HomeMy WebLinkAboutALL DOCS - 12-00386 - 4986 S. 2000 W., #1 - Gas Line-FireplaceBuilding Sofety Deporlmenl
City of Rexburg
CITY OF
REXBURG
c\'--- "-- ._-
America\ Ftmily Communitv
35 N. 1s E., Rexburg, Id 83440
OWNE,R'S NAME
PROPERTY ADDRESS
SUBDIVISION
Permit# ta wbvv
PHASE,LOT BLOCK-
Mechanical Contractor's Name
Requircd!!!Mechanical
Address
CellPhonef,_5@
Fax (
(COMMERCIAL/INDUSTRIAL) Total cost of mechanical system (ContactedAmount) $(Inckdu the cost of nateials in$alled regardler of tbe parE suppl1ing it. The feet listed under this intpution rype shatt app! to anlt and a// mechanical
installations not $ecifca@ rzentioned ehewhere on tltis forz).
! 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) + g260 = g
! Over $100,001 ( (total cost of system - 100.000) x 0.005) + 91,160 = g
RESIDENTIAL
It{ew: Single Family Dwelling, including all buildings with wiring being consftucted on each ptopety. (*Based on liuing space,see definition below)
tr Up to 1,500 sq ft - 9130 tr 1,501 to 2,500 sq ft _ g195
! 2,501. to 3,500 sq ft - 9260 n 3,501 to 4,500 sq ft _ g325
! Over 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 thereo0).New: Multi-Family Dwelling (Conttactors OnIy)
tr Duplex Apatment 9260
! Three or more multi-family units: $130 per building plus $65 per unit: ($130 x # of buildings) + ($65 x # of units)
! Existing Residence, Modular, 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))
MISCELLANEOUS
tr Plan Check $65 perhour
D Technical Service: $65 perhour
tr Gas Line: $65
tr Water Fleater Replacement: $65
! Requested Inspection: 965
D Fireplace/Solid Fuel Buming Appliance: g65 per inspection
*Living Space - space within a dwelling unit intended for human habitation which may teasonably be utilizsd for sleeping, eating, cooking,
bathing, washing, tecreation, and sanitation pulposes. An unfinished basement is considered pari of the living space.**Examples of HVAC Equipment-fumace replacement, solar, water heater, etc.
siness Name
of Licensed Conftactor License number & Exp. date Date
eaarcss ffi86 5. W ht,
Inspection rye fi'no-{
Dayffime R q. r"/
O INsPEcTIoN TICKET O
tr BHg. O prumb. fl Ebcr. E Mech. O Fia
Inspction Reguest Rec'd By DaE ?2b -/L .
Req. By Phone No. 1fl* /€Lc/
Project Erna4- - pennir No.IL 3BU
Inspector's Report 6nr.D comm.
INSPECTED ITEMS CONFORM TO APPROVED DWGS trY DX fIN/A
DFINAL
[]DrD NOT|NSPECT
lblff . Job Copy Pil.lnrg.cbrl@t
TNSPE9OR'S ACTTON
t'Ynno'eo
Fc.o. (FTNAL)
ACTTON REQUTRED:
T DISAPPROVED
DNOTAPPLICABLE
O rNsPEcrroN rrcKBT O
fnspction Requesr Rec'd By Q-rn"
Req. By
Project
Q' zt -/z
PhoneNo. 781't{Zcl
Perrnit No. /Z 384
Addrru *)
Inspection rypr- . FreSSure Tqh
Day /Time Req.
Inspector's Report O Res,tr comm.
INSPECTED ITEMS CONFORM TOAPPROVED DWGS trv Dx flN/^
DFII.IAL
DDIDNOTNSPECT
Rec't Ackriowledged
Wt*t.. Oilt. Copy
F.FtR.c@3
.|QIou. Job Copt tr-kr.p.cbt@t
INSPECTOR'S ACTION
/}APPR0VED- nc.o. (FTNAL)
ACflON REQUTRED:
D DISAPPROVED
DNOTAPPLICABLE
' 1ti r_.-:i_::':
, {fii.! t;!!ti{t,j. {F! r,!:.i -ittr -.!.,..--.
i'i:.:' i.t:.i Li .i:::
$130.00iesidential Fixtures
$ 130.00
$130.00
.:.,.ti i .:i;,i
$130.00
\f,1
*-****Fq,qf,ffi$_
' s.p unro; I:
Q&gr*ex
genpmtneceipts Page 1 of 1