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Home My WebLink AboutALL DOCS - 16-00657 - 130 Syringa St - Exhaust Fans Inspections must be called in before 8 AM on the day the inspection is requested. Inspection requests called in after 8 AM will be scheduled for the next business day. Inspection Hotline – (208) 372.2344 www.rexburg.org Permit Technician – (208) 372.2341 Revised March, 2016 Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 BUILDING APPLICATION Electrical For Office Use Permit Number: ____________________ Permit Type: ⧠ New ⧠ Remodel ⧠ Addition ⧠ Basement Finish Fees Paid: ⧠ Yes ⧠ No 1. Property Owner Name: ___________________________________________________________ Address: ___________________________________________________ City: __________________________ State: ____________ Zip Code: _________________ Phone & Type: _______________________ ⧠ Office ⧠ Mobile Email: _____________________________________________________________________ Under Idaho Building Code, a homeowner is allowed to do work on their own home. Are you a homeowner doing work on your own home? ⧠ Yes (Skip to #3 and complete the Homeowner’s Exemption page) ⧠ No: I am a contractor working for the homeowner ⧠ No: This property is a Multi-family Residence or Commercial Property. NOTE: Any contractors/sub-contractors involved will need to submit their own signed applications. 2. Electrical Contractor Name: _____________________________________________________________ Registration #: _________________________ Exp.: _______________________ Address: ___________________________________________________ City: __________________________ State: ____________ Zip Code: _________________ Phone & Type: ___________________________________ ⧠ Office ⧠ Mobile Email: __________________________________________________________ Contact/Rep. Name: ______________________________________ Phone: _________________ Email: ______________________________________________ Electrical Contractor Authorized Signature: ____________________________________________________________________ Date:_________________ 3. Project Description Address: _______________________________________ -OR- Lot #: ____ Block #: ____ Subdivision: _________________________________ Check one: ⧠ Single-family Residence ⧠ Multi-family Residence ⧠ Commercial Check one: ⧠ New Construction* ⧠ Remodel ⧠ Addition ⧠ Basement Finish Description of work: _____________________________________________________________________________________________________________________ New Commercial Work: Contracted amount: $________________________________ Calculated Fee (See Below): $___________________ ⧠ Up to $10,000 = (total cost of system x .02) + $60 ⧠ $10,001-$100,000 = ((total cost of system -10,000) x .01) + $260 ⧠ Over $100,001 = ((total cost of system -100,000) x .005) + $1,160 New Single-Family Residential Work: _________ Sq. Ft. ⧠ Up to 1,500 Sq. Ft. = $130 ⧠ 1,501-2,500 Sq. Ft. = $195 ⧠ 2,501-3,500 Sq. Ft. = $260 ⧠ 3,501-4,500 Sq. Ft. = $325 ⧠ Over 4,500 Sq. Ft. = $325+(65 x # of additional 1,000 Sq. Ft. (or portion thereof)) $_________________ New Multi-Family Residential: ⧠ Duplex = $260 ⧠ Three or more units = $((130 x # of buildings)+(65 x # of units))$_________ New work on any other residence and Detached Shops: = $(65 + (10 x # of branch circuits)) $__________________ Miscellaneous: ⧠ Small Works (work costing less than $200 with no change in service connections)=$10(needs no inspection.) ⧠ Central Heating/Cooling Systems = $65 ⧠ Spas, Hot Tubs, and Swimming Pools = $65 ⧠ Requested Inspection = $65 ⧠ Pumps - Water, Irrigation, Sewage (per motor) = ⧠ $65 up to 25HP ⧠ $95 26- 200HP ⧠ $130 over 200HP ⧠ Irrigation Machine = $65 for center pivot + $10 per tower of drive motor $_____________ ⧠ Technical Service = $65/hour ⧠ Temporary Amusement = $65 + $10 per ride, concession, or generator $__________ ⧠ Plan Check =10% of Contracted Amount ⧠ Temporary Construction Services ONLY = $65 (200 amp or less. One location, for less than 1 year.) APPLICANT’S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, I hereby certify that I have read this application and state that the information herein is correct and I swear that any information which may hereafter be given by me in hearings before the Planning and Zoning Commission or the City Council for the City of Rexburg shall be truthful and correct. I agree to comply with all City regulations and State laws relating to the subject matter of this application and hereby authorized representatives of the City to enter upon the above-mentioned property for inspections purposes. NOTE: The building official may revoke a permit on approval issued under the provisions of the 2012 International Code in cases of any false statement or misrepresentation of fact in the application or on the plans on which the permit or approval was based. Permit void if not started within 180 days. Permit void if work stops for 180 days. Applicant’s Name (print): ___________________________________ Signature: _____________________________________________ Date: _______________ Inspections must be called in before 8 AM on the day the inspection is requested. Inspection requests called in after 8 AM will be scheduled for the next business day. Inspection Hotline – (208) 372.2344 www.rexburg.org Permit Technician – (208) 372.2341 Revised March, 2016 Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 BUILDING APPLICATION Mechanical For Office Use Permit Number: ____________________ Permit Type: ⧠ New ⧠ Remodel ⧠ Addition ⧠ Basement Finish Fees Paid: ⧠ Yes ⧠ No 1. Property Owner Name: ___________________________________________________________ Address: ___________________________________________________ City: __________________________ State: ____________ Zip Code: _________________ Phone & Type: _______________________ ⧠ Office ⧠ Mobile Email: _____________________________________________________________________ Under Idaho Building Code, a homeowner is allowed to do work on their own home. Are you a homeowner doing work on your own home? ⧠ Yes (Skip to #3 and complete the Homeowner’s Exemption page) ⧠ No: I am a contractor working for the homeowner ⧠ No: This property is a Multi-family Residence or Commercial Property. NOTE: Any contractors/sub-contractors involved will need to submit their own signed applications. 2. Mechanical Contractor Name: _____________________________________________________________ Registration #: _________________________ Exp.: _______________________ Address: ___________________________________________________ City: __________________________ State: ____________ Zip Code: _________________ Phone & Type: ___________________________________ ⧠ Office ⧠ Mobile Email: __________________________________________________________ Contact/Rep. Name: ______________________________________ Phone: _____________________ Email: __________________________________________ Mechanical Contractor Authorized Signature: ____________________________________________________________________ Date:________________ 3. Project Description Address: _______________________________________ -OR- Lot #: ____ Block #: ____ Subdivision: _________________________________ Check one: ⧠ Single-family Residence ⧠ Multi-family Residence ⧠ Commercial Check one: ⧠ New Construction* ⧠ Remodel ⧠ Addition ⧠ Basement Finish Description of work: _____________________________________________________________________________________________________________________ New Commercial Work: Contracted amount: $________________________________ Calculated Fee (See Below): $__________________ ⧠ Up to $10,000 = (total cost of system x .02) + $60 ⧠ $10,001-$100,000 = ((total cost of system -10,000) x .01) + $260 ⧠ Over $100,001 = ((total cost of system -100,000) x .005) + $1,160 New Single-Family Residential Work: _________ Sq. Ft. ⧠ Up to 1,500 Sq. Ft. = $130 ⧠ 1,501-2,500 Sq. Ft. = $195 ⧠ 2,501-3,500 Sq. Ft. = $260 ⧠ 3,501-4,500 Sq. Ft. = $325 ⧠ Over 4,500 Sq. Ft. = $325+(65 x # of additional 1,000 Sq. Ft. (or portion thereof)) $_________________ New Multi-Family Residential: ⧠ Duplex = $260 ⧠ Three or more units = $((130 x # of buildings)+(65 x # of units))$_____ New work on any other residence and Detached Shops: = $(65 + (10 x # of HVAC fixtures)) $__________________ Miscellaneous: ⧠ Gas Pressure = $65 ⧠ Furnace or A/C = $65 ⧠ Water Heater = $65 ⧠ Requested Inspection = $65 ⧠ Gas Line = $65 ⧠ Fireplace/Solid Fuel Burning Unit = $65 ⧠ Technical Service = $65/hour ⧠ Plan Check =10% of Contracted Amount APPLICANT’S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, I hereby certify that I have read this application and state that the information herein is correct and I swear that any information which may hereafter be given by me in hearings before the Planning and Zoning Commission or the City Council for the City of Rexburg shall be truthful and correct. I agree to comply with all City regulations and State laws relating to the subject matter of this application and hereby authorized representatives of the City to enter upon the above-mentioned property for inspections purposes. NOTE: The building official may revoke a permit on approval issued under the provisions of the 2012 International Code in cases of any false statement or misrepresentation of fact in the application or on the plans on which the permit or approval was based. Permit void if not started within 180 days. Permit void if work stops for 180 days. Applicant’s Name (print): ___________________________________ Signature: _____________________________________________ Date: _______________ Permit Inspection Summary Permit Status of (Issue) as of Report Date: 01/30/2017 11:23 am Permit Details Permit Number: 16-00657 130 Syringa St - Exhaust Fans 130 Syringa St Single Family Residential Remodel Permit Issued Date: 09/28/2016 Permit Inspection Statistics 2Total Inspections Completed: 2Total Inspections Passed: Inspection Pass Rate 100.00% Permit Inspection History *Refer to Individual Inspection Report for more Details Electrical Inspection Type 09/29/2016PassBret StoddardElectrical Final Inspection SFR-B,A,R, MFR-A,R Mechanical Inspection Type 09/29/2016PassDon AllenHVAC Final Inspection The exhaust fan in the bathroom looks goodInspector Comments: Transaction detail for payment to City of Rexburg. Date: 09/28/2016 - 11:11:46 AM Billing Information Sermon Service and Electric Sermon Service and Electric , 83403 accounting@sermonid.com City of Rexburg 35 N 1st East | PO Box 280 Rexburg, ID 83440 208-359-3020 ub@rexburg.org XBP Confirmation Number: 22060722 Transaction Number: 57693518PT Visa — XXXX-XXXX-XXXX-5159 Status: Successful Account # Item Quantity Item Amount 16-00657 Mechanical Permit 1 $65.00 16-00657 Electrical Permit 1 $65.00 Notes: Permit # 16-00657 TOTAL:$130.00 Transaction taken by: coltonm Xpress Bill Pay - Payment Processing https://secure.xpressbillpay.com/common/payment_process.php 1 of 1 9/28/2016 11:11 AM