HomeMy WebLinkAboutAPPLICATION MECHANICAL - 16-00577 - 117 S 2nd E - Mattson Apts - Bldg B NO 23 Units-
CITY OF
REXBURG
Americas Family Comm!mll)'
I Submit By Email I
Building Safety Department
City of Rexburg
35 North tst East
Rexburg, Idaho 83440
For Office Use
BUILDING APPLICATION
Mechanical
Permit Number: Permit Type: 0 New 0 Remodel DAddition 0 Basement Finish
Fees Paid: DYes ONo
1. Property Owner
Name: ABRI Apartments
Address: City: State: Zip Code:
Phone & Type: 208-652-7881 0 Office 0 Mobile Email:
Under Idaho Building Code, a homeowner is allowed to do work on their own home.
Are you a homeowner doing work on your own home? 0 Yes (Skip to #3 and complete the Homeowner's Exemption page)
0 No: I am a contractor working for the homeowner 0 No: This property is a Multi-family Residence or Commercial Property.
NOTE: Any contractors/sub-contractors involved will need to submit their own signed applic:ltions.
2. Mechanic;JI Contractor
Name: JM Mechanical, LLC Registration#: 1767 Exp.: 12/31/17
Address: 3775 N 200 w City: Hyde Park State:.!:!!..__ __ Zip Code: 84318
Phone & Type: 435-563-6267 0 Office 0 Mobile Email: heather.dowd@jmmech.com
Contact/Rep. Name: Heather Dowd Phone: 435-994-0523 Email: heather.dowd@jmmech.com
Mechanical Contractor Authorized Signature: Randy Brower Date: 2/20/17
3. Project
Address: Mattson Apts. 1st S. 2nd E. -OR-Lot#: -Block#: -Subdivision:
Check one: 0 Single-family Residence 0 Multi-family Residence 0 Commercial
Check one: 0 New Construction* 0 Remodel 0 Addition 0 Basement Finish
Description of work: Install furnaces, coils, condensers and exhaust fans -
New Commercial Work: Contracted amount:$ 204,950 Calculated Fee (See Below): $1,684.75
0 Up to $10,000 =(total cost of system x .02) + $60 0 $10,001-$100,000 =((total cost of system -10,000) x .01) + $260
0 Over $100,001 = ((total cost of system -100,000) x .005) + $1,160
New Single-Family Residential Work: Sq. Ft.
0 Up to 1,500 Sq. Ft.= $130 0 1,501-2,500 Sq. Ft.= $195 0 2,501-3,500 Sq. Ft.= $260 0 3,501-4,500 Sq. Ft.= $325
0 Over 4,500 Sq. Ft.= $325+(65 x #of additional1,000 Sq. Ft. (or portion thereof)) $
New Multi-Family Residential: 0 Duplex= $260 OThree or more units= $((130 x # ofbuildings)+(65 x #of units))$ __
New work on any other residence and Detached Shops: -$( 65 + (10 x #of HVAC fixtures)) $
Miscellaneous: 0 Gas Pressure = $65 0 Furnace or A/C = $65 0 Water Heater= $65 0 Requested Inspection= $65
0 Gas Line = $65 0 Fireplace/Solid Fuel Burning Unit= $65 OTechnical Service= $65/hour
0 Plan Check =10% of Contracted Amount
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, I hereby certify that I have read this application and state that the inl(•nnation herein
is correct and I swear that any infonnation which may hereafter be given by me in hearings before the Planning and Zoning Commission or the City Council for the City of Rexburg
shall be truthful and correct. I agree to comply with all City regulations and State laws relating to the subject matter of this application and hereby authorized representatives of the
City to enter upon the above-mentioned property fur inspections purposes. NOTE: The building official may revoke a permit on approval issued under the provisions of the 2012
InternatiOnal Code m cases of any false statement or misrepresentation of fact m the applicat10n or on the plans on wh1ch the permit or approval was based. Permit void tfnot
started Within 180 days. Permrtvmd rfworkstops for 180 days. ~ ~ d
Applicmf' Namo (pcint)o HMh" Dowd Signotucoo & ~ c:t15.u """ 3/20/17
Inspections must be called in before 8 AM on the day the inspection is requested. Inspection requests called in after 8 AM will be scheduled for the next business day.
lnspection Hotline-(208) 372.2344 www.rexburg.org Permit Technician-(208) 372.2341 Revised March, 2016