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Home My WebLink AboutALL DOCS - 16-00596 - Advanced Physical Therapy and Wound Center - SignSign Permit Application Cily of Rexburg Applicant Information Fixed Signage aan,e Advanc$A sical Therapy & Wound Center ',IteAddtess 1 Professional Plaza --- Mailing Address: - Telephone: — City/State/zip;Rexbug, ID 83440 _208-359-2500 Contractor Information - ------ Contractor's Name: IF SIGNS l:•.nt",'cr'r sAd(frt 1255E 17th street ----- Email: me an Ifs' ns.com _ �°� __ 124 — tt;')lip _1dahQ.E-dJs t..ontrac;cr Thr-.n�_ 20624-4124 ------ Mobile: Electrical/Specialty Contractor Information poi powered Or lighted signs) Contractor Information Contractor's Name: Hleplti's_Ele+ tris l anrractor's Addrrss -"- --- ---- __- Eicensell: Exp Date. 272N1.20011_E. __. _ tY'/Starz! - Con'rattc,r'. P6nnr�. 208 Ilp; fteXhuxg,lp $3440 Email. ... — ---- Contractor'sSignature: --- ---'-- Sign information - Sign Area sq fT 4' x 11' — -je,ghl 14' sign .7escrinnc,n - channel letter Sign PerOpt r, maptlq-,gy : • r. nave the following information' ,.. br . 4 En®neer AdroWd•if required Mir 5TANINNG $tGN PLOT PLAN TO SCA(F SHO WING. WAl1, SK NS '. nTtllh ' ' _. , .Li II r _,IiN4 Cl NEW SIGN LOCATION 0 NEW SIGN & AREA f`I',,1.,(cpgr h, ,h+ fq ,x. 91,(..,fir �� •� , `.M1A. Pld,G a trm N_ V_ F _i R ;r.�(U .. c,I,iANCE fit,.tq ffiGyt, r an', ..le G) EXISTING SIGNS LOCATION & AREA H) IS SIGN LIGH I ED? YES NO (must meet state electrical cede, (sign must he In legal zon. for feelighting and t>;,.. ' $100' . SIS.(x) rnfuntl rbla et times nr hna l lnspeaion antl photo nl completed :ign inilials:___`eAn extra $65.00 charge will be applied to an Y powered or lighted sign 'f3ectrical inspection of sign mast be canple:ed with sign ,oatttao! Present to vetifirlisting and labeling w{thin ,neer+or of the sig,. Signature of Applicant: -65 _.T�_ -_- Datc Nate; ?Ms doamnnnt Is for , , 5cauor•, pn)poses only rr for sign Ordmanre sea ChnPlar 100f the 6avnlnlm, M )Ode nt +, • •'- FP- ..... www.reeburg_w.g for tegulainn mt rmnnoa CLAIM FORM VENDOR # VENDOR NAME 2nd LINE NAME ADDRESS CITY, STATE, ZIP pEXBVRC 1 C[TY O F 9 y -R-EX-BURG Q SHED IB America's Family Community Sri DATE DH APPROVAL CC APPROVAL a13Ii 17 DESCRIPTION ACCT# ACCT DESCRIPTION AMOUNT p DA Yti t I (e 06 snfo �vC C" l� 7.S •av CLAIMANT OR HIS AGENT SIGN HERE Kpress Bill Pay - Payment Processing ':n, of RI`XBURG <w XBP Confirmation Number: 21246638 https://secure.xpressbillpay.com/common/payment_process.php City of Rexburg 35 N 1st East I PO Box 280 Rexburg, ID 83440 208.3593020 ub@rexburg.org Transaction detail for payment to City of Rexburg. Date: 0910212016 - 1:24:51 PP Transaction Number: 56558383PT Visa — XXXX-XXXX-XXXX4590 Status: Successful Account# Item Quantity Item Amount 16-00596 �PZ Sign Deposit 1 $75.00 Notes: permit 16-00596 16-00596 Electrical Permit 1 $65.00 Notes: permit 16-00596 16-00596 PZSIGN- Sign Permit Revenue 1 $25.00 Notes: permit 16-00596 Billing Information IF Signs IF Signs 1255 E 17th Street Idaho Falls, ID 83404 208-524-4124 megan@ifsigns.com TOTAL: $165.00 Transaction taken by: natalie of 1 9/2/2016 1:24 PM Transaction Details cttr or REXBURG <m nou+nu) h.oul�4:•nmwnry. XBP Confirmation Number: 28428527 City of Rexburg 35 N 1st East I PO Box 280 Rexburg, ID 83440 Transaction detail for payment to City of Rexburg. Date: 04/0612017 -11:33:20 AM Transaction Number: 66503697PT Visa — XXXX-XXXX-XXXX-4590 Status: Refunded Account# Item 16-00596 PZ Sign Deposit Transaction Notes: SIGN PASSED INSPECTION PERMIT 16-00596 Billing Information IF Signs IF Signs 1255 E 17th Street Idaho Falls, ID 83404 208-524-4124 megan@ifsigns.com Quantity Item Amount 1 $-75.00 TOTAL: $-75.001 J Transaction taken by: amandaw Email: megan@ifsigns.com The copyright to this design is owned by IF Signs and may not be reproduced in any way without written consent from IF Signs. This is a copy of your print job EXACTLY as it will be printed, built and/or installed including position of all items. ANY ERRORS not corrected at this time will be corrected only at your expense. PLEASE READ THIS PROOF CAREFULLYAND NOTE ANY CHANGES OR CORRECTIONS DIRECTLY ON THE COPY! U=;o❑ Proof is correct and I authorize the printing or building. ❑ Make the indicated corrections, then print or build. ❑ Make indicated corrections, then send another proof. 1 have read this proof and noted corrections. I understand that by signing below, t accept full responsibility for any costs involved in reprinting due to errors not found at this time. Customer Signature Date Xpress Bill Pay - Payment Processing '- „L.r \ a r. REXBURG XBP Confirmation Number: 21246638 https:Hsecure.xpressbillpay.com/common/payment_process.php City of Rexburg 35 N 1st East I PO Box 280 Rexburg, ID 83440 208-359.3020 ub@rexburg.org Transaction detail for payment to City of Rexburg. Date: 09/0212016 -1:24:51 PM Transaction Number: 56668383PT Visa — XXXX-XXXX-XXXX4590 Status: Successful Account # Item 16-00596 PZ Sign Deposit Notes: permit 16-00596 16-00596 Electrical Permit Notes: permit 16-00596 16-00596 PZSIGN- Sign Permit Revenue Notes: permit 16-00596 Billing Information IF Signs IF Signs 1255 E 17th Street Idaho Falls, ID 83404 208-524-4124 megan@ifsigns.com Quantity Item Amount 1 $75.00 1 $65.00 TOTAL: $165.00 Transaction taken by: natalie 1 of 1 9/2/2016 1:24 PM O� pLXa VRA, y �a C f"rY OF REXBURG C Americas Family Community Community Development Department PO Box 280 Rexburg, ID 83440 Phone (208)359-3020 1 Fax (208)359-3022 Inspection Hotline (208)372-2344 Date: 09/02/2016 Receipt#: 5404 By: IF Signs Project: Advanced Physical Therapy and Permit # : 16-00596 er Type: CREDIT Wound Center- Sign Permit Type: SIGN 'ence/ Check #: Address: 1 Professional Plaza 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 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*** 1