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Home My WebLink AboutB12-0041NOTE: THIS PERMIT MUST BE POSTED ON JOBSITE AT ALL TIMES W OF Vv� Town of Vail, Community Development, 75 South Frontage Road, Vail, Colorado 81657 p. 970.479.2139, f. 970.479.2452, inpsections 970.479.2149 COMBINATION BLDG PERMIT Permit #: B12 -0041 Job Address: 181 W MEADOW DR VAIL Location......: VAIL VALLEY MEDICAL CENTER Parcel No....: 210107101013 OWNER VAIL CLINIC INC 03/12/2012 IN CARE OF VAIL VALLEY MEDICAL CENTER PO BOX 40000 VAIL CO 81658 CONTRACTOR JACKSON BUILDING COMPANY, LL 03/12/2012 Phone: 970 - 331 -6800 PO BOX 6625 VAIL CO 81658 License: C000003450 APPLICANT VAIL CLINIC INC 03/12/2012 IN CARE OF VAIL VALLEY MEDICAL CENTER PO BOX 40000 VAIL CO 81658 Description: REPLACE CT SCAN AND ASSOCIATED MECHANICAL AND ELECTRICAL WORK. Occupancy: B Type Construction: IA : rwwr, Kr: rrwwrrwwwwwwwwwwrmrrrwm" w" mrwwwxwwwwwwwwwwwwwwww ,vwwwww "wrrrww�n. : :w FEE SUMMARY Project #: Applied.....: Issued... . PRJ12 -0067 03/12/2012 04/25/2012 Valuation: $203,040.00 Building Permit - - - - -> $1,576.15 Bldg Plan Check - -> $1,024.50 Use Tax Fee -- - -- - > $3,860.80 Electrical Permit > $1,380.00 Elec Plan Check -- > $897.00 Restuarant Plan Review > $0.00 Mechanical Permit —> $1,440.00 Mech Plan Check - - -> $360.00 Additional Fees - - -- -> $0.00 Plumbing Permit - -> $75.00 Plmb Plan Check - - -> $18.75 Recreation Fee-- ---- -- -> $0.00 Investigation ---- - - - - -> $0.00 Will Call— > $20.00 TOTAL PERMIT FEES— > $10,652.20 Payments -- -- —> $10,652.20 rwr» wr: rwwwerwwrwwwwwwr"":" wrwxrrwwrwrwrrrrrrwwrwwr*" wwwr�wr:": wwwwrwr:z r►: rrw» rwrrwwwrrrwwwrrrw"" BALANCE DUE --- wrwrwwrr" w:: wrrrrrrrrrawwwrxw, vwr." wrmwrw" wwwrwwrrrwwrrrrrrwrrrrrwrwrrrrrrrrwwrrwr - - -> $0.00 DECLARATIONS I hereby acknowledge that I have read this application, filled out in full the information required, completed an accurate plot plan, and state that all the information as required is correct. I agree to comply with the information and plot plan, to comply with all Town ordinances and state laws, and to build this structure according to the town's zoning and subdivision codes, design review approved, International Building and Residential Codes and other ordinances of the Town applicable thereto. REQUESTS FOR INSPECTION SHALL BE MADE TWENTY -FOUR HOURS IN ADVANCE BY TELEPHONE AT 970.479.2149 OR AT OUR OFFICE FROM 8:00 i Signature of Owner or Contractor Date Print Name combination permit - 012811 , rwrw►+ newwwxrx.,. rrr:, r► rrwrwwwwwwx. wrrr,,, fr„ rr, wwwxxrww. rr: r„ rrrrr+,,,, wwwxwsnrwrrrrxw►„ trr:,,, r, ww. r.. rr„ x„:„ r, xx.... rxxrrrr, rww, wwxxxxrrrrrrrrrrww ,wwxxxw.xwxrr : : : :rrrw »ww,w CONDITIONS OF APPROVAL TO BE MET PRIOR TO FINAL SIGN OFF Permit #: B12 -0041 Address: 181 W MEADOW DR VAIL Owner: VAIL CLINIC INC Location: VAIL VALLEY MEDICAL CENTER x. r, r., rrrrww,,, rwwxxwxr.::, rxrf.,, wwwwwwxwxxx, rrrrrr„ xwwwww, xxxxrrrrr, rf,►, rrr, wwwwwxxx. xr. r, rrrr,tt r„ xxv. x.., rrrr,► rr,,,, ww, wxxrv.,,. r�, rrr, rrrwrw„ xwx.rrrrrrrrrww,rrwwwwwnxwxxxrr combination permit-012811 TOWN OF VAIL u Permit* B12 -0041 Owner: VAIL CLINIC INC MEDICAL CENTER REQUIRED INSPECTIONS AND STATUSES Address: 181 W MEADOW DR VAIL Location: VAIL VALLEY Item: 00120 ELEC -Rough Item: 00200 MECH -Rough Item: 00210 PLMB- Underground Item: 00220 PLMB- Rough /D.W.V. Item: 00230 PLMB- Rough/Water Item: 00310 MECH- Heating Item: 00320 MECH- Exhaust Hoods Item: 00410 Special Inspect- progress rept Item: 00030 BLDG - Framing Item: 00050 BLDG - Insulation Item: 00060 BLDG - Sheetrock Nail Item: 00190 ELEC -Final Item: 00290 PLMB -Final Item: 00390 MECH -Final Item: 00020 BLDG - Foundation /Steel Item: 00090 BLDG -Final Item: 00532 PW -TEMP. C/O Item: 00539 PW -FINAL C/O combination permit 012811 ************************************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** TOWN OF VAIL, COLORADOCopy Reprinted on 04 -25 -2012 at 15:12:50 04/25/2012 Statement ************************************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Statement Number: R120000357 Amount: $9,627.70 04/25/201203:12 PM Payment Method: Check Init: LC Notation: #2047 / JACKSON BUILDING CO ----------------------------------------------------------------------------- LLC Permit No: B12 -0041 Type: COMBINATION BLDG PERMIT Parcel No: 2101 - 071 - 0101 -3 Site Address: 181 W MEADOW DR VAIL Location: VAIL VALLEY MEDICAL CENTER Total Fees: $10,652.20 This Payment: $9,627.70 Total ALL Pmts: $10,652.20 Balance: $0.00 ************************************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ACCOUNT ITEM LIST: Account Code -------------- - - - Description Current Pmts - -- BP 00100003111100 ------------------------ - - - - -- ------ BUILDING PERMIT FEES - - - - -- 1,576.15 EP 00100003111100 ELECTRICAL PERMIT FEES 1,380.00 MP 00100003111100 MECHANICAL PERMIT FEES 1,440.00 PF 00100003112300 PLAN CHECK FEES 1,275.75 PP 00100003111100 PLUMBING PERMIT FEES 75.00 UT 11000003106000 USE TAX 4% 3,860.80 WC 00100003112800 WILL CALL INSPECTION FEE 20.00 TOWN OF VA Department of Community Development 75 South Frontage Road Vail, CO 81657 Tel: 970 -479 -2128 www.vailgov.com Development Review Coordinator TRANSMITTAL FORM Revision Submittals: 1. "Field Set" of approved plans MUST accompany revisions. 2. No further inspections will be performed until the revisions are approved & the permit is re- issued. 3. Fees for reviewing revisions are $55.00 per hour (2 hour minimum), and are due upon issuance. Permit #(s) information applies to: Attention: ( ) Rev ions 'Q ( esponse to Correction Letter I �I-Z, _0041 J T V_ Aopp row _attached copy of correction letter ( ) Deferred Submittal ( ) Other Project Street Address: (Number) (Street) (Suite #) Building /Complex Name: I/Ak— VALL I 1'IBLCAI:L 6&N Contractor Information Business Name: .J0,44eS*J �.A•t �� . Business Address: j�0 �� o�0 2A city I%A"_ State: Co zip: &S Contact Name: 3Z( LG z+4 Z SG Contact Phone: y%D cn( 450v Contact E -Mail: f)MGS 1'tLkhw bwj k+GC9• co"-N I hereby acknowledge that I have read this application, filled out in full the information required, completed an accurate plot plan, and state that all the information as required is correct. I agree to comply with the information and plot plan, to comply with all Town ordinances and state laws, and to build this structure according to the town's zoning and subdivision codes, design review ap- proved, International Building and Residential Codes and other ordinances of th wn applicable thereto. X Owner /Ow►fdTs Representative Signature (Required) Applicant Information Description / List of Changes: i (use additional sheet if necessary) Revised ADDITIONAL Valuations (Labor & Materials) (DO NOT include original valuation) Building: $ Plumbing: $ Electrical: $ Mechanical: $ Total: $ I I Applicant Name: 64, se I.I.C40) Date Received: Applicant Phone: 1 _/10 '331 W& Applicant E -Mail: &J', cc p Nlc x ', I*, / mow, Cool For Office Use Only: Fee Paid: Received From: Cash Check # _ CC: Visa / MC Last 4 CC # Auth # exp. date: uuMAR 2 9 'totz '• TOWN OF VAIL Job Name: WMC CT Scan Replacement ; Job Address: 181 W. Meadow Drive, Vail, CO TOWN Permit No.: 812-0041 SPECIAL INSPECTION AND TESTING AGREEMENT (To applicants of projects requiring Special Inspection or Testing per Section 1701 of the IBC) The owner or his/her representative, on the advice of the design professional in responsible charge, shall complete, seal, sign and submit a copy of the Special Inspection Agreement and Structural Tests Scheduled to the Town of Vail for review and approval. . Signatures are required on both pages; photocopied or faxed signatures are acceptable. The owner and his /her general contractor, where applicable, shall also acknowledge the following conditions applicable to Special Inspection Testing: 1. Contractor is responsible for proper notification to the Inspection or Testing agency for items listed.(Page 1) (IBC 1704) 2. Only the testing laboratory should take samples and transport them to their laboratory. 3. Copies of all laboratory reports and inspections are to be sent directly to the Town of Vail by the Testing agency on a weekly basis. 4. Inspection agency to submit names and qualifications of on -site special inspectors to the Town of Vail for review and approval.( Page 2) 5. The special inspector is responsible to immediateiy notify the Town of Vail Building Official in writing of any concerns and /or problems encountered. 6. It is the responsibility of the contractor to review the Town of Vail approved plans for additional inspection or testing requirements that may be noted. A pre - construction conference at the job site is recommended to review special inspection procedures. 7. The special inspector shall use only the Town of Vail approved drawings. 8. All special inspection field reports must be left on site for review by the Town of Vail staff prior to required inspections or re- inspections. BEFORE OCCUPANCY WILL BE GRANTED: The special inspection agency shall submit a signed and sealed statement that all items requiring testing and inspection were fulfilled and reported. Those items not tested and /or inspected shall be noted in this statement. A copy of the statement shall be maintained at the job site for the Building Inspector's review prior to final inspection. Acknowledgemer} p Z*� Owner: Print N e Cafe Special lnsp L �� Agency: Print Name bate Project Paul Doak, P.E. 3!2212012 Arch /Eng: Sign !Tint Name Date Contractor: / �b�� +-� 3 E6 `2_ ignature Print Name D to O TOWN Project: Project Location: Owner REPORT OF SPECIAL INSPECTIONS VVMC CT Scan Replacement 181 W. Meadow Drive, Vail, CO Vail Valley Medical Center Address 181 W. Meadow Drive Registered Design Professional In Responsible Charge: Paul Doak, P.E. Address: 12499 West Colfax City: Lakewood Fax: 303 - 431 -6866 Permit Number: B12 -0041 City: Vail Zip: 81657 State: CO Zip: 80215 E -mail: Phone: 303 - 431 -6100 This Report of Special Inspections attached is submitted as a condition from permit issuance in accordance with Section 1704 International Building Code. It includes a Schedule of Special Inspection Services applicable to the above referenced project as well as the identity of the individuals, agencies, or firms intended to be retained for conducting these inspections. The Special Inspector(s) shall keep records of all inspections and shall furnish interim inspection reports to the registered design professional in responsible charge at a frequency agreed upon by the permit applicant and building official prior to the start of work. Discrepancies shall be brought to the immediate attention of the contractor and design professional in responsible charge for correction. If the discrepancies are not corrected, the discrepancies shall be brought to the attention of the building official by the registered design professional in responsible charge prior to the completion of that phase of work. A Final Report of Special Inspections shall be submitted by the design professional in responsible charge to the building official at the conclusion of the project and before a certificate of occupancy will be issued. Prepared by Paul Doak, P.E. Signature 3/22/2012 Date �p RE •�� Sly, Dpqf °9F 24585 0 Preparer's Seal and Signature Required To be filled out by the jurisdiction and returned to applicant Building Official's Acceptance of Special Inspections Frequency of Interim reports: Monthly Bi- Monthly Upon Completion Per Attached Schedule Signature Date Permit Number _i n_ i TOWN OF VAIL' Department of Community Development 75 South Frontage Road Vail, CO 81657 Tel: 970 - 479 -2128 www.vailgov.com Development Review Coordinator BUILDING PERMIT APPLICATION (Separate applications are required for alarm & sprinkler) Project Street Address: /% \) Project #: H U I9 _ Qd % I (Number) (Street) (Suite #) DRB #: —t(/A - Building /Complex Name: ��AI� Ulu �y %YI FCC �4L Building Permit #: ��a - �� Contractor Information Business Name: JA G(CSco -9u1 Business Address: 76 1(0 Z5 City �AiL- State: e o Zip: Contact Name: - �1 A c_r_ Sbi•1 Contact Phone: '770 331 (�oJ Contact E -Mail: - c. K ok .% ��•� X Owner/ wne epresentative Signature (Required) Applicant Information Applicant Name:2 r L� �cr(,[ cS7jtJ Applicant Phone: LL % 70 -33/ b So o Applicant E -Mail: br, C 0- (SG((Ahv, L" Ids Co- cent Project Informatio Owner Name: "VArr. Vui.t_- %1'1 r- DIGAr_ eIF� i r=2 Parcel #: 2-161 671 p I b 'j (For Parcel #, contact Eagle County Assessors Office at (970 - 328-8640 or visit www.eaglecounty.us/patie) Lot #: 6 Block # Subdivision: VA1 L 1/1 t. AC E FI L1 QQ cl Work Class: New ( ) Addition ( ) Alteration ( Type of Building: Single - Family ( ) Duplex ( ) Multi - Family ( ) Commercial ( Other ( ) Work Type: Interior ( sJ'Exterior( ) Both( ) Value of all work being performed: • $ 7o3, 0740 (value based on IBC Section 109.3 & IRC Section 108.3) Electrical Square Footage Detailed Scope and Location of Work: 550C, .t r-r-- mr-cff.4, )'C P+C.- (use additional sheet if necessary) For Office Use Only: Fee Paid: $ i' D aq "S o Received From: BRI CEC�SC�It ) Cash Check # CC: Visa/ MC Last 4 CC # 9999, exp date: Auth # iQ " Date Received: MAR 0 9 201 TOWN OF VAIL 01- Jan -11 K Work Included Plans Included Valuation of Work ectrical ( )Yes ( )No ( )Yes ( )No ooy echanical ( )Yes ( )No ( )Yes ( )No 7z, 000 umbing ( )Yes ( )No ( )Yes ( )No jilding ( )Yes ( )No ( )Yes ( )No L5 O qL-) Value of all work being performed: • $ 7o3, 0740 (value based on IBC Section 109.3 & IRC Section 108.3) Electrical Square Footage Detailed Scope and Location of Work: 550C, .t r-r-- mr-cff.4, )'C P+C.- (use additional sheet if necessary) For Office Use Only: Fee Paid: $ i' D aq "S o Received From: BRI CEC�SC�It ) Cash Check # CC: Visa/ MC Last 4 CC # 9999, exp date: Auth # iQ " Date Received: MAR 0 9 201 TOWN OF VAIL 01- Jan -11 K J s 07 -18 -2012 A.n-- A/P /D Information Inspection Request Reporting r_ veil n - city Of Requested Inspect Date: Thursday, July 19 2012 Site Address: VAIL VMEADOW MEDICAL CENTER Page 10 Activity: B12 -0041 Type: COMBO Sub Type: ACOM Status: ISSUED Const Type, Occupancy: Use: B Insp Area: Owner: VAIL CLINIC INC Contractor: JACKSON BUILDING COMPANY, LLC Phone: 970 - 331 -6800 Description: REPLACE CT SCAN AND ASSOCIATED MECHANICAL AND ELECTRICAL WORK. Reauested Inspections Item: 90 BLDG -Final Requestor: JACKSON BUILDI G COMPANY, LLC Comments: 3 6800p�/J/�f`5' Assigned To: r Action: TOe ttxp: Item: 190 ELEC -Final Requestor: JACKSON BUILDING COMPANY, LLC Comments: 331 -6800 Assigned To: JM N Time Ex Action: p: _ Item: Requestor: 290 PLMB -Final JACKSON BUILDING COMPANY, LLC Comments: 331 -6800 Assigned To: JMO R ON Time Ex p: Action: Item: Requestor: 390 MECH -Final JACKSON BUILDING COMPANY, LLC Comments: 331 -6800 Assigned To: Action: JM ON Time Ex P Req Inspection History Item: 120 ELEC -Rough REPT131 BUILDING COM%ANY, LLC Time Exp: ** Approved ** Requested hone: 02:30 31 6800 Entered By: JMONDRAGON K Requested hone: 01:00 31 6800 Entered By: JMONDRAGON K Requested Time: 01:30 PM Phone: 970 - 331 -6800 Entered By: JMONDRAGON K Requested Time: 02:00 PM Phone: 970 - 331 -6800 Entered By: JMONDRAGON K Requested Time: 03:30 PM Phone: 970 - 331 -6800 Entered By: JMONDRAGON K Run Id: 14648 )14516.0",.., 01-28-2013 Inspection Request Reporting ^� Page 10 4:10 pm Vail, CO - City Of �1I Reporting /,00 (0-3.... Requested Inspect Date: Tuesday,_January 29 2013 Site Address: 181 W MEADOW DR MAIL VAIL VALLEY MEDICAL CENTER A/P/D Information Activity B12-0041 Type: COMBO Sub Type: ACOM Status: ISSUED Const Type Occupancy: Use: B Insp Area: �+/ Owner VAIL CLINIC INC Contractor: JACKSON BUILDING COMPANY,LLC Phone: 970-331-6800 0 v4 Description: REPLACE CT SCAN AND ASSOCIATED MECHANICAL AND ELECTRICAL WORK. ^ ,� �� , Requested Inspections) titE6)4C!SovtiOue""tij Co. 67,1,,._ �,,V Item. 90 BLDG-Final Requested TiUUme: 08:00 AM ti Requestor Phone: ‘ Comments FOLLOW UP Assigned To SGREMME• Entered By: JMONDRAGON K Action ` Time Exp: Comment lee* ire s on V . A 41/4' fl t Inspection History Item: 120 ELEC-Rough **Approved** 06/21/12 Inspector: sgremmer Action: PI PARTIAL INSPECTION Comment: walls only 07/09/12 Inspector: sgremmer Action: AP APPROVED Comment: above ceiling ** Item: 200 MECH-Rough Approved** 06/21/128 Inspector: sgremmer Action: PI PARTIAL INSPECTION Comment: walls only 07/09/12 Inspector: sgremmer Action: AP APPROVED Comment: above ceiling Item: 210 PLMB-Underground **Approved** 07/09/12 inspector: sgremmer Action: AP APPROVED Comment: na Item: 220 PLMB-Rough/D.W.V. **Approved** 07/09/12 Inspector: sgremmer Action: AP APPROVED Comment: na Item: 230 PLMB-Rough/Water **Approved** 07/09/12 Inspector: sgremmer Action: AP APPROVED Comment: na Item: 310 MECH-Heating **Approved** 07/09/12 inspector: sgremmer Action: AP APPROVED Comment: Item: 320 MECH-Exhaust Hoods **Approved** 07/09/12 Inspector: sgremmer Action: AP APPROVED Comment: na Item: 410 Special Inspect-progress rept **Approved** 07/09/12 Inspector: sgremmer Action: AP APPROVED Comment: na Item: 30 BLDG-Framing **Approved** 06/22/12 Inspector: sgremmer Action: PI PARTIAL INSPECTION Comment: walls only 07/09/12 Inspector: sgremmer Action: AP APPROVED Comment: above ceiling Item: 50 BLDG-Insulation *Approved** 07/09/12 Inspector: sgremmer Action: AP APPROVED Comment: na Item: 60 BLDG-Sheetrock Nail **Approved** 06/25/12 Comment: Inspector: sgremmer Action: AP APPROVED Item: 190 ELEC-Final **Approved** REPT131 Run Id: 14632