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HomeMy WebLinkAboutAPPLICATION MECHANICAL - 19-00478 - 873 Larch Dr - New SFR° Rexburg Building Department Rexburg, Idaho 8344E1 Ph: (208)372-2160 Mechanical Permit Application rexburo.orp {�Suev ti® Please fill out this application completely and submit with payment If you have questions or need assistance completing the application, please call the Rexburg Building Department. Please note: permit fees are non-refundable and non -transferable. 1. Property Owner Name:`'G2- Address: !; -7 3 1A r -c. } i City: I'L�C �9U'_ 7 State, TT�> Zip Code: % ,�j VD Phone - 2. Mechanical Contractor Email: Under Idaho Building Code, a registered contractor must do the work for a Commercial Building. Business: Sot ),15u. � State License #: N J L -- C - 13 2 7 Exp.: f - 3/ - z / Address: _ `1 P � 4, /1 Jt c.,,o 1> I- city: DC7 State: Zip Code: f53 y VQ Phone: 2c-, 0 - 3ci0 - g, s z 5; Email: J 01`7+ Su —heA-7441) (f /K; I" �-y--'*, Contact/Rep. Narne: A t_)Z) v.,� r Phone: -1 y 490 `�S Email: a o1i C_v • Je,�,`-�r, . r+tis � t o. Mechanical Contractor Authorized Sil A copy ol'your state registration/license is Date: P `-Z - 3/ Rexburg, please provide a photo Copy ofyour license. Ifyou are unsure if your• license is on file, please check with the Permit Technician by calling (208) 372-2160. DESCRIPTION OF WORK: dJ _ -(wr r9-_ I `y I't' s; &e�G� JOB SITE ADDRESS: _- - .� ? L marc -h D t CITY: PeTCS ZIP: 6 �" V VL) COUNTY: AA A c� '_J0 i Ick t A� �7t— Nqnl,��, y o .s 4:�- _ /of_ 0 0 't/ 7E3 DIRECTIONS TO JOB SITE: n 2 10 iG e ssr+<}-rJrr b;_01j AN ADDrrIONAL $65 FEE MAY BE ASSESSED if a reinspection on the project is required. THIS PERMIT APPLICATION IS NOT AN INSPECTION REQUEST: To schedule inspections please call (208) 372-2344 It is the responsibility of the permit holder to arranges access to the premises with the property owner In order for the city to compiete the inspection. We Accept cash, check, money order, Visa and MasterCard. GRAND TOTAL FEES PAID* Make checks payable to the City of Rexburg *Please use the worksheet on page 2 to determine the total fees and enter the amount to be paid here. PUBLIC RECORDS NOTICE — Business information such as your company address and phone number is regarded as public information according to the Idaho Public Reco s Act, Your business address and phone number may be provided to a third party upon written request. DATE:C? 22 1 tr PRINTED NAME: SIGNATURE:. j �����1 �� ��5�.� Page 1 Revised 710812019 U o Rexburg Building Department 31 N 1st E Rexburg, Idaho 83440 Ph: (208)372-2160 rexburmorn MECHANICAL PERMIT WORKSHEET (FEE SCHEDULE) This worksheet must accompany the Contractor Application. Use this worksheet to calculate the fees and transfer the grand total to the application. RESIDENTIAL Total $ • New: Single Family Dwelling, including all buildings with HVAC being constructed on each property. Calculation for inspection fee: Based on living space (see definition, below) (Cost of project * 2%) + $60 to Up to 1,500 sq. ft. $130 p 1,501 to 2,500 sq, ft. $105 Total Square Footage y ❑ 2,501 to 3,500 sq. ft. $260 $ 21 n 3,501 to 4,500 sq. ft. $325 e 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 sg, ft. or portion thereof ) Living Space — space within a dwelling unit utilized for sleeping, eating, cooking, bathing, washing and sanitation purposes. An unfinished basement is considered part of the living space. • New: Multi -Family Dwelling o Duplex: $260 © Three or more mufti -family units: $130 per building plus $65 per unit $ ( $130 x # of buildings } + ($65 x # of units ) Existing Residence Detached Shop: $65 dollars plus $10 per piece of additional HVAC equipment (furnace, boilers, wood stoves, factory -built fireplace, gas lines, pool heaters, mini -split system, hydronic system, etc.) and ! or exhaust ducts (range $ hoods, dryer, exhaust fans, etc.). Fee shall not exceed 'New' square footage fee. Total Pieces of Equipment *One piece of equipment or exhaust duct is included in the $65.00 fee Requested Inspection : $65 $ Plan Check : $65 per hour $ COMMERCIAL /INDUSTRIAL - The fees listed under this inspection type shall apply to any and all HVAC installations not specifically mentioned elsewhere on this form. This shall include all labor, materials, equipment, overhead and profit, as well as all labor, materials, and equipment supplied by others. The project value cannot be reduced by labor, material or equipment that is donated or supplied by others. At the time of "Final" inspection, the scope of work, valuation, and permit fees will be verified. Total cost of HVAC system (Cost of project): $ Cost of project: Calculation for inspection fee: lfproject cost is between $0 to $10,000 then: (Cost of project * 2%) + $60 If project cost is between $10, 001 to $100,000 then: ((Cost of project - $10,000) * I %) + $260 if project cost is greater than $100,001 then. ((Cost of project - $100,000) * �6%) + $1160 An additional plan review fee is required which is I0% of the calculated inspection fee. GRIND TOTAL: $ } V 1� Please record this fee on the application Page 2 Revised: 7/0812019