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HomeMy WebLinkAboutCOM2003-00111 Fence around AT&T Tower - COM Permit / Conditions - 7/16/2003 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line(360)427-7262 c Mason County Bldg. 3 426 W. Cedar P.O. Box 186 Phone: (360)427-9670,ext.352 Shelton,WA 98584 too COMMERCIAL BUILDING PERMIT COM2003-00111 OWNER: AT&T WIRELESS PCS, LLC RECEIVED: 6/18/2003 CONTRACTOR: ATC TOWER LICENSE:ATCTOS11993RI EXP: 12/23/2003 ISSUED: 7/16/2003 SITE ADDRESS: 6018 W SHELTON-MATLOCK RD SHELTON EXPIRES: 1/16/2004 PARCEL NUMBER: 420163298OE) '�:fO�00 LEGAL DESCRIPTION: NW SW EX SEE SP#2693 PROJECT DESCRIPTION: DIRECTIONS TO SITE: FENCE AROUND A T&T TOWER WEST ON SHELTON MATLOCK RD. TURN RIGHT JUST PAST MILE MARKER 6. TAKE 2ND ROAD ON RIGHT. FOLLOW TO SITE General Information Construction &Occupancy Information No.of Units: Type of Constr.: fence Type of Use: Insp.Area: 1 No.of Bathrooms: Occ.Group: U-1 Type of Work: OTH Fire Dist.: 16 No.of Stories: Occ. Load: Valuation: $ 560.00 Building Height: 8 Pre-Manufactured Unit Information Square Footage Information Make: Length: Lot Size: fence: 80 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?: COM2003-00111 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 N IP anRignni (�n 9F g99nninn Planning Review Fee N IP Ri1Ri9nn3 cirn nn c97nnAnn Building State Fee NARr, w9n/9nni �a Fn q,>?nnsnn Building Permit Fee nnR(_1 ai?n/9nni s?'l Fn ¢??nninn Total $195.26 CASE NOTES FOR COM2003-00111 CONDITIONS FOR COM2003-00111 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 Poyr)will be charged and must be collected by this department prior to any further inspections being performed or approval granted. X { 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 OWf��F�/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS. X �/ 3) Changes to approved building plans that affect compliance to the current non-residential Energy Code (NREC), ventilation and Indoor Air Quality Code (VIAQ)QQ Wniform Building/Plumbing/Mechanical Codes and/or Mason County Regulations shall be approved prior to construction. X 4) CONSTRUCTION PROCES TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND UNIFORM BUILDING CODE.x 5) 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-cgmp,liant with Mason County ordinances and building regulations. X �/ 6) All property lines shall be clearly identified at the time of foundation inspection. X _ ek COM2003-00111 2 of 4 Th?s 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: \ f� �C DATE: ' V L.77-c AT COM2003-00111 3 of 4 MASON COUNTY PERMIT NO. -ryl G 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 On the Web www.co.mason.wa.us APPLICANT INFORMATION FLj(L Aj-N Z" CONTRACTOR INFORMATION Owner (Z lJ'-*) Contractor Name — Mailing Address k Mailin Address City. kE' State dip Code City j(�� State ode.... Phone ) QZ�Other Ph. ( ) Phone An) Other ) Lien /Title older Contractor Reg. #A Exp. Email Address Email Address G'?� SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System Well Water System Name of Water System PARCEL INFORMATION - 12 digit Tax Parcel Noo4A!Q (o / Z /6k9N9 Fire District Legal Description n Site Address (Please include street name, street number and city) e Directions to site _ '3- II timber be cut and sold in parcel preparati n? (Yes/No) Is property located within 200' of saltwater 1 1, ) Lake A10 River/ Creek NJ Pond Wetland Seasonal Runoff Stream Slopes or Bluffs PERMANENT RESIDENCE ❑ SEASONAL RESIDENCE ❑ J TYPE OF JOB - New Add Alt Repair Other Use of Building Is this permit submittal the result of aT p Work Notice, Correction IN tice or other enforcement ac on?(Y No Describe Work O_DA- V kc Pen1L.Q_ C V,0Ct 11\5 f�rT T No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE - 1st Floor 2nd Floor 3rd Floor Loft Basement Deck Other sq. ft. Garage Attached Detached Carport Attached Detached MANUFACTURED HOME INFORMATION - Make Model Model Year Length Width Serial No. No. of Bedrooms No. of Bathrooms Type of Heat Purchase Price $ Replacement Unit? (Yes/No) Installer Name Certification No. 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 PROPERTY AND STRUCTURES FOR REVIEW AND INSPECTION OF THIS PROJECT. OWNER/BUILDER ACKNOWLEDGES SUBMISSION OF INACCURATE INFORMATION MAY RESULT IN A STOP WORK ORDER OR PERMIT REVOCATION. ACKNOWLEDGEMENT OF SUCH IS BY SIGNATURE BELOW: OWNER AFFIDAVIT- I certify that I am exempt from the require- CONTRACTOR'S AFFIDAVIT - I certify that I am currently regis- ment of the Contractor Registration Law RCW 18.27 and am aware tered as a contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and of the ordinance requirements regulating the work for which this that all work will be done in conformance therewith. No changes permit is issued and all work shall be done in conformance there- shall be made without first obtaining approval. with. No changes shall be 'made without first obtaining approval. X Date X 1_kix 5 ��. �r~-aC Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by Planning Pd Ck# Date Bld Pd. Reciept No. DEPARTMENTAL REVIEW APPROVED DENIED CONDITION CODES Building Department �3 Occ Group Type Constr Planning Department Environmental Health Department Public Works Department Fire Marshal Valuation $ FEES Building Permit Fee Site Inspection Plan Review Fee EH Review Fee Plumbing & Base Fee Planning Review Fee Mechanical& Base Fee Other Wood/Gas/Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal TOTAL FEES