New Home - 12-09-023 - 2164 W Holly Mountain Dr - 10/04/20120'
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CITY OF EAGLE
2164 W Holly Mountain Dr
This Single Family Residence has been inspected for compliance with the laws and ordinances of the
City of Eagle, Idaho and is hereby issued a Certificate of Occupancy.
Building Permit number 12-09-023 Name and address of owner:
Subdivision Countryside Estates #1
Lot 3 Block 1
Applicable edition of Code IRC-2009
Use Zone R-2 DAP
Occupancy R 3
Type of construction V-B
Design occupant Toad
Sprinkler system required No
Inspections:
Footing Date 10/11/2012
Framing Date 4/29/2013
IECC Date 10/25/2013
C.O. Date 10/25/2013
Grading Date
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Adcock Residence
Name and address of builder:
RSI Construction, LLC
724 S Lone Brook Way
Eagle, ID 83616
Special Conditions:
teve ash, B ilding Offici
City of Eagle
Zoning/Building Permit
Permit#: 12-09-023 Mechanical#:
Property Owner Adcock Residence
Owner Address
Owner City State Zip
Issue Date 10/4/2012
Foundation Only Issue Date
Builder Name
Builder Address
Builder City State Zip
Builder Telephone
Builder Registration #
Subdivision
Lot 3 Block
RSI Construction, LLC
724 S Lone Brook Way
Eagle, ID 83616
(208) 941-0831
RCE-30790
Countryside Estates #1
1
Property Address 2164 W Holly Mountain Dr
Type NH
Deposit Receipt# 11.005225
Issue Receipt# 11.005328 Foundation Only Receipt#
SqFtLiving 5748 SqFtBmnt
SqFtPorch 1172 Value Of Imprmnt
0 SqFtGrg 2390
$702,515.00
Eagle Water United EM2 Fee 0 Eagle Sewer 121004003
Development D4058-12 ACHD E12-003460
Notes:
Builders Signature
City Clerk/Authorized Personnel
Fees:
Permit Fee
Plan Review
Grading Permit
Development
Special Fee
IECC Fee
ACHD Fee
P&Z Review Fee
$4,195.69
$1,468.49
$0.00
$1,333.41
$0.00
$50.00
$2,971.00
$50.00
Total Fees
Less Deposit
Less Foundation
Balance Due
$10,068.59
$250.00
Only $0.00
$9,818.59
Said structure and/or use to conform to specifications and plans submitted and must be in full compliance
with ordinances of the City of Eagle subject to inspection permits and fees as required.
Thursday, October 04, 2012 Page 1 of 1
Permit Number
12-09-023-M
City of Eagle
Mechanical Permit
660 E. Civic Lane
Eagle, ID 83616
Inspection Line: (208) 939-4462
HVAC CONTRACTOR
Western Heating & Air Conditioning
4980 Bradley
Boise ID 83714
(208) 375-6101
PERMIT ADDRESS
Subdivision Countryside Estates #1
Lot 3 Block 1
Address 2164 W Holly Mountain Dr
RESIDENTIAL PERMIT FEES
Permit Fee
Supplemental Permit Fee
Issue Date 2/21/2013 Issue Receipt
$24.00
$0.00
Furnace Up To 100,000
Furnace Over 100,000
Unit Heaters / Mini Split System
Heat Pump
Air Conditioners Up To 3 Ton
Air Conditioners Over 3 Ton
Air Handlers Up To 10,000 CFM
Air Handlers Over 10,000 CFM
Duct Work Only
Builders Signature
0
1
of
City Clerk/Authorized Personnel
L
L
L
L
L
L
rL
L—
$15.00
$19.00
$0.00
$0.00
$15.00
$28.00]
$0.00
$0.00
$0.00
Notes:
12.2699
COMMERCIAL PERMIT FEES
Job Scope / Notes:
Commercial Bid:
Bath and Laundry
Dryer Vent
Range Hood
Water Heater Vent
Fireplaces Vent
Gas Piping 1-5 Outlets
Each Additional Outlet
Reinspection Fee
n,lr - lira s4/1
Fees Adopted by City Council on February 18. 2003 - Resolution 03-04
Permit Fee
(Bid < $500K)
Permit Fee
(Bid $500K to $1M)
Permit Fee
(Bid over $1M)
Residential Fee:
6 =
1 =
1 =
1 =
0 =
1 =
1 =
$0.00
0
0
0
$48.00
$11.00
$11.00
$8.00
$0.00
$5.00
$1.00
$0.00
$185.00
Permit Number
12-09-023-MA
HVAC CONTRACTOR
Leisure Time
9710 Fairview Ave
Boise Id 83704
(208) 376-0180
PERMIT ADDRESS
Subdivision !Countryside Estates #1
Lot 3 Block 1
Address 2164 W Holly Mountain Dr
RESIDENTIAL PERMIT FEES
Permit Fee
Supplemental Permit Fee
City of Eagle
Mechanical Permit
660 E. Civic Lane
Eagle, ID 83616
Inspection Line: (208) 939-4462
Issue Date 3/5/2013
$0.00
$24.00
Furnace Up To 100,000
Furnace Over 100,000
Unit Heaters / Mini Split System
Heat Pump
Air Conditioners Up To 3 Ton
Air Conditioners Over 3 Ton
Air Handlers Up To 10,000 CFM
Air Handlers Over 10,000 CFM
Duct Work Only
Builders Signature
0 =
City Clerk/Authorized Personnel
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Notes:
Issue Receipt
12.2764
COMMERCIAL PERMIT FEES
Job Scope / Notes:
Commercial Bid:
Bath and Laundry
Dryer Vent
Range Hood
Water Heater Vent
Fireplaces Vent
Gas Piping 1-5 Outlets
Each Additional Outlet
Reinspection Fee
�e1C 1�11
(V.j f I,'12 2 )
U
Permit Fee
(Bid < $500K)
Permit Fee
(Bid $500K to $1M)
Permit Fee
(Bid over $1M)
0
0
0
0
0
0
Residential Fee:
$0.00
0
0
0
$0.00
$0.00
$0.00
$0.00
$8.00
$0.00
$0.00
$0.00
$32.00
Fees Adopted by City Council on February 18, 2003 - Resolution 03-04
Permit Number
PLUMBER
City of Eagle
Plumbing Permit
660 E. Civic Lane, Eagle, ID 83616
(208) 489-8760
12-09-023-P 1
Issue Receipt:
APEX EXCAVATION
PO BOX 329
MERIDIAN, ID 83680
(208) 941-3929
PERMIT ADDRESS
Property Owner:
Registration #:
10.46219
RCE-6038
Adcock Residence
Subdivision 'Countryside Estates #1
Lot
Address
3
Block
1
12164 W Holly Mountain
PERMIT FEES
Residential
Base Permit Fee
Additional Fixtures
Replacement Fixtures
Sewer Line installation
Water line Installation
Combination
Residential spas, hot tubs, etc
Mobile Home Water/Sewer Conn
Lawn Sprinker Backflow
Water Conditioners
Multipurpose fire/sprinklers
L
0I
0
0
0
1
0
0
0
0 =
0 =
* Inspection Phone: 939-4462
Plumber Signature
City Clerk/Authorized Personnel
$30.00
$0.00 J
$0.00
$0.00
$0.00
$50.00
$0.00
$0.00
$0.00
$0.00
$0.00
Total Plumbing Cost
Issue Date
Existing plumbing inspection
Reinspection Fee
Bad Direction Fee
Plan Check Fee
Technical Service Fee
Requested Inspection Fee
Total Fee
10/5/2012
$0.00
0
0
0
0
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$80.00
Permit Number
City of Eagle
Plumbing Permit
660 E. Civic Lane, Eagle, ID 83616
(208) 489-8760
12-09-023-PA
PLUMBER
[KELLEY PLUMBING INC
Issue Receipt: 12.2804
2113 W BLOSSOM AVE
NAMPA, ID 83651-8366
(208) 794-8930
PERMIT ADDRESS
Property Owner:
Subdivision
Registration #:
PLB-C-11482
Adcock Residence
Countryside Estates #1
Lot 37 Block
Address
1
2164 W Holly Mountain
PERMIT FEES
Residential
Base Permit Fee
Additional Fixtures
Replacement Fixtures
Sewer Line Installation
Water line Installation
Combination
Residential spas, hot tubs, etc
Mobile Home Water/Sewer Conn
Lawn Sprinkel. Backflow
Water Conditioners
Multipurpose fire/sprinklers
27
0
0
0
0
0
0
0
$30.00
=I
01 =
0
Inspection Phone: 939-4462
Plumber Signature
City Clerk/Authorized Personnel
$216.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Total Plumbing Cost
Existing plumbing inspection
Reinspection Fee
Bad Direction Fee
Plan Check Fee
Technical Service Fee
Requested Inspection Fee
Issue Date
3/12/2013
0
0
0
= $0.00
$0.00
$0.00
$0.00
= $0.00
�0l =
$0.00
$246.0]
Permit Number
City of Eagle
Plumbing Permit
660 E. Civic Lane
Eagle, ID 83616
Phone: (208) 489-8760 -- Inspection Line: (208) 939-4462
12-09-023-PB
PLUMBER
DEBEST PLUMBING INC
I11477 W PRESIDENT DR
BOISE, ID 83713-8968
(208) 322-4844
PERMIT ADDRESS
Property Owner:
Subdivision
Lot
3
Issue Receipt: 12.003673 Issue Date
Registration #: PLB-C-7447
Adcock Residence
Countryside Estates #1
Block 1
Address 2164 W Holly Mountain
PERMIT FEES
Residential
Base Permit Fee
Fixtures
Replacement Fixtures
Sewer Line Installation
Water line Installation
Combination
Residential spas, hot tubs, etc
Mobile Home Water/Sewer Conn
Lawn Sprinker Backflow
Water Conditioners
Multipurpose fire/sprinklers
Plumber Signature
L
2E]_
o1 = L
r
$0.00
$216.00
$0.00
0 = L $0.0J
0=L $O.00I
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
City Clerk/Authorized Personnel
8/5/2013
Notes:
DeBest Plumbing is just taking over this job, all they are doing li
is trimming out the house and calling in a final.
Total Plumbing Cost
Existing plumbing inspection
Reinspection Fee
Bad Direction Fee
Supplemental Permit Fee
Plan Check Fee
Technical Service Fee
Requested Inspection Fee
Total Fee
$0.00
= L $0.00
L $0.00
L $0.00
C $0.00
0! = C $0.00
C $0.00
OI = 1 so.00
$216.00