HomeMy WebLinkAboutAPPLICATION - 16-00429 - 4276 N 6000 W - MechanicalBuilding Safety Department
35 N. 11, E., Rexburg, Id 83440
Phone: 208.359.3020 Fax: 208.359.:
2 Hotline: 208.372.2344 or Test:
City of Rexburg
OWNER'S NAME VGt r�r �'tyrw
PROPERTY ADDRESS LI2:11-0 �J (_0000W Permit#
OWNER'S CONTACT PHONE %3 •'.fly
OWNER'S EMAIL ADDRESS SIUIrYl1 d v L YY1Si) CO
Required!!!
Mecha-a cal
CITY OF
REXBURG
Ow —
Ameriai s Family Community
Mechanical Contractor's Name CM111twe l Bussiiness Name _b iii C61 11
Address � N i% 6�1 DCt1�� �• City 1ko i rA <<S State ip B3404
Cell Phone Business Phone 52 - -7 7 -7 7
Fax �'JZ�I Z��j Email_ c S .( V 1 fl t C6) bwe ( -cow,
(COMMERCIAL/INDUSTRIAL) Total cost of mechanical system (Contracted Amount) $
(Includes the cost of materials installed meoardless of the part' .rupp��ing it. The fees 1r.)ted under tbis in pection type shall apply to any and all mechanical
installations not jpec�F ally mentioned eLexbere on this form).
❑ Up to $10,000 (total cost of system x 0.02) + 60 = S
Cl Between $10,001- $100,000 ( (total cost of system -10.000) x 0.01) + $260 = S
❑ Over $100,001 ( (total cost of system -100.000) x 0.005) + $1,160 =
RESIDENTIAL
New., Single FamilyDwelliag, including all buildings with wing being constructed on each property. (*Based on living space,
see definition 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 S325 plus $65 for each additional 1,000 sq ft. or portion thereof
(5325 + ($65 x # of additional 1.000 sq. ft. or portion thereof ).
New. Multi Family Dwelling (Contractors Only)
❑ Duplex Apartment $260
❑ Three or more multi -family units: $130 per building plus $65 per unit: (51301 # of buildings + (S65 x # of unitsi
❑ 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
.(565 + (S10 x # of fixtures
MISCELLANEOUS
❑ Plan Check: 10° o of Mechanical Permit Fee
❑ Technical Service: $65 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.
(,,& �Afm (( a 13/31 /to i5 IcP
Signature of Licensed Contractor License number & Exp. date Date