HomeMy WebLinkAboutFire Alarm, Fire Sprinkler, Fire Suppression ApplicationCity of Rexburg
35 North 1st East
Rexburg, Idaho 83440
o FIRE SPRINKLER o FIRE ALARM o FIRE SUPPRESSION
For Office Use
Permit Number: Fees Paid
1. Property Owner
Name:
Address:City: State: Zip Code: _
Phone:Email:
2. Contractor
Business:State License #: Exp.:
Address:City: State: Zip Code:
Phone:Email:
Contact/Rep. Name:Phone: Email:
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:
Fire System Cost: $
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 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:
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 shauna.eaton@rexburg.org Permit Technician (208) 372.2160
REXBURG BUILDING PERMIT
FIRE SYSTEMS WORKSHEET
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
An additional plan review fee is required which is 10% of the calculated inspection fee.