HomeMy WebLinkAboutAPPLICATION & INSPECTION TICKETS - 12-00009 - 75 S 5th W #3 - Heat Pump & FurnaceAmanda
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support@civicplus.com
Thursday, January OS, 2012 4:12 pM
Natalie Schneider; Amanda SaureyOnline Form Submittal: Mechanical permit Application
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Mechanical Permit Application
Owner's Name
Property Address
Subdivision
Block
Mechanical Contractor's Namex
Business Name
Addressx
340 May Street
ZiP*
83403
Cell Phone#"
208-s42-4545
Email
kiley@ sermonserviceandelectric. com
C OMME RCIAL/INDUS TRIAL
Total cost of plumbing system (Contracted Amount) $Includes the cost ofmaterials installed regardless ofthe party supplying it. The fees listed under this inspection shall apply to any and allmechanical installations not specifically mentioned elsewheie onitl, ro.,n.Totsl Cost
RESIDENTIAL TN/A W
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 $65 per unit: ($l:O x # of
buildings)+($65 x # of units)
MISCELLANEOUS
Fees
[ ] Plan Check: $65 per hour
( ) 3_comma_501 to 4_comma_500 sq ft.- $325( ) Over 4_comma_500 sq ft- $325 plus $65 for each
additional 1_comma_000 sq ft. or portion thereof
(X) Existing Residence_comma_ Modular comma
Manufactured or Mobile Homes "o-rnu and
Detached Shop: $65 plus $tO pei*xUVat
equipment being installed up to the maximum ofthe corresponding sq. ft. of the building
($65+($10 x # of fixtures))
[ ] Water Heater Replacement: $65
Marvin Whittaker
75 South, 5th West #3, Rexburg, iD 83440
Phase
Tyson
Sermon Service and Electric
City *
Idaho Falls
Business Phone#x
208-542-454s
Permit#
Lot
State *
ID
Fax
208-522-
6301
_a[ ] Technical Service: $65 per h""rO [ ] Requested Inspecti6'ri: $65
[ ] Gas Line: $65 [ ] Fireplace/Solid Fuel Burning Appliance: $65 per
rnspectron*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.
Kiley Dye hvc-c-1156
Signature of Licensed Contractorx
Ust20I2
Date x
x indicates required fields.
License #x
The following form was submitted via your website: Mechanical Permit Application
Owner's Name: Marvin Whittaker
Property Address: 75 South, 5th West #3, Rexburg, iD g3440
Permit#:
Subdivision:
Phase :
Lot:
Block:
Mechanical Contractor's Name: Tyson
Business Name : Sermon Service and Electric
Address: 340May Street
City: Idaho Falls
State: ID
Zip:83403
Cell Phone#: 208-542-4545
Business Phone#: 208-542-4545
Fax: 208-522-6301
9/30/2013
Exp. date
Total cost of plumbing system (Contracted Amount): $
Includes the cost of materials installed regardless of the party supplying it. The fees listed under this inspectionshall apply to any and all mechanical installations not splcidcAty meniioned elsewhere on this form. :
Total Cost: N/A
N1w: Single Family Dwelling, including all buildings with wiring being constructed on each property.(*Based on living space) :
New: Multi-Family Dwelling (Contractors only) : Existing Residence, Modular, Manufactured or MobileHomes, and Detached Shop: $65 plus $1o per **HVAC equipment being installed up to the maximum of thecorresponding sq. ft. of the building ($65+($10 x # of fixturei))
Fees: not checked
*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- furnace replacement, solaro water heater. etc. :
Signature of Licensed Contractor: Kiley Dye
License #: hvc-c-1156
Exp. date :913012013
Date: ll5/2012
Additional Information:
Form submitted on: 1lSt2O12 4:11:44 pM
Submitted from lP Address: 174.126.56.79
Referrer Page: http:l lD=4Form Address: http://www. rexburq. oro/m
./
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Date
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Rec'l Acknowledged
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