Electrical - 160141 - 3101 E State Street - 02/16/2016ZYI
**Certificate of Completion
CITY OF EAGLE
3101 E State ST
This Tenant Improvement has been inspected for compliance with the laws and ordinances of the City of Eagle,
Idaho and is hereby issued a Certificate of Completion.
Building Permit Number 160141 Name and address of owner:
Subdivision
Lot
Applicable edition of Code 2012
Use Zone MU
Occupancy I 2
Type of Construction V -B
Design occupant load
By:
Block
ST LUKES REGIONAL MEDICAL CENTER LTD
Name and address of builder:
St Lukes Health System LTD
190 E Bannock St
Boise, ID 83712
Special Conditions:
Selective Demolition & Replacement of Imaging Equipment - MRI
Issued Date:
Building Department
I (f ( I f-?
•
2/16/2016 IWORQ Systems Inc.
Permit #: 160141
Property Owner
Owner Address
Owner City State Zip
Issue Date .7/11,91 it/
Foundation Only Issue Date
City of Eagle
Tenant Improvement Permit
Fees:
ST LUKES REGIONAL MEDICAL CENTER Permit Fee
LTD
Builder Name
Builder Address
Builder City State Zip
Builder Telephone
Builder Registration #
Subdivision
Lot
Property Address
Type
Deposit Receipt #
Issue Receipt #
Sq Ft Living 0
Sq Ft Porch 0
Eagle Water
Development
St Lukes Health System LTD
190 E Bannock St
Boise ID 83712
208-381-7861
RCE -37160
Block
3101 E STATE ST
15.003450
to 091yo'a
Sq Ft Bmnt 0 Sq Ft Grg 0
Value of Improvement $162712
EM2 Fee Eagle Sewer
ACHD
Selective Demolition & Replacement of Imaging
Notes: Equipment
Builders Signature
City Clerk/Authorized Personnel
Plan Review Fee
TI Plan Review Deposit
Total Fees
Less Deposit
Less Foundation Only
Balance Due
Call The City of Eagle Inspection Line
(208) 939-4462
$1,344.94
$774.21
$100.00
$2,219.15
$2,119.15
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.
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Permit Number 160620
City of Eagle
Electrical Permit
660 E. Civic Lane, Eagle, ID 83616
Inspection Line: (208) 939-4462
Issue Date 2/17/2016 Issue Receipt 15.003706
ELECTRICIAN
Quality Electric, Inc
5225 Irving St
Boise ID
208-375-1300 Registration #: ELE-C-1086
PERMIT ADDRESS
Property Owner: ST LUKES REGIONAL MEDICAL
CENTER LTD
Subdivision:
Lot Block
Address 3101 E STATE ST
RESIDENTIAL PERMIT FEES
Other Installations-Commercial/Industrial $1,042.50
Total Fee: $1,042.50
Job Scope / Notes
Electrical Work for New MRI Machine
* Inspection Phone: 939-4462
Electrician Signature
City Clerk/Authorized Personnel
T51,-,c.u..-6,r._ ,t,o-ty)
Permit Number 160772
City of Eagle
Mechanical Permit
660 E. Civic Lane
Eagle, ID 83616
Inspection Line: (208) 939-4462
Issue Date 2/26/2016 Issue Receipt 13.004356
HVAC CONTRACTOR
YMC Inc
2975 E Lanark St
Meridian ID 83642
208-888-1727 Registration #: 12562
PERMIT ADDRESS
Property Owner: ST LUKES REGIONAL MEDICAL
CENTER LTD
Subdivision:
Lot Block
Address 3101 E STATE ST
RESIDENTIAL PERMIT FEES
Commercial Fee $1,180.63
Total Fee: $1,180.63
Job Scope / Notes
Remove existing HVAC system and install new equipment and accessories.
Builders Signature
City Clerk/Authorized Personnel
LAA1'
Permit Number 161272
City of Eagle
Mechanical Permit
660 E. Civic Lane
Eagle, ID 83616
Inspection Line: (208) 939-4462
Issue Date 3/31/2016 Issue Receipt 13.004588
HVAC CONTRACTOR
Cloverdale Plumbing Company
Boise ID 83713
(208) 376-1901 Registration #: HVC-C-633
PERMIT ADDRESS
Property Owner: ST LUKES REGIONAL MEDICAL
CENTER LTD
Subdivision:
Lot Block
Address 3101 E STATE ST
RESIDENTIAL PERMIT FEES
Commercial Fee $1,519.29
Total Fee: $1,519.29
Job Scope / Notes
St. Luke's Health System- Demo of existing piping and chiller. Setting other contractors supplied equipment, and piping new
chilled water to new MRI unit.
Builders Signature
City Clerk/Authorized Personnel
✓ \A1
n
Permit Number 163485
City of Eagle
Mechanical Permit
660 E. Civic Lane
Eagle, ID 83616
Inspection Line: (208) 939-4462
Issue Date 8/25/2016 Issue Receipt 13.005649
HVAC CONTRACTOR
Cloverdale Plumbing Company
Boise ID 83713
(208) 376-1901 Registration #: HVC-C-633
PERMIT ADDRESS
Property Owner: ST LUKES REGIONAL MEDICAL
CENTER LTD
Subdivision: 4N 1E 15
Lot Block
Address 3101 E STATE ST
RESIDENTIAL PERMIT FEES
Commercial Fee $916.63
Total Fee: $916.63
Job Scope / Notes
Install new piping in existing building form new chiller to new mechanical equipment
Contractor's Printed Name EMAILED
Contractor's Signature
City Clerk/Authorized Personnel
uNfil ;ate,