HomeMy WebLinkAboutB13-0424 WELDING SPECIAL INSPECTION REPORT, TRANSMITTAL Department of Community Development
0 75 South Frontage Road
TOWN OF VAIL "` Vail, CO 81657
Tel: 970.479.2128
www.vailgov.com
Development Review Coordinator
TRANSMITTAL FORM
Use this form when submitting additional information for planning applications or building permits.
This form is also used for requesting a revision to building permits. A two hour minimum building review
fee of$110 will be charged upon reissuance of the permit.
Application/Permit#(s) information applies
to: Attention: ( ) Revisions
12 �f O Response to Correction Letter
1 J CJ i I� attached copy of correction letter
PR,T 13 -05 C)I - Other red Sub ttal
J-►tS
Project Street Address:
(Number) (Street) (Suite#)
Building/Complex Name: Description of Transmittal/List of Changes, Items At ched:
Applicant_Information
(architect, contractor, owner/owner's rep) ~(+
Contact Name:
;�n ' ��, �
���_���U�tAa:� I W L- � 7)VL
Address: Z
City S State: Zip:2,//,3Z
Contact Name: (use additional sheet if necessary)
TO Contact Phone: O �2,/o- 2L2— Building Permits:
,n /_1 Lr�-�� L��1 C� Revised ADDITIONAL Valuations (Labor& Materials)
Contact EMail: /�V�-(`a' I O /T� (DO NOT include original valuation)
I hereby acknowledge that I have read this application,filled out Building: $
in full the information required,completed an accurate plot plan,
and state that all the information as required is correct. I agree to Plumbing: $
comply with the information and plot plan,to comply with all Town i
ordinances and state laws, and to build this structure according Electrical: $
to the town's zoning and sub vision codes, design review ap-
proved, ern tional Buildi and Residential Codes and other Mechanical: $
Xrdina ces he �p licabl thereto.
Total: $
Owner is Represent tive Signature (Required)
Date Received:
p � c� c� oMr
For Office Use Only: NOV+�/ � 0/l 2013
Fee Paid:
Received From:
Cash Check # TOWN OF VAIL
CC: Visa/MC Last 4 CC# exp. date:
Authorization #
Visual Welding Observation CTS I THOMPSON
Report
CLIENT: ) / PROJECT NO:
PROJECT: l�b�'rC//� �fJ9BOT DATE:
LOCATION:
t
(k 1�
f Plan by: �2a /
Project No.
Date: 11- 7- 1 -5
t Description of Work/Location:
Standard or Code: 7-AWS DI.I ❑ AWS D1.3 ❑ AWS D1.4
Weather Conditions: /;/I El Shop Field
s
Type and Capacity of Machines:
Electrodes: %,��G Types of Welds: A�7—
Weld Sizes: Welding Positions Used:
t
SUMMARY
Total Lineal Inches of Welds Made: Inspected: 1
Rejected: Rewelded: Accepted: / ��
❑ Discrepancies Noted:
0
°o FIELD COPY TO TECHNICIAN
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