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
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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
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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