HomeMy WebLinkAboutPA SUMMARY - 22-00029 - 4600 W 4294 N - MechanicalApplication
Summary
Application Number: 22-00029
BLD-MECHR - Residential Mechanical Misc.
Received Date: 01/12/2022 4600 W 4294 N - Mechanical
Address: 4600 W 4294 N
Property Information
4600 W 4294 NRP07N39E337830
People Information
Applicant - Mike Holden 3020 Teton
holdenelectric15@gmail.com Idaho Falls, ID 83406
Mobile: 2087164624
Owner - Clifford Robertson 4600 W 4294 N
Rexburg, ID 83440
Contractor Information
Mechanical Contractor - Holden Electric and HVAC Service - Mike Holden 022335 (04/30/2024)
holdenelectric15@gmail.com 3020 Teton St
Ammon, ID 83406Work: 208-529-5815
Page 1 of 2Print Date: 01/12/2022
Application
Summary
Application Number: 22-00029
BLD-MECHR - Residential Mechanical Misc.
Received Date: 01/12/2022 4600 W 4294 N - Mechanical
Address: 4600 W 4294 N
Application Information
Detail Description Quantity Value
Additional Inspections Required
Please describe the mechanical work being done
replace 2 fans and 1 timer
Number of Furnaces being installed? ($65 per furnace) 0.00
Number of Air Conditioning units being installed? ($65 for 1st
+ $10/additional HVAC equipment)
0.00
Are any gas lines being installed/replaced? No = 0 Yes = 1
($65 for 1st + $10/additional HVAC equipment)
0.00
Number of water heaters being installed/replaced ($65 for
1st + $10/additional HVAC equipment)
0.00
Number of free-standing fireplaces being installed? ($65 for
1st + $10/additional HVAC equipment)
0.00
Number of built-in fireplaces being installed? ($65 for 1st +
$10/additional HVAC equipment)
0.00
Are you installing in-floor heating zones? (hydronic heating)
No = 0 Yes = 1 ($65 for 1st + $10/additional HVAC
equipment)
0.00
3.00Number of other additional HVAC equipment not listed above
($65 for 1st + $10/additional HVAC equipment)
3.00
YBy 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
$85.00Mechanical - Misc. $65 base + $10 per ea (BLDMEWRK2)
$85.00
Payment Information
Payment AmountTender Type Reference InfoPayment Date
01/09/2022 Credit Card 113123142 $85.00
$85.00
Page 2 of 2Print Date: 01/12/2022