HomeMy WebLinkAboutALL DOCS -12-00215 - 708 Centennial Loop - Lawn SprinklersC]TY OF
REXBURG
c\r^"-
Ame ri cab Family Community
35 N.l,t E., Rexburg, Id 83440
O\TNIER'S NAME
PROPE,RTY ADDRESS
Water Meter Quantity:
Permit# \L QCztSlQ*tra'*, tD.
Building Sofety Depqrlmenl
City of Rexburg
+****t****++**Water Meter Size:
Requtued!!!Plumbing
Plumbing Contractot's Name Business Name
nadr... b& fit(pr,ft* S*tes.*Citf lpbk fifto) stut
cell Phone 1 S 7 U(-D>yzl unsiness phone ()
l.eFax (Email
(COMMERCIAL/ IND-USTRIAL) Total cost of plumbing system (conttacted Amount)
(Includes the cost of materials ilmlled regardless of tbe par suppfing it. Tlte feet lisnd under this intpution rpe shall appl1 to ou1 ouioll plnrbiugnot specifcal! nentioned elsewhere on thhfom).
! Up to $101000 (total cost of system x 0.02) + 60 = $n Between $10'001 - $100'000 ( (total cost of s)'stem - 10.000) x 0.01) + g260 = g
tr over $100,001 ( (total cost of svstem - 100.000) x 0.005) + g1,160 = g
RESIDENTIAL
New: Single Family Dwelling, including aII buildings with widng being consttucted on each ptopetqr. (*Based on liuing space,see defrnition below)
! Up to 1,500 sq ft - 9130
! 2,501. to 3,500 sq ft - 9260
tr Over 4,500 sq ft 9325 plus 965 for each additional
1.000 sq. ft. ot oortion thereo0).
l,{ew: Muhi-Family Dwelling (Contractots Only)
n Duplex Apartment 9260
D Thtee ot mote multi-family units: $130 per building plus $65 per unir ($130 x # of buildings) + ($65 x # of units)! Existing Residence, and Detached Shop: $65 fee plus g10 per fixture up to the ma*imum of ihe correspondingsq. ft. of the building ($65 + ($10 x # of fixrures))
Gray Water Systems: 9130
q- Lawn Sprinklerc/Backflow Device: 965
I --.1Vlodular, Manufactured or Mobile Homes: $65 for sewer and water stub connecdons
tr Multipurpose Fire Sprinkler and Domestic Water Supply System: g65 fee or g4 per sprinkler head, whicheveris greater
Sewet & Watet
D $38 Sewer Line n$38 Water Line n$65 Sewer & Water- if inspected at the same time
tr 965 Sewer tumaround under house (change from septic to ciry)
MISCELLANEOUS
n Plan Check 965 perhour
u Technical Serice: 965 per hour
! Gas Line: $65
tr Vater Fleater Replacement: $65
tr Requested Inspection: 965
tr Hydronic Heating: $65 + ($10 x # of manifolds/zones)
*Lioitg Space - space within a dwelling unit intended for human habitation which may reasonably be util.izsd for sleeping, eating, cooking,bathing, washing, recreation, and sanitation pulposes. An unfinished basement is considered part of the living space.
Si re of Licensed Contractor License number & Exp. date Date
! L,501 to 2,500 sq ft - 9195
I 3,501 to 4,500 sq ft - 9325
1,000 sq ft. or portion thereof ($3ZS + (965 x # of additional
t rNsPEcrIoN TICKETO
Request:
LI-{Lr
Rcc'd By L td-t1,L(
Req. By PhoneNo. -7CIq -2Zvc'
. ^ ..,) Ll>-Pennit No. l4 "'
noaress - 'lC I (c ttlriitr--a-"'(
"due'FInspection Type
Day ffime Req.
Sg'v"+tv*L!- u *uL c'--
Inspector's Report O Res.tr comm.
INSPECTED ITEMS CONFORM TO APPROVED DWGS trY DN flN/A
INSPECTOR'S ACTION,\/
I IAPPROVED
NCO (FINAL)
ACTION REQUIRED:
! DISAPPROVED
n NoTAPPLICAELE
I FINAL
D DID NOT INSPECT
Signed
Rec'l Aclnow
$ltrtr - Of|c. Copy rtftr . Job CoPy Pl*-ln+..t.|@r
F.frR.c003
Dare b-l{f)L
,A
\@/ RE\:IL?:; cityorRexburr ODepartment of Community Development Receipt Number: t|ry!{}XXX
35 North 1st East / Rexburg, lD. 83440
Phone (208) 359-3020 / Fax (208) 359-3022
12 00215 RPRHDVYS0I Residential Plumbing Permit Fee
CHECK 6290 $ 65.00
Total:
genpmtrreceipts Page 1 of 1