HomeMy WebLinkAboutE16-0236 Application.pdf Department of Community Development
75'South Frontage Road West..
TOWN N OF VA°IL'� 'Vail,CO 81657'
Tel970-479r2139
wtww-vailgov.com.
ELECTRICAL.PERMIT
Electrical Permit Submittal Requirementslncludinq<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:ForMulti=Family and Commercial buildings—plans and'calculations-must be prepared'by a Colorado.Licensed Electrical Engineer
Project•Street Address:
416 Forest Road,Vail Project#:; / ` ,�
(Number) (Street) (Suite#) Building.Permit#: diLo 'O`-IS q
Building/Complex Name: Electrical Permit#:• 003(V
Project Information:
Owner Name: Elizabeth Anschutz Lot#: Block# Subdivision:
Parcel#
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Define Scope and Location of Work:.
www.eag lecounty.ustpatie)
Wiring hot tube to existing Curciut that is already
Contractor Information
Business.Name:
Native Electric Inc. established in home
Business Address: 936 Chambers Court A-3
City EagleState: CO Zip:81631
Contact Name: Larry Arguello
Contact Phone:.97G:904-6509
Contact E-Mail: larguello@centurytel.net (use additional sheet if necessary)
I hereby acknowledge that I have read this application,filled out in full the Includes Temporary Service: (C)Yes (+)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(C) Addition(C) Remodel{F) Repair(C)
codes,design review approved,International Building and Residential
Codes'and other or'nances of'theT. n applicable thereto. Other O
X
Owne Owner's R'eprjntative Sig ature:;(Required)
Type of Building: Single-Family(( ) Duplex(C)
Applicant Information
Multi_Family,(C) ,C'ommercial fl Restaurant{C)
Other"F)
Applicant Name:
Provide.BOTH square footage of area of work-
Applicant
orkApplicant Phone: AND Valuation(Labor&°Materials)
Applicant E-Mail: Amount of SQ FL:600
Additional Authorized ProjectDox Users Electrical 6:600
Full Name:
E-Mail:
Date Received:.
Full Name:
For Office Use Only:, RECEIVED '= .
Fee Paid: By cgodfrey at-12 44 pm, Oct 26 2016
Received From: - -
Cash Check#
CC: Visa/MC Last 4 C# Auth #
Rev.2015-Dec.