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Home My WebLink AboutB12-0280NOTE: TH/S PERM/T MUST BE POSTED ON JOBSITE AT ALL TIMES ,. 7rt�a�u�i . 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 #: B12-0280 Job Address: 181 W MEADOW DR VAIL Location......: WMC SURGERY CENTER Parcel No....: 210107101013 OWNER VAIL CLINIC INC 07/03/2012 IN CARE OF VAIL VALLEY MEDICAL CENTER PO BOX 40000 VAI L CO 81658 CONTRACTOR JACKSON BUILDING COMPANY, LL 07/03/2012 PO BOX 6625 VAIL CO 81658 License: C000003450 APPLICANT VAIL CLINIC INC 07/03/2012 IN CARE OF VAIL VALLEY MEDICAL CENTER PO BOX 40000 VAI L CO 81658 Description: remodel office and storage area in surgery center Occupancy: B Type Construction: IA Project #: PRJ12-0344 Applied.....: 07/03/2012 Iss ued. . . : 08/10/2012 Phone: 970-331-6800 Valuation: $51,550.00 .............................................,......».........,....«..,.....,...... FEE SUMMARY .....,.......,,..........,,..,..........,,�..,..,,,.,�......<.................,,,...,...... Building Permit -----------> $657.75 Bldg Plan Check ---------> $427.54 Use Tax Fee-----------------------> $831.00 Electrical Permit ---------> $345.00 Elec Plan Check -----------> $224.25 Restuarant Plan Review--------> Mechanical Permit ------> $0.00 $260.00 Mech Plan Check ---------> $65.00 Additional Fees--------------------> $0.00 Plumbing Permit --------> $0.00 Plmb Plan Check ---------> $0.00 Recreation Fee--------------------> $0.00 Investigation-----------------------> $0.00 Will Call------------------------------> $15.00 TOTAL PERMIT FEES--------------> $2,825.54 Payments-------------------------------> $2,825.54 BALANCE DUE------------------------> $0.00 }'�F'R'k'k'k'kYt�R1rRRV RR1rYf'k�R4�R►f'frf'iRYrtAtM#**4Rfr1r*fffkfr***4#*f}riFYfiY4�Al44#4YeYt#Iit#IrkkRlfYeY`Y(Y(i(i(t4+t4**fifiM1A�FYnFililtd#f`k*Y'rt�k�i�4i(ItriiRMh�ki(1(fe1`1rt�wtr�MtrhYr4�RililYxlr�rtfif4�Rrtft1`itt`t`HrtRRffiH`f`fff+�RV flrrtrtYrR�kf+t'Rfff`4 DECLARATIONS 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 AM - 4:00 PM. combination permit_012811 , � �_ ` , � �� V'� �� 1 .w......••.r...•rww.w.e•w•wx..r,w..••••:�+xxxxx��•��...��:+r..�.xxx.+.��xrw+••.xrwwx...�•wwrx•...•xr•.+.•.++..��+.....�.+e.•�+,e•xxwwwww.w....wwwxxxwwwx.xxx�.......w.kw��e•.ww.•. CONDITIONS OF APPROVAL TO BE MET PRIOR TO FINAL SIGN OFF Permit#: B12-0280 Address: 181 W MEADOW DR VAIL Owner: VAIL CLINIC INC Location: WMC SURGERY CENTER ..................................................................................................................»...............,...,.,....,.,......,........................,..... combination permit_012811 a - � �� 1�11.� � ****.«***,.******«*„**********««**,►*..*****«.**********.,*.**,.*�**„*«*****,,,,***************«*********««***.******,►,..************«*„******«.,.***..***«** Permit #: 612-0280 Owner: VAIL CLINIC INC SURGERY CENTER REQUIRED INSPECTIONS AND STATUSES Address: 181 W MEADOW DR VAIL Location: WMC «*,�,►***.*.,*«*********«*******.**********.*«*«**********«««„**«****«*„***,►*****«*„****�*******.*,.*,,*********.********,.,,********,,,,,.*.***«*,..****«*««*,.* Item: 00120 ELEC-Rough Item: 00200 MECH-Rough Item: 00320 MECH-Exhaust Hoods Item: 00030 BLDG-Framing Item: 00050 BLDG-Insulation Item: 00060 BLDG-Sheetrock Nail Item: 00070 BLDG-Misc. Item: 00190 ELEC-Final Item: 00390 MECH-Finai Item: 00090 BLDG-Final combination permit_012811 � TOWN QF VAtL �� 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 #: �Z -' i� �� ! Q( (,J. Me4�w �2 �v� DRB #: (Number) (Street) (Suite #) h Building/Complex Name: c V ,�,p_C Building Permit #: �� Z— O�V Contractor Information � Business Name: �I �J J� � la�^ �� • Business Address: �� 5 City V i� � l.-- State: �'C) Zip: �'�58 Contact Name: Cyzcc� ��C.k-Soh-� Lot #: Block # Subdivision: Work Class: _ New ( ) Addition ( ) Alteration � Type of Building: Single-Family ( ) Duplex ( Commercial ( �Other ( Contact Phone: � � �3( �dv �--------- Contact E-Mail: �� c�C° 9v�Sok 6kl ,�,,..� �Nork Type 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, Intemational Building and Residential Codes and other ordinances of the Town applicable thereto. X �`-- Owner/O er's Representative Signature (Required) Applicant Information Applicant Name: � �ti.: ��tkSo..� Applicant Phone: 4� 331 �°� ApplicantE-Mail: 6,-�c��? i4'c,�.SoKht,�co•co�,.E Project Informati n Owner Name: �dN�_ (/,�L(:�„ hl�ccs l �l,Fcn_ Parcel #: �(, U � U� l(, � U� J (For Parcel #, contact Eagle County Assessors Office at (970.328-8640 or visit www.eaglecounty. uslpatie) For Office Use Only: _� 6 Fee Paid: Received From: �� cc �V`�C Cash Check # CC: Visa / MC Last 4 CC # exp date: Auth # ) Multi-Family ( ) Interior (✓) Exterior ( ) Both ( ) Valuation of Work Included Plans Included Work 00 Mechanical (V�Yes ( )No ( �es ( )No /Z�=° Plumbing ( )Yes ( ✓jNo ( )Yes ( ✓ )No Building ( �Ses ( )No ( ✓)Yes ( )No 3( 250 °= Value of all work being performed: $ `� i� Sv�� value based on IBC Section 109.3 8� IRC Section 108.3� Electrical Square Footage ( �-75 Detailed Scope and Location of Work: �de� � OFFr � �4-+s � S+o2 .a�y � /� r�= a r� S u�eG �r G�.�.rcu (use additional sheet if necessary) _ _ ___ _ D _ _ Date Received: � � `=' � � v � JUL 0 � 2012 � �� TOWN OF VAIL *�*************�***s***************�*****************r***********��***********************�* TOWN OF VAIL, COLORADO Statement ****�*:**�**��*******************************s***********��********:**�*:*��********** Statement Number: R120000858 Amount: $708.50 07/03/201201:14 PM Payment Method:Credit Crd Init: LC Notation: CREDIT CARD FROM BRICE JACKSON, JACKSON BUILDING CO ----------------------------------------------------------------------------- Permit No: B12-0280 'Ij�e: COMBINATICN.BL,AG PFRMIT Parcel No: 2101-07i-0101-3 � Site Address: 181 W MEADOW DR VAIL Location: WMC SURGERY CENTER Total Fees: $2,825.54 This Payment: $708.50 Total ALL Pmts: $708.50 Balance: $2,117.04 ��********************�*��********�*******�*******�******��*********************�*****�**** ACCOUNT ITEM LIST: Account Code Description Current Pmts -------------------- ------------------------------ ------------ PF 00100003112300 PLAN CHECK FEES 708.50 ----------------------------------------------------------------------------- a • 10-03-2012 Inspection Request Reporting Page 9 4'00 �m Vail, CO - Citv Of �(.? �(")�� Requested Inspect Date: Thursday, October 04 2012 Site Address: 181 W MEADOW DR �AIL WMC SURGERY CENTER A/P/D Information Activity: 612-0280 Type: COMBO Sub Type: ACOM Const Type: Occupancy: Use: B Owner: VAIL CLINIC INC Contractor: JACKSON BUILDING COMPANY, LLC Phone: 970-331-6800 Description: remodel office and storage area in surgery center Requested Inspection(s) Item: 90 BLDG-Final Requestor: JACKSON BUILDING COMPANY, LLC Comments: 331-6 Assigned To: ON Action: Time Exp: _ Item: 1 ELEC-Final Requestor: JACKSON BUILDING COMPANY, LLC Comments: 331-68 0 Assigned To: ON Action: Time Exp: _ Item: 390 MECH-Final Requestor: JACKSON BUILDING COMPANY, LLC Comments: 331-6800 Assigned To: J ON Action: Time Exp: _ Inspection HistoN Item: 120 ELEC-Rough "" Approved "` 08/31/12 Inspector: nsc Comment: Item: 200 MECH-Roug h ** Approved •* 08/31/1T Inspector: nsc Comment: supply and return in office Item: 320 MECH-Exhaust Hoods Item: 30 BLDG-Framing •" Approved *• 09/11/12 Inspector: mdenney Comment: storage room 7. Item: 50 BLDG-Insulation Item: 60 BLDG-Sheetrock Nail *" Approved *" 09/05/12 Inspector: mdenney Comment: business office. 09/12/12 Inspector: mdenney Comment: storage room 7 Item: 70 BLDG-Misc. Item: 190 ELEC-Final Item: 390 MECH-Final Status: ISSUED Insp Area: Requested Time: 09:30 AM Phone: 970-331-6800 Entered By: JMONDRAGON K Requested Time: 08:30 AM Phone: 970-331-6800 Entered By: JMONDRAGON K Requested Time: 09:00 AM Phone: 970-331-6800 Entered By: JMONDRAGON K Action: AP APPROVED Action: AP APPROVED Action: AP APPROVED Action: AP APPROVED Action: AP APPROVED REPT131 Run Id: 14880 *************************************�****************************************************** TOWN OF VAIL, COLORADOCopy Reprinted on 12-28-2012 at 11:55:34 12/28/2012 Statement *****************************************************************************************�** Statement Number: R120001074 Amount: $2,117.04 08/10/201201:35 PM Payment Method:Credit Crd Init: DR Notation: VISA BRICE JACKSON --------------------------------------------------------------- Permit No: B12-0280 Type: COMBINATION BLDG PERMIT Parcel No: 2101-071-0101-3 Site Address: 181 W MEADOW DR VAIL Location: VVMC SURGERY CENTER Total Fees: $2,825.54 This Payment: $2,117.04 Total ALL Pmts: $2,825.54 Balance: $0.00 *********************************+************+********************************************* ACCOUNT ITEM LIST: Account Code Description Current Pmts --------- ------------------------------ ------------ BP 00100003111100 BUILDING PERMIT FEES 657.75 EP 00100003111100 ELECTRICAL PERMIT FEES 345.00 MP 00100003111100 MECHANICAL PERMIT FEES 260.00 PF 00100003112300 PLAN CHECK FEES g,29 UT 11000003106000 USE TAX 40 831.00 WC 00100003112800 WILL CALL INSPECTION FEE 15.00 -------------------------------------------------------------