HomeMy WebLinkAboutALL DOCS - 14-00531 - Dairy Queen - SignSign Permil Applic
Clty of
P lon nin gZ o nin g@rexburg. org
www.rexbwg.org
Fixed Signage
Applicant Information
Owner Name:
Site Address:ncl
Mailing Address:
Telephone: 'b$<.r- lo-2-\ - (c9.31, Mobile:
Contractor lnformation
Contractor's Name:
Contractor/s Address:
Contracto/s Phone: '1.co - G? I - [nc{,3G Mobile:
Efectrica/Specialty Contractor Informatlon (for powered or tighted signs)
Contractor lnformation
Contracto/s Name:
Contractor's Address:
Contractor's Phone: T Mobile:
Contractor's
35 N. lsrE.
Rexburg,lD83410
Phone:
Fox 208.359,
Cff/ OF REXBURG
Citv I State lzi p r
-Rq-'Fhu
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Sign Information )
SignArea sqft: ?-l 1.-cs'er Sign Height (from ground):
Date: \l-\q- \'+
\' -"-/ ,,
Sign Description:
For a Sirn Permh it is mandatory that you have the following informatbn:
2 Sets of efevation drawings of a sign & (dot.dots_ltgp@blg)
Drawn to scale with dimensions and complete construction materials
Footings if applicable
Engineer stamped if required
FREE STAf{DING SIGN
I] PLOT PIAN TO SCALE SHOWING:
fr A) EutLDrNG LOCATTON
ri B) LoT stzE
u c) NEw srGN LocATroN
wAr.tstct{s
l"l A) sQ FooTAGE OF WALL frhot the sign is on)
il B) EX|STTNG S|GNS & AREA
fr cl NEwsrGN &AREA
r D) LOCATION OF S|GN ON WAtt
1.
2.
3.
4.
ll D) DIMENSIONS TO SIGN FROM PROPERTY UNES il E) lS SIGN LIGHTED? YES NO (must meet stote electricol code)
I 1 E) PARI(ING LOT ENTRANCES (sign must be in legol zone for lighting ond type)
Lr F) DISrANCE OF SIGN FROM RTGHT OF WAy
tr G) EXISTING SIGNS LOCATIONq AREA
n H) fS SIGN LIGHTED? (IES , I NO /must meet stote eledricol code) (sign must be in legol zone for lighting ond type)
Fee: S10O' - S75.(x) refundable at tlme of final inspection and photo of cornpleted sign.
lnitlarsfr^ rAn extra 565.00 charge will be applied to any powered or lighted sign.
Ir
Date: \lllq/r4
Note: This document is for application must be signed by city olliciols before slgn ls opproved)
regulation information.
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CLAIM FORM
VENDOR #
VENDOR NAME
2nd LINE NAME
WDHAPPRoVAL
GC APPROVAL
ClTY OFw
Atn e r i co's F amilY C o mmunitY
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City af Rexburg
35 Northlst East
Rexburg, lD 83440
208-359-3020
XBP Gonfirmation Number: 4927 617
ir Transaction detait for payment to City of Rexburg Datet 1112112014 - 4:09:03 PM
Transaction Number: 30892544PT
Visa - XXXX-XXXX-XXXX-0640
,ttem ,Quantity ]ltem Am9 1!
IPZ Sign DePosit. ........-.,:,- .- --.-,--
Notes: PERMIT 1400531
jPz Ptan check Fee
Notes: PERMIT 1400531
.PZ Processing Fee
Notes: PERMIT 1400531
Billing Information
LYLTE LYLTE
.83303
t:
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1 ':
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TOTAL:
$75.00"....''^".
$2s.00
soioo
s16s.0a
Transaction taken bY: shellie
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Transaction Details
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XBP Gonfirmation Number: 0552206
Page I of 1
City of Rexburg
35 Northlst East
Rexburg, lD fi44A
* Transaction detail for payment to City of Rexburg.
], Transaction Notes: SIGN PASSED INSPECTION
Billing lnformation
LYLTE LYLTE
, 83303
natp@rexburg.org
Transaction Number: 33591 703PT
Visa - XXXX-XXXX-XXXX-0640
Status: Refunded
Datp':02111120{5 - 10:19:12 AM
lltem Amount
TCITAI-:
Transaction taken by: marianna
Email: natp@rexburg.org
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Xpress Bill Pay - PaYment Profsin9
City of Rexburg
35 Northlst East
Rexburg, lD 83440
208-359-3020
Page I of I
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Gonfirmation Number: 4927 617
) Transaction detail for payment to City of Rexburg.Date:11l2ll2ot4 - 4:09:03 PM
Transaction Number: 30892544PT
Visa - XXXX-XXXX-XXXX'0640 1
status: Sucgglt'Yj*-
,Quantity jltem Amount -' 1 $75'00.*... ---:
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TOTAL:s16s.0a
Transaction taken bY: shellieBilling Information
LYLTE LYLTE
, 83303
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OF
REXBTTRGcrr, __*_*_"._.*-
Americal Family Com manity
CITY Community Development Department
Phone (208)359-3020
I nspection Hotl i ne : (208137 2-2344
INSPECTION
REPORT
Inspection Tvpe
ELECTRICAL
Buildinq Tvpe
SIGN
Inspection
ELEFINAL-S
Permit Number
14-00531
Address: 346 N.2nd E.
Proiect
Dairy Queen - Sign
lnspection Date
2t10t2015
Inspection Result: PASS
Listing label on west side of sign.
Disconnect on inside of sign.
Existing circuits used-only added reader
board.
Sign itself is listed and labeled. 600.3
Disconnecting means is installed on the
exterior of the sion. 600.6
Overcurrent protection device is labeled in
panel or enclosure to indicate sign circuit.
408
Sign power was existing or licensed
electrical contractor must wire ahead of
disconnect to source.
Approved for a final.
COMPLETED
COMPLETED
COMPLETED
COMPLETED
COMPLETED
Inspector: Bret Stoddard
{trTY $#
REXSI-IITG_ft/
r{ ru srisnt fn*rilr fiinrw uruity
;,,,': 4/::'tii,i,i{i: + g# E
Date: 1112112014
Receipt #: 3417
Community Development Department
PO Box 280
Rexburg, lD 83440
Phone (208)359-3020 | Fax (208)359-3022
I nspection Hotl i ne (208)37 2-2344
Paid B.y:
Tender Type:
Reference/ Check
Lytle Signs
CREDIT
!3iry Qu"e.en;.S-ign
346 N.2nd E.
#: - 14-00531
Type: s16p
Peqr4it
Permit
Address:
SIGN-DEP
SIGN-ELE
SIGN-PERM
Sign Permit Deposit
Sign Electrical Fee
Sign Permit Fee
Please contact the Building Department at
(20S)372-2341 tor further questions about this
receiPt
24 Hour Notice for insPections
Call insPection hotline at
(2081372-2344
***Credit card payments are accepted, but are subject to a 3% convenience fee on payment amounts over $500***
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