HomeMy WebLinkAboutApplication - PermitI
I
Garfield County
Building & Planning Department
108 8th Street, Suite #401 Glenwood Springs, Co. 81601
Offlce :970·945·8212 Fax: 970·384·3470
Inspection Line: 970·384-5003
Building Permit No. tll&3
Parcel No: 2137-153-00-009
Locality :
Job Address: SKR-598-36-AV Well Pad Location -SENW Sec. 36, T5S , R98W .:..___ ___ _
Use of Building: temporary housing on well pad SKR-598-36-AV
Owner: Chevron U.S .A. Inc.
Contractor: Mountain West Oil Field Service & Supplies
Fees : Plan Check: $ 319.96 Septic: $ 400.00
Bldg Permit: $ 492.25 Man u. Fee : $ 73.00
Total Fees : $ 1,285.21
Clerk: j~~ Date : Q -~(Q -~ I
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GARFIELD COUNTY BUILDING PERMIT APPLICATION
108 8th Street, S u ite 401 , Glenwood Springs, Co 81601
Phon e: 970-945-8212 I Fax : 970-384-3470 I Inspection Line: 970-384-5003
ww,v.garfield-county .com
Parce l No : (this infomtation is available at the assessors office 970·945-9 134) 2137-153-00-009
J ob Address: (if an address ha s not been assigned, please provide Cr, Hwy or Street Na me & City) or and legal description
SKR 598-36-AVWell Pad Location· SENW Sec. 36, T5S, R98W
Lot No : N/A Block No: N/A Subd./ Exe mption:
Owner: (property owner) Mailing Address: Ph:
Chevron U .S.A. Inc. 760 Horizon Dr. Grand Junction, CO 81506 970.257.6042
Contractor: Mailing Address: Ph:
Mounta in West Oil Field Service & Supplies 1884 S 1500E, Vernal, UT 84078 435.789.0872
Architect I Engineer : M a ili ng Address: Ph :
Charles J . Jahne, P.E. 4214 Shanna Street, Salt Lake City, UT 84124 801.278.2317
Sq. Ft. of Building : 6 Units = 3793 Total Sq. Ft. or Acres of Lot: N/A Height: 10ft.
N/A
Alt Ph;
970.589.5036
Alt Ph:
970.241.9696
AltPh:
N/A
No. of Floors: 1
~
8 Use of Building: Temporary housing on COGCC approved well location during drilling activities <M~ p-o-J s~~5ct~~ -
9 Describe Work: Prefabricated modular setup at the above location t u(ti l't v
10 C lass of Work:
[Z]New o Altera tion o Addition
II Garage: N/A Septic:
o Attached 0 Detached IZJI S DS o Community
12 Dri veway Permit: Exempted per Jake Mall (see attached email) Owners valuation of Work: $ 283261
NOT ICE
Authority. Tills applic ation for a Building Pem1it must be signed by the Owner of th e property. described above, or an authorized agent. If the signature below is not that of the Owner, a separa te
letter of auth ority, signed by the Ow ner. must be provided witl t tlti s Application .
Legal Access . A Building Pem1it cannot be issued without pro<>f of lega l and adequate access to the property for pu!poses of in spec tions by Ute Building Department.
Other Permits. Multiple separate pemli ts may be required : (I) State Electrica l Pennit. (2) County ISDS Pennit, (3) another pctmit required for usc on the property identified abo,·e , e.g. Stat e or
Couuty Hi ghw ay/ Road Access or a State Wastewater Discharge Permit .
Void Permit. A Building Pemli t becomes null and void iftlte work authorized is not commenced within 180 days ofdte date ofissuaoce and if work is suspended or abandoned for a period of 180
days after comme ncement.
CERTIFICAT ION
I hereby certify that I have read this App lication and that dtc inforrnation contain ed above is true and correct. l understand that the Building Department accepts U1e Applica ti on, along with the plans
and spec ifications and other data submilled by me or on my beha lf(submittals). based upon my certification as to accuracy.
Assuming comp leteness of th e sub mittals and approval of this App lication, a Building Petmit will be issued granting permission to me, as Owner. to consuuct the struc ture(s) and facil it ies detailed on
th e submittals reviewed by the Building Department.
In conside ration of th e issuance of the Building Pennit, I agree tlmt I and my agents will comply with provisions of any federal, state or loc al law regu lating the work and th e Garfield Cowny Building
Code . ISDS regul at ions and applicable land use regulations (Coun ty Regulation(s)). I acknowledge that the Building Pemtit may be suspended or re ,·oked. up on notice from th e CoiUtty. if the location.
construction or use of the structure(s) and facility(ies), described above, arc not in compli ance wit h County Reg ul ation(s) or any otber applicable law.
I hereby grant pennission to th e Building Department to enter th e property. descri bed above, to inspect the work. I furtlter acknow ledge U1at the issuance of ~IC Building Pennit does not prevent the
Building Official from: (I) requiring U1e correction of errors in the submitta ls, if any. discoYered aft er issuance; or (2) stoppi ng constnt etion or use of Ute structure(s) or faci lity(ies) if such is in vio lati on
of County Regulation(s) or MY otl1er applicable law .
Review of tlti s Applicat ion, including subnti ttals, and in spections of the work by the Building Department do not consti tute an acceptan<e of responsib il ity or liability by the County of errors, omi ss ions
or discrepru1 cies. As the Owner, I acknow ledge that responsibi li ty for compliance wi~l federnl, state and loca l laws 81ld Cou nty Regu latio ns rest with me and my authorized agents, including wiU>out
limitati on my architect designer, engineer and! or builde r.
'U~t?'i~~~AD AND UNDERSmDTHE NonCE & c9:•c•;o;;VE I
0\)'}QERS SIGN;\i_t{)RE DATE
v
STAFF USE ONLY
Mise Fees :
Fee s Paid:
/58''t .~s
OCC Group:
The following items arc required by Garfield County for a final Inspection:
l) A final Elcctricallnspcction from the Colorado State Elcctricallnspcctor.
2) Permanent address assigned by Garfield County Building Depa1tment and posted at the
structure and where readily visible from access road.
3) A finished roof; a lockable building; completed exterior siding; exterior doors and windows
installed; a complete kitchen with cabinets, sink with hot & cold running water, non-absorbent
kitchen floor covering, counter tops and finished walls, ready for stove and refrigerator; all
necessary plumbing.
4) All bathrooms must be complete, with washbowl, tub or shower, toilet, hot and cold running
water, non-absorbent floors, walls finished, and privacy door.
5) Steps over three (3) risers, outside or inside must be must have handrails. Balconies and decks
over 30" high must be constructed to alllBC and IRC requirements including guardrails.
6) Outside grading completed so that water slopes away from the building;
7) Exceptions to the outside steps, decks, grading may be made upon the demonstration of
extenuating circumstances., i.e. weather. Under such circumstances A Certificate of
Occupancy may be issued conditionally.
8) A final inspection sign off by the Garfield County Road & Bridge Department for driveway
installation, where applicable; as well as any final sign ofT by the Fire District, and/or State
Agencies where applicable.
A CERT!t'ICAn; OF OCCUPANCY (C.O.) WILL NOT Jn; ISSUKD UNTIL ALL THE
ABOVE ITEMS IIA VE BEEN COMPLETED.
A C.O. MAY TAKE UP TO 5 BUSINESS DAYS TO llE PROCESSED AND ISSUED.
OWNER CANNOT OCCUPY OR USE DWELLING UNTIL A C.O. IS ISSUED.
OCCUPANCY OR USE OF DWELLING WITHOUT A C.O. WILL llE CONSIDERED AN
ILLEGAL OCCUPANCY AND MAY llE GROUNDS FOR VACATING PREMISES
UNTIL ABOVE CONDITIONS ARE MET.
l understand and agree to abide by the above condition:; for occupancy, usc and the i&suancc of a
C.O. for the building identified in the Building Permit.
OWNERS SICiATURE
9;tJ-ol?
DATE
Bapplicationdccembcr2007
GARFIELD COUNTY BUILDING AND PLANNING
970-945-8212
MINIMUM APPLICATION REQUIREMENTS
For
MANUFACTURED HOMES
In order to understand the scope of the work intended under a permit application and expedite the issuance of a
permit it is important that complete information be provided. When reviewing a plan and it's discovered that
required information has not been provided by the applicant, this will result in the delay of the permit issuance
and in proceeding with building construction. The owner or contractor shall be required to provide this
information before the plan review can proceed. Other plans that are in line for review may be given attention
before the new information may be reviewed after it has been provided to the Building Department.
Please review this document to determine if you have enough information to design your project and
provide adequate information to facilitate a plan review. Also, please consider using a design professional
for assistance in your design and a construction professional for construction of your project.
To provide for a more understandable plan in order to determine compliance with the building, plumbing and
mechanical codes, applicants arc requested to review the following checklist prior to and during design.
Applicants arc required to indicate appropriately and to submit the completed checklist at time of application for a
permit.
All plans submitted must be incompliance with the 2003IRC for Residences and 2003IHC for Commercial
Offices and Storage.
I. Is a site plan included that identifies the location of the proposed structure or addition and distances to the
property lines from each corner of the proposed structure prepared by a licensed surveyor and has the
surveyors signature and professional stamp on the drawing'? Properties with slopes of 30% or more must
be shown on site plan. (NOTE Section 106.2) Any site plan for the placement of any portion of a
structure within 50 ft. of a property line and not within a previously surveyed building envelope on a
subdivision final plat shall be prepared by a licensed surveyor and have the surveyor's signature and
professional stamp on the drawing. Any structure to be built within a building envelope of a lot shown on
a recorded subdivision plat shall include a copy of the building envelope as it is shown on the final plat
with the proposed structure located within the envelope.
Yes,_X ___ _
2. Does the site plan when applicable include the location of the l.S.D.S. (Individual Sewage Disposal System)
and the distances to the property lines, wells (on subject property and adjacent properties), streams or
water courses? This infonnation must he certified by a licensed surveyor with their signature and
professional stamp on the design.
Yes X
3. Does the site plan include any other buildings, setback easements and utility easements? Please refer to
Section 5.05.03 in the Garfield County Zoning Kcsolution ifthc property you arc applying for a building
permit on is located on a corner lot. Special setbacks do apply.
Yes X
4. Docs 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 uniform building code or per stamped engineered design? A Floor Plan of the
Modular Unit showing exterior doors is required.
Yes X
6. Do you understand that if you belong to a homeowners association, it is your responsibility to obtain written
permission from the association, if required by that association, prior to submitting an application for a
building permit? The building pennit application will not be accepted without it.
Yes X No, ______ _
7. Will this be the only residential structure on the parcel?
Yes No X Ifno-Explain:_se_e_s_ite_P_Ia_n __
8. Have two (2) complete sets of construction drawings been submitted with the application?
Yes X
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9. For the placement of a manufactured home, have the following been specified?
The size of the unit (min. 20ft. x 20ft.); live roof load (min. 40# could be more depending on elevation of
property); wind design (min. wind speed of 90 mph); foundation design; method of anchoring?
Yes X
10. Have you designed or had this plan designed while considering building and other construction code
requirements?
Yes X
11. Do your plans comply with all zoning rules and regulations in the County related to your zone district?
Yes ___cxc_ __
12. Docs the plan accurately indicate what you intend to construct and what will receive a final inspection by the
Garfield County Building Department?
Yes X
13. Do you understand that approval for design and/or construction changes are required prior to the application
of these changes?
Yes X
14. Do you understand that the 13uilding Department will collect a "Plan Review" fee from you at the time of
application and that you will be required to pay the "Permit Fee" as well as any 11 Road Impact" or "Septic
System!! fees required, at the time you pick up your building permit?
Yes x
1 S. 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 between 7:30
a.m. and 3:30p.m. Monday through Friday. Inspections are to be called in to 384-5003.
Yes X
16. Are you aware that requesting inspections on work that is not ready or not accessible will result in a $50.00
rc-inspcction fcc?
Yes X
17. Are you aware that you are required to call for all inspections required under the IRC including approval on a
final inspection prior to receiving a Certificate of Occupancy and occupancy of the building?
Yes X ___ _
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18. Are you aware that prior to as submittal for a building permit application you are required to show proof of a
legal and adequate access to the site? This may include (but is not limited to) proof of your right to use a
private/right of way; a County Road and Bridge permit; a Colorado Dept. of Highway Permit including a
Notice to Proceed; a permit from the federal government or any combination. Yo11 can contact the
Garfield County Road & Bridge Department at 625-8601 See phone directory for other agencies.
Yes X
19. Do you understand that you will be required to hire a State of Colorado Licensed Electrician and Plumber to
perfonn installations and hookups, unless you as the homeowner are performing the work? The license
number of the person performing the work will be required at time of applicable inspection.
Yes X
20. Are you aware, that on the front of the Building Permit Application you will need to fill in the Parcel/Schedule
Number for the lot you arc applying for this permit on rrior to the submittal of a building permit
application? Your attention in this is appreciated.
Yes X
21. Arc you aware that you will need to have your installer obtain an installation inspection as per the State
Division of Housing requirements prior to the County building department doing their final inspection?
The State will charge a fee for this inspection.
Yes X
22. Are you aware that the Permit Application must be signed by the Owner or a written authority being given for
an Agent and that the party responsible for the project must comply with the Uniform Building Code?
Y cs _:_Xc___
23. Are you aware, that if you receive your water and/or sewer ffom an Association, a District or Municipality,
you will be required to provide the County with a copy of the Tap Permit (or evidence of an exemption) at
the time of the building permit application submittal?
Yes X
24. Do you understand that if you are planning on doing any excavating or grading to the property prior to
issuance of a building permit that you will be required to obtain a grading penn it?
Yes X
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I hereby acknowledge that I have read, understand and answered these questions to the best of my ability.
9-jt:J -LJS'
--------
Date
Phone: '770-,;}57-&o</.2 (days); q 70 51?/-5.:::13{_. (evenings)
Project Name: Ski?_-59S -3&-A \1 7:€--;n,b:!Uul_(fl~/&Je' Jhu<~-<-~'7
Project Address: 5kf> 59&--3&-AV Wi/J'/?od Loco},~,_, -5E/JW Su. 3&, T5S, f29flW
Notes:
If any required information is missing delays in issuing the permit are to be expected. Work may not proceed
without the issuance of a permit. If it is determined by the Building Official that additional information is
nece~~ary to review the application and plan~ to determine minimum compliance with the adopted codes, the
application may he placed behind more recent applications for building permits in the review process and not
reviewed until required information has been provided and the application rotates again to first position for
review, delay in issuance of the penn it or delay in proceeding with construction.
bpminreqmhDec2007
5
PAGE 04/lJ4 >!
IJ/05
STATE OF COLORADO
J!ACTORY BUILT NQN RESIDENTIAL AJ!a.ICAJ'IQN
li'udu<~ with 11ppllntkln ·Not a11bjo~liO return AprU 100~
Tlllr11 r•rty lupcniGn II.Jthcy:
Aor:,;N
'
. ~003 I-Code Complia~tj ire·Ratln~: Exterior Walls b
Live Root Load
· Floor J 0
PEE SCHEDULE TOTAL
FOOT ACE
Annual R•glstrAeiOn Fl!! (must bat«ompf.nltd
by ricw/updatl!d QC Manual)
(minimum l c:oplts· mll:dmum~:o~~!!es1
S50D. or Joeutlo11
li'tt Culc:ulator f'or P111.n 1\prrovals"' 'Unit
S(!Uf.I'G rtOIBIIIlC tnctoe-lndlcattd' I;Jtlow;
Plan Approval Fe~· $0.lS/Iq,ft,
(mlnlmuml ut~ • maximum 3 u'h) 'Yf(,p
Additional PIM Set • So.IOhq. tt.
Mht~mum Fto for finn Appr0\/11\s • 5160.011
Plan 1\.lvlslon • $(1.10/aq.l't,
M111mum li'« tor PI Ill Revision•-$!1:0.00 uth
TOTAL AMOUNt SUBMITTED
Pl1'11t J.)). NamiMr:
90?(Jz
l'lnl'ltT~Iephono:
FAX No.• 'iA ,9:1_.
~
Tclephnne N •• :
~--~ <m~:r...l..--~
••<NO. 1<>11~··..:4::1!!!0\LL,/.pp---
1 "'"" · pof co~u;;;-1/e>
Floor Design Load "5'C
Wind Deil•n Sneed "'10
psf
-mDh
AMOUNT
Model Name/No,
( 2! X.41} ~.D '9#1>
k\;M""" Rc'",....i\•0d lVI..""" 'J W
AUG 0 2 Z007
i(.,o. ~ Division of 1-\ous!ng c I</.>-32 '1 £1'!
I& oJO ·----------........................ ----------............
Pl11n ApprOVAl NlUllber:
lfrJ-o /1
i"( loci~ EXPIRES: c;t~g--
MANUFACTURER CERTIFIES th~t only lip proved tqulpmenl Dnd materia), will be UJed11nd the installation' shalll>e made In aecordaneo with •ppro\'Cd plans and·
opplt«ble eodc1 o.ml provlt!on. oftht-CoiQr•do Dtvlolon orRo"~ins. Mo.nul'lle!urorii.Jt'flU ro ln•ph-nllmpro:<~d{lll 11f tmlta miD'IufuiUI'Cd under 11\e above ptan apprOVlll.
ApplicaOon shall be ~mde !clr D.nd in'illlil\ affi01:.ed to tad\ roetory 6ullr nM resldendal that is 1ubjcet to Colorado &11W~5 lmd which Is mo11ufactured 01' 1110 1M sold
nr orrcred ror qlt~ln 11111 State of Colorado,
DIY. OF HOUSING, 1313 SHERMAN STREET, RM 311, DENVER, CO 80103 ()OJ) Mli-4~16 FAX BM-3072
Assessor's Parcel No. 2137-153-00-009
Date ___ 9_12_6_12_0_08 __
BUILDING PERMIT CARD
Job Address --~S~K=R=-5=9=8~-3~6~-A;V:::W~e~IITpa~d~loc=a~ti~o~n~-iS:!_:E~NkW~S~e~c~.3~6=, :T:5S:,~R~9~8~W~------::;-;;-:;:::-:;:-::; )Z . •
Owner Chevron USA Inc Address 60 Horison Dr, GJ Phone # 970-257-6042
Contractor ___ .:::Mt:::n:::W.:::est=.:o=ii~Se:.::rv:_:__::&~S=up~p=lies=-
Setbacks:
Temp Emp hsg on
Soils Test-------' ...,._ __
Footing
Insulation
Roofing ----~M 1--j.-----A-~
Drywall ----~
Gas Piping-----'
NOTES
1884 S. 1500 E, vernal, UT Phone # 435-789-0872
Electrical Final (State) _________ _
Final /Checklist Completed? __ _
Certificate Occupancy # ________ _
Date -crr...,.-r...--..--------
Septic Sys~a~e #-=C't~~r9-?ez-J~~-----
~· I
other ,bf) ~!h!JOi-"""'\J.-, -"'E-.6=fWf£"'· ""'""~~r=-<1...--o~t:~R. 't-t
VEX-\F''I 'Bl,.LlE. \....A-BE.L IN 'Fia.P. SE'e SAP IZ-EQu.l~tAc;;ms '1>€?(UA 1-r
ASSU Met) II NS'PECTlOt-l ~ AL.l.. U.N \"r> · (continue on back)
CORDILLERAN COMPLIANCE SERVICES, INC.
826 21 \1 ROAD
GRAND JUNCTION, COLORADO 81505
(970) 263·7800
CORDILLERAN COMPLIANCE SERVICES, INC.
826 21 \1 ROAD
MEMO
GRAND JUNCTION, COLORADO 81505
{970) 263·7800 23-2-1020
14054
DOLLARS
--
13905
LJti:>a~k.com
Auglfi 5,~
$ I, C:O,l. (do
DOLLARS
~~ VendorNumber
I · ~ 3~/o~
~' .
Purchase Otder # Special InstructioJUI Fo~ Warrant
Invoice
Invoice Vendor Invoice Project# (if
Date Number Fund Dept Sub D~pt Account applicabl~)
Line Item Brief Description Dollar I (64 Ch01racters or Less) (64 Characters or Less) Nnount
~I S)oS' I ~.!.:ece.i.ft""-(t,(!-3·7;&.~ }--;,:;;_, -7:i9" (r5b 1'7 D'7o 3<.f<St:J
/\.
Prepared By:
Department Head Approval:
Financial Management Guide Limits:
DATE'-------
(Needs to be s1gned by County Administer if Over $10,000)
Posted By:
Invoice Accuracy V uified By: ------
200B AP Voucher.llls