HomeMy WebLinkAboutPA SUMMARY - 21-00424 - 767 Johnson St - MechanicalApplication
Summary
Application Number: 21-00424
BLD-PLBGR - Residential Plumbing Misc.
Received Date: 06/10/2021 767 Johnson St - Mechanical
Address: 767 Johnson St
Property Information
767 Johnson St HENDERSON ADDITION DIVISION NO. 3RPRHNDS3090050
People Information
Applicant - Fredrick Roark 147 N 1st E
fdroark@gmail.com Rexburg, ID 83440
Mobile: 865-585-1061
Owner - Garry Smith 767 Johnson St
Rexburg, ID 83440
Contractor Information
Plumbing Contractor - Finish Line Plumbing - Kent Spencer 022691 (10/31/2021)
endresnw@endresnw.com
Idaho Falls, ID 83406Work: 208-227-6578
Gas Company - Intermountain Gas Company - Chad Darrington 0000 (06/08/2022)
IFPermits@intgas.com
Work: 800-548-3679
Page 1 of 2Print Date: 09/29/2021
Application
Summary
Application Number: 21-00424
BLD-PLBGR - Residential Plumbing Misc.
Received Date: 06/10/2021 767 Johnson St - Mechanical
Address: 767 Johnson St
Application Information
Detail Description Quantity Value
Please describe the work being done.
Gas line
Additional Inspections Required
1.00How many gas lines are being installed or repaired? None = 0
($65 + $10 per ea)
1.00
0.00How many water heaters are being
installed/altered/replaced? None = 0 ($65 + $10 per ea)
0.00
0.00How many water lines are being installed? None = 0 ($65 +
$10 per ea)
0.00
0.00How many sewer lines are being installed? None = 0 ($65 +
$10 per ea)
0.00
0.00How many water conditioning equipment units are being
installed? None = 0 ($65 + $10 per ea))
0.00
0.00How many lawn sprinkler backflow devices are being installed
or repaired? None = 0 ($65 + $10 per ea)
0.00
0.00How many gray water systems are being installed or
repaired? None = 0 ($65 + $10 per ea)
0.00
0.00Number of hydronic heating zones being installed or
repaired? ($65 + ($10 * #of zones))
0.00
0.00Please enter a number of other plumbing work not listed
above. None = 0 ($65 + $10 per ea)
0.00
NBy 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
$65.00Plumbing - Misc. $65 base + $10 per ea (BLDPLWRK2)
$65.00
Payment Information
Payment AmountTender Type Reference InfoPayment Date
06/06/2021 Credit Card 100869626 $65.00
$65.00
Page 2 of 2Print Date: 09/29/2021