HomeMy WebLinkAboutA14-0067_A14-0067_1414074900.pdf Fire and Emergency Services
2399 N. Frontage Road W.
Vail, Colorado 81657
TOWNO F V n I r Tel: 970-479-2252
YY 1Y VAIL www.vailgov.com
Fire& Emergency Services Fire Marshall
FIRE ALARM PERMIT
Commercial and Residential Fire Alarm shop drawings are required at the time of application submittal and must
included information listed on the 2nd page of this form. Application will not be accepted without this information.
Project Street Address: Office Use:
263 EAST GORE CREEK DRIVE
Project#:
(Number) (Street) (Suite#)
Building/Complex Name:
GORSUCH Building Permit#:
Alarm Permit#:
Contractor Information: Lot#: Block# Subdivision:
Company: XSSENTIALS BY THUL ELECTRONICS
Company Address: PO BOX 534 Detailed Scope and Location of Work: FIRE ALARM
City: AVONState: CO Zip:81620 UPGRADE/REPLACEMENT FOR
Contact Name: RON DAVIDSON EXISTING BUILDING UNDERGOING
Contact Phone: 970 949-4638 PARTIAL REMODEL.
E-Mail (use additional sheet if necessary)
ron.davidson@xssentials.com
Does a Monitored Fire Alarm Exist? Yes 0 No Q
I hereby acknowledge that I have read this application,filled out in
full the information required, completed an accurate fire alarm sys- Does a Sprinkler System Exist? Yes 0 No 0
tem drawings and state that all the information as required is cor-
rect. I agree to comply with the information and fire alarm system Work Class:
drawings,to comply with all Town ordinances and state laws,and to
build this structure according to the towns zoning and subdivision New(0) Addition (0) Remodel (0) Repair(0)
codes, design review approval, National Fire Code, International Retro-Fit(0) Other(0
Building and Residential Codes and other ordinances of the Town
applicable thereto. Deborah Digitally signed by Deborah Shaver Type of Building:
cn=Deborah Shaner,o=Shaner
Life Safety,ou,
emai=SHANERLS@COMCAST.NET, Single-Family(0) Duplex(0 Multi-Family(0
X Shaner e=DS
Date:2014.10.22":5':'S-°6°° Commercial (0 Restaurant(0 Other 0
Contractor Signature(required)
Property Information Complete Valuation for Fire Alarm Permit:
Parcel #: 2101-082-29-003 Fire Alarm$: 15,000.00
(For parcel#,contact Eagle County Assessors Office at 970-328-8640 or
visit www.eaglecounty.us/patie)
Tenant Name: Date Received:
Owner Name: GORSUCH LTD
13-Apr 01