HomeMy WebLinkAboutAPPLICATION - 06-00070 - Cal Ranch - MechanicalFeb 20 06 0: 29p
Cly OF REXR UR G
BUR -DING PERMIT APPLICATION
] 9 E MALN, R--00URG,ID. $3440
?OS- 3 5 9-3 0 2 0 X.02 2
llioi'
PERMIT;.
Please complete the entire Application!
Tf the question does not apply fill in NA for nonapplicable --_
PARCEL NiUMBER: (We will provide this for you)
U�IT� BL�C��SUBDIVISION: LOT"174
(Addressing as based oa the iDformatian - must be ac^Murase)
PROPERTY a.DDRESS:_J�4 �• Z E.
CONTACTPHLONE9 3549-'33c4-3
P -HONE Home _Wo
rk 0311
�F _ __ _ _
"X .- D
i'3" 'S
%
I'
EMAVL FAX
APPLICANT (If other than owner)_ ` '
(Applicant if other thAJNFORN-LAT101"4:
an owner, a s�aeemrnt zuu,o.,nng vnt ppucato act as agent -for oweer moat accom V
APPLICAT ADDRESS _ CITY-_ a
STATE; _ ZIP S'vLAJL FAX
PHONE "PT: HomeWork ( ) Cell ( )_
CONTRACTOR: Cbrvj n
�rau.�rG aDD�ss: 2«i W.
_7EJCTTA?�C}�cS EZl
PHONE: Homu# Work4-5zz-L:337'Z Cell
E. M A I L �F A X
Ham many buildinas are located on this prope�y'?
Did you recently purchase s property? No Yes (If yes eve 0va-ner's n=e)
1s thus a fat split? N,1O YES Tlea5e bung copy of new legal desciiptioiri of pToperry)
PRO.?OSED USE:
(i.e., Sb:i1c Family Rcsidcnc�, M�:;c! F�mi�y, Aparnne.9ts, Remodel, Gazage, CaQ,Tnercial. addition, Etc,)
APPLJCAANT'S SIUNATURE, CERTIECATION ANDATJTHOPdZATION: ja'.� }' f :-.%Tei6 �LJ� ��� 1.R1 � � ��ra�l bra �
tat I h eLve read LWs app II
I� City Coil fbr the1
City o-Raxhargshall bc fite fitful and corJ a
N
with &a yrcgulatiuuz aad5twc Ian zc I atn g to 1he abj e ci menet 0f T1s a ppi -1 c ation and h eTeby authori ze d rep rmcmutiv cs of the C * ry 10 r,
the above- merit�lon d prioverty 1'orinspcelioa3 purpo2cs. TE- The bul-ld of5cial may � o e a t o approval iced Unna the
.Provisions of the 2000Entematioul cue .in cases of a3y false 3mte rn ant or rnj sr ep rets en ta6on a; fact -. i
P ITor a 7�0val wasbased , Pel �?aid Ii n of s -2thi 1 0 days. eft V i d If M',Vor Mops fo r 1
0
WU Nip
rjFj&WMWj1 1 M
a / '0� I a�
Owncr/Appli=t DATE
Do lou prefer t I>e t ax email or Circle One
WA,ILNIN—BUMDING PFJUMaT MUSS' BE. POSTED ON CONSTRUCTION rrEj
-'lam fees m= nom-refu u da b I and are bald in full at th a M M a of a P P11 cati 0n b eg inn' V g j .2605
i Rcxu r' 5 ACUPtAnct Of the PIRD review fier dm not caa3fitule planr oya l
'* 4=4 m e%a due -at time. of applic3VOM" **. i a Kre void if -you check does not dedr*,*
Feb 20 OG 04: 29p p
Feb. a. 20016
be. 1624
P. 5
Please complete the entire Applicat"on' If the question does not apply fUl in NA for non
applicable
NAME aO
PROPERTY ADDRESS
SUBDNISION
Required Vit!
Mechanical Contractor's Name.-.
Add;�ss 4--Zoi W.
ME Cj UA NICAL
pkem-iit4
Business Name:
C it -DySl ate -DP ?-SLlf��Clk zi
Cont',4ct Pone: US;. n C's s, on,
� -- ------ -- - --.�
Email Fax
Mechanical Estimate S Commercial/Multi°Fam--ilvy Ontu%
FIXTURES &APPLL4-NCE9 COUNT (Single Family Dwelling Only)
Exhaust or Vent Ducts
Fumace,
FurnacclAir Conditioner Combo
Heat T'UM
Air Conditioner
Evaporative Gaoler
Unit Heater
Space Heater
Decorative
gas-fired appliance
Incinerator System
Boiler
Pool Hester
Sa-nilar f-ixtures or App1iar:c�5
Fuel Gas Pipe Outlets ancludi�g stubbed in or future outlets
Inlet Pressure (N.4feter Supply) PSI
Heat (Circle all that apply) (SD Oil Coal Fireplace Elcuric
rhTer V encs
Range Hood dents
Cook Stave Vents
Bath Fan Vents
other similar vents & ducts.-
Mechanical Siz]-ng CWculations mist be submitted with Pians & Application
Point of Delivery must be shown an plans.
i,u atuTe o f tic �e d C ontrac r
44VC,--L'—r'512
License number
7,12o I OC -9.
Date
.J I ?dye CiD�2 ofRerburg 's permitfee schedule is the same as recruired bv the Stale ofidaho
Feb 13 O 0: 1 p
BUILDING PERMIT A?PLICATION
19 E *,env, RE)MURG, in_ 8344D
20 3-3 5 9-3 020 X3 22
PARCEL NLWBER--
plea
1f the
cad R anc
0 0!)U7O
h-Uni*t H,cater Replaccment
�e will provide, :,hip for you)
(Addressm"g is based an the in#`ormati"on -must be accLu-ate)
S'UBDI'VISIO N: UMT4.
BLOC-X�,r7m
LOTS
0 *7VTR iNIAMrElcjn 7 CONTACT PHONE 6 -
PROPERTY ADDRESS:
PHONE :-1-10me 0 Ir- -L,,a 7
qa_
C -i,*" -L -�d S.-
Y.__F
D L)
F.A.X
AP P L I C AN (if o ther
(Applicant i. -."other t , owner, statimc � a jic t t act ,e t � .
APPLICANT INFOR2vLATI ON.- ADDRESS - , - a -
EMAIL
STATE: ZIP
PHONE R: dome ( )
CONTRACTOR:4
�
�IAII.ING 3DDRESS:�
PHON7E:HomFA
Work ( ) Cell
CITY:
FAC
Vv- 1fah St crrr�ci��,,; +ulf� STATE all
Works Z Cell
EMAIL FAX
How many bla axe located on this properLyr,"
Did you recendy puree -qertyN-o Yes (If yesop�vc ovy-ucr c-; name)
Is thh a let split? NO YES (P'casc bTing copy of new legal desGnz-ption of property)
PROPOSED USE
0'.L%-, She Family Multl Fwamily, ADarnm2lnts, Remodel, Gasage, Commacial. + ' n etc.
p.
APPLICANiTT'SSIC-NATURE, CERTMCATTON A -ND AUndcr Fcnahy
application+ ..' is c i t and I s r that any 4 x- n whlcn xaav hemafteTbe glixen �y c
, , r
M Eta bcfnrc Lhc 111&uiing and Zo Car=issioa or the City Comicij far thc city of RN,buxg shaffl bt t rhFul and c rr i f1gr= Zu cormply
--with ailcay rel ions a r] .n the j cr tr o f a li i d here nZed rz t ` the i to mer
UP= 1ht above- cell' ones proper for � on -s per- , NOTE= The building i a] may rc o c a p rmll on approvaj issued ander the
Provisions of the GW EnternaLional Code micase5 of aoy false statement or misrepresentation of ftmt in c applicntion or on the plans on -which Lhe
PMDUI Or alDpravalwas based. Pmt VG� 1'fnof s= -its 180 days. P it void if work p r, for .180 g-
T
ae of OvmerlAui
DATE
Do you pre to oe contacted by fax email or ons? Cimle
WAG — BUILDING PERN= MUST BE POSED ON CONSTRUCTIONSrU.1
Plan focs are non-rcfun a 1p. are pAld in Nil At the time of appUcadon bl tnvIn j 1. -2005,
City of R�,nba � mce of a plan review fge � got coal toa lam r -11
Build' Ps "* axe duo -At owe of apli 04 `4 "Bu is &re void if 70U check d0ft Wt cam*
Feb 13 OG
0; 2 1p
I 'I '9
U u 6
I : 58FM
N o , 16 21 4
pleas e co mplet e file entire Appl icati'o n Im If the question does not apply fllI in NA for non
applicable
NAI�iE l:Ct-Q ±�Q�i r l�
PROPERTY ADDRESS 44Q4 N Z. e: • cy P ermit:!
SUBDIVISION U
Required! !!
MECHANICAL
r .
3
?�I�chanic�l �vntraciar's hlau�e: '�1�]� I ,)C,Busit�ess�arne:
Address ��� 1�� � ��``r' Citi' � � � 1 � State �� zip—� �.
Cont -act Phone: (
Emal O_Gnay)'
Business Pll.one_-
:fr_,, c, 6E) ki e ts-n r . V1 e-1. Fay "Z i f ,5, -
Mechanical Estimate $�Z .355 'Ic (CommerciaLMulfi FanOy Only)
FpL7'UAES c4c APPLL4-hfCES COUNT (Sing.k Famiiy Dwelling Only)
Fumam V Exhaust or dent Ducizi
Fumac:=./A�r Conditioner Combo
Air Conditioner
2vapoxative Cooler
�, L]nit Hea;er
Spare Heater
Decorative gas-fi=d appliance
Incinerator System
Boiler
Pool Heater
Kmilar Axtues or Agpl'jance:s
Fuel Gas Pipe Oullcts including szub'Ded in or future outlets
filet Pressure (I'Vieter Supply) PSI
Heat (Circle all that apply) Gas Oil Coal Fireplace Elcct7ic
Dryer Vc nts
Ranke Hood Vents
Cook Stove Vents
Bath Fan Vents
other similar vents & ducts:
Mechanical Sizing Calculations must be submitted with Plans & Application
point of Delivery must be shown on plans.
a
ahze of Lensed Contractor
-H VC, — C - 1'D- 12,
License number
&L
Date
Tne City of RiD�bvrg's per»tif fee scheduleis the same as req2�ired 6y the State vfr&7ha
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