HomeMy WebLinkAboutAPPLICATION 2 - 18-00551 - 425 S 3rd W - Sugar City - S Fork Villa - FA InstallCITY OF
REXI3URG
America's Family Community
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RM4,01
0/2016
BUILDING APPLICATION
Fire Alarm
Building Safety Department
City of Rexburg
35 North 1St East
Rexburg, Idaho 83440
For Office Use
Permit Number: Fire Alarm Fees Paid ❑
1. Property Owner
Name: South Fork Properties, LLC
Address: 5004 Marilyn Drive City: Holladay State: Utah Zip Code: 84117
Phone: 801-856-5228 Email: drew@buildwithwestern.com
2. Contractor
Business: Fire Services of Idaho State License #: 032032 Exp.: 2-28-2019
Address: 610 Malard City: ChubbuckState: ID Zip Code: 83202
Phone: 800-866-3640 Email: Kenny@Fireservicesofidaho.com
Contact/Rep. Name: Kenny Maynard Phone: 775-385-3596 Email: Kenny@FireServicesofldaho.com
Contractor Authorized Signature: = Date: 9-7-2018
A copy ofyour state registration/licenseuir be on ale. If this is the first time you have done work in the City of Rexburg, please provide
a photocopy ofyour license. If you ar uns Ifyour license is on file, please check with the Permit Technician by calling (208) 372-2341.
3. Project Description
Address: 425 S 3rd W, Sugar City, ID
Description of work: Fire Alarm installation
❑ Fire Alarm System Cost: $ $3,500 per
• Fees for fire alarm systems are charge by cost:
o First $10,000 = 2916 + $60. From $10,000 to $100,000 = 1910 + $260. Above $100,000 =,S% +$1,160. i.e. Work costing
$15,000 will be charged $260 for the first $10,000 and 1 % of the remaining $5,000 = $260 + $50 = .$310 total fee
• There will also be a plan review fee totaling 10% of the above fee.
.APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, I hereby certify that I have read this application and state that the information herein
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 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 of the 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 of the 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 void if not
started within 180 days, Permit void if work stops for 180 days.
Applicant's Name (print): Kenny Maynard :ested.
ature: Date: 9-7-2018
Inspections must be called in before 8 AM on the day the inspection is 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