HomeMy WebLinkAboutelectrical application_5.pdf Department of Community Development
75 South Frontage Road West
• TOWN OF in�' 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 ,
Prole t Street Address: to
j ggJJ boil S fZ4 imp *3 I Project#:
(Number) (Street) `�+ (Suite#) Building Permit#:
Building/Complex Name: 1r�J 1 PO tn+ IbOrt 11444 1 S Electrical Permit#:
Project Informs ion;
Owner Name: Lot#: Block# Subdivision:
Parcel# 2. Ia31a-ao 165
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit li Define Scope and Location of Work:
%WM.eaglecounty.us/patie) 1
Contractor Information e.1-to P� _X I Sf i t C r S/ flood e j '
I G I I �_
Business Name: LVfff( G1(Gf(tG i lh.��I �1^li hF� t�e✓tC S�T�'✓''�S F ((ic�`1
Business Address: Pd ga)( o2a.7 if
I SW 1 ft Les/004e Ov{'�Q ,(Pvttprlf (, (,� 1/j
City ' l� 5 1/v\ State: Ca Zip: S.16 3 7 cl(Ca.
Contact ame: 14`(21 k /AJ f I 1S.f(
Contact Phone: -70 3 ci 0 6 L _6
I Contact E-Mail: LV 'f lel P Cir t c, Gf/i a tt d p , c.OM (use additional sheet if necessary)
I hereby acknowledge that I have read this application,filled out in full the Includes Temporary Service: ( )Yes ()a No '
information required,completed an accurate plot plan, and state that all
the information as required is correct. I agree to comply with the infer- 1- -—
mation and plot plan,to comply with all Town ordinances and state laws, Work Class:
and to build this structure according to the town's zoning and subdivis'on 1New( ) Addition ( ) Remodel Repair( )
codes,design tyn
view approved.International Buildin d R ides F• --
Codes and othrdinan applic e : 0 her( ) P
�'.. . 1
Owner/Owner' presentative Signat re( equired) Type of Building: Single Family( ) Duplex( )
Applicant Information Multi-Family( ) Commercial( ) Restaurant( ) ,
1Other( ) R a - v$ TowKt. F
—
Applicant Name: , SOk V SSR..
/� Provide BOTH square footage of area of work
Applicant Phone: `t 10 306 -e 104.3 AND Valuation(Labor&Materials)
2
Applicant E-Mail:aSOvt gleat/'n(005fr...Cf[Qrj!12,(Amount of QFt.:t rt.
Additional Authorized ProjectDox Users f
Electrical . l!, 606,00
Full Name:
E-Mail: l —...— ---
Date Received:
Full Name:
E-AAail: E C E O �1/I
For Office Use Only: D V L
Fee Paid: MAY 1 1 2016
5
I Received From:
Cash Check#
CC: Visa/MC Last 4 CC# Auth # TOWN OF VAIL
Rev.2015-Dec
I