HomeMy WebLinkAboutAPPLICATION - 16-00507 - 446 Comanche - Water Main Replace(,I TY OF
REXBURG
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BUILDING APPLICATION
Plumbing
Building Safety Department
City of Rexburg
35 North 15L East
Rexburg, Idaho 83440
For Office Use
Permit Number: Permit Type: ❑ New ❑ Remodel ❑ Addition ❑ Basement Finish
Fees Paid: ❑ Yes ❑ No
1. Property Owner
Name: Troy Smith
Address: 446 Commanche City: Rexburg State: 1D Zip Code: 83440
Phone & Type: 9095785375 ❑ Office D 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)
El No: I am a contractor working for the homeowner ❑ No: This property is a Multi -family Residence or Commercial Property.
NOTE: Any contractors/sutrcontiactoi-% involved will need to submit their own signed -applications.
2. Plumbing Contractor
Name: All About Home Repair / Stephen Perry Registration #: 019369 Exp,: 07/31/2017
Address: 2437 W 4700 S City: Rexburg State: ID Zip Code: 83440
Phone & Type: 208-359-2247 [a Of ce ❑ Mobile Email: service@allabouthomerepairllc.com
Contact/Rep. Name: Stephen Perry one: -540-0855 Email:
Plumbing Contractor Authorized Si nature: Date:
3. Project Description Water Meter QuantiWater Meter Size:
Address: -OR- Lot #: _ Block #: _ Subdivision:
Check one: ❑ Single-family Residence ❑ Multi -family Residence ❑ Commercial
Check one: ❑ New Cqqstractiore Q Rfitmo el ❑ dditipn ❑ Basement Finish
Description of work:
New Commercial Work: Contracted amount: $ Calculated Fee (See Below): $
❑ Up to $10,000 = (total cost of system x.02) + $60 ❑ $10,0014100,000 = ((total cost of system -10,000) x.01) + $260
❑ Over $100,001 = ((total cost of system -100,000) x.005) + $1,160
New Single-Famil<< 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- Fafnily ltesidentia1: ❑ Duplex= $260 ❑ Three or more units= $((130 x # of buildings)+(65 x # of units))$
❑ Gray Water Systems= $130 ❑ Lawn Sprinklers/Backflow device= $65 ❑ Multipurpose Fire Sprinkler & Domestic Water
Supply System = $65 or $4 per sprinkler head (whichever is greater)
New work on any other residence and D 5 for sewer and water stub connections ❑
M iscel lanenns: Sewer Line = $65p Water Lire = $6 ❑ Sewer and Water Line= $65 ❑Requested inspection= $65
[3Sewer Turnaround (septic to city) = $63— Hydronic Heating= $65 + ($10 x # of manifolds/zones)
❑ Technical Service= $65/hour ❑ Plan Check =10% of Contracted Amount
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, l 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 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 of the
City to enter upon the above-mentioned property for inspections purposes. NOTE: The building officia revoke a permit on appro issued under the provisions of the 2012
International Code in rases of any false statement or misrepresentation of fact in the applicatiErequests
hich th7,Z
'pproval was based. Permit void if not
started within 180 days. Permit void ifwork stops for 180 days.
Applicant's Name (print): Stephen Perry Signatur Date: 07/20/16
Inspections must be called in before 8 AM on the day the inspection is reque d. Id in after 8 AM willbe scheduled for the next business day.
Inspection Hotline - (208) 372.2344 www.rexburg,org Permit Technician - (208) 372.2341 Revised March, 2016