HomeMy WebLinkAboutALL DOCS - 14-00513 - 295 Apache - Gas LineBuilding Sofety Deportmenl
City of Rexburg
CITY OF
REXBURG
Am e i@! F amily Coffi munity
35 N. 1$ E., Rexburg, Id 83440
OWNER'S NAME
PROPERTY ADDRESS Permit# /4'005t5
owNER,s coNTACTpHoNE \plc'P-^ \s%H?hT &A Ab - 2hA^34t-F
OIVNER'S EMAIL ADDRESS Cur<-\--rcn € Ys-hoo .ccvr-.
Requircd!!!Mechanical
Mechanical Contractor's Name Business Name
Address City State 7io
Cell Phone Business Phone
Fax
(COMMERCIAL/INDUSTRIAL) Total cost of mechanical system (ContractedAmount) $
(ncludu the cost of nateiak installed regardler of the pa@ suppjingit. Thefeu li*d undtr thh intpedion 4pe :hall appl1 to an1 and all mechanical
installatiou not specifca@ nentioned elnahere on thisfortn).
rr Up to $10,000 ftstal-cost ofsysIcls x 0.02) + 60 = $
r Between $10,001 - $100,000 ( (total cost of system - 10-000) x 0.01) + 9260 = $
I Over $1001001
RESIDENTIAL
( (total cost ofsystem- 100.000) x 0.005) + $1,160 = $
New: Siagle Faaily Dwelliag, iacludiag aII buildiags with witiag beiag coastucted oa each prcpetty. (*Based oa Euiag space,
see defraitioa below)
tr Up to 1,500 sq ft - $130 n 1,501 to 2,500 sq ft - 9195
tr 2,501. to 3,500 sq ft - $260 I 3,501 to 4,500 sq ft - 9325
I Over 4,500 sq ft $325 plus $65 fot each additional 1,000 sq ft. or portion theteof
($325 + ($65 x # of additional 1.000 sq. ft. or portion thereoO).
Ncw: Multi-Family Dwelliag (Coaazctos Only)
11 Duplex Apartrnent $260
I Three or rnore multi-family units: $130 pet 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 perxxHVAC equipment being installed up to the maximum of the corresponding sq. ft. of the building
($65 + /$10 x # of fixtures))
MISCELI-ANEOUS
I Plan Check 965 per hour
I Technical Service: $65 per hour
H Gas T.ine: $65
n Watet Heatet Replacement $65
I Requested Inspection: $65
n Fireplace/Solid Fuel Burning Appliance: 965 per inspection
*Li-ritg Space - space within a dwelling unit intended for human habitation which may reasonably be utilized for sleeping, eating cooking,
bathing, washing, recreation, and sanitation purposes. An unfinished basement is considered part of the living space.*xExamples of HVAC Equipment-fumace replacement, solar, water heater, etc.
of Licensed Contractor License number &date Date
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City of Raxburg
35 Northlst East
Rexburg, lD 83t140
208-359-3020
Item Amount
TOTAL:s6s.00
Transaction taken by: amanda
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RHXBUR#
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XBP Gonfirmation Number: 47 13206
14-00513 Mechanical Permit
Billing Infonnation
ILENIA F VALLECILLOS
,83440
Transaction detail for payment to City of Rexburg.DaE:, 111'1312014 - 12:41:56 PM
Transaction Number: 30539248PT
Visa - XXXX-XXXX-XXXX"41 83
Status: Successful
ll/13/2014 l2:40 PM