HomeMy WebLinkAboutALL DOCS - 12-00026 - 2427 S 4000 W - Gas FireplaceAmanda Saurey
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support@civicplus. com
Tuesday, January 17,20121:51 PM
Natalie Schneider; Amanda Saurey
Online Form Submittal: Mechanical Permit Application
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Mechanical Permit Application ] Z 6 CC Zg
Owner's Name
Property Address
Subdivision
Block
Mechanical Contractor's Namex
Business Name
Address*
155 W Main #9
ZiP*
83440
Cell Phone#*
208-317-4170
Email
C OMMERCIAL/INDUSTRIAL
Total cost of plumbing system (Contracted Amount)
Total Cost
RESIDENTIAL
New: Single Family Dwelling, including all buildings with
(*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)
.l.tnl.Ll(Lwttry L?LS lrtsfi{t'
MISCELLANEOUS
Fees
[ ] Plan Check: $65 per hour
[ ] Technical Service: $65 per hour
TN/A VI
wiring being constructed on each property.
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
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))
Water Heater Replacement: $65
Requested Inspection: 565
Stephen Gentile
242754000W Rexburg
Phase
Kevin Clay
Clay's House of Fire
City *
Rexburg
Business Phone#"
208-359-2333
Permit#
Lot
State x
ID
Fax
208-3s9-
2333
Includes 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.
tl
tl
[ ] Gas Line: $65 O F. .. .e -[X] Fireplace/Solid FFel Burning Appliance: $65 per
rnspectron*Living Space- spacewithin-a dwelling unit intended for human habitation with may reasonable be utilized forsleeping, eating, cooking bathing, *u.hittg, recreation, and sanitation purposes. An unfinished basement isconsidered part of the living space.**Examples of HVAC Equipment- furnace replacement, solar, water heater, etc.Kevin Clay l lg4_11g5Signature of Licensed Contractor* License #*0Ut7/2012
Date x
x indicates required fields.
The following form was submitted via your website: Mechanical permit Application
Owner's Name: Stephen Gentile
Property Address: 2427 S 4000 W Rexburg
Permit#:
Subdivision:
Phase:
Lot:
Block:
Mechanical Contractor's Name: Kevin Clav
Business Name : Clay's House of Fire
Address: 155 W Main#9
City: Rexburg
State: ID
Zip:83440
Cell Phone#: 208-3t7 -4170
Business Phone#: 208-3 59 -2333
Fax: 208-3 59-2333
Email:
02n2t2012
Exp. date *
Total cost of plumbing system (Corrtit"a 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 splcid"atly m"ttlioned elsewhere on this form. :
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) :
Fees: Fireplace/solid Fuel Burning Appliance: $65 per inspection
*Living Space- spac:within a dwelling unit intended for human habitation with may reasonable be utilized forsleeoing, 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. :
Signature of Licensed Contractor: Kevin Clay
License #: 1184-l185
Exp. date :02112/2012
Date: 0lll7l20l2
Additional I nformation :
Form submitted on: 1117 12012 1 :50:44 pM
Submitted from lP Address: Z1.zOg.4OjOs
Referre r Page : http ://www. rexbu ro. oro/i ndex. aspx? N I D=4 1 g
Form Address: http://www. rexburq. orq/Fm