HomeMy WebLinkAboutAPPLICATION FIRE ALARM - 16-00674 - 525 S Center St - BYUI - Clark Classroom Remodel�� •� CITY OF
. ° REXBURG
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BUILDING APPLICATION
Fire Alarm
Building Safety Department
City of Rexburg
35 North 1st East
Rexburg, Idaho 83440
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1. Applicant
Business Name: Nelson Fire Systems
Office Address: 1481 South Major Street City: Salt Lake City
State: UT Zip Code: 84115
Office Phone: 801-468-8300 Contact Person: Ben Nelson
Cell Phone
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Date:
License/Registration # Expiration:lul
2. Location of Work to be Done
StreetAddress: 525 South Center Street City: Rexburg
State: ID Zip Code: 83460
Business Name: _BYU-Idaho Clarke Building Remodel Levels 1-& 3
Contact/Rep. Name: Wheeler Electric - Shane Monson Phone: 208-522-1906
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V(Oi`iice D Cell Phone
Email: shanemQwheelerelectric.com
Dates for work to be done: From to
3. New Construction Contracted Amount: $ Calculated Fee (See Below): $
D Up to $10,000 = (total cost of system x.02) + $60 O $10,0014100,000 = ((total
cost of system -10,000) x.01) + $260
0 Over $100,001= ((total cost of system -100,000) x.005) + $1,160
4. Miscellaneous
XPlan Review :=10% of Contracted Amount
Q Re -Inspection = $65
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
correct and 1 swear that any lnformatlon which may hereafterbe given by no in hearings before the Planning and ZoningCommisslon or the City Council forthe City of Rexburg shall
be truthful and correct i agree to comply with an City regulations and State laws relating to the subject matter of this application and hereby authorized representatives ofthe City
to enterupon the abov&mentloned property forlropections purposes. NOTE: The buildingoii}dal may revoke a permiton approval Issued under the provisions ofthe 2012
International code In cases of any false statement or misrepresentation of fact in the application or on the plans on which the permit or approval was based. Permit voldif not
started within 180 days. Permltvold ifworkstops for 180 days.
Applicant's Name (print): Marisa Taylor Signature: Date:
RIM,—
Inspections must be called in before 8 AM on the day the inspection is requested. Inspection requests called inafter 8 AM will be scheduled for the next business day.
Inspection Hotline — (208) 372.2344 www.rexburg.org Permit Technician — (208) 3722341 Revised March, 2016