HomeMy WebLinkAboutApplicationGurfield CountyREC
tii!\! ?g'?1'lLT:l Development Department
8th Street, Suite 401
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BUILDING PERMIT
APPLICATION
tr Demolitiontr Commercial/Multi-Family
tr Manufactured Home or Tiny Home (Single or Multi-Level)
E Residential (SF, Duplex or Townhome)tr Reroof
tr Accessorv Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,200 SQUARE FEET
ti mkashiwa @ gmail.com 6 le{lpo-sl-,: - r*n1ur'.^J I - <- o tu1
Phone:( 303 ) 520-3386Propertyowner: Stephanie J & Timothy G Kashiwa
Mailing Address:111 W Beaver Creek Blvd, Unit 6938,
Email Address:
n CO 81620
Address: 1 1 1 W Beaver Creek Blvd, Unit 6938, Avon CO 81620
Email Address: timkashiwa@qmail.com
Mailing
Contractor: Timothy Kashiwa (owner/builder)Phone:(303 ) 520-3386
Address:535 Dock Street, Suite 1, Tacoma WA 98402
Architect: Linwood Homes, Ltd Phone: ( 800 )451-4888
Mailing
Email Address:iherlocker @ linwoodhomes.com
CJR Engineering
146021sth Pl W, Lynnwood WA 98087
clemens@fastmail.lm
Phone: 1 425
1
269-5204Engineer:
Mailing Address
Email Address:
New construction, single family home, under 1200 sqft. Attached carport and utility room
Phone: (_)
Well and cistern water source and OWTS.
Lot 1
21',3_5"
Describe Work: with access from outside on lv. Solar
Property Size (Sq. Ft. or Acres):10.03
Manufactured/ Tiny 11sms ;n51s;;sv; n/a
Owner's Valuation of Work:c 400000-450000
backuo Drooane oeneratorr with
# of Floors: 2
Block
Sq. Ft. of Building:Height:
Assessor's Parcel Number: 21 8933300041
Sub.
Mailing Address
Email Address:
1L85'
Job Address: Quarter Circle 8 Ranch
E New E Remodel/Alteration El Addition E Repair E Move/RelocationClass of Work:
Garage: p/4 E Attached E Detached
Septic:ul owrs E Community
E Natural Gas E Propane E Electric E OtherType of Heat:
Driveway
Permit:
E Exempt E Permit #:o?A-qRD
Authoritv. This application for a Building Permit must be signed by the Owner of the property, described above,
or an authorized agent. lf the signature below is not that of the Owner, a separate letter of authority, signed by
the Owner, must be provided with this Application.
Legal Access. A Building Permit cannot be issued without proof of legal and adequate access to the property for
purposes of inspections by the Building Division.
Other Permits. Multiple separate permits may be required: (1) State Electrical Permit, (2) County OWTS Permit,
(3) another permit required for use on the property identified above, e.g. State or County Highway/ Road Access
or a State Wastewater Discharge Permit.
VoidPermit. ABuildingPermitbecomesnull andvoidiftheworkauthorizedisnotcommencedwithinl80days
of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement.
lherebycertifythatlhavereadthisApplicationandthattheinformationcontainedaboveistrueandcorrect. lunderstand
that the Building Division 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
structure(s) and facilities detailed on the submittals reviewed bythe Building Division. ln consideration of the issuance of the
Building Permit, 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, OWTS regulations and applicable land use regulations (County Regulation(s)).
All County development requiring a permit, except for residential uses, are subject to Article 7 of the Land Use and
Development Code. I acknowledge that the Building Permit may be suspended or revoked, upon notice from the County, if
the location, construction or use ofthe structure(s) and facility(ies), described above, are not in compliance with County
Regulation(s) or any other applicable law.
lherebygrantpermissiontotheBuildingDivisiontoentertheproperty,describedabove,toinspectthework. lfurther
acknowledge that the issuance of the Building Permit does not prevent the Building Official from: (1) requiring the correction
of errors in the submittals, if any, discovered after issuance; or (2) stopping construction or use ofthe 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 Division 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
arch itect neer or builderr
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
provided the required information which is correct and accurate to the best of my knowledge.
Pro Owner Print and Date
see hthd4ed C2ND /T/)NSSpecial Conditions:
'EW:ry:Vz 'j'wi'$,q5 Manithtff Fee:
NO Kl F verfat
Misc Fees:^idi:i\w,'w
1'nQQ 5sFees Paid 'i:ffbw:''r BP No:
w oF.$*s+
OWTS No: I
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Const L Zoning:
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h-0,'rt/rtBUILDING / PTANNING DIVISION
Signed Approval
v,4-22
Date
ENERGY COMPLIANCE SHEET REQUIREMENTS:
Effective June 30, 2023 Please provide details showing how building complies / meets Garfield County's
adopted 2018 IECC and Climate Zone 5.
Depict and show outline the structure's building thermal envelope. Outline should clearly show portions
of the building to be conditioned inside the envelope (and label or othenruise identify any areas remaining
unconditioned outside this envelope)
Energy Compliance Plan should further include:
Chosen Energy Compliance Pathr Prescriptive: Cross Sections of insulated assemblies including the selected material/ R-Value
and U-Values to comply with IRC Table R402J.2r U-Factor Alternative: Provide a ResCheck Reporto Total U-Factor Alternative: Provide software generated submittal design reports and inspection
checklist for any RESNET ERI index or other performance path designs
Air sealing details around openings, pipes, penetrations, joints
Fenestration U-factors
Provide mechanical system design details including proposed efficiency rates, types of equipment, fuel
types, locations
Energy efficient lighting specifications - 90% to be high-efficacy (LED complies)
Manual J Report required for new building structures and new equipment installations.
STRUCTURAL PLANS: Please provide the following information on the structural plans.
r SOILS REPORT - lf the project is located in a subdivision with a final plat requiring site specific
soils investigation report or if Structural plans make a specific reference to a soils report, then a
copy of the soils report is required to submit a building permit application.r Design specifications to include roof and deck snow load, wind and seismic design and frost
depth.. Foundation plan showing complete footing and foundation dimensions.. Footing and foundation details specifying reinforcement and referenced on plans.
o Framing plans for each floor level and roof. All beams, columns, joists, rafters and trusses
specified. Pre-manufactured structures require the engineers stamp, signature and date.. Framing /connection details, braced wall lines, shear wall schedule, location and hold downs.
NOTE: lf any required information is missing, delays in issuing the permit are to be expected. lf
determined by the Building Official that additional information is necessary to review the application
and/or plans for compliance, the application may be placed on hold until the required information is
provided. Work may not proceed without the issuance of a permit.
The Building Division will collect a Plan Review fee at time of application submittal. The permit fee, as
well as any Road lmpact fees will be collected when the permit is issued.
The permit application must be signed by the owner or by person having written authority from the owner
to act as their representative.
Building cannot be occupied until a Certificate of Occupancy (CO) is issued. Using the building without a
CO will be considered an illegal occupancy and may be grounds for vacating the premises. (Final/CO
inspection requirements will be attached to your approved field set of plans.)
I hereby acknowledge I have read, understand and will abide by the requirements of this
checklist.
Owner Print:Sign Lftir l?T
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B U I LD I T{ G D E PA.RTMIE N'T
1oB Eigttth Street, S:uite 4A1; Gtenwood Sprlngs' CO 87:6AI
Tel: (970) 945-8272
P LAN R EVil FI CK LI
Permit No: B UQE-0,-24-9757
PlanninglToning lssues
Building lssues
Er6i*ee+ed Feurrdet'lo+'*
l4h 1-
PropertY Line Sethacks
35 ft. Stream Setbacks
Flood Plain
Building Height
UA
Grade/ ToPograPhY 40%
Planning lssues
Subdivision Plat
,!rl4
Grade/ ToPograPhY 3O%
Attach Residential Plan Review List
Valuation Determinationl Fees
Red Line Plans/ Stamps/ Sticker
Attach Conditions
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Road rmpact Fees n"yFd AfeA-
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