Mechanical - 222963 - 2758 W Timberland St - 08/05/2022 Firefox https://www.iworq.net/iworq/O_Pages/popupEditLetterPrint.php?sid=...
City of Eagle
Mechanical Permit
660 E. Civic Lane
Eagle, ID 83616
Inspection Line: (208) 939-4462
Permit Number 222963 Issue Date 08/05/2022 Issue Receipt 29.000050
HVAC CONTRACTOR
Jerry Anderson
2758 W Timberland St
Eagle,II)83616
541-591-0760 Registration#:
PERMIT ADDRESS
Property Owner: ANI)ERSON ELIZABETH A
Subdivision: TIMBERLAND ESTATES SUB
Lot 1 Block 2
Address 2758 W TIMBERLAND ST
RESIDENTIAL PERMIT FEES
Fireplace(gas,electric,wood-burning)EXISTING $130.00
HOMES
Total Fee: $130.00
Job Scope/Notes
Fireplace(1)
Contractor's Printed Name
Contractor's Signature
.a 4 i Vr mr.�
City Clerk/Authorized Personnel
1 of 1 8/5/2022, 10:43 AM
CITY OF EAGLE- BUILDING DEPARTMENT Permit# (office use only)
660 E Civic ist
Eagle, ID 83616
Phone: 208.489-8760
Email: ',..4:i'2./Li;:!:tvo.",'Eagl,,,,,,,,or, (
Inspection line: 2 a:974 5-44.6-27
MECHANICAL PERMIT APPLICATION COMMERCIAL & RESIDENTIAL
Contractor:' - ,':::''',,H,;:/: --,:,::,':: ::,,,i,:.:::', :-Z,,,, ,0,',': ,,I Phone:VI !7'1:14f,:jr:;1,,,''ie ;',,i7e&:,,,-11 Email: Te,:::;::41•/;;C ,:'' ,77:9:0144c0e,"/C';:cc''C"4 C.'"1""
State Cont.Lic#:1, ,,,„,„,,,„/;, ,, -;r:,-,.;f, '1,15, F7:-.7::::::,:?, :::i Exp Date:f,. ;'4,,;:l4A,,;;;,,: ,,,;;,;;:/,: ,;",,,±;:::i Fax
Builder or Pr...:',..erty Owner:r.);FAA,/ ,....„„v...,24„71s,„,,,, Site Subdivision:
Site Street Address: Iritt''''rei,. ) ‘ ,p Lot:1. Block:I = AProjec Sq Ft: IIIIEZIIZFIIIIIIIIIIIIIIIIIII
Descri:!:tion of Work.(required): Permit T •e: 1
' , 1 0: New Residential 0 Commercial
''...."1:.72/S7-t-P,:,,(,.„. ,:)67:4:,,1 /4,4471,/..--,,i- c ?:t-,/,-T 1 .11,,.. Remodel I 0 Commercial Ti
Living Spate—Space within a dwelling unit intended for human habitation which may reasonably be utilized for sleeping,eating,
cooking,bathing;washing,recreation,and sanitation purposes. An unfinished basement is considered part of the living space.. !,
New Residential-Single Family Dwelling: New Residential-:MitIti-FamiN Dwelling iContractoct.Qnly):
-' Lip to 1,500 sq ft $130,00 0 I Duplex Only $260.00
Enter
NI 1,501 sq ft to 2,500 sq ft , $195,00 ! 0 ' Three or more multi-family units Section
, 1
2,501 sq ft to 3,500 sq ft ' $260,00 #Of buildings x$130
ilk, 3,501 sq ft to 4,500 sq ft I $325.00
i En 111111
ter #Of units x$65
'Over 4,500 sq ft$325 plus$65 per additional 1000 square feet. 1 Section
0 Base fee $325.00 ; Total 1 M.i:,IJ,'r, 1,::,:::ufact red or Mohi:ell .::.es:
#of Additional 1000 sq ft x$65 Mil ,.!, i0b,:„1 Base Administrative fee$65 plus$10 for each duct,fireplace,
up Fireplace(Gas or Electric) $75.00 1.1maximum„.L. ,,,,P,L piece of HVAC equipment or vent up to sq footage.
Existin.:,:Residential:includes Retro Frts Additions,etc:: 1
' It Base Fee $65,00
HMI$65 base fee plus $10 for each HVAC item up to the max of the It of ducts x$10 Enter
11111111111111: .ection
mollIMMIPI Section-..,- .....
1 ,0
corresponding square footage of the residential building. 1 p ,1 #of fireplaces x$1
al Base Administrative Fee $65J:ll #of pieces of HVAC ,PaPI:',
Equipment x$10 OM"'.;J'''i'''''.1.Pil
1'........I'
11
"Vid #of vents x$10
0 I #of HVAC items x$10 MI
Gas Line
1 ,
1
ig) Fireplace Installation $1.30„00 I Enter 1„„..! I Base administrative fee $65.00 1
, Enter
'Hydronic Floorine ($65 plus$10 for each additional item). 1.Section 'lli Gas Piping Outlets(up to 5) I $10.00 Section
i Total i -- ' - - Total
ig Base Fee $65,00 p::---. 11 I ' Gas Piping Outlets(6 or more)
#of additional manifolds x$10 111111111 4';'';,/5 ;P'1.:Ii U of Additional groups of 5(or portion of a .10.100r.IIII
group)x$10
Water Heater/Water Softener/8a:0,::!7.ow Prevention Device: . Reinspection Fee,Requested Inspections,Technical Service
Enter (Consuttation)
Section.
101! Water Heater $65.00 Total $65 minimum plus$65 per hour or portion thereof in excess of .1
111; Water Softener 565.00 ,,u„,,;,4 one hour including travel time to and from location.
1 4'1 2',: I
", Backflow Prevention Device $65.00 Ill,,),,, ,,,„:1,,:,!, ll l . Reinspection Fee(minimum) I $65..00
—
Commercial Industrial Other Installations ;NI Reinsertion fee assessed per inspection $65,00
/1 1! !,
(minimum).
Work not specifically covered by any other fee schedule.Fees based on FAIR MARKET Requested Inspection outside the normal inspection process or Enter
,PROJECT vALLIE which means total Labor,Materials and Equipment for a complete Technical Service(Consultation) Section
workbag system. This value is not reducible due to owner supplied and/or donated mr- i
mg. Reinspection Fee(minimum) I $65.00 i!.4.,,i
nriateriOls,tabor and/or equipment, Overhead and Profit must be included in value
(These Values WILL NOT include the Base Admin Fee). i Rensertion fee assessed per inspection
, . ..
$65.0.0 ''It:PP,71;g1,i
(minimum ).
Up to$20,000 multiply by 3%(.03)plus$60.00
1 i
11.11111
- ! Enter . Proportion requests#77U.51:be called into the inspecrien request.firle oil
( . $20,001-$100,000 subtract$20,000 multiply by 2% ; ,,;:z,;., ,„ , I S.7.gir. 208.339.44W before 4:00pin to SChedrde an i:nsp ectik)n f o e"the next
‘-;" (02)plus$660.00
day. Al)ar!,ner requests will be Seheduled ir,he next busi'mess day..
0 Over.$100,001 subtract$100.,000 multiply by 1%(.01) 1 7-7771 r'.140', 1 Permits will be issued when paid in full via Check,Cash or Credit Card. 'I
. , plus$2,260.00
If mailing payment,please remit payment to.; method of Pa,merit h
An Credit Cord •::0;:gimipenils are 5objeCt t 0 0 n e)i..
aty of Eagle Building Department.-Permitting, .111:, P.y CP,,li . (link• .1-11,-,,-;:gpx.
II relimiltrple Po a a(/Ad min Fee of 3%p lu 5..";.,''I
PO Box 1.500,Eagle,ID 83616, ....--e ,..,t"
Signature:
1,A;,444:P 44alOOtiat Date• 74,y
/ Total Fees Due. #(11iP1','110:K%''l
'
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City of Eagle
Mechanical Permit
660 E. Civic Lane
Eagle, II) 83616
Inspection Line: (208) 939-4462
Permit Number 222963 Issue Date 08/05/2022 Issue Receipt 29.000050
VAC CONTRACTOR
Jerry Anderson
2758 W Timberland St
Eagle, ID 83616
541-591-0760 Registration#:
PERMIT 'OW k SS
Property Owner: ANDERSON ELIZABETH A
Subdivision: T1 ERLAND ESTATES SUB
Lot I Block 2
Address 2758 W TIMBERLAND ST
RESIDENTIAL PERMIT FEES
Fireplace(gas,electric,wood-burning) EXISTING
$130„00
HOMES
Total Fee: $130.00
Job Scope/Notes
Fireplace(1)
Contractor's Printed Name ,:]:/,x ‘4,/
Contractor's Signature
City Clerk/Authorized Personnel
I of 1 8/5/2022, I0:43 AM
Contractor Registration Declaration
1111
,,GF1
111 As of Jal uary I,2006, the Idaho State Statute 54-5209 requires that:
No B'uilding Inspector or such other authority of any county, municipality or district charged with the duty
of issuing building permits or other permits for construction of any type shall issue any permit without first
requesting presentment of an Idaho contractor's registration number; provided however, a permit may be
issued to a person otherwise exempt from the provisions of this chapter provided such permit shall conspic-
uously contain the phrase no contractor registration provided" on the face of such permit.
To comply with this state statute,The City of Eagle Building Department requires a registration number be
supplied with the permit application. A permit application is incomplete without this information, and can-
not be processed until a registration number is provided, or the permit applicant declares themselves to be
exempt per the exemptions listed in Idaho State 54-5205. Please complete the following addendum and
submit it with the standard building permit application.
I certify that:
is my Contractor Registration Number issued by
the State of Idaho as required by Chapter 52,Title 54 of the Idaho State Code and that such registration is
current as of today.
am not providing a contractor registration number because I am exempt per Idaho State
Code 54-5205
understand that acting in the capacity of a contractor within the meaning of Idaho State Code Chapter 54
Title 52 without a current registration with the Idaho Bureau of Occupational Licenses or without being ex-
empt as defined in 54-5205 is a misdemeanor punishable by a fine not to exceed one thousand dollars
000) or by imprisonment in the County jail for a term not to exceed six months, or by both such fine and
nlorisonnient, at the discretion of the applicable court.
ame (Please/Print)
Signature/ Date
tivie 000,, Eaole 0)1111, 83,6711,,,1:11„„ tittrorea.te lora* lh
RI, u\,11111:1 7,v
CITY OF EAGLE
660 E. Civic Lane
PO BOX 1520
EAGLE ID 83616 (208) 939-6813
Receipt No: 29 . 000050 Aug 5, 2022
Elizabeth A Anderson
Previous Balance: . 00
BUILDING PERMITS
MECHANICAL PERMIT FEES - 130 . 00
222963
Total : 130 . 00
CREDIT CARD OTC 130 . 00
Payor:
Elizabeth A Anderson
Total Applied: 130 . 00
Change Tendered: . 00
-77=
Duplicate Copy
08/05/2022 10 :42 AM