HomeMy WebLinkAboutAPPLICATION FIRE ALARM 18-00175 - Arbor Cove - Bldg #1 - 54 Units - New Dormitory Housing (1)OF gEX B URC
CITY O F
REXBURG
'•< America's Family Community
BUILDING PERMIT FORM401
Updated 10/2016
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: BAH Holdings, LLC
Address: PO Box 50620 City: Idaho Falls State: 1DZip Code: 83405
Phone: Email:
2. Contractor
Business: Phoenix Fire Protection State License #: 108 EXp.: 12/2018
Address: 4130 Airport Rd. City: Nampa State: ID Zip Code: 83687
Phone: 208-468-9115 Email: teri@phoenixfp.com
Contact/Rep. Name: Teri Cruickshank Phone: 208-468-9115 Email: teri@phoenixfp.com
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Contractor Authorized Signature: Cruickshank Date: 11.01.18
A copy of your state registration/license is required to be on file. If this is the first time you have done work in the City of Rexburg, please provide
a photo copy ofyour license. lfyou are unsure ifyour license is on file, please check with the Permit Technician by calling (208) 372-2341.
3. Project Description
Address: 220 S 2nd W Bldg #1
Description of work:4 Firs w/Standpipe in stairs. Floor control valve on each floor, 4th Floor fed from 3rd floor(sidewalls on 4th Fir)
❑ Fire Alarm System Cost: $ 180,168.00
• Fees for fire alarm systems are charge by cost:
o First $10,000 =2% + $60. From $10,000 to $100,000 =1 % + $260. Above $100,000 =.5% +$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 1 swear that any information which may hereafter be given by me in hearings before the Planning and Zoning Commission or the City Council for the City of Rexburg shall
be truthful and correcL 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 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): Teri Cruickshank Signature:
Teri Oigimy signM by Teri Guid¢ ,k
ON:cn=Teri GudWarik,
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Cruickshank -.=i' -,M —` d.
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Date: 11.05.18
Inspections must be called in before 8 AM on the day the inspection is requested. 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