HomeMy WebLinkAboutPROJECT INFORMATION - 08-00158 - 538 Henderson - New SFRI T Y o f SINGLE FAMILY RESIDENTIAL
REX13VR
Amenca' Faindy Community
City of Rexburg
Department of Community Development
19 E. Main St. / Rexburg, ID. 83440
I Phone (208) 359-3020 / Fax (208) 359-3024 1
Project Information
Permit # 0800158
Permit Type Single Family Residential
Project Name 538 Henderson -Mounts
Site Address 538 HENDERSON ST
Parcel # RPRHNDS0010130
Project Description
Names Associated with this Project
Type Name Contact
Phone # License # Exp Date
Contractor Archibald, Brad Brad Archibald
208-390-4460 11486 09/30/2009
Contractor Owner/Lessee
EXEMPT 12/31/2010
Contractor Virgin Electric Jerry Virgin
208-351-1970 777 07/01/2008
Fixtures
5- R -Fuel piping fixture or appliance outlet(s) additional
1 - R -Fuel (gas) piping fixture or appliance outlet
1 - R -Range hood vents additional
3- R -Bath fan vents additional
1 - R -Exhaust or vent ducts
1- R -Furnace / Air Conditioner Combo
3- R -Decorative gas-fired appliance(s) additional
1- R -Dryer vents additional
2- R -Garbage Disposal
1- R -Water Softener
3- R -Water Closet and/or Urinal
1- R -Clothes Washing Machine
1 - R -Dish Washer
I- R -Floor Drain
1- R -Water Heater
8- R -Sink (Lavatory, Kitchen, Mop or Bar Sink)
4- R -Tub and/or Shower Unit
1- R -Sprinkler
*** SEE ATTACHED CONDITIONS ***
Print Name
Date Issued:
Signature Date
Issued By:
CTI._Y SINGLE FAMILY RESIDENTIAL
c REX13URG City of Rexburg
--- ro,
Ame"casfan'yCommunity Department of Community Development
19 E. Main St. / Rexburg, ID. 83440
Phone (208) 359-3020 / Fax (208) 359-3024
Project Information
Permit Type Single Family Residential
Site Address 538 HENDERSON ST
Project Description
Fee Information
Project Valuation $400,533.1F
Mechanical Residential Fixtures
210.00
Building Permit Fee
2,679.35
Plan Check Fee
267.94
Residential Plumbing Permit Fee
224.00
Fire Impact
184.61
Hookup Fee/Sewer
1,000.00
Hookup Fee/Water
1,550.00
Park Impact Fee
604.97
Police Impact Fee
158.11
Street Impact Fee
804.25
Water Meter & Parts
317.00
Permit - Electrical
160.00
Total Fees Paid $8,160.23
Conditions
1. 333 unfinished basement
Print Name
Signature
Permit # 0800158
Project Name 538 Henderson -Mounts
Parcel # RPR14NDS0010130
Project Details
Residential, one and two family (Any Code mat 3,790 SQFT
Unfinished Basements (all use group) 333 SQFT
Utility, miscellaneous, private garages (Any Co( 1,058 SQFT
Date
Date Issued:
Issued By:
�Mlp
"L.
REXBURG City of Rexburg
Department of Community Development Receipt Number: 08-0200
19 E. Main St. / Rexburg, ID. 83440
Phone (208) 359-3020 / Fax (208) 359-3024
genpmtrreceipts Page 1 of 1
rReceip:tDate:
Cashier: JANl3LH Payer/Payee Name: MOUNTS THOMAS &
Permit #
Parcel
Fee Description
Original Fee Amount Fee
Amount Paid Balance
0800158
RPRHNDS001
Building Permit Fee
$2,679.35 $232.06 $2,447.29
0800158
RPRHNDS001
Plan Check Fee
$267.94 $267.94 $0.00
Total: $500.00
Previous Payment History
Receipt #
Receipt Date
Fee Description
Amount Paid Permit #
Payment
Method
Check
Number
Paym a n#
Am ouni
i
CREDIT CARD
$ 500.00
Total $500.00
genpmtrreceipts Page 1 of 1