HomeMy WebLinkAboutAPPLICATION & INSPECTION TICKETS - 11-00453 - Homecare Pulse Tenant FinishBuild Sofely Deporiment
35 N. 1,t E,., Rexburg, Id 83440
Phone - Q08)359-3020 / Hotline - Q08)372-2344 / Fax - e0B)3Sg-3022
OWNER'S NAME fru - 6irtc.tc Tuj i;,r
PROPERTY ADDRESS 1 etr {..b Z rd r=-qsr-
City of Rexburg
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REXBURG
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Aft er i {e's lilwi$ Comnunity
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SUBDIVISION
PHASE LOT BLOCK-Approved for temporary power
Approved for permanent power
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Reqwired!!!ELECTRICAL
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Electrical Contractor's Name =JeRu-u\ V r['<; i^ Business Name Vt(c: ,,. E"LE-c:i'fL\c_
Address i \\ t.io, C"er, rcx-- City K.xa,-t." State___ll]2__Zrp t) S "t q u
CellPhone ji-t-tl ,o Uusinessphone S.+"r."s
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(COMMERCIAL/INDUSTRIAL) Total cost of electdcal system (Conttacted Amount) $_$_zcu_iti _(ncludwtheco$ofmaterialsi7ttaiedngar!le$ofthepat1npp!ingit.ThefeeJlioedundertbhintpution!pesha//app!toan1andallelectrica
not tpedfca@ nentioned elnwhere on thisfonn).
E!'- Up to $10,000 (total cost of system x 0.02) * 60 = g't-21-o,;
n Between $10'001 - $100,000 ( (Jotal cost of system - 10.000) x 0.01) + g260 = g
il ovet $100,001 ( (total cost of system - 100.00b) x 0.005) + g1,160 = g
Small Works (Contractots ONL\): $10 fee for work not exceeding $200 in cost and not involving a change in
service connections. Does NOT require inspection.
RESIDENTIAL
New; Sjngle Family Dwelling, including all buildings with wiring being constructed on eacb propmy. (,tBased on lioing space,see definition below)
n 1,501 to 2,500 sq ft - 9195
m 3,501 to 4,500 sq ft - g325
1,000 sq ft. or portion thereof ($325 + ($65 x # of additional
tr Up to 1,500 sq ft - 9130
n 2,501 to 3,500 sq ft - $260
n Over 4,500 sq ft g325 plus g65 for each additional
1.000 sq. ft. or portion thereo0).
Neu : Multi-Family Dwelling (Co ntractors Only)
n Duplex Apartment g260
n Three or mote multi-family units: $130 per building plus $65 per unir ($130 x # of buildings) + ($65 x # of units)n Existing Residence, Moiulat, Manufactured oii,Iobil" flo-.", and Detached Shop: g65 fee plus g10 perbranch circuit, up to the maximum of the corresponding sq. ft. of the building ($eS + ($tO x # branch circuits))n Central Heating/Cooling Systems: $65 When NOT"part of new residentiall or FIVAC permit with no additionalWiring
n Spas, Hot Tubs, and Swimming pools: $65 fee for each tdp to inspect
Pump*Vater, Irigation, Sewage (eacb motor)
n $65 up to 25HP ng95 - 26 to 200Hp r$130 over 200 Hp
MISCELLANEOUS
-n Temporary Consffuction Services ONLY: 200 amp or less, one location (for a period not to exceed 1 year) - $65q Temporary Amusement $65 fee plus $10 per ride, .or..rrior or generaror
n Irigation Machine: $65 for center pivot plus $10 per tower of drive motor
il Technical Service: g65 per hour
m Phn Check g65perhour
n Requested Inspection: g65
*Living Space - space within a dwelling unit intended for human habitation which may reasonably be utilized for sleeping, eating, cooking,o'TU, tt',4shin&-{9ffgaa'and sanitation puqpees. An unfinished basement is considered pai of the living space.
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Contractor License number & exp. date Date
I nrspECTIoN TIcKBT O
Inspction. Request: Rec'd By Q l** u ' Ort"
Req. By 'T'' 'n'{,- kl.{. Phone No. 35b'1*{
nruF., Perrnit No- tt csO453
lnspection Type
Day /Time Req.
Inspector's Report Comm.
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INSPECTED ITEMS CONFORM TO NY DN
rNsPqgroR's AcnoN
d4wnoreo I DISAPPRovED DFINAL
dr.o (FTNAL) DNSTAPPLIcABLE D DID Nor NsPEcr
ACTION REQUIRED: NO}€-
Rec'l Ackruwledged
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Bldg.I Ptumb. E/Etccr.
Inspction Reguesr Rec'd By fu"-:e'
Req. By
Project
Address
Inspection Type
Day /Time Req.
Inspector's Report O Res.
O Mech. O Firc
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Phone No. 3{l'/7 7O
Pennit No. l'l 0 O 453
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fNSPECTOR'S ACTTON /
!APPRovED dptseppnouro DFTNAL
nc.o (FTNAL) - DT0IAPPL|CABLE nDlDNOTINSPECT
ACnoN REeuTRED: Iqe--{i6^ " fr$gS.
Rec't Acknowledged
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lblor . Job Co9t H - hcprfir|Oopr
INSPECTED ITEMS CONFORM'NO APPROVED DWGS