HomeMy WebLinkAboutE16-0179.001 transmittal.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 Includinq Heat Tape Installation
Floor plan/Site plan showing proposed work _Occupancy Group listed on plans
XLoad 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:
5157 Gore circle Project#:
(Number) (Street) (Suite#) Building Permit#:
Building/Complex Name:
Electrical Permit#: E16-0179(Current Electrical Permit)
Project Information:
Owner Name: Jim Johnson Lot#: Block# Subdivision:
Parcel#209918203012
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Define Scope and Location of Work:
www.eaglecounty.us/patie)
Upgrade service to 300 amps. The above electrical
Contractor Information
Business Name: Encore Electric Inc.
permit is for the interior work of the house.
Business Address: 77 Metcalf Road Suite 201
City Avon State: CO Zip: 81620
Contact Name: Eric Bankart
Contact Phone: 970-401-1400
Contact E-Mail: Eric.Bankert@EncoreElectric.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 iiir) No
information required,completed an accurate plot plan,and state that all
the information as required is corr- . I agree to comply with the infor-
mation and plot plan,to comply h -,I Town ordinances and state laws, Work Class:
and to build this structure accor,ing t. the to 4's zoning and subdivision
co-44- .- -• - '_ ...proves,Inter :tion. ilding and Residential New(C) Addition (C) Remodel (C) Repair(C)
Codes and o •-r o . nances . the To n ..!i cable thereto. Other(( ) upgrade existing service
X Type of Building: Single-Family ( Duplex)
Owner/Owner's R:presentative Sign. ure(Required) ( (�
Applicant Information Multi-Family fl Commercial C) Restaurant(0
TobyDebele Other ')
Applicant Name: _
970-471-6537 Provide BOTH square footage of area of work
Applicant Phone: AND Valuation (Labor& Materials)
Applicant E-Mail: Toby.Debele@EncoreElectric.com N/A
Amount of SQ Ft.:
Additional Authorized ProjectDox Users 12,000
Electrical $:
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