HomeMy WebLinkAboutB16-0013_E16-0008_1455144660.pdfTOWN OF~ Department of Community Development
75 South Frontage Road West
Vail, CO 81657
Tel: 970-479-2139
www.vailgov.com
ELECTRICAL PERMIT
Electrical Permit Submittal Requirements Including Heat Tape Installation
_Floor plan I Site plan showing proposed work
_Load Calculations and one-line diagram when loads or circuits are being added
_Occupancy Group listed on plans
_Building Type
NOTE: For Multi-Family and Commercial buildings-plans and calculations must be prepared by a Colorado Licensed Electrical Engineer
Project Street Address:
/360 ,:;Jes.'-}~¥.
(Number) (Street) (Suite#)
Building/Complex Name: \)H( L ~g-f{ctr67__
Project Information: I I n . I --l L c
Owner Name: V 4! 'L.... l'-<J(tfl 114'~S
Parcel # 'd-\ 0 .S ·· Id ( -() 6 -G I d
I (For Parcel#, contact Eagle County Assessors Office at (970)328-8640 or visit
www.eaglecounty.us/patie) !_" _____________________ _
Contractor Information
Business Name: ----("£D· --~--------------
Business Address:-----------------
City __________ State: ___ Zip:-----
Contact Name: ------------------
Contact Phone: _________________ _
Contact E-Mail:------------------
Owner wner's Representative ~tiifcf.I~
Applicant Information
Project#: __ +_·),_K_-..)_f_/J_' -_a_o_3_?-___ _
Building Permit#: __ ·-:-?"""p--'-1 _b_~_o_·_o_i _3=---· ___ _
Electrical Permit#: __ 6_/_b_--_o_··_a_O_~-----
Lot#: Block# Subdivision: --------
Define Scope and Location of Work: _______ _
faDPG? '?e::>oA.. ~ovP~.S.
~ £.Jr[li£L . Fc:c.cc=:t:J f-
j (use additional sheet if necessary)
i
I Includes Temporary Service: ( ) Yes I (vrNo
Work Class:
: New ( ) Addition ( ) Remodel (vrRepair ( )
1! Other ( ) _______________ _
:; Type of Building: Single-Family ( ) Duplex ( )
I
.1 Multi-Family ( ) Commercial (J{ Restaurant ( )
!i Other ( ) ----------Applicant Name: -{O\')b 6f3u L DJ N (
'Z 3 J -I 73;;} ! Provide BOTH square footage of area of work
Applicant Phone: --" I AND Valuation (Labor & Materials)
Applicant E-Mail: -+52u iJ.~ & bii.:<..ckf ~?/"tNf-l.al.1'.} I Amount of SQ Ft.:. __ '------~------
Additional Authorized ProjectDox Users I Electrical $: .'.£&. 66() aO
Full Name: i
E-Mail: ___________________ _
Date Received:
Full Name: -------------------
E-Mail: ____________________ _
For Office Use Only:
Fee Paid: _________________ _
Received From: ______________ _
Cash Check# ____ _
CC: Visa I MC Last 4 CC # ___ _ Auth# ___ _
Rev. 2015-Dec