HomeMy WebLinkAboutpitkin.bldg.273521400006 (2016)(2)DOCUMENT
LAYOUT
Certificate of Occupancy or Letter of Completion
Permits
Final Inspections
Any Supporting Documents
Site Plans
(NOTE: All structural plans will be grayed out. If you require the ability to see structural
plans, you must have a letter from the owner stating you are allowed to have plans. This
letter must be submitted to Pitkin County Community Development Department)
PERMITS
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
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PERMIT NO. (Office Use Only)
JOB ADDRESS
LST�" �'Y �� ! f
OWNER � J, PHONE
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TRlCAL CONTRACTOR MAILING ADDRESS PHONE
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BU DING PE MIT #
OCCUPANCY GROUP
ELECTRICAL VALUATION
SQUARE FOOTAGE
USE OF BUILDING
❑ COMMERCIAL
AESIDENTIAL
CLASS OF WORK
❑ ADDITION
1 0 ALTERATION
❑ NEW
❑ CONSTRUCTION
❑ SOLAR
OTHER
SERVICE
DESCRIBE WORK IN DETAIL (For additions, alterations, indicate type, number and location of source of circults)
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OWNERIAPPLICANT: 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 resa$e. 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 sssuance 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 building
by this deposit Use Tax. Stand
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permit are paid payment and should not pay alone sub -permits are
required to pay a Use Tax Deposit to Pitkin County (.5%) Deposit .5% of 50% of project
Approved by Fire Marshall ❑
valuation.
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Date:
Project Valuation (includes labor) $ ,�
Exempt: Exempt Organization
Approved by HPC ❑
Exempt ID Number
Date:
Property lions may be placed on the owner's and/or the contractor's property
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
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 fin I electrical
inspections I be uested within 48 hours after completing an elect ' m allat11
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Date: 2 /
Signatur pplicant Date
Permit Validation
Date
Receipt #
Total
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Print Name
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FINAL
INSPECTIONS
7:36:40AM
Inspection Check List
PITKIN COUNTY
Inspection Line:920-5532
inspection Schedule for rayg
Permit No: 0324.2016.PELE Scheduled for September 30, 2016
Type: 226 FINAL ELECTRICAL Time: 08:00
Notes: late pm please
Inspection ReYF
1 - AcceptedAccepted as Noted _ 3 - Rejected
Reinspection
Comments:
4 - Partial/Not Complete
Page: 17
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.
DateSignature of Applicant / Y
Date'Signature of Inspector 6 CL
Address Contact N e: heath
3129 MAROON CREEK RD
Contractor: DYER ELECTRIC, INC. Owner:
Nam
Name n
Cont ct # (970) 948-5062
WILLOW CREEK FORTY L
Page: 17 Z
PLANS
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FOR GOgE GON PtIANCE
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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
by the building official. Mi
Pitkin County
SEP 2 8 2016
Community Development
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