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Home My WebLink AboutALL DOCS - 12-00120 - 570 S 2nd W - Shelbourne Apts - Furnace ChangeoutFrom: Sent: To: Subject: su pport@civicpl us. com Friday, March 16,20127:34 AM Natalie Schneider; Amanda Saurey Online Form Submittal: Mechanical Permit Application If you are having problems viewing this HTML email, click to view a Text version. Mechanical Permit Application Owner's Name Property Address Subdivision Block Mechanical Contractor's Namex Business Name Addressx P.O. Box 627 ZiP* 83442 Cell Phone#* 2087094650 Email hi ghcountryht g@ gmai l. com C OMMERC IAL/INDUS TRIAL Total cost of plumbing system (Contracted Amount) Steve Dick High Country Heating City * State x Rigby ID Shelbourne Apt. 570 S. 2nd W. Phase Business Phone#x 2087458056 Permit# Lot Fax 2087450817 $50,750 lncludes the cost ofmaterials installed regardless ofthe party supplying it. The fees listed under this inspection shall apply to any and all mechanical installations not specifically mentioned elsewhere on this form. Total Cost RESIDENTIAL New: Single Family Dwelling, including all buildings with wiring being constructed on each property. (*Based on living space) ( ) Up to 1_comma_500 sq ft.- $130 ( ) 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 per building plus $65 per unit: ($130 x # of buildings)+($65 x # of units) MISCELLANEOUS Fees lBetween SI 0.00 I - $1 00,000 ((Total cost of svstem-|0,000 x 0.001t+$260:8' Vl ( ) 3_comma_501 to 4_comma_500 sq ft.- $325 ( ) Over 4_comma_500 sq ft- $325 plus $65 for each additional l_comma_00O sq ft. or portion thereof ( ) Existing Residence_comma_ Modular_comma_ Manufactured or Mobile Homes_comma_ and Detached Shop: $65 plus $10 per **HVAC equipment being installed up to the maximum of the corresponding sq. ft. of the building ($65+($10 x # of fixtures)) Email : hi ghcountryht g@ gmail.c# Total cost of plumbing system (Contracted Amount): $50,750 Includes the cost of materials installed regardless of the party supplying it. The fees listed under this inspection shall apply to any and all mechanical installations not specifically mentioned elsewhere on this form. : Total Cost : Between $10,001- $100,000 ((Total cost of system-10,000 x 0.001)+9260:$ New: Single Family Dwelling, including all buildings with wiring being constructed on each property. (*Based on living space) : New: Multi-Family Dwelling (Contractors Only) : Fees: not checked *Living Space- space within a dwelling unit intended for human habitation with may reasonable be utilized for sleeping, eating, cooking bathing, washing, recreation, and sanitation purposes. An unfinished basement is considered part of the living space. : x*Examples of HVAC Equipment- fumace replacement, solar, water heater, etc. : Signature of Licensed Contractor: SD License #: HVC-C-6068 Exp. date :513112012 Date: 311612012 Additional Information: Form submitted on: 311612012 7 :34.,24 AM Submitted from lP Address: 173.198.104.211 Referrer Page: No Referrer - Direct Link Form Add ress : http ://www. rexb u rq. org/Form s. aspx? F I D= g0 [ ] Plan Check: $65 perhour [ ] Technical Service: $65 per hour [ ] Gas Line: $65 [ ] Fireplace/Solid Fuel Burning Appliance: $65 per mspectron*Living Space- spacgwithin a dwelling unit intended for human habitation with may reasonable be utilized forsleeping, eating' cooking bathing, washing, recreation, and sanitation purposes. An unfinished basement isconsidered part of the living space.**Examples of HVAC Equipment- fumace replacement, solar, water heater. etc.SD HVC-C-6068Signature of Licensed Contractor* License #*3ll6t20l2 Date x x indicates required fields. The following form was submitted via your website: Mechanical permit Application Owner's Name: Shelbourne Apt. Property Address: 570 S. 2nd W. Permit#: Subdivision: Phase: Lot: Block: Mechanical Contractor's Name: Steve Dick Business Name : High Country Heating Address: P.O. Box 627 City: Rigby State : ID Zip:83442 Cell Phone#: 2087 094650 Business Phone#: 2087 458056 Fax 2087450817 [ ] Water Heater Stu..rn.nt: $65 [ ] Requested Inspection: $65 5/3U20t2 Exp. date x }nspncrloN TIcKET -gql-< . Address 5 /t'' '' -'+rr-ct Le'" lnspection rYra- 'lllt v t-a' e-a'*' Day /Time Req. LL''aA "11 Ll - | i ') '" rt tn Inspector's RePort El Res, O cornm' ffiMfi)APPRovEDDwGS !Y DN flN/A rNSPy:roR's AcTloN 2{ewnoveo DC.O.(FINAL) ACTTON REQUIRED: I DISAPPROVED f]NOTAPPLICABLE DFINAL D DID NOt INSPECT Signed Rec'l $ltrtr 'Oficc CoPY F.flA.CdI3 tblor - Job Cogt pr* - mrfrcrlooeY INSPBCTION TICKET tr Brdg. O ptumb. E Ehcr. & Mech. O Firc Inspcrion Requesr: Rcc'd By Ap pxlof+ Urc 3- tto - l7 Req. By S-lZ-r/e D,'c Z-Phone No. 701 -4loEO Pennil No. 17 (nlL)Projeo Shc-tj:ouroe Ap*s Address )(4(r)e A 9- z-^J w- lnspection Type Day /Time Req. I as,f af Inspector's Report Res A ra.i tr INSPECTED ITEMS CONFORM TO APPROVED DWGS INSPECTOR'S ACTTON DAPPROVED Dc.o. (FTNAL) 15trry$qguEp' /orserrnovro DNOTAPPLICABLE tlY Dx flN/A DFTI.IAL D DID NOTINSPECT lblff . Joo Copy Pf* - hcprfirlcogr