HomeMy WebLinkAboutCOM2012-00013 Final Removal of Wood Pole Replace with Monopole - COM Permit / Conditions - 3/26/2013 ,61,13
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MASON COUNTY PERMIT NO.CO EQIZ—
BUILDING PERMIT APPLICATION
426 W. Cedar• P.O. Box 186, Shelton, WA 98584
Shelton (360) 427-9670 • Belfair(360) 275-4467• Elma (360) 482-5269
On the web www.co.mason.wa.us
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner Verizon Wireless c/o Bill North Company Name TBD
Mailing Ad�ress, PO Box 2449 Mailing Address
City Sno omi s State WA Zip Code 9 8 291 City State Zip Code
Phone 425-876-2909 Other Ph. N/A Phone Other Ph.
Lien/Title Holder N/A Contractor Reg. # Exp.
E mail address billnorth@northgroup.net E Mail Address
Drivers Lic.# DOB Drivers Lic.# DOB
SEPTIC/WATER SYSTEM INFORMATION -Connect to New Septic N/A Existing Septic N/A
Connect to Water System Name of Water System N/A
Well Water System Name of Water System N/A
PARCEL INFORMATION- 12 Digit Parcel No, 521 083000000 Fire District
Legal Description See T-1
Site Address(Please include street name,street number and city) 6000 Simpson 805 Rd. , Shelton, WA
Directions to site see T-1 98584
Will timber be cut and sold in parcel preparation?Yes/No
Is property within 200'of Saltwater N/A Lake N/A �River/Creek N/A Pond N/A
Wetland N/A Seasonal Runoff�A Stream l�/ti lopes or Bluffs 15% Yes
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No
TYPE OF JOB-New Add Alt Repair Other replace PRIMARY RESIDENCE ❑ SEASONAL ❑
Use of Building Wireless Describe Workeplacement of existing wood pone with 90 ,
No. of Bedrooms 0 No. of Bathrooms n Square Footage- 1 st Floor 0 2nd Floor 0 monopol
3rd Floor Basement Deck Covered Deck Other Sq.ft.
Garage N/A Attached N/A Detached N/A Carport NAtttached N/A Detached N/A
MANUFACTURED HOME INFORMATION - Make N/A Model N/A Year
Length Width Serial No. No. of Bedrooms No. of Bathrooms
Type of Heat Purchase Price$ Replacement Unit? Yes/No
Installer Name Certification No.
OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of
such is by signature below.I declare that I am the owner,owners legal representative,or the contractor.I further declare that I am entitled to receive this
permit and to do the work as proposed in the application.I declare that I have obtained the permission from all the necessary parties.If permission is
required from any easement holder or any other party in interest regarding this application or the work proposed in the application,I have obtained
permission from them to apply for this permit and conduct the work proposed. The owner or agent on owners behalf,represents that the information
provided is Rewrate and grants employees of Mas9n County access to the above described property and structure for review and inspection.
PROOF O NTIN N OF O C I B E�ANSOF�A PROGRESS INSPECTION. /Date: � G
caner/Owners Re resentative/Contractor indicate which one
FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date ;�- I to --16
DEPARTMENTAL REVIEW A PR VED DENIED NOTES
Building Department - Z
Planning Department D �-
Environmental Health Department
Public Works Department
Fire Marshal
FEES
Building Permit Fee Site Inspection
Plan Review Fee EH Review Fee
Plumbing & Base Fee Planninq Review Fee
Mechanical & Base fee Other
Wood/Gas/Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal
Valuation $ TOTAL FEES
North
RECEIVED
P.O. Box 2449 FEB 2 3 2012
Snohomish,WA 98291-2449
Phone (426)876-2909 426 W. CEDAR ST.
Fax (425)671-0862
e-mail: billnorth@northgroup.net
MEMORANDUM LL; I L D I INN G
Date: February 13,2012
To: Mason County
Community Development
426 W.Cedar
Shelton, WA 98584
Attn: Trish Woolett
From: Bill North
The North Group,Inc.
Subject: Verizon Wireless
WA4 MAtlock
Request approval for the replacement of Wireless Communication Facility tower and
antenna.
On behalf of Verizon Wireless,we are submitting an Application for a Wireless Communication Facility
(WCF)consisting of the replacement of an existing wood pole and associated antenna with the addition of
a new Microwave Dish antenna.
The following documents are enclosed:
One (1) Building Permit Application
Two (2) Full size plans
One (1) 11"x 17"plans
Two (2) Geotech
Two (2) Foundation and tower design
If you have any questions regarding the enclosed materials please feel free to contact me at 425.876.2909.
Thank you for your time.
Bill North
EYED NOTES_ PLANS PREPARED FOR:
K
rrnn
1O EXISTING EQUIPMENT SHELTER OF OTHER CARRIERS vJ
OEXISTING OBL. WIDE ACCESS GATE (TYP) �`
EXISTING CHAIN LINK FENCE y_Ll
EXISTING VERIZON WIRELESS EQUIPMENT SHELTER
1
NOT USED.
I I O NOT USED.
O EXISTING OUTDOOR EQUIPMENT CABINETS OF OTHER CARRIER (TYP)
I
I O 18 NOT USED.
T O NOT USED.
I _ S +jj1 + + 3 I 10 EXISTING HEAVILY WOOD AREA
---------------�-- �ti..:' 11 EXISTING TREE AND VEGETATION LINE (TYP.) i
0+ l `l.�,f �"... . 12 EXISTING 11't WIDE ACCESS ROAD
Y
o
_------� + 0 13 EXISTING TREES TO BE REMOVED
+ _-__
{ ____--_ y',-.�+-�,] I 14 NEW CLEAR CUf ACCESS ROUTE
11 i ------------- I 15 EXISTING WIRELESS COMPOUND OF OTHERS
t _ 0 r^+_ 1 _ — PLANS PREPARED BY:
f � ----- - 18 NEW VERQON WIRELESS 120'-0'MONOPOLE -
1ti,,,�' 7 + EXISTING VERRON WIRELESS t120'-O" MONOPOLE TO BE REMOVED Imp
+ i0 I!TI!� ice: R I!
04-
� F�/��"`�} "}'I 18 EXISTING 14'-0"t WIDE GATE
0+ 0+
+ '�. + I NOTES m
0 [
1 f 1 + i I THIS Is NOT A SITE SURVEY: _. 1
.r"`t. 1 _� _ I ALL PROPERTY BOUNDARIES, ORIENTATION OF TRUE NORTH AND STREET HALF-WIDTHS HAVE
r` ''-•+- 10 BEEN OBTAINED FROM A TAX PARCEL MAP AND ARE APPROXIMATE. .' �.
.�yy-V„f} J I ANTENNA NOTE
ppp EXISTING ANTENNAS OF OTHER CARRIERS NOT SHOWN IN PLAN VIEW FOR CLARITY. KDC
F 0+ 0+
0
3 + �r"`t_ LLYN NNWOOD4WA 90 3651
777 + l .. ^ I1 FAX: 425.712.08"
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�p LLD ,�
`r V S�jE + J \ �`` / REVISIONS
,yl ON � � `� DATE DESCRIPTION BY
10 PPS°v A'" ++ ET
I n�F�" 7 \ 11/28 ISSUED FOR REVISED
.1 1 2012 909. CD REVIEW
12/19 ISSUED FOR REVISED YK
5�CNANG�SIgU e + ti + \\ ♦� /i,/ 0 I tit L "I I S E D 2012 90X CD REVIEW
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AREA SEE 21 +
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PROJECT:
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PLANNING WA4-
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_— I 80 E UNION HEIGHTS PL S
+ UNION, WA 98592
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SITE PLAN o 1s' 3z' �--�— I
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SCALE FOR 24z36: 1/i6"= 1'-0' SCALE FOR 11%17: I/32' A2
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