The URL can be used to link to this page

Home My WebLink AboutALL DOCS - 12-00218 - 44 S 2nd E #6 - Gas Furnace ChangeoutAmanda Saurey If you are having problems viewing this HTML email, click to view a Text version. Mechanical Permit Application From: Sent: To: Subject: Owner'sName Property Address Subdivision Block Mechanical Contractor's Namex Business Name Address* PO Box 1692 Zip" 83403 Cell Phone#x 208-317-5125 su pport@civicpl us. com Monday, May 07, 201212:57 PM Natalie Schneider; Amanda Saurey Online Form Submittal: Mechanical Permit Application Jim Dennis 44 S 2ndE #6 Phase Sermon Service & Electric City * Idaho Falls Business Phone#x 208-542-4545 Permit# Lot State * ID Fax 208-522- 6301 Email tarah@ sermonserviceandelectric. com C OMME RCIAL/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. Totsl Cost TN/A VI RESIDENTIAL 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 [ ] PlanCheck: $65 perhour ( ) 3_comma_501 to 4_comma_500 sq ft.- $325 ( ) Over 4_comma_500 sq ft- $325 plus $65 for each additional l_comma_000 sq ft. or portion thereof (X) 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 ] Water Heater Replacement: $65 [ ] Technical Service: $65 per [ ] Gas Line: $65 *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. ohour Ted Sermon Signature of Licensed Contractorx 05107112 Date x x indicates required fields. The following form was submitted via your website: Mechanical Permit Application Owner's Name: Jim Dennis Property Address: 44 S 2ndB #6 Permit#: Subdivision: Phase : Lot : Block: Mechanical Contractor's Name: Sermon Service & Electric Business Name : Address: PO Box 1692 City: Idaho Falls State: ID Zip:83403 Cell Phone#: 208-3 17 -5125 Business Phone#: 208-542-4545 Fax: 208-522-6301 Email : tarah@sermonserviceandelectric. com o t I Requested Inspection: $65 [X] Fireplace/Solid Fuel Burning Appliance: $65 per inspection HVC -C-I 156 License #* 0913012013 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 inspectionshall 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) : Existing Residence, Modular, Manufactured or Mobile Homes, 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)) Fees: 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: Ted Sermon License #: HVC -C-1156 Exp. date :0913012013 Date: 05107112 Additional Information: Form submitted on'. 5n12012 12:56:46 PM Submitted from lP Address: 174.126.27.25 Referre r Page : http : //www. rexb u rg. orq/i ndex. aspx? N I D=4 1 8 Form Add ress : http ://www. rexb u rg. orq/Forms. aspx? F I D=90 NSPECTION TI Bldg. O Plumb'D Elcct' Inspcrion Request: Rec d BY Req. BY Projecl Address lnspection TYPe Day /Time Req' tnspector's RePort , a r-) Date b-lb-lo- "- Ics-\ A comm. CKBTI ffi" frr,-zszt PermitNo. /E ar;DIB tvtrf4t'!e- F Res t]Y DN 6no,INSPECTOR'S ACTION Sy'ewnovr,o nc.o.(FINAL) ACTION REQUIRED: D DISAPPROVED NNOTAPPLICABLE fl N/A PROVED DWGS D DID NOT INSPECT Rec'l Acknowledged trVhire.Oltc CoPY r.FtR.c@3 fnrl - IncP.cu'3Cogt rtlor - Job CogY Xpress Bill Pay - Payment Prysine Page 1 ofl {: I t t" (! tl REXBURG('trr .irrrr trd'( hl.ilrJl. {',rrr,,rfr6rrrtt City of Rexburg 35 Northlst East Rexburg, lD 83440 208-359-3020 40 Col, Printer fl I Transaction detail for payment to City of Rexburg.Date: 05/08/2012 - 3:09:55 PM Transaction Number: 15263982PT Visa - XXXX-XXXX-XXXX-61 19 Status: Successful Description Reference #Amt per ltem F ltems Tota! Amt ELECTRICAL PERMIT 12 00217 $65.00 1 s6s.00 MECHANICAL PERMIT 1200218 $65.00 1 s65.00 Billing Information Sermon Service and Electric Sermon Service and Electric .83403 Totat Paid: I St SO.O0 Transaction taken by: amanda flerinfr I ic'"ugl f :ryentlgrvrce_f pvryte{a!*ryy::-p!:::!tilp"!.,"-o_. Copyright @ Xpress Bill Pay 2012 - All Rights Reserved https ://www.xpressbillpay. com/common/paymentjroce ss.php 5t8t2012