The URL can be used to link to this page

Home My WebLink AboutALL DOCS - 14-00512 - 437 W 6th S - SFR Remodel\ / $ 2 -1 O _ 03 Qr q \ }j` a M / a CD ; k a g n - \ I / {{ 0 .. 2 \ v \ w co \ ( <f s # - °X / % o 0 \ < 0? / //� . $ a ¢ \ / 2 E [ [4/ \ e o 2) 0 a) » \\\ s _) p o /2 -0 / \ » - ¢ D. (Dm 9 E o _ °ms `}\\ k / k 3§�K z C) �■ a#� w D o J � �7§r ® \ \o (( / =\]2 !z m m3�� &} 2 O°gym ƒ z (q ] � ` ° � mE�� \ (D \ M }} I ;>c U) \/ :;u v I/�Z \ 0»>2 6 \ � � 0m 0 r3 0w k/ I - 000 \//k R E\� { } �■ m ->z \/Z - \ §� ■Eo -} / a :er - 2 \�M ° wi % �\ � Building Safety Department City of Rexburg 35N PIE Phone: 208.372.2341 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3022 CITY OF REXBURG cW..._...___ Aiw6o:a Family f„ommunih, OWNER'S NAME Tn}ell i Ve t S n� PROPERTY ADDRESS 37 (,J . S . Permit# l 005 Z OWNER'S CONTACT PHONE _505-05-0753_ OWNER'S EMAIL ADDRESS coi las . Ae-yore 06= om HOME OWNER'S ELECTRICAL PERMIT Home Owner's Name Snell i Veb}-I lin r- (�'bot.ta las Deyom) Address 20 N, fim lane— City b i'State .=D Zipg34q;)- Cell Phone 0505 &,95 - 0733 Home Phone ( ) Fax( ) Email Corr TYPES OF INSTALLATION (New Residential includes everything contained within the residential structure and attached garage at the same time) For power supplier requirements visit www.rockymtnpower.net ❑ *Up to 1,500 sq ft - $130 ❑ *1,501 to 2,500 sq ft - $195 ❑ *2,501 to 3,500 sq ft - $260 ❑ *3,501 to 4,500 sq ft - $325 ❑ **Over 4,500 sq ft - $325 plus $65 for each additional 1000 sq. ft.: sq ft ❑ Existing Residential (# of Branch Circuits) - $65 plus $10 per circuit: # of circuits ❑ Temporary Construction Service, 200 amp or less, one location (for a period not to exceed 1 year) - $65 ❑ Spa, Hot Tub, Swimming Pool - $65 for each trip to inspect ❑ Electric Central Systems Heating and/or Cooling (when notpart of a new residential construction permit and no additional wiring) - $65 ❑ Modular, Manufactured or Mobile Home - $65 plus $10 per circuit ❑ Other Installations: Wiring not specifically covered by any of the above: Cost of Wiring & L.abon e$ (includes the cost ofmaterialr installed regardless of the party sxpplying tt). ❑ Pumps (Domestic Water, Irrigation, Sewage): horse power ❑ Requested Inspections (of existing wiring) - $65 *Includes a maximum of 3 inspections. Additional inspections charged at requested inspection rate of $65 per hour. ** Includes a maximum of 4 inspections. Additional inspections charged at requested inspection rate of $65 per hour. h, �._" "', ,— 12 - // — / y ,1' Signature of Home Owner Date Submit byE-mailBuilding Safety Department / l` 35 N. VE., Rexburg, Id 83440 City of Rexburg Phone - (208)359-3020 / Hotline - (208)372-2344 / Fax - (208)359-3022 CITY OF REXBURG in Alien's Family Community OWNER'S NAME&� t fL,,-S 6uerz PROPERTY ADDRESS W3 7W • 66 3. Permit# 66650 - SUBDIVISION SUBDIVISION Ll Approved for temporary power PHASE LOT BLOCK ❑ Approved for permanent power Required!!! ELECTRICAL Electrical Contractor's Name Business Name Address a27ZIV- Zwo £ City / State .L Zip �7yya Cell Phone 51 Y — ?Ar 3 Business Phone Fax Email htA-? ; SeA-t', *Ir( &b G-V+oo -am (COMMERCIAL/INDUSTRIAL) Total cost of electrical system (Contracted Amount) $ (Incbides the cost of materials installed regaidkss of the party supplying it The fees listed under ibis inspection type shall appy to any and all ekarical installations not specificaly mentioned elsewhere on this foms). ❑ Up to $10,000 (total cost of system x 0.02) + 60 = $ ❑ Between $10,001- $100,000 ( (total cost of system — 10.000) x 0.01) + $260 = $ ❑ Over $100,001 ( (total cost of system — 100.000) x 0.005) + $1,160 = $ Small Works (Contractors ONLY): $10 fee for work not exceeding $200 in cost and not involving a change in service connections. Does NOT require inspection. RESIDENTIAL New: Single Family Dwelling, including all buildings witb wiring being constructed on each property. ("Based on living space see definition below) ❑ Up to 1,500 sq ft - $130 ❑ 1,501 to 2,500 sq ft - $195 ❑ 2,501 to 3,500 sq ft - $260 ❑ 3,501 to 4,500 sq ft - $325 ❑ Over 4,500 sq ft $325 plus $65 for each additional 1,000 sq ft. or portion thereof ($325 + ($65 x # of additional 1.000 sq. ft. or portion thereofl). New: Multi -Family Dwelling (Contractors Only) ❑ Duplex Apartment $260 ❑ Three or more multi -family units: $130 per budding plus $65 per unit: ($130 x # of buildings) + (565 x # of units) ❑ Existing Residence, Modular, Manufactured of Mobile Homes, and Detached Shop: $65 fee plus $10 per branch circuit, up to the maximum of the corresponding sq. ft. of the building ($65 + (510 x # branch circuits)) ❑ Central Heating/Cooling Systems: $65 When NOT part of new residential or HVAC permit with no additional Wiring ❑ Spas, Hot Tubs, and Swimming Pools: $65 fee for each trip to inspect Pumps -Water, Irrigation, Sewage (each motor) ❑ $65 up to 25HP ❑$95 — 26 to 200HP ❑$130 over 200 HP MISCELLANEOUS ❑ Temporary Construction Services ONLY: 200 amp or less, one location (for a period not to exceed 1 year) - $65 ❑ Temporary Amusement: $65 fee plus $10 per ride, concession or generator ❑ Irrigation Machine: $65 for center pivot plus $10 per tower of drive motor ❑ Technical Service: $65 per hour ❑ Plan Check: $65 per hour ❑ Requested Inspection: $65 *Living Space — space within a dwelling unit intended for human habitation which may reasonably be utilized for sleeping, eating, cooking, bathing, washing, recreation, and sanitation purposes. An unfinished basement is considered part of the living space. �— C- zPayv of Licensed Contractor License number & exp. date Date OF FE.%tl Ilg4, C 1 'f 1' 0 F REXBtJ.. {...V t_.. ry, _ Americas Family Community Please Complete , Entire Application! If the question does not apply fill in NA for non applicable RESIDENTIAL BUILDING PERMIT APPLICATION l q -Qb S1 Z 35 N 1" E, REXBURG, ID 83440 208-372-2326 PARCEL NUMBER: (We will provide this for you) SUBDIVISION: UNIT# BLOCK# LOT# (Addressing is based on the information - must be accurate) Dwelling Units: Parcel Acres: PROPERTY ADDRESS: '/3-'7 ACT PHONE # 7 =o '934/V 6 PHONE #: Home ( ) Work ( ) Cell ( ) SOS^(o 15-67 3 OWNER \\MAILING ADDRESS: D e A%� A ) CITY: ��'>' STATE:�ZIP:83`%y2 d EMAIL l )a5, r Z\rbcZ- 9 vnat�. caws FAX APPLICANT (If other than owner) (Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.) APPLICANT INFORMATION: ADDRESS CITY: STATE; ZIP EMAIL FAX_ PHONE #: Home ( ) S� o- aV4.f.e— Work ( ) Cell ( )— CONTRACTOR: MAILING ADDRESS: CITY STATE ZIP PHONE #: Home ( ) Work ( ) Cell ( )— EMAIL FAX IDAHO REGISTRATION # & EXP. DATE manv buildings are located on this Did you recently purchase this property? Noes If yes, list previous owner's name) Is this a lot split? NO YES (Please bring copy of new legal description of property) nannncrn 1 W.I. (i.e., Single Family Residence, Multi Family, Apartments, Remodel, Garage, Commercial, Addition, Etc.) 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 2003 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 withiil,4K days. Permit void if work stops for 180 days. Li, -J �a� L/ i z Signature of Owner/ plicant DATE WARNING — BUILDING PERMIT MUST BE POSTED ON CONSTRUCTION SITE! Plan fees are non-refundable and are paid in full at the time of application beginning ranuacEl. 2005 City of Rexburg's Acceptance of the plan review fee does not constitute plan approval **Building Permit Fees are due at time of application** **Building Permits are void if your check does not clear** 7 Xpress Bill Pay - Payment Processing https://www.xpressbillpay.com/common/payment_trocess.php REABURG XBP Confirmation Number: 4697379 Transaction detail for payment to City of Rexburg. Transaction Number: 30511724PT Visa — XXXX-XXXX-XXXX-8313 j Status: Successful Account# .Item :Quantity Item Amount 14-00512 Building Permit 1 $91.00 14-00512 Mechanical Permit 1 $75.00 14-00512 Electrical Permit 1 $110.00 14-00512 BP Plan Check Fee 1 $10.00 City of Rexburg 35 Northlst East Rexburg, ID 83440 208-359-3020 Date: 11/12/2014 -1:35:54 Billing Information Douglas Devore ,83442 loft TOTAL: $286.00 Transaction taken by: amanda 11/12/2014 1:36 PM