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HomeMy WebLinkAboutAPPLICATION - 16-00666 - 74 S 4th W - Sprinkler and Grinder PumpCITY OF RMV RG Submit By Email cw AmeNms Famif Communfty BUILDING APPLICATION Kachapi ial— � (n 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: RYes ❑ No 1. Property Owner Name: fC-'v,t Address: 71t S 44 W City: 1ZcxSw State: 1TD. Zip Code: S3v4/6 Phone&Type:❑Office ❑Mobile Emai��+,ce,eo-yc,tt„o,[C.d, 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? EKes (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/subcontractors involved will need to submit their own signed applications. 2. Mechanical Contractor Name: Registration #: Exp.: Address: City: State: Zip Code: Phone & Type: ❑ Office ❑ Mobile Email: Contact/Rep. Name: Phone: Email: Mechanical Contractor Authorized Signature: Date: 3. Project Description Address: 7 Y 5 c( W -s/ -01R- Lot #: _ Block #: _ Subdivision: Check one: DJS�ingle-family Residence ❑ Multi -family Residence ❑ Commercial Check one: ❑ Ne nstivcon*—❑Remodel ❑Addition 13BasemeritiFfnsh, Description work: w -i- �� � w �.ic� �ti'Y w _%P., ; —q I New Commerct rk: ontracted-amount: $ Calculated Fee Oee Below): $ ❑ Up to $10,000 = (total cost of system x . fi�� $60— ©$fi0fliK-W0-000—((total-ccf9r6Esystem -10,000) x.01) + $260 ❑ 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 on 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= $65 ❑ Gas Line = $65 ❑ Fireplace/Solid Fuel Burning Unit= $65 ❑ Technical Service= $65/hour ❑ Plan Check =10% of Contracted Amount APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty ofperjury, l herebyce tifythat i have read this appliation and state that the information herein is correct and 1 swear that any information which may hereafter he given by mein hearings before the Planning and Zoning Commission or the City Council for the City of Rexburg shall be truthful and correct. 1 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 ofthe 2012 International Code in cases ofany false statement or misrepresentation effect in the application or on the plans on which the permit orapproval was based. PermAvoidifnot started within 180 days. Permit void ifwork stops for 180 days. Applicant's Name (print): Sn,-_ti l'e :tnv Signature: Date: 2t 5e -O h 101� Inspections must be called in before 8 AM on the day the inspection is requested. Inspection requests called in after 8 AM will be scheduled for the next business day. Inspection Hotline -(208)372.2344 www.rexburg.org Permit Technician -(208)372.2341 Revised March, 2016