HomeMy WebLinkAboutCOM2019-00101 - COM Permit / Conditions - 1/21/2020 Mason County
Mason County - Division of Community Development
615 W.Alder St. Bldg.8
Shelton, WA 98584
360-427-9670 ext 352
www.co.mason.wa.us
COM2019-00101 NEW COMMERCIAL PERMIT
PROJECT DESCRIPTION: UPGRADE EXISTING CELL ISSUED: 01/21/2020
TOWER—REPLACE(3)PANEL ANTENNAS, REPLACE(3)RRU'S&
RELOCATE(2)RRU'S EXPIRES: 07/19/2020
SITE ADDRESS: 80 E UNION HEIGHTS PL S UNION
PARCEL: 322323390061
APPLICANT: T-MOBILE OWNER: SHAWNAANSTEY
1505 WESTLAKE AVE NORTH SUITE 800 P 0 BOX 26
SEATTLE,WA98109 UNION,WA98592
1,206,336.2889
GENERAL CONTRACTOR'S LICENSE: CROWN CASTLE USA INC License: CROWNCU8361_2
1220 AGUSTA DR STE600 Expires: 04/24/2020
HOUSTON,TX 77057
VALUATIONS: FEES: Paid Iu
Project Valuation (BID, 20000.00 $20,000.00 Plan Check Fee $219.68 $0.00
ESTIMATION..) State Fee-Commercial $25.00 $0.00
Planning Commercial Review $380.00 $0.00
Fee
Building Permit Fee $337.97 $0.00
Total: $20,000.00 Totals : $962.65 $0.00
REQUIRED INSPECTIONS
BLD-Final Inspection
CONDITIONS
* All surface water and potential runoff must be controlled on site and shall not adversely affect any adjacent properties nor
increase the velocity flow entering or abutting to any state or county culverting/ditching system or road way.
* All building permits shall have a final inspection performed and approved by Mason County Building Department prior to
permit expiration.The failure to request a final inspection or to obtain approval will be documented in the legal property
records on file with Mason County as being non-compliant with Mason County ordinances and building regulations.
Printed by:Ariane Paysse on:01/21/2020 02.57 PM
Page 1 of 3
Mason County
Mason County - Division of Community Development
615 W.Alder St. Bldg.8
Shelton, WA 98584
360-427-9670 ext 352
www.co.mason.wa.us
NEW COMMERCIAL. PERMIT COM2019-00101
All changes to"approved"building plans that effect compliance with the international codes as amended and adopted, or
any other Mason County ordinance or regulation, must be reviewed and approved by Mason County prior to construction.
* All construction must meet or exceed all local and state ordinances in addition to the International Codes requirements as
adopted and amended by Mason County and the State of Washington. Occupancy is limited to the approved and permitted
classification. Any non-approved change of use or occupancy would result in permit revocation.
* Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries,
Contractor Compliance Division. There are potential risks and monetary liabilities to the homeowner for using an
unregistered contractor. Further information can be obtained at 1-800-647-0982. The person signing this condition is either
the homeowner,agent for the owner or a registered contractor according to WA state law.
* Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the
structure.
* The stamped approved site plan is required to be on-site for inspection purposes. If an inspection is requested and the
approved site plan is not on site, approval will not be granted. In addition, a re-inspection fee(refer to current fee schedule,
minimum 1 hour)will be charged and shall be collected by the Building Department prior to any further inspections being
performed or approvals granted.
* All property lines shall be clearly identified at the time of foundation inspection.
* All RED stamped approved plans are required to be on-site for inspection purposes. If an inspection is called for and
plans are not available on site, then approval will not be granted. In addition,a re-inspection fee(refer to current fee
schedule, minimum 1 hour)will be charged and must be collected by the Building Department prior to any further inspections
being performed or approvals granted.
* All permits expire 180 days after permit issuance,or 180 days after the last inspection activity is performed. The Building
Official may grant a one time extention of 180 days, upon the receipt of a written extension request prior to permit expiration.
Letter must indicating that circumstances beyond the control of the permit holder preventing action from being taken. No
more than one extension may be granted.
* CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING
DEPARTMENT AND THE ADOPTED BUILDING CODE.
The construction of the permitted project is subject to inspections by the Mason County Building Department. All
construction must be in conformance with the international codes as amended and adopted by Mason County. Any
corrections, changes or alterations required by a Mason County Building Inspector shall be made prior to requesting
additional inspections.
* Provisions for surface/subsurface drainage control must be implemented with new construction or development on site and
MUST NOT adversely impact adjacent parcels. Under the requirements of Mason County Stormwater Ordinance, either
private ditches and drains will meet requirements of the stormwater ordinance or prior approval will be granted to use an
existing utility and drainage easement dedicated for that specific purpose. For further information regarding this ordinance
and the REQUIREMENT to obtain an ACCESS PERMIT for the installation/construction of a driveway or access connecting
from a Mason County Road, Contact the Mason County Public Works Department prior to construction at Ext 450. For any
construction which is proposed to be located within 25'of a Mason County road right of way, it is suggested to contact that
office to review future planned work which may affect your project.
* The international code requires a fire apparatus access road for every facility, building, or portion of a building that is more
than 150'from an approved access road. Roads are required to meet the minimum Mason County Fire Marshal standards
for Fire Apparatus Access Roads up to the point where such roads connect with a county maintained public road or to
another fire apparatus access road which connects to a county maintained public road.
* Owner/Agent is responsible to post the assigned address and/or purchase and post private road signs in accordance
with Mason County Title 14.28 and 14.17.
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Mason County
Mason County - Division of Community Development
615 W.Alder St. Bldg.8
Shelton, WA 98584
360-427-9670 ext 352
www.co.mason.wa.us
NEW COMMERCIAL PERMIT COM2019-00101
' 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
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 permit/application 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 OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT
APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
" Any changes in proposed construction shall be reviewed by the engineer or architect of record and submitted in writing to
the Mason County Building Department prior to construction. All engineering and/or architectural documents are a part of
the approved set of plans and shall remain attached thereto. If documents are removed, approval will not be granted. In
addition, a re-inspection fee(refer to current fee schedule, minimum 1 hour)will be charged and shall be collected by the
Building Department prior to any further inspections being performed or approvals granted.
' A structural observation report, as defined in Chapter 17 of the International Code, shall be provided to the Mason County
Building Department. Reports shall be prepared by the engineer or architect of record responsible for the structural design
or another engineer or architect designated by the engineer or architect or record.
Reports shall be submitted to the Mason County Building Department within 2 weeks following each structural observation.
A final observation report shall be submitted prior to the final inspection of the structure. Written statements shall indicate
the permit number, type of inspection, and identify any reported deficiencies.
Structural observation is defined as the visual observation of the structural system by a registered design professional for
general conformance to the approved conformance to the approved construction documents at significant construction
stages and at the completion of the structural system.
I hereby certify that I have read and examined this application and know the same to be true and correct.
All provisions of Laws and Ordinances governing this type of work will be complied with whether
specified herein or not. The granting of a permit does not presume to give authority to violate or cancel
the provisio of an oth state cal law regulating construction or the performance of construction.
Issued B
t
Contractor or Authorized Age1114A�14wDate:
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MASON COUNTY COMMUNITY SERVICES Permit No:_C6 M ZO I Ci J Da IO
PERMIT ASSISTANCE CENTER: C C I\V/CG D
-BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL C C
615 W.Alder Street,Shelton,WA 98584
Phone Shelton:(36 427-9670 ext.352•Fax.x.((360)427-7798 Phone13 0 C T 10 2019
UBelfair. 360)275-4467•Phone Elmer: 360 482-5269 I �' BUILDING PERMIT APPLICATION
_Aldersteet
PROPERTY OWNER INFO�RMATION: CONTRACTOR INFORMATION:
NAME:.`6u/j A. A,,." NAME: CROWN CASTLE USA INC
MAILING ADDRESS: j� G. E MAILING ADDRESS:1220 AGUSTA DR STE 600
CITY: . STATE: ZII3:— CITY: HOUSTON STATE:TX ZIP: 77057
PHONE#1: PHONE: CELL:
PHONE#2: EMAIL:
EMAIL: L&I REG#CROWNCU83612 FXp. 4 / 24If20
PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER
NAME AMANDA NATIONS,CROWN CASTLE ON BEHLAF OFT-MOBILE EMAILAMANDA.NATIONS.CONTRACTOROCROVMCASLTE.CoI
MAILING ADDRESS 1505 WESTLAKE AVE N,SUITE 800 CITY SEATTLE STATE WA ZIP98109
PHONE 206-336-2889 CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 32232-33-90061 ZONING
LEGAL DESCRIPTION Abbrev iate a L 1 oF=11-03 ITN OF LOTS 1.3.4 OF SP 01149 FIRE DISTRICT
(Abbreviated)
d)
SITE ADDRESS 80 E UNION HEIGHTS PL SOUTH CITY UNION
DIRECTIONS TO SITE ADDRESS SEE SHEET T-1 OF PROJECT DRAWINGS
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Checkall that apply):
SALTWATER❑ LAKE❑ RTVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW❑ ADDITION❑ ALTERATION® REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.)
IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS
HEATED STRUCTURE? YES(Whole Bldg)❑ YES(Part(sI of Bldg!❑ NO❑
DESCRIBE WORK REPLACE ANTENNAS AND RRUS ON EXISTING TOWER
SQUARE FOOTAGE:(propose+existing)
1 ST FLOOR sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.& OTHER sq.ft.
GARAGE sq.ft.Attached❑ Detached❑ CARPORT sq.& Attached❑ Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC❑ SEWER❑ / NEW❑ EXISTING❑
PLUMBING IN STRUCTURE? YES❑ NO® If yes,attach completed Water Adequacy Form
PERHVIETER/FOUNDATION DRAINS PROPOSED? YES❑ NO® EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS
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 and 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 pernitlapplication 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 OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
--T COUNTY CODE 14.08A2)
X ,t"�ku , � b1 I ca
Signature of OWNER Must be signed by Ihe OWNER ate
DEPARTMENTAL REVIEW APPROVED DATE. DENIED I DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT 1
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
SITE PLAN DISCLAIMER: -
PROPERTY LINES AND STRUCTURES HAVE To , Mobile• • •
BEEN DIGITIZED FROM PREVIOUS PLAN
SETS OR FROM ASSESSORS MAPS.
CROWN CASTLE USA INC. HAS NOT 12920 SE 38TH STREET
COMPLETED A SITE SURVEY AND
THEREFORE MAKES NO CLAIMS AS TO
THE ACCURACY OF INFORMATION E. UNION HEIGHTS DR BEELEVUE
H ,WA 9
DEPICTED ON THIS SHEET
RECEIVED CROWN
CASTLE
OCT 10 2019
J 1505 WEST'L.AKE AVENUE NORTH,SUITE 800
Q. SEAME,WA 98109
615 W. Alder Street
M SQUTAR(?J
WRE1387 CALLE AVANZADO
Q PLAt
SAN CLEMOM CA M73(9,49)391-6824
Q
_ I T-MOBILE SITE NUMBER:
- - I SE05701B
E. UNION HEIGHTS PL S APPROVED BU #:841418
—WkS&WG0UNTY DCD PLANNINC AYRES POINT
SITE PLAN REQUIRED TO BE ON SITE 80 EAST UNION HEIGHTS
CHANCES SUBJET TO APPROVAL PLACE SOUTH
(E) COMPOUND (E) ACCESS ROAD B} DzEB L -11 UNION,WA 98592
I
` APPROXIMATE LOCATION OF PROPERTY LINE I EXISTING 1501-0"MONOPOLE
(E) BUILDING
(nP) J PLANNING : ISSUED
FOR
DRWN DESCRIPTION ON DES./Q-
_ O 4 FV DATE SETBACKS ARE MEASURED )ACO
MONOPOLE a A 07119/2019 AP 90°/FOR REVIEW
(E) 150'-0 FROM THE FURTHEST /05/2019 TB 1 /FOASUBb[TITAL )AC
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0 o I PROJECTION OFT� E BUILDIINC
_ APN: 3-22-32-33-90061 ;
ZONING: RR5 0
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Expi-i-D—10-14-2020
DATE SIGNED:09/05/19
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IT IS A VIOLATION OF LAW FOR ANY PERSON•
UNLESS THEY ARE ACTING UNDER THE DIRECTION
OF A LICENSED PROFESSIONAL ENGINEER
TO ALTER THIS DOCUMENT.
TOVERALL SITE PLAN
SHEET N1UN1R1[R1�. REVISION:
� � 1 • 1 O
SCALE: -x'-o (FULL srze> N
BUILDING
ELIGIBLE FACILITIES REQUEST CERTIFICATION > E C E I V E D
FOR NON-SUBSTANTIAL CHANGES TO A WIRELESS TOW
NOT LOCATED WITHIN A PUBLIC RIGHT OF WAY OCT 10 2019
1) Address of the Wireless Tower: 80 E Union Heights PI South, union, wa 9859 15 W. Alder Street
2) The height(measured in feet above ground level) of the existing Tower as originally
approved, including any modifications approved prior to February 22, 2012: 150'-0"
3) What is the height(measured in feet above ground level) at which the modifications to the
Transmission Equipment will occur on the Tower? 139'-0"
4. What will be the height (measured in feet above ground level) of the existing Tower after the
modifications to the Transmission Equipment are installed?-150'-0"
5) Effect of modifications of Transmission Equipment on Tower height:
(A)Will the modifications in Transmission Equipment (addition, removal or replacement of
Transmission Equipment) result in increasing the height above ground level of the
existing Tower?
❑Yes ®No
(B) Will the modifications in Transmission Equipment result in increasing the height above
ground level of the existing Tower by more than: (i) 10% of the height of the existing
Tower, as originally approved, including any modifications approved prior to February
22, 2012; or(ii)twenty feet between the top two antenna arrays?
❑Yes®No
6) Will the modifications in Transmission Equipment(measured at the height above ground level
where the Transmission Equipment will be attached to the tower) result in any Transmission
Equipment protruding horizontally from the edge of tower the greater of more than twenty (20)
feet or more than the existing width of the tower at that height?
❑Yes ®No
7) Will the proposed changes in Transmission Equipment involve excavation outside the
existing leased or owned Tower site or outside any access or utility easements currently
related to the site?
❑Yes ®No
8) Will the proposed modification in Transmission Equipment involve installation of more than
four new equipment cabinets or one new equipment building?
❑Yes ®No
9) Will the proposed modification in Transmission Equipment defeat the existing concealment
elements of the Tower?
Non-Substantial Change Certificate for Towers Not within A Public Right of Way
Lm ,� a
❑Yes ® No
(10) Prior Conditions of Approval RECEIVED
(A)Will the proposed modification in Transmission Equipment comply with MTl 112019
of approval imposed on the Tower prior to February 22, 2012?
®Yes ❑No 615 W. Alder Street
(B)If the answer to 10(A)is"No," is the non-compliance due solely to any of the
conditions addressed in questions 5-9 above?
❑Yes ❑No
If the answer to either question 5A or 5B is "No", and the answers to questions 6-9 are
"No", and the answer to either 1OA or B is "Yes" then the proposed modifications do not
substantially change the physical dimensions of the existing Tower. Please provide a brief
explanation, if necessary,to clarify any answer.
Explanatory Comments (If Needed):
Question No.
Comment:
This certification is dated this10thday of September, 2019.
A/111 614 _0_X4 IAt\—
I
i na ure
g I
Amanda Nations, Real Estate Specialist
Name& Title
Non-Substantial Change Certificate for Towers Not within A Public Right of Way
CRECECROWN 1505 Westlake Ave N Phone: (206) 336-2889
Seattle,WA 98109
Fax
C CASTLE www crowncasUe com
IVED
OCT 10 2019
September 10,2019 BUILDING
615 W. Alder Street
COUNTY OF MASON,WA
615 W.Alder Street
Shelton,WA 98584
RE: Eligible Facilities Request to modify equipment on a communications tower located at:
8o EAST UNION HEIGHTS PLACE SOUTH,UNION,WA,98592
Crown Site Number:841418/Crown Site Name:AYRES POINT
Customer Site Number:SE05701B/Application Number:489257
Crown Castle USA Inc.("Crown Castle")on behalf of T-Mobile West LLC("T-Mobile")is submitting the attached Eligible
Facilities Request application to modify transmission equipment on a telecommunications tower located at ioo EAST UNION
HEIGHTS PLACE SOUTH,UNION,WA 98592 in COUNTY OF MASON,WA(the"AYRES POINT Tower").
Section 6409 of the Middle Class Tax Relief and Job Creation Act of 2012,commonly known as the"Spectrum Act"(Pub.Law
No.112-96,126 Stat 156),mandates that state and local governments"may not deny,and shall approve,any eligible facilities
request for a modification of an existing wireless tower or base station that does not substantially change the physical
dimensions of such tower or base station."
T-Mobile proposes to modify the"AYRES POINT Tower"as follows:replace(3)panel antennas,replace(3)RRUs,
relocate(2)RRUs
Itemized list of submittal documents:
• Cover letter and certification of non-substantial changes(this letter)
• Mason County Building Permit Application Form
• Site Plan(2)
• Construction drawings,stamped and signed by an Washington State-registered engineer(3)
• Structural Analysis Report,stamped and signed by a Washington State-registered engineer(2)
• Payment for fees($962.65)
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 regarding the Spectrum
Act,please do not hesitate to contact me with your questions.
cerely, RECEIVED
Amanda Nations SEr 11 20110
Amanda.Nations.Contractor@crowncastle.com
(2o6)336-2889 615 W.Alder
The Foundation for a Wireless World.
CrownCastle.com