HomeMy WebLinkAboutAPPLICATION - 17-00277 - 525 S Center St - BYUI Snow Building - HVAC ImprovementsCITY OF
REXBURG
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BUILDING APPLICATION
Mechanical
Building Safety Department
City of Rexburg
35 North 1st East
Rexburg, Idaho 83440
For Office Use
Permit Number: Permit Type: ❑ New ❑ Remodel ❑ Addition ❑ Basement Finish
Fees Paid: ❑ Yes ❑ No
1. Property Owner
Name: BYU-Idaho
Address: S25 SCenter City: Rexburg State:ldaho Zip Code: 83460
Phone & Type: 208-496-1411 ❑ Office ❑ Mobile Email:
Under Idaho Building Code, a homeowner is allowed to do work on their own home.
Are you a homeowner doing work on your own home? ❑ Yes (Skip to #3 and complete the Homeowner's Exemption page)
❑ No: I am a contractor working for the homeowner ❑ No: This property is a Multi -family Residence or Commercial Property.
NOTE: Any contractors/sub-contractors Involved will need to submit their own signed applications.
2. Mechanical Contractor
Name: Lewis Corporation Registration #: HVC-C-4440 Exp.: 5/31/19
Address: 15136 W Hunziker Rd City: Poatello State: Idaho Zip Code: 83202
Phone & Type: 208.238.1202 El Office ❑ Mobile ,Email: kenyan@lcorp.com
Contact/Rep. Name: Kenyan Lewis hone: zuo.z* .1202 Email: kenyan@lcorp.com
Mechanical Contractor Authorized Signatur Date: 5 t
3. Project Description
Address: BYU-1 Snow Building AHU -OR- Lot #: _ Block #: _ Subdivision:
Check one: ❑ Single-family Residence ❑ Multi -family Residence ❑ Commercial
Check one: ❑ New Construction* ❑ Remodel ❑ Addition ❑ Basement Finish
Description of work: HVAC Improvemnts
New Commercial Work: Contracted amount: $427,855.00 Calculated Fee (See Below): $2799.26
❑ Up to $10,000 = (total cost of system x.02) + $60 ❑ $10,0014100,000 = ((total cost of system -10,000) x.01) + $260
El Over $100,001 = ((total cost of system -100,000) x .005) + $1,160 -
New Single -Family Residential Work: Sq. Ft.
❑ Up to 1,500 Sq. Ft. = $130 ❑ 1,501-2,500 Sq. Ft. = $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 mf any other residence and Detached Shops: _ (65 + (10 x # of HVAC fixtures))
Miscellaneous: ❑ Gas Pressure= $65 ❑ Furnace or A/C = $65 ❑ Water Heater= $65 ❑ Requested Inspection= $67—
E3 Gas
65❑Gas Line = $65 ❑ Fireplace/Solid Fuel Burning Unit = $65 13 Technical Service = $65/hour
❑ Plan Check =10% of Contracted Amount
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 hereafterbe given by mein hearings before the Planning and Zoning Commission or the City Council for the Cityof 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 ofthe
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 2012
International Code in cases of any false statement or misrepresentation of fact in the application or onthe plapson ermit orapproval was based. Permit void lfnoc
started within 180 days. Permit void if work stops for 180 days. t
Applicant's Name (print): Kenyan Lewis Signature:
Date: 5-22-17
Inspections must be called in before 8 AM on the day the inspection is requepfed. Inspec5A requests called in after 8 AM will be scheduled for the next business day.
Inspection Hotline -(208)372.2344 www.rexburg.org / Permit Techllclan -(208)372.2341 Revised March, 2016