HomeMy WebLinkAboutE16-0153_1.pdfDepartment of Community Development
75 South Frontage Road West
Vall, 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
Projec!/treet Addres~:~
1/Z':!:!_ bj _q,. Sh:e.t..J-
(Number> (Street) · (Suite#)
Building/Complex Name:-----------------
Project Information:
Project#:--------------------
Building Permit#: ....-B .... 1""'"6_-0 .... 2 .... 9""""4'----------
Electrical Permit#: __:E:;;:..:;..16""'-...;0;.;:;l;.;;.5..;;.3 _______ _
Lot#: Block# Subdivision:---------OwnerName: ____________________ __,,....--------
Parcel#_1.....,<.....,\-..0-)-_'0=-)$......_....1,.=--,,..-U-.1-:J2..........,;..0_}.__ __ ..._ ___________ _
{FOi' Pan:el #, contac:t Eagle County Assessors Office at (970)328-8640 or visit Define Scope and Location of Work: ---------
:·;:::;~:::;::::n · J)Tt kln~U~l-S@ ha:ltts 1 klac•J-e_
/11 / I ; tJec..-(i)la;Jh5 . /nsht.11 Business Name: _"""""'".....__ ........ _..._~7t:t:..~~ ........... f< ..... ' _.....E .......... r.a,__..t,_,_C_..'C _A.........,c;._ __ .__... __ ,.__....__.. ______ _
Business Address:____________ ll\ANK r J (),,.) VO ft lA '7h:b~ a.:J-
City _________ State: ___ Zip:-----
Contact Name: --------------------
Contact Phone:-----------------
Contact E-Mail:-----------------
~
App cant Information
Applicant Name: Sf'2-£ 1iv\ \((\ ~ t=j 1\.S ~ '--
~pplicant Phone: '?A. rRJcl
Applicant E-Mail:-------------------
Additional Authorized Projectoox Users
Full Name: ---------------------
E-Mail:. ___________________ _
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
)oU'erq
(use additional sheet if necessary)
Includes Temporary Service: (()Yes ~No
Work Class:
New (r) Addition (fl Remodel ~Repair (C)
Other (C) ______________ _
Type of Building: Single-Family <C Duplex
Multi~Family <O Commercial ¢ Restau~nt (()
Other(:) ________ _
Provide BOTH square footage of area of work
; ANQ. Valuation (Labor & Materia!
Amount of SQ Ft.:_J."'""""_..'zt........,_9.......,,F--~---------
Electrical $: 2{) fl (TO I
Date Received: