HomeMy WebLinkAboutAPPLICATION ELECTRICAL - 17-00272 - 639 Handcart Ln - Savoye Apartments LLCC I T Y O F
REXBURG
,y,
AmctiwN Familt (:)nn wiih-
BUILDING PERMIT FORM 420 l
BUILDING APPLICATION
Miscellaneous Electrical Work
Building Safety Department
City of Rexburg
3S North 1st East
Rexburg, Idaho 83440
,li, , ;, .
Permit Number: 17-00272 x] Electrical Fees Paid
Name: Savoye Apartments LLC
Address: 117 E Main Street City: Rexburg State: ID Zip Code: 83440
Phone: 208-351-6103 Email: jameshirrlinger@gmail.com
Under Idaho Building Code, a homeowner is allowed to do work on their own home.
Are you a homeowner doing work on your own home?
❑ Yes (Skip to of this application and complete the Homeowner's Exemption page as well)
Ixl No, I am working with the homeowner
`. Electrical C.
Under Idaho Building Code, a registered contractor must do the work for a Commercial Building. 3g
Business: a <<e..� /Z JiO State License #: 018100 Exp.: "5c. o3017
Address: City: R `,b7 State: Zip Code: 3 %Z
Phone: —.,,Z25 = i' Email: ✓i�i�3��� 5.1� . �S
Contact/Rep. Name: _i/1t} Phone: Email:
Electrical Contractor Authorized Signature: Date:
t (vr3} of }vlir st(;rE et}isirudcfl; lier�n c: Is r squired to - e On pie. 11 til t 1 first tune you have dune work in tate City of Rexburg, please provide
n photo ropy of -your license. /f you are unsure if vo license is on file, please check with the Permit Technician by calling (208) 372.2341.
Address: 639 Handcart Lane -OR- Lot #: _ Block #: — Subdivision:
What type of Property: ❑ Residential Ex Commercial
Cost of job:$ 1,800,000
Description of work: 96 Bed Apartment Complex
Check all that apply:
Ix Central Heating/Cooling Systems = $65 ❑ Pumps - Water, Irrigation, Sewage (per motor)
Ixl Temporary Electrical Services ONLY = $65 (200 amp o $65 - up to 25HP
or less. One location, for less than 1 year.) o $95 - 26- 200HP
Ix] New Circuits= $(65 + ($10 x # of branch circuits)) o $130 - over 200HP
$_see engineer's plans ❑ Spas, Hot Tubs, and Swimming Pools = $65
❑ Miscellaneous/Requested Inspection = $65 ❑ Temporary Amusement = $65 + $10 per ride,
❑ Generators = $65 concession, or generator $
❑ Irrigation Machine = $65 for center pivot + $10 per Inspection fees can be bundled upon request. Re-inspectfees will be
tower or drive motor = $ enforced if inspection requests exceed fee totals.
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
is correct and I swear thatany information which may hereafter be given by me in hearings before the Planning and Zoning Commission or the City Council for the City of Rexhurg
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 of the
City to enter upon the above-mentioned property for inspections purposes. NOT£: The building ullicial may revoke ,, permit on appruvai issued under the provisions of the 2612
International Code in cases of any false statement or misrepresentation of tact in the application or nn the plans on which the per nit or approval was based. Permit void if not
started within 180 days, permit void if work stops for 180 days.
i
t 12-20-2018
Applicant's Name (print): 1\0� �`•\l,�Signature: Date:
Inspections most he called in heihre 8 AM on the day the inspection is requested. Ir pection requests called in atter 8 AM will be scheduled for the next business day.
Inspection Hotline - (208) 372.2344 www.rex urg.org Permit Technician - (208) 372.2341