HomeMy WebLinkAboutAPPLICATION FIRE SPRINKLER - 14-00352 - BYUI Science & Technology Bldg
35 N. 1st E., Rexburg, Id 83440
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: _____________________________________
Business Name Where Work Will Be Done: ____________________________________
Dates for Work to Be Done: _____________________ To: _______________________
Contact Person: ___________________________________________________________
Phone Number: ___________________________ Cell #: ____________________
Required!!! FIRE SPRINKLER
Fire Sprinkler Contractor’s Name: __________________________________________________
Business Name ________________________________________________________________
Address___________________________City_________________State__________Zip_______
Cell Phone _____________ Business Phone ______________________________
Fax _______________________
Email________________________________________________
(COMMERCIAL/INDUSTRIAL) Total cost of fire sprinkler system (Contracted Amount)
$__________
(Includes the cost of materials installed regardless of the party supplying it. The fees listed under this inspection type
shall apply to any and all fire sprinkler installations not specifically 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 = $______
MISCELLANEOUS
□ Existing Inspection Base: $60
□ Re- Inspection: $65 per trip
□ New construction $1 per sprinkler head ($2,000 maximum)_________number head
______________________________________
Signature of Licensed Contractor License number & exp. date Date
Building Safety Department
City of Rexburg