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HomeMy WebLinkAboutCOM2013-00099 Modify Tower with Panel Antennas - COM Permit / Conditions - 10/31/2013 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line(360)427-7262 Mason County Bldg. 3 426 W. Cedar P.O. Box 186 Phone: (360)427-9670, ext. 352 Shelton, WA 98584 i� COMMERCIAL BUILDING PERMIT COM2013-00099 OWNER: WESTOWER COMMUNICATIONS RECEIVED: 10/3/2013 CONTRACTOR: LICENSE: EXP: ISSUED: 10/31/201: SITE ADDRESS: 300 W CHAPPELL CROSSING SHELTON EXPIRES: 4/30/2014 PARCEL NUMBER: 420163290300 LEGAL DESCRIPTION: NW SW EX LOT: C OF SP#2693 PROJECT DESCRIPTION: DIRECTIONS TO SITE: MODIFY EXISTING TOWER W/ PANELANTENNAS, RRH SHELTON MATLOCK RD, R ON CHAPPELL CROSSING TO SITE ADDRESS UNITS,SURGE UNITAND CABINET TO EXISTING (OL42) ON THE RIGHT SIDE General Information Construction&Occupancy Information Type of Use: CELL TOWER Insp.Area: No. of Units: Type of Constr.: Type of Work: ALT Fire Dist.: 16 No. of Bathrooms: Occ. Group: Valuation: $ 15,000.00 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:na Shoreline Desig.: Not Applicable Side 1: Ft. SEPA?:Yes Comp. Plan Desig.: Rural 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?: Please refer to the following pages for conditions of this permit. COM2013-00099 Page 1 of 5 � t Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Plan Check Fee rMM 1n/Q/9n1 i �t1Fi� 21 C1gn1 Ann Planning Review Fee r.mm 1 n/Q/7n1 t nn g19n11Ann Building State Fee I Aw 1n/gR/gn1 4d sn g99ni inn Building Permit Fee I Aw lnnannl A951 9c; g99ni inn Total $749.06 CASE NOTES FOR COM2013-00099 CONDITIONS FOR COM2013-00099 1) Ap r ved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. X 2) 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 SYS) R ROAD WAY. X 3) By definition, propane tanks and heatpumps are structures, which must meet setback conditions. Please check your"Approved Site Plan" to ensure 1th11ese structures meet the setback conditions listed. 1- X ' ! ' 4) Landings and stairs must meet the same setback conditions as any permitted structure; and, must be shown on your site plan. Please check your "Apprgvfi ite Plan" to ensure these structures are shown and meet the setback conditions listed. X �¢} 5) Prior to final approval, all upland areas disturbed or newly Created by construction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt fencing or straw matting). X M 6) Project must meet or exceed standards and regulations of FAA, the FCC and any other agency of the federal government with authority to regulate towers and antennas. If such standards are changed, then the owners of the tower and antennas, governed by Mason County Ordinance No. 53-08, shall bring such tower and antennas into compliance within six (6) months of th!!LEneftive date of such standards and regulations unless a more stringent compliance schedule is mandated by the controlling federal agency. X 7) To ensure structural integrity of the tower, the owner of the tower shall ensure that it is maintained in compliance with standards contained in the applicable Mason County Building Codes and the applicable standards for towers that are published by the Electronic Industries Association, as amended. If, upon inspection, the governing authority concludes that the tower fails to comply with such codes and standards and constitutes a danger to persons or property, then upon notice, of being provided to owner of the tower, the owner shall have thirty days to bring such tower into compliance wih such standards. If the o fails to bring such tower into compliance within said thirty days, the governing authority may remove such tower at the owner's expense. X COM2013-00099 Page 2 of 5 8) 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 1-800-1149982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X -1- 9) 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\IiTI&charged and collected by the Mason County Building Department prior to any further inspections being performed or approvals granted. X 10) 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� X 11) In addition to the inspections required in IBC, Section 109, the owner, 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 Chapter 17 and as specified by the design professional. The special inspectors duties & responsibilities shall be as specified in Chapter 17. Special inspection reports shall be submitted to the Mason County Building Department, PO Box 186, Shelton WA 98584 and available for inspection. Inspection reports shall be completed and submitted to the dept. in a timely manner and shall be submitted prior to the framing and fin o c pancy inspections. X r 12) Any changes in construction shall be reviewed by engineer of record and submitted in writing to the Mason County Building Department prior to construction. All engineering documents are a part of the approved set of plans and must remain attached thereto. If engineering documents are i removed, approval will not be granted. In addition, a reinspection fee, based on the current fee schedule, minimum one-hour will be charged and col by the Mason County Building Department prior to any further inspections being performed or approvals granted. 13) Changes to approved building plans that affect compliance to the current Washington State Energy Code (WSEC), ventilation requirements), BuMlumbing/Mechanical Codes and/or Mason County Regulations shall be approved prior to construction. X 14) 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 Maso ounty Building Inspector shall be made prior to requesting additional inspections. X 15) 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 to obtain approval will be documented in the legal property records on file with Mason County as being non- p iant with Mason County ordinances and building regulations. X 16) 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 X **jf nit holder have prevented action from being taken. No more than one extension may be granted. COM2013-00099 Page 3 of 5 This permit becomes null and void if work or construction authorized is not commenced within 180 days, or if construction or work is suspended for a period of 180 days at any time after work is commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection must be approved before building can be occupied. Proof of continuation of work is by means of a progress inspection.The owner or the agent on the owners behalf, represents that the information provided is accurate and grants emplo of Ma on Cou�tothescribed property and structure for review and inspection. OWNER ORAGEN : DATE: 16 LI COM2013-00099 Page 4 of 5 eo co MASON COUNTY PERMIT NO. DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING a PLANNING a FIRE MARSHAL -i( "GI�, T) _ WWW.CO.MASON.WAUS (360)427-9670 Shelton ext.352 Mason County Bldg.III,426 West Cedar Street (360)275-4467 Belfair ext.352 rxs•r� y PO Box 279,Shelton,WA 98584 (360)482-5269 Elma ext. 352)C` Q 9 2013 BUILDING PERMIT APPLICATION 12F W. CEDAR ST OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: rArvVaRga eovdlhNAME: MAILING AD RES8:' 6O ZO /0U.JW M4cK MAILING ADDRESS: CITY: Sys(+o►, STATE:_ZIPS R CITY: STATE: ZIP: PHONE: %2�1-S 1 2 y4of-tELL: PHONE: CELL: EMAIL: EMAIL: L&I REG# EXP. PARCEL INFORMATION: rr/ PARCEL NUMBER(12 DIGIT NUMBER) l 6'�-1 U 3 o O FIRE DISTRICT LEGAL DESCRIPTION(ABBREVIATFD.) D OF SITE ADDRESS_ _UJ_. 1 Q, CITY }o h DIRECTIONS TO SITE ADDRESS Wp- f- �yeN1 !'��dln (cf.ld•d h--MIA jer k CrTv_1jr iA aln ba IS PROPERTY WITHIN 200 FT-.- SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ DOES PROPERTY HAVE SLOPE(S)WITHIN 300 FT OF THE PROJECT-GREATER THAN 14% YES❑ NOX TYPE OF JOB: NEW ❑ ADDITION ❑ ALTERATION X REPAIR `r❑ OTHER ❑ USE OF STRUCTURE (RESIDENCE,GARAGE ETC.) W'I Yt I QS $ C0141rh FAR to tier, r-4.11 f14 IS USE: PRIMARY SEASONAL❑ NUMBER OF BEDROOMS NUMBER O BATHROOMS DESCRIBE WORK A� [A. it av��I,1 P M 04 +0 ex6� n� A.h--GA"c SOUARE FOOTAGE: 1ST FLOOR sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. DECK sq.k 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 MODEL YEAR LENGTH rIDH BEDROOMS BATHS NUMBER 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 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 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INS PECTION.klUACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. X q�� lic nt Date X Zaic, hiolrso OWNER/REPRESENTATIVE /CONTRACTOR Print Name (CIRCLE TO INDICATE) _ +.� �.-�,.. ni;P�►xTiv�I r1 A>�I vI =11 Id VrW1 �i FA r���rc)FES��E?HI�I10It�LVS BIJTLDWG DEPARTMENT 0- �-/ PLANNING DEPARTMENT FIRE MARSHAL I LEGEND SUBJECT BOUNDARY LINE (� PROPERTY LINE N8T02'S3'W W.O. — __ ��lJ�� ----------RIGHT-OF-WAY CENTERLINE RIGHT-OF-WAY LINE 7✓wv�'"' _________----ADJACENT BOUNDARY LINE Z ACCESS ROAD `/,,,,,� SECTIONAL BREAKDOWN LINE S ACCESS ROAD L( oHP--OHP OVERHEAD POWER LINE —UGP—ucP—t:P—BURIED POWER LINEWESTDWER BURIED GAS UNE c o M �>"1•_I I r'V.J�!"L OHT—OHT OVERHEAD TELEPHONE LINE 172'-11' N I —UGT—UG7—UG1—BURIED TELEPHONE LINE 143'-5 —w—w—w—w—BURIED WATER LINE 1 2 —SS—ss ss—BURIED SANITARY SEWER IF —SO—SD—SO—BURIED STORM DRAIN PACIFIC TELECOM 3ER1ICES. LLC 1 DITCH UNE/FLOW LINE _ .....................................ROCK RETAINING WALL 2 ;t . . ' . . . . . . . . . . . . .VEGETATION LINE m —x—x—x—x—x—CHAIN LINK FENCE IW -❑ ❑ o- WOOD FENCE AT&T SITE o —x—X—x—x—x—BARBED WIRE/WIRE FENCE 4072 REGISTERED A I c TRANSFORMER FIRE HYDRANT ARCHITECT Z k( LIGHT STANDARD IA GATE VALVE j © POWER VAULT 81 WATER METER OR l ///��� • ® 17f1Lf1Y 80X FIRE STAND PIPE STLANO ATE OFWASHING70N 17 UTILITY REN.07-18-15 POLE ❑ CATCH BASIN,TYPE I C- - POLE GUY WIRE ® CATCH BASIN,TYPE II EXIMNG u Ill GAS VALVE a SIGN DENS RESi� ® GAS METER ^ BOLLARD IM TELEPHONE VAULT c MAIL BOX D TELEPHONE RISER 234.21 SPOT ELEVATION N I I � ! NOTE • PROPOSED AT&T ANTENNAS AND YY MOUNTING HARDWARE TO BE PAINTED N s TO MATCH EXISTING SITE CONDITIONS. O K v ` Y PARCEL NUMBER•,_,- e.'.. UO m wA crl�� I 4201832900300 G.,3 F O ^`' Q m LEGAL E�RIPTION: 7. C K S P1. ^� V Z 3 yyy I.: NW SIN EX LOT:C OF SP# 2593 T\v O Z {+ O W O PROPERTY LINE N86'49'S31Y O W 329 2' W N 2 m m APPR���D NNING OCT 0 9 2013 Q ON - ALA�N SITE 426 W. ('FD .R S, MA S i`� BE VICINITY MAP SITE PLAN �E ;'. : -� :,j AFPROVAL ES S. �., :. CHANG 9 !3 � REVISIONS NO. DATE I DESCRIPTION INITIAL 97/19/13 HFIYWw O16TRIE1p71 WAINZ WJR 09/1D/13 REVISED FOR RNAL CD'S AF Y SITE _ NOT FOR CONSTRUCTION UNLESS LABELED AS CONSTRUCTION SET SHEET TITLE SITE PLAN AS TRUE NORTH c°� SHEET NUMBER Warn I. SITE PLAN ] NOTE. THIS IS NOT A SITE SURVEY: ALL PROPERTY BOUNDARIES, ORIENTATION OF A TRUE NORTH AND HALF WIDTHS HAVE BEEN PP FROM OM A A TAX PARCEL MAP AND ARE APPROXIMATE. `EXISTING DENSE FOREST `EXISTING I DENSE FOREST L EXISTING DENSE FOREST I � �IW (O O nl n 0 Z W 2 a� EXISTING WEST CHAPPELL CROSSING GRAVEL ROAD AT&T PROPOSES TO MODIFY AN EXISTING UNMANNED 1'1.-llr TELECOMMUNICAMONS FACILITY BY RECONFIGURING 3 EXISTING ANTENNAS (1 PER SECTOR)TO LTE TECHNOLOGY,ADDING (6) RRH UNRS (2 PER SECTOR) ON A EXISTING T-ARM MOUNT I STANDOFF AND ADDING(1) SURGE SUPPRESSION UNIT ON AN • EXISTING 150'-0"AGL MONOPOLE;AT&T ALSO PROPOSES ADDING (1) 1 GPS ANTENNA MOUNTED NEAR EXISTING AT&T GPS ANTENNA AND ADDING (1) NEW PURCETI EN EXISTING M BRIDGE MOUNTED AN ON UNISTRUTFEN ATTACHED TO AN EXISTING ICE BRIDGE WITHIN AN EXISTING FENCED COMPOUND. � I V v `EXISTING J Ext-5rk I I�- C 1 I �W� T DENSE FOREST I L EXISTING DENSE FOREST \ \ LEXISTING \ \ DENSE FOREST - rY \ \ r LEIS 24'x36' SCALE t" = 60'-0" 71"x17"SCALE t" - 120'-0" 6 0 0 60' THE INFORMATION CONTAINED IN THIS SET OF CONSTRUCTION DOCUMENTS 15 PROPRIETARY BY NATURE. ANY USE OR DISCLOSURE OTHER THAN THAT WHICH RFI drFc rn rmaico MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 426 West Cedar Street • PO Box 186 • Shelton,WA 98584 (360) 427-9670 EXT.352 FAX (360)427-7798 HOME PAGE—www.co.mason.wa.us Special Inspection Authorization Project Owner �-��� Lq A Building Permit Numbe Project Address l.t) 01y,,Wd �CrD9-(2 ineer/Architect of record 5H`Noo In addition to the inspections required by Intemationaf 8 ing Code (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 special inspections during construction on the types of work listed under IBC Section 1704. This form must be completed by the owner or the engineer or architect of record,prior to permit Issuance,indicating who will perform the required special inspections for this particular project. The specified special inspector(s) shall perform the required special inspections during construction of the project, submit all inspection reports to the Building Department and provide a final signed report stating whether the work requiring special inspection was,to the best of the inspector's knowledge, in conformance to the approved plans and specifications and the applicable workmanship provisions of the IBC. The following checked items require special inspection: 1. Concrete. During the taking of test specimens and placing of reinforced concrete. (IBC 1704.4) 2. Bolts installed in concrete. Prior to and during the placement of concrete around bolts when stress increases permitted by Table 1912.2 and section 1912.5 are utilized. (IBC 1704.4) 3. Erection of precast concrete members. Periodic inspection per ACI 318:Ch 16. (IBC 1704.4) 4. Shotcrete. Continuous inspection per ACI 318:5.9,5.10 and IBC Chapter 19.(IBC 1704.4) 5. Reinforcing steel and prestressing steel tendons. Inspection of reinforcing steel including prestressing tendons.(IBC 1704.4) 6. Welding of reinforcing steel. Inspection of the welding of reinforcing steel according to AWS D1.4,ACI 318:3.5.2, and IBC 1903.5.2. (IBC 1704.4) 7. Structural welding. Welding inspection shall be in compliance with AWS D1.1. (IBC 1704.3.1) 8. High-strength Bolting. The installation of high-strength bolts shall be periodically inspected in accordance with AISC LRFD Section M2.5. (IBC 1704.3.3) 9. Structural Masonry. Masonry construction shall be inspected and evaluated with the requirements of IBC section 1704.5. 10. Soils. Inspections for fills 12 inches or greater to be performed in accordance with IBC Section 1704.7. 11. Pile foundations. Inspector to be present when pile foundations are being installed and during tests. (IBC 1704.8) 12. Pier foundations. Special inspection of pier foundations for buildings are required in seismic Zone D. (IBC 1704.9) 13. Spray-applied fire resistant materials. Inspections shall be in accordance with sections 1704.11.1 through 1704.11.5. 14. Exterior insulation finish system (EIFS). Special inspection shall be required for all EIFS systems. (IBC 17D4.12) Continued on reverse side 15. Smoke-control system. Smoke control systems shall be tested by a special inspector per IBC Section 1704.14. 16. Special cases. Special inspection shall be required for proposed work that is, in the option of the building official, unusual in its nature such as altemattve methods and material of construction,unusual design applications, and materials and systems required to be installed in accordance with additional manufacturer's instructions that prescribe requirements not contained in the IBC or referenced standards. Installation of structural epoxies Installation of"high-load shear panels" Structural Observation (IBC1709) Other: l✓t)r Y` ca 3e1L 7s I G66J" G Special Inspector Selection: J The special inspection agency and special inspector shall be registered by the Washington Association of Building Officials(WABO)for the particular type of construction or operation requiring special inspection. Such inspector(s) shall be selected by the owner or the owner's agent and approved by the Building Official prior to issuance of the building permit. The owner's agent shall not be acting as, or employed by the special inspection agency or the contractor for this project. Name of Special Inspector or Agency: Type of Inspection: Registration Number: -- -- C v-6 Qa fie, of Authorization: I hereby state that I am the legal owner of the project property,or that I am the legal owner's agent who is not employed by a special inspection agency or contractor associated with this project. In addition, I agree to comply with the special inspection requirements established by Chapter 17 of the International Building Code as ado by Mason Co nty. A i Si at Y Print Name Date J - PURPOSE OF SPECIAL INSPECTION Special inspection is the monitoring of materials and workmanship which are critical to the integrity of the building structure to assure that the approved plans and specifications are being followed and that relevant codes are being observed. Special inspections are in addition to those conducted by the county building inspector and by the engineer or architect of record. Special inspectors furnish inspection at all times that their presence is required by the code,the plans and specifications,and the enforcing jurisdiction. Good communication between the special inspector and the designer,contractor,and building department is essential. DUTIES AND RESPONSIBILITIES OF THE SPECIAL INSPECTOR: Special inspectors are individuals with highly developed,specialized skills who observe those critical building or structural features which they are qualified to inspect Duties of special inspectors and/or inspection agencies include the following: 1.General Requirements Special inspectors shall review approved plans and specifications for special inspection requirements. Special inspectors shall comply with the special inspection requirements of the enforcing jurisdiction. 2. Signify Presence at Job Site Special inspectors should notify contractor personnel and the enforcing jurisdiction of their presence and responsibilities at the job site. 3.Observe All Work for Which They Are Responsible Special inspectors shall inspect all work and perform or observe all tests requiring inspection and testing for conformance with the building-department-approved(stamped)drawings,specifications and applicable provisions of the code. Vaobington 21m5ociation of �%iilbing Official 6pectar Im6pection ftenry (fertificate of Regifstratioll Krazan 81 Associates, Inc. Lynnwood, Washington The premise of the Washington Association of Building Officials (WABO) special inspection registration program is that the "special inspector' referred to in the State Building Code is a quality control organization with management and supervisory personnel, special inspectors and laboratory technicians, and the appropriate equipment and facilities to conduct special inspection and material testing in accordance with those standards stipulated in the State Building Code. Types of Work RC REINFORCED CONCRETE PC PRESTRESSED CONCRETE SC SHOTCRETE SM STRUCTURAL MASONRY SSB STRUCTURAL STEEL AND BOLTING SW STRUCTURAL WELDING FP SPRAY-APPLIED FIRE-RESISTIVE MATERIALS LW LATERAL WOOD CF COLD-FORMED STEEL FRAMING PA PROPRIETARY ANCHORS The agency name on this Certificate of Registration has, as prescribed in the State Building Code, demonstrated competence to the satisfaction of the building official specifying the services of a WABO registered special inspector, by qualifying for registration as an agency, as prescribed in the WABO Agency and Inspector performance Qualification Standard No.1701 for the particular type(s) of work listed above. January 1, 2015 - � off, EXPIRATION DATE EXECUTIVE DIRECTOR Vim__1<X Zan & ASSOCIATES,INC. GEOTECHNICAL ENGINEERING • ENVIRONMENTAL ENGINEERING FIELD GJ� CONSTRUCTION TESTING a INSPECTION REPORT NO. : 160425 C DATE: Jan. 13, 2014 CONTRACTOR: WesTower Communications i PROJECT#:106-14016 PERMIT NO.: COM2013-00099 PROJECT: OL42 Dayton INSPECTOR: Lowell Davis LOCATION: 6018 West Shelton Matlock Rd JURISDICTION: Mason County KRAZAN PROJECT MANAGER: JMB WEATHER: Overcast TEMP: 40 �O Krazan and Associates inspector on site in Shelton, WA for the visual inspection of bolting of cell tower equipment to existingl50' mono-pole. 1 j Prior to the inspector's arrival at the WesTower project site,Krazan inspector performed project plan j review with plan set provided by WesTower. I Installed components were installed per approved plans sheet; details 2 and 3 on RF-2; 1 A and 1 B on RF-2;and 6 on RF-2. Inspector visually verified that all new cell antenna hardware had been properly installed and fasteners appear to have been installed and tightened per the approved plans. To my best of knowledge,the above WAS/WAS NOT performed in accordance with the approved plans,specifications,and regulatory requirements. Superintendent/Representative: Technician: 215 West Dakota Ave.,Clovis,CA 93612 (559)348-2200 226 N.Sherman,Ste.A,Corona CA 92880 (909)549-1188 4231 Foster Ave.,Bakersfield,CA 93308 (661)633-2200 1501 15"St.NW#106,Auburn,WA 98002 (253)939-2500 1025 Lone Palm Ave.,Ste.2E,Modesto,CA 95351 (209)572-2200 20714 SR Hwy. 305,Ste.3C,Poulsbo,WA 98370 (360)598- 2126 545 Parrott St.,San Jose,CA 958112 (408)271-2200 19501 144'"Ave.NE#F300,Woodinville,WA 98072 (425)485-5519 123 Commerce Circle,Sacramento,CA 95815 (916)564-2200 11913 NE 1031 Ave.,Vancouver,WA 98662 (360)254- 3200 i I an, & ASSOCIATES , INC . GEOTECHNICAL ENGINEERING e ENVIRONMENTAL ENGINEERING CONSTRUCTION TESTING & INSPECTION January 14,2014 Project No.: 106-14016 Mason County Debbra Coker PO Box 279 Shelton, WA 98584 Permit No.: COM2013-00099 RE: Final Letter Regarding Special Testing &Inspection Project/Permit#OL42 Dayton/COM2013-00099 Dear Ms Coker: In accordance with our client's request and authorization, we have performed special testing and inspection services for the above referenced project.The special inspections for this project were: Special Inspection Required Performed Structural Steel: Welding ❑ ❑ Bolting To the best of our knowledge, all work and noted deficiencies have been tested and/or inspected and have been found to be in accordance with the approved plans and specifications. If you have any questions or if we can be of further assistance, please do not hesitate to contact our office at (360)598-2126. Respectfully submitted, KRAZAN&ASSOCIATES,INC. Jeff Bowers Construction Services Manager Poulsbo Division JMB/cq cc thatch e,westower.com;frankadams@Jgazan.com I I I With Offices Serving The Western United States 1230 Finn Hill Road NW Suite A•Poulsbo,Washington 98370•(360)598-2126•Fax: (360)598-2127 n O K CONCRETE MECHANICAL MANUFACTURED HOME rn tV N O w Footings I Setbacks Date GasPiping By Ribbons � o Interior Date By interior-Date By Date By Exterior Date BY Exterior Date B rn Set-up Zl Point Load!isolated Footings INSULATION Date By n BG I SLAB INSULATION --- 0 Date By Date By FIRE DEPARTMENT Foundation Walls Floors Date By C Date By Data By DECKS Z FRAMING Walls Date By n Date By Data By PROPANE TANKS MA PLUMBING vault Data By Z Date By OTHER Cn Groundwork Attic Date B Date By Type- Date By D.W.v DRYWALL Type: 0 Int.Brace Wall 0 Date By ic Date By Date By FINAL INSPECTION ^' C Water Line Fire Seperation _L Data By Date By Date-/ B ca 0 CD Pass or Request Inspect. o Type of Insp. Fail Date Date Dane By Comments