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HomeMy WebLinkAboutApplication - PermitGarfield County I NO. 10 154 j Building & Sanitation Department 108 Kh Street, Suite #401 Glenwood Springs, Co. 81601 Office-945-8212 Inspection Line-384-5003 Job Address 0 !3/o t1La f; lie-f2pr;Gff5 DcJ31 (I_Q__, NatureofWork Building Permit Lof 3 tJo-\:\J€.> "5pclf};jS useofBui iding S/~ao C~.u:fo±P-~~(Ok :::,::ctor ~~~~~ecj ? Amount of Permit $ a; 7 J /. '5 3 Date /Q -( d-Db Clerk PJI3~ - ;;,;177-1//-00)-DD?J GA R FIELD COUNTY BUILDING PERMIT APPLICATION 108 8 '" Str eet, Suite 401 , Glenwood Springs . CO 816 01 Phone: 9 ~0 -,4 5·8 2 1 2 I Fax: 970-3 84-3 47 0 I I ns p ection Lin e: 9 7 0-384-5 0 0 3 /bJ5l.f Parcel/ScheduleNo: 2.:1.1 1--1.i1..-0Z.-003 Permit No: I I Nt.\tlv e S f 11"11"1ft5 s vbJ·,v ',s t OI'J if' S '[)('. (\~-f'k. Co ~l <>S'o Job Address: i Lot No: 3 2 Contractor: \ (m~S c.onslrt.do M Con~-h-vc.'t .I O n 3 4 5 (i Use of Building: 7 Descri be Wo rk: 8 Class of Work: 0 Address: ?CA me C\5 u bov C2 ~ New Ph: 0 Alteration Addition 0 Move 9 Garage: 0 Single Double lt'l le Carport: N}Fl 10 0 £ 0 On-Site Sewage )<l Site Plan 11 12 Special Conditions: NOTICE A SEPARATE ELECTRICAL PERMIT IS REQUIRED AND M UST B E I SSUED BY THE STATE OF COLORADO. THJS PERMIT BECOMES NULL AND VOID I F WORK OR CONSTRUCTION AUTHOHJZ~lJ I~ NUT COMMENCED WITHLN 180 DAYS , OR. IF' CONSTRUCTI ON OR WORK I S SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. Disposa l Adjusted Valuations: S Z Plan C h eck Fee: Perm i t Fee : Lie. No. 20060 9 =!-0 7- Lie. No. o Remove 0 0 S ingle Doub le I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLI CATION AND KNOW THE SAME TO BE 'ffiUE AND CORRECT. ALL PROVISI ONS OF LAWS GOVERNING THI S TYPE OF WORK WILL BE COMPLETED \VJTHIN WHETHER SPECIFI ED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR Const. Type: Setbacks: LOCAL LAW REGU Tl G.,f:ONS UCTION OR THE PERFORMANCE OF 9N AGREEMENT PERMISSION IS HEREBY GRANTED TO THE APPLICANT A S OWNER CONTRACTOR AND/OR THE AGENT OF THE CONTRACTOR OR OWNER TO CONSTRUCT THE STRUCTURE AS DETAILED ON PLANS AND SPECIFI CATI ONS SUBMI TfED TO AND REVIEWED BY THE BUI LDING DEPARTMENT. IN CONSIDERATION OF THE ISSSUANCE OF THIS PERMIT, TliE SIGNER. HEREBY AGREES TO COMPLY WITH ALL BUILDING CODES AND LAND USE REGULATIONS ADOPTED BY GARFI ELD COUNTY PURSUANT TO AUTHORITY GIVEN LN 30 .28.201 CRS AS AMENDED. THE SIGNER FURTiiER AGREES THAT IF THE ABOVE SAID ORDINANCES ARE NOT FULLY COMPILED WITH IN THE LCOATION. ERECTION. CONSTRUCTION. AND USE OF TilE ABOVE DESCRIBED STRUCTURE. THE PERMIT MAY BE REVOKED BY NOTICE FROM THE COUNTY AND THAT THEN AND THERE IT SHALL BECOME NULL AND VOID . THE ISSUANCE OF A PERMT BASED UPON PLANS, SPECIFICATI ONS AND OTHER DATA SHALL NOT PREVENT THE BUILDING OFFICIAL FROM THEREAFTER REQUI RING T HE CORRECTION OF ERRORS I N SAID PLANS, SPECIFICATI ONS AND OTHER DATA OR FROM PREVENTING BUI LDING OPERATION BEING CARRJ ED ON THEREUNDER WHEN I N V I OLATION OF THS CODE OR ANY OTHER ORDINANCE OR REGULATI ON OF THIS JURISDICTION. THE REVIEW OF SUBMITTED PLANS AND SPECIFICATIONS AND INSPECTIONS CONDUCTED THEREAFTER DOES NOT CONSTITUTE AN ACCEPTANCE OF ANY RESPONSIBILITIES OR LIABUTIES BY GARFIELD COUNTY FOR ERRORS. OMISSIONS OR DISCREPENCIES. THE RESPONSJ BIUTY FOR THESE ITEMS AND IMPLEMENTATION DURING CONSTRUCTION RESTS SPECIFICIALLY WITH THE ARriCTECT. DESIGNER. BUILDER. AND OWNER. COMMENTS ARE I NTENDED TO BE CONSERVATIVE AND I N SUPPORT OF THE OWNERS LNTEREST. I HEREBY ACKNOWLEDGE T HAT I HAVE READ AND UNDE~STAND THE AGREEMENT ABOVE (INITIAL): J. f'll Yd $/Co 'i1o .o-r \f.~~~~€_ /b ~ t;i ~ t>G ch-# tt>77 1,"'he following items are required by Garfield County for a final inspection: 1. A final Electrical Inspection from the Colorado State Electrical In spector; 2. Permanent address assigned by Garfield County Building Department posted where readily vis ible from access road; 3. A finished roof, a lockable house , complete exterior siding, exterior doors and windows installed, a complete kitchen with cabinets, a sink with hot & cold running water, non-absorbent kit chen fl oo r coverings, counter t o ps and finished walls, ready for stove and refrigerator, all neces sa ry plumbing; 4. All bathrooms must be complete, with washbowl, tub or shower, toilet stool, hot and cold running water, non -ab sorbent floors and walls finished and a privacy door; 5. All s teps outside or inside over three (3) steps mu st have handrails, guard rail s on balconies or decks over 30" high constructed to all IBC and IRC requirements; 6. Outside grading done to where water w ill detour away from the building; 7. Exceptions to the outside steps, decks and grading may be made upon the demonstration of extenuating circumstances, i.e . weather, but a Certificate of Occupancy will not be iss ued until all the required items are co mpl eted and a final inspection mad e; 8. A final inspection sign off by the Garfield County Road & Brid ge Department fo r driveway installation, where applicable; as well as a ny final sign off by the Fire District, and/or State Agencies where applicable. A CERTIFICATE OF OCCUPANCY WILL NOT BE ISS UED UNTIL ALL THE ABOVE ITEMS HAVE BEEN COMPLETED. ****CANNOT OCCUPY OR USE DWELLING UNTIL A CERTIFICATE OFOCCUPANCY (C.O.) IS ISSU ED. OCCUPANCY OR USE OF DWELLING WITHOUT A C.O. WILL BE CONSIDERED AN ILLEGAL OCCUPANCY AND MAY BE GROUNDS FOR VACATING PREMISES UNTIL ABOVE CONDITIONS ARE MET. I und e rs tand and agree to abide by the above co nditions for occupan/OSe::y:e iss uance of a Certificate of Occupancy for the dwelling under building permit # V .. ~ Signature Bpapplicationfeb2006 Date '6 }2 3/0-' I VALUATIO N/FEE DETE RM INATION Applicant /'r1 ~~ Subdivi sion ,</~c)J:jp. · Address F12f 6 ( 3 6 (')a. i-l\Je. c;~rt"'J5 Lot/Block 3 Date /O·f:9Ce Pfl 1/ll... Contractor 1\J\ c r L A ""'-.• I Y I 6 (\ "":S'JT~(Tl I) V'. Fini s he d (L ivable Area): M a in 18'l9 Up per 4>57 L ower O th e r Total Squ are Feet a 2t fi, r 7~ ' & V alua ti o n Base m e nt: Un fi ni s hed Conver si on of U nf inis he d to F in ishe d P lan C heck Fee for Convers ion Valuation Garage: Valuatio n C.?CO 'f-/B C rawl SQac e : Valuat ion I Bzcr "1 Decks/P atios: -- ::: -- 11,8 44 /(,, 4~( Covered ~i lf10 Valu a ti on /d)l' -- Open Va lu ati on Total Val uat io n PLAN REVIEW CHECKLIST Applicant ~ tif>J,<i 8 Date I D ·1· ~ Building Angineered Foundation ~Dri veway Permit -~v eyed Site Plan A":ptic Permit and Setback~. ~ . __ Grade/Topography 30% --Ach Res identi a l Plan Revi ew Li st ~imum Applicati on Questionnaire ~ivision Plat Notes ~Dep artment Review.JIA..~.,t ~ ~tion Determination/Fefs~ ~e Plans/Stamps/Sticker Attach Conditions ~a tio n Signed ~~o Sign Application --~-arcel/SScchheedduullee No. ~ 40# Snow load Letter-Manf. Hm s. ~oil s Report GENERAL NOTES: Planning/Zoning ~rty Line Setbacks IJ·If-Jon Stream Setbacks H:Flood Plain ~!di n g Hei ght -~Sign-off ~d Impact Fees ~A/DRC Approval ~/Topography 40% 11.4-. Pl an nin g Issues ~division Plat Notes GARFIELD COUNTY BUILDING AND PLANNING 970-945-8212 MINIMUM APPLICATION REQUIREMENTS For SINGLE FAMILY DWELLING CONSTRUCTION Including NEW CONSTRUCTION ADDITIONS ALTERATIONS And MOVED BUILDINGS In ord er to und er stan d th e scope of th e work intend ed und er a permit appl ication and ex p ed ite th e iss uan ce of a permi t it i s importan t tha t co mp lete info rm ati o n b e provided. When r eviewing a p lan and it 's di s cov ered that r eq ui red information has not bee n provid ed by th e ap pli can t, thi s will result in the delay of the perm it issuance and in proceeding with buil ding construction . The owner or co ntractor sha ll be r equired to provid e thi s inform a ti on before the pl an rev iew can proce ed. Oth er pl ans th at are in line for r ev iew m ay be given attenti on before the new information may be reviewed a fter it h as b een provid ed to the Building Dep artm ent. Please review this document to determine if y ou have enough information to desig n your project and provide adequate information to facilitate a plan review. Also, please consider u s ing a design professional for assistance in your design and a cons truction professiona l for construction of your project. Any project with more than ten (10) occupants requires the plans to be sealed by a Colora do Reg istered Desig n Professional. To provid e for a more u nd er stand abl e pl an in ord er to determi ne comp li ance wi th the b u ild ing, plumbing and m echa nica l co des, ap pli can ts are reques ted to revi ew the fo llowing check li st pri or to and durin g des ign . Applicants are r e quired to indicate appropriately and to s ubmit the completed checklist at time of application for a permit. Pla ns to be included for a Building Permit, must be on drafting paper at least 18"x24" and drawn to scale. ·Plans must include a fl oor pl an, a con cre te foo tin g and foundation pl an, elevations all sides w ith decks, balcony, steps, hand rail s and guard rails, windows and doors, including the finish grade line and original grade . A secti on showing in detail , from the bottom of the foo ting to the top of the ro of, includin g re-bar, anchor b olts, pressure treated plates, fl oor joists, wall stud s and spacing, insulation, sheeting , house-rap , (which is required), sid ing or any appro ved b uilding material. Eng ineered foundations may be req uired. A window schedul e. A door schedul e. A floor framing plan, a roof fram ing plan, roof must be designed to withstand a 40 poun d per sq uare foot up to 7,000 feet in elevation, a 90 M.P.H. wind speed, wind exposure B or C, and a 36 inch frost depth. All sheets to be id entified by number and indexed . All of the abov e requirement s must be met or yo u r plans wi ll be returned. A ll plans submitted mu st be incompliance with the 2003 IRC. 1. Is a sit e plan included that identifies the lo cati on of the proposed stru cture or add iti on and distances to the property lines from each corner of the proposed structure(s) prepared by a licensed surveyor an d h as the surveyors signature and profess ional stamp on the drawing? Properties w ith s lopes of 30% or greater mu st be shown on the s ite plan. (NOTE Section: 106.2) Any site plan for the placement of any portion of a structure within 50 ft. of a pro perty line and not wi thin a previously surveyed buil ding envelope on a subd ivision final plat shall be prepared by a licensed surveyor and have the surveyor's sig nature and professional stamp on the drawing. Any structure to b e built w ithin a building envelope of a lot shown on a recorded sub division plat shall incl ud e a copy of the building envelope as it is sh ow n on th e fin al plat with the proposed stru ctu re located within the envelop e. Yes X 2. Does the site plan also include any other build in gs on the property, setback easements and utility easements? P lease refer to Section 5.05.03 in the Garfield County Zoning Resolution if the property you are applying for a building pennit on is located on a corner lot. Special setb acks do app ly. Yes 'i 3. Does the site p lan include when app li cab le the location of the I.S.D .S. (Individual Sewage Disposal System) and th e d istances to the property lines, we ll s (on subj ect property and adjacent properties), streams or water courses? Yes )( 2 \ i, .4. Does the site plan indicate the location and direction of the County or private road accessing the property? Yes X 5. Do the plans include a foundation plan indicating the size, location and spacing of all reinforcing steel in accordance with the IRC or per stamped engineered design? Yes X 6. Do the plans indicate the location and size of ventilation openings for under floor crawl spaces and the clearances required between wood and earth? Yes X. *' 7. Do the plans indicate the size and location of ventilation openings for the attic, roof joist spaces and soffits? Yes A .f 8. Do the plans include design loads as required by Garfield County for roof snow loads , (a minimum of 40 pounds per square foot up to & including 7,000 feet above sea level), floor loads and wind loads? Yes X 9. Does the plan include a building section drawing indicating foundation, wall, floor, and roof construction? 10. Yes ·x Does the building section drawing include size and spacing of floor joists, wall studs, ceiling joists, roof rafters or joists or trusses? Yes ~ 11. Does the building section drawing or other detail include the method of positive connection of all columns and beams? Yes ----'-'1------ 12. Does the elevation plan indicate the height Qf the building or proposed addition from the undisturbed grade to the midpoint between the ridge and eave of a gable or shed roof or the top of a flat roof? (Building height measurement usually not to exceed 25 feet) Yes X 13 . Does the plan mclude any stove or zero clearance fireplace planned for installation including make and model and Colorado Phase II certifications or phase II EPA certification? Yes X No ____________ _ 3 14. Does the plan include a masonry fireplace including a fireplace section indicating design to comply with the IRC? Yes JA/ft No _____ _ 15. D oes the plan include a window schedule or other verification that egress/rescue windows from sleeping rooms and/or basements comply with the requirements of the IRC? Yes X No ------- 16. Does the p lan include a wind ow schedule or other verification that windows provide natural light and ventilation for all habitable rooms? Yes X No ------- 17. Do the plan s indicate the location of glaz ing subject to human impact such as gl ass doors, glazing immediately adjacent to such doors; glazing adjacent to any surface normally used as a walking s urface; slidi ng glass d oors; fixed glass panels; shower doors and tub enclosures and specify safety glazing for these areas ? Yes X No __________ __ 18. Is the location of a ll natural and liquid petroleum gas fumaces, boilers and water heaters ind icated on the plan? Yes '1. No ------- 19. Do y ou understand that if you are building o n a parcel of land created by the exemption process or the s ubdivision process, are building plans in compliance with all plat no tes and/or covenants? Yes X No ------- 20. Do yo u understand that if you belong to a h omeowners association, it is your responsibility to obtain written permission from the association, if required b y that a ssoci ation, prior to submitting an application for a building permit? T he building permit a pplication w ill no t b e accept ed with out it. Yes No ------- 21 . Will this be the only residential structure on the p arcel ? Yes 'i No Ifno-Exp l ain: ______ _ 22 . Have two (2) complete sets of construction drawings been submitted w ith the appli cation? Yes 1 23. Do you under st and that the minimum dimen sio n a home can b e on a lot i s 20ft. wide and 20ft. long? Yes X No ----- 4 24. Have yo u des ign ed or had thi s plan des igned whil e cons idering building and other construction code requirements? Ye s X No ------ 25. Do yo ur plans co mpl y with all zo ning rules and regulations in the Co un ty related to you r prop erties zo pp di strict? Yes :!_ No ------- 26. Does th e plan accurately indicate what yo u intend to construct and what will receive a final inspection by the Garfield Co unty Building Department? Yes y No ____ _ 27. Do you understand th at approval for design and/o r co nst ru cti on changes are required prior to the application of these changes? Ye s g No _____ _ 28. Do you understand that the Building Department will collect a "Plan Review" fee from you at the time of appli cation submittal and that yo u will be r equi red to pay the "Permit Fee" as well as any "Road Impact" or "Septic System" fee s required, at the tim e you pick up your building pennit? Yes ~ No ____ _ 29. Are you aware that you must call in for an inspection by 3:30 the business day before the requested inspection in order to receive it the following business day'? Inspections will be made from 7:30 a.m. to 3:30 p.m. Monday through Friday. Inspections are to be called in to 384-5003 . Yes '/... No _____ _ 30. Are you aware that requ es ting inspect ions on wo rk that is not ready or not accessible will result in a $~.00 re-inspection fee? Yes No ------ 31. Are yo u aware that you a re J;equired to call for a ll inspecti ons required under the IRC including appro val on a final in specti on prior to receiving a Certificate of Occupancy and occupancy of the build ing? Yes X No _____ __ 32. Are you aware th at the Permit Application must be s igned by the Owner or a written authori ty being g ive n for an Agent and that th e party responsible for the proj ect mu st comp ly with the IRC? Yes 'I-. No ------- 5 33. Are yo u aware that prior to s ubmittal of a building permit application yo u are required to show proof of a dri veway access permit or obtain a s tatement from the Garfield County Road & Bridge Department s tating one is not necessary ? You can contact th e Road & Bridge Departme nt at 625-8601. Yes X N o ____________ _ 34. Do you und erstand that you will be required to hire a State of Colorado Licen se d Electrician and Plumber to perform installation s and h ookups, unless you as the h omeowner a re performin g the work? The license number of the person p erforming th e work will b e required at time of appli cable inspecti on. Yes No ______________ _ 35. Are you aware, that o n the front of the Building Permit Application you will need to fill in the Parcel Number for the lot yo u are applying for thi s pe rmit on prior to submittal of a building permit ap plication? Your attention in this is appreciated. Yes No ________________ _ 36. Do you know that the local fire di strict may re quire you to submit plans for their revi e w of fire safe ty i ss u es? Yes X N o (please c heck with th e building department about this r equire ment) 37. D o you understand th at if you a re pl a nnin g on do in g any excavatin g or gradin g t o the prope1ty prior to issuance of a building pe rmit th at yo u will be required to ohtain a g radin g permit? Yes ''b I hereby acknowledge that I have read, understand and answered these questions to the ~;;;;p -<t;j 23 /0 b Signature of Owne r Date Phone: (C\1-0) 27-0 -Z01.'t (days); ~J=O) ZZ5 '-01~'0 (evenings) P roject Name: ____ ...L.H__.__,.e._,o\......,__.ina-=-'_,'5"---__ _,_g._,.f,_,S.._),__,d""""e.::...n--=C;;...>f/?..__ ________________________ _ Notes: If you have a nswered "No" on any of the qu esti ons, yo u m ay be re quired to prov ide this information at the requ est of the Building Official prior to beginning the plan review process. D e lays in issuing the permit are to be expected. W ork may not proceed without the issuance of a permit. If it is determined by the Building Official tha t additional informati on is necessary to review the appli cation and plans to determine minimum compliance with the adopted codes, the application 6 .may be placed behind more recent applications fo r building permits in t he re view process and not reviewed until required information has been provided and the applicati on rotates aga in to fi r s t position for revi ew, de lay in iss uance of the permit or de la y in proceeding with construc ti on . BprninreqFeb2005 7 GARFIELD COUNTY BUILDING REQUIREMENTS Codes: 2003 IRC, IB C, IFGC , IMC, IPC, Setbacks: Check subdivisions and zone district for setback requirements. Snow load: 40 PSF up to 7000ft. elevation. 50PSF 7001 to 8000ft. 75PSF 8001 to 9000ft. 100PSF 9001 to 10000ft. Seismic design category: B Weathering probability for concrete: Severe Termite infestation probability: None to sli ght Wind speed: 90mph Decay probability: None to slight Wind Exposure: B or C (see section R301.2.1.4) ' Frost Depth: 36in. to 8000ft. elevation. 42in. 8001 and above. Winter Design Temperature: Minus 2 to 7000ft.; minus 16 over 7000ft. elevation. Air Freezing Index: 2500deg F -days to 700 0ft.; over 7000ft. to be determined by Building Official. Ice shield under-layment required. Mean Annual temp.: Variable Insulation: Maximum gl azing U factor: 0.50 Minimum R-Values: • Ceilings/roofs R values are: R-30 stick built structures. R-38 log construction and stee l rafter construction. • Walls R values are R-19 woo d frame; R-19 cavity R-3 sheathing stee l studs. • Floors R-values are R-19. • Basement wall R-values are R-10 below grade, R-19 above grade. • Slab perimeter R-value and depth is R- 10/36in. • Crawl space wall R-values are R-10 below grade and R-19 above grade If floors over crawl spaces are not insulated, the crawl space walls must be insulated. Basement wall must be insulated to frost depth. Common walls garage to house must have R-19 insulation. Common ceiling/floor garage to house must have R-19. Take precautions to protect plumbing in these areas. Native Springs Homeowners Association Architectural Review Committee August 23 , 2006 R e : Juan Medina Plan Review You have requested approval of plans for construction of a new home on lot number 3 in Native Springs Subdivision. Your complete plans were provided to us on Augus t 22 , 2006. The Native Springs Homeowners A ssociation, Architectural Review Committee has reviewed your plans. The plans you submitted meet the requirements of the Native Springs Homeowners Association , Architectural Review C ommitte e. Your request has been approved. Association Pres ident:Jerry Rui z _,._d;j: ........ ""'""· ~·---+--+-----Date g-. · 2 '3 · o (. . ·,.~ ·-~ : .· ....... ''· ..... -~ Fire Protection System Acceptance Plans appear to comply with Rifle Fire Protection District's rules with the following conditions. 1. Installing contractor shall be ultimately responsible for the proper design, operation and installation of the fire suppression system for the entire building/tenant space. 2. FDC location must be field approved by RFPD, preliminary approval will be given at time of plan review . Considerations for location will be dependant on street access, fire hydrant, exterior hom/strobe, Knox Box locations and possible obstructions. _ ~t £-GIJ ~...;A 3. It is the Rifle Fire Pr?tection District's polic~ to have the inspector's test valve at the most remote sectiOn of the system. -ArJf. {F-e n .. :c S j sf~""' 4 . Fire flow calculations for the water system will need to be verified. 5. During inspections all permits, approved blueprints and other appropriate paperwork (i .e. This Acceptance Letter) shall be present. 6. Verifi ca tion of testing and flushing is required of all underground piping prior to connection with system. Connection of underground piping with abo v e ground · piping prior to supplying Underground Test/Flush Certificate will result in automatic failure of acceptance test and will require proof of above ground piping being flushed . 7. Owner has been advised of the care and maintenance of the system in addition to receiving a copy of such paperwork. The acceptance of the fire protection system is based upon plan review and field verification. Due to the difficulty of understanding the prospective of the plans, the Rifle Fire Protection District reserves the right to require relocation of sprinkler heads during site inspections and to require relocation of sprinkler heads to be installed as per minimum requirements of applicable NFPA Standards or as necessary for life safety. A combination of plan review, hydraulic calculation review, review of product submittals and on site inspections comprise criteria for system approval. Date : '?d~ / 0] Inspector: K. lJkc t.~:~r-1 Rr c..c-v tA-: IJ cl { v +~t. 0 WtJf!,., ·. I (})(De -ru}-ffJor~-Lt1 fr"o+rcA\i),J (3 o 13 ~rJ~~ A\f\J.--M. tof-. vJ~t;J (D.J ·~lJ..)~j lJ IJNOGvLJp'tfJ Fire Protection System Inspection Failure to meet any of the conditions listed below will constitute an automatic failure of either a rough-in or final inspection. 1) Plan Submittal and Review Process completed. 2) NFP A compliant Underground Pipe Acceptance test including flushing must have been witnessed and documented and the test certificate provided to RFPD in spector prior to connection of system to underground piping. 3) NFPA compliant hydrostatic pressure test must have been witnessed, approved and documented by RFPD inspector. 4) Rough-in inspection completed and documented prior to concealment of any components of the system. 5) Copies of signed approved plans and this form must be present for all inspections. 6) A representative of the installing contractor shall be on site for all inspections. Site Address: !3 4. rJ "'+-. v t ~pu"-')J De -V\t'.ed.,...)/' l&r'r ch.JC,f Installing Contr~ctor: _ _.E"-' .... '6-=c ...... s'"--\....___._f-'-1 """'M,._· _L..P.P:.rw""-+.J.....:L:~ v""'-4-1-\-'--'cu..:,JC-.t1_I:...Io.L.:.:"J:....::v::_ ____ _ Contact Name/Phone Number: ~ c, ~(.<\ftLL-Cf(D-lf-3l(._ lfKOJ Plans reviewed and approved : Yes.,){.__ No __ Rough-in Inspection: Date : ~~bl Inspector: K. · tJ k€\e ._) Results: Pass X Fail Hydrostatic Test: Yes ~No __ Passll._Fail __ f ~~ ~!'lJ -b P Lt rrv Underground Pipe Flush Certificate : Yes No Date ---- Final Inspection: Date : ----- Inspector: ________ _ Hydrostatic Test: Yes No Pass Fail Results: Pass Fail Date 1/31/ IJ7 Contractors Name STATE OF COLORADO DIVISION OF FIRE SAFETY PLAN REGISTRATION FORM System Test Date __ ____.:;;_;,~=-=---- Signature ______________ _ Certification No. __________ (Certified Fire Suppression Inspector) Jurisdiction No. ----------------------- Comments -------------------------- (for additional comments use separate sheet) Distribution: Origin al Copy go es to Divi sion of Fire Safety Upon total completion of fonn . Copy to local ftre department. Copy to contractor and copy to building owner upon completion and sign-off. 10~0233 -Pd~~~ 1 b-\'d--Dto ~/"077 GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT 108 Eighth Street, Suite 201 Glenwood Springs, Coloradof 81601 Phone (970) 945-8212 INDIVIDUAL SEWAGE DISPOSAL PERMIT SYSTEM DESIGN _____ Sept ic Tank Capacity (gallon) ______ Other _____ Percolation Rate (m inute s/inc h) Required Absorpti o n Area -See Attached Special Se tba ck Requirements: Permit 4235 Assessor's Parcel No . Thi s does not const itute a bu ilding o r use permit. Date ________________ Inspector __________________________________ _ FINAL SYSTEM INSPECTION AND APPROVAL (as installed) Call for In spectio n (24 hours notice) B efo re Covering Ins t allation Sy stem In stall er ___________________________________________________ _ Sep t ic Tank Capacit y ____________________ ~~------------------------------- Septic Tank Manufacturer or Trade Name ---------------------------------------- Septic Tank Access withi n 8" of surfac e ---------------------------------------- Absorption Area --------------------------------------------- Absorption Area Type an d/or Manufactu rer or Trade Na me --------------------------------- Adequate compliance with County and Sta te regul ati ons/requ i remen t s Other _______________________ ~--------------~----------- -01 Inspect or Ay ~ ~ ~~ RETAIN WITH RECEIPT RECO RD~C TION SITE Ck& , ~ ~ Date s -II •CONDITIONS : 1. All installation must compl y with all requirements of th e Co l orado State Board of Health Individual Sewage Di sposal Systems Chapter 25 . Ar ticle 10 C.R.S. 1973 , Revised 1984 . 2. This permit is va lid only for connection t o stru ctures which have fully complied with County zo ning and building requirements. Con- nectio n to or use with any dwelling or stru ctures not approved by the Building and Zon ing office sha ll automatically be a violation or a requir emen t of the permit and cause for both l ega l action and revocation of the permit. 3. Any perso n who constructs, alters. or in st alls an individual seWage disposal sys tem i n a manner wh ich i nvol ves a knowing and materi al variation from th e term s or spe cifications contained in the application of pe rmit co m mits a C lass I, Petty Off ense ($500.00 fine-6 months in j ai l o r both). White -APPLICANT Ye ll ow-DE PARTM ENT 05 /23 /2007 15:44 FAX 970 285 0160 J UAN MEDI NA 0 0 COLORADO STATE ELECTRICAL BOARD 1580 Logan Street, Suite 550 Denver, CO 80203-1941 141 002 I Inspection Report Permit#: 600566 Date Inspected: 05/23/2007 Permit Holder: JUAN MEDI NA JUAN MEDI NA LOT 3 NATIVE SPRINGS SUBDIVISION RIFLE 81650 Phone: 970 285 -0160 Fax: Email: juanmdn1@wmconnect.com Site: 221 COUNTY RD . LOT 3 NATIVE SPRINGS, SUBDIVISION Rifle, Garfield County, 811 Owner: Status: Inspector: Corrections: JUAN MEDI NA Phone : Accepted Inspection type: Final NEW Partial Inspection: No Trim Permit: N RESIDENTIAL RESIDENTIAL NEW Cyrus Tuchscher 970·625·5085 1) Corrections all addressed and repairs made. 2) Electrical Final OK 3) No building permit card available Comments: 5/23/2007 Page 1 of 1 INSPECTION WILL NOT BE MADE UNLESS THIS CARD IS POSTED ON THE JOB 24 HOURS NOTICE REQUIRED FOR INSPECTIONS BUILDING PERMIT GARFIELD COUNTY, COLORADO Date IssuedJ.0./1.a//j.~Zoned Area ............................... Permit No .. JQ.}~~ ........ . AGREEMENT In consideration of the issuance of this permit, the applicant hereby agrees to comply with all laws and regulations related to the zoning, location; construction and erection of the proposed structure for which this permit is granted, and further agrees that if the above said regulations are not fully complied with in the zoning, location, erection and construction of the above described structure, the permit may then be revoked by notice from the County Building Inspector and IMMEDIATELY BECOME NULL AND VOID . Setbacks Front Side Side Rear This Card Must Be Posted So It is Plainly Visible From The Street Until Final Inspection. INSPECTION RECORD lhiveway Foundation Alii Insulation Drywall ALL LISTED ITEMS MUST BE INSPECTED AND APPROVED BEFORE COVERING - WHETHER INTERIOR OR EXTERIOR, UNDERGROUND OR ABOVE GROUND. THIS PERMIT IS NOT TRANSFERABLE For Inspections Call384-5003 108 8th Street Glenwood Springs, Colorado APPROVEDDO NOT DESTROY THIS CARD oate 10/la)ot. ey Mrwa" ln:J IF PLACED OUTSIDE (clv'ta WITH CLEAR PLASTIC Parcel Detail Page 1 of 3 Garfield County Assessor/Treasurer Parcel Detail Information Assessor/Treasurer Progert y Search I A ssessor Subset Query I A ssessor Sales Search Clerk & Record e r Recegtion Search Parcel Detail I Value D e tail I Sales De tail I Resid ential/Co mme rcia l Impro ve ment Detail Land Detail I Photogr aphs I T ax A r ea II Account Number II Parcel Number II Mill Levy I I 021 II R040788 II 21771 1102003 II 45.872 I Owner Na me a nd Mailing Address !MEDINA, JUAN I 1240 E TAMARAC CIRCL E I !PARACHUTE, CO 81635 I L ega l Descriptio n lsECT,TWN,RNG : 11 -6-93 SUB :NATI VE !SPRINGS LOT:3 PRE:R005976 BK: 1527 IPG:634 BK:1527 PG:601 BK:0363 IPG:Ol89 BK:1821 PG:333 RECPT:702276 IBK :l821 PG:332 RECPT:702275 BK:l527 IPG:611 RECPT:638284 BK:l327 PG:634 IRECPT:638285 BK:1490 PG :413 IRECPT:63 1277 BK:1327 PG:461 IRECPT:596975 BK: 11 78 PG :453 IRECPT:56 11 30 Loca t ion I Physical Address: 11 12 NATIVE SPRINGS DR RIFLE I I Subdi vision: li N A TIVE SPRINGS I I Land Acres: 11 5.177 I II II http ://www.garcoact.com/assessor/pa rcel.as p ?Pa rce1Number=2 177 111 0 2003 10/10/2006 Parcel Detail I Land Sq Ft: llo I I Section II Township II Range I I 11 II 6 II 93 I Property Tax Valuation Information II II Actual Value II Assessed Value I I Land: 59,75011 17,3301 I Improvements: oil ol I Total: 59 ,75011 17,3301 Sale Date: 117110/2006 ~==================~ Sale Price: 11159,900 Basic Building Characteristics Number of Residential lo I Buildings: Number of Comm!lnd lo I Buildings: No Building Records Found Tax Information Tax Year II Transaction Type Amount I 2005 II Tax Payment: Whole ($763.32)1 2005 II Tax Amount $763.321 2004 II T ax Payment: Whole ($1 ,228.44)1 2004 II Tax Amount $1,228.441 2003 II Tax Payment: Whole ($34.26)1 2003 II Tax Amount $34.261 Top of Page Alis_~_s.s_o_r.:_.D a t~\bas~Sc::m::h_Qp_tjgn_s I Treasurer Dl!t abase Search Options. Cl erk & Re corder Database Search Opti o ns ·------------------ http://www.ga rc oac t.com/ass ess or/parcel.asp?ParcelNumber=2177111 02003 Page 2 of3 10110/2006