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HomeMy WebLinkAboutAPPLICATION - 19-00662 - 890 W Main - Grind Coffee House - Electrical04 ggXB URG >> ° Rexburg Building Department 31 N 1st E Rexburg, Idaho 83440 N� Ph: (208)372-2160 Electrical Permit Application rexburcg.org Please fill out this application completely and submit with payment. If you have questions or need assistance completing the application, please call the Rexburg Building Department. Please note: permit fees are non-refundable and non -transferable. ICA -ovuu-z - 1. Property Owner Name: Al'I QAddresCity: Phone:( State: 14D od. i 4' nkyQqCru.,u 2. Electrical Contractor Under Idaho Buildin Code, a registered contractor must do the work for a Commercial) uilding. Business: b State License #: �'5 ) � Ex l' ���/ p.: Address: City: State: _rD— ZiR Code: q Phone:Q016- CAW OQ 3i�- 4�✓{o Email: Contact/Rep. Name: a0 Phone: •?)9. 3 mail:_kL4,9=_ =-; A copy ofyour 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. Ifyou are unsure ifyour license is on file, please check with the Permit Technician by calling (208) 372-2341. DESCRIPTION OF WORK: '64 JOB SITE DRESS: (% e"; ZIP: COUNTY: JOB NAME: DIRECTIONS TO JOB SITE: AN ADDITIONAL $65 FEE MAY BE ASSESSED if a re -inspection of the project is required. THIS PERMIT APPLICATION IS NOT AN INSPECTION REQUEST: To schedule inspections please call (208) 372-2344 It is the responsibility of the permit holder to arrange access to the premises with the property owner in order for the city to complete the inspection. We Accept: cash, check, money order, Visa and MasterCard. GRAND TOTAL FEES PAID* Make checks payable to the City of Rexburg *Please use the worksheet on page 2 to determine the total fees and enter the amount to be paid here. PUBLIC RECORDS NOTICE — Business information such as your company address and phone number is regarded as public information according to the Idaho Public Records Act. Your business address and phone number may be provided to a third party upon written request. Electrical Contractor Authorized Signature: Date: Page 1 Revised 7/08/2019 Rexburg Building Department ELECTRICAL PERMIT WORKSHEET IFEE SCHEDULE This worksheet must accompanythe Application RESIDENTIAL 31N1stE Rexburg, ID 83440 (208) 372-2160 rexburg.org Use this worksheet to calculate the fees and transfer the grand total to the e application. • New Residential: Single Family Dwelling, including all associated outbuildings in connection with primary or secondary residence (i.e. Accessory structures, Additions). Total $ * Based on living space (see definition below) ❑ Up to 1,500 sq.ft. $130 ❑ 1,501 to 2,500 sq.ft. $195 Total Square Footage ❑ 2,501 to 3,500 sq.ft. $260 $ 113,501 to 4,500 sq.ft. $325 ❑ Over 4,500 sq.ft. $325 plus $65 for each additional 1,000 sq.ft. or portion thereof $325 + ( $65 x # of additional 1,000 SQftor portion thereof ) • The building plan review fee will be 10% of the total cost for the Building Permit • Temporary Construction Services ONLY (200 amp or less, one location): $65 • New: Multi -Family Dwelling $ ❑ Duplex Apartment $260 ❑ Three or more multi -family units: $130 per building plus $65 perunit ( $130 x # of buildings ) + ( $65 x # of units) $ ❑ Existing Residence ❑ Manufactured or Mobile Homes: $65 fee plus $10 per additional branch circuit, up to the maximum of the corresponding sq.ft. of the building (one circuit is included in the $65.00) $65 + $ ( $10 x # of additional branch circuits) •Residential Electric Space Heating and Air Conditioning$65.00 • Pumps -Water, Irrigation, Sewage (each motor): ❑ 65 up to 25HP ❑ 95 - 26 to 200HP ❑ 130 over 200HP Phase inverters and roto phase equipment, $ please use the Other Installation including Commercial/Industrial in addition to the um motor fee. fee $ • Residential Spas, Hot Tubs, Hydro Massage Tubs and Swimming Pools: $65 fee for each trip to inspect • Use Other Installations below for non-residential installations $ • Signs/Outline Lighting: ❑ Signs - $100 per sign ❑ Outline Lighting - $65 $ • Temporary Amusement: $65 fee plus $10 per ride, concession, orgenerator $65 + ( $10 x # of ride/concession/generator) $ • Irrigation Machine: $65 for center pivot plus $10 per tower or drivemotor $ $65 + ( $10 x # of tower/drive motor) ❑ Requested Inspection (Findings or Inspector Consultation) Contractor cannot call in for power off over 1 year. $65.00 per hr OTHER INSTALLATIONS including COMMERCIAUINDUSTRIAUSOLAR/RENEWABLE ENERGY • The fees listed under this inspection type shall apply to any and all electrical installations not specifically mentioned elsewhere on this form. This shall include all labor, materials, equipment, overhead and profit, as well as all labor, materials, and equipment supplied by others. The project value cannot be reduced by labor, material or equipment that is donated or supplied by others. At the time of "Final" inspection, the scope of work, valuation, and permit fees will be verified.,, Total cost of electrical system (Cost of Project): $ SCJ Cost of project: Calculation for inspection fee: If project cost is between $0 to $10,000 then: (Cost of project -29%) $$60 If project cost is between $10,001 to $100, 000 then: ((Cost of project - $10,00 10, 000) * 1 %) + $260 If project cost is greater than $100,001 then: ((Cost of project_$100,0 $100,000) * % %) + $1160 An ndditinnnl nlnn rte,,,,,.. F .. : .- • -,z . — .......1 IJ l u no vl the calculated inspection fee GRAND TOTAL: $ Please record the grand total on your building application Living Space — space within a dwelling unit intended for human habitation which may reasonably be utilized for sleeping, eating, cooking, bathing, washing, recreation, and sanitation purposes. An unfinished basement is considered part of the living space. Page 2 Revised 7/08/201.c)