HomeMy WebLinkAboutE16-0191.pdf Department of Community Development
75 South Frontage Road West
Vail, CO 81657
TOWN OF VA1L
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:
1234 Westhaven Drive Project#:
(Number) (Street) (Suite#) Building Permit#:
Building/Complex Name: Liftside Condominiums
Electrical Permit#:
Project Information:
Owner Name: Liftside Condominium Association Lot#: Block# Subdivision:
Parcel#2103-121-22-028 i.
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Define Scope and Location of Work:
www,eagiecounty.us!patie)
As part of rec room remodel will relocate several
Contractor Information
Business Name:
QQ Electric outlets and switches and will install new recessed
Business Address:
PO Box 242 lighting fixtures in new layout
City Edwards State: CO Zip: 81632
Contact Name: Bruce Quesenberry
Contact Phone: 970-471-1954
Contact E-Mail: equesenberry56@yahoo.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 0) 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{( } Addition(C) Remodel (6) Repair((,)
codes,design review pproved,International Building and Residential
Codes and 0th inane fq the Town applicable thereto. Other(C;�)
X ���
Owner/Owner's Representative Signature(Required) Type of Building: Single-Family n Duplex(n
I.Multi-Family((') Commercial((i) Restaurant (C)
Applicant information
Applicant Name:
Nedbo Construction Other( ))
970-845-1001 Provide BOTH square footage of area of work
Applicant Phone: AND Valuation (Labor&Materials)
Applicant E-Mail: warren@nedbo.com Amount of SQ Ft.: 1,000
Additional Authorized ProjectDox Users7,000
Electrical$:
Full Name:
E-Mail:
Full Name: Date Received:
E-Mail:
For Office Use Only:
Fee Paid:
Received From:
Cash Check #
CC: Visa/ MC Last 4 CC# Auth #
Rev.2015-Dec