HomeMy WebLinkAboutE17-0039.pdf — Department of Community Development
75 South Frontage Road West
T� � QFC Vail, CO 81657
Tel: 970-479-2139
www.vailgov.com
ELECTRICAL PERMIT
Electrical Permit Submittal Requirements Including Heat Tape Installation
X 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:
675 Lionsheads PI 622 Project#:
(Number) (Street) (Suite#) Building Permit#:
Building/Complex Name: Arrabelle �� --00 .39
Electrical Permit#:
Project Information:
Owner Name: Stone Residence Lot#: Block# Subdivision:
Parcel# C 4 3 7 C c
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Define Scope and Location of Work:
www.eaglecounty.us/patie)
Kitchen new cabinets installation, Upgrade
Contractor Information
Business Name:
Ameramex Electric LLC Flectrical Devices and Add 6 LFD lights
Business Address: P.O. Box 5472
City Eagle State: Co Zip: 81631
Contact Name: Gabriel F. Tena
Contact Phone: 970-376-6455
Contact E-Mail: gabe@ameramexelectric.com (use additional sheet if necessary)
I hereby acknowledge that I have read this application,filled out in full the Includes Temporary Service: ((' )Yes O 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 t Remodel ( Repair s
�
codes,design review appro— ' �'v–e-,—d�ny_efz!!o�9 and Residential ( ) ( ) ( p
Codes and other nano 1 thereto. Other(( )
04/03/2 71'
Owner/Owne s Representative Signature(Required) Type of Building: Single Family(( ) Duplex(t~
Applicant Information Multi-Family((X) Commercial((`) Restaurant(C)
Applicant Name:
Gabriel F. Tena Other(
Applicant Phone: 970-376-6455 Provide BOTH square footage of area of work
pp AND Valuation(Labor&Materials)
Applicant E-Mail: gabe@ameramexelectric.com Amount of SQ Ft.: 1,000.00
Additional Authorized ProjectDox Users5,000.00
Electrical$:
Full Name:
E-Mail:
Date Received:
Full Name:
E-Mail:
For Office Use Only: ,j L .
RECEIVED
Fee Paid: `� APR 0 4 2017
Received From:
Cash Check# Town of Vail
CC: Visa/ MC Last 4 CC# Auth#
Rev.2015-Dec