HomeMy WebLinkAboutpitkin.bldg.264307100851 (2015)ELECTRICAL PERMIT APPLICATION 3
PITKIN COUNTY COMMUNITY DEVELOPMENT
130 S Galena St Third Floor Aspen CO 81611
INSPECTION LINE 870.9204632 PH: 970-920-5526 FX: 970-920-5439
0343, �0/5, PELF
ESS PERJMIT NO. (Oftlt» Use Ont
4 7 �iT l✓ GJ[ /U7' V NtiC%_ ��
OCCUPANC
)OMMERCIAL Si
ADDITION ALTERATIO
(For additions, alterations, indicate
F/1.77
IN]
type, number and location of source of circuits)
- -..._. -... •_ ..•,.w�,a„ec eppncem m personalty perform electrical work on the tleacribetl ro
III, p party or realdence hereby certifies, as a Mirdition of issuance of such
e
aenerelW own to Me oublle It b understood that compliance with these assurances is a condition
prpJl�wne of C.R.S. Section 12-2&111 (Z) (as amended), and that failure to corn herein will be
oepupenoy issued
parmit,
of the issuance of an electrlcai d
h to the applicant pursuerd to the
nramm ote
rounds for revocation of the electirl
with respect to the property or residence described. DO NOT SIGN THIS SECTION IF YOU ARE A LICENSED CONTpermit or RACTORem certlficete of
1
!�
Signature of Owner
Date:
Note: Engineer stamped electrical one -line plan required If service is over 400 amps. Low voltage drawings must be done by NICET engineer.
PAYMENT OF PITKIN COUNTY USE TAX
The General Contractor or Owner Builder is required to pay a Use Tax Deposit to Pitkin County
Use Tax Permit Fee Double
rn
(.5%) on th buildeq pertnk valuation at timeof issuance. All sub-parmtts Pulled under a building
Permit are Paid by this deposit payment and slwuld not pay Use Tax. Stand abna
d.
$
J
sub -permits are
required to pay a Use Tax Deposit to Pitkin County (.5%) Deposit .5% of 50% W pro
valuation.
$ // 5 r1�
V
Vr
$
p—
Approved by Fire Marshal ❑
Project Yaluation ( in. dudes labor) g
Date:
Exempt: Exempt Organization
Approved by
HPC ❑
Tax Exempt ID Numbef
Property liens may be placed on tW owner's and/or the oontraotor•s property
when Use Tax Is not paid.
Date:
ELECTRICAL CONTRACTOR
For all work done under this penny, the pemilnae accepts full responsibility for compliance with the
National Electric Code and County resolutions,
StIlldIn De artm ntAcce tante
whiv
and/or state laws, whichever applies. Penntt
subject to revOcUll or suspension for violation of any governing same. An accepted final
electrical inspection shall be obtained prior to using are electrical
_
ApproVed By. '
system. A final electrical
inspecti hall be requested within 48 ho u iter completing an electrical installation.
Date: 5,
a�yna[tieCtncal Cctaf Date
Permit Validation
Date Receipt # Total
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X0/.0.7 s 39231
Print Name
K.L. Crede%ew4 $
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These plans must be kept at
building site or inspection
delays may occur. Construction
shall conform to these plans.
All changes shall be approved
Ln
by the building official.
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