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HomeMy WebLinkAboutAPPLICATION ELECTRICAL - 19-00228 - 142 N 4th E - Solar PanelInspections 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 Building Safety Department City of Rexburg 35 North 1st East Rexburg, Idaho 83440 BUILDING APPLICATION New Commercial Electrical For Office Use Permit Number: ____________________ Electrical Fees Paid 1. Property Owner Name: ___________________________________________________________ Address: ___________________________________________________ City: __________________________ State: ____________ Zip Code: _________________ Phone: _____________________________________________ Email: _____________________________________________________________ 2. Electrical Contractor Under Idaho Building Code, a registered contractor must do the work for a Commercial Building. Business: ___________________________________________________________ State License #: _________________________ Exp.: _______________________ Address: ___________________________________________________ City: __________________________ State: ____________ Zip Code: _________________ Phone: _____________________________________________ Email: _____________________________________________________________ Contact/Rep. Name: ______________________________________ Phone: _____________________ Email: __________________________________________ Electrical Contractor Authorized Signature: ____________________________________________________________________ Date:________________ 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 of your license. If you are unsure if your license is on file, please check with the Permit Technician by calling (208) 372-2341. 3. Project Description Address: _______________________________________ Description of work: _____________________________________________________________________________________________________________________ Project Cost: $ ___________________ Cost of project: Calculation for inspection fee: If project cost is between $0 to $10,000 then:(Cost of project * 2%) + $60 If project cost is between $10,001 to $100,000 then:((Cost of project - $10,000) * 1%) + $260 If project cost is greater than $100,001 then:((Cost of project - $100,000) * ½%) + $1160 There will also be a plan review fee totaling 10% of the above fee. lication and state that the information herein is 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 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. 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. ___________________________________ Signature: _____________________________________________ Date: _______________ BUILDING PERMIT FORM Updated /201 220