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Home My WebLink AboutAPPLICATION & INSPECTION TICKET - 12-00223 - 252 W 3rd N, Rigby - Electrical A/C UnitAmanda Saurey lf you are having problems viewing this HTML email, click to view a Text version. From: Sent: To: Subject: Electrical Permit Application Owner's Name Property Address Permit # Subdivision Block Electrical Contractor's Namex Business Name Address * PO Box 1692 ZiP" 83404 Cell Phone #x 208-542-4545 dispatch@ sermonserviceandelectric. com su pport@civicplus. com Thursday, May 10, 2O12 4:1'l PM Natalie Schneider; Amanda Saurey Online Form Submittal: Electrical Permit Application ill( Phase Lot Ted Sermon Sermon Service and Electric City * Statex Idaho Falls ID Business Phone # 208-5424-4545 ((n,t 4 1 Ltb -Ibb ) Shane & Melissa Kilpatrick * | r 252W 3rd N, Rigby, ld 83442 Fax # 208-5226301 Email CommerciaUlndustrial Total cost of electrical system (Contracted Amount) (Includes the cost ofmaterials installed regardless ofthe party supplying it. The fees listed under this inspection shall apply to any and all electricalinstallations). Totol Cost tN/A VJ Small Works (Contractors ONLY) $10 fee for work not exceeding $200 in cost andnot involving a change in service connections. Does NOTrequire inspection. Residential New: Single Family Dwelling, including all on living space) ( ) Up to 1_comma_500 sq. ft.- $130 buildings with wiring being constructed on each property. (*Based ( ) 1_comma_501 to 2_comma_500 sq.ft.- $195 ( ) 2_comma_501 to 3_comma_500 sq. ft.- $260 New: Multi-Family Dwelling (Contractors Only) ( ) Duplex Apartment $260 ( ) Three or more multi-family units ($130 x # of buildings)+($65 x # of units) ( ) Existing Residence comma Modular comma ( ) 3_comma_501 to 4_comma_500 sq_comma_ ft.- $32s ( ) Over 4_comma_500 sq_comma_ ft.- ($325+ ($0S x # of additional l_comma_000 sq_comma_ ft. or portion thereof)). (X) Central Heating/Cooling Systems- $65 When NOT part of new residential or HVAC permit with no additional wiring ( ) Spas_comma_ Hot Tubs comma and Swimming Manufactured or Mobil. t"r; comma andDetached Shop- ($65+($10 x # olbranch circuits)) lumps- Water, Irrigation, Sewage (each motor) [ ] Up to 25 HP- $65 ll 26to200 HP- $9s Miscellaneous Fees [ ] Temporary Construction Services ONLy: 200amps or less, one location (for a period not toexceed 1 year): $65 [ ] Temporary Amusement: $65 plus $10 per ride, concession or generator [ ] Inigation Machine: $65 for center pivot plus $10per tower or drive motor*Living Space- space within a dwelling intended for human habitation with may reasonably be utilized for sleeping, eating, cooking,bathing, washing, recreation, and sanitition purposes. An unfinished basement is considered part of the living space.Ted Sermon signiture of Licensed contractor. it:;3"oil"-r* " tJ|.t::r:- 5lt0/2012 Datex * indicates required fields. - -,fPools- $65 for-each trip to inspect [ ] Over 200 HP- $130 [ ] Technical Service: $65 per hour [ ] Plan Check: $65 per hour [ ] Requested Inspection: $65 The following form was submitted via your website: Electrical permit Application Owner's Name: Shane & Melissa Kilpatrick Property Address: 252W 3rd N, Rigby, Id g3442 Permit #: Subdivision: Phase: Lot: Block: Electrical Contractor's Name: Ted Sermon Business Name: Sermon Service and Electric Address : PO Box 1692 City : Idaho Falls State: ID Zip:83404 Cell Phone #: 208-542-4545 Business Phone #: 208-5 424-4545 Fax #: 208-5226301 Email: dispatch@sermonserviceandelectric.com Total cost of electrical system (Contracted Amount): Total Cost: N/A New: Single Family Dwelling, including all buildings with wiring being constructed on each property. (*Based on living space): New: Multi-Family Dwelling (Contractors Only): Central Heating/Cooling Systems- $65 When NOT part of new residential or HVAC permit with no additional wiring Pumps- Water, Irrigation, Sewage (each motor): not checked Fees: not checked Signiture of Licensed Contractor: Ted Sermon License Number : ele-c-2460 Exp. Date: 3113/2013 Date:511012012 Additional Information: Form submitted on: 5/10120124:11:10 PM Submitted from lP Address: 174.126.27.25 Referre r Page : http ://www. rexb u rq. org/i ndex. aspx? N I D=4 1 8 Form Add ress : http : //www. rexb u rq. orq/Forms. aspx? F I D= 9 1 O rNsPEcrIoN TIcKBTO tr BHg. O Phmb. E- Ebcr. rrite 1- t''l - l* f nspction Request: Rec'd By qryll '4'Qo\r uvrc ' t ' ' AA in-a ^ t/lt ^n L^ ni.zrs^--x^ 4Ll1- *4m3 *.t tr l4i,iison K,lPph"czlr'u,neNo' e''r{ *a 'a 3';;;t;';tr, 4;il'i;Y = Perrnir t'to' / 3 ao aa3 Address ?5a tt. 2,c N',Rilb''l Inspector's RePort ./ ,r--==: :=:;: =i rNsptrCron's AcrloN I N/4rp*oueo f] DIsAPPRo'ED nHNAL ffi @ o N'TAPPLI.ABLE D DtD Nor NsPEcr AcrtoN REQUIRED:t'\re Sigt+ary Rec'l Acknowledged Pil-hlt cmco9t l{trilr - Oltc CoPY F"FrR.cul3 rblo0 . Job CoPY lnspection TYPe 7 /M' Day/TimeReq. 5*/5-