HomeMy WebLinkAboutCOM2018-00021 - COM Permit / Conditions - 3/16/2018 I
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CONCRETE MECHANICAL MANUFACT=�EZ
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0o Footings J Setbacks Coate Ribbonsm
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o Interlof Date By Interior-Date By Date
NExterior Date By Exterior-date By Set-up
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Paint Load/isolated Footings INSULATION gate By O
BG t SLAB INSULATION 00
Date By Data By FIRE DEPARTMENT r
Foundation walls Floors Date By m
Date By Data By DECKS �
FRAMING wafts Data By
Date By Data By PROPANE TANKS
PLUMBING Vault Date 1y �
Date By OTHER 90
Groundwork Attic
Date By Data Byr
Type- f/N
Date By
D.W.V DRYWALL Tyra: O
DateB Int Brace Mall Date By 3
y Date By N
FINAL INSPECTION
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Date By Gate By Data By GO
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Type of Insp. Fail Date D Dane By Comments
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0
�4o CO T MASON COUNTY COMMUNITY SERVICES Permit No:G,i'YJ ( - 000Z I
} PERMIT ASSISTANCE CENTER. Recv'd:
•BUILDING•PLANNING•FIRE MARSHAL
615 W.Alder St-Shelton,WA 98584
a i Ni1' Phone:360-427-9670 ext 352 Fax:360427-77 98 RECEIVED
htta://www.co.mason.wa.us/community dev/BUILDING PERMIT APPLICATION DEC 21 2011
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: 615 W. A[ eF Street
NAME: Timothy L&Shawn A Anstey NAME: TBD
MAILING ADDRESS: PO Box 26 MAILING ADDRESS:
CITY: Union STATE: WA ZIP: 98592 CITY: STATE: ZIP:
PHONE#1: PHONE: CELL:
PHONE#2: EMAIL:
EMAIL: L&I REG# 0 P.
CONTACT PERSON: OWNER❑ CONTRACTOR❑ OTHER/BELOW
NAME: Sarah Baird,Crown Castle,on behalf of T-Mobile MAILING ADDRESS: 1505 Westlake Ave N.S _ �
CITY: Seattle STATE: WA ZIP: 98109 PHONE: 206-336-3204 CELL:
EMAIL: sarah bairddcrowncastle.com
PARCEL INFORMATION:
PARCEL NUMBER(12 DIGIT NUMBER) 32232-33-90061 ZONING RR5
LEGAL DESCRIPTION(ABBREVIATED) See attached property report FIRE DISTRICT 6
SITE ADDRESS 80 E Union Heights Place CITY Union
DIRECTIONS TO SITE ADDRESS See Construction Drawings
IS PROPERTY WITEON 200 FT: (CheckaV that apply):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14% YES[] NO
TYPE OF WORK: NEV ❑ ADDITION ® ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bld&Etc.) Wireless Facility
IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS
HEATED STRUCTURE? YES(Whole Bldg)❑ YES(Part[s]of Bldg)❑ NO
DESCRIBE WORK T-Mobile proposes to install(1)APU 48VDC Generator 7.5KW and(1)ASME 120 galon LP tank w/M valve with integral manual
shutoff valve.No tower work.
SOUARE FOOTAGE:
1 ST FLOOR sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.& BASEMENT sq.ft.
DECK sq.& COVERED DECK sq.ft.STORAGE sq.ft. OTHER sq.R
GARAGE sq.ft. ATTACHED❑ DETACHED❑ CARPORT sq.ft ATTACHED❑ DETACHED❑
MANUFACTURED HOME INFORMATION: •4 COPIES OF THE FLOOR PLAN REOUIRED
MAKE MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
OWNER acknowledges that 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 or owner's legal representative.I further
declare that I am entitled to receive this permit and to do the work as proposed.I have obtained permission from all the
necessary parties,including any easement holder or parties of interest regarding this project.The owner or legal
representative,represents that the information provided is accurate and grants employees of Mason County access to
the above described property and structure(s)for review and inspection.This permit/application becomes null 8 void if
work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of
180 days.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT
APPLICATION OF 180 DAYS WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08.42)
x J Sarah Baird.Crown Castle.on behalf of T-Mobile 12/14/2017
Signetu WNER Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUII DING DEPARTMENT 3 - 3
PLANNING DEPARTMENT
FIRE MARSHAL
PERMIT SPECIALISTS Intake By .Approved K Read}for Pick-Up:
MASON COUNTY COMMUNITY SERVICES Permit No:
PERMIT ASSISTANCE CENTER.
;. •BUILDING •PLANNING •FIRE MARSHAL BUILDING
615 W.Alder St-Shelton, WA 985M
www.co.mason.wa.us
Phone Shelton:(360)427-9670 ext. 352• Fax:(360)427-7798 RECEIVED
Phone Belfair:(360)275-4467• Phone Elma:(360)482-5269
DEC 2 1 2017
PLUMBING & MECHANICAL PERMIT APPLICATION
- -- 15 W.Al t
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: Timothy L &Shawn A Anstey _ NAME: TBD
MAILING ADDRESS: PO Box 26 MAILING ADDRESS:
CITY: Union STATE: WA ZIP: 98592 CITY: STATE: ZIP:
I'PHONE: PHONE: CELL:
2nd PHONE: EMAIL :
EMAIL: L&I REG# EXP.
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number): 32232-33-90061 Zoning: RR5
LEGAL DESCRIPTION(Abbreviated): See attached property report
SITE ADDRESS: 80 E Union Heights Place CITY: Union
DIRECTIONS TO SITE ADDRESS: See Construction Drawings
TYPE OF JOB:
NEW ADD X ALT REPAIR OTHER USE OF BUILDING Wireless Facility
LOCATION OF FIXTURES/UNITS—IST FLOOR 2ND FLOOR BASEMENT GARAGE OTHER
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No.of Fixtures Fees Fuel Type:Electric LPG Natural Gas Ductless_-
Toilets Type of Unit No.of Units Fees
Bathroom Sink Furnace
Bath Tubs Heat Pump
Showers Spot Vent Fan
Water Heater Propane Tank 1
Clothes Washer Gas Outlets
Kitchen Sinks Wood/Gas/Pellet Stove
Dishwasher Kitchen Exhaust Hood
Hose bibs Dryer Vent
Other Solar Panel
Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
OWNER acknowledge 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 contractor. I further declare that I am entitled to receive this
permit and to do the work as proposed.I have obtained permission from all the necessary parties,including any easement holder or parties of
interest regarding this project.The owner or authorized agent represents that the information provided is accurate and grants employees of
Mason County access to the above described property and structure(s)for review and inspection.This permittapplication becomes null&void
if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF
OF CONTINUATION OFTHIS PERMIT IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS
WILL INVALIDATE THE APPLICATION.
X � � �Sarah Baird,Crown Castle,on behalf of T-Mobile 12/14/2017
Signa of Owner Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
Visit us on-line: http://www.co.mason.wa.us/community_dev/ Rev:1/27/2016 JBN
Date Received:
MASON COUNTY
COMMUNITY SERVICES DEPARTMENT RECEIVED is
BUILDING @ PLANIVrNG*FIRE MARSHAL
Mason County Bldg.8,615 W.Alder St FEB 0 b 2018
Shelton,WA 98584 www.coxnason.wa.us 360-427-9670 ext 352
1,LViy,Aide,stripet__
Property Owner's Authorization Letter
I (we): Timothy&Shawn Anstey
(Prinz Property Owners Name/Firm ldrgant libh)
Hereby Authorize: Sarah Baird
(Applicant-Name of Person to Sign Permit)
Representative of: Crown Castle on behalf of T-Mobile
(Applicanr Company Name/Organt.-ation)
To apply for, sign, and pick-up building permits for the following proposed work:
T-Mobile proposes to install(1)APU 48VDC Generator 7.5KW and(1)ASME 120 gallon LP tank
w/fill valve with integral manual shutoff valve. No tower work.
(Brief Description of Work to be Done)
Job Location: 80 E Union Heights Place,Union,WA 9e592
(Property Site Address)
As property owner(s),I(we)hereby grant permission to the applicant referenced above to apply for,sign,and pick-
up the building permit for the work as indicated above.All work performed must meet all provisions of the
Building Codes and the Laws of Mason County and the State of Washington,as applicable,whether specified or
not.Residential Contractors are required to have a current State of Washington Contractors License(RCW 18.27).
A
(Property Owner Signature) (Date)
Rev.ONW016-tibn
M
CROWN 1505 Westlake Avenue North Suite 800 Phone: (206) 396-3204
Seattle, WA 98109 Fax:
www.crowncasUe.com
`,�► CASTLE
December 14,2017
Mason County Community Services
Permit Assistance Center
615 W.Alder St.
Shelton,WA 98584
RE: Eligible Facilities Request to modify equipment on a communications tower located at:
8o EAST UNION HEIGHTS PLACE,UNION,WA,98592
Crown Site Number:841418/Crown Site Name:AYRES POINT
Customer Site Number:SE05701B/Application Number:4o6873
Crown Castle USA Inc.("Crown Castle")on behalf of T-Mobile West LLC("T-Mobile")is submitting the attached
Eligible Facilities Request application to add back-up power equipment on a telecommunications facility located at 8o
EAST UNION HEIGHTS PLACE,UNION,WA 98592 in COUNTY OF MASON,WA(the"AYRES POINT Tower").
T-Mobile proposes to modify the existing wireless facility as follows:
Install(1)APU 48VDC Generator 7.5KW and(1)ASME 120 gallon LP tank w/fill value with integral manual
shutoff valve.No tower work.
T-Mobile is committed to working cooperatively with all jurisdictions around the country to secure expeditious approval
of requests to modify existing personal wireless service facilities. If you should require more information,please do not
hesitate to contact me with your questions.
Sincerely,
a 46cFi
�F
Sarah Baird F Fe 0 y
Crown Castle on behalf of T-Mobile
Sarah.Baird@crowncastle.com '9/firer
(2o6)336-3204 Street
The Foundation for a Wireless World.
CroainCastle.com