HomeMy WebLinkAboutAPPLICATION - 11-00433 - 6740 W 5000 N - Cnty MechDec 05 11 02:36p
0712=011 TD:05 Oty of Rex► , (208) 359-3022 (FAX)2 ,iSJ 3022
o' wrsnu,�
Building Safety Department
35 N. IR E., Rexburg, Id 83440 City of Rexburg
❑e
OWNER'S NAME I�r�afC� a5 -sem
PROPERTY ADDRESS `177.3 Si1:�kY {,,� jPermit#
SUBDIVISION
PHASE LOT BLOCK—
P. 1
LOCI{
Req Lih-edffl
Mechanical
p.1
P-002/002
CITY OF
REXBURG
.%Lp
Mre,inr} FnMty Cnmm—ify
MerhatikalContractor's Name. C�f2�/� �C Business Name f. /
Address_ r/ Z / I✓ I `�/ city—'()6. Statef�� Zip `33 L v
Cell Phone ( ) Business Phone (?vg ) 5J2 -?--3.,3,;7Z_
Email
(COMMERCIAL/INDUSTRIAL) Total cost of plumbing system (Contracted Amount) s-2 6C
(!mludu the rost of maleriair iarlaf/ed ngardlzrr ofthe party rupplyrirg it. 7be jeer Irrfed Nader this nupectiou type iball opp� to any m1d all meebanim!
iostal*6oas not specifirally mentioned e1jewhe7r on tbir fum)-
❑ Up to $10,000 (to 21.031 of system x 0.02) + 60 = $ r" :'
❑ Between $10,001- $100,000 ( (total cost cf system — 10 000) x 0.01) + $260 = $
❑ Over $100,001 ( (total cost of sgstem — 100 000) x 0.005) -+- $1,160 =
RESIDENTIAL
New Single FarnilyDsvClling, includtug z/1 bufl ln9s with wiring beteg constructed on eacb property_ (Based on living space,
sec deturltion below) - - .- — .. - -
n Up to 1,500 sq ft - $130 ❑ 1,501 to 2,500 sq ft - $195
0 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:4 of additional 1,000 sq. ft or portion thereon).
New-'Multi-FamilpDwelYDg (Contractors Only)
❑ Duplex Apartment $260
* Three or more multi -family units: $130 per building plus $65 per unit: (SI 30 x # of buildings) + ($65 x-# ofd
❑ Existing Residence, Modular, Manufactured or Mobile Homes and Detached Shop: $65 fee plus $10 per
**HVAC equipment being installed up to the maximur7 of the corresponding sq, £G of the building
05 -+- ($10 x # of fixtureal)
MISCELLANEOUS
❑ Plan Check $65 per hour
❑ 'Technical Service: $65 per hour
❑ Gas Line: $65
o Water Heater Replacement: $65
❑ Requested Inspection: $65
❑ Fireplace/Solid Fuel Burning Appliance: $65 per inspection
l' 1-1-1-4 6...-5 6-,'7-414i� i"
*Living Space — space within a dwelling unit iatended for human habitation which may reasonably be utilized for sleeping, eating, cooking,
bathing, washing, reuratiou, and sanitation purposes. An unfininbed basement is considered part of the living space.
**Examples of HVAC Equipment -furnace replacemcnt, solar, water heater, etc,
_Inc - C - rsr7
Signature of Licensed Contractor License number & Exp. date Date