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Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
l970le4s-82t2
www.garfield-cou ntv.com
contractor: Mears Group, lnc., Mike Dennison Phone: ( 970
)
628-5473
Mailing Address: 2695 Rocky Mountain Ave Suite 270 Loveland, CO 80538
Emait Addresr. mike.dennison@mears.net
Architect: ñ/â Phone
Mailing Address
Email Address:
oilroP
BUILDING PERMIT
APPLICATION
lndustrial Use - Utility naturalCom mercial/M u lti-Fa miT station Demolition
Manufactured Home (Single or Multi-Level)
Residential (SF, Duplex or Townhome)Reroof
Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
property Owner: Public Service Company of Colorado, Cheryl Diedrich phone: ( 303
)
571-3116
Emait Addres' cheryl. d ied rich@xcelenergy. com
Mailing Address:1123 West 3rd Ave., Denver, CO 80223
Engineer: WOOD GROUP USA FABRICATION, Jackson Robert Emnot
4057 CAMELOT CIRCLE, LONGMONT CO 80504
p6on". ¡720 t420.8328
Email Address. emnottj@zapecs.com
Mailing Address
Describe *orn. lnstallation of prefabricated instrument air building for the
Rifle Compressor Station Recommissioning Project.
Phone: (_)
. 1.188 acres
Height:
Job Address:770 County Road 264, Rifle, CO 81650
Owner's Valuation of Work:r 9,331.20
240Sq. Ft. of Building:9',-1 112"
Property Size (Sq. Ft. or Acres)
2177-182-00-287Assessor's Parcel Number
516. rìlâ
Manufactured Home lnstaller: ñ/â
Mailing Address:
Email Address:
# of Floors: 1
Lot _ Block _
Class of Work:,/New Remodel/Alteration Addition
Garage; n¡,Attached Detached
Septic:
n/å
)WTS unity
Type of Heat;
n/a
atural Gas Propane Electric Other
Driveway
Permit:
Permit #:
Existing drlveway to be usqd
Authoritv. This application for a Building Permit must be signed by the Owner of the property, described above,
oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby
the Owner, must be provided with this Application.
Lesal 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.
Void Permit. A Building Permit becomes null and void if the work authorized is not commenced within 180 days
of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement.
I hereby certify that I have read this Application and that the information contained above is true and correct. I
understand 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 by
the Building Division. ln consideration of the issuance of the Building Permit, lagree that Iand 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)). I acknowledge that the
Building-Permit may be suspended or revoked, upon notice from the County, if the location, construction or use
of the structure(s) and facility(ies), described above, are not in compliance with County Regulation(s) or any
other applicable law.
I hereby grant permission to the Building Division to enter the property, described above, to inspect the work. I
further acknowledge that the issuance of the Bu¡lding 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 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
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 architect
neer and/ or builder
I hereby acknowledge that I have read and understand the Not¡ce and Certification above, as well as, have
provided the required information which is correct and accurate to the best of my knowledge.
txa;¿ -o^,à;J/
Cheryl Diedrich, Sen¡or Agent, Right of Way & Permits September 8, 2022
Property Owner Print and Sign Date
Special Conditions:
Adiusted Valuation:Q.zzl,1tt eck Fee:
8t
Plan Ch
ll'7 -
Fee: -2éPermitr8l Manu. Home Fee:Nt4 Misc. Fee¡:ñr+
Totaf Fees:
zqq,06
Fees Paid:
* I ll.gt
Balance Due:t8l ,25
BP No;
Br¡o - 1Eo,
OWTS No:
¡t/r
Setbacks:OCC Grouo:Él Const. Tvoe:v"z Zoning:
F.L.
BUTtDtNG / PLANNTNG DTVTS|ON
Signed
lo-t9-
Date
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 a person having written authority from the
owner to act as their representative.
I hereby acknowledge I have read, understand, and will abide with the requirements of this
checklist.
uat-)¿.o-ù;I
Cheryl Diedrich. Senior Agent. Riqht of Way & Permits
Property Owner Print and Sign
Seotember I 2022
Date
a Accessibility; show compliance with accessibility requirements for all elements of the building per
lBC, Chapter 1 1 and ICC/ANSI A 117.1, ADA, FHA, and UFAS.
STRUCTURAL PLANS: Please provide the following information on the structural plans.. Per C.R.S. 12-4-112; Structures designed with an occupant load exceeding 10 require Colorado
State Licensed Engineer stamped plans.. Enqineered foundation desion per soils report. Geotechnical report referenced. Provide a copv of
site-specific soils investioation report.. Design specifications to include roof and deck snow load, wind and seismic design and frost
depth.. Foundation plan showing complete footing and foundation dimensions.o Footing and foundation details specifying reinforcement referenced on plans.r Framing plans for each floor level and roof. All beams, columns, joists, rafters, trusses and all
live/dead loads specified.. Framing /connection details referenced on plans.¡ Pre-manufactured structures require an engineer's stamp, signature and date.
MECHANICAL PLANS: Please provide the following information on the mechanical plans.. Per C.R.S. 12-4-112; Structures designed with an occupant load exceeding 10 require Colorado
State Licensed Engineer stamped plans.. Energy design calculations and details verifying compliance with the 2009 IECC.. Floor plans for each level showing size, location and materials of all ductwork, plenums, return
and outside air intake registers.. Size and location of all combustion air ductwork and openings.o Size, type and termination of all gas appliance flues and vents.¡ Location of all fire and combination smoke/fire dampers.. Equipment schedule for all mechanical equipment (boiler, furnace, exhaust fans, etc.).o Commercial kitchen hood location, hood and duct sizes, CFM calculations.
PLUMBING PLANS: Please provide the following information on the plumbing plans.o Per C.R.S. 12-4-112; Structures designed with an occupant load exceeding 10 require Colorado
State Licensed Engineer stamped plans.¡ Floor plans for each level showing D\AA/ layout and sizing, materials, slope and sewer location.¡ Water piping materials, length and size of pipe, water meter location, fixture unit demands,
location and type of backflow prevention devices.. Gas piping materials, length and size of pipe, gas meter location and BTU/hour demands.¡ Additional piping plans for roof/deck drains, condensate, medical gas, etc.r Plumbing fixture schedule for all plumbing equipment.o Commercial kitchen plumbing fixtures, food preparation equipment, grease interceptors, etc.
ELECTRICAL PLANS: Please provide the following information on the electrical plans.. Per C.R.S. 12-4-112; Structures designed with an occupant load exceeding 10 require Colorado
State Licensed Engineer stamped plans.. Floor plans for each level showing location of lighting fixtures, switches, receptacles, emergency
exit signs and lighting and panel locatlon.. Diagram showing service entrance, conduiVwire size, main disconnect size, grounding
electrode/conductor size, feeder conduit/wire size, transformers and generators.. Panel schedule showing bus/breaker sizes, circuit description, voltage, phase, amperage, etc.