HomeMy WebLinkAboutE16-0208_2.pdf Department of Community Development
75 South Frontage Road West
TOWN OF VAIL ` Vail, CO 81657
Tel: 970-479-2139
www.vailgov.com
ELECTRICAL PERMIT
Electrical Permit Submittal Requirements Including Heat Tape Installation
_Floor plan/Site plan showing proposed work `Occupancy Group listed on plans
_Load Calculations and one-line diagram when loads or circuits are being added _Building Type
NOTE: For Multi-Family and Commercial buildings—plans and calculations must be prepared by a Colorado Licensed Electrical Engineer
Project Street Address:
963 Lions Ridge Loop Project#:
(Number) (Street) (Suite#) Building Permit#:
Building/Complex Name: Breakaway West
Electrical Permit#:
Project Information:
Owner Name: Breakaway West Association Lot#: Block# Subdivision:
Parcel#2103-014-07-059 3'
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Define Scope and Location of Work:
www.eaglecounty.uslpatie)
Reconnect electrical to new pool equipment
Contractor Information
Business Name: QQ Electric
Business Address: PO Box 242
City Edwards State: CO Zip: 81632
Contact Name: Bruce Quesenberry
Contact Phone: 970-471-1954
Contact E-Mail: equesenberry56@yahoo.com (use additional sheet if necessary)
I hereby acknowledge that I have read this application,filled out in full the Includes Temporary Service: (C')Yes 'E) No
information required,completed an accurate plot plan, and state that all
the information as required is correct. I agree to comply with the infor- E
mation and plot plan,to comply with all Town ordinances and state laws, Work Class:
and to build this stru ure according to the town's zoning and subdivision New C Addition RemodelRepair
codes, desig rev' appr ed,International Building and Residential ( ) ( ) (C) p
Codes and y' ordinan f the Town applicable thereto. 1 Other(C)
Owner/Owner's Representative Signature(Required) Type of Building: Single Family(C) Duplex(C)
Applicant Information Multi-Family(Cs-) Commercial(C) Restaurant n
Applicant Name: Nedbo Construction
Other Ti)
970-845 1001 Provide BOTH square footage of area of work
Applicant Phone: AND Valuation (Labor&Materials)
Applicant E-Mail: warren@nedbo.com
Amount of SQ Ft.: 1000
Additional Authorized ProjectDox Users 5,000
Electrical$:
Full Name:
E-Mail:
Full Name: Date Received:
E-Mail:
For Office Use Only:
Fee Paid:
Received From:
Cash Check#
CC: Visa I MC Last 4 CC# Auth #
Rev.2015-Dec