HomeMy WebLinkAboutCOM2022-00044 Cell Tower Upgrade - COM Inspections - 11/16/2023 MASON COUNTY COMMUNITY SERVICES Permit No born o 4�
PERMIT ASSISTANCE CENTER: RECEIVED
•BUILDING•PLANNING.PUBLIC HEALTH.FIRE MARSHAL
615 W.Alder Street,Shelton,WA 98584
Phone Shellm,(380"27-9670 ext.352•Far:(360)427-7798 Phone
Beaalr(360)275-4467•Phone Elma:(360)482-5269 MAY 2 4 2022
BUILDING PERMIT APPLICATION
615 W. er Street
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:Crown Castle(tower and facility owner) NAME:TBD at permit Issuance
V MAILING ADDRESS:1505 we86sks Ave.N.#800 MAILING ADDRESS:
CITY:Seattie STATE:WA ZIP:98109 CITY: STATE: ZIP:
PHONE#I:714.395.1ta PHONE: CELL:
c— PHONE#2: EMAIL:
JEMAIL:stspnar".Wauce.0 uaawr0crown sue.mm L&I REG# EXP. /
PRIMARY CONTACT: OWNER❑ CONTRACTOR(I OTHER Q Z
` NAME deyAWWw GM.MANeeaksevke..uC EMAIL >•�
MAILI N G AD DRESS 590.1st Ave.South,#705 CITY S—Im SPATE WA Zjp98104 Q
PHONE 2 ad"279 CELL `
`) PARCEL INFORMATION: r-)
v PARCEL NUMBER(12 Digit Number) 42016-32-90300 ZONING vnd OPed
LEGAL DESCRIPTION(Abbreviated) NW SW EX LOT:C of SP#2693 FIRE DISTRICY MC Fire District t6
SITE ADDRESS 1 L hC t- L. CITY Shelton
DIRECTIONS TO SITE ADDRES Fi.Md Akpot.R oM.W S.canon w.r.R o d.us-101Sm US Ngm..r tot:na WV s.m.MgM+.d head a.wd exr
CenterNat Lock;turn R on to W Shelton d:R onto W Chappell Crossing.
IS THE PROJECT IN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO E] SNOW LOAD:_Psf
ROP (THIN 200 FT OF THE FOLLOWING: (Check all thatappb)
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW❑ ADDITION❑ ALTERATION❑ REPAIR❑ OTHER +❑M-`y wireteaa fee'ly
V USE OF STRUCTURE(Rrsid c C,omge.CarrmMe wB/dz Etc.)
v
IS USE: PRIMARY❑ SEASON ❑AL NUMBER OF BEDROOMS NUMBER OF BATHROOMS
HEATED STRUCTURE? YES(wwtrBldg)❑ YES!Parrb1,,fBWg1❑ NO❑
DESCRIBE WORK Sea attached proposed scope of work
SQUARE FOOTAGE:0.�p..o
IST FLOOR sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. 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
i
ENVIRONMENTAL HEALTH:
SEWAGE/SEWERSOURCE: SEPTIC❑ SEWER❑ / NEW❑ EXISTING❑
PLUMBING IN STRUCTURE? YES❑ NO❑ /jyes.attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAMS 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.Acknamedgement of such Is by
signature below.I declare that I am the owner and 1 further declare that I am entitled to receive Oft permit and to do the work as proposed.I have
obtained permission from all the necessary parties,Including any easement holder or parties dt interest regarding this project. The owner Cr legal
ropresentative,represerW that ft information provided Is accurate and grants employees of Mason County access to 0te above described property
and stracture(s)for review and Inspection.This permitlapplication becomes null d void If work or su6arized construction Is not commenced within 180
days or a con stun work is suspe for a period of 1 a0 days.
PR O NTINU ON OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PE A PLICA N OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.08.42)
4/14/2022
Signatu OWNER(Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
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APN: CROWN
41016379W
CCCASTLE
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W CHAKlLI CROSSM SEATII.P,wA 96109
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P.MARSHALL 8 ASSOCIATES
MI PDRTWFSF DR,SUFIE 1.
HOL'ST'ON,Ti 7,OU
J T-MOBILE SITE NUMBER
Igelnwluflu SE05459A
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BU#:855647
DAYPON
CC-CROWN TOWER 855"7
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1. 6018 WEST'SHELTON
\LMOCK RD
SHELTON,lt'-{98584
APN:
4=6349010D
' ETSTING 147-0"NIONOPOLT:
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ISSUED FOR
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OVERALL SIZE PLAN �� SHBET NUMBER RIiVIS10N:
SCALE: cm C-1 .1 0
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RECEIVED
MAY 2 4 2022
6018 W.Shelton Matlock Rd,Shelton WA
Building Permit application 615 W. Alder Street
42016-32-90300
Crown:855647,598252
PROPOSED SCOPE OF WORK
PROJECT DESCRIPTION
THE PURPOSE OF THIS PROJECT IS TO ENHANCE
BROADBAND CONT.NEC'I7 =AND CAPACTI'Y TO THE
E)USTING ELIGIBLE WIRELESS FACILITY.
TOWER SCOPE OF WORK
•INSTALL(3)FFVV-65C-R3-V1 ANTENNAS
•INSTALL(3)AEHC ANTENNAS
•INSTALL.(3)AHLOA RRU'S
•INSTALL(3)AHFIG RRU'S
•INSTALL(2)HCS 2.0 J-BOY W/ BREAKOUT PENDANTS
•INSTALL(2) 1-1/2"HYBRID CABLES
•INSTALL(1)PERFECT VISION AINTEN'NA PLATFORM MOUNT,
PV-LPPGS MONOPOLE GUARDIAN MOUNT
•INSTAALL 15'TOWER EZ'TEN'SION (DESIGNED BY OTHERS)
GROUND SCOPE OF WORT;
•INSTALL 10'-0"x 1 i-0" CONCRETE.PAD
•INSTALL(1)DELTA HPL3 CABINET W/: (1)RAYCAP 100-3-1U VOLTAGE
BOOSTER W/ (3)AMPI-IFIERS&(1) CSR IXRE V2 ROUTER
•INSTALL(1)DELTA LB3 BATTERY CABINET W/(4)BATTERY STRIINGS
•INSTALL(1)ALTTOXLknC TRANSFER SWITCH
•INSTALL(1)48K\X'RD048 DIESEL GENERATOR ON CONCRETE PAD
•INSTALL NEW 7'-0"xi0'-0"ICE BRIDGE ABOVE PROPOSED CABINETS
•INSTALL(1)TECH LIGHT
•INSTALL 200 AMP PPC CABINET W/BUILT-IN C.ai LOIN BOX ON
PROPOSED UTLITY H-FRAME
•INSTALL(1)VERTIV CUBE TO HOUSE LECS CSR ON H-FRAME
•INSTALL(1)200A METER CAN W/ QUICK DISCONNTECT
•INSTALL 12'-0"x21'-0"CHAIN LINK FENCE FOR COMPOUND
EXPANSION TO MATCH EXISTING FENCE
Per our last communication, electronic copies are required of all documents, so I have uploaded all documents for this
application to a Box folder:
https://app.box.com/s/ooang2ztpibgg3lmxslox87w2aas2w9e
I am assuming at this point that you still need hard copies, and I will FEDEX the document as well to your office. If that's
not correct and electronic copies are sufficient, please let me know.
Thanks,
Gary Abrahams
For Crown Castle
206-349-4279
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