HomeMy WebLinkAboutAPPLICATION MECHANICAL - 17-00644 - 2751 W 1000 N - Fire Place35N.IstE. Building Safety Department
Rexburg, Id 83440
www.rexburg.org City of Rexburg
OWNER'S NAME I C w) a U p- m ti M
PROPERTY ADDRESS 15 N . Permit#
OWNER'S CONTACT PHONE (20W 311 JOB
OWNER'S EMAIL ADDRESS
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Mechanical
CITY OF
REXBURG
CW
Ame 44 Family Community
Mechanical Contractor's Name 'TU 11 E Coope - Business Name Lk 15 U a T I M 1E s IVC
Address 2ZO6 N. W00or-UFF (tyE CiryTj)6Hu fmiS State So Zip 83y(��
Cell Phone Business Phone ?09 52 3 -N 6 3 3
Fax �2 i S 2 3 - �l (�3 �� Email 15 U YI ITt 1 YLd T - IV C . (0 /l/1
(COMMERCIAL/INDUSTRIAL) Total cost of mechanical system (Contracted Amount) $
(Includes the cost of materials installed regardless of the party supplying it. The fees listed under this in pection type shall apply to any and all mechanical
installations not pedficalymentioned elsewhere on this form).
❑ Up to $10,000 (total cost of s, s� x 0.02) + 60 = $
❑ 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
Now. Single FamR7DweBing, including all buildings with wiring being constructed on each pmpertp. (*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 $325 plus $65 for each additional 1,000 sq ft. or portion thereof
($325 + ($65 x # of additional 1.000 sq. ft. or portion thereo�).
Now. -Multi FamilpDwelling (Contractors Onlp)
❑ Duplex Apartment $260
❑ Three or more multi -family units: $130 per building plus $65 per unit: ($130 x # of buildings) + ($65 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
565 + ($10 x # of fixtures))
MISCELLANEOUS
❑ Plan Check: 10% of Mechanical Permit Fee
❑ Technical Service: $65 per hour
-q Gas Line: $65
❑ Water Heater Replacement: $65
❑ Requested Inspection: $65
cqC 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.
Signature of Licensed Contractor
"VC -5C --G5
License number & Exp. date
161�__5 1 /-7
Date