HomeMy WebLinkAboutPA SUMMARY - 19-00586 - 192 S 4000 W - Gas Line & Unit Heater for Existing ShopApplication
Summary
Application Number: 19-00586
BLD-MECHR - Other Mechanical Only
Received Date: 09/26/2019 192 S 4000 W - Gas Line & Unit Heater for Existing Shop
Address: 192 S 4000 W
Property Information
192 South 4000 West
People Information
Applicant - Housley Pumps, Inc 40 West Main
hpumps@netscape.net St Anthony, ID 83445
Home: 2086243772Mobile: 2083900313
Owner - Nick Jensen 192 S 4000 W
Rexburg, ID 83440
Home: 2083511087Mobile: 2083511087
Contractor Information
Mechanical Contractor - HOUSLEY PUMPS, INC HVC-C-1146 (02/28/2018)
hpumps@netscape.net 40 W MAIN ST
St. Anthony, ID 83445Work: (208)624-3772
Mobile: (208)390-3774
Page 1 of 2Print Date: 09/26/2019
Application
Summary
Application Number: 19-00586
BLD-MECHR - Other Mechanical Only
Received Date: 09/26/2019 192 S 4000 W - Gas Line & Unit Heater for Existing Shop
Address: 192 S 4000 W
Application Information
Detail Description Quantity Value
Additional Inspections Required
Gas Line and Unit Heater in Existing
Building
Please describe the work being done
1,300.00Total cost of work 1,300.00
1.00Number of Furnaces being installed? ($65 per furnace) 1.00
Number of Air Conditioning units being installed? ($65 for 1st
+ $10/additional HVAC equipment)
0.00
1.00Are any gas lines being installed/replaced? No = 0 Yes = 1
($65 for 1st + $10/additional HVAC equipment)
1.00
Number of water heaters being installed/replaced ($65 for
1st + $10/additional HVAC equipment)
0.00
Number of free-standing fireplaces being installed? ($65 for
1st + $10/additional HVAC equipment)
0.00
Number of built-in fireplaces being installed? ($65 for 1st +
$10/additional HVAC equipment)
0.00
Are you installing in-floor heating zones? (hydronic heating)
No = 0 Yes = 1 ($65 for 1st + $10/additional HVAC
equipment)
0.00
Number of other additional HVAC equipment not listed above
($65 for 1st + $10/additional HVAC equipment)
0.00
YBy checking this box, I acknowledge the requirement for
contractors to be registered with the State and/or claim
exemption from this requirement as a homeowner working
on my own home.
Comments
Fee Information
Fee Code & Description Amount
$86.00Mechanical - Non-Res or General by Cost (BLDMENR@)
$0.00Mechanical - Per Service (BLDMEWRK)
$75.00Mechanical - Misc. $65 base + $10 per ea (BLDMEWRK2)
$161.00
Payment Information
Payment AmountTender Type Reference InfoPayment Date
Page 2 of 2Print Date: 09/26/2019