HomeMy WebLinkAboutAPPLICATION - 16-00374 - 280 Shoshone Ave - Gas LineBuilding Safety Department
35 N. ist E., Rexburg, Id 83440 City of Rexburg
Phone: 208.359.3020 Fax: 208.359.3022 Hotline: 208.372.2344 or Test: insoections(@xesbur
OWNER'S NAME OU I d VVQCt i
PROPERTY ADDRESS 2-b17 S oskn y, NyQ Permit#
OWNER'S CONTACT PHONE(p
OWNER'S EMAIL ADDRESS '
Required//I
_Ifechanical
C I TY OF
REXBURG
Ley
America's Famiry Community
Mechanical Contractor's Name Business Name r1rSt CGt f l 7%UVQ l
Address ( I0 IQAYK City Idaho Ed I IS, State JT) zip
Cell Phone �
one _6 r U� 2`� 6 J Business Phone 20?)-52Z-T711-sZZ-T7,�
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Fax C) b- 2 q r 219 _5 Email N' gfi Nt W I I QW - CD M
(COMMERCIAL/INDUSTRIAL) Total cost of mechanical system (Contracted Amount) $
(Inclerdes the cost of materials installed reaardle rr of the party supplying it. The fee c listed ander thi s inspection type sball apply to any and all meehcrnicerl
installations not jpegTxally mentioned e&;,vbere on tbis fomi).
❑ Up to $10,000 (total cost of system x 0.02) + 60 = S
❑ Between $10,001- $100,000 ( (total cost of system - 10.000) x 0.01) + $260 =
❑ Over $100,001 ( (total cost of system -100.000) x 0.005) + $1,160 =
RESIDENTIAL
New. Single FamilyDwelhng, including all buildings with wmng being constructed on each property. (*Based on living space,
see de&nition below)
❑ Up to 1,500 sq ft - $130 ❑ 1,501 to 2,500 sq ft - $195
❑ 2,501 to 3,500 sq ft - $260 ❑ 3,501 to 4,500 sq ft - $325
❑ 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 thereon).
New. Multi-Famil.yDwelling (Contractors 0n17)
❑ Duplex Apartment $260
❑ Three or more multi -family units: $130 per building plus S65 per unit: (&130 x # of buildings) + (S65 x # of units)
❑ Existing Residence, Modular, Manufactured or Mobile Homes and Detached Shop: $65 fee plus $10 per
**HVAC equipment being installed up to the maximum of the corresponding sq. ft. of the building
(S65 + (S10 x # of fixtures))
MISCELLANEOUS
❑ Plan Check: 10% of Mechanical Permit Fee
❑ Technical Service: S65 per hour
Gas Line: $65
❑ Water Heater Replacement: $65
❑ Requested Inspection: $65
❑ 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 sanitation purposes. An unfinished basement is considered part of the living space.
**Examples of HVAC Equipment -furnace replacement, solar, water heater, etc.
aku)-b i - S ��► i� S 2y
Signature of Licensed Contractor License number & Es . date I date