HomeMy WebLinkAboutALL DOCS - 16-00648 - Madison High School - Sign35 N. 1 sr E.
Rexburg, ID 83440
PlanningZoningsYexburg.org
www.rexburg.org
Sign Permit Application
Cily of Rexburg r
208.359.3022 Hotline: 208.372.2344 or Text:
Applicant Information
Owner Name: Madison High School
Site Address: 2300 University Elly.
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ress.
Telephone: (208)359-3305
Fixed Signage
Mobile:
City/State/Zip: Rexburg ID 83440
Contractor Information
Contractor's Name: sign Pro (;Email::andrew@gosignpro.eom
Contractor's Address: 1792 S Yellowstone Hwy City/State/Zip: Idaho Falls, ID 83402
Contractor's Phone: (208) 523-8540 Mobile: (208) 681-7446
Electrical/Speelalty Contractor Information (for powered or lighted signs)
Contractor Information
Contractors Name: sign -Works, Inc. License#: ELE-SC-29265 Exp Date: 3/31/17
Contractor's Address: 1792 S Yellowstone Hwy City/State/Zip: Idaho Falls, ID 83402
Contractors Phone: (208)523-8540 Email: andrew@gosignpro.com
Contractor's Signature: Date:
Sign Information
Sign Area sq ft: 240 Sign Height (from ground): 18
Sign Description: Front illuminated channel letters
For a Sian Permit It Is mandatory that you have the following information:
1. 2 Sets of elevation drawings of a sign & (plot plats if applicable
2. Drawn to scale with dimensions and complete construction materials
3. Footings If applicable
4. Engineer stamped If required
FREE STANDING SIGN
WALL SIGNS
PLOT PLAN TO SCALE SHOWING::
- A) SQ. FOOTAGE OF WALL (that the sign is on)
A) BUILDING LOCATION-
B) EXISTING SIGNS & AREA
8) LOT SIZE
'_7 Q NEW SIGN &AREA
'- C) NEW SIGN LOCATION
D) LOCATION OF SIGN ON WALL
D) DIMENSIONS To SIGN FROM PROPERTY LINES
E)15 SIGN LIGHTED? X YES NO (must meet state electrical code)
E) PARKING LOT ENTRANCES (sign must be in legal zone for lighting and type)
F) DISTANCE OF SIGN FROM RIGHT OF WAY
G) EXISTING SIGNS LOCATION & AREA
H) IS SIGN LIGHTED? YES NO (must meetstate electrical code) (sign must be in legal zonefor lighting and type)
Fee: $100" - $75.00 refundable at time of final inspection and photo of completed sign,
Initials:-A,—n/ "An extra $65.00 charge will be applied to any powered or lighted sign.
Initialy—,"Electrical inspe Ion of sign must be completed with sign contractor present to verify listing and labeling within interior of the sign.
Signature of Appli Date: 9 z1- I I L,
Note: This document is for Ilcation proposes only. (the legal sign permit form must be signed by cityof[clals beforesign is approved)
For Sign Ordinance see Chapter 10 of the Development Code at www.rexburR.orR for regulation Information.
1600&0,
CLAIM FORM
VENDOR #
VENDOR NAME
2nd LINE NAME
ADDRESS
CITY, STATE, ZIP
51 Z Pj,-?) DATE
DH APPROVAL
CC APPROVAL
C IT Y OF
REXBUR,
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Americas Family COmmu
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DESCRIPTION
ACCT#
ACCT DESCRIPTION
AMOUNT
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CLAIMANT OR HIS AGENT SIGN HERE
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XBP Confirmation Number: 21902985
City of Rexburg
35 N 1st East I PO Box 280
Rexburg, ID 83440
208.3593020
ub@rexburg.org
Page 1 of 1
1 Transaction detail for payment to City of Rexburg. Date: 0912312016 - 11:36:47 AM
Transaction Number: 57466979PT
Visa — XXXX-XXXX-XXXX-5813
status: Successful
Account#
Iltem
iQuantity
iltemAmount
1600648
PZ Sign Deposit
1
$75.00:
Notes: Permit 16
00648
------- --_
1600648
Electrical Permit
1
$6500
Notes: Permit 16
00648
1600648
PZSIGN- Sign Permit Revenue
1
$25.00
Notes: Permit 16
00648
Billing Information
Sign Pro Sign Pro
1792 S Yellowstone Hwy
Idaho Falls, ID 83402
2086817446
andrew@gosignpro.com
https://secure.xpressbillpay.com/common/payment_process.php
TOTAL: $165.00
Transaction taken by: regana
9/23/2016
Transaction Details
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XBP Confirmation Number: 28433937
City of Rexburg
35 N 1st East I PO Box 280
Rexburg, ID 83440
Transaction detail for payment to City of Rexburg. Date: 0410612017.12:02:08 PM
Transaction Number: 66509404PT
Visa — XXXX-XXXX-XXXX-5813
Status: Refunded
Account# Item
1600648 PZ Sign Deposit
Transaction Notes: SIGN PASSED INSPECTION PERMIT 16-00648
Billing Information
Sign Pro Sign Pro
1792 S Yellowstone Hwy
Idaho Falls, ID 83402
2086817446
andrew@gosignpro.com
Quantity
1
Item Amount
$-75.00
TOTAL: $-75.00
1
Transaction taken by: amandaw
Email: andrew@gosignpro.com
Xpress Bill Pay - Payment Pr3cessing
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rREXBURG
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XBP Confirmation Number: 21902985
City of Rexburg
35 N 1st East I PO Box 280
Rexburg, ID 83440
208.359-3020
ub@rexburg.org
Page 1 of 1
► Transaction detail for payment to City of Rexburg. Date: 09/23/2016 -11:36:47 AM
Transaction Number: 57456979PT
Visa — XXXX-XXXX.XXXX-5813
status: Successful
Account# Item Quantity Item Amount
1600648 PZ Sign Deposit 1 $75.00
Notes: Permit 16 00648
1600648 Electrical Permit 1 $65.00
Notes: Permit 16 00648
1600648 PZSIGN- Sign Permit Revenue 1 $25.00
Notes: Permit 16 00648
TOTAL: $165.00
Billing Information Transaction taken by: regana
Sign Pro Sign Pro
1792 S Yellowstone Hwy
Idaho Falls, ID 83402
2086817446
andrew@gosignpro.com
https:Hsecure.xpressbillpay.com/common/payment_process.php 9/23/2016
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Amzrim's Family Co+nnumify
Community Development Department
PO Box 280
Rexburg, ID 83440 Date: 09
5455
16
Phone (208)359-3020 1 Fax (208)359-3022 Receipt #: 5a55
Inspection Hotline (208)372-2344
SIGN -DEP
Sign Permit Deposit
2822000
PZSD
75.00
SIGN-ELE
Sign Electrical Fee
2832213
ELP
65.00
SIGN -PERM
Sign Permit Fee
2832320
PZSIGN
25.00
Please contact the Building Department at
(208)372-2341 for further questions about this
receipt
TOTAL PAYMENTAMO UN T ��
24 Hour Notice for inspections
Call inspection hotline at
(208)372-2344
***Credit card payments are accepted, but are subject to a 3% convenience fee on payment amounts over $500***