HomeMy WebLinkAboutRECEIPTS - 08-00207 - 1125 & 1127 S 2nd E - New SFRCLAIM FORM
C.Y J -Y OF
RIXBURC�
VENDOR # '�(qft Wl AMERICA'S FAMILY COMMUNITY
NAME
ADDRESS
CITY, STATE, ZIP
DESCRIPTION
w -as G -n &Ito -
roc -RPl-33,�Ys.
DATE � la 1 108
FED ID or SS#
TELEPHONE "
CODE AMOUNT APPROVED
OR HIS AGENT SIGN
'RG
REX TJ
City of Rexburg
Department of Community Development Receipt Number:
19 E. Main St. / Rexburg, ID. 83440
Phone (208) 359-3020. / Fax (208) 359-3024
genpmtrreceipts Page 1 of 1
0800207
RPRVVTH001
Mechanical Residential Fixtures
$200.00
$200.00
$0.00
0800207
RPRVVTH001
Building Permit Fee
$2,360.15
$2,360.15
$0.00
0800207
RPRVVTH001
Residential Plumbing Permit Fee
$334.00
$334.00
$0.00
0800207
RPRVVTH001
Fire Impact
$138.86
$138.86
$0.00
0800207
RPRVVTH001
Hookup Fee/Sewer
$1,000.00
$1,000.00
$0.00
0800207
RPRVVTH001
Hookup Fee/Water
$1,550.00
$1,550.00
$0.00
0800207
RPRVVTH001
Park Impact Fee
$693.98
$693.98
$0.00
0800207
RPRVVTH001
Police Impact Fee
$27.08
$27.08
$0.00
0800207
RPRVVTH001
Street Impact Fee
$1,286.80
$1,286.80
$0.00
0800207
RPRVVTH001
Water Meter & Parts
$634.00
$634.00
$0.00
0800207
RPRVVTH001
Perm it - Electrical
$320.00
$320.00
$0.00
Total:
$8,544.87
in,
5 M� K011'11��
CHECK
768
$8,544.87
Total $8,544.87
genpmtrreceipts Page 1 of 1
K .B L'R f
u ✓e�
-`.--`-�.... "
Receipts Detail
Report
p
,y
_
Ameru a Family c onz,nu ,riy
Page 1 of 1
o
From 04/29/2008 To 04/29/2008
Report run on July 21,
2008 11:48 AM
Cashier.
Project Name Physical Address
Applicant Name
JANELLH
/125/1127 S 2nd E -Stevens 1125 & 1127 S 2ND
E
--' -----
-
No Applicant
---------------
Application
# Fms Account # Receipt Dt
Receipt #
Fee Code
- -
- - - - -
Cash
Check
Credit Card Credits
0800207
2534620 04/29/2008
08-0272
WATERMETER
2832212 04/29/2008
08-0272
.......... ....... ..........
MECHANICAL -
634.00
634.00
RES....
200.00
200.00
2832211 04/29/2008
08-0272
.. .. ......
BUILDING
- -
2832214 04/29/2008
08-0272
PLUMBING RES
2,360.15
2360.15
,
3.4.3.4.630 04/29/2008
08-0272
HOOKUP -WATER
334.00
334.00
3534730 04/29/2008
08-0272
HOOKUP -SEWER
1550.00
1,550.00
.............
3835500 04/29/2008
08-0272
_
PARK IMPACT
1,000.00
1,000.00
0735500 04/29/2008
08-0272
POLICE IMPACT
693.98
693.98
2035500 04/29/2008
08-0272
FIRE IMPACT
27.08
27.08
3335500 04/29/2008
08-0272
STREET IMPACT
..........
138.86
138.86
2832213 04/29/2008
08-0272
ELECTRICAL
1,286.80
1,286.80
Sub Totals:
Fee Code
ELECVALUATION
Sub Totals:
Grand Totals:
320.00 320.00
................ ................ ...._............... ....... ........ ................. ........... ..........._........... :...._.
$8,544.87
$8,544.87
- ----- _
pp-ican------------- --------------------
Cash Check Credit Card Credits
40.00 40.00
$40.00 $40.00
$8,584.87 $8,584.87
BEXBUIG City of Rexburg
Department of Community Development Receipt Number: 08-0272
19 E. Main St. / Rexburg, ID. 83440
Phone (208) 359-3020 / Fax (208) 359-3024
Receipt Date: 04/29/2008 Cashier: JANELLH Payer/Payee Name: STEYENS J BART
i
Original Fee Amount Fee
'ermit# Parcel Fee Description Amount Paid Balance
0800207
RPRVVTH001
Mechanical Residential Fixtures
$200.00
$200.00
$0.00
0800207
RPRVVTH001
Building Permit Fee
$2,360.15
$2,360.15
$0.00
0800207
RPRVVTH001
Residential Plumbing Permit Fee
$334.00
$334.00
$0.00
0800207
RPRVVTH001
Fire Impact
$138.86
$138.86
$0.00
0800207
RPRVVTH001
Hookup Fee/Sewer
$1,000.00
$1,000.00
$0.00
0800207
RPRVVTH001
Hookup Fee/Water
$1,550.00
$1,550.00
$0.00
0800207
RPRVVTH001
Park Impact Fee
$693.98
$693.98
$0.00
0800207
RPRVVTH001
Police Impact Fee
$27.08
$27.08
$0.00
0800207
RPRVVTH001
Street Impact Fee
$1,286.80
$1,286.80
$0.00
0800207
RPRVVTH001
Water Meter & Parts
$634.00
$634.00
$0.00
0800207
RPRVVTH001
Permit - Bectrical
$320.00
$320.00
$0.00
Total:
$8,544.87
Previous Payment History
Receipt # Receipt Date Fee Description Amount Paid Permit #
Payment
Check
Payment
Method
Number
Amount
CHECK
768
$ 8,544.87
Total $8,544.87
genpmtrreceipts Page 1 of 1
Bufiur - -g Safety Departmei .. o�RxXBu��
19 E Main ionellh@rexburg.org
Rexburg, ID 83440 www.rexburg.org
City of Rexburg r°
s� o
Phone: 208.359.3020 x326 �, k
Fax: 208.359.3024
OWNER'S NAMEOA-e-r
PROPERTY ADD SSt—'- r -
SUBDIVISION �i,i, �ie� iTuotJ i4o" �
PHASE LOT � BLOCK
RequlredLY
ELECTRICAL
CITY O OF
RE1WLTRG
America's Family Community
Permit ##08 00207
1125 & 1127 S 2nd E
Electrical Contractor's Name 2�e-9-�1 &edelk Business Name ;`'
Address_ SJ J -Z-C) /) :StY
% Ci I � X RLI
- - 4 State /1- 1--,b, Zip ��yyC�
Cell Phone ( ) 3 � 6 - 330 (, Business Phone (Za) 359- Z 7q
Fax (2JO 3 51? r C, 2 c)7 Email
Electrical Estimate (cost of wiring & labor) $ (COMMERCIAL/MULTI-FAMILY ONLI)
TYPES OF INSTALLATION
(New Residential includes everythitsg contained within the residential structure and attached garage at the same time)
Number of meters being installed
Up to 200 amp Service*
201 to 400 amp Service*
Over 400 amp Service*
Temporary Construction Service, 200 amp or less, one location (for a period not to exceed 1 year)
Existing Residential (# of Branch Circuits)
Spa, Hot Tub, Swimming Pool
Electric Central Systems Heating and/or Cooling (when not
and no additional wiring)
Modular, Manufactured or Mobile Home
Other Installations: Wiring not specifically covered by any
Cost of Wiring & Labor: $
Pumps (Domestic Water, Irrigation, Sewage)
Requested Inspections (of existing wiring)
Temporary Amusement/Industry
APR 2 5 2007
the
*Includes a maximum of 3 inspections. Additional inspections charged at requested inspection rate of $40 per hour.
I Signature of Licensed Contractor
License number Date
The
schedule is the same as required by the State of Idah,
7