record owner of the property described on the attached, and I grant my permission to: Address to submit the accompanFng application pertaining to that proPefty. B. I agree to indemnifr, defend and hold Rexburg City and its empioyees harmless from any claim ot liability resulting from any dispute as to the statements contained herin or as to the ownership of the property which is the subject of the application. Dated this day of Signature Subscribed and swom to before me the day and year fust above written. Notary Public of Idaho Residing at: 20 My commission expires: Property Lines Each site plan that is submitted to the City of Rexburg for the Building Permit process requires that property lines are shown accurately. It is the Developer's responsibility to correcdy identifr on the site plan the location of these lines in reference to the public right-of-way, other adioining property lines, the street, other structures and all utility lines. The Developer should find properry pins that are still available at the lot in question. If these pins do not exist or have become unrecognizable then a new survey should be performed. Accurate properry line information is a must for a timely review. In addition to finding existing property pins, legl descriptions should be checked. The best way to identi$' property line location is with a land survey. The City of Rexburg has aerial photos and a parcel line layer that can be checked, but they are only a tool and are not guaranteed for accuracy. If you want to request a copy of yout lot, see the front countef at the Community D evelopment DePartment. I have read and understand the above requirements. Signature Date Printed Name REXBURGc\r, -.'--- Atne ri at\ Fhtn i ly Co m nutti t1' Building Sofety Depqrtmenf City of Rexbutg Phone: 208.372.2326 Fax:208.359.3022 CITY OF www.rexburg.org Business Applicolion CITY OT 35 North I't Eosf Rexburg, ID83440 Phone: 208,359.3020 Fox: 208.359.3022 REXBURG cls' ',--- America\ Fatnily Comnunity Please take the time to answer all questions so that we canfurther assist you and your facility Thank You. What type of business will be performed rtU/Cryti, 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 mechanical work in the building? Will there be sumps or floor drains in the facility? 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 structuraVor remodeli+g changes to the building? Any changes to the electrical? Any changes to the plumbing? Is this business planned to be the same with different ownership? Will there be a change of occupancy? Yes Yes No ./ No ./ Yes No Yes No Yes No Yes_No Yes_No Yes ., No Yes ,' No Yes_No Yes /No Yes ./ No Yes Yes No ,/ No ./ Phone I Certify that The information that I have provided ahove is to the best of my knowledge accurate and true. Building Sofety Deportmenf City of Rexburg Phone:208.372.2341 Fox: 208.359.3022 owNER's NAME ?Y U - ldahn PROPERTY ADDRESS lhmh eq h, , ; ll nq * LgK Permit# SUBDIViSION / .,7 PHASE 35N ldE Rexburg, ID83440 LOT www.rexDurg.org CITY OF REXBURG CtS,---_-. , Ame ri ca's Fatn i ly Co ntnutri ty BLOCK Requircd!!! tr Up to 1,500 sq ft - $130 o 2,50'1, to 3,500 sq ft - $260 tr Over 4,500 sq ft $325 plus $65 Mechanical Mechanical Contractor's Name Address Business N City Cell Phone () Business Phone ( Fax ( (COMMERCIAL/INDUSTRIAL) Total cost of pl ted Amount) $_ (Inilufut the coc of naniak installed rcgardhs of the paft1 sappjing it. The rtet lirted installatiorc not t@rif*lb mentioned ekeuhen on thisform). lpe sball appll to an1 and all mechanical ! Un to $10.000 (total cost of svstem x 0.02) + 60 tr Between $10,001- $100,000 ( (total cost of system - 10.000)0.01)+$260=g x 0.005) + $1,160 = $! Ovet $100rfi)1 ( (total cost of system - RESIDENTIAL New: Single FamilyDwelling, including aII buildings with wiring see definition below) constucted on each properqr. (*Based on liuing space, tr 1.,501 to 2,500 sq ft - $195 u 3,501 to 4,500 sq ft - fi325 for each additional 1 sq ft. or portion thereof ($325 + ($65 x New: Muki-Family Dwelling (Conttactors OnIy) tr Duplex Apartrnent $260 tr Three ot more multi-family units: $130 per b ing plus $65 per unit ($130 x # of buildings) + ($65 x # of units) tr Existing Residence, Modular, Manufac ot Mobile Homes and Detached Shop: $65 fee plus 910 per **HVAC equipment being installed up to maximum of the cortesponding sq. ft. of the building MISCELLANEOUS tr Plan Check $65 per hour ! Technical Service: $65 per Gas Line: $65 tr Water Fleater Replacement: $65 tr Requested Inspection: $65 n Fireplace/Solid Fuel Buning Appliance: $65 per inspection *Living Space - space within a dwelling unit intended for human habitation which may reasonablv 6" gtilized for sleeping, eating, cooking, bathhg, washing, recteadon, and saniation purposes. An unfinished basement is considered part of the living space. x*Examples of FIVAC Equipment-fumace replacement, solar, water heater, etc. Signature of Licensed Contractor License number & Exo. date Date Phone: 208.372.2326 D 83140 Fox:208.359.j022 OIuNERS NAME PROPERTY ADDRESS Building Sofety Depqrtmenf City of Rexburgwww.rexbura.oro Permit# cI1'Y Ots RnxsTFG' '_-<! - A,r1.tr i..ab Fa.tr i Iy <:6,,t,,, t.,' i I y SUBDIVISION PHASE LOT BLOC (COMMERCIAL/IND_USTRIAL) Total cost of plumbing system (contractedAmount) $-.---(Iacludes tbe co$ of mateiah iytatled .rsardlest of the par1 suppling ;t. ittt 7u tlrtrirniu this inspution lpe sball apply to an1 and all plun Requircd!!!Plumbing Plumbing Contractor's Name -Of-bry! -Business Name gYU- lda,h- Address -city --?-wbuq-State__lD_ np _g plb o Business Phone ( " I -VotA - Z56lOCell Phone ( Fax ( rut tpcifca@ nentioned elseuberc on tlt*fotm). n Up to 1,500 sq ft - 9130 D 2,501 to 3,500 sq ft - 9260 ct Over 4,500 sq ft 9325 plus 965 for each additional 1.000 sq. ft. or oorrion thereoD). New: Multi-Family Dwelling (Co ntactors OnIy) tr Duplex Apartment 9260 D Three or more multi-family units: $130-per byldrng plus $65-per ury $f :O x * of Uuifaings) + (gaStr Existing Residence, and Detache$. s!o_p: $65 fee plus $10 per fi"t*; "p t" tl-t. t*.r*"- "f th.-"*..pondrngsq. ft. of dre building ($65 + ($10 x # of fixtures)) n Gtay Watet Systems: gfii0 tr Lawn Sptinlders/Bacldlow Device: g65 o Modulat, Manufactuted ot Mobile Flomes: $65 for sewer and water stub connectionstr Multipurpose Fite Sptinldet and Domestic Water Supply System: $65 fee or g4 per sprinkler head, whicheveris greater Sewet & Watet tr $38 Sewet Line n$38 Water Line n$65 Sewer & Water- if inspected at r1e same timeD 965 Sewer tumaround under house (change from septic to crry) MISCELI-ANEOUS tr Plan Check 965 perhour tr Technical Service: $65 per hour tr Gas Line: $65 D Vater Fleater Replacement: $65 n Requested Inspection: $65 tr Hydronic Fleating: $65 + ($10 x # of manifolds/zones) *Liri.g Space - space within a dwelling unit intended for human habitation which may reasonably be utili-ed for sleeping, eating, cooking, An unfinished basement is considered part of the livrng space. tr Up to 910p00 (total cost of system x 0.02) + 60 = $D Between $10,001 - $100,000 ( (total cost of system - 10.b00) x 0.01) + g260 = g tr over 9100,fi)1 ( (total cost of system - 100.00'0) x o.obs; + 6t,too = g RESIDENTIAL I'{ew: Single FamilyDsvelling, including aU buildings with wiring being consttucted on each ptopetty. (*Based on liuittg spacqsee definition below) D 1,501 to 2,500 sq ft - 9195 tr 3,501 to 4,500 sq ft - 93251,000 sq ft. or portion thereof ($325 + ($65 x # of additional of Licensed Conttactor Ptlt-:r-a3yl License number & E*;;- /-2/- /7 Date 3sN. 1$E.,Rexbutg,rd83.140 Building Sofety Depqrtmgnl Phone - poepsrs-z-ozo / Hotline - QO8)372-2344 / Fax- (208)359-3022 cilv of Rexburg owNER's NAME FYU - Idah rPRoPERTYADDRESS ?*i;W permit# SUBDI\TSION - CITY Of REXBTIRG c\r."*--'.--- Ame ricai Fami Iy Contmu n i ty PHASE Requircd!!!ELECTRICAL Electdcal Contractor's N^m, SL,lfO PnU Business Name BYU ' ldah o marcss Ob l)06, 6Y 0 - ll*ko citv__?eybu_,=_State__Lp_z;p OZ(bO Cell Phone ( ) gusiness phone ( -) Vq h - ZbLl| Fax( )-Eman lric.<Q b\t,i.edq IC9yITIERCIAL/IND_USTRIAL) Total cost of electrical system (contractedAmount) $_(lxcIudertbeeo$oJmateiakinstalhdrgmdletsoJtbepatE:uppjingit,TbeJeeslistedundertbisinspution!lpetha//app!ltoan1andallelecttical ttot tpecifcalj nentioned ekeuherc on tbbfom). 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 = g D ovet 9100,fi) ( (total cost of system - 100,00b) x o.obs) i gr,too = g Small Votks (Conttactors ONL!: $10 fee for work not exceeding $200 ir,'cori ard not involving a change in service connections. Does NOT require inspection. RESIDENTIAL New: Single Fanily Dwelling, including au buildings with wiring being consttucted on each property. (*Based on liuing space,see defrnition below) tr Up to 1,500 sq ft - 9130 tr 1,501. to 2,500 sq ft _ g195D 2,501. to 3,500 sq ft - 9260 D 3,501 to +,SOO ,q ft _ g325 tr over 4,500 sq ft $325 plus $65 for each additional 1,000 sq ft. or portion thereof t$:zs * ($65 x # of additional1,000 sq. ft. or portion thereo4). New: Multi-Family Dwelling (Contractots OnIy) tr Duplex Apartrnent $260 tr Three or more multi-family units: $130 per building plus g65 per unit: ($130 x # of buildings) + ($65 x # of 'nits)tr Existing Residence, Modulat, Manufacrured oiMobile Fro*.r, ";d D.t..h.a snofrlosE. pt* gro p",branch circuit, up to the maximum of the_c-o-ffesp_"113g sq. ft. of the building ($65 + ($10 x # branch circuits))n Cenftal Heating/Cooling systems: $65 w&en NoT pait of new r.rid.rrtii'1i, FrvAC permit -itt .ro "aaitiorraWidng tr spas, Frot Tubs, and Swimming pools: g65 fee for each trip to inspectPuntps-Watet, Inigatio4 Sewage (each motot) c 965 up to 25HP ng95 - 26 to 200Hp n$130 over 200 Hp MISCELLANEOUS n Temporary Constuction Services ONLY: 200 amp or less, one location (for a period not to exceed 1 year) - $65tr Tempotary Amusement: $65 fee plus $10 per ride, concession or generator tr Irrigation Machine: $65 for center pivot plus $10 per tower of ddve morol tr TechnicalService: 965 perhour o Plan Check 965 perhour D Requested Inspection: $65xliving Space - space within a dwelling unit intended for human habitation which may reasonably be utili-ed for sleeping, eating, cooking,bathing, washing, rccteior', and, sanitzs,urposes. An unfinished baseme nt is considered part of the living space. ft't- 6 ?-s-g re of Licensed Contractor License number &date Building Sofety Deportmenl City of Rexburg clTY or-RErcTIRG -... - -(\, Aneri cai Fa mi ly Oo nntuilty 35 N. 1$ E., Rexburg, Id 83440 Phone - (208)359-3020 / Hotline - Q08)37 2-23M / F ax - (205)359 -3022 LOCATION OF WORKTO BE DONE: Street Address Where Work Will Be Done: Business Name Where Work Will Be Done: Dates for Work to Be Done: Contact Person: To Phone Number: (_)Cell # ( Requircd!!!FIRE SPRINIilER Fire Sprinkler Contractor's Name: Business Name Address Clty tate_Ztp_ Cell Phone (Phone ( Fax( ) (coMME RCrAL/ TNDUST RrAL) T cost of fire sprinkler system (Contracted Amount) (ncludes the cost of naterials regardless of the pa@ sappfuing it. Tbefees listed under this inspection bpeshall appl1 to an1 and all.installations not specifcalfi mentioned elsewbere on thisforrz). D Up to_$trO,000 (total cost of system x 0.02) + 60 = $ ( (total cost of system - 10.000) x 0.01) + $260 = $ ( (total cost of system - 100.000) x 0.005) + 91,160 - g $60 tr BeTFeen $10,001- $100,000 tr Over $100,001 MISCELI-ANEOUS tr Existing Inspection Base: tr Re- Inspection: $65 per trip tr New construction $l per sprinkler head ($2,000 maximum)number head ature of Licensed Contractor License number &date Date 35 N. 1$ E., Rexburg, Id 83440 Phone - (208)359-3020 / Hotline - Q08) 37 2-2344 / F ax - (208)359-3022 LOCATION OF STORKTO BE DONE: Street Address Where Work Will Be Done: Business Name Where \ffork Will Be Done: Dates for Work to Be Done: Contact Person: Building Sofety Deportmenf City of Rexburg To CITY OF RE cls, ,--"_._ tlueri ca\ Farnily Co mmuni ty Phone Numbec ( )Cell#( ) Requircd!!! Fire Alarm Contractor's Name Business Name FIREAIARM Addtess City tate-Zip Cell Phone ( ) Bu{iness Phod( ) Fax( ) (COMMERCIAL/INDUSTR AC,) Total cost of fire alarm system (Contracted Amount) $ (nclades the cost of ngffials installed regardless of the pa@ suPPbiny it Thefea listed under this inspection Apethall applt n aryty'd allfre alann installations not specifcallt mentioned elseahere on thisfom). tr Up to $10,000 (total cost of system x 0.02) + 60 = $ D Between $10,001 - $100,000 ( (total cost of system - 10.000) x 0.01) + g260 = g tr Over $100'001 ( (total cost of system - 100.000) x 0.005) + g1,160 - g MISCELLANIEOUS I Plan Review per Flour: $65 per hour n Re- Inspection: $65 per trip ignature of Licensed Contractor License number & exp. date Date l0 SUBCONTRACTOR LIST Excavation & Eart C Masonry: Roofing: Insulation: BYU'Uaho Drywall, 6YU- lduhD Floor Plumbing:BYU - ldaho Heati ldal't,> I dahto Special Construction (Manufacturer or Supplie r) RoofT Floor/Ceiling Joists: Siding/Exterior Tdrn: Other: 1l EXE,MPTIONS FROM STATE RE,GISTRATION As ofJanuary 7,2006, the City of Rexburg can no longer sell permits without having a copy of your State registration number or your exemption from the State registration. Please send a copy of your state registration or fill out this form showing your exemption and send it with your license renewal or your next permit application. (This list is a summarizaton of Idaho Code Tide 54 Chapter 5205, fot full definitions of these exemptions please see the State's website at www.ibol.idaho.gor'/cont.htm) tr Currendy State licensed pursuant to Tide 54Idaho Code, Chapters: f Architects, 10 Electrical Contractors/Journeyman, 1 2 Engineers/Surveyors, 19 Public Works Conftactots (exempt from fee only registration required), 26 Plumbing/Plumbers, 45 Public \7orks Construction Management Licensing Act (exempt from fee only registration required), or 50 Installation of heating, ven 'lation and air conditioning systems a Employee ot volunteer of a licensed contractor or part of an educational cuniculum or nonprofit charitable activiry with no v/ages or salary tr Employee of a US Government agency (State, City, County, or other municrpality) E Public Utility doing construction, maintenance, or development to its own business tr Involved with gas, oil or mineral operations E Supplier doing no installarion or fabricating n Contacting a project or projects vdth a total cost less than $2000 tr Operation of a fann or ranch or construction of agriculture buildings exempt from Idaho Building Code tr Any type of water district operations tr Work in rural districts for fte prevention purposes D Owner who performs work on own property or contracts with a registered cootractor to do work as long as the property is not for resale within 12 months V Owner or lessee of commercial property petforming maintenance, repair, alteration or construction on thatrproPefty tr Real estate licensee/property manager acting within Idaho Code tr Engaging in the togging industry tr Renter working on the property where they live with the property owners approval tr Construction of a building used for industdal chemical processing per Idaho Code tr Construction of a modular building (defined by Idaho Code) to be moved out of state I hereby certi$' that the above information is true and correct to the best of my knowledge. lezu-e LAPseNr Print Name t2 BRIGHANT ).OIJNG ulLlven:lJt TI)AHC) Facilities Management Cost Estimation Proiect Title:Romney 255 rough-in Date:r2l3l20l2 Shop:Mechanical Operations Revision Date: Materir ls Labor Total ltem Description Qty Unit CostSub Total Hours Rate Sub Total D! ru Orion Pipe 80 8.77 $701.60 24 36.37 $872.88 $1.574.48 Water Type L 112" cu 60 1.85 $111.00 34 36.37 $1.236.58 $1.347.58 Air Tvoe L 112" cu 140 1.85 $259.00 60 36.37 $2.182.20 $2.441.20 Gas wardflex or qastite 100 2.25 $225.00 16 36.37 $581.92 $806.92 lsolation valves Propress 4 18 $72.00 $0.00 $72.00 Propress - water and air ftgs.45 4.95 $222.75 $0.00 $222.75 D\ /V Orion fittinqs 1 1 889 $1.889.00 $0.00 $1.889.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 s0.00 $0.00 $0.00 $0.00 $0.00 $0.00 afivfk mr*r,t 7 $0.00 $0.00 $0.00 0 $0.00 s0.00 $0.00 $0.00 $0.00 I $0.00 $0.00 $0.00 I $0.00 $0.00 $0.00 I $o.oo $0.00 s0.00 I $0.00 $0.00 $0.00 I $0.00 $0.00 $0.00 | $0.00 $0.00 $0.00 | $0.00 $0.00 $0.00 I $0.00 $0.00 $0.00 I $0.00 $0.00 $0.00 I $o.oo $0.00 $0.00 I $0.00 TOTALS $3,480.35 134 $4,873.58 | $g,gSg.gg BR. IGHAAA YO{JNG IJNIVERSITY TDAFIC,Central Shops Cost Estimation Romney 255 remodel ttngr20t2 Shop:Electrical Revision Date: Materials Labor Total, ltem Description Qty Unit Cost Sub Total FIounRate Sub Total 1" Conduit 6.50 $0.00 34,92 3t4" Conduit 3 5.50 4 34.92 2" Conduit 25.00 $0.00 34.92 Flex Conduit - roll 75.00 34.92 ,$0,d0 :, Fittinqs 6 0.50 2 34.92 ' $69,84,' Boxes 2.50 34.92 :r,-l Covers 1.50 34.92 i,'$6fdd; "Wire mold 10.00 34.92 ,tt':-$;Ci'O'': . l;;:,:;i$6i66.ii.,. , Plug mold 45.00 34.92 ,,,i,;$,.d'tffii; .t t:|:ffii:if;i-,;,;;i,ll$f1.]fl fi:s'' jr :yOutlets10.00",' , $d,00'34.92 ."j-l-' , ..; Switches 2.50 ,:i ,0.0b 34.92 Breakers 35.00 34.92 ,44,va ,, ll;".t;:, Electrical Panel 250.00,;tiS'O:Ob ,34.92 't;i:t Liqht Fixtures 75.00 1..-' I .. lr.t. . uiii$0ib0.,,'r 34.92 :.J H Miscellaneous Parts 50.00 34.92 a"'i ,.H4 l:i ;:i Holes 1 250.00tr'$ifl to,n 34.92 ., :,:, I IDemolition/ Labor 8 34.92j'lr Wire 45.00 34.92"r ,; floor boxes 1 300.00ft$ffibirj6: ''34.92 :l Lamps 2.50 34.92";:lil$'ffff0,t,,itt,i $+:ii .',,i;o,ob; ,"''i;t" t ,'r.,rSOloo' ., ,, $'0i :;ir' r, Sb,iio ,d :: ,:S6:tjOl;:il'., $iIE't si so;oo.,,-':' ,l il:i, ,; r:t.;l 1".,it.... ',, l sjffi:i$ffiffi t-, ,b".iil,$ffi ii ;;',ji f"l,I sHoo ', ;;"ii:r";t,:r,;'l 13 0001s BYUI Romney Rm #255 Ursl20r3 Routing: V Bret Stoddard (Please review by Tuesday, January 22) Current Status Please complete the following: V { lw ,{ NA ! REV n NA n n n T Review Plans Enter Notes for the applicant under Submittals Update status in the APProvals tab Return building plan to Amanda Saurey Please indicate time spent in hrs/min reviewing the plans: l-tIP^ Notes: N/X 13 0001s BYUI Romngy Rm #255 Ursl20r3 Done NA Fx AP REV Fr Routing: Don Allen (Please review by Tues duy, January 22) Current Status Please complete the following: Done NA Z n Review Plans { I Enter Notes for the applicant under Submittals '4 I Update status in the Approvals tab I Return building plan to Amanda Saurey Please indicate time spent in hrs/min reviewing the plans: Notes: { ,^c*t Donet / 13 00015 BYUI Romney Rm #255 - Remodel Ursl13 Routing: Quinton Owens (Please review by Tuesduy,Jan22) Current Status Please complete the following: Dong NA / f Review Plans t I Enter Notes for the applicant under Submittals Notes: NA ! D r { I Update status in the Approvals tab n Return building plan and this check list to Amanda Saurey kFr*"4" I rNsPncrroN rrcKnrl tr BHg. tl Phmb. S Ebcr. O Mech. O Fire Inspction Regucsr: Rcc'd By Dale L)-Ct - B a)l Req. By )Lq , (nZt Phone No. 'leLru *T'o1C: rruirrtliilril fr,z r;C Perrnit No. I 3 C&Ue Address Inspection Type Day ffime Req. 'Fttt*i U -f,'z- - Inspector's Report O Res.E comm. SPE UOR'S ACTToN Mlwnovrn n DIsAPPRovED deo6lrunb D Nc,r APPLTcABLE\--l - \ DRNAT [] DrD NOr NSPECT ecrron]ile u r n e o : Nor\g . Rec't Acknowledged WM. - Oflt. Copy F.FrR.Cm3 lbfos . Job Copy Pf* - frprOorlCoef INSPECTED ITEMS CONFORM TO APPROVED DWGS INSPECTOR'S ACTION I nrspncrloN TIcKET O Bldg.F Plumb.I Elcct.Mcch. lnspector's RePort tr Res.tr comm. ffiToAPPRovEDDwGS trY trN flN/A INSPECTOR'S ACTION ,/'o^Pry)rcD E{o (FINAL)- ACTION REQUIRED: f] DISAPPROVED N NCTT APPLICABLE []RNAL n DID NOT INSPECT Signed Rec't Acknow Pil - In$.clo.l@t tinir. - Cllic. CoPY F.FrB.Cq'3 rblor - Jo! CoPY ItnspncrloN rIcKBr O O BHg. F Plumb. D Mech. O Firc Inspction Request: Rcc'd BY l^ q t'Lo,n 6Cl Dale 2--l' t - A Req. By t:Phonc No. ''q -ilq) Project cc- PerrnitNo. lb (L{'lS Address Inspection TYPe Day ffime Req. Inspector's RePort O Res.6 comm. [.rSpgCfeO ITEMS CONFORM TO APPROVED DwGs trY NN NN/A I FINAL D DID NOT INSPECT INSPTCTOR'S ACTION ,horr*ouro\ nco (FINAL) ACTION REQUIRED: I DISAPPROVED D NOTAPPLICABLE rblor - Job CoPY Pf* - r|!'rclotl@Y Y>r<-td -.--- o velopment O *""",p, Number: *,.,-ry.Jffi.1i;i 83440 B) 359-3022 iir:i r Check Fee rmbing Permit Fee ased Calulation based Check Fee $65.00 $65.00 $142.06 $86.17 $65.00 Total: $6s.00 $6s.00 $142.06 $86.17 $65.00 $0.00 $0.00 ' $0.00 $o.oo $0.00 PAID JAN 3 0 ZOr: CITY OF REXBURG g 423.23