HomeMy WebLinkAboutE16-0109.pdf Department of Community Development
75 South Frontage Road West
TOWN �Aj1 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:
770 Potato Patch Drive 13 Project#:
(Number) (Street) (Suite#) Building Permit#:
Building/Complex Name: Electrical Permit#:
Project Information:
Owner Name: Paragon Homes- Ed Venerable Lot#: Block# Subdivision
Parcel# _
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Define Scope and Location of Work: Rewire unit to meet
www.eaglecounty.us/patie)
minimum National Electrical Code
Contractor Information
Business Name: Allstar Electrical Services, LLC
Business Address: 3311 East 42nd Avenue
City_Denver State: CO Zip: 80216
Contact Name: Gary Stone
Contact Phone: 303.399.7420
Contact E-Mail: gstone@allstarelectrical.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 (")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-
mation and plot pi: to comp. • .II Town ordinances and state laws, Work Class:
and to build this . u ure acc• •ing to e town's zoning and subdivision
codes,design re iew :pproved, • - .conal Building and Residential New(C) Addition (C) Remodel(i) Repair(C')
Codes and olhe ordii=rices of t n applicable thereto. Other(C)
X A. A 1111111"40.
Owner/Owner's Representa ve Signature(Required) Type of Building: Single-Family( Duplex(C)
Applicant Information Multi-Family(C) Commercial (C Restaurant(C)
GaryStone Other 1 .)
Applicant Name:
303.399.7420 Provide BOTH square footage of area of work
Applicant Phone: AND Valuation (Labor&Materials)
Applicant E-Mail: gstone@allstarelectrical.com
Amount of SQ Ft.
Additional Authorized ProjectDox Users
Electrical $: 12k
Full Name
E-Mail:
Date Received:
Full Name:
E-Mail:
For Office Use Only:
Fee Paid:
Received From:
Cash Check#
CC: Visa/ MC Last 4 CC# Auth #
Rev.2015-Dec