HomeMy WebLinkAboutAPPLICATION FIRE SPRINKLER - 16-00573 - 486 S 3rd W - The Roost - Bldg #2 - MFRnape Bp"� CITY OF Building Safety Department
Submi! B Email Ci of Rexburg
.a REXBURG y �'
cW 35 North 1st East
America's Family Community Rexburg, Idaho 83440
BUILDING APPLICATION
Fire Sprinkler
1. Applicant
Business Name: PHOENIX FIRE PROTECTION
Office Address: 4130 AIRPORT RD City: NAMPA State: IDAHO Zip Code: 83687
Office Phone: 208.468.9115 Contact Person: TERI Cell Phone:
Date:
Expiration: 12/31/2016
2. Location of Work to be Done
Street Address: 486 S 3RD W City: REXBURG State: ID Zip Code: 834'
Business Name: THE ROOST APARTMENTS BLDG #2
Contact/Rep. Name: BROOK STEWART Phone: 208.468.9115 Office OCell
Email: BROOK@PHOENIXFP.COM
Dates for work to be done: From 11/10/16 to 12/30/16
3. New Construction Contracted Amount: $: -2J,5CD Calculated Fee (See Below): -4-13.
Up to $10,000 = (total cost of system x.02) + $60 10,001-$100,000 = ((total cost of system -10,000) x.01) + $260
C3 Over $100,001= ((total cost of system -100,000) x.005) + $1,160 3—(S
4. Miscellaneous
]New Construction = $1 per sprinkler head ($2,000 max) # of heads:
E3Existing Inspection Base = $65
E�Plan Review = 10% of Contracted Amount 3 1.50
pRe-Inspection = $65
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, I herebycertify that I have read this application and state that the information herein
correct and I swear that any informationwhich may hereafter be givenby mein hearings before the Planning and Zoning Commission or the City Council forthe City of 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 abovementioned property for inspections purposes. NOTE: The building official may revoke a permit on approval issued under the provisions ofthe 2012
International Code in cases ofanyfalse statement or misrepresentation of fact in the application or on the plans on whichthe permit or approval was based. Permitvoidifnot
started within 180 days. Permit void ifworkstops for 180 days.
BROOK STEWART 11 Y
Applicants Name (print): Signature: � A� /T Date:
Inspections mustbe called in before 8 AM on the daythe inspection is requested. Inspection requests caged inafter E AM will be scheduled for the nextbusiness day.
Inspection Hotline -(208)372.2344 wwwrexburg.org Permit Technician -(208)372.2341 Revised March, 2016