HomeMy WebLinkAboutpitkin.bldg.273514102008 (2014) (1q WA
ELECTRICAL PERMIT APPLICATION 3
PITKIN COUNTY COMMUNITY DEVELOPMENT
130 S Galena St Third Floor Aspen CO 81611
INSPECTION LINE 970-920-5532 PH:970-920-5526 FX:970-920-5439 U,\ � I}`��l� j n
PERMIT NO.(Office Use Only)
JOB ADDRESS Cj 0I .---I <�
OWNER PHONE
67 re,v v
0 ELECT CAL CONTRACTOR MAILING AD9q9�ESS PHONE
11.1- 7--E/Q., E`-E'G7�rc_ AC. -?,C& .._6C•c, C( P 37 l - 7 /4
BUILDING PERMIT# OCCUPANCY GROUP ELECTRICAL VALUATION SQUARE FOOTAGE
�� � /iQCdO
USE OF BUILDING 0 COMMERCIAL E3VRESIDENTIAL
CLASS OF WORK 0 ADDITION 0 ALTERATION L9'NEW 0 CONSTRUCTION IT S LAR 0 OTHER
SERVICE
DESCRIBE WORK IN DETAIL(For additions,alterations,indicate type, number and location of source of circuits)
w ; lq—L j��w _,kG TO vo('(- c r/'t: V e�
4 ti.A 11 N.<STCI"u— L--! ►-{ v0 /1-,f1 ci S co.v,, ec�—
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OWNER/APPLICANT:The undersigned applicant to personally perform electrical work on the described property or residence hereby certifies,as a condition of issuance
of such permit,that the above described property or residence is owned by the applicant:that the applicant is not engaged in the business of construction or remodeling;and
such property is not intended for sale or resale,nor is it rental property(occupied or to be occupied by tenants,whether transient or permanent),nor will it be generally open
to the public. It is understood that compliance with these assurances is a condition of the issuance of an electrical permit to the applicant pursuant to the provisions of C.R.S.
Section 12-23-111 (2)(as amended),and that failure to comply herein will be grounds for revocation of the electrical permit or any certificate of occupancy issued with respect
to the property or residence described.
Owner/Applicant Date:
PAYMENT OF PITKIN COUNTY USE TAX Use Tax Permit Fee Double
The General Contractor or Owner Builder is required to pay a Use Tax Deposit to Pitkin County
(.5%)on the building permit valuation at time of issuance. All sub-permits pulled under a buildingt .. j (�,
permit are paid by this deposit payment and should not pay Use Tax. Stand alone sub-permits are 1 • U
I required to pay a Use Tax Deposit to Pitkin County(.5%) Deposit.5% of 50%of project Approved by Fire Marshall 0
valuation.
Project Valuation(includes labor) $ Date:
Exempt: Exempt Organization Approved by HPC ❑
Exempt ID Number
Property liens may be placed on the owner's and/or the contractor's property Date.
when Use Tax is not paid.
ELECTRICAL CONTRACTOR Building Department Acceptance
For all work done under this permit,the permittee accepts full responsibility for compliance with the
i National Electric Code and County resolutions,and/or state laws,whichever applies. Permit
subject to revocation or suspension for violation of any governing same. An accepted final Approved By:
electrical inspection shall be obtained prior to using the electrical system. A final electrical
inspection shall be requested within 48 hours after an electrical installation. •` �( �/
C //� Date:
Signature plicant Date Permit Validation
Date Receipt# Total
(A' 1)-ILLS�l $
Print Name
ItIvI N 0/1\/,A (44;
3
InspCList.rpt Inspection Check List Page: 19
"'.;2014 8:14:37AM PITKIN COUNTY Inspection Line:920-5532
Inspection Schedule for rayg
Scheduled for December 03, 2014
Permit No: 0384.2014.PELE
Type: 226 FINAL ELECTRICAL Time: 12:00
Notes: Please call 1 hr ahead so they can meet
Inspection Results:
1 -Accepted 2 -Accepted as Noted 3 - Rejected 4 - Partial/Not Complete
Reinspection Fee $
Comments:
This inspection report is accepted with the understanding that the inspection does not in any way constitute a guarantee, warranty
of merchantability or fitness for a particular purpose. express or implied warranty of habitability, or assurance in any way of the
safety of the structure(s) and system(s) inspected, nor shall this inspection be construed to relieve or lessen the responsibility of
the person(s) responsible for performing the work. Additionally, neither this inspection nor this inspection report is a substitute for a
complete inspection by the owner or subsequent buyer or occupant. Pursuant to state law the owner is responsible for inspection
and maintenance of the structure and systems.
r
Date Signature of Applicant Print Name 1— /✓ �G� �/
Date/) •S -14f Signature of Inspector h Ate ;r ._;(_, Print Name /A V (>°,t. rlfo
Address Contact Name: Scott Contact# (970) 379-1146
99 BLUE BONNET TRL
Contractor: CARTER ELECTRIC, INC. Owner: GREGG Page: 19
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