HomeMy WebLinkAboutAPPLICATION - 16-00660 - 676 Harvest Dr - Back-up GeneratorCITY o P Building Safety Department
go RMURGCity of Rexburg
Submit By Email 35 North 1st East
`"'° Amarlm5 amflyCoromunry Rexburg, Idaho 83440
BUILDING APPLICATION
Electrical
For Office Use
Permit Number: t6'Q0f6a Permit Type: ❑New &kemodel tSMdition ❑ Basement Finish
Fees Paid: $ Yes ❑ No (ti
1. Property Owner _
Name: �(% —.1- ,EJ N t-k� �'
Address: C— C !'o v T�� City: tztL State: � o Zip Code: �� If in a
Phone & Type: �? A P-/791- 9sp�ffice ❑ Mobile Email:
Under Idaho Building Code, a homener is allowed to do work on their own home.
Are you a homeowner doing work on your own home? /n� Yes (Skip to #3 and complete the Homeowner's Exemption page)
[3 No: I am a contractor working for the homeowner QNo: This property is a Multi -family Residence or Commercial Property.
NOTE: Anycontractors/sub-contractors involved will need to submit their own signed applications. O wtv" .4 X po -:(^H0
2. Electrical C tr ctor O V
Name: PV !:T' I Regis radon #: r%CSS Exp.:
Address: 7y? City: State:�_ZipCode: e3 Yt, fl
Phone & Type: -� S _ 0 -Office ❑ Mobile Email: �°2 i C e. �c B ? LJ
Contact/Rep. Name j P J2 c r2
Phone: WfP :21"919 Email: �2 f c -a J?
�-,Iectr�calContractoCA'lthorizecT`5gnatliie3l Date:=i4aae
3. Project Des ri ti � � 2 (r �� P-3 zi IVO
Address: �Q 90' /A ey2 CT ?c' -OR- Lot #: _ Block #: _ Subdivision:
Check one: El Single-family Residence ❑ Multi -family Residence []Commercial
Check one: []New Construction* ❑ Remodel []Addition ❑ Basement Finish
Desai tion of work: I Slf Jt F} 2 L A A-G1c p q) �
New Commercial Work: Contracted amount:$ J A c�7 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.00 5) + $1,160
New Single -Family Residential Work: Sq. Ft
❑ Up to 1,500 Sq. Ft. = $130 ❑ 1,501-2,500 Sq. Ft ee$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 residenceand 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 2SHP ❑ $95 26- 200HP ❑ $130 over 200HP
❑ Irrigation Machine= $65 for center pivot+ $10 per tower of drive motor $ ❑ Technical Service= $65/hour
❑ Temporary Amusemente: $65 + $10 per ride, concession, or generator $ ❑ Plan Check =10% of Contracted Amoun
oTemporarV Construction Services ONLYe: $6S 200 amo or less. One location for less than 1 year.1
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.. _._, .............„...,...,,,,,,°. Peueuy utvequry,ihereby cermy mats nave read rots appmcation and state that the information herein
is correct and I swear that any information which may hereafter be given bymein hearings before the Planning and Zoning Commission or the City Council forthe City of Rexburg
shall he 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 ofthe
City to enter upon the above-mentioned property for inspections purposes, NOTE: The building official may revolve a permit on approval issued under the provisions of the 2012
International Code in rases ofany false statement or misrepresentation of fact in the application or on the plans on which the permit or approval was based. Permitvoidifnot
started within 180 days. Permifvoldifworkstops for 180 days. ��j
Applicas Name (print):_��cO. Z -e /.SIC g Signature: --yc �
nt'` Date:
Inspections mustbe called in before 8 AM on the daythe inspection is requested. Inspection requests called inaRer 8 AM will be scheduled forthe nextbiumess day.
Inspection Hotline -(208)372.2344 www.rexleurg.org Permit Technician -(208)372.2341 Revised March, 2016