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HomeMy WebLinkAboutAPPLICATIONS, CO, MULT DOCS - 12-00405 - Mesa Falls Apts Bldg #8CITY OF RE — CW Cyr Amerlcds Family Community Building Permit No: Applicable Addition of Code: Site Address: Use and Occupancy: Design Occupant Load: Sprinkler System Required: Name and Address of Owner: Contractor: Special Conditions: Occupancy: Certificate of Occupancy City of Rexburg Department of Community Development 35 N.let E./ Rexburg, ID. 83440 Phone (208) 359-30201 Fax (208) 359-3022 fPZrI1 111p, k;W1r•, 940 South 5th West Mesa Falls Apts Bldg #8 N/A Yes Kartchner Homes, Inc. 859 S Yellowstone Hwy, Ste 201 Rexburg, ID 83440 Kartchner Homes, Inc. Residential, multiple family = 25,935.00 sq. ft. This Certificate, issued persuant to the requirements of Section 109 of the International Building Code, certifies that at the time of issuance, this building or that portion of the building that was inspected on the date listed was found to be in compliance with the requirements of the code for the group and division of occupancy and the use for which the proposed occupancy was classified. Date C.O. Issued: 08 17 15 C.O. Issued by: 29 �L Building Inspector: There shall be no further change in the existing occupancy classification of the building nor shall any structural changes, modifications or additionsbe made to the building orany portion thereof until the building Official has reviewed and approved said future changes. Mechanical Inspector: Fire Alarm'7? (� Plumbing Inspector: Fire Dept./Sprinkler: '^~ Electrical Inspector: P&Z/Public Works: i J _� �¢EXBUpc Rd SubYni#byE tnai� Building Safety Department CITY OF O F 35 N. 15^ E., Rexburg, Id 83440 City of Rexburg rlro Phone — (208)359-3020 7 Hod��in//e _(208)372-2344 Fax m 208 359-3022 M,M.s Fily communijy OWNER'S NAMEAlas F_al /J� i i1RA¢i17 PROPERTY ADDRESS Permit# Water Meter Quantity: **************Water Meter Size: Required!!! Plumbing Plumbing Contractors Name Uri, jy6w' m Address Wo F0 0 a bo lyyt t� City _ Cell Phone 70 q- �i q15 Business Phone Fax Name A/IOOL I k State Zip (COMMERCIAL/INDUSTRIAL) Total cost of plumbing system (Contracted Amount) $ (Includes the cart ofmatenals installed regardkss of the party ruppying it. The jeer listed under this inspection type shall appy to any and all plumbing installations not specifically mentioned a rewhen on this form). Up to $10,000 (total cost of system x 0.02) + 60 = $ 0 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 = $ RESIDENTIAL New: Single Family Dwelling, including all buildings witb wiring being constructed on each property. ('Based on living space, see defrreition 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) 0 Duplex Apartment $260 0 Three or more multi -family units: $130 per building plus $65 per unit: ($130 x # of buildings) + ($65 x # of units) ® Existing Residence, and Detached Shop: $65 fee plus $10 per fixture up to the maximum of the corresponding sq. ft. of the building ($65 + ($10 x # of fixtures) 0 Gray Water Systems: $130 ® Lawn Sprinklers/Backflow Device: $65 Modular, Manufactured or Mobile Homes: $65 for sewer and water stub connections ® Multipurpose Fire Sprinkler and Domestic Water Supply System: $65 fee or $4 per sprinkler head, whichever is greater Sewer & Water ® $38 Sewer Line ©$38 Water Line ©$65 Sewer & Water- if inspected at the same time $65 Sewer turnaround under house (change from septic to city) MISCELLANEOUS Plan Check: $65 per hour © Technical Service: $65 per hour © Gas Line: $65 El Water Heater Replacement: $65 Requested Inspection: $65 ❑ Hydronic Heating: $65 + ($10 x # of manifolds/zones) *Living Space — space within a dwelling unit intended for human habitation which may reasonably be utilized for sleeping, eating, cooking, bathing, waashhii-ng—, recreation,1 sanitation purposes. An unfinished basement is considered part of the living space. Signature of Licensed Contractor License number & Exp. date Date 0*0 C. t I Y U t REXB RG CW Please Complete Entire Application! If the question does not appiy fill in NA for non applicable Ameri ms Family Community COMMERCIAL & MULTI FAMILY BUILDING PERMIT APPLICATION 35 N VE, REXBURG, ID 83440 208-372-2326 PARCEL NUMBER: (We will provide this for you) SUBDIVISION: UNIT# BLOCK# LOT# is Dasect on the Information - must be PROPERTY ADDRESS:1 J 0 .s� C it Al 'W `5 PHONE #: Home ( CONTACT PHONE # Work ( )S21 -2IiIto Cell 2co�X,-7-(nS-2,i OWNER MAILING ADDRESS: 859 S wt a1 it 2c fb/yN CITY: '� k�i t a STATEN I) -ZIP: 4c �e zo tt--�'7-- EMAIL C i.Sct EV' IL II lwt ; ; yt(Ecv FAX�114 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 PHONE #: Home ( CONTRACTOR: EMAIL FAX Work ( Cell ( MAILING ADDRESS: �? S• �IeEir-nc+ r,n •,W 0Ste 24l CITYL�EJ�t _STATE1U ZIP '&3 -1-44 U PHONE: Cell#Work# (2euiS2"l ' Z ! t y Fax# A /e EMAIL IDAHO REGISTRATION # & EXP. DATEJY�1 W How many buildings are located on this property? C Q Did you recently purchase this property? L.y' Yes (If yes, list previous owner's name) _ Is this a lot split? CO) YES (Please bring copy of new legal description of property) PROPOSED USE: (i.e., Single Family Residence, Multi (jarage, Commercial, Addition, Etc.) — CIRCLE ONE 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 budding official may v a pemtit on approval issued under the provisions of the 2003 International Code in cases of any false statement or misrepresentation of fact m the apphor n e pl son which the permit or approval was based. Permit void if not started within 180 days. Permit void if work stops for 180 days. Signature of Otor/A nt DATE Do you prert a ntacted by fax, email or phone? Circle One WARNING -BUILDING PERMIT MUST BE POSTED ON CONSTRUCTION SITEI Plan fees are non-refundable and are paid in full at the time of application beginning Iaigam1. 2005. City of Rexburg9s Acceptance of the plan review fee does not constitute plan approval "Building Permit Fees are due at time of application" "Building Permits are void ifyour check does not clear" 2 Building 35N I.1E Rexburg, ID63440 www.rexburg.org Department City of Rexburg Phone: 208.372.2326 Fax: 208.359.3022 Property Lines CIT YT�0F V RG Americas Family f.:anrnnmity Each site plan that is submitted to the City of Rexburg for the Building Permit process requires that property lines are shown accurately. It is the Developer's responsibility to correctly identify on the site plan the location of these lines in reference to the public right-of-way, other adjoining property lines, the street, other structures and all utility lines. The Developer should find property pins that are still available at the lot in question. If these pins do not exist or have become unrecognizable then a new survey should be performed. Accurate property line information is a must for a timely review. In addition to finding existing property pins, legal descriptions should be checked. The best way to identify property line location is with a land survey. The City of Rexburg has aerial photos and a parcel line layer that can be checked, but they are only a tool and are not guaranteed for accuracy. If you want to request a copy of your lot, see the front counter at the Community Development Department. I have read and understand the above requirements. -22 Signature Date U Printed ame l submbye-mail; B�,,,�ding Safety Departmel,. 35 N. 1s' E., Rexburg, Id 83440 City of Rexburg Phone — (208)359-3020 / Hotline — (208)372-2344 / Fax — (208)359-3022 LOCATION OF WORK TO BE DONE: Street Address Where Work Will Be Done: 940 S. 5th W. Rexburg, ID 83440 Business Name Where Dates for Work to Be Done: Will Be Done: mesa falls apartments -2013 To, 8-2015? Contact Person: mark pettichord Phone Number: 208 745 1020 Required!!! Cell # 208 390 2296 FIRE ALARM CITY OF REXBURG ny Ametlm's Family Comnrunily Fire Alarm Contractor's Name OMNI SECURITY SYSTEMS INC./installation by nephi electric Business Name mesa falls apartments AddressPO BOX 309 CityRIGBY StatelD Zip83442 Cell Phone208 390 2296 Business Phone 208 745 1020 Fax 208 745 1564 EmailOMNISS@JUNO.COM (COMMERCIAL/INDUSTRIAL) Total cost of fire alarm system (Contracted Amount) $39,500.00 (Includes the cost of matenals installed regardless of the party supplying it. The fee listed under this inspection type shall apply to any and allfire alarm installations not specifically mentioned elsen here on this fonn). p Up to $10,000 (total c_ ostof system x 0.02) + 60 = $ 11 Between $10,001- $10000 ((total cost of system —10 000) x 0.01) + $260 = $ ® Over $100,001 ((total cost of system —100 000) x 0.005) + $1,160 = $ MISCELLANEOUS 13 Plan Review per Hour: $65 per hour 0 Re- Inspection: $65 per trip MARK PETTICHORD NICET IV 113099 of Licensed Contractor License number & 2-21-2014 date Date j Building Safety Department 35 N.1^ E., Rexburg, Id 83440 City of Rexburg OWNER'S NAME res? k' -,— y q . PROPERTY ADDRESS _ 4o- S- i S`7r" Permit# OWNER'S CONTACT PHONE OWNER'S EMAIL ADDRESS Requiredlll Mechanical C I TY OF REXBURG Amenmi ftinv%Cm,unwniq Mechanical Contractor's Name Ab� � Business Name Cell Phone tiQy - 631eo-A 2eS) Business Phone `/03 (i 350 00 Fax F_mail L%� �C 7 ('� CQ nuc ✓ Cs�r� (COMMERCIALANDUSTRIAL) Total cost of mechanical system (Contracted Amount) $-2s (fncheda the ost of materia4 imialled mgan#vs oftbe party nippbrng it. The feet lirted w dtr this ins e4m type shall apply to any asd all arahanicd 'wtaBatiew at rpegfrml# tmntianed elnwhem as thafomt). ❑ Up to $10,000 (tot cost of sys e, x 0.02) + 60 = $ O,-� Between $10,001- $100,000 ( (total c_ gst of system - 10,000) x 0.01) + $260 = $ 13 Over $100,001 ( (tam cost ofustern _ 100.0m) x 0.005) + $1,160 = $ RESIDENTIAL senaNOWd &V 16n Am Dw�ge Including aUbuddings wide wiang being constructed on each prep�Y (*Based Oa Gt7ng apRcq ❑ Up to 1,500 $q 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 NevrM1du-Fgmi/yDwawg (CaaareCmAv n*) + ($65 x # of additional ] 000 4 f °r portion t fl ren). ❑ Duplex Apartment $260 ❑ Threc or mote multi -family units: $130 per building plus $65 per unit: 45130 x # of b +il inga� + ($65 x # of unieel ❑ Existing Residence, Modular, Manufactured or Mobile Homes and Detached Shop: $65 fee plus $10 per * HVAC equipment being installed up to the maximum of the corresponding sq. ft. of the building MISCELLANEOUS ($65 + (510 x # of fixtures)) ❑ Plan Check: $65 per hour ❑ Technical Service: $65 per hour ❑ Gas Line: $65 ❑ Water Heater Replacement: $65 ❑ Requested Inspection: $65 ❑ Fireplace/Solid Fuel Burning Appliance: $65 per inspection *Living Space - spate within a dwelling unit intendatl for human habitation which may reasonably be utilized for steeping, eating, cooking, bathing, washtag, mcreaao R s �1n unfinished basement is considered part of the living space. **Examples of HV�� a rr olar, water heater, etc. _y leas->— ' H Uc�e-133% 2 z94S of Licensed Contractor--, License number & Exp. date Date 35 N. Vt E., DU--- .-. /7r Building Safety Department Id 83440 City of Rexburg Of.I� OWNER'S NAME `1 - RcY PROPERTY ADDRESS 9'/la 4. t G{I- Permit# SUBDIVISION PHASE LOT BLOCK Required►!► rAvA �-rt Plumbing Plumbing Contractor's Name d � y/ -exc to Business Name Cell Phone ('U L'a (-?2 % ? Business Phone CITY OF REXBUR.G AmMlak Family Co, r ,:ily Fax ) Email/ %J✓U/ILfyblbLj? %Olf.t�1(G'�GZ�tt�<<o«( (COMMERCIAL./LNDUSTRIAL) Total cost of plumbing system (Contracted Amount) $ (Includes the cost of materials installed regardless of the parCy .nrpplyinpj it. The fees listed under this inspection type .shall apply to any and allpluinbing installations not speafiralymentIoned elsewhere on tbis fors)..- ❑ Up to $10,000 (total cost df system x 0.02) + 60 = $ ❑ Between $10,001- $100,000 ((total cost bf system -10.000) x 0.01) + $260 = $ ❑ Over $100,001 ( (total cost of system -100,000) x 0.005) + $1,160 = $ RESIDENTIAL New. Single FaindyDwe/lrng, including all buildings with wiring being constructed on each property. (*Based on living space; see.deSnition below) ❑ Up to 11500.sg ft - $130" ❑ 1,501 to 2,500 sq ft -... $195 ❑ 2,501 to 3,500 sq ft - $266 ❑ 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 thereof)). New• Muld-Family DweA7g (Contractors Only) - - - - - ❑ Duplex Apartment $260 ❑ Three or more multi -family units: $130 per building plus $65 -per unit: ($130 x # of buildings) + a65 x # of units) ❑ Existing Residence, and Detached Shop' $65 fee plus $10 per fixture up to the maximum of the corresponding sq. ft. of the building ($65 + ($10 x # of fixtures . El Gray Water Systems: $130 ❑ Lawn Sprinklers/Backflow Device: $65 ❑ Modular, Manufactured or Mobile Homes: $65 for sewer and water stub connections ❑ . Multipurpose Fire Sprinkler and Domestic Water Supply System: $65 fee or.$4 per sprinkler head, whichever is greater Sewer&Water - - - - - - - ❑ $38 Sewer Line ❑$38 Water Line ❑$65 Sewer & Water- if inspected at the same time ❑ $65 Sewer, turnaround under house (change from septic to city) MISCELLANEOUS ❑ Plan Check: $65 per hour ❑ Technical Service: $65 per hour ❑ Gas Line: $65 ❑ Water Heater Replacement: $65 ❑ Requested Inspection: $65 ❑ Hydronic Heating: $65 + ($10 x # of manifolds/zones) *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. o Ucense.number & Exp. date Date Buik`ig Safety Departmen' 35 N. 154 H., Rexburg, Id 83440 City ,& Rexburg Phone — (208)359-3020 / Hotline - (208)372-2344 / Fax — (208)359-3022 CITY OF 7�y ra XBURG civ America's Family Cnmmantty LOCATION OF WORK TO BE DONE: Street Address Where Work Will Be Done: _950 South 5t° West, Rexburg, Idaho Business Name Where Work Will Be Done: —Mesa Falls Apartments Dates for Work to Be Done: —Tune, 2013 To: December, 2014 Contact. Person: Rochelle Charles Phone Number: _(208) 313-6876 Cell # (208) 313-6876 Regwred!ff FIRE SPRINKLER Fire Sprinkler Contractor's Name: Phoenix Fire Protection Business Name Phoenix Fire Protection Address 4130 Airport Road City_Nampa State_ID --Zip-83687— Cell Phone _(208) 313-6876_ Business Phone _(208) 468-9115 Fax (208) 461-9117 Email rochelle@phoemxfp.com (COMMERCIAL/INDUSTRIAL) Total cost of fire sprinkler system (Contracted Amount) $_334,600 (Includes the cost of materials installed regardless of the party supplying it. The fees listed under this in pection type shall spy to any and all fire sprinkler installations not sbecifzcally mentioned elsewhere on this form). ❑ Up to $10,000 (total cost of system x 0.02) + 60 = $ ❑ Between $10,001- $1002000 ( (total cost of system —10 000) x 0.01) + $260 = $ ❑ Over $100,001 ( (total cost of system — 100 000) x 0.005) + $1,160 = $ MISCELLANEOUS ❑ Existing Inspection Base: $60 ❑ Re- Inspection: $65 per trip construction $1 per sprinkler head ($2,000 maximum) ____2032L number head #12 00101/2012 12/31/12 02/18/13 of Licensed Contractor License number & exp. date Date 35 N. 1s' E., Rexburg, Id 83440 City of Rexburg Phone — (208)359-3020 / Hotline — (208)372-2344 / Fax — (208)359-3022 OWNER'S NAME a- FQAj Apf 8 PROPERTY ADDRESS 9 q6 3. b777,W. OWNER CONTACT PHONE OWNER EMAIL ADDRESS Permit# 1Z LV%19- Requiredffl ELECTRICAL „r „t REXBURG F�.«�o • Approved for temporary power ❑ Approved for permanent power Electrical Contractor's Name ,— C } '% Business Name C Address City ----------State Zip Cell Phone ,2 h h' Z� 3 r% b'h'3 Business Phone Fax (COMMERCIAL/INDUSTRIAL) Total cost of electrical system (Contracted Amount) $ (Includes the con of materials installed regardless of the party rupp, ag it. The fees tined under this inspection type sball apply to any and all electrical installations not rpeeifimlly mentioned elsewhere on this form). ❑ 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 FamilpDweLkag, ineluding all buildings with wiring being constructed on each pmperty. (*Based on living space, see defiatacta 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 thereof)). New• Multi-Famlly DweKng (Contractors Only) ❑ Duplex Apartment $260 ❑ Three or more multi -family units: $130 per building plus $65 per unit: ($130 x # of buildings) + ($65 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. &. of the building ($65 + ($10 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 -Dater, Inngadon, 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. - License number & exp. date Date �" 0 �] fin] � ># la_w NICmE NFP/ SECURITY SYSTEMS INC. MEMBER FIRE ALARM INSPECTION AND TESTING REPORT Testing performed in accordance with applicable NFPA 72 Standards / By NICET Certified Technicians Building occupied as All, C,,4 /'411r Q!%n 111,, " Owner /Manager: Name & Number Address of Building ;P ye S -4- ee x Name of Tester f t r -t Date of Inspection 7 e:?I !S Type of Inspection 7-,,, 4, t Notification of Testing '/5, Control Panel Manufacturer & Model ✓ # of Zones: 5' SLC Loops: K' NAC's - FACP: ,1" FCPS: JC Total NAC's: J System should be tested on Standby (battery power) for 30 min. prior to Battery Test. Battery Inspection RADIO FACP I I FCPSI. FCPS2 FCPS3 Location 1}o a'kirr,, may_ Battery Voltage YcQ1 t/ r Amp Hour d Date on Battery 7 15--1 J5 FACP Inspection Yes No N/A l ti .Yes No N/A Key to Panel Available V All circuits checked for electrical supervision Operating Instructions at Panel t,,- Newest Record posted at Panel w All unctions and buttons work properly circuit Breaker marked Red rr circuit Breaker Panel: /Jy� e # er Does Alarm system meet audibility standards Trouble Signal with AC Power o o� .System operates satisfactory on standby power at max load Control Panel checks made per manufacturer's instruction All signals operate on AC power All interfaced equipment operates (Elevators, Fans, Dampers) v - All LED's Illuminate -✓ Name of Monitoring Company: A/,1 J//J 1'J% h`-rucr.-c4 Account # �a'�r4. C✓J J.%-5t,/rYCommunication Verified: Verified: �A-(5 N/A Equipment Tested Corrections Made: car This is to certify that this Fire Alarm has been properly Tested and Inspected for liability to cover the items listed in this report, according to Manufacturers Recommenflaticm 2 Signature of Fire Marshal: Signature of Owner or representative Signature of Certified Tester: f - .Agency: Omni Security Systems Inc • P. O. Date: l ti Date: Date: ^7 w"? / /e, • Rigby, ID 83442 • Office 208-745-1020 • Fax: 208-745-1564 I 1[ 7 � � 1 c\- D Q. b sr w p F O � p A 0 o _ � A O p '� pi ❑ a ( � y 3 ^❑ol❑ A J a ED o c m n H ❑ ❑ ❑ J o > r ❑ � N z 1[ 7 � � 1 c\- D Q. A sr ❑ o _ � A O p '� pi ❑ f i I �{,IiXH U(1 �O� G-" ''''ggpp''''��99 C I '['" YY �(�)�t'rA$i.�{ �/, �'iq !�° qG � l B5�/$BVI �%Nr :.�'. yW Amerlwa Rimily Comm uniiy Community Development Department PO Box 280 Rexburg, ID 83440 Date: 05834 14 1 Phone (208)359-3020 1 Fax (208)359-3022 Receipt #: 183a Inspection Hotline (208)372-2344 SEE CO1) " _....... i+i G £0 ESCR[PT1fJN .. A(.i Q 11.N`.M .# : 13G ANLfJ'UN Please contact the Building Department at (208)372-2341 for further questions about this receipt Mg 0 4 2014 M5 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*** REX13iTRG�` City of Rexburg Receipt Number: 13-0111 Department of Community Development g 35 North 1st East / Rexburg, ID. 83440 Phone (208) 359-30201 Fax (208) 359-3022 genpmtrreceipts Page 1 of 1 Receipt Date: 03/04/2013 7 Cashier: AMANDAS Payer/Payee N9me: ' PFiaenix Fire Pratectlon Original Fee Amountf Fee Permjt Parcef, Fee Description Amount Paid ._ Balance 1200405 RPRXBCA031 Fire Sprinkler Fee $117.64 $117.64 $0.00 Total: $117.64 PrGOIOfs'Payrnent History Receipt'# Recelpt Date,' Fee Descripticn - :Amount Paid Permit # ' .Payment''Check-Paymen Metirgtl Number, :Amount CHECK 15620 $117.64 Total: $117.64 "AR04<46 CITY ie XalC genpmtrreceipts Page 1 of 1