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HomeMy WebLinkAboutALL DOCS - 16-00565 - Sonic - Signof� • `v C I TY O F 35N.19E. Sian Permit Application --- -G Rexbvrg. ID 83440 City of Rexbur D PlanningZOning@rexburg.org www.rexburg.org am.dmf F, ly runnun Phone: 208.372.2348 Fox:208.359.3022 Hotline: 208.372.2344 or Text: inspections@rexburg. �c Fixed Signage Applicant inform Owner Name: . Site Address: -2 Mailing Address: Telephone: Contractor Information > . t_ , „_„+, r d ,., sw �r s �` Sefu.ccSlmatl:r «.. Contractor's Name: �v� it�s�?'Sk r �1,,,w(( ,^„ CS721 Contractor's Address: "W11 Al. IQ 5� City/State/Zip: - •• Contractor's Phone: ('1;�'59 Z - 0” Mobile: Electrical/Specialty Contractor information (for powered or lighted signs) C0 Contractor Information E_G- 3 �• . � License#: CL -C-4- `l� xp Date: � Contractor's Name: eyK Ir0} t contractor's Address: '3c'o 549 UR -C&- City/State/Zip:��' �'r "� p ��yZ�' Contractor's Phone: 5 `4 Email: Contractor's Signature: Date: Sign Information Sign Area scl ft: - Sign Description: Sign Height (from ground): Fora Sign Permk it is mandatory that you have the following information: 1. 2 Sets of elevation drawings of a sign & (plot plats ifogil icoblel 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 Ll B) EXISTING SIGNS & AREA B) LOT SIZE ❑ C) NEW SIGN & AREA O C) NEW SIGN LOCATION I i D) LOCATION OF SIGN ON WALL ❑ D) DIMENSIONS TO SIGN FROM PROPERTY LINES P. E) IS SIGN LIGHTED? YES NO (must meet state electrical code) ❑ E) PARKING LOT ENTRANCES (sign must be in legal zone for lighting and type) O F) DISTANCE OF SIGN FROM RIGHT OF WAY ❑ G) EXISTING SIGNS LOCATION & AREA I H) IS SIGN LIGHTED? YES NO (must meet state electrical code) (sign must be In legal zone for lighting and type) Fee: $100• - $75.00 refundable at time of final inspection and photo of completed sign. Initials: _`An extra $65.00 charge will be applied to any powered or lighted sign. Initials: -Electrical inspection of sign must be completed with sign contractor present to verify listing and labeling within interior of the sign. Signature of Applicant: /� Date: Note: Thisdocument is for is proposes only. (the legal sign permitform must be signed by city officials before sign is approved) For Sign Ordinance see Chapter 10 of the Development Code at www.rexburg.org for regulation information. CLAIM FORM VENDOR # VENDOR NAME 2nd LINE NAME ADDRESS CITY, STATE, ZIP or CITY OF d ;� RFYTIT TT?C, nv " America's Family Community 9�/SNfO \B 0A SCSS I NlXJ Ue--�'c-DATE DH APPROVAL CC APPROVAL DESCRIPTION ACCT# ACCT DESCRIPTION AMOUNT d.e �Idd-tk/�tn4` onel�C�-C' GO ICJ,ov CLAIMANT OR HIS AGENT SIGN HERE &1812016 ' Xpress Bill Pay- Payment Processing 't yt\lf:y a yi CI1 v IJF rzExavRG .__-_.--ads•---'-_.__ h u:mmi F,mu7l�tau+mun<ry XBP Confirmation Number: 20732385 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: 08118/2016.1:09:35 PM Transaction Number: 55876566PT Visa —XXXX-XXXX-XXXX-7868 Status: Successful 'Account# Item 1600565 PZ Sign Deposit Notes: Permit 16 00565 1600565 -Electrical Permit Notes: Permit 16 00565 1600565 PZSIGN- Sign Permit Revenue Notes: Permit 16 00565 Billing Information Sessions Electric Sessions Electric Ashton, ID 83420 2086527256 Quantity Item Amount 1 $75.00 1 $65.00 1 $25.00 TOTAL: $165.00 Transaction taken by: kreeves https://secure.xpressbillpay.com/commorVpayment_process.php 1l1 1 Xpress -Bill Pay - Transaction Details i Page 1 of I Transaction Details F City of Rexburg REXBURG 35 N 1st East I PO Sox 280 Rexburg, ID 83440 Air., n;dt ham.',r t4norninuo- XBP Confirmation Number: 27148389 / Transaction detail for payment to City of Rexburg. Date: 02/27/2017 -11:02:29 AM Account# 1600565 Item PZ Sign Deposit Transaction Number: 64733388PT Visa — XXXX-XXXX-XXXX-7868 Status: Refunded Transaction Notes: sign passed inspection permit #16 00565 Billing Information Sessions Electric Sessions Electric Ashton, ID 83420 2086527256 colbyt.vk@gmail.com Quantity Item Amount 1 $-75.00 TOTAL: $-75.001 Transaction taken by: marianna Email: colbyt.vk@gmail.com https://secure.xpressbillpay.com/common/trans_details.php?trans_id=NTE5MDM4NjE%3D&conf num=... 2/27/2017 4 1a D m1 '��� S®�ICo 1 .. I BONIC OBNE�IN gEBTAIIRAM .......... 1d� A �� • CONVEfl610N 1RE=RNL10EA8i u �+�..-•u+...vrn y1i4ia ...r..m tj gExBugo,lo Olwo AUG 1 8 2016 9 24 Z£ MIA AUG 1 8 2016 v Z 5 i co xa m d N r L0m u tmom v Z Ym� 0 0 J LL m OOU� W N vii N�1 N Z � �NF- W - w U —_w zw cce z Q X S vU a z ijj U N Q LL W N P h 00 O N h - N N N a Wmm�dmo aQ V N 1 J KU N F z=FU 8/18/2016 Xpress Bill Pay - Payment Process! ng 4 (CITYO I' 4 REXBURG r XBP Confirmation Number: 20732385 City of Rexburg 35 N 1st East I PO Box 280 Rexburg, ID 83440 208.359-3020 ub@rexburg.org 0 Transaction detail for payment to City of Rexburg. Date: 08/18/2016.1:09:35 PM Transaction Number: 55876566PT Visa —XXXX-XXXX-XXXX-7868 Status: Successful Account # Item 1600565 PZ Sign Deposit Notes: Permit 16 00565 1600565 Electrical Permit Notes: Permit 1600565 1600565 PZSIGN- Sign Permit Revenue Notes: Permit 16 00565 Billing Information Sessions Electric Sessions Electric Ashton, ID 83420 2086527256 Quantity Item Amount 1 $75.00 1 $65.00 1 $25.00 TOTAL: $165.00 Transaction taken by: kreeves https://secure.xpressbillpay.com/commor✓payment_process.php 1/1 gCc x auk. ice 'ia CITY 0Y REXBURG America's Family Community Community Development Department PO Box 280 Rexburg, ID 83440 Date: 5372016 08 Phone (208)359-3020 1 Fax (208)359-3022 Receipt #: 5372 Inspection Hotline (208)372-2344 Paid By: Sessions Electric Tender Type: CREDIT Reference/ Check # : SIGN -DEP Sign Permit Deposit SIGN-ELE Sign Electrical Fee SIGN -PERM Sign Permit Fee Project: Please contact the Building Department at (208)372-2341 for further questions about this receipt Sonic - Sign Permit #: 16-00565 Permit Type: SIGN 210 N 2nd E 2822000 PZSD 75.00 2832213 ELP 65.00 2832320 PZSIGN 25.00 TO TAL PAYM EN T AMOUNT 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***