HomeMy WebLinkAboutALL DOCS - 11-00433 - 6740 W 5000 N - Cnty Mecho
Amanda Saurey
From:
Sent:
To:
Subject:
Owner's Name
Property Address
Subdivision
Block
Mechanical Contractor's Namex
Business Name
Addressx
155 W Main #9
ZiPx
83440
Cell Phone#*
208-317-4170
( ) 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)
MISCELLANBOUS
Fees
[ ] PlanCheck: $65 perhour
[ ] Technical Service: $65 per hour
s u pport@civicp I u s. com
Thursday, December 08,20114:57 PM
Natalie Schneider; Amanda Saurey
Online Form Submittal: Mechanical Permit Application
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Mechanical Permit Application
/- 5tl- 5"8 4q6 {
(eily Knapp
6740W.5000 N. Rexburg
Phase
Kevin Clay
Clay's House of Fire
City *
Rexburg
Business Phone#*
208-359-2333
Permit#
Lot
State *
ID
Fax
208-359-
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ZJJ)
Email
C OMMERCIAL/INDUSTRIAL
Total cost of plumbing system (Contracted Amount) $
Includes the cost ofmaterials installed regardless ofthe party supplying it. The foes listed under this inspection shall apply to any and allmechanical installations not specifically mentioned elsewhere on this form.
Total Cost TN/A VI
RESIDBNTIAL
New: Single Family Dwelling, including all buildings with wiring being constructed on each property.
(*Based on living space)
( ) 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))
t I Water Heater Replacement: $65
t I Requested Inspection: $65
[ ] Gas Line: $65
mspectron*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.
[X] Fireplace/Solid t,
".r*,ng
Appliance: $65 per
Kevin Clay
Signature of Licensed Contractorx
t2t8nr
Date x
x indicates required fields.
I 184-l 185
License #x
The following form was submitted via your website: Mechanical Permit Application
Owner's Name: Kelly Knapp
Property Address: 6740 W .5000 N. 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#: 208-317 -417 0
Business Phone#: 208-3 59 -2333
Fax: 208-3 59-2333
Email:
02128t12
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 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: Fireplace/Solid Fuel Burning 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- fumace replacement, solar, water heater, etc. :
Signature of Licensed Contractor: Kevin Clay
License #: 1184-1185
Exp. date :02128112
Date: l2/8lll
Additional Information :
Form submitted on:121812011 4:56:46 PM
Submitted from lP Address: 71.209.40.105
Referrer Page : http ://nvrrrru. rexb u rg. orq/i ndex. aspx? N I D=4 1 8
Fo rm Ad d ress : http ://www. rexbu ro. org/Fo rms. aspx? F I D= 90
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