HomeMy WebLinkAboutAPPLICATION & RECEIPT - 14-00559 - 4559 W 2000 S - Furnace/Gas LineBuilding Sofety Deporlmenl
City of Rexburg
o{
RAXtsURG
n6J ...-
Ary|cri&i &rnily (rprfi s{it'35 N. 1$ E., Rexburg, Id 83440
OSflNER'S NAME Darwin Beardall
PROPERTY ADDRESS 4s5e w 2000 s
ov,NER'S CONTACT PHONE 356-8025
O\X,NER'S E,MAIL ADDRESS
Permit# Itt -OOS57
Requircd!!!Mechanical
Mechanical Contractor's \2ms First Call Jewel Business \a6e First Call Jewel
Address 1410 Hollipark city]elg r3ll:-state lD zip$ao1
Cell Phone Business Phone (208) 522-7777
F^x (205) 529-2793 !,62i1 csr@firstcalljewel.com
(coMMERcIAL/INDUSTRIAL)Totalcostofmechanicalsystem(ContractedAmount)$-
(ncladu the cott of mateials inrtalled regardler oJ the pa@ sappfiing it. The feu limd under thh inrpection [pe thall 4p/1 to arg and all nechanical
in$allations not qecifca/! nenlioned ekewhere on this forz).
! Up to $10,000 (fsIalles!-afs$ecs x 0.02) + 60 = $
r Between $10,001 - $100,000 ( (total cost of system - 10.000) x 0.01) + $260 = $
n Over $100,001 ( (total cost of system - 100.000) x 0.005) + $1,160 = $
RESIDENTIAL
New: Siagle Faaily Dwelliag, iacludiag aII buildiags wirt widng beiag coastucted oa cach ptopetty. (*Based oa liuiag spacc,
seo dcfinition below)
r Up to 1,500 sq ft - $130 n 1,501 to 2,500 sq ft - $195
n 2,501to 3,500 sq ft - $260 n 3,501 to 4,500 sq ft - $325
I Over 4,500 sq ft $325 plus $65 for each additional 1,000 sq ft. or portion thereof
($325 + ($65 x # of addirional 1.000 sq. ft. or portion thereo0).
Ncw: Multj-Family Dwelling (Coattacton Oaly)
n Duplex Apartment $260
r Three or more multi-family units: $130 per building plus $65 per unit: ($130 x # of buildings) + ($65 x # of units)
I Existing Residence, Modular, Manufactuted or Mobile Homes and Detached Shop: $65 fee plus $10 per
**FfVAC equipment being installed up to the maximum of the corresponding sq. ft. of the building
($65+($10x#offixrure$)
MISCELLANEOUS
I Plan Check $65 per hour
I Technical Service: $65 per hour
o Gas Line: $65
I Vater Fleatet Replacement: $65
n Requested Inspection: $65
I Fireplace/Solid Fuel Burning Appliance: $65 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 sanitatjon purposes. An unfinished basement is considered part ofthe hvrng space.
**Examples otHVAC Equipment-furnace replacement, solar, water heater, etc.
Anqie Ekker 618
Sienature of Licensed Contractor License number & Exo. date
December 11.2014
press Bill Pay - Payment Processing https ://www.xnresfl aV. com/common/paymentirocess.php
City af Rexburg
35 Northlst East
Rexburg, lD 83440
208-359-3020
{.1: ! J"Y {} l1
KfrXI3LIRS
rjbd
tt I lti fl i t]j'it fi r,:, + I :'. I tx t4 t1 t' N.it I
XBP Confirmation Number: $312460
Date: 12J1'112014 - 10:12t24 AMtlf Transaction detail for payment to City of Rexburg.
Transaction Number: 3{ 525383PT
Visa - XXXX-XXXX-XXXX-3730
Status: Successfuf
Account#
14-00559
Billing Information
Robert C. Bidstrup
, 83401
It".
Mechanical Permit
Quantity
1
Item Amount
TOTAL:
$130.00
s13A.AA
Transaction taken by: amanda
ofl l2lll12014l0:12 AM