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HomeMy WebLinkAboutCOM2019-00109 CANCELLED APPL Special Inspection and Testing - COM Application - 6/20/2019 MASON COUNTY COMMUNITY SEIiV71C,ES ' Permit No: C -_0_0 1 OQ PERMIT ASSISTANCE CENTER: BUILDING.PLANNING•PUBLIC HEALTH•FIRE MARSHAL 615 W.Alder Street,Shelton,WA 98584 �� Phone Shelton:(360)427-9670 ext.352•Fax.(360)427-7798 Phone 400 C Belfair.(360)2754467•Phone Elma:(360)482-5269 %...`/BUILDING PERMIT APPLICATION � �, m Q S 6® PROPERTY OWNER INFORMATION: CONTRACTOR INFORAlkT10k, 08 2019 NAME: GreeN 01AM04141 NAME: MAILING ADDRESS: 21 S N 3_( Sf- MAILING ADDRESS: der CITY:She a-roN STATE: wI9 ZIP:9SSAy CITY: STA IP: Street PHONE#I: 34 0 79/ 2437 PHONE: CEL . PHONE#2: EMAIL: EMAIL: X?C H.57 B 9 rrr,41 L-c o rr) L&I REG# E)CP. PRIMARY CONTACT: OWNER Nr CO OR❑ OTH ❑ NAME r�P S t E L _TS OGOS 0 Hl AJ COr✓t MAILING ADDRESS P (3a X 0309 I RA" 7r�a STATES ZIP 4227v PHONE 2C� ` 7 90 S 9 o s CELL o G r�i PARCEL INFORMATION: S w t/y Sec 1 21 IV, 2 S Zd PARCEL NUMBER(12 Digit Number) 2 O$ O D 00 ZONING D LEGAL DESCRIPTION(Abbreviated) S W Y'1 A10 / -f S t z .VW FIRE DISTRICT NIG SITE ADDRESS Coo 0 2. W St o,v S CITY DIRECTIONS TO SITE ADDRESS "t r.4 y e L Ld O S!e „- 4 n,,c f a 3'—d S11f SIN -A -resT er1/L9.c s.V , w ). .0 -4A n7614,urlev IS THE PROJECT WITHIN 300 FT 7F OPE( GREATER THAN 14%: YESZ NO❑ IS PROP TY WITHIN 2 FT OF OLIO G: (Checkall dtatapply): SAL ❑ LAKE RIVER/C ❑ P ❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYiE OFWORK: WeB N❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE F STRUCTURE(Res[dfat Bldg.Elc)_ RA ala T2 g*rS1til rrr f2 ��d HST r y IS US : PRIMARY W SNUMBER OF BEDROOMS NUMBER OF BATHROOMS HEA STRUCTURE? YYES(Pan[s]ojBldg)❑ NO g DESC WORK S UA OOTAGE:(propose ezistag) I ST FLOORX.� q.ft. 2ND LOOR sq.ft. 3RD FLOOR sq.& BASEMENT sq.ft. DECK COVERE DECK /4 y sq.ft. STORAGE sq.ft. OTHER sq.ft. GARAGE ft Attar ❑ Detached❑ CARPORT sq.& Attached❑ Detached❑ MANUFACTURED ME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED- MAKE MODEL YEAR LENGTH WIDTH BEDROOMS BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGEISEWER SOURCE: SEPTIC❑ SEWER❑ / NEW❑ EXISTING❑ AIA PLUMBING IN STRUCTURE? YES❑ NO❑ Dyes,attach completed Water Adequacy Form /VA PERIMETEWFOUNDATION DRAINS PROPOSED? YES❑ N05 ' 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 1 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,repres nts that the information provided is accurate and grants employees of Mason County access to the above described property and slip. re(s)for ew and inspection.This permittapprrcation becomes null&void if work or authorized construction is not commenced within 180 days or I constru i, work is suspended for a period of 180 days. PROOF NTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS A LIGATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08.42) X . Co-2D - !� Sig re of OWNER Must si ned b th( OWNER Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH MASON COUNTY COMMUNITY SERVICES Permit No: (�Ci''I�V� PERMIT ASSISTANCE CENTER: .BUILDING.PLANNING-PUBLIC HEALTH.FIRE MARSHAL 615 W.Alder Street,Shelton,WA 98584C Phone Shelton:(360)427-9670 ext 352-Fax.,(360)427-7798 Phone �i ,r Belfair(360)2754467-Phone E/ma:(360)482-5269 •/ � f✓ BUILDING PERMIT APPLICATION To Id E 6�SG. �O� O/ PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: 1� NAME: Greeiu 017 mood NAME: MAILING ADDRESS: 21 S & 3-d S-i- MAILING ADDRESS: CITY:Sh eL-ro r, STATE:WRZ1P:TRSAy CITY: STATE: ZIP: PHONE#1: 34 0 79/ 2/3 7 PHONE: CELL: PHONE#2: EMAIL EMAIL: IS?CH.S7 D 9m�+.�.co� L&I REG# E ING PRIMARY CONTACT: OWNER R CONTRACTOR❑ OTHER❑ NAME C6r-Pn02u Sm,tl, EMAIL 7Srr„'fh O&OS P� mS.-, CO.-" MAILING ADDRESS PO (30 X Z 3 O 8 CITY I?AN c{a /Zti g STATE C ZIP 9-Z z'2 c� PHONE 2-0 G 790 Y VO-5- CELL -10 C. ' 20 S5 vo 5-- PARCEL INFORMATION: S w "/'f Sec 8 T 2-1 K, R S 4d, W rn PARCEL NUMBER(12 Digit Number) S 21 O 8 3 0 0 0 0 Oo ZONING LEGAL DESCRIPTION(Abbreviated) S w'/-1 A,v o S /&S'd f S %2 V W FIRE DISTRICT SITE ADDRESS (v00 Z W Sl.,�pco,v RO S /2d - CITY�FL rV Ae W4 DIRECTIONS TO SITE ADDRESS t k A v e L N W O ✓h A4 L atc ,S-c/ /h,L ES -/a 3=d Sf-'npSoy 4 ,Itr 14',4eAo# m,tr je fo /V'0 4'4 P70a'.r4/- IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO❑ IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND[] WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW R ADDITION❑ TION❑ ^�REPAIR❑ OTHER El USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) F 111 Q rtrya ! �N N F> Cvaw A D 1s i l IS USE: PRI14AR4A SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS HEATED STRUCTURE? YES(Whole Bldg)❑ YES(Partls]ofBkW❑ NO ff DESCRIBE WORK �ONST2Nc� /poi T�}II $tL�'S>w�an � L�41`�,�I -tOW70 SQUARE FOOTAGE:(propose,e,mmg) 1ST FLOOR sq.ft. 2ND FLOOR sq.ft_ 3RD FLOOR sq.R BASEMENT sq.& DECK sq.ft. COVERED DECK sq.& STORAGE sq.& OTHER sq.ft. GARAGE sq;ft Attached❑ Detached❑ CARPORT sq.ft. 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❑ NA PLUMBING IN STRUCTURE? YES❑ NO❑ Yyes,attach completed]Pater Adequacy Form AIA PERIMETERNOUNDATION 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,repres nts that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s)for r#ew and inspection. This permit/application becomes null 8 void if work or authorized construction is not commenced within 180 days or if constru Ph work is suspended for a period of 180 days. PROOF ONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS LIGATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08.42) X— Sig-ftatgre of OWNER(Mustbe signed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDTTIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL MASON COUNTY COMMUNITY SERVICES Building,Planning,Environmental Health,Community Health Green Diamond 02-18-2020 6002 W Simpson 805 Rd,Shelton Permit#:CD1V Z019-00105 Parcel#: 52108-30-00000 Project Description: Radio Transmitter Housing Structure Dear Mr. Smith, Our office has received the plans for the project described above. Unfortunately, it has been determined the required documents are incomplete, do not comply with Mason County adopted building codes, or lack the required clarity as noted within the 2015 International Residential Code (IRC)/2015 International Building Code (IBC). To complete the Building Department review, the fo7PI information will be needed; ease complete the attached special inspection agreement. Per plan sheet S-1.1the following special inspections are required, concrete (rebar/anchors/sampling) and soils (Compaction/foundation prep). Ensure to complete all highlighted items on the attached agreement and submit upon completion. 2. (Clarity needed) Roof sheathing- per the supplied calculation packet 5/8" sheathing is to be installed on the roof, while plan sheet S-4 and detail 4/S-5 show the use of 19/32" sheathing. Please have the engineer of record review these documents and ensure the correct information is detailed on the submitted plan sheets. 3. Provide bolt/threaded rod information for the proposed HD12 hold-downs. Please ensure to include/detail embedment depth requirements, bolt diameter, and type of bolt to be used. *Please note that additional information may be needed once documents listed above have been received and reviewed. When you have compiled/corrected the requested information please submit it to the Mason County Building Department. Resubmissions maybe emailed to me or delivered to the Building Department. Please ensure the permit number and name of applicant are included on the resubmitted documents. If you have any questions or concerns as it may relate to this matter, please feel free to contact me directly. Sincerely, Joshua Luck Building Inspector/Plans Examiner Mason County Building Department (360)427-9670, Ext. 726 Jl uck@CO.MASON.WA.US Page 2 of 2 iN �:. BUILDING ' Mason County Community Services Building Division l SPECIAL INSPECTION & _ 615 W Alder Street Shelton, WA 98584 TESTING AGREEMENT 360.427.9670 ext. 352 www.co.mason.wa.us iT'1 e► , (All references are per the 2015 International Building Code) E j�/Eh Project Name: fs�y'i� //�wr.1N%��N' t�C+�6'lvf 546L7c'� T/�.d�►� Ain b� u IYUV Project Address: ,fleet, —tCZ�cr��GG��. Ov 2019 Building Permit Number: Date Issued: eider BEFORE A PERMIT CAN BE ISSUED: The registered design professional in responsible charge shall fill out the Agreement and include the name of each inspector as well as their appropriate license/certification number. Two (2) copies of this form are to be submitted to the County prior to the issuance of a building permit. If changes are made as to who will perform the special inspections a new form shall be submitted and turned into the Building Permits & Inspections Division for approval. STATEMENT OF SPECIAL INSPECTIONS: In addition to this Agreement, a "Statement of Special Inspections" shall be provided per IBC 1704.3. This Statement shall be made as part of the approved plans, and be placed in a conspicuous location,such as the first page of the construction plans or the first page of the structural sheets. SPECIAL INSPECTORS: All special inspectors shall be approved by the Building Division prior to performing any duties. The special inspector shall provide proof of certification as a special inspector for each inspection item and be licensed by the State of Washington. SPECIAL INPSECTION REPORTS: Special inspection reports are to meet the requirements of IBC 1704.2.4. Copies of each report are to be sent to the address listed in'the letterhead noting the Project Address and Permit Number. A final report shall be submitted stating that all special inspection and structural testing items were completed and are in conformance with the approved design drawings and specifications. Items not in conformance,unresolved items,or any discrepancies in inspection coverage (i.e. missing inspections, periodic inspections when continuous was required, etc.)shall be specifically itemized in the final report. GENERAL SPECIAL INSPECTION ITEMS(per IBC Chapter 17) [Only checked items are required] Areas requiring special Inspection: Name of Agency: Name of Inspector: License/Cert.No. ❑ Unapproved Fabricators(IBC 1704.2.5) Other than Structural Steel(IBCTable 1705.2.2) ❑ Steel floor&roof decks ❑ Welding of reinforcement ❑ Cold-formed steel Structural Steel , T ❑ Welding(Per N5.4 of AISC 360-10) ❑ Details(Per N5.7 of AISC 360-10) l igh-strength bolts(Per N5.6 of AISC 360-10 C--rZz�;r-7c--a- conccreete Construction(per IBC Table 1705.3) �i•9 Reinforcement,embeds,anchors �ormwork Materials L ' ❑ Shotcrete ❑ Post-tensioned/Pre-stressed Concrete ❑ Erection of precast concrete Page 1 of 3 f ' Mason County Community Services Building Division SPECIAL INSPECTION & 615 W Alder Street F"� Shelton, WA 98584 TESTING AGREEMENT 360.427.9670 ext.352 www.co.mason.wa.us GENERAL SPECIAL INSPECTION ITEMS(per IBC Chapter 17)-continued (Only checked items are required] Areas requiring special inspection: Name of Agency: Name of Inspector: License/Cert.No. Masonry Construction(IBC 1705.4) ❑ Prior to Construction(Article 1.15,TMS-602) ❑ As Construction Begins(Article 1.19.2,TMS-402) ❑ Prior to Grouting(Table 1.19.2,TMS-402) ❑ During Construction(Per TMS-402&TMS-602) Wood Construction ❑ High-Load Diaphragms(IBC 1705.5.1) ❑ Wood Trusses>60ft(IBC 1705.5.2) Soils(IBC Table 1705.6) 4Co J Ci3c� f9�AyE�j ❑ Driven Deep Foundations(IBC Table 1705.7) ❑ Cast-in-place Deep Foundations(IBC Table 1705.8) ❑ Helical Pile Foundations(IBC 1705.9) ❑ Sprayed Fire-Resistant Materials(IBC 1705.13) ❑ Mastic&Intumescent Coatings(IBC 1705.14) ❑ EIFS(IBC 1705.15) ❑ Fire-Resistant Penetrations(I BC 1705.16) ❑ Smoke Control(IBC 1705.17) ❑ Other (IBC 1705.1.11 ❑ Other (IBC 1705.1.1) SPECIAL INSPECTIONS FOR SEISMIC RESISTANCE(IBC Section 1705.11) [Only checked items are required] Areas requiring special inspection: Name of Agency: Name of Inspector: License/Cert.No. tructural Steel((IBC 1705.11.1&AISC 341-10) 11W 2k.5�,7;;`'e, 6• ?.w� `tructural Wood(IBC 1705.11.2) ❑ Cold-formed Steel (IBC 1705.11.3) ❑ Mechanical&Electrical Components(1705.11.4) ❑ Architectural Components(IBC 1705.11.5) ❑ Storage Racks(IBC 1705.11.7) Page 2 of 3 Mason County Community Services Building Division 61 SPECIAL INSPECTION & 5 W Alder Street i Shelton, WA 98584 TESTING AGREEMENT 360.427.9570 ext. 352 www.co.mason.wa.us Declaration by Architect/Engineer I, the design professional in responsible charge for this project, declare that the e.LJ above listtej eeia inspection and structural testing items are required for this .- proj rn acconce with IBC Chapter 17. �O "4Z Signature/ ate (J 41393 1 `rj NAL�� ��y,f C SAL Declaration by ner I, the Owne the project, declare that the above listed firm(s) or individual(s) are hired by me to perform special ins ecti ns and structural testing for the project pursuant to IBC 1704.2. /,;z Z/ Signature Date CONTRACTOR RESPONSIBILITY: Each contractor involved with the construction of wind or seismic force-resisting systems shall comply with the requirements of IBC 1704.4. The contractor is responsible for providing the special inspector access to approved plans and contract documents at the job site. All special inspection records shall be retained at the job site by the contractor and shall be made available to the Building Department upon request. Declaration by General Contractor I, the General Contractor of the project, agree to comply with the "Contractor Responsibility" items noted a bove. Signature Date Page 3 of 3 GATE TEC GATE ,. 20 ENGINEERING GCIMPANY SR 1 1 LAKE OP�ORj 21907 64TH AVE W,SUITE 140 NAHwATZEL/� p�RP�p MOUNTLAKE TERRACE,WA 98043 C TEL:425-640-2266 FAX:425-640-5665 SNS�j Oc ENTRANCE 'LOGROPE WSH NORTH BAY LOG SCALES' BROADCASTING, LLC " VICINITY MAP NORTH MOUNTAIN SCALE: NTS EQUIPMENT SHELTER \ SHELTON, WA Y THIS DRAWING IS THE PROPERTY OF TOWER ENGINEERING COMPANY AND IS TRANSMITTED IN CONFIDENCE.THE REPRODUCTION,USE OR DISCLOSURE,IN WMOLE OR IN PART,OF THE DESIGN AND DETAILS CONTAINED HEREIN IS - PROHIBITED WITHOUT THE PRIOR WRITTEN PERMISSION OF TONER ENGINEERING COMPANY. Nl FUTURE ECOLOGY BLOCK .. .. RETAINING WALL -\ 1 . f11 j ao' 35' SETBACKS FROM OP W"I�I oo t o OF SLOPE AS DEFINED,BY REV DATE DESCRIPTION GEQTECH �_ RECEIVED PREPARED BY DIET 8/19/2019 NEW 100- FOOT SELF-SUPPORT NOV 0 8 2019 TOWER AND FOUNDATION, TOWER f STRUCTURES DESIGNED AND PROVIDED CHECKED BY BY OTHERS(MAGNUM TOWER). w~' SEE SE BUILDING 12'x56;: FOUNDATION 12'-0" X 12'-O" X 1'-6" ! ' 61 C W AlderStreet FUTU V J DEEP MATH (I) 8' 0 PIER, SEE S-8. PCL 8/19/2019 RE-ROUTED ROAD PATH COPPER GROUNDING RING AROUND i TOWER h EQUIPMENT SHELTER, SEE L, ENGINEER REVIEW 9/S-5 FOR ADDITIONAL INFORMATION ` ' MJB 8/19/2019 j� PROJECT NUMBER LEGAL DESCRIPTION THE SOUTHWEST QUARTER OS SECTION 8, TOWNSHIP 21 NORTH, RANGE 5 WEST, W.M. (EX) MONOPOLE TOWER BY OTHERS N MASON COUNTY ASSESSOR'S PARCEL NUMBER 52108-30-00000 18033.10 (EX) EQUIPMENT BUILDING BY OTH —EDGE OF SLOPE SITE PLAN Dl AND VICINITY MAP NOTE SITE PLAN SITE PLAN IS BASED ON AS BUILT DRAWING FROM A PREVIOUS PROJECT SCALE 1/16"=1'-0" ON THIS SITE. S-2 3 OF 10 SHEETS