HomeMy WebLinkAboutAPPLICATION & INSPECTION TICKETS & RECEIPT - 12-00318 - 319 Rodney Dr - Gas PressureBuild Sofely Deportmenl
City of Rexburg
CITY OF
REXBURG
crl, __-,_--
America! Family Community
35 N. 1$ E., Rexburg, Id 83440
- | lttdl11v-1tr/tt / Hnihfia -
PHASE,
Ar tl ^ IowNER's NAN,TE Vlrlt qtru=W ' [fTr'
PRoPERTYADDRESS -2tq Raa^1 e-
v
Permit# lL 00316
LOT BLOCK
Required!!!Mechanical
Mechanical Contractor's Name s Name
Cell Phone () Business Phone (7m - rl3fs
Fax (Email
(COMMERCIAL/INDUSTRIAL) Total cost of mechanical system (ConuactedAmount) $
(ncludes the cost of nateials installed regardler of the parE suppl1ingit. Thefeu listed unfur thfu inspection ltpe thalt applt to an1 and a// mechanical
in$allations not specifca@ mentioned elseahere on thisfom)
! Up to $10,000 (total cost of system 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) + 91,160 = g
RESIDENTIAL
I'{ew: Single Family Dwelling, including aII buildings with wfuing being constucted on each ptopetty. (*Based on liuing space,see defrnition below)
tr Up to 1,500 sq ft - $130 ! 1,501 to 2,500 sq ft _ 9195
! 2,501 to 3,500 sq ft - 9260 tr 3,501 to 4,500 sq ft _ 9325
D Ovet 4,500 sq ft $325 plus $65 for each additional 1,000 sq ft. or portion thereof
($325 + ($65 x # of additional 1-000 sq. ft. or portion thereog).
New: Multi-Family Dwelling (Con ttactots OnIy)
n Duplex Apatment $260
D Three or more multi-family units: $130 per building plus $65 per unit: ($130 x # of buildings) + ($65 x # of units)
tr Existing Residence, Modulat, Manufactured or Mobile Flomes and Detached Shop: g65 fee plus g10 perxxHVAC equipment being installed up to the maximum of the corresponding sq. ft. of the building
($65 + ($10 x # of fixtures))
MISCELI-ANEOUS
tr Plan Check $65 per hour
! Technical Service:965 perhour
,tr Gas Line: $65
! Water Fleater Replacement $65
n Requested Inspection: 965
tr Fireplace/Solid Fuel Burning Appliance: 965 per inspection
*Living Space - space within a dwelling unit intended for human habitation which may reasonably be utilized for sleeping, eating, cooking,
bathing, washing, recreation, and sanitation pu4)oses. An unfinished basement is consideted part of the living space.*xExamples of FIVAC Equipment-fumace replacement, solar, water heater, etc.
,"1
i{vc- -L-5ctoI
L"."* ",r-b* & E-1r3""Licensed Conftactof
;liJ,';;, ;::ii-
ir;Aidrniirl
i:Ii i-rij i:ii:l;LiF:n
Sl{ l-,r jl? i,{.jt:i;liiTIri{: i.fi;{4:I*F:t[f:tT tjfi I l.iij$;]d
ii tf' tii[H. f,[ftil:i jjittrff,q: t
r:*.cii *$BiJiiI
i'*'i;,iti,ii
[ilFrilfit
F'f,[:r'iiT# i,:&*;i,!
T"tl*Sti yrjli Ailn iiAtt * iJift ii*i;
elopment
83440
r) 359-3022
Gas line
,55 , ilf
,ii. i:ii
.{:; . *0
s. fiij
$65.00
Total:
$65.00
$65.00
Receipt Number:
$ 65.00
genpmtrreceipts
6l
Page 1 of 1