HomeMy WebLinkAboutFIRE APPLICATION - 05-00048 - BYUI Taylor Building - RemodelCITY OF
REXBURG
AMLRICA'S FAMILY COMMLIN11 Y 19 E. Main St.
Rexburg, Idaho 83440
N .rexburq.orq
Phone: 208-359-3020 x326
Fax 208-359-3024
cdd@rexburg.org
APPLICATION: "CONSTRUCTION PERMIT"
CONSTRUCTION PERMIT #: F' elf O oo
PERMIT APPROVED: YES/ NO $50.00 FEE PAID: YES/NO
APPROVED BY:
-APPLICANT INFORMATION:
BUSINESS NAME: ?-
OFFICE ADDRESS:
city State Zip
OFFICE PHONE NUMBER: (2'S ) S'zs- 832
CONTACT PERSON: Z . W>-J CELL PHONE # ( )_
-LOCATION OF WORK TO BE DONE:
STREET ADDRESS WHERE WORK WILL BE DONE: Q , J-1 <• S� �� T0.yl ��: (� g
BUSINESS NAME WHERE WORK WILL BE DONE: dYu D�La
DATES FOR WORK TO BE DONE: TO>r e
CONTACT PERSON: 5ed1
PHONE NUMBER: ( 1 CELL #
PLEASE CHECK THE TYPE OF PERMIT(S) YOU ARE APPLYING FOR:
,A AUTOMATIC FIRE -EXTINGUISHING SYSTEMS
I -I COMPRESSED GASES
j FIRE ALARM AND DETECTION SYSTEMS AND RELATED EQUIPMENT
FIRE PUMPS AND RELATED EQUIPMENT
FLAMMABLE AND COMMBUSTIBLE LIQUIDS
C HAZARDOUS MATERIALS
INDUSTRIAL OVENS
j LP -GAS
PRIVATE FIRE HYDRANTS
SPRAYING OR DIPPING
STANDPIPE SYSTEMS
=I TEMPORARY ME RANE STRUCTURES, TENTS, AND CANOPIES
3 s-
APPLICA TS SIGNATURE DATE
....................................................................................,
oF�"Qe CITY OF
s R.EXBURG
g8[rsNEo� AMLRIGI'S Fnfv11LY C.OM,b1UNl I Y 19 E. Main St. Phone: 208 359 3020 x326
Rexburg, Idaho 83440 Fax: 208-359-3024
w .rexburg.org cdd@rexburg.org
APPLICATION FOR "CONSTRUCTION PERMIT"
REXBURG-MADISON COUNTY EMERGENCY SERVICES
-APPLICANT INFORMATION:
BUSINESS NAME: U Z
OFFICE ADDRESS:
city
OFFICE PHONE NUMBER: ( )_
CONTACT PERSON:
Stale
CELL PHONE # ( )
-LOCATION OF WORK TO BE DONE:
STREET ADDRESS WHERE WORK WILL BE DONE:
BUSINESS NAME WHERE WORK WILL BE DONE: _
DATES FOR WORK TO BE DONE:
CONTACT PERSON:
PHONE NUMBER: 1 1
TO
CELL #
PLEASE CHECK THE TYPE OF PERMIT(S) YOU ARE APPLYING FOR:
Zip
AUTOMATIC FIRE -EXTINGUISHING SYSTEMS
COMPRESSED GASES
FIRE ALARM AND DETECTION SYSTEMS AND RELATED EQUIPMENT
❑ FIRE PUMPS AND RELATED EQUIPMENT
FLAMMABLE AND COMMBUSTIBLE LIQUIDS
HAZARDOUS MATERIALS
❑ INDUSTRIAL OVENS
LP -GAS
❑ PRIVATE FIRE HYDRANTS
SPRAYING OR DIPPING
STANDPIPE SYSTEMS
l TEMPORARY MEMBRANE STRUCTURES, TENTS, AND CANOPIES
APPLICANTS SIGNATURE DATE
....................................................................................,
PERMIT APPROVED: YES I NO $50.00 FEE PAID: YES 1 NO
02/23/2005 16:10 208-525-8381 3-D FIRE PROTECTION PAGE 03
3=D PROTECTIWN, INCo
P.O. Box 50845
Idaho Falls, Idaho 83405-0845
Telephone (208) 525-8377 • Fax (208) 525-8381
Idaho State License Number — FPSC-008
February 23, 2005
Wayne Clark
EYU-Idaho
Rexburg, Idaho
RE: Fire Sprin1der Work
Remodel to John Tayj4.BuJJdin& - Rooms 114
,T ,�,.. ,
F - n_.:i
Dear Mr. Clark,
Our company will be performing the fire s dnl. ler odiet ations for the above referenced
project. Design drawings will bg eompIked and submitted to the Idaho State Fire
Marshal and the local autoority�havYng urisaicioo"(LAHJ),'for their approval,. All
modifications q
material, install i on, L4- esthig. sii�ll meet tap re uirements• of NFFA 1.3.
.. ��..
This letter should be submitted with your g uest fog a buildiig permit, so the City of
Rexburg can acknowledge thafi the Ire sr, in1do.-. vo k twill be performed by a licensed
Fire Protection Cpz>ltractor, and will ii e t the rektiir�ements o�NFPA,13 as required by the
State of Idaho. "� F
If you have any questions, please fee £>~etto..contae te.
Sinc�Zel � � --• °•
+�1 is k
's x - 'e.' 1 r.)1 ; :1.;
J
I.aMa
Vice President
Design • Installation 6 Maintenance* Inspection