HomeMy WebLinkAboutApplication-PermitI
Garfield County
Building & Planning Department
108 8th Street, Suite #401 Glenwood Springs, Co. 81601
Office:970·945·8212 Fax: 970·384-3470
Inspection Line: 970-384-5003
Building Permit No.
Parcel No: 2137-321-00-008
Locality:
Job Address: Well Pad SKR 598-36-BV ------------~-------~~-------~---···--·····-···
Use of Building: -~--···--····---~·-· temporary housing
Owner: Chevron USA Inc.
Fees: Plan Check: 319.96 Septic: $ 73.00
Bldg Permit: 492.25 Other Fees: 400.00
Total Fees: $ 1,285.21
Clerk: qJbb~ Date: J1j.2£5 ~~ I
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GARFIELD COUNTY BUILDING PERMIT APPLICATION
108 8ili Street, Suite 401, Glenwood Springs, Co 81601
Phone: 970·945-8212 I Fax: 970-384-3470 I Inspection Line: 970-384-5003
www.garfield~county.com
1 Parcel No: (this infonnation is available at the assessors office 970-945-9134) 2137~321~0~08
2
3
4
5
6
7
,J2£.;~~s!r~~~,:.;Qt;~;{IJidress has not been assigned, please provide Cr, Hwy or Street Name & City) or and legal description
\~~§~Ml§:!"~l~§:~Y-Well Pad Location ~ NWSW Sec. 36, TSS, R98W
Lot No: NIA Block No: NIA Subd.l Exemption:
Owner: (property owner)
Chevron U.S.A. Inc.
Contractor:
Mountain West Oil Field Service & Supplies
Architect I Engineer:
Charles J. Jahne, P.E.
Sq. Ft. of Building: 6 Units= 3793 Total
Mailing Address:
760 Horizon Dr. Grand Junction, CO 81506
Mailing Address:
1884 S 1500E, Vernal, UT 84078
Mailing Address:
4214 Shanna Street, Salt lake City, UT 84124
Sq. Ft. or Acres of Lot: N/A
Ph:
970.257.6042
Ph:
435.789.0872
Ph:
801.278.2317
Height: 10ft.
10 Class of Work:
[ZINew o Alteration o Addition
11 Garage: N/A Septic:
o Attached o Detached IZIISDS
12 Driveway Permit: Exempted per Jake Mall (see attached email) Owners valuation of Work: $
NOTICE
NIA
AltPh; .:~u\ie
970.589.5036
Alt Ph:
970.241.9696
AltPh:
NIA
No. of Floors: 1
o Community
283261
Authority. This application for a Building Permit must be signed by the Owner of the property, described above, or an authorized agent. If the signature below is not tlmt of the Owner, a separate
letter of auUJority, signed by the Owner, must be provided with this Application.
Legal Access. A Building Peouit cannot be issued without proof of legal and adequate access to the property for purposes of inspections by the Building Department.
Other Permits. Multiple separate pennits may be required: (l) State Electrical Pennit, (2) County ISDS Permit, {3} another pennit required for use on the property identified above, e.g. State or
County Highway/ Road Access or a State Wastewater Discl1arge Pennit.
Void Permit. A Building: Permit becomes null and void if the work authorized is notconmtenced within 180 days of the date of issuance and if work is suspended or abandoned for a period of 180
days after commencement.
CERTIFICATION
I hereby certify that I have read this Application and that the information contained above is tme and correct. I understand that the Building Department accepts the Application, along with the plans
and specifications and other data submitted by me or on my behalf {submittals}, based upon my certification as to accuracy.
Assuming completeness of the submittals and approval of this Application, a Building Permit will be issued granting permission to me, as Owner, to construct the stmcnrre(s) and facilities detailed on
the submittals reviewed by the Building Deparhnent.
In consideration of the issuance of the Building Pennit, I agree that I and my agents will comply with provisions of any federal, state or local law regulating the work and the Garfield County Building
Code, ISDS regulations and applicable land use regulations (County Regulation(s)). I acknowledge that the Building Permit may be suspended or revoked. upon notice from the Cotmty, if the location,
construction or use of the sttucture(s) and facility(ies), described above, are not in compliance with County Regu!ation(s) or any other applicable law.
I hereby grant permission to the Building Department to enter the property, described above, to inspect the work. I further acknowledge that the issuance of the Building Pennit does not prevent the
Building Official from: (I) requiring the correction of errors in the submittals, if any, discovered after issuance; or (2) stopping construction or use of the structure(s) or facility(ies) if such is in violation
of County Regulation(s) or any other applicable law.
Review of this Application, including submittals, and inspections of the work by the Building Department do not constitute an acceptance of responsibility or liability by the County of errors, omissions
or discrepancies. As the Owner, I acknowledge that responsibility for compliance with federal, state and local laws and County Regulations rest with me and my authorized agents, including without
limitation my arcl1itect designer, engineer andl or builder.
I HEREBY ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THE NOTICE & CERTIFICATION ABOVE
, ),_dJ e. {)y--fr:w I I-!7 -o 2
OWNERS SIGNATURE DATE
The following items are required by Garfield County for a final Inspection:
1) A final Electrical Inspection from the Colorado State Electrical Inspector.
2) Permanent address assigned by Garfield County Building Department 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 all IBC 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 off by the Fire District, and/or State
Agencies where applicable.
A CERTIFICATE OF OCCUPANCY (C.O.) WILL NOT BE ISSUED UNTIL ALL THE
ABOVE ITEMS HAVE BEEN COMPLETED.
A C.O. MAY TAKE UP TO 5 BUSINESS DAYS TO BE 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 BE CONSIDERED AN
ILLEGAL OCCUPANCY AND MAY BE .GROUNDS FOR VACATING PREMISES
UNTIL ABOVE CONDITIONS ARE MET.
I understand and agree to abide by the above conditions for occupancy, use and the issuance of a
C.O. for the building identified in the Building Permit.
;/-!7-69
DATE
VALUATION FEE DETERMINATION
Applicant
Address
Date
.,;C"'h::.evr:..:.:;on;:-U=;SA:.;-=In::,:c:;.. =====;---Subdivision
Temp Emp Hsg= SKR 598-36-BV Lot/Block ===t'!'li-'1 ~;L:"'~;li~:;:::o!!~F-====--contractor
Finished (Livable Area):
Main
Upper
Lower
Other
Total Square Feet
Valuation
Basement:
Unfinished
Conversion of Unfinished to Finished
Total Valuation
Garage:
Carport:
Total Valuation
Crawl Space
Total Valuation
Decks/ Patios
Total
Covered
Open
Valuation
Type of Construction:
Occupancy:
Modular Housing Set
Valuation
Total Valuation
sq. It
sq. It
sq. It
sq.ft X $74.68
0 sq.ft
Commercial
sq.lt X $41.00
sq.ft X $33.68
sq.ft X $18.00
sq.lt X $12.00
sq.ft X $9.00
sq.ft X $24.00
sq.ft X $12.00
3793 sf X $9.00
sf X
sf X
sf X
sf X
sf X
0.00
0.00
0.00
0.00
0.00
34,137.00
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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 are requested to review the following checklist prior to and during design.
Applicants are 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 2003 IRC for Residences and 2003 IBC for Commercial
Offices and Storage.
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1. 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.
Genera! location of trailers wUI be on the northwest portion of SKR 598·36BV. Once the trailers have been moved on site, as-built drawings will be submitted to the county.
2. Does the site plan when applicable include the location of the I.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 information must be 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 Resolution if the property you are applying for a building
permit on is located on a corner lot. Special setbacks do apply.
Yes X
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 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 permit application will not be accepted without it.
Yes X No -------
7. Will this be the only residential structure on the parcel?
yes No X If no-Explain: See Site Plan
8. Have two (2) complete sets of construction drawings been submitted with the application?
Yes X
2
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 X
12. Does 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 Building 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 "Road Impact" or "Septic
System" fees required, at the time you pick up your building permit?
Yes X
15. 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
re-inspection fee?
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?
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. You 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
perform 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 are applying for this permit on prior to the submittal of a building permit
application? Your attention in this is appreciated.
Yes X
21. Are 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?
Yes X ---
23. Are you aware, that if you receive your water and/or sewer from 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 permit?
Yes_x __ _
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I hereby acknowledge that I have read, understand and answered these questions to the best of my ability.
/(-17 -());'
Date
Phone: 970.257.6042 (days); _9_7_o._5a_s_.s_oJ_s ______ ( evenings)
Project Name: SKR 598-36-BV Temporary Employee Housing
Project Address: SKR 598-36-BV Well Pad Location· NWSW Sec. 36, T5S, R98W
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
necessary to review the application and plans to determine minimum compliance with the adopted codes, the
application may be 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 permit or delay in proceeding with construction.
bpminreqmhDec2007
5
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CON=T!Oi!UCTION elJ!Oi!YEY=, INC.
!Z!ZI2 elJN!Oi!I=E eL.YO.
=II.. T, CO ete>&2
~1~Z-e1e>-&1&3 SCALE: ,. = 100'
Chevron u.=.A. Inc.
SHEET: 4 OF 9
N 11187 o. _____________ __ · Assessor's Parcel No. 21;il~S21-00-008
Date ____ 1_11_2_51_20_0_8_
BUILDING PERMIT CARD
Job Address ---~w~el~l ~pa~d~S~K~R~59~8~-3~6~-B~V~---;o;~~~~~~~<('f_ __________________________ :-:-
Owner _______ ~C~h~e~v~ro~n~US~A'2j~,....,~~~~~ Address __ 76_0_H_o_r_iz_o_n,_G_J ___ Phone # 970-589-5036
Contractor Mountain We tOil Address 1884 S. 1500E, Vernal Phone # 970-241-9696
Setbacks: Front ______ Rear ______ RH _____ LH _____ Zoning ____ _
temporary housing INSPECTIONS
Soils Test \) Weatherproofing
Footing ~0\' Mechanical ____________ _
Foundation \ .-V Electrical Rough (State)
Grout .P(p Electrical Final (State) / -<:-:J -0 9
Underground Plumbing ).~ c(i.._ Final /Checklist Completed?
Rough Plumbing \} \_ \ ~ Certificate Occupancy#
Framing lfS' lf-. Date ___________ _
Insulation Septic System # ___________ _
Roofing Date ------------
Drywall ------------
Gas Piping--------------
Final ___________ _
Other _______________ _
NOTES
FtJM/< lftfdl /-/3 8'-?6 -17s-~s-1'1??A ,..;Lf1ff??-.. /? 3 7~
(continue on back)
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COUNTY OF GARFIELD -BUILDING DEPARTMENT
CORRECTION NOTICE
108 8th St., Suite 401 Glenwood Springs, Colorado
Phone (970) 945-8212
Job located auikLL &112 .s·-9's-:3~-/3V
Permit No. /liZ 7
I have this day inspected this structure and these
premises and found the following corrections needed:
.5;&v./~£K /z:;:ri=:'c~£ -elr.:s-L.l£?s dc.Jr-
.S£ci/g,c o& 5'L/JUC t2 # -s: /7/
,f%;:'iz-/VPT .s;v.JLe!fZ-.h?A)( //.t'Z?:i
o V /C t< L<!:.o W
Apa?/,?;/.0419 L. r2.t7A/S /(/,!J/ ~/r('S/'"JC,_
/M viC fBccoRD..S o~ . .:::re u/AG-f!:.
-Inspection Fee must be paid prior to Re-lnspection
~
You are hereby notified that the above correction must be inspected
before covering.
When correction(s) have been made, call for inspection at 970-384-5003.
Date L -¢
Building Inspector-----------------
Phone (970) 945-8212
COUNTY OF GARFIELD -BUILDING DEPARTMENT
CORRECTION NOTICE
108 8th St., Suite 401 Glenwood Springs, Colorado
Phone (970) 945-8212
Job located at 5'" /{fl-. "'£7$--36-8!/
Permit No. ____t_ha11_.&:"-+7-------------
I have this day inspected this structure and these
premises and found the following corrections needed:
t~~~~
v6~ .16 h..;, ....;., 4e<~ ~~
v ;;~ Call for Re-lm;pection
~ $50.00 Re-lnspection Fee must be paid prior to Re-lnspection
You are hereby notified that the above correction must be inspected
before covering.
When correction(s) have been made, call for inspection at 970-384-5003.
20 ___ _
Building Inspector ~~
Phone (970) 945-8212