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HomeMy WebLinkAboutCOM2002-00170 Antenna Support Structure - COM Permit / Conditions - 6/6/2003 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line(360)327-7262 Mason County Bldg. 3 426 W. Cedar P.O. Box 186 Phone: (360)427-9670,ext.352 Shelton,WA 98584 COMMERCIAL BUILDING PERMIT COM2002-00170 OWNER: AT&T WIRELESS PCS, LLC RECEIVED: 10/23/2002 CONTRACTOR: LICENSE: EXP: ISSUED: 6/6/2003 SITE ADDRESS: 6018 W SHELTON MATLOCK RD SHELTON EXPIRES: 12/6/2003 PARCEL NUMBER: 420163200000 LEGAL DESCRIPTION: NW SW EX SEE SP#2693 PROJECT DESCRIPTION: DIRECTIONS TO SITE: ANTENNA SUPPORT STRUCTURE FROM SHELTON, WEST ONTO RAILROAD AVE ABOUT 1 1/2 MILES TO W SHELTON-MATLOCK RD, CONTINUE ON W SHELTON-MATLOCK RD ABOUT 6 MILES TO DIRT ROAD POWER POLE SAYS 6028 General Information Construction&Occupancy Information Type of Use: Wireless Insp.Area: No.of Units: Type of Constr.:N Type of Work: NEW Fire Dist.: o.of Bathrooms: Occ.Group: Valuation: $ 100,001.00 No.of Stories: Occ. Load: Building Height: Pre-Manufactured Unit Information Square Footage Information Mak;;,: Length: Lot Size: Model: Width: Building: Year: Serial No.: Basement: Parking Spaces: Setback Information Shoreline&Planning Information Front: N 199.00 Ft. Shoreline: Ft. Rear: S 403.00 Ft. Slope: Ft. Water Body: Shoreline Desig.: Not Applicable Side 1: E 150.00 Ft. SEPA?:No Comp.Plan Desig.: LTCFL Side 2: W 179.00 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?: COM2002-00170 Please refer to the following pages for conditions of this permit. 1 of 4 Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Plan Check Fee Ki %Ai 1 ni9z»nn !�RdQ 5R R1 nna Address Fee rnnnn 1n/9a/9nn his nn .1?nminn EH Plan Review r.Fw ini9r,i9nn sas nn g19nn�nn Building State Fee KART 111R1?nm Ra rn g19mmnn Planning Site Inspection CAI t?i?rti*?nn T.7n nn gt*?nn�nn Building Permit Fee TEA/ 19i97/9nn ­irn nn RnRAR Building Permit Fee Tw 19i97i,)nn (zRa4 its gtqnn'�nn Total $1,773.43 CASE NOTES FOR COM2002-00170 CONDITIONS FOR COM2002-00170 1) 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 Re-Inspection fee in the amount of$52.30 per hour (minimum 1 hottlr),,will be charged and must be collected by this department prior to any further inspections being performed or approval granted. X 1/V 2) PURSUANT TO 1997 UNIFORM BUILDING CODE, ALL SITES MUST HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY. MASON COUNTY BUILDING DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS. A REINSPECTION FEE, BASED ON RATES AS ADOPTED BY THE JURISDICTION AND THE 1997 UNIFORM BUILDING CODE WILL BE ASSESSED IF OWNER// NTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS. X 3) - The approved plot plan is required to be on-site for inspection purposes. If inspection is called for and plot plan is not on site, Approval WILL NOT be granted. In addition, a Re-Inspection fee in the amount of$52.30 per hour (minimum 1 our)will be charged and must be collected by this department prior to any further inspections being performed or approval granted. X /k--` 4) 3000 PSI CONCRETE WILL REQUIRE SPECIAL INSPECTION IF THE QUANTITY EXCEEDS 50 CUBIC YARDS< LESSER AMOUNTS WILL REQUIRE AN APPROVED CONCRETE SUPPLIER TO PROVIDE YOU WITH A BATCH TICKET THAT BE REQUIRED TO BE SUBMITTED TO THE SITE INSPECTOR FOR THE VERIFICATION OF MATERIAL USED. X 5) 1997 UBC CHAPTER 17, SECTION 1701: IN ADDITION TO THE INSPECTION REQUIRED BY SECTION 108, 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 SECTION 1701.5. THE SPECIAL INSPECTORS DUTIES & RESPONSIBILITIES SHALL BE AS SPECIFIED IN 1701.2 AND 1701.3. X Ik COM2002-00170 2 of 4 6) 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 removed, approval will not be granted. In addition, a re-inspection fee of$47.00 per hour(mini u 1 hour)will be charged and must be collected by this department prior to any further inspections being performed or approval granted.X 7) Changes to approved building plans that affect compliance to the current non-residential Energy Code (NREC), ventilation and Indoor Air Quality Code (VI Uniform Building/Plumbing/Mechanical Codes and/or Mason County Regulations shall be approved prior to construction. Iry 8) CONSTRUCTION PROCE TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND UNIFORM BUILDING CODE.x 9) All property lines shall be clearly identified at the time of foundation inspection. X AV 10) 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-compli nt with Mason County ordinances and building regulations. X 11) The applicant shall retain existing vegetation surrounding the facility lease compo n o provide for the necessary buffering and landscaping required by Mason County Ordinance 5-98 and Development Regulations.X 12) The applicant shall minimize site clearing during the construction of the tower an/ s ice building to aid in visual screening and provide for needed erosion control measures during construction and operation of the facility.X� . 13) The applicant shall initiate the collocation of additional telecommunication carriers on the approved tower upon the request by other telecommunic ti companies in order to reduce the need for additional cellular tower construction in the area.X 14) The applicant shall remove the monopole/tower within ninety days of the date of notice that the subject facility is abandoned (i.e. taken out of use for all facility u rs or any period of twelve consecutive months). This s ecial use permit shall terminate upon removal of the monopole/ tower.X 15) Approved per dimensions and setbacks on submitted site plan. X 16) All other necessary permits from Mason County, Washington State and/or Federal Agencies that are required for this proposed development and construction must be obtained PRIOR TO SAME DEVELOPMENT AND CONSTRUCTION. X 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. OWN ER OR AGENT: DATE: LO COM2002-00170 3 of 4 PERMIT NO.: BLD MASON COUNTY BUILDING PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 " Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION[ CONTRACTOR INFORMATION Owner i " Contractor Name Mailina,Address vd Mailing Address City' V State Zip Code qql9se , City State Zip Code Phone(7D_4 ) they Ph.( 2,0&) ZA Ph.(_ Other Lien/Title Holder 0 LA 14 1 A 17 V%fift,0,1 I N Contractor Reg. # Address � Expiration SEPTICIWATER SYSTEM INFORMATION-Connect to New Septic±'/pE Existing Septic f--'/.PN Connect to Sewer System a. Name of Sewer System ram ;` Well 'a9 AWater System' Name of Water System /& PARCEL INFORMATION-12 digit Tax Parcel No. Fire District Legal Description p#, p. Lid0 Site Address(Please include street name, street number and cit ) W, cd o Directions to sites @ 1 r p ' Will timber be cut and sold in parcel preparation? (Yes/No) N30_ 4C S°�S ((r©Pd L& Is your property within 200' of the following: Body of Water(Name) NI K Saltwnterft(A Lake River/Creek d!6 Pond 'Jlb _Wetland �J& Seasonal Runoff_A O__Stream_*4SQSlopes or Bluffs NL© PERMANENT RESIDENCE❑ SEASONAL RESIDENCE❑ TYPE OF JOB New ( Add Alt Repair Other Use of Building Describe Work N �U No. of Bedrooms I I No. of Bathrooms---� QU R FOOTAGE-1st Floor MIA 2n�} Floor �' 3rd Floor N P Loft � 4 Basernent ^Q Deck N/& Other Garage Attached A DetachedN arport Attached%Detached. /%1 pt ar ti eglh HOME F 10 n � _Model o en WdthVSeal No. No. Bedrooms—_Noof Bathrooms Type of Heat Purchase Price $ Replacem n Unit ?(Yes/No) Installer Name Certification No. N NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described p r {V&D for review and inspection of this project. Acknowledgment of such is by signature below: t 1 Y L—�✓ OWNER AFFIDAVIT-1 certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certif l 9 grrX giegistered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington at a re of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit�1s.l,ss��++�d and all work conformance therewith. No changes shall be made without first obtaining shall be done in conformance there 4"Woo� tr� ade without approval. first obtaining approval. X Date I/"/c. / X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by_ Date j/ .�' c— ubrttal Amount Due �• Receipt No.`�'�4����� DEPAkfOl NTAG REVIEW APPROVED DENIED CD(VDITION COp S Building Department Occ Group Qd-2s Type Constr. A Planning Department Environmental Health Department Public Works Department i Fire Marshal I I Valuation $ FEES Building Permit Fee Site Inspection Plan Review Fee EH Review Fee VMehan ase Fee Planning Review Fee Base Fee Other �00 llet Stove Fee State Fee Pre-Paid at Submittal ( ) 'AL FEES t C� K CONCRET MECHANICAL MANUFACTURED HONE N o Footings Setbacks Date By Ribbons No Date pj �`E% Gas Piping Date By o Foundation Walls Date B y Set-up C� Date By INSULATION Date By B G / Slab Insulation Floors Final Date By Date By Date By FRAMING Walls FIRE DEPT Date By Date By Date By PLUMBING Attic OTHER Groundwork Date By Date By WALLBOARD NAILING t:, D.W.V. Date By Date By FINAL IN PECTION Water Line Date to()3 P-3 B y Date By ;" Date By �fLz 3 /t7 03 Q3 - 2 3v- N�l- , d y y O � o r N � O V1 O � r r 0