HomeMy WebLinkAboutCOM2022-00090 Cell Tower Upgrade - COM Inspections - 4/12/2024 615 W.Alder St. Bldg 8,SHELTON,WA 98584
MASON COUNTY
i COMMUNITY SERVICES SHELTON:360-427-9670, EXT 352
_ BELFAIR:360-275-4467, EXT 352
6uildiny,Planning,Environmental Health,Community Health ELMA: 360-482-5269, EXT 352
www.co.mason.wa.us
INSPECTION CARD AND CERTIFICATE OF OCCUPANCY"
To schedule an inspection call or visit http://www.co.mason.wa.us/community-services/bid-inspection.
Permit Number COM2022-00090 Date Issued 06/16/2023 Issued By
Project CELL TOWER UPGRADE
Site Address 2611 E HARSTINE ISLAND RD NORTH
Applicant MACCONAGHY/VERIZON
Contractor
Contractor Phone
Primary Code UPC IBC, IRC,IFC,IEC,IMC, & Type
Permit Type NEW COMMERCIAL PERMIT Occupancy
-APPROVED PLANS MUST BE ONSITE FOR ALL INSPECTIONS.
-DO NOT PROCEED BEYOND EACH STAGE OR COVER WORK UNTIL APPROVAL IS GRANTED.
-THIS CARD MUST BE POSTED IN A CONSPICUOUS LOCATION, FRONT OF THE PREMISES IS BEST FOR MAKING ENTRY.
-ALL PERMITS EXPIRE 180 DAYS AFTER THE PERMIT IS ISSUED OR 180 DAYS AFTER DATE OF LAST INSPECTION.
-OWNER/AGENT IS RESPONSIBLE FOR REQUESTING ALL INSPECTIONS THROUGH FINAL INSPECTION.
**THIS STRUCTURE MAY NOT BE USED OR OCCUPIED UNTIL ALL APPROVALS ARE GRANTED.**
PRIOR TO CALLING FOR FINAL INSPECTION,ALL CONDITIONS OF THE PERMIT MUST BE MET
Public Works Access/Driveway Other
Health Septic Well
Deptartment
Planning Site Inspection
Department
Fire Marshall Fire Apparatus Access Fire Sprinkler
Auto Fire Alarm Hood and Duct
Other Final
Building
Department Building Official: Community Services Designee
Concrete Setbacks Slab
Footing Perimeter Point load Footing
Footing Interior Footing Decks/Porches
Foundation Stem Walls Other
Rough-In Groundwork Plumbing Framing
Groundwork Mechanical Plumbing
Groundwork Gas Pipe Mechanical
Gas Piping Shear Wall Nailing
Underfloor
Other
Insulation Slab Ceiling
Floor Vaulted Ceiling
Walls Vapor Barrier
Other
Wallboard Interior Wall Brace Panels Fire Walls
Nailing
Other
Final Building -►Z-Z
Manufactured Setbacks Setup
Home
Concrete Foot/ Runners Final
Other
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verizonmi
Tower Engineering Solutions, LLC
1320 Greenway Dr. Suite 600
Irving, TX 75038
972.483.0607
pmisupport@testower.us
Antenna Mount Post-Modification Inspection Report
PMI
SMART Tool Project#: 10217093
February 8, 2024
Site Information Site ID: 5000875427-VZW
Site Name: HARSTINE_ISLAND
Carrier Name. Verizon Wireless
Address: 2611 EAST HARSTINE ISLANDROAD
NORTH
SHELTON, Washington 98584, Mason County
Latitude: 47.263611°
Longitude: -122.888611°
Structure Information Tower Type: Monopole
Mount Type: Site Prot RMQP-496-HK
FUZE ID#15835869
L
Report Prepared By: Ankit Kumar Thapliyal
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Mount Post-Modification Inspection Report February 8, 2024
Site Prot RMQP-496-HK Site ID: 5000875427-VZWIHARSTINE_ISLAND
Page 12
Executive Summary:
The objective of this report is to confirm that the proposed mount modification has been completed in
accordance with the proposed mount modification documents referenced below. Tower Engineering Solutions,
LLC did not visit the site and was not present during construction.
Based on our review of the provided modification photos and documents, it is our opinion that the modification
has been completed in accordance with the proposed mount modification documents.
Project Closeout Documents:
Document Type Remarks
*Proposed Mount Modification TES, Project# 10215418, Dated 1210412023
*Signed PMl Requirements Checklist Provided by Joy Inc, Dated 0113112024
Contractor As-Built Drawings N/A
*Modification Photos Provided by Joy Inc, Dated 1012512023
Material Packing List/Invoice N/A
*Documents&Photos Required from Contractor.
Post-Modification Inspection Summary:
Modifications:
Antenna:
• Install (3) Ericson AIR6449
• Install (6) Commscope NHH-65C-R2B
• Install (3) Ericson 4449
• Install (3) Ericson 8843
• Install (1) RVZDC-6627-PF-48
Steel:
• Install Site Prot RMQP-496-HK
• Install OVP pipe
Deviations:
Antenna:
• Installed (6) Commscope NHH-65C-R2B on positions #3 and #4 instead of position #2 -
Approved
• Installed (3) Ericson AIR6449 on position#1 instead of position#4 - Approved
• Installed (3) Ericson 4449 on position #3 instead of position#2 - Approved
• Installed (3) Ericson 8843 on position#4 instead of position #3-Approved
Steel:
• Installed antenna mount pipe position#4 closer to the position#3 than specified—Approved
Comments:
• Deviations above were checked and approved by TES
Mount Post-Modification Inspection Report February 8, 2024
Site Prot RMQP-496-HK Site ID: 5000875427-VZWIHARSTINE_ISLAND
Page 13
Additional Information:
Contractor certifies that the climbing facility/safety climb was not damaged during installation:
® Yes ❑ No ❑ N/A
Contractor did provide climbing facility/safety climb photos. (See Below)
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Mount Post-Modification Inspection Report February 8, 2024
Site Prot RMQP-496-HK Site ID: 5000875427-VZWIHARSTINE_ISLAND
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Mount Desktop — Post Modification Inspection (PMI) Report Requirements
Documents & Photos Required from Contractor— Passing Mount Analysis
Passing Mount Analysis requires a PMI due to a modification in loading.
Electronic pdf version of this can be downloaded at https://pmi.vzwsmart.com.
For additional questions and support, please reach out to:
pmisupport@testower.us
PSLC#: 5000875427 SMART Project #: 10215418 Fuze Project ID: 15835869
Purpose—to provide SMART Tool structural vendor the proper documentation in order to complete
the required Mount Desktop review of the Post Modification Inspection Report.
• Contractor is responsible for making certain the photos provided as noted below provide
confirmation that the installation was completed in accordance with this Passing Mount
Analysis.
• Contractor shall relay any data that can impact the performance of the mount, this includes
safety issues.
Base Requirements:
• If installation will cause damage to the structure, the climbing facility, or safety climb if present
or any installed system, SMART Tool vendor to be notified prior to install. Any special photos
outside of the standard requirements will be indicated on the drawings.
• Provide "as built mount drawings" showing contractor's name, contact information, preparer's
signature, and date. Any deviations from the drawings (Proposed modification) shall be shown.
NOTE: If loading is different than what is conveyed in the passing mount analysis (MA) contact
the SMART Tool vendor immediately.
• Each photo should be time and date stamped
• Photos should be high resolution.
• Contractor shall ensure that the safety climb wire rope is supported and not adversely
impacted by the install of the modification components.This may involve the install of wire
rope guides, or other items to protect the wire rope. If there is conflict, contact the SMART Tool
engineer for recommendations.
• The PMI can be accessed at the following portal: https.Ilpmi.vzwsmart.com
Photo Requirements:
• Photos taken at ground level
o Photo of Gate Signs showing the tower owner, site name, and number.
o Overall tower structure after installation.
o Photos of the mount after installation; if the mounts are at different rad elevations,
pictures must be provided for all elevations that equipment was installed.
• Photos taken at Mount Elevation
o Photos showing the safety climb wire rope above and below the mount prior to
installation.
o Photos showing the climbing facility and safety climb if present.
o Photos showing each individual sector after installation. Each entire sector shall be in
one photo to show the interconnection of members.
■ These photos shall also certify that the placement and geometry of the
equipment on the mount is as depicted in the antenna placement diagram in this
form.
o Photos that show the model number of each antenna and piece of equipment installed
per sector.
• The contractor shall certify that the antenna & equipment placement and geometry is in
accordance with the sketch and table as included in the mount analysis and noted below.
F�] The contractor certifies that the photos support and the equipment on the mount is as depicted on
the sketch and table included in this form and with the mount analysis provided.
OR
The contractor notes that the equipment on the mount is not in accordance with the sketch and has
noted the differences below and provided photo documentation of any alterations.
Special Instructions Validation as required fro
sar' at
'ssue;
Contractor to install the following mount(s)and part(s)per manufacturers'instruction and the sketch shown on page#12
of this report:
Site Prot RMQP-496-HK
(1)P263(OVP Pipe)+Appropriate Hardware for installing OVP Pipe
I I
0 The contractor has read and acknowledges the above special instructions.
[i] All hardware listed in the Special Instructions above (if applicable) has been properly
installed, and the existing hardware was inspected.
0 Avehe material utilized was as specified in the SMART Tool engineering vendor Special Instructions
A (if applicable) and included in the material certification folder is a packing list or invoice for these
materials.
OR
I] The material utilized was approved by a SMART Tool engineering vendor as an "equivalent"and this
approval is included as part of the contractor submission.
Comments:
W Yes ❑ No
K Yes ❑ No
Z Safety Climb in Good Condition ❑ Safety Climb Damaged
Company: JOY Inc
Employee Name: Dan Reed
Contact Phone: 360-865-8467
Email: daniel@joy.us.com
Date: 1/31/24
Mount Desktop — Post Modification Inspection (PMI) Report Requirements
Documents & Photos Required from Contractor— Passing Mount Analysis
Passing Mount Analysis requires a PMI due to a modification in loading.
Electronic pdf version of this can be downloaded at https://pmi.vzwsmart.com.
For additional questions and support, please reach out to:
pmisupport@testower.us
PSLC#: 5000875427 SMART Project#: 10215418 Fuze Project ID: 15835869
Purpose—to provide SMART Tool structural vendor the proper documentation in order to complete
the required Mount Desktop review of the Post Modification Inspection Report.
• Contractor is responsible for making certain the photos provided as noted below provide
confirmation that the installation was completed in accordance with this Passing Mount
Analysis.
• Contractor shall relay any data that can impact the performance of the mount, this includes
safety issues.
Base Requirements:
• If installation will cause damage to the structure, the climbing facility, or safety climb if present
or any installed system, SMART Tool vendor to be notified prior to install. Any special photos
outside of the standard requirements will be indicated on the drawings.
• Provide "as built mount drawings" showing contractor's name, contact information, preparer's
signature, and date. Any deviations from the drawings (Proposed modification) shall be shown.
NOTE: If loading is different than what is conveyed in the passing mount analysis (MA) contact
the SMART Tool vendor immediately.
• Each photo should be time and date stamped
• Photos should be high resolution.
• Contractor shall ensure that the safety climb wire rope is supported and not adversely
impacted by the install of the modification components.This may involve the install of wire
rope guides, or other items to protect the wire rope. If there is conflict, contact the SMART Tool
engineer for recommendations.
• The PMI can be accessed at the following portal: httpsJ/pmi.vzwsmart.com
Photo Requirements:
• Photos taken at ground level
o Photo of Gate Signs showing the tower owner, site name, and number.
o Overall tower structure after installation.
o Photos of the mount after installation; if the mounts are at different rad elevations,
pictures must be provided for all elevations that equipment was installed.
• Photos taken at Mount Elevation
o Photos showing the safety climb wire rope above and below the mount prior to
installation.
o Photos showing the climbing facility and safety climb if present.
o Photos showing each individual sector after installation. Each entire sector shall be in
one photo to show the interconnection of members.
■ These photos shall also certify that the placement and geometry of the
equipment on the mount is as depicted in the antenna placement diagram in this
form.
o Photos that show the model number of each antenna and piece of equipment installed
per sector.
Antenna &equipment placement and Geometrnfirmation:
• The contractor shall certify that the antenna & equipment placement and geometry is in
accordance with the sketch and table as included in the mount analysis and noted below.
0 The contractor certifies that the photos support and the equipment on the mount is as depicted on
the sketch and table included in this form and with the mount analysis provided.
OR
0 The contractor notes that the equipment on the mount is not in accordance with the sketch and has
noted the differences below and provided photo documentation of any alterations.
Special Instructions/Validation as required tgjoe
deems necessary t ntified:
Issue:
Contractor to install the following mount(s)and part(s)per manufacturers' instruction and the sketch shown on page#12
of this report:
Site Prot RMQP-496-HK
(1)P263(OVP Pipe)+Appropriate Hardware for installing OVP Pipe
0 The contractor has read and acknowledges the above special instructions.
0 All hardware listed in the Special Instructions above (if applicable) has been properly
installed, and the existing hardware was inspected.
I]-`The material utilized was as specified in the SMART Tool engineering vendor Special Instructions
At ve (if applicable) and included in the material certification folder is a packing list or invoice for these
materials.
OR
El The material utilized was approved by a SMART Tool engineering vendor as an "equivalent"and this
approval is included as part of the contractor submission.
Comments:
0 Yes ❑ No
0 Yes ❑ No
0 Safety Climb in Good Condition ❑ Safety Climb Damaged
Company: JOY Inc
Employee Name: Dan Reed
Contact Phone: 360-865-8467
Email: daniel@joy.us.com
Date: 1/31/24
Structure: 5000875427-VZW-HARSTINE ISLAND
Sector: A 12/4/2023
Structure Type: Monopole 10215418 ES-
Plan
Mount Elev: 128.00 Page: 1
View
Svucture
t Front View-�re
Al R4 t
2 _
4 3 2 1
Height Width H Dist Pipe Pipe Ant O.Ant Ant
Ref# Model (in) (in) Frm L. 9 Pos V Pos Firm T H OR Status Validation
A2 NHH-65GR2B 96 11.9 94 2 a Front 48 -7.5 Added
A2 NHH-65GR2B 96 11.9 94 2 b Front 48 7.5 Added
R3 4449 15 13.2 94 2 a Behind 15 0 Added
R4 8843 15 13.2 56 3 a Behind 15 0 Added
Al AIR6449 30.8 16.1 18 4 a Front 16.2 0 Added
Copyr4 t 2019 by Tourer E.gi.ee-g S.kei..s:LLC.AA RgWa Resew d
Structure: 5000675427-VZW-HARSTINE ISLAND
Sector: B
Structure Type: Monopole 10215418 IES_
Mount Elev 128.00 Page:2
Plan View
0
Front View- g at Structure
,...�. _ .
Al R4 ° R
;- A2
ME7 m-1 1 1
Height Vtiidth H Dist Pipe Pipe Ant C Ant Ant
Ref# Model (in) on; Frm L. # Pos V Pos Firm T. H Off Status Validation
A2 NHH-65C-R2B 96 11.9 94 2 a Front 48 -7.5 Added
A2 NHH-65C-R2B 96 11.9 94 2 b Front 48 7.5 Added
R3 4449 15 13.2 94 2 a Behind 15 0 Added
R4 3343 15 13.2 56 3 a Behind is 0 Added
Al AIR6449 30.8 16.1 18 4 a Front 16.2 0 Added
Copyright 2Df 9 Ly—i b—,Engineering SoWonf,LLG.M RqA�Ream_J
Structure: 5000875427-VZW-HARSTINE ISLAND
Sector: C 12/4/2023 of 10
Structure Type: Paonopole 10215418 F�►7
Mount Elev: 128.00 Page:3
Plan View
Front View- Looking at Structure
Ra
Height Width H Dist Pipe Pipe Ant C.Ant Ant
Ref# Model (in) (in) Frm L 9 Pos V Pos Frm T H Off Status Validation
A2 NHH-65C-R2B 96 11.9 94 2 a Front 48 -7.5 Added
A2 NHH-65C-R26 96 11.9 94 2 b Front 48 75 Added
R3 4449 15 13.2 94 2 a Behind 15 C Added
R4 8643 15 13.2 56 3 a Behind 15 0 Added
At AIR6449 30.3 16.1 18 4 a Front 16.2 0 Added
Cepyrighr 2019 8y Tarer Engrreerrg SakOwna,LLC Air RgM-e Reaefmd
TES
A CONGRUEX COMPANY
v
ZX Site Pro 1 RMQP-496-HK
(1) P263 (OVP Pipe)
Attach with
appropriate hardware
owl
Mason County
Mason County - Division of Community Development
615 W. Alder St.
Building 8
Shelton, WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
FPROJECT
2-00090 NEW COMMERCIAL PERMIT
DESCRIPTION: CELL TOWER UPGRADE ISSUED: 06/16/2023
ESS: 2611 E HARSTINE ISLAND RD NORTH SHELTON
EXPIRES: 12/13/2023
PARCEL: 221354190021
APPLICANT: MACCONAGHY/VERIZON OWNER: MACCONAGHY/VERIZON
PO BOX 203469 PO BOX 203469
HOUSTON, TX 77216 HOUSTON, TX 77216
1.714.833.4100
VALUATIONS: FEES: Paid Due
Project Valuation (BID, 15000.00 $15,000.00 Planning Commercial Review $380.00 $0.00
ESTIMATION..) Fee
State Fee-Commercial $25.00 $0.00
Technology Surcharge $8.61 $0.00
Plan Check Fee $169.63 $0.00
Building Permit Fee $260.97 $0.00
Total: $15,000.00 Totals : $844.21 $0.00
REQUIRED INSPECTIONS
Progress Inspection BLD-Final Inspection
CONDITIONS
By definition, propane tanks and heatpumps are structures, which must meet setback conditions. Please check your
"Approved Site Plan"to ensure these structures meet the setback conditions listed.
* 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.
All property lines shall be clearly identified at the time of foundation inspection.
Printed by:Amber Selby on:06/16/2023 03:48 PM
Page 1 of 3
Mason County
Mason County - Division of Community Development
615 W. Alder St.
Building 8
Shelton, WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
NEW COMMERCIAL PERMIT COM2022-00090
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.
* 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.
* 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.
* 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.
* The foundation/footing must be placed on undisturbed, firm-native soil. Proper frost depth shall be observed below grade
in undisturbed soils.
* 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.
* 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.
* 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.
* When parcel development requires direct access to county road(s), a Road Access Permit or Approval must be granted by
the Mason County Department of Public Works. For more information contact Public Works, at (360) 427-9670, ext. 450 or
100 W Public Works Dr. Shelton. The building permit will not be finaled until the permit holder can show proof that the
access permit from Public Works has been finaled and approved.
* Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the
structure.
* When parcel development requires direct access to state road(s), a Road Access Permit or Approval must be granted and
approved by the Washington State Department of Transportation. For more information contact Washington State
Department of Transportation, at (206)357-2620, ext. 630.
* 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 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.
* 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.
Printed by:Amber Selby on:06/16/2023 03:48 PM
Page 2 of 3
Mason County
-. �.- . Mason County - Division of Community Development
615 W. Alder St.
Building 8
Shelton, WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
NEW COMMERCIAL PERMIT COM2022-00090
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. T e granting of�p it does not presume to give authority to violate or cancel
the provisions a y of er state/lo Isla "h`egulating construction or the performance of construction.
Issued B
Contractor or Authorized Agent: Date: It-2 0
Printed by:Amber Selby on:06/16/2023 03:48 PM
Page 3 of 3