HomeMy WebLinkAboutE03-0188TOWN OF VAIL
75 S. FRONTAGE ROAD
VAIL, CO 81657
970-479-2138
NOTE:
DEPARTMENT OF COMMUNITY DEVELOPMENT
'VA I
THIS PERMIT MUST BE POSTED ON JOBSITE AT ALL TIMES __TD_ s
ELECTRICAL PERMIT
Permit #: E03-0188
Job Address: 4770 BIGHORN RD VAIL
Location.....: RACQUET CLUB D-3
Parcel No...: 210112424023
Project No
OWNER WOLANSKY BENNETT & JOY 10/07/2003
80439
License:
CONTRACTOR RIVERIA ELECTRIC 10/07/2003
PO Box 1 417
Gypsum, Colorado
81637
License: 327-E
APPLICANT RIVERIA ELECTRIC 10/07/2003
PO Box 1 417
Gypsum, Colorado
81637
License: 327-E
Desciption: ELECTRICAL WORK
Valuation: $1,000.00
Status ...: ISSUED
Applied..: 10/07/2003
Issued. .. 10/07/2003
Expires . .: 04/04/2004
Phone:
Phone: 328-4111
Phone: 328-4111
********************************************************************* FEE SUMMARY ************************************************************
Electrical --------- > $50.00 Total Calculated Fees--> $53.00
DRB Fee--------- > $0.00 Additional Fees ---------- > $0.00
Investigation ---- > $0.00 Total Permit Fee--------> $53.00
Will Call --------- > $3.00 Payments ------------------ > $53.00
TOTAL FEES--> $53.00 BALANCE DUE--------> $0.00
*************************************************************************************************************************************************
Approvals:
Item: 06000 ELECTRICAL DEPARTMENT
10/07/2003 JRM Action: AP
Item: 05600 FIRE DEPARTMENT
CONDITIONS OF APPROVAL
Cond: 12
(BLDG.): FIELD INSPECTIONS ARE REQUIRED TO CHECK FOR CODE COMPLIANCE.
*************************************************************************************************************************************************
DECLARATIONS
I hereby acknowledge that I have read this application, filled out in full the information required, completed an accurate plot plan,
and state that all the information as required is correct. I agree to comply with the information and plot plan, to comply with all
Town ordinances and state laws, and to build this structure according to the towns zoning and subdivision codes, design review
approved, Uniform Building Code and other ordinances of the Town applicable thereto.
REQUESTS FOR INSPECTION SHALL BE MADE TWENTY-FOUR HOURS IN ADVANCE BY TELEPHONE AT 479-2149 OR AT OUR OFFICE FROM 8:00 AM - 4 PM.
T ER OR <CONCCTOR FOR HIMSELF AND OWNEF
TOWN OF VAIL, COLORADO Statement
Statement Number: R030004860 Amount: $53.00 10/07/200308:50 AM
Payment Method: Check Init: DDG
Notation: Riviera
Electric 1018
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Permit No: E03-0188 Type: ELECTRICAL PERMIT
Parcel No: 210112424023
Site Address: 4770 BIGHORN RD VAIL
Location: RACQUET CLUB D-3
Total Fees: $53.00
This Payment: $53.00 Total ALL Pmts: $53.00
Balance: $0.00
ACCOUNT ITEM LIST:
Account Code Description Current Pmts
-------------------- ------------------------------ ------------
EP 00100003111100 TEMPORARY POWER PERMITS 50.00
WC 00100003112800 WILL CALL INSPECTION FEE 3.00
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APPLICATION WILL NOT BE ACCEPTED IF INCOMPLETE OR UNSIGNED
Project #.
Of4o-? ing Permit #:
I Permit #:
47 9-ry(Inspections)
TUWN OF YA , /y/
?1VN OF VAIL ELECTRICAL PERMIT APPLICATION
75 S. Frontage Rd.
Vail, Colorado 81657
Contact Eagle County Assessors Office at 970-326-8640 or visit www, eagle-county, com for Parcel #
Parcel # (Required if no bldg. permit # is provided above) ,? D,?
Job Name: Job Address:
Legal al Description__j Lot: ?. ar Block: i Filing: v Subdivision:
? 2IK - 0/,6 To,-A,l
Owners,.,Name:. Address: 5?a / ?,+ L.e uw a. D,L Phone: y C?
tSPa?i?l rE boy ?L??jA.vt?y I Co00'." 0,1f
l 1 7'3 3 II /
Engineer: ?I Address: ,I Phone:
Detailed description of work:
",D e- Cf L
Work Class: New( ) Addition( ) Remodel (}?) Repair ( ) Temp Power ( ) Other ( )
Work Type: Interior (`?) Exterior ( ) Both( ) ?I Does an EHU exist at this location: Yes ( ) No ( )
Type of Bldg.: Single-family ( ) Duplex ( ) Multi-family Commercial( ) Restaurant( ) Other(
)
No. of Existing Dwelling Units in this building: No. of Accommodation Units in this building:
Is this permit for a hot tub: Yes ( ) No (''??)
Does a Fire Alarm Exist: Yes( ) No (?j ?I Does a Fire Sprinkler System Exist: Yes( ) No (?( )
COMPLr. i r- SQ. FEET FOR NEW BUILDS and VALUATIONS FOR ALL OTHERS (Labor & Materials)
AMOUNT OF SQ FT IN STRUCTURE: ,rj ' f II ELECTRICAL VALUATION: $
CONTRACTOR INFORMATION
Electrical Contractor: Town of Vail Reg. No.: Contact and Phone #'s:
iur?n lz` ? ?Yz,`? y? -? f ( 1??•?=faoti 3d 4--V11 I
Contractor Signature:
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Yxf?y ?Y*xX ?? ?? ?Y ?Y* ?Y* ?Y ?? FOR OFFICE USE ONLY:
Other Fees4 Date Recelvred:
DRB Fees i Accepted' Bv:
Ptanner Slow-off..
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F: /everyone/forms/elecperm