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Home My WebLink AboutFA APPLICATION - 19-00160 - 425 S 3rd W - Sugar City - S Fork Villa Bldg 6 - FA/FS InstallCITY O F REXBURG r1v America's E'nrnily Community BUILDING PERMIT FORM 401 uomae to�rots 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 ❑ Property Owner Ime: South Fork Properties, LLC [dress: 5004 Marilyn Drive City: Holladay State: Utah Zip Code: 84117 .one: 801-856-5228 Email: drew@buildwithwestern,com Contractor isiness: Fire Services of Idaho State License #: 032032 Exp„ 2-28-2020 [dress: 610 Mallard City: Chubbuck State: ID Zip Code: 83202 .one: 800-866-3640 � Email: Kenny@FireServicesofldaho.com ntact/Rep. Name: Kenny Maynard 775-35.3596 Email: Kenny@FireServicesofldaho.com Contractor Authorized Signature: ® Date: 4-3-2019 A copy ofyour state registration/license is re eon file. If this is the first time you have done work in the City of Rexburg, please provide a photo copy ofyour license. Ifyouare aurlicenseisonfile, please check with the Permit Technician bycalling (208)372-2341. 3. Project Description Address: 425 S 3rd W, Sugar City, ID (Building 6) Description of work: Fire Alarm Installation 19 Fire Alarm System Cost: $ $3,986.00 • Feesfor remodels are charge by cost., i.e. Work costing $15,000 will be charged $260 for the first $10,000 and 1916 of the remaining $5,000 = $260 + $50 = $310 total fe • There will also be a plan review fee totaling 10Vo of the above fee. AND 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 I agree to comply with all City regulations and State laws relating to the subject matter ofthis 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 ofthe 2012 International Code in cases crony false statement or misrepresentation of fact in the application or on the plans on which the permit or approval was based. Permitvoidifnot started within 180 days. Permit void if work stops for 180 days. Applicant's Name (print): Kenny Maynard Signature: Date: 4-3-2019 Inspections must be called In before 8 AM on the day the inspection is requested. Inspec' refs called in after 8 AM will be scheduled for the next business day. Inspection Hotline -(208)372.2344 WW !040rg Permit Technician -(208)372.2341 INITIAL COST CHARGE BY COST Up to $10,000 = 2Vo + $60 Up to $100,000 = 1 Vo + 260 Above $100,000 = .5%+1,160 i.e. Work costing $15,000 will be charged $260 for the first $10,000 and 1916 of the remaining $5,000 = $260 + $50 = $310 total fe • There will also be a plan review fee totaling 10Vo of the above fee. AND 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 I agree to comply with all City regulations and State laws relating to the subject matter ofthis 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 ofthe 2012 International Code in cases crony false statement or misrepresentation of fact in the application or on the plans on which the permit or approval was based. Permitvoidifnot started within 180 days. Permit void if work stops for 180 days. Applicant's Name (print): Kenny Maynard Signature: Date: 4-3-2019 Inspections must be called In before 8 AM on the day the inspection is requested. Inspec' refs called in after 8 AM will be scheduled for the next business day. Inspection Hotline -(208)372.2344 WW !040rg Permit Technician -(208)372.2341 INITIAL INITIAL COST CHARGE BY COST Building Safety Department ;OaaRC�a CITY OF �o My BUILDING PERMIT FORM q 0 1 Cit of Rexburg Y g tw °°°""°`°"°" 35 North 1st East Americas Family Community Above $100,000 = .5% + 1,160 Rexburg, Idaho 83440 BUILDING APPLICATION Fire Alarm 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„ 2-28-2020 Address: 610 Mallard City: Chubbuck State: ID Zip Code: 83202 Phone: 800-866-3640 Email: Kenny@FireServicesofldaho.com Contact/Rep. Name: Kenny Maynard Phone: 775-385-3596 Email: Kenny@FireServicesofldaho.com Contractor Authorized Signature::. Date: 4-3-2019 A copy ofyour state registration/licenser require onthis is the first time you have done work in the City of Rexburg, please provide a photo copy ofyour license. ifyou are unsur our 1' a 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 (Building 2) Description of work: Fire Alarm Installation I& Fire Alarm System Cost: $ $3,986.00 ost: • Fees for remodels are charge by cost.- o i.e. Work costing $15,000 will be charged$260forthefrrst$10,000 and Igo of the remaining$5,000=$260+$50= $310 total fgg • There will also be a plan review fee totaling 10% of the above fee. .APPLICANTS SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, I hereby certify that l 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. I agree to comply withal] 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 ofthe 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. Permitvoidifnot started within 180 days. Permit void ifwork stops for 180 days. Applicant's Name (print): Kenny Maynard Signature: Inspections must be called in before 8 AM on the day the inspection Is requested. Inspection Hotline- (208) 372.2344 www.`1 Date: 4-3-2019 8 AM will be scheduled for the next business day. Permit Technician - (208) 372.2341 INITIAL COST CHARGE BY COST Up to $10,000 = 2%+$60 Up to $100,000 = 1%+260 Above $100,000 = .5% + 1,160 o i.e. Work costing $15,000 will be charged$260forthefrrst$10,000 and Igo of the remaining$5,000=$260+$50= $310 total fgg • There will also be a plan review fee totaling 10% of the above fee. .APPLICANTS SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, I hereby certify that l 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. I agree to comply withal] 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 ofthe 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. Permitvoidifnot started within 180 days. Permit void ifwork stops for 180 days. Applicant's Name (print): Kenny Maynard Signature: Inspections must be called in before 8 AM on the day the inspection Is requested. Inspection Hotline- (208) 372.2344 www.`1 Date: 4-3-2019 8 AM will be scheduled for the next business day. Permit Technician - (208) 372.2341 CITY OF REXBURG Americas Family Community BUILDING PERMIT FORM 401 upmr<d m7zms BUILDING APPLICATION Fire Alarm Building Safety Department City of Rexburg 35 North 11t East Rexburg, Idaho 83440 For Office Use INITIAL COST CHARGE BY COST Permit Number: Up to $10,000 = 2% + $60 Fire Alarm Fees Paid ❑ 1. Property Owner Up to $100,000 = 1 yo +260 Name: South Fork Properties, LLC Above $100,000 = .5% + 1,160 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„ 2-28-2020 Address: 610 Mallard City: Chubbuck State: ID Zip Code: 83202 Phone: 800-866-3640 Email: Kenny@FireServicesofldaho.com Contact/Rep. Name: Kenny Maynard P e: 775-385-3596 Email: Kenny@FireServicesofldaho.com Contractor Authorized Signature:. Date: 4-3-2019 A copy ofyour state registration/license is req e on file. is is the first timeyoa have done work in the City of Rexburg, please provide a photocopy ofyour license. If you are unsur our lice son file, please check with the Perm it Technician by calling(208)372-2341. 3. Project Description Address: 425 S 3rd W, Sugar City, ID (Building 4) Description of work: Fire Alarm Installation M Fire Alarm System Cost: $ $3,986.00 • Fees for remodels are charge by cost., o i.e. Work costing $15,000 will be charged $260 for the first $10,000 and Igo 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, l hereby certify that l have read this application and state that the Information herein correct and I 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 mrd 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. NOTE: The building official may revoke a permit on approval issued under the provisions ofthe 2012 International Code in cases ofany false statement or misrepresentation of fact in the application or on the plans on which the permit or approval was based. Permitvoidifnot started within 180 days. Permit void if work stops for 180 days. Applicant's Name (print): Kenny Maynard Signature: Date: 4-3-2019 Inspections must be called in before 8 AM on the day the inspection is requested, fti.3016n reque alled in after 8 AM will be scheduled for the next business day. Inspection Hotline -(208)372.2344 www.re rg.org Permit Technician -(208)372.2341 INITIAL COST CHARGE BY COST Up to $10,000 = 2% + $60 Up to $100,000 = 1 yo +260 Above $100,000 = .5% + 1,160 o i.e. Work costing $15,000 will be charged $260 for the first $10,000 and Igo 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, l hereby certify that l have read this application and state that the Information herein correct and I 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 mrd 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. NOTE: The building official may revoke a permit on approval issued under the provisions ofthe 2012 International Code in cases ofany false statement or misrepresentation of fact in the application or on the plans on which the permit or approval was based. Permitvoidifnot started within 180 days. Permit void if work stops for 180 days. Applicant's Name (print): Kenny Maynard Signature: Date: 4-3-2019 Inspections must be called in before 8 AM on the day the inspection is requested, fti.3016n reque alled in after 8 AM will be scheduled for the next business day. Inspection Hotline -(208)372.2344 www.re rg.org Permit Technician -(208)372.2341