HomeMy WebLinkAboutALL DOCS - 11-00085 - 3640 S Butte Rd - County MechanicalAmanda Saurey
From:
Sent:
To:
Subject:
Owner's Name
Property Address
Subdivision
Block
Mechanical Contractor's Namex
Business Name
Addressx
601 W. 19th Ste D
ZiP*
83402
Cell Phone#*
208-709-2665
( ) Up to 1_comma_500 sq ft.- $130
( ) l_comma_50l 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
[ ] Plan Check: $65 per hour
[ ] Technical Service: $65 per hour
su pport@civicplus. com
Thursday, February 16, 20'12 12:38 PM
Natalie Schneider; Amanda Saurey
Online Form Submittal: Mechanical Permit Application
I / -/48s-
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Mechanical Permit Application
John Galazin
3640 S. Butte Rd. Menan,ID
Phase
Permit# 1l-00085
Lot
Alpine Heating & Air Conditioning, Inc.
City *
Idaho Falls
Business Phone#*
208-523-5542
State x
ID
Fax
208-552-0594
Email
alpineheatin g@ gmail. com
C O MMERC IAL/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 all
mechanical installations not specifically mentioned elsewhere on this form.
Total Cost IN/AVI
RESIDENTIAL
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 l_comma_0OO 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 lnspection: $65
[ ] Gas Line: $65 O [ ] Fireplace/soritlrel Burning Appliance: $65 per[ ] ltrp".,io'
*Living Space- space within a dwelling unit intended for human habitation with may reasonable be utilized for
sleepin!, eating, cooking bathing, *uriirrg, recreation, and sanitation purposes. An unfinished basement is
considered part of the living space.
**Examples of HVAC Equipment- fumace replacement, solar, water heater, etc.
Jim Anglin HVC-C-3258
Signature of Licensed Contractorx License #x
2t1612012
Date x
x indicates required fields.
The following form was submitted via your website: Mechanical Permit Application
Owner's Name: John Galazin
Property Address: 3640 S' Butte Rd. Menan, ID
Permit#: 11-00085
Subdivision:
Phase :
Lot:
Block:
Mechanical Contractor's Name: Alpine Heating & Air Conditioning, Inc.
Business Name :
Address: 601 W. 19th Ste D
City: Idaho Falls
State: ID
Zip:83402
Cell Phone#: 208-7 09 -2665
Business Phone#: 208-523 -5542
Fax: 208-5 52-0594
Email : alpineheating@ gmail.com
113U20r3
Exp. date x
Total cost of plumbing system 1#tru"t"a 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: not checked
*Living Space- space within 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. :
Signature of Licensed Contractor: Jim Anglin
License #: HVC-C-3258
Exp. date : ll3ll20l3
Date: 211612012
Additional Information:
Form submitted on: 211612012 12.J8:02 pM
Submitted from lP Address: 174.27.91.171
Refe rrer Page : http ://www. rexbu rq. orq/i nd ex. aspx? N I D=4 1 g
Fo rm Add ress : http : //www. rexb u rq. orq/Forms. aspx? F I D= g0
Buildi4g Sofely Deportmenl
City of Rexburg
Phone:208.372.2326
Fox: 208.359.3022
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Mechanical Estimate $
FIXTURES & APPLIANCES COU.
< | Furnace
Furnace/Air Condirione, Cornlo
YI
Heat Pump
Air Condirioner
Evaporative Cooler
Unit Heater
Space Heater
Decorative gas-fred appliance
Incinerator System
Boiler
Pool Heater
(Cpmmercial/Multi Family Orly)
rMf 6iost. Family Dwelling ooID
I ti,xhe, r.Exhaust or Vent Ducts
I Dryer Venrs
Itange Hood Venrs
Cook Stove Vents
2 Ilath Fan Venrs
other similar vents & ducts:
//
--,-
_
7* m"t
V 3 Fuel Gas Pipe Outlets includrng jsrubbed in or furure ourlers
iPressure (Meter Supply) PSil
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Heat (Circle all that apply) Q-! OU Co{rl Fireplace Electnc Hydronic
arure ofLicensed C License number
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