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HomeMy WebLinkAboutApplication - PermitI Garfield County Building & Planning Department 108 8th Street, Suite #401 Glenwood Springs, Co. 81601 Office:970·945·8212 Fa)(: 970·384·3470 Inspection Line: 970·384-5003 Building Permit No. _jllLi O Parcel No: 2139-163-00-014 ------------------ Locality : Job Address: 2700 Clear Creek rd , De Beque Use of Building: Construction offcie f/SAS electrical (# 18239) ------------~-------- Owner : Chevron USA/ Lease: Mobile Mini Contractor: Fees : Plan Check: $ 90.51 Septic: $ 73 .00 Bldg Perm it: $ 139.25 1 lv manu bldg: $ 400.00 Total Fees: $ 702.76 Clerk: ~~-Date : tn}JJf)oB_ I I GARHELD COUNTY BUILDING PERMIT A PPLICATION 108 8'h Street, Suite 401, Glenwood Springs, Co 81601 Phone: 970-945-82 12 I Fax: 970 -384-34 70 /In spect ion Line: 970-384-5003 www.garlield-county.com Parcel No: (this infonnation is ava il able at the assessors o m cc 970-945-9134) 2139-163-00-014 2 Job Address: (if an address has not been assigned, please provide Cr, llwy or Street Name & City) or and legal descrip tion 2700 Clear Creek Road, P .0 . Box 296, De Beaue CO 81630-CPF located 2.5 miles north-northeast of end of CR 211 -about 19.5 north-no rt heast of De Beaue 3 Lot No: NA B lock No: Subd./ Exemption: 4 Owner: (property owner) Chevron U.S .A . Inc M ailing Address: 11 111 S . Wllcrest Drive Ph: All Ph· Buildina leased from Mobile M ini , Inc. Houston, TX 77099 (281) 561-4991 (970) '257 -60 42 5 Contrac to r: M ailing Address: P h : All Ph: NA 6 Architect I Engineer: NA M ai ling Address: Ph: A lt Ph; 7 Sq. Fl. of Building: S5 Ft. o r Acres of Lot: Height: No. of Floors: 720 ft 2 (12' X 60') 9 ,160 sq. ft . (storage yard) 15' 1 5/8" Single story 8 Us e of Building: C o nst r u ction office for SAS Electrical (Phoenix Modular Unit, C ertification # 18239) 9 Describ e W ork: Placement of modular unit and structural supports on sit e , utility hookups 10 Class of Work: ~N ew (unit placement) o Al tera tion o Addition II Garage: Septic: (Temporary location-vault and hau l) NA o Attached 0 Detached o iSDS o Community 12 Driveway Pemlit: NA Owners valuation of Work : $ 40,000 NOT ICE J\Uihorll)'. This npplication for a Building Pc.rmit must be signed by th e Owner of the property, described abo,•e, or an authorized ngcnt. If the signature be low is not that of the Owner, a separate letter or authority, signed by the Owner, must be provided with th is App li cation. I. ega! Access. A Bu ilding Perm it cannot be issued wi thout proof oflcgat and adequate access to the property for purposes of inspections by the Bu il ding Department. Other PHmils. Mult ip le separate permits may be required : (I) Stnle Electrica l Perm it, (2) Co:xu11y ISDS l'cnnit , (3) anot her penn it requ ired for usc on the properly identified above, e.g. Stale or County U igbway/ Road Access or a State Wastewnccr Di scharge Permit. Void Permit. A Building Pennit becomes null and void if the work authorized is not commenced within ISO days of the date of issuance and if work is suspe nded or abandoned for a period of 180 days after com mcnccrncnt . CERTI FICATION I hereby certify thai I have read this Application and that the infonMiion contained above is 1rur and correct I understand that !he Bui lding Dcpartlll<'nl accepts the App lication, along with the plans and specificat ions and other data ~uhmiltcrl hy me nr nn my beh•tr(stobmiua ts). b•...,d topOn my ce rtific ation u to accuracy. Assuming completeness of the submittals and approval oflhis Application , a Building Penni! will be issued granting permission to me , as Owner. to construct the struclure(s) and facilities detai led on the submillals reviewed by the Butlding Department. In considera tion or the issuance of the Building Pennit , I agree that! and my agents will comply with provisions of any federal , state or local law regulating the wo rk and the Garfield County Building Code , IS OS regulations and applicable land use regulations (County Regu lation(s)). I acknowledge tha t the Building Pcnnit may be suspended or re\'Oked, upon notice from the Coun ty, if the locat ion. co nstruction or usc of the structurc(s) and faeility(ies), described above, are not in compliance with County Regulation(s) or any other applicable law. I hereby grant permiss ion to the Building Department to enter the property, described above, to inspect the work. I further acknowledge that the issuance of the Building Permit does not prc\'cnt ~~e Building Official from: (I) requiring the correction of errors ln the submittals, if any, discovered after issuance; or (2) stopping cons truction or use of the slrueture(s) or facili ty(ics) if such is in violation or County Regulation(s) or any other applicable law. Review of this Application , including submittals, and inspections of the work by the Build ing Department do not constitu te an acceptance of responsibility or liability by the County o f erro rs, omissions or discrepancies. As the Owner, I acknowledge thai respOnsibility for compliance with federal , stale and loca l laws and County Regulations rest with me and my authorized agents , includ ing without limitation my architect designer, engineer and/ or builder. I UEREBY ACKNOWLEDGE T AT IliA VE READ AND UNDERSTAND TUE NO TI CE & CERTIF'ICA TION ABOVE: ~ro q--~J OWNER-ItNATURE . ' ' DATE STAFF USE ONLY S pecial Co nditions: Stl.f Permit Fee: Mise Fees: 13/.25 - I SDS Fee: Fees Paid: 7 3 "3 ;Q .~ OCCGro73 Zoning: {ZL Set back s: DATE GARfi'I ELD COUNTY BU I LD I NG PERMIT A PPL I CAT I ON 108 8'" Street, Sulle 401, Gle nwood Springs, CO 8 1601 Phon e: 970-94 5-8212 I Fax: 970 -384-3470 /in s pec tion Li ne: 970-384 -5003 Parcel/ Schedul e No : 2139-163-00-014 I Job Address : 2700 Clear Creek Road , P .O . Box 296, De Beque, CO 81630 -site physical location 2.5 miles north-northeast o f end of CR 211 -about 19.5 north -northeast of De Beque CO I l.Ol No : NA Blo ck No : Subd. / Exe mption: 2 1 _£>wner ~ Mobile Mini , Inc. Address 5300 Eudora Street Ph: Wk Ph : S Lessee : etle-'l(9n U.S.A. lr1&.• Commerce City, CO 80022 (303) 853-4346 a me 3 Contractor: NA Address: Ph: t.ic. No . 4 At·chitectfl!:ngineer: N A Address : Ph: L.i c. No. 5 Sq. Ft. of Buildin~: Sq. Ft. of~Excavation: Height: 15' 1 5/8" No. of Floors: 12' X 60' (720ft ) 59 ,160 (storage yard) Single storv 6 Use of Building:Construction office for SAS Electrical (Phoenix Modular Unit, Certification# 18239) 7 Describe Work : Placement of modular unit and structural supports on site, utility hookups 8 Class of Work: ail New D Alteration o Remove 0 Addition 0 Move 9 Garage: N A 0 Single Carport: 0 Single 0 Double 0 Double 10 0 Driveway Pe r mit 0 On -Site Sewage ail Site Plan Not required Off-site disposal Disposal See attached II Va l uation of Work: $ 12' x 60' unit-$40,000 Adjusted Va l uations: S 12 Special Conditions: Placement and conditions in accordance with Garfield County Speci al Use Permit for Chevron, Central Production F acil ity location. To be removed when CPF becomes operational. NOT ICE: P l an C h eck Fee : Pe r mit Fee: A SEPARATE: ELE:CTRICAL PERMIT IS RE:QUIRED AND M UST 8& ISSUED BY THE STATE OF COLORADO. THIS PERMIT BECOM ES NUL-L AND VOJD IF WORK OR CONSTRUCTION Total Fee: Dated Per mit Issued: AUTHORIZED IS NOT COMMENCED WITHLN 180 DAYS, OR, IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME: AFTER WORK IS COMMENCED. I HEREBY CERTI FY T H AT I HAVE R&AD AND E:XAMINED THIS OCC Grou p: Const. Type: APPLICATION AND KNOW THE SAM E TO BE T RU& AND CORRECT. AL-L PROVI SIONS OF LAWS GOVERNING THIS TYP& OF WORK WI LL BE: COMPLETE:D WITHIN WHETHER SPECIFI ED HEREI N OR NOT. THE: Zo n ing: Setbacks: GRANTING OF A PERMIT DOES NOT PRESUME TO G I VE: AUTHORITY TO VIOLATE OR CANCEL TI-lE PROVISIONS OF ANY OTHER STATE OR U)C~¥"'m<UCTI0' ORT>IE PERfQRMA,CE OFCONSTR . ~ ~/-~ <t Itt/ f1B Manu. Home: I SDS No. & Fee: SIGNM'DRE 0 ~ N -DltrE BLDG DEPT. Pl ,NG . DEFT. APPROVAL/DATE APPROVAL/DATE . AGREEM ENT PERM ISSION IS HEREBY GRANTED T O T HE: APPLICANT AS OWNER, CONTRACTOR AND/OR THE AGENT OF THE CONTRACTOR OR OWNER TO CONSTRUCT TilE STRUCTURE AS DETAILED ON PLANS AND SPECI PICATIONS SUBMJTTED TO AND REVIEWED BY THE BU ILDING DEPARTMENT. IN CONSIDERATION OF THE ISSSUANCE OF TH IS PERMIT, THE SIGNER. HEREBY AGREES TO COMPLY WITH ALL BUILDING CODES AND LAND USE REGULATIONS ADOPTED BY GARF18LD COUNTY PURSUANT TO AUTHORITY GIVEN LN 30.28.201 CRS AS AMENDED. THE SIGNER FUR1'HER AGREES THAT IF THE ABOVE SAID ORDINANCE:$ ARE NOT FULLY COMPILED WITH IN 1 HE LCOATION, ERECTION, CONSTRUCTION, AND USE OF THE ABOVE DESCRIBED STRUCTURE, THE PE:RM IT MAY BE: REVOKED BY NOTICE PROM THE COUNTY AND THAT THEN AJIID THERE IT SHALL BECOME NULL AND VOl D. TH & ISSUANCE: OF A PERMT BASED UPON PL.t\N S, SPEC! FICATIONS AND O T HER DATA SHAt,L NOT PR EVENT THE SUI LDJ NO OFFICIAL FROM TIIEREAFTEf~ REQUIRING TilE CORRECTION OF E:RRORS IN SAI D PLANS , SPECIFICATIONS AND OTHER DATA OR FROM PREVIJ:NTING BUILDING OPERATION BEING CARRIED ON THEREUNDER WHEN IN VIOLATION OF THS CODE OR ANY OTHER ORDINANCE: OR REGULATI ON OF HilS JURISDICTION. THE REVIEW OF SUBMITTED Pl-ANS AND SPECIFICATIONS AND INSPECTIONS CON D UCTED TIIEREAFTER DOE:S NOT CONSTITUTE AN ACCEPTANCE Of' ANY RE:SPONSIBILITIE:S OR LIABLITIES BY GARFIELD COUNTY FOR ERRORS, OMISSIONS OR DISCREPENCIE:S. THE RESPONSI BILITY FOR THE:SE ITEMS AND IMPLEME:NTATI ON DUR ING CONSTRUCTION RESTS SPECIFJCIALLY WITH THE ARTICTECT, DESIGNER , BUILDER. AND OWNER. COMMENTS ARE INTENDED TO BE CONSERVAT IVE AND IN SUPPORT OF THE OWNERS LNTEREST. I IIEREBY ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND T H E AGREEMENT ABOVE (INITI ALI :_~-'-¥--=-- • Lessee; Chevron U.S.A. Inc. Local Office: Chevron North America Exploration & Pr lion Company t 1111 South Wilcrest Drlve Allen: Michael DeBerry Houslon.TX 77099 760 Horizon Dri ve Phone (281) 561-4991 Grand Junction,CO 81506 Fax (281) 561 -3702 Phone (970) 257-SOOS Fax (970) 255-6621 The f ollowing items are required by Gar field County f o r a final inspe ction: 1. A fin a l E lectrical Ins pec tion from the Colorado State Electri ca l In s pector; 2 . Perm an ent address ass ig ned by Ga rfield County Bui lding D epa rtm ent posted where readily vis ibl e fro m access road ; 3 . A finished roof, a lockabl e ho use, complete exterio r s idin g, ex te ri o r doors and windows installed , a comp lete kitchen with cabinets, a s ink w ith ho t & cold runnin g water, non -ab sorb e nt kitchen floor coverings , counter tops and fi n ished wal ls, ready for s tov e and refri gerator, all n ecessary plumbing; 4. All ba throom s mu s t b e co mpl ete, w ith washbowl , tub o r showe r, toilet stoo l, hot and cold running water, non-absorbent fl oo rs an d walls fini shed and a p rivacy d oor; 5 . A l l steps outside or inside over three (3) steps mu st have handrai ls, g uard ra il s on balconi es or decks over 30" hi gh constructed to a l l IBC and IRC re quirements ; 6 . Ou tside g radi n g done to where wate r wi ll de tour away from th e building; 7. Exceptio ns to the outsid e steps, decks and g radin g may be m ade upon th e demonstration of extenua tin g c ircumstances, i.e. weather, but a Certificate o f Occupan cy will n ot be issued until all the required items are completed and a final inspection made; 8. A fina l inspection sign off by the Gar field County Road & Bridge Department fo r driveway installation, where app l icable; a s well as any final sign off by the Fire District, and/or State Agenc ies where applicable. 9 . If you will b e connecting to a public wate r and/or sewer sys te m , proof of the tap fees have been paid and the connections inspected by the service provider prior to issuance of a C.O . A CERTIFI C ATE OF O CCUPAN C Y WILL NOT B E ISSUED UNTIL ALL THE ABOVE ITE MS HAVE BEE N COMPLETED. ****A CERTIFICATE OF O CCUPANCY MAY TAKE UP TO 5 BUSINESS DAYS TO B E PROCES SED AND ISS UED. ****CANN OT OCCUPY OR US E DWELLING UNTIL A CERTIFIC ATE OF O C CUPA N C Y (C.O.) IS ISSUE D. OCCUPANC Y OR US E OF DWE LLING WITHOUT A C.O. WIL L BE C ONSIDE RED AN ILLEGA L O CCUPANCY AND MAY BE GROUNDS FOR VA C ATING PREMISE S UNTIL ABOVE C ONDITIONS ARE M ET. Date Bpapp I icat i onoct ober2006 GARFIELD COUNTY BUILDING AND PLANNING 970-945-8212 MINIMUM APPLICATION REQUIREMENTS FOR CONSTRUCTION OF COMMERCIAL OR MULTI-FAMILY RESIDENTIAL BUILDINGS Including NEW CONSTRUCTION ADDITIONS ALTERATIONS And MOVED BUILDINGS ln order to understand the scope of the work intended under a penn it 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 wiU result in the delay of the pennit 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 thJs document to determine 1£ you have enough information to design your projed and provide adequate information to facJlltate a plan review. Also, please coosider using a design professional for assistance in your design and a construction professional for construction of your project. Any project with more than ten (10) occupants requires the plans to be sealed by a Colorado Registered Design Professional. To provide for a more understandable plan and in order to determine compliance with the building, plumbing and mechanical codes, applicants are requested to review the foUowing checklist prior to and during design. Plans to be included for a Bulldiog Permit must be on draft paper at least 18"x 24"" and drawn to scale. Plans must include a floor plan, a concrete footing and foundation plan, elevations all sides with decks, balcony steps, hand rails and guard rails, windows and doors, including the finish grade and original grade line. A section showing in detail, from the bottom of the footing to the top of the roof, including re-bar, anchor bolts , pressure treated plates, floor joists, wall studs and spacing, insulation, sheeting, house-rap, (which is required), siding or any approved building material. Engineered foundations may be required. Check with the Building Department. A window schedule. A door schedule. A floor framing plan, a roofing framing plan, roof must be designed to withstand a 40 pound per square foot up to 7,000 feet in elevation, a 90 M .P .H. windspeed, wind exposure B or C, and a 36 inch frost depth. All sheets need to be identified by number and indexed. All of the above requirements must be met or your plans will be returned. All plans submitted must be incompliance with the 2003 IBC, IPC, IMC and IFGC. Applicants are required to indicate appropriately and to submit completed checklist at time of application for a permit: 1. Is a site plan included that identifies the location of the proposed structure, additions or other buildings, setback easements , and utility easements showing distances to the property lines from each comer of the proposed structure prepared by a licensed surveyor and has the surveyors signature and professional stamp on the drawing? Slopes of30% or more on properties must be show 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 surveyors 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 I.S.D.S. (Individual Sewage Disposal System) and 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 No Not necessary for this project x C~nstructlo~ traile~s only -ISDS ___;...:.....__ Will be perm1tted With permanent buildings 3. Does the site plan indicate the location and direction of the State, County or private road accessing the property? Yes x 4 . Is the I.S.D .S . (Individual Sewage Disposal System) designed, stamped and signed by a Colorado Registered Engineer? 2 Yes ---No __ Not necessary for this project_x __ 5. Are the plans submitted for application review construction drawings and not drawings that are stamped or marked identifying them as "Not for construction, for permit issuance only", "Approval drawings only", "For permit issuance only" or similar language? Yes x No__ Not necessary for this project __ _ 6. 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? Yes__ No__ Not necessary for this project_x_ 7. If the building is a pre-engineered structure, is there a stamped, signed engineered foundation plan for this building? Yes__ No__ Not necessary for this project_x_ 8. 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__ No__ Not necessary for project_x_ 9. Do the plans indicate the s ize and location of the ventilation openings for the attic, roof joist spaces and soffits? Yes__ No__ Not necessary for this project_x_ 10. Do the plans include design loads as required under the IBC or IRC for roof snow loads, (a minimum of 40 pounds per square foot in Garfield County)? Yes_x_ No__ Not neces sary for this project __ 11 . Do the plans include design loads as required for floor loads under the IBC or IRC? Yes_x_ No__ Not necessary for this project __ 12. Does the plan include a building section drawing indicating foundation, wall, floor, and roof construction? Yes_x_ No__ Not necessary for this project __ 13 . Is the wind speed and exposure design included in the plan? Yes_x_ No__ Not necessary for this project __ 14. Does the building section drawing include size and spacing of floor joists, wall studs, ceiling joists, roof rafters or joists or trusses? Yes_x_ No__ Not necessary for this project __ 15. Does the building section drawing or other detail include the method of positive connection of all columns and beams? Yes x No__ Not necessary for this project __ 3 16. Does the elevation plan indicate the height of 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? (Check applicable zone district for building height maximum) Yes_x_ No__ Not necessary for this project __ 17. Does the plan include any stove or zero clearance fireplace planned for installation including make and model and Colorado Phase II certifications or Phase II EPA certification? Yes No __ Not necessary for this project_x_ 18 . Does the plan include a masonry fireplace including a fireplace section indicating design to comply with the IBC or IRC? Yes__ No__ Not necessary for this project_x_ 19 . Does 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 IBC oriRC? 20. Yes No __ Not necessary for this project_x_ Does the plan include a window schedule or other verification that windows provide natural light and ventilation for all habitable rooms? Yes_x_ No__ Not necessary for this project __ 21. Do the plans indicate the location of glazing subject to human impact such as glass doors, glazing immediately adjacent to such doors; glazing adjacent to any surface normally used as a walking surface; sliding glass doors; fixed glass panels; shower doors and tub enclosures and specify safety glazing for these areas? Yes__ No__ Not necessary for this project_x_ 22. Do the plans include a complete design for all mechanical systems planned for installation in this building? Yes x No Not necessary for this project. __ _ 23. Have all areas in the building been accurately identified for the intended use? (Occupancy as identified in the me Chapter 3) Yes_x_ No__ Not necessary for this project __ _ 24. Does the plan indicate the quantity, form, use and storage of any hazardous materials that may be in use in this building? Yes__ No__ Not necessary for this project_x_ 25 . Is the location of all natural and liquid petroleum gas furnaces, boilers and water heaters indicated on the plan? Yes_x_ No__ Not necessary for this project __ 4 ) 26. Do the plans indicate the location and dimension of restroom facilities and if more than four employees and both sexes are employed, facilities for both sexes? Yes_x_ No__ Not necessary for this project __ 27. Do the plans indicate that restrooms and access to the building are handicapped accessible? Yes__ No__ Not necessary for this project_x_ 28 . Have two (2) complete sets of construction drawings been submitted with the appli cation? Yes x No __ 29 . Have you designed or had this plan designed while considering building and other construction code requirements? Yes_x_ No__ Not necessary for this proj ect __ 30. Does the plan accurately indicate what you inte nd to construct and what will receive a fmal inspection by the Garfield County Building Department? Yes_x_ No __ 3 1. Do your plans comply with all zoning rule s and regulations in the County related to your zone district? For comer lots see suppl emental section 5.05.03 in the Garfield County Zoning Resolution for setbacks. Yes x No __ _ 32. Do you understand that approval for design and/or construction changes are required prior to the implementation of these changes? Yes_x_ No __ 33 . 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 "Septic System" or "Road Impact" fees required, at the time you pick up your building permit? Yes_x_ No __ 34. Are you aware that you are required to call for all inspections required under the IBC including approval on a final inspection prior to receiving a Certificate of Occupancy and occupancy of the building? Yes_x_ No __ 35. Are you aware that the Permit Application must be signed by the Owner or a written authority be given for an Agent and that the party responsible for the project must comply with the Uniform Codes? Yes_x_ No __ 5 36. 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 7:30a.m. and 3:30p.m. Monday through Friday. Inspections are to be called in to 384-5003. 37. 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_ No ___ _ 38. Are you aware that prior to issuance of a building permit you are required to show proof of a driveway access permit or obtain a statement from the Garfield County Road & Bridge Department stating one is not necessary? You can contact the Road & Bridge Department at 625 -8601 . Yes x No. ___ _ 39. Do you understand that you will be required to hire a State of Colorado Licensed Electrician and Plumber to perform installations and hookups? The license number will be required at time of inspection. Yes x No. ___ _ 40. Are you aware, that on the front of the building permit application you will need to fill in the Parcell Schedule Number for the lot you are applying for this permit on prior to submittal of the building permit application? Your attention in this is appreciated. Yes x No ·---- 41. Do you know that the local fire district may require you to submit plans for their review of fire safety issues? Yes x No (Please check with the building department about this requirement) 42. 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 43 . Did an Architect seal the plans for your commercial project? State Law requires any commercial project with occupancy of more than 10 persons as per Section 1004 of the IBC to prepare the plans and specifications for the project. Yes No Not Necessary for this project __ x __ _ I hereby acknowledge that I have read, understand, and answered these questions to ;J the best of my a bill~ ,J.t:_~ Ut:.5-M+ D'"''"ovz ~1<-/af: ~ \,-~ ~ Cb~ / Signature Date Phone:313-'81!3-2l/i (days); 3o3-~J.ro-to-s-t't (evenings) Project Name: Cl:.mn~t £a-.u<O? R.ujo:t. i\)~ ~~ f)r!-Vetf~ ~t-~ Project Address: ~ 7CJO o<?Pdl: Cee.k p~ I P. 0 , ~o,A 'J.1' b ~ Dt:.. ~ue, w 6~3' 0 or 7~0 /-lc .-; z.c--rt j)til.t? (;~ ~..,_ _, (0 0/5~ Note : If you answered "No" on any of these questions you may be required to provide this information at the request of the Building Official prior to beginning the plan review process. Delays in issuing the permit are to be expected . Work may not proceed without the issuance of the permit. *If you have answered "Not necessary for this project" on any of the questions and it is determined by the Building Official that the information is necessary to review the application and plans to determine minimum compliance with the adopted codes, please expect the following: A. 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. B. Delay in issuance of the permit. C. Delay in proceeding with construction . *If you answered "No" to this question the circumstances described in the question could result in a "Stop Work Order" being issued or a "Certificate of Occupancy" not being issued. Bpcomm October 2006 7 ) August 29, 2007 Mr. Fred Jarman, Director Garfield County Building & Pla1m ing Department 108 8111 Street, Suite401 G lenwood Springs, CO 8 1601 Rc: Authorization to Re present Chevron - James S . Talbot Senior Counsel Sall y Cuffin, Washington Group International Inc. Dear Mr. B ean: L aw Department North America Exploration and Production Company 11111 S. Wilcrest #N2006 Houston, Texas 77099·4397 Tel 281-561-3536 Fax 281·561·3515 jtalbot@chevron .com C h ev ron U.S.A. lnc. (Chevron) has retained the services of Sally C uffin ofthe Washi n g ton Group International Inc .. Ms. Cuffin will represent Chevron in facility permitting for our Piceance Project i n Garfield County, a role in which she wilt prepare and submit Special Use Permit App li cations, ISDS, buildin g, grading, pipeline, road crossi n g and o th e r rou tine constructi on related applications and infonnation on behalf of Chevron. Ms. Cuffin is a lso authori zed to participate in discussions before appointed and e lected boards rega rding the vario us app lications, however at such meetings, her auth ority to legally bind Chevron is limited to the tenus set fo rth in the Pem1it Appl ications or o ther written documents fi led on our behalf. Sincerely, cc: Nicole Johnson Timothy Barrett Sa ll y Cuffin N 11140 o. ----------~~~----Assessor's Parcel No. 2139-163-00-014 Date _____ 1_0_11_6_12_0_0_8_ BUILDING PERMIT CARD Job Address ----=27~0~0~C~Ie~a~r=C~m~e~k~R~d~-~D~e~B~eq~u~e~------------------------------------------ Owner ____ -=C"-h'-'e'-'v-'-ro"'n"------------Address 11111 S. Wilcrest Dr. Houston Phone #281-561-4991 Contractor Address Phone #970-257 -6042 Setbacks: Front __________ Rear __________ RH _________ LH _________ Zoning _______ _ cons!. office f/SAS Electrical Soils Test------------ Footing ------------------------- Foundation, ______________ __ Grout _____________ _ Underground Plumbing _________ _ Rough Plumbing ---------------- Framing _________________ _ Insulation--------------------- Roofing---------------- Drywall ------------------- Gas Piping------------- INSPECTIONS Weatherproofing ________________ _ Mechanical ___________________ _ Electrical Rough (State) m Electrical Eipal (State) /t>-:2<J -o6 .4 Final /O·q-Og /Checklist Completed? Certificate Occupancy #~0 Date ...f.'5.:£.___ /0-28':(8 Septic System # .....::W""">.......,_.t....l.l------------- Date . Other 2W Fiui1E Ji?Jft!!;i (continue on back) BUILDING PERMIT GARFIELD COUNTY, COLORADO INSPECTION WILL NOT BE MADE UNLESS THIS CARD IS POSTED ON Tt-IE J013 AGREEMENT In consideration of the issuance of the permit, the applicant hereby agrees to comply with all laws and regulations related to the zoning, location; construction and erection of the proposed structured 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 department and IMMEDIATELY BECOME NULL AND VOID. "" ~ t>~Ke T/ DllS el~iolL Add<e"QllogoiD"fPtlon~ ~_j;\t'Of cttttn:h ~~ve. own.,(k'llfOV\/L~ ~i.v\j HoDde ____ Con""'o'-~J! ~-~-~ ___ _ Building ""mltTyp• ~lt\C• Qo vYI WIS TCitiL This Card Must Be Posted So It Is Plainly Visible From The Street Until Final Inspection INSPECTION RECORD Footing Driveway Foundation I Grouting Insulation Underground Plumbing Drywall Rough Plumbing Electric Fin~;?~/ {Priortofinall J:!At?lz lo--:;:o-o" ok- Rough Mechanical Septic Final o/, ~ Gas Piping FINA_l, jo-2/-o8 ,O,.,c Electric Rough (by State lm.pector) (Yo~ Mu>l Call For Final inspection) (Pri<>rt<>Frami~91 Notes -n_..o wd:u.. ~~ Framing -t/(M ~ {to lndutle Ro<>f in place & Windows & D<><>n installed & Firestopplng In placo) .s!Je. ::Iiis~ df. !8d31 THIS PERMIT IS NOT TRANSFERABLE For Inspection Cal1970-384-5003 Office 970-945-8212 108 8th S1reet, Suite 401 Glenwood Springs, Colorado 81601 DO NOT DESTROY THIS C ~:::ov_"'j tl-l.~oe--~--sy"E J{)(WI.u VI PROTECT PERMIT FROM WEATH R {DO NOT LAMINATE) I~ Parcel Detail Page I of 4 Garfield County Assessor/Treasurer Parcel Detail Information Assessor/Tr~!,l_Surer Property_ s~arch I Assessor S_LI_bset Quely I As~esspr Sales Se~__i:h Ckrk_& Rr;:corder R~_c_s:ption Search Par~dll~ta.il I Value_I)et~il I ful.les Det'!il I R~_identiill/CcmiiD_erdillrrlQI9Vem_entDe~ail Land Detail I :Ehotographs 1 Mill Leyy Revem).e_s Detail I Tax Area II Account Number II Parcel Number II 2007 Mill Levy I I 029 II R290444 II 213916300014 II 28.87 I ------·-·-· ------ Owner Name and Mailing Address !cHEVRON USA INC !CJO CHEVRON TEXACO PROPERTY TAX IPOBOX285 !HOUSTON, TX 77001 Assessor's Parcel Description (Not to be used as a legal description) lsECT,TWN,RNG:I6-5-98 DESC: SEC.7: ITHAT PT OF LOTS 12,14 AND NESENE IL YING DESC: BELOW THE ESCARPMENT ICNET 14.20AC} ALSO TI!AT PT Of DESC: ITRS. 50,51 AND 56 LYING BELOW THE I ESCARPMENT (NET DESC: 175.17). ISEC.8: THAT PT OF LOTS 2,4,7,8, lsWNE, NW, DESC: N1/2SW, Wli2SE, IL YING BELOW THE ESCARPMENT (NET " IDESC: 222.84AC). SEC.17: lHAI ProT ILOTS 1(23.16), 3( DESC: 8.57), 4 lc8.60), 5(11.84), 6(15.00), 7 lc13.64), DESC: (80.81 TOTAL 173.0 INET) LYING BELOW THE ESCARPMENT http://wwvv.garcoact.com/assessor/parcel.asp?ParcelNumber=2139163000 14 I I I I I I I I I 9/17/2008 Parcel Detail Page2of4 IDESC: ALL OF TRACKS 80(160 A C), I Ill 0(110 A C), 111(160 A C) DESC: AND I ITHOSE PARTS OF THE FOLLOWING TRS -] IL YING BELOW DESC: THE ESCARPMENT, I ITRS. 57(117), 60(35), 62( 46), 84( I IDESC: 118), 83(80), 81(120), 82 J j{24), 87(46), 79(73), 88( DESC: I 145), 90(58), 77(103), 91(53), 76 I 1(118), 75(116), DESC: 92(52), 93 I j(76), 94(121), 113(121), 112(137), I IDESC: 6-98 TR. 41(160), AND THAT I IPART OF TR. 109(106), DESC: LYING I IBELOW THE ESCARPMENT AKA: LUCKY I I sTRIKE #9 DESC: GLEN BEULAH, GEN. I IJOFFRE #3 & 4 AND THOSE PARTS OF I IDESC: THE FOLLOWING LYING BELOW THE I IESCARPMENT: GEN. DESC: JOFFRE 2,5-I 114, LUCKY STRIKE 4-8, 10-14, AND I IGEN. DESC: PERSIIING 1 & 2. I lsUC:R290037 BK:0472 PG:0361 BK:0445 I IPG:0360 BK: 1655 PG:178 RECPT:666845 I IBK:0858 PG:0942 I Location Physical Address: IITWN 5 RGE 98 SEC 16 I Subdivision: I Land Acres: 112840.21 I Land Sq Ft: 110 I Section II Township II Range I 16 II 5 II 98 I 2008 Property Tax Valuation Information II Actual Value II Assessed Value I I Land: II 60,3ooll 17,4901 I Improvements: II Oil 0 I Total: II 60,3ooll 17,4901 http :I /www. garcoact. com/ assessor/parcel.asp ?ParcelN umber= 213 9163 000 14 9/1712008 Parcel Detail Page 3 of4 Most Recent Sale II J Additional Sales Detail Basic Building Characteristics Number of Residential 0 Buildings: Number nf Cnmm/lnd 0 Buildings: Nn Building Records Found Tax Information I Tax Year II Transaction T~l!c II Amount I I 2007 II Tax Payment: Second Half II ($252.46)1 I 2007 Tax Payment: First Ilalf II ($252.46)1 I 2007 Tax Amount II $504.921 I 2006 Tax Payment: Second Half II ($236.20)1 I 2006 I Tax Payment: First Half II ($236.20)1 I 2006 II Tax Amount II $472.401 I 2005 II Tax Payment: Second llalf II ($300.99)1 I 2005 II Tax Payment: First Half II ($300.99)1 I 2005 II Tax Amount II $601.981 2004 II Tax Payment: Second Half II ($343.98)1 2004 II Tax Payment: First Half II ($343.98)1 2004 II Tax Amount II $687.961 2003 II Tax Payment Second Half II ($420.50)1 2003 II Tax Payment: First Half II ($420.50)1 2003 II Tax Amount $841.001 2002 II Tax Payment: Second Half ($422.10)1 2002 II Tax Payment First Half ($422.10)1 2002 II Tax Amount I $844.201 2001 II Tax Payment: Whole II cs837.02JI 2001 II Tax Amount II $837.021 http:/ /vvww .garcoact.com/assessor/parcel.asp?Parce1Number=2139163000 14 9/l7/2008 Parcel Detail I 2000 II Tax Payment: Whole II ($871.96)1 I 2000 II Tax Amount II $871.961 I 1999 II Tax Payment: Whole II ($1,080.26)1 I 1999 II Tax Amount II $1,080.261 ____ , ____________ _ Top ofPag~ A~_~_sor Database Search OpJion_s I Treasurer Database Scarch_Qpt_ion!:l CJerk & __ R~G.o.r.d.er :O<J.J~base Search Op:tions Garfield County Home Page Page 4 of4 --------·-·------·---- The Garfield County Assessor and Treasurer's Offices make every effort to collect and maintain accurate data. However, Good Turns Software and the Garfield County Assessor and Treasurer's Offices are unable to warrant any of the information herein contained. Copyright © 2005 -2008 Good Turns Software. All Rights Reserved. Database & Web Design by Q_QQd Turns Software. http://www .garcoact.corn!assessor/parcel.asp?ParcelNumber=2139163 00014 911712008