HomeMy WebLinkAboutALL DOCS - 12-00305 - 204 S 5th W - Gas LineBuilding Sofety Deportmenl
City of Rexburg
CI'TY OF
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Ame ri ca! Fanily Com munity
35 N.l't E., Rexburg, Id 83440
OWNER'S NAME
PROPERTY ADDRE,SS
SUBDIVISION -'8,
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\7oo3o>PHASE LOT BLoCT<--*.
Requtued!!!Mechanical
Mechanical contractor's Name C ft S ( C ,ft D,n &{^ess Name
Address City State Zio
Cell Phone ( ) Business Phone (
Fax( t 316 *7? {7 '
(COMMERCIAL/INDUSTRIAL) Total cost of mechanical system (ConttactedAmount) $
(ncludes the cost of naterials installed regardless of the parq uppl1ing it. The fees lited unfur tltis inspection gpe shall app! to an1 and a// mechanical
installations not qecifca@ mentioned elsewhere on thisfom).
tr Up to $10,000 (total cost ofsvstem x 0.02) + 60 = $
! Between $10,001 - $100,000 ( (total cost of system - 10.000) x 0.01) + 9260 = g
tr Over $100,001 ( (total cost of system - 100.000) x 0.005) + g1,160 = g
RESIDENTIAL
I'{ew: Single Family Dwelling, including all baildings with wiring being consfiucted on each propetty. (*Based on liuing space,see defrnition below)
tr Up to 1,500 sq ft - $130 D 1,501 to 2,500 sq ft - g195
! 2,50'L to 3,500 sq ft - 9260 n 3,501 to 4,500 sq ft - 9325! Over 4,500 sq ft $325 plus $65 for each additional 1,000 sq ft. or portion thereof
($325 + ($65 x # of additional 1900 sq. ft. or portion thereog).
New: Multi-Family Dwelling (Conractots OnIy)
! Duplex Apartment $260
! Thtee ot mote multi-family units: $130 per building plus $65 per unit ($130 x # of buildings) + ($65 x # of units)
tr Existing Residence, Modular, Manufactured or Mobile Flomes and Detached Shop: $65 fee plus g10 perxxHVAC equipment being installed up to the maximum of the couesponding sq. ft. of the building
($65 + ($10 x # of fixtures))
MISCELI-ANEOUS
n Plan Check 965 per hour
Technical Service: $65 per hour
Gas Line: $65
Water Heater Replacement $65
Requested Inspection: $65
Fireplace/Solid Fuel Burning Appliance: 965 per inspection
*Living Space - space within a dwelling unit intended fot human habitation which may reasonably be u''lized for sleeping, eating, cooking,bathing, washing, recreation, and sanitation pulposes. An unfinished basement is considered part of the living space.**Examples of HVAC Equipment-fumace replacement, solar, water heater, erc.
of Licensed Contractor License number & Exp. date Date
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Req. By Phone No.
Inspection TyW l:QS t/lY\y- - l\#\r \ ut r l-crt q
Day/rime *,, Gli -Ca-\! +c gh'tutpnnn
lnspcctor's Reporl F Res C comm.
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ITEMS CONFORM'IO uY !N flN/A
INSPECTOR'S ACTION
,{*r*oueovtffi[] c o. (FINAL)
ACTTON REQUIRED:
I DISAPPROVEI)
N NOTAPPLICABLE
[]RNAL
L] DID NOT INSPECT
"-,,.;Rec'l Acknowledged
tthite-Olltc Copy
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City of Rexburg
35 Northlst East
Rexburg, lD 83440
208-359-3020
;lll Crrl, Printer J I
Transaction detail for payment to City of Rexburg.Date: 07t03t2012 - 3:11:45 PM:
Transaction Number: 1 5965297PT
Mastercard - XXXX-XXXX-XXXX-601 3
Billing Information
GORDON TYCHSEN
,83440
i '--- | --
,Totgt Paid: | 565.00 1
Transaction taken by: shellie
flnrint"i I fcrosel
Payment Service Provided By yyy x p ress bi I I pay, c o m
Copyright @ Xpress Bill Pay 2012 - All Rights Reserved
Status: Success/uf
Description Reference #Amt per ltem F ltems Total Amt
MECHANICAL PERMIT $6s.00 56s.aa
Notes:PERMIT# 1200305
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City of Rexburg
Department of Community Development Receipt Number: lltAfiWfui't;:::1,-;..)::
35 North 1st East / Rexburg, lD. 83440
Phone (208) 359-3020 / Fax (208) 359-3022
12 0030s
CREDIT CARD
RPRXBCA02I MechanicalResidentialFixtures
JuL 0 s ?012
genpmtrreceipts