HomeMy WebLinkAboutCOM2015-00090 Sprint Cell Tower Upgrades - COM Permit / Conditions - 7/14/2015 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line(360)427-7262
Phone: (360)427-9670, ext. 352
Mason County Bldg. III
426 W. Cedar
Shelton, WA 98584
IK54
COMMERCIAL BUILDING PERMIT COM2015-00090
OWNER: SPRINT/GLOTEL RECEIVED: 6/4/2015
CONTRACTOR: MONTI ELECTRIC 503-491-4909 LICENSE: MONTIE1985MH EXP: 7/8/2016 ISSUED: 7/14/2015
SITE ADDRESS: 19943 ESTATE ROUTE 3 ALLYN EXPIRES: 1/14/2016
PARCEL NUMBER: 122172200032
LEGAL DESCRIPTION: N 1/2 NW 1/4 EX ST R/W TR B SURVEY 9/137
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
Sprint Cell tower upgrade: SPRINT TO ADD 1 MW DISH 1
RADIO AND 2 CABLES TO EXISTING TOWER, NO CHANGE
IN HEIGHT
General Information Construction&Occupancy Information
No. of Units: Type of Constr.:
Type of Use: CELL TOWER Insp.Area: No. of Bathrooms: Occ. Group: U
Type of Work: ADD Fire Dist.: 5
Valuation: $ 15,500.00 No. of Stories: Exit Design. Load:
Building Height:
Pre-Manufactured Unit Information Square Footage Information
Make: Length: Lot Size:
Model: Width: Building:
Year: Serial No.: Basement: Parking Spaces:
Setback Information
Shoreline& Planning Information
Front: Ft. Shoreline: Ft.
Rear: Ft. Slope: Ft. Water Body: Shoreline Desig.:
Side 1: Ft. SEPA?: Comp. Plan Desig.:
Side 2: Ft.
Fire Protection System Information
Auto Fire Alarm System?: Emergency Key Box?: Standpipe?:
Auto Fire Sprinkler System?: Access Road?: Fire Extinguishers?:
Fixed Fire Suppression System?: Fire Hydrants?: Fire Lanes?:
COM2015-00090 Please refer to the following pages for conditions of this permit. Page 1 of 6
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
_ Plan Check Fee ARN Rldnm s ¢177 Al c77m 5nn
Building State Fee IAN Rld17rrts ,ta Fn s77n1..nn
Planning Review Fee ARN RIAM15 s Ain nn G77n1snn
Building Permit Fee .IRN wAl9mF r.7R,,75 -,77n1Fnn
Total $772.16
CASE NOTES FOR
COM2015-00090
CONDITIONS FOR
COM2015-00090
1) Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
2) The nmposal shall be in full compliance with the Mason County Cell Tower Ordinance#5-98(Revised by Ord. No. 53-04).
X `1I 7
The design of the equipment buildings and related structures shall,to the extent possible, use pals,colors, textures,screening and
landscaping that will blend the tower facilities to the natural setting and built environment.X --= _
3) All construction and demolition debris must be removed from the shore area after project completion. Proper dis��gqsal of construction debris must
be on land in such a manner that debris cannot enter or cause water quality degradation of State waters. X `1'j
4) Temporary erosion control measures must be implemented to prevent water quality degradation of adjacent waters or roperties. Silt fencing,
straw, or surface matting must be installed and maintained until upland vegetation has become established. X ,, `�
COM2015-00090 Page 2 of 6
5) The following special conditions should be made a part of the building permit:
1. Electrical Permit Required. The electrical system shall be installed under a separate electrical permit issued by the Washington State
Department Qf�bor& Industries(L&I). Electrical"final" inspections must be approved by L&I prior to requesting a building final.
X �
2. Special Inspection: IBC Chapter 17, Section 1704. In addition to the inspections required by IBC Section 109, the owner or the engineer or
architect of record acting as the owner's agent shall employ one or more special inspectors who shall provide inspections during construction on
the types of work listed under IBC Section 1705. The special inspectors'duties&responsibilities shall be as specified in 1704.All special inspection
reports shall be provided to the Mason County Building Department in accordance with IBC 1704.2.4. Prior to final inspection,the special
inspection agency shall also provide a final, signed report to the building department stating that all items requiring special inspection and testing
were fulfilled and reported, corrections of any discrepancies has been completed,and, to the best of their knowledge, are in conformance with the
approved d signs drawings, specifications,and applicable provisions of the code.
X
3. Special Inspection Contractor Responsibilities.Third-Party Special Inspection is required in accordance with IBC Sections 1704& 1705 for the
items identified in the Statement of Special Inspections (as required by IBC Section 1704.3). In accordance with IBC Section 1704.4, each
contractor responsible for the construction of the work listed in the statement of special inspections shall submit a written statement of responsibility
to the building official and the owner prior to the commencement of work on the system or component.The contractor's statement of responsibility
shall conta)9 acknowledgment of awareness of the special requirements contained in the statement of special inspections.
X
4.All Construction:All construction shall meet or exceed all local ordinances and the requirements of the 2012 International Codes as adopted by
Mason County and Washington State. Occupancy is limited to the approved and permitted classification.Any non-approved change of use or
X cupan xcould result in permit revocation and/or Code Enforcement action.
1
5. Field Correct:The construction of the permitted project is subject to inspections by Mason County Building Department.All construction must be
in conformance with the 2012 Intemational Codes as adopted by Mason County and Washington State.Any corrections, changes or alterations
requira building or fire inspector shall be made prior to requesting additional inspections.
X v.
6. Final Inspection Required: All building permits shall have a final inspection performed and approved by the Mason County Building Department
prior to permit expiration. The failure to request a final inspection or failure to obtain final approval prior to expiration will be documented in the legal
property records on file with Mason County as being non-compliant with the city's ordinances and building regulations and may be referred to the
City Att for action.
X
7. Permit Validity: IBC 105.4/IRC R105.4:The issuance or granting of a permit shall not be construed to be a permit for,or an approval of, any
violation of any of the provisions of the building code, or any other code or ordinance of Mason County. Permits presuming to give authority to
violate or cancel the provisions of the building code or other ordinances of the jurisdiction shall not be valid.The issuance of a permit based on
construction documents and other data shall not prevent the building official from requiring correction of errors in the construction documents and
other data. The building official is also authorized to prevent occupancy or use of a structure where in violation of this code or of any other
ordinances o this jurisdiction.
X
8. Permit Expiration: All permits expire 180 days after permit issuance,or 180 days after the last inspection activity is performed.The Building
Official may extend the time for action for a period not exceeding 180 days, upon the receipt of a written extension request indicating that
COM2015-00090 Page 3 of 6
circumstance b and the control of the permit holder have prevented action from being taken.
X v�
9. Engineering or Architecture: 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, or changes are made without approval from the architect or engineer
and the Building Official, approval will not be granted, and a re-inspection fee may be charged by Mason County prior to any further inspections
being perform"pprovals granted.
10.Sales Taxes:This work is being done in Mason County. All sales tax for materials delivered to, or work performed in Mason County shall be
sourced to Mason County. Prior to final approval,a completed supplier/sub-contractor list may be requested by Mason County to identify suppliers
that delivered mateMis to the project site, and sub-contractors who performed work on the site.
X n
6) All other necessary permits from Mason County,Washington State and/or Federal Agencies tha�t ar required for this proposed development and
construction must be obtained PRIOR TO SAME DEVELOPMENT AND CONSTRUCTION. X__�_?
7) 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 1-8My
2. The person signing this condition is either the homeowner,agent for the owner or a registered contractor according to
WA state law.
8) All approved plans are required to be on-site for inspection purposes. If inspection is called for and plans are not on site,Approval WILL NOT be
granted. In addition, a reinspection fee, based on the current fee schedule, minimum one-hour will be charged and collected by the Mason County
Building Department prior to any further inspections being performed or approvals granted.X
9) Owner/Agent is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title
14.2b�
X
10) The approved site plan is required to be on-site for inspection purposes. If inspection is called for and the site plan is not on site, Approval WILL
NOT be granted. In addition,a reinspection fee, based on the current fee schedule, minimum one-hour will be charged and collected by the Mason
County&uing Department prior to any further inspections being performed or approvals granted.
X �)
11) 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 ay affect your project.
u/ icm
X e
12) ALL SURFACE WATER AND POTENTIAL RUNOFF WILL BE CONTROLLED ON SITE AND SHALL NOT ADVERSLY AFFECT ANY ADJACENT
PROPERTIES NOR INCREASE THE VELOCITY FLOW ENTERING OR ABUTTING TO ANY STATE OR COUNTY CULVERTING/DITCHING
SYSTE O�ROAD WAY.
X4, �j
COM2015-00090 Page 4 of 6
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 pen-nit/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.
Slgnafure Date
� a N C- � �C" OWNER - REPRESENTATIVE - CONTRACTOR
Print Name (Circle one to indicate)
COM2015-00090 Page 5 of 6
L;
mP�S CpUNTA MASON COUNTY L °® �� ermit No: DJ O
DEPARTMENT OF COMMUNITY DEVELOPMENT
BUILDING•PLANNING•FIRE MARSHAL (360)427-9670 Shelton ext.352
http://www.co.mason.wa.us/community dev/ (360)275-4467 Belfair ext.352
ixu 426 W Cedar Street,Shelton WA 98584 (360)482-5269 Elma ext.352
BUILDING PERMIT APPLICATION Allan l V— 1V
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME.. Heather Murphy NAME:Monti Electric
MAILING ADDRESS: 716 Dennis St Se*43 MAILING ADDRESS:PO box 220
CITY:Tumwater STATE: WA ZIP: 98501 CITY: Troutdale STATE: OR ZIP: 97060
PHONE: CELL: PHONE: 503 491 4909 CELL:
EMAIL: EMAIL:
L&I REG# MONTIE1985MH EXP.
CONTACT: OWNER❑ CONTRACTOR® BELOW❑
NAME: Daniel Baum MAILING ADDRESS: 15375 Se 30th PI ste 160
CITY: Bellevue STATE: WA ZIP: 98007 PHONE: 206 6 0 CELL:
EMAIL: dbaum@glotelinc.com
PARCEL INFORMATION: i a OL(V1-}- SI GJDO
PARCEL NUMBER(12 DIGIT NUMBER) 12217-22-00032 FIRE DISTRICT RECEIVED
LEGAL DESCRIPTION(ABBREVIATED): Survey 97137
SITE ADDRESS 19943 E State Rte 3 CITY Allyn WA 98524 SUN 0 4 2015
DIRECTIONS TO SITE ADDRESS see dwgs
IS PROPERTY WITHIN 200 FT: 426 W. CEDAR S T
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
DOES PROPERTY HAVE SLOPE(S)WITHIN 300 FT OF THE PROJECT-GREATER THAN 14% YES❑ NO[jt
TYPE OF JOB: NEW ❑ ADDITION ® ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(REsmENcE,GARAGE Erc.) TelecomM facility CIO TW.AA -
IS USE: PRIMARY® SEASONAL NUMBER OF BEDROOMS NUMBER OF BATHROOMS
DESCRIBE WORK Sprint to add 1 dish 1 radio and 2 cables to exis ing ower-no change in height
SQUARE FOOTAGE:
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.ft. OTHER sq.ft.
GARAGE sq.ft. ATTACHED❑ DETACHED❑ CARPORT sq.ft. ATTACHED❑ DETACHED❑
MANUFACTURED HO INFORMATION--`� *4 COPIES OF THE FLOOR PLAN REOUIRED
MAKE i MODEL YEAR LENGTH
WIDT BEDR MS- 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&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)
ignature of 8WN=4J ✓+- Date
DEPARTMENTAL REVIEW APPROVE DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
FEE'S TOTAL VALUAT
BUILDING PERMIT FEE FIRE ACCESS AND GRADE
PLAN REVIEW GEO-TECH REVIEW
PLUMBING&BASE FEE STORMWATER REVIEW
MECHANICAL&BASE FEE TOTAL FEES
WOOD/GAS/PELLET STOVE VIOLATION INVESTIGATION FEE
PLANNING REVIEW FEE VIOLATION FEE
' n m 2-01 - o
MASON COUNTY Permit No:&#I
DEPARTMENT OF COMMUNITY DEVELOPMENT
BUILDING•PLANNING•FIRE MARSHAL (360)427-9670 Shelton ext.352
htto://www.co.mason.wa.us/community dev/ (360)275-4467 Belfair ext.352
,X;_, 42 W Cedar Street,Shelton WA 98584 (360)482-5269 Elma ext.352
��nt tj 1U-k- 1 BUILDING PERMIT APPLICATION
PROEUa~NER INFORMATION: CONTRACTOR INFORMATION:
NAME: Heather Murphy NAME:Monti Electric
MAILING ADDRESS: 716 Dennis St Se#43 MAILING ADDRESS:PO box 220
CITY:Tumwater STATE: WA ZIP: 985ul CITY: Troutdale STATE: OR ZIP: 97060
PHONE: CELL: PHONE: 503 491 4909 CELL:
EMAIL: EMAIL:
L&I REG# MONTIE1985MH EXP.
CONTACT: OWNER❑ CONTRACTOR N BELOW❑
NAME: Daniel Baum MAILING ADDRESS: 15375 Se 30th PI ste 160
CITY: Bellevue STATE: WA ZIP: 98007 PHONE: 206 6618053 CELL:
EMAIL: dbaum@glotelinc.com
PARCEL INFORMATION:
PARCEL NUMBER(12 DIGIT NUMBER) 12217-22-00032 FIRE DISTRICT .jL .LIVED
LEGAL DESCRIPTION(ABBREVIATED): Survey 137
SITE ADDRESS 19943 E State Rte 3 CITY yn WA 98524 ) N O t, 2n1C
DIRECTIONS TO SITE ADDRESS see wgs 't U J
IS PROPERTY WITHIN 200 FT: 4 6 v. C c:D A R S T.
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
DOES PROPERTY HAVE SLOPE(S)WITHIN 300 FT OF THE PROJECT-GREATER THAN 14% YES[] NO[j[
TYPE OF JOB: NEW ❑ ADDITION ® ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(REsiDENCE,GARAGE ETc.) TelecomM facility TM�r _
IS USE: PRIMARY[R SEASONAL NUMBER OF BEDROOMS NUMBER OF BATHROOMS
DESCRIBE WORK Sprint to add 1 dish 1 radio and 2 cables to exist g fower-no change in height
SOUARE FOOTAGE:
I ST 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.E
GARAGE sq.ft. ATTACHED❑ DETACHED❑ CARPORT sq.ft. ATTACHED❑ DETACHED❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REOUIRED
MAKE MODEL YEAR LENGTH
WIDT41- 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 W
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 O
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) O J N
X 0o
ignature of .4bW Date p O
r j r
DEPARTMENTAL REVIEW APPROVE DATE DENIED DATE TAGS/NOTES/CONDITIONS
N
N
UJ
BUILDING DEPARTMENT '
N I.- ti
PLANNING DEPARTMENT ® N
FIRE MARSHAL Q -J N
FEE'S TOTAL VALUATION: C?
BUILDING PERMIT FEE FIRE ACCESS AND GRADE I—
PLAN REVIEW GEO-TECH REVIEW Z
PLUMBING&BASE FEE STORMWATER REVIEW
MECHANICAL&BASE FEE TOTAL FEES 0.
WOOD/GAS/PELLET STOVE VIOLATION INVESTIGATION FEE
PLANNING REVIEW FEE VIOLATION FEE
/Uv LI-t-
A. COM 20i5- 00D?0
_ ON CQTU_TY RESEDF_N AL PLATS SlUBI��ITTA.L CHECKLIST
Owner'sNmne. Date ��I ReNdewed By.
Dacuments:
B70ding Permit Application Completed water
Tatake Checklist Completed,
Site plan includes:Allowable bmId�ing area,roof ov decks,etc.
_Fire Apparatus Access Road info regoaed? YeA
Code Application Form-O Elwtdc wall heater O Electric central fimace O T PG F=na= ,
O Heat p=3p with electric fume O Heat pump with LPG fis=ace O Boller(heat type
O Dacdess Heat Pump O Other.Specify.
.. — ;Ilan 1Phanbing Applicatim- WATERHEAT'r-'R FUEL TYPEU)CATION
_Engiae exing? Yes/No Snow load: Seismic:_D2_
Stock Plan-approved snow load. Seismic: D2
�cacurac ed Homes- PLAINS
Fo on Type: SUNtanufacture En eered fo0,tM* g/fo Basefnefft
"'Decks: Covered? erect over 4 g 6 and over "? nstraction plans required.
�7onsiructfon Plans:_✓COMPLETE SETS
.rPl.ans Legible _Recognized Scale _Elevation Views _Cross Section
_Foundation Plan _Roof Framing Plan _Floor Plan-Use of rooms noted(all floors)
_Floor Framing Plan-all floor levels including lo% crawlspace,etc. (Q00 S F. 7?-sinirs?)
Deck Framing Plan,incl cov.porch frig RECEIVED
°Im Det '. • �U� � � 2���
R.00f framing d_-t aD s truss lay-out may be needed a-� raer and gi location shown)
Wall Framing-Does bearing-wall height e--teed 10'?(Engineerka may be required)_ 42 6 W. rF f i A p e J
Floor framing: Floor}oists(size&spacing): ,Floor beams:
Wmdow headers. Typical header. Garage header.
Foundation:footing size,reinformment
Concrete Walls-Does Concrete Wall Height Face-ed 8'?(Enghwaing may be required see details)
Landings at all exits?Less than 30-above grade?Y/N
H6a±ed By Fm ss ce,-Lon=on ofF,,u7=e Fuel type:
Fireplace/Stove Iaformaidon Shown-Fuel Tvpe? Location(s):
W endow Sizes Marked on Plans
Braced wall panels(shear waIIs)marked on plans or lateral engmeeg?
IT'S:
Gil 4A
ENGLitTE3II4G REQUIRED ���Braced wall pan6ls/bram wall lines are not marked on plans(R602 10)
Amount and loraiion of bracing does not meet minnn.um required m Table R60210.1
DESIGN CR MUTA: AM notes and detach regmred as a result of the'en�eered analysis shall be trausieu 6d onto�proposed
Mading plans. Wind 85 MPH, E�osure B (unless proven otherwise). Seismic Zone: ,Snow_gait
1RREGUZAR BUILDINGS R301222 2
Isegvlar portions of stnc Ores shall be designed m accordance,wth accepted ease mmg,practice. A portion of a building shall be
considered to be=galar when one or more of'the following conditions occr. -
1)Extmix braced wall hot or BWP cantilevm5d or octet by more than 4'
2)Roof or moor is not laterally supported on all ewes
2A)Pordon of roof or$Aor a lend more than 6 ft beyond the b�ced wall line.
3)End of B WP e•timcls more than 1 L over an opening more than 8 ft in width below.
4) Opening in a floor or roof exceed the lesser of 12 fL or 50%of the bast floor or roof,dimension.
07 Portions of floor level are o$set vertically
6) Shear waIl lines do not occur in two pMp udicslar directions.
7 When a story above grade is includes masonry or concrete construction(=c:freplaces, chimneys,and veneer).
When this applies the enttre stay shall be desiged_in accordance with accepted Qgin6ering practice.
tst tech binding ch6cklistdoc ReSdsed 11-25-2007
' PLANNING 0111M
- PBON co
MASON COUNTY Permit NoAlomb),fv OVe
DEPARTMENT OF COMMUNITY DEVELOPMENT
BUILDING•PLANNING•FIRVMARSHAL (360)427-9670 Shelton ext.352
http://www.co.mason.wa.us/community dev/ (360)275-4467 Belfair ext.352
1851 426 W Cedar Street,Shelton WA 98584 (360)482-5269 Ehna ext.352
BUILDING PERMIT APPLICATION ! G
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: Heather Murphy NAME:Monti Electric
MAILING ADDRESS: 716 Dennis St Se#43 MAILING ADDRESS:PO box 220
CITY:Tumwater STATE: WA zip: CITY: Troutdale STATE: OR ZIP: 97060
PHONE: CELL: PHONE: 503 4914909 CELL:
EMAIL: EMAIL:
L&I REG# MONTIE1985MH EXP.
CONTACT: OWNER❑ CONTRACTOR® BELOW❑
NAME; Daniel Baum MAILING ADDRESS: 15375 Se 30th PI ste 160
CITY: Bellevue STATE: WA ZIP: 98007 PHONE: 206 6618053 CELL:
EMAIL: dbaum@glotelinc.com
PARCEL INFORMATION: i "''xf
PARCEL NUMBER(12DIGIT NUMBER) 12217-22-00032 FIRE DISTRICT ,.L• E I V E D
LEGAL DESCRIPTION(ABBREVIATED): urvey l37
SITE ADDRESS 19943 E State Rte 3 CITY Allyn WA 98524 I I (1 1.4 �f fl��
DIRECTIONS TO SITE ADDRESS see wgs J U U LU
IS PROPERTY WITHIN 200 FT: 426 wl\?. C L:D A R S T.
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
DOES PROPERTY HAVE SLOPE(S)WITHIN 300 FT OF THE PROJECT-GREATER THAN 14% YES❑ NO 13c
TYPE OF JOB: NEW ❑ ADDITION ® ALTERATION❑ REPAIR❑ ,rOTHER ❑
USE OF STRUCTURE(FmiDENCE,GmtAGEEre.) m TelecoM facility CLO
IS USE: PRIMARY® SEASONAL❑� NUMBER OF BEDROOMS NUMBER OF BATHROOMS
DESCRIBE WORK Sprint to add 1 MW dish 1 radio and 2 cables to exisfi g Power-no change in height
SOUARE FOOTAGE:
1 ST FLOOR sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.ft. COVERED DECK sq.&STORAGE sq.R OTHER sq.ft.
GARAGE sq.& ATTACHED❑ DETACHED❑ CARPORT sq.ft. ATTACHED❑ DETACHED❑
MANUFACTURED HOMi INFORMATION: •4 COPIES OF THE FLOOR PLAN REOUIRED
MAKE MODEL YEAR LENGTH
WIDTW-- 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&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
ignature of OVPM 44&j f— Date
DEPARTMENTAL REVIEW APPROVE DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
FEE'S TOTAL VALUATION:
BUILDING PERMIT FEE FIRE ACCESS AND GRADE
PLAN REVIEW GEO-TECH REVIEW
PLUMBING&BASE FEE STORMWATER REVIEW
MECHANICAL&BASE FEE TOTAL FEES
WOOD/GAS/PELLET STOVE VIOLATION INVESTIGATION FEE
PLANNING REVIEW FEE VIOLATION FEE
CODEPROs
July 9, 2015
Mason County DCD
Barbara A. Adkins, Director
426 West Cedar Street
Shelton, WA 98584
Re: Building Permit# COM2015-00090, 19943 E. State Route 3.
Occupancy Group: U
Construction Type: V-B-Tower
Occupant Load: No occupancy
Dear Ms. Adkins,
The construction plans for the Sprint/American Tower Cell Tower Antenna Alterations
have been reviewed for compliance with the 2012 International Building Code as
adopted by the State of Washington, as well as any locally adopted amendments to the
codes.
The construction plans have been found to be in substantial compliance with the
adopted codes, and provided the special conditions identified below are incorporated
into the building permit, we recommend approval of the construction documents in
accordance with IBC Section 107.3.1.
The following special conditions should be made a part of the building permit:
1. Electrical Permit Required. The electrical system shall be installed under a
separate electrical permit issued by the Washington State Department of Labor &
Industries (L&I). Electrical "final" inspections must be approved by L&I prior to
requesting a building final.
2. Special Inspection: IBC Chapter 17, Section 1704. In addition to the inspections
required by IBC Section 109, the owner or the engineer or architect of record
acting as the owner's agent shall employ one or more special inspectors who
shall provide inspections during construction on the types of work listed under
IBC Section 1705. The special inspectors' duties & responsibilities shall be as
specified in 1704. All special inspection reports shall be provided to the Mason
County Building Department in accordance with IBC 1704.2.4. Prior to final
inspection, the special inspection agency shall also provide a final, signed report
to the building department stating that all items requiring special inspection and
testing were fulfilled and reported, corrections of any discrepancies has been
completed, and, to the best of their knowledge, are in conformance with the
approved design drawings, specifications, and applicable provisions of the code.
God&Q ,uC Page I of 3 P.O.Box 185
Allyn,WA 98524
CodeProsWA.com
3. Special Inspection Contractor Responsibilities. Third-Party Special
Inspection is required in accordance with IBC Sections 1704 & 1705 for the items
identified in the Statement of Special Inspections (as required by IBC Section
1704.3). In accordance with IBC Section 1704.4, each contractor responsible for
the construction of the work listed in the statement of special inspections shall
submit a written statement of responsibility to the building official and the owner
prior to the commencement of work on the system or component. The
contractor's statement of responsibility shall contain acknowledgment of
awareness of the special requirements contained in the statement of special
inspections.
4. All Construction: All construction shall meet or exceed all local ordinances and
the requirements of the 2012 International Codes as adopted by Mason County
and Washington State. Occupancy is limited to the approved and permitted
classification. Any non-approved change of use or occupancy could result in
permit revocation and/or Code Enforcement action.
5. Field Correct: The construction of the permitted project is subject to inspections
by Mason County Building Department. All construction must be in conformance
with the 2012 International Codes as adopted by Mason County and Washington
State. Any corrections, changes or alterations required by a building or fire
inspector shall be made prior to requesting additional inspections.
6. Final Inspection Required: All building permits shall have a final inspection
performed and approved by the Mason County Building Department prior to
permit expiration. The failure to request a final inspection or failure to obtain final
approval prior to expiration will be documented in the legal property records on
file with Mason County as being non-compliant with the city's ordinances and
building regulations and may be referred to the City Attorney for action.
7. Permit Validity: IBC 105.4/IRC R105.4: The issuance or granting of a permit
shall not be construed to be a permit for, or an approval of, any violation of any of
the provisions of the building code, or any other code or ordinance of Mason
County. Permits presuming to give authority to violate or cancel the provisions of
the building code or other ordinances of the jurisdiction shall not be valid. The
issuance of a permit based on construction documents and other data shall not
prevent the building official from requiring correction of errors in the construction
documents and other data. The building official is also authorized to prevent
occupancy or use of a structure where in violation of this code or of any other
ordinances of this jurisdiction.
8. Permit Expiration: All permits expire 180 days after permit issuance, or 180
days after the last inspection activity is performed. The Building Official may
extend the time for action for a period not exceeding 180 days, upon the receipt
of a written extension request indicating that circumstances beyond the control of
the permit holder have prevented action from being taken.
9. Engineering or Architecture: 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, or changes are made without
Codol)m&IIC Page 2 of 3 P.O.Box 185
Allyn,WA 98524
CodeProsWA.com
approval from the architect or engineer and the Building Official, approval will not
be granted, and a re-inspection fee may be charged by Mason County prior to
any further inspections being performed or approvals granted.
10.Sales Taxes: This work is being done in Mason County. All sales tax for
materials delivered to, or work performed in Mason County shall be sourced to
Mason County. Prior to final approval, a completed supplier/sub-contractor list
may be requested by Mason County to identify suppliers that delivered materials
to the project site, and sub-contractors who performed work on the site.
It has been our pleasure to work with you on this project with our mutual desire for
safety in the built environment. If you have questions or concerns, please contact
CodePros at 360-801-0543, or contact me directly at mbarth _codeproswa.com .
Sincerely,
Michael Barth, M.C.P.
Building Code Consultant
Code N&u.0
cc:file
CON91m,uC Page 3 of 3 P.O.Box 185
Allyn,WA 98524
CodeProsWA.com
EXISTING GRAVEL ' /� 20)5-
PLAIN
ACCESS ROAD
k �—� Sprint
\ / EXISTING
DOUBLE SWING
GATE ' I
I
X f k X I I
VXX X - XXX - XX
NATIONAL
j` 1 1
X I ?` ENGINEERING&CONSULTING.INC
7
EXISTING H—FRAME MOUNTED EXISTING POWER
X EQUIPMENT X TRANSFORMER
1
o
T X X f �
o EXISTING SPRINT TELCO y_11-
a BACKBOARD
J EXISTING 6'-0" CHAIN LINK EXISTING SPRINT \ �F�1\: 401�' e'Y
FENCE WITH BARBED WIRE EXISTING SPRINT EQUIPMENT SHELTER \ 10 PRESI DENTIAL WAY
X
N X MMBS CABINET '
ILI EXISTING POINT OF 0 WOBURN,MA 01801
INGRESS AND EGRESS
EXISTING SPRINT AC - REVISIONS
w �� �� X DISTRIBUTION PANEL EXISTING GRAVEL �4 REV. DATE DESCRIPTION INITIALS
X I / I ACCESS ROAD
I� I EXISTING SPRINT AC DISC 0 D4/25/15 90% CD'S FO
EXISTING SPRINT AC 1 05/06/15 100% CO'S AS
SUB-PANEL \
o X � X
w EXISTING PAD MOUNTED EXISTING SPRINT BBU
S GENERATOR BY OTHERS H CABINET
EXISTING -FRAME MOUNTED a
EQUIPMENT BY OTHERS
EXISTING SPRINT
X NEW SPRINT (2) CATSe CABLES X UNSECURED CABINET
= TO FOLLOW EXISTING CABLE a
3 ROUTE
E eEXISTING SPRINT ENTRY
A_4 PORT
a X a X
F I EXISTING EQUIPMENT PAD NOT FOR CONSTRUCTION UNLESS
BY OTHERS LABELED AS CONSTRUCTION SET
C a pop
W g v
~O
c X EXISTING SPRINT GPS oveovo �� X
N ANTENNA
0
EXISTING PAD MOUNTED
_N EQUIPMENT CABINETS BT OTHERS i 1 i APN:12217-22-00032
i�
EXISTING SPRINT ICE BRIDGE 1 X s T E p,
o X WITH (3) HYBRID AND (5) i� 1 EXISTING MONOPOLE `'� - ``
m I COAX CABLES -
1 m
� ..............................
0000,vonovvvvvo°'vno � ovv'oo � O
eovvevevuvvavvvvvevvvevevv"evvvuv"vvvvv"vvuvuvvvva v vvo vovvo
X vnv i X � FO`NL�oO
�
-EXISTING ICE BRIDGE BY
z EXISTING PAD MOUNTED OTHERS M1 1 \ exrur><:os/o5/zols
PROPANE TANK BY OTHERS �♦ 1
05/06/20
DATE:
w `�♦ 1 "1 HEREBY CERTIFY THAT THESE PLANS
n X x Y. x Y. Y. X b X � ! WERE PREPARED BY ME OR UNDER MY
o '�";"� M1/ DIRECT SUPERVISION AND THAT I AM A
DULY REGISTERED ENGINEER UNDER THE
v O
/ LAWS OF THE STATE OF WASHINGTON'
NEW SPRINT MICROWAVE
z DISH & ODU LOCATION
' /`
g "�/� A'3 I SE72XLOYNM15.1
19943 E. STATE RTE 3
APPROVED ALLYN, WA 98524
EXISTING SPRINT I
MASON COUNTY DCD PLANNING
ANTENNA SITE PLAN REQUIRED TO BE ON SITE SHEET TITLE
LEASE AREA CHANGES SUBJECT TO APPROVAL DECEIVED SITE PLAN
rn REFER TO SHEET A-2 FOR D8� ENLARGED
....-._...»ti..o�OREE INFORMATION `. By
z NOTES JUN 0 4 2015 SITE PLAN
1. THE BASE DRAWINGS SHOWN HEREIN HAVE BEEN PROVIDED BY SPRINT.z 2. G.C. TO PROVIDE MOUNTS OR ADDITIONAL HARDWARE IF REQUIRED TO SUPPORT NEW ANTENNAS. ALL ANTENNAS & MOUNTING HARDWARE SHALL CONFORM TO DESIGN G
a REOUIREMENTS PER 2012 IBC / 2013 CBC AND EIA/TLA-222-G STRUCTURAL STANDARDS FOR STEEL ANTENNA TOWERS AND ANTENNA SUPPORTING STRUCTURES. BASIC V Y V, CEDAR S T.
WIND SPEED 110 MPH, 3 SECOND GUST.
1At
0 3. AZIMUTHS INFO TAKEN FROM SPRINT RF SITE DESIGN DATA TOWER HEIGHTS AND ANTENNA HEIGHTS ARE TAKEN FROM LATEST TOWER SURVEY AVAILABLE.
Z 4. IT IS THE CONTRACTOR'S RESPONSIBILITY TO CONFIRM WITH THE CUENT PROJECT MANAGER (LISTED ON SHEET T-1) THAT THEY HAVE THE MOST RECENT VERSION OF THE SHEET NUMBER
o STRUCTURAL ANALYSIS BEFORE COMMENCING WORK. D a
5. LAYOUT FOR REFERENCE PURPOSES ONLY. CONTRACTOR RESPONSIBLE TO DETERMINE IF THE NEW ANTENNA CAN BE SAFELY AND PHYSICALLY INSTALLED ON EXISTING/NEW
ANTENNA MOUNT.
6. STRUCTURAL ANALYSIS TO BE COMPLETED BY OTHERS. NORTH NORTH A
Z
ENLARGED SITE PLAN ram--;. 1/4=11- 4 SITE PLAN D�`�o, 1 So: 1