HomeMy WebLinkAboutElectrical permit_13.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:
4593 Bighorn Road #A-W Project#:
(Number) (Street) (Suite#) Building Permit#:
Building/Complex Name: Woodbridge Townhouse (No HOA)
Electrical Permit#:
Project Information:
Owner Name: FRC3, LLC Lot#: Block# Subdivision:
Parcel#2101-124-17-013
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Define Scope and Location of Work: Add 120 VAC
www.eaglecounty.us/patie)
connection in existing fireplace cavity for gas
Contractor Information
Matthew Kingfireplace insert power supply.
Business Name:
Business Address: P.O. Box 5601
City Vail State: CO Zip: 81658
Contact Name: Matt King
Contact Phone: 970-471-6411 (mobile)
Contact E-Mail: mking1881@msn.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 (I)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 plan,to comply with all Town ordinances and state laws, Work Class:
and to build this structure according to the town's zoning and subdivision New(r) Addition(C) Remodel(C) Repair(C)
codes,design review approved,International Building and Residential
Codes an ances of the Town applicabreto. Other(C;) Changing woodburninq fireplace to gas ins
Type of Building: Single-Family(C) Duplex((i)
Owner/Owner's R r entative gnature(Required)
Applicant Inform tion Multi-Family C Commercial C Restaurant C)
plc` Other C)
Applicant Name: u� g fry FRRe3,1
Provide BOTH square footage of area of work
Applicant Phone: 54)4€ AND Valuation(Labor&Materials)j
Applicant E-Mail: m ,,A.6u.r, l.p).. ich-ir bunt of SQ Ft)- / Dval
Additional Authorized ProjectDox Users Electrical$:366.50
Full Name: Mike Burnett- Burnett Plumbing Heating Electric
E-mail:burnettphe@icloud.com
Full Name:
Colorado Comfort Products Date Received:
E Mail:Sharon@1 ccp.com
For Office Use Only: j D
Fee Paid:
Received From: MAY 21 2016
Cash Check#
CC: Visa / MC Last 4 CC# Auth # TOWN ®FA1L
Rev.2015-Dec N __,