HomeMy WebLinkAboutAPPLICATION & INSPECTION TICKET - 12-00057 - 3420 N 125 E - County MechanicalAmanda Saurey
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Sent:
To:
Subject:
su pport@civicplus. com
Tuesday, February 14,2012 4:09 PM
Natalie Schneider; Amanda Saurey
Online 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
Address*
155 W Main #9
ZiP*
83440
Cell Phone#*
208-317-4r70
Email
rexburg@clayshouseoffi re. com
C OMMERCIAL/INDUSTRIAL
Total cost of plumbing system (Contracted Amount)
Ricky Mortensen
3420 N. 125 E. Rexburg
Phase
Kevin Clay
Clays House of Fire
City *
Rexburg
Business Phone#*
208-3s9-2333
Permit#
Lot
State x
ID
Fax
208-359-
z3)J
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.
Total Cost
RESIDENTIAL
TN/AW
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
t I Plan Check: $65 perhour
oo
3_comma_501 to 4_comma_500 sq ft.- S325
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))
o
[X] Water Heater Replacement: $65
Inour
*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.
**Examples of HVAC Equipment- furnace replacement, solar, water heater, etc.
Kevin Clay
Signature of Licensed Contractorx
021t412012
Date x
x indicates required fields.
1 185-l 184
License #*
The following form was submitted via your website: Mechanical Permit Application
Owner's Name: Ricky Mortensen
Property Address: 3420 N. I25 E. Rexburg
Permit#:
Subdivision:
Phase:
Lot:
Block:
Mechanical Contractor's Name: Kevin Clay
Business Name : Clavs House of Fire
Address: 155 W Main #9
City: Rexburg
State: ID
Zip:83440
Cell Phone#: 208-3 17 -417 0
Business Phone#: 208-3 59 -2333
Fax: 208-3 59-2333
Email : rexburg@clayshouseoffi re.com
t I Technical Service: $65 per
[X] Gas Line: $65
a
t I Requested InspEction: $65
[X] Fireplace/Solid Fuel Burning Appliance: $65 per
inspection
02t28t2012
Exp. date x
Total cost of plumbing system (Contracted Amount): $
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: 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: Gas Line: $65,Water Heater Replacement: $65,Fireplace/Solid Fuel Buming Appliance: $65 per
inspection
*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. :
**Examples of HVAC Equipment- furnace replacement, solar, water heater, etc. :
Signature of Licensed Contractor: Kevin Clay
License #: 1185-1184
Exp. date :0212812012
Date: 0211412012
Add itional Information :
Form submitted on:211412012 4:09:O5 PM
Submitted from lP Address: 75j74.50.210
Referre r Page : http ://www. rexb u rg. org/i nd ex. aspx? N I D=4 1 8
Form Add ress : http ://vvww. rexb u rq. orq/Forms. aspx? F I D= 90
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INSPECTED TTEMS CONFORM TO APPROVED DWGS
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Inspection Type
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