HomeMy WebLinkAboutCOM2020-00108 Cancelled Generator and Concrete Pad - COM Inspections - 8/26/2024 615 W.Alder St. Bldg 8,SHELTON,WA 98584
MASON COUNTY SHELTON:360-427-9670,EXT 352
COMMUNITY SERVICES
BELFAIR: 360-275-4467,EXT 352
\\ Budding Planning,Cnvironrnentalll+ith,Contmunitylie.dtir ELMA: 360-482-5269, EXT 352
www.co.mason.wa.us
INSPECTION CARD AND CERTIFICATE OF OCCUPANCY*"
To schedule an inspection call or visit http://www.co.mason.wa.us/community-services/bld-inspection.php
Permit Number COM2020-00108 Date Issued 03/31/2021 Issued
Project ADD CONCRETE PAD&GENERATOR TO EXISTING WIRELESS SITE(WITHIN EXISTING A PROVED FENCED
SETBACKS)
Site Address 300 W Chappell Xing
Applicant CHAPPELL BORDEN TRSE MARY CANCELLE8
Contractor GENERAL DYNAMICSContractor Phone 385.313.3247 Primary Code UPCIBC, IRC,IFC, IEC,IMC,& Type
Permit Type NEW COMMERCIAL PERMIT Occupancy
-APPROVED PLANS MUST BE ONSITE FOR ALL INSPECTIONS.
-DO NOT PROCEED BEYOND EACH STAGE OR COVER WORK UNTIL APPROVAL IS GRANTED.
-THIS CARD MUST BE POSTED IN A CONSPICUOUS LOCATION, FRONT OF THE PREMISES IS BEST FOR MAKING ENTRY.
-ALL PERMITS EXPIRE 180 DAYS AFTER THE PERMIT IS ISSUED OR 180 DAYS AFTER DATE OF LAST INSPECTION.
-OWNER/AGENT IS RESPONSIBLE FOR REQUESTING ALL INSPECTIONS THROUGH FINAL INSPECTION.
**THIS STRUCTURE MAY NOT BE USED OR OCCUPIED UNTIL ALL APPROVALS ARE GRANTED.**
PRIOR TO CALLING FOR FINAL INSPECTION,ALL CONDITIONS OF THE PERMIT MUST BE MET
Public Works Access/Driveway Other
Health Septic Well
Deptartment
Planning Site Inspection
Department
Fire Marshall Fire Apparatus Access Fire Sprinkler
Auto Fire Alarm Hood and Duct
Other Final
Building Building Official: Community Services Designee
Department
Concrete Setbacks Slab
Footing Perimeter Point load Footing
Footing Interior Footing Decks/Porches
Foundation Stem Walls Other
Rough-In Groundwork Plumbing Framing
Groundwork Mechanical Plumbing
Groundwork Gas Pipe Mechanical
Gas Piping Shear Wall Nailing
Underfloor
Other
Insulation Slab Ceiling
Floor Vaulted Ceiling
Walls Vapor Barrier
Other
Wallboard Interior Wall Brace Panels Fire Walls
Nailing
Other
Final Building
Manufactured Setbacks Setup
Home
Concrete Foot/ Runners Final
Other
p �
Mason County Community Services
T I Building Division
SPECIAL INSPECTION & 615 W Alder Street
Shelton, WA 98584
Y TESTING AGREEMENT 360.427.9670 ext. 352
www.co.moson.wa.us
(All references are per the 2015 International Building Code)
Project Name: AT&T GENERATOR-DAYTON 10092739
Project Address: 6018 WEST SHELTON-MATLOCK ROAD, SHELTON,WA 98584 IF
Building Permit Number: COM2020-00108 Date Issued: r
BEFORE A PERMIT CAN BE ISSUED: The registered design professional in responsible charge shall fill out the Agreemen akrA
include the name of each inspector as well as their appropriate license/certification number. Two (2) copies of this form
are to be submitted to the County prior to the issuance of a building permit. If changes are made as to who will perform
the special inspections a new form shall be submitted and turned into the Building Permits & Inspections Division for
approval.
STATEMENT OF SPECIAL INSPECTIONS: In addition to this Agreement, a "Statement of Special Inspections" shall be
provided per IBC 1704.3. This Statement shall be made as part of the approved plans, and be placed in a conspicuous
location,such as the first page of the construction plans or the first page of the structural sheets.
SPECIAL INSPECTORS: All special inspectors shall be approved by the Building Division prior to performing any duties. The
special inspector shall provide proof of certification as a special inspector for each inspection item and be licensed by the
State of Washington.
SPECIAL INPSECTION REPORTS: Special inspection reports are to meet the requirements of IBC 1704.2.4. Copies of each
report are to be sent to the address listed in the letterhead noting the Project Address and Permit Number. A final report
shall be submitted stating that all special inspection and structural testing items were completed and are in conformance
with the approved design drawings and specifications. Items not in conformance, unresolved items,or any discrepancies in
inspection coverage (i.e. missing inspections, periodic inspections when continuous was required, etc.) shall be specifically
itemized in the final report.
GENERAL SPECIAL INSPECTION ITEMS(per IBC Chapter 17)
[Only checked items are required]
Areas requiring special inspection: Name of Agency: Name of Inspector: License/Cert.No.
❑ Unapproved Fabricators(IBC 1704.2.5)
Other than Structural Steel(IBC Table 1705.2.2)
❑ Steel floor&roof decks
❑ Welding of reinforcement
❑ Cold-formed steel
Structural Steel
❑ Welding(Per N5.4 of AISC 360-10)
❑ Details(Per N5.7 of AISC 360-10)
❑ High-strength bolts(Per N5.6 of AISC 360-10)
Concrete Construction (per IBC Table 1705.3)
❑ Reinforcement,embeds,anchors
❑ Formwork
21 Materials
❑ Shotcrete
❑ Post-tensioned/Pre-stressed Concrete
❑ Erection of precast concrete
Page 1 of 3
I W9
Mason County Community Services
Building Division
SPECIAL INSPECTION & 615 W Alder Street
Shelton, WA 98584
� - TESTING AGREEMENT 360.427.9670 ext. 352
www.co.mason.wo.us
GENERAL SPECIAL INSPECTION ITEMS(per IBC Chapter 17)-continued
[Only checked items are required]
Areas requiring special inspection: Name of Agency: Name of Inspector: License/Cert. No.
Masonry Construction (IBC 1705.4)
❑ Prior to Construction(Article 1.15,TMS-602)
❑ As Construction Begins(Article 1.19.2,TMS-402)
❑ Prior to Grouting(Table 1.19.2,TMS-402)
❑ During Construction(Per TMS-402&TMS-602)
Wood Construction
❑ High-Load Diaphragms(IBC 1705.5.1)
❑ Wood Trusses>60ft(IBC 1705.5.2)
❑ Soils(IBC Table 1705.6)
❑ Driven Deep Foundations(IBC Table 1705.7)
❑ Cast-in-place Deep Foundations(IBC Table 1705.8)
❑ Helical Pile Foundations(IBC 1705.9)
❑ Sprayed Fire-Resistant Materials(IBC 1705.13)
❑ Mastic&Intumescent Coatings(IBC 1705.14)
❑ EIFS(IBC 1705.15)
❑ Fire-Resistant Penetrations(IBC 1705.16)
❑ Smoke Control(IBC 1705.17)
❑ Other (IBC 1705.1.1)
❑ Other (IBC 1705.1.1)
SPECIAL INSPECTIONS FOR SEISMIC RESISTANCE(IBC Section 1705.11)
[Only checked items are required]
Areas requiring special inspection: Name of Agency: Name of Inspector: License/Cert.No.
❑ Structural Steel(IBC 1705.11.1&AISC 341-10)
❑ Structural Wood(IBC 1705.11.2)
❑ Cold-formed Steel(IBC 1705.11.3)
❑ Mechanical&Electrical Components(1705.11.4)
❑ Architectural Components(IBC 1705.11.5)
❑ Storage Racks(IBC 1705.11.7)
Page 2 of 3
FOR
r' Mason County Community Services
Building Division
.} �
SPECIAL INSPECTION & 615 W Alder Street
Shelton, WA 98584
=� - TESTING AGREEMENT 360.427.9670 ext. 352
www.co.mason.wa.us
Declaration by Architect/Engineer — ,
I, the design professional in responsible charge for this project, declare that they
above listed special inspection and structural testing items are required for this fi- WAS
project in accordance with IBC Chapter 17. 4 II
���� R,*
02/25/2021
Signature Datej
3 I1' `' .0�
S1ONA1,
Declaration by Owne !to
I the Owner of the project, declare that the above listed firms or individuals are hired by me perf�Rz
special inspections and structural testing for the project pursuant to IBC 1704.2.
;;�-- 2/25/2021
Signature Date
CONTRACTOR RESPONSIBILITY: Each contractor involved with the construction of wind or seismic force-resisting
systems shall comply with the requirements of IBC 1704.4. The contractor is responsible for providing the
special inspector access to approved plans and contract documents at the job site. All special inspection records
shall be retained at the job site by the contractor and shall be made available to the Building Department upon
request.
Declaration by General Contractor
I, the General Contractor of the project, agree to comply with the "Contractor Responsibility' items noted
above.
2/25/2021
Signature Date
Page 3 of 3
r
g4G11A Mason County
I'1�'*■ 7
Mason County - Division of Community Development
615 W. Alder St. Bldg.8
w•x�av�` Shelton, WA 98584
360-427-9670 ext 352
www.co.mason.wa.us
F
20-00108 NEW COMMERCIAL PERMIT
DESCRIPTION: ADD CONCRETE PAD & GENERATOR TO ISSUED: 03/31/2021
WIRELESS SITE (WITHIN EXISTING APPROVED FENCED
) EXPIRES: 09/27/2021
ESS: 300 W CHAPPELL XING SHELTON
PARCEL: 420163290300 �
APPLICANT: CHAPPELL BORDEN TRSE MARY OWNER: CHAPPELL BORDEN TRSE MAR
MARY CHAPPELL BORDEN RLT MARY CHAPPELL BORDEN RLT
BELFAIR, WA98528 BELFAIR, WA 98528
CONTRACTOR: GENERAL DYNAMICS
19240 DES MOINES MEMORIAL DR S
SEATTLE,WA98148
385.313.3247
GENERAL CONTRACTOR'S LICENSE: GENERAL DYNAMICS License: GENERD1927CG
19240 DES MOINES MEMORIAL DR S Expires: 02/07/2022
SEATTLE, WA98148
385.313.3247
FEES: Paid Due
IFC Plan Check Fee $190.00 $0.00
Plan Check Fee $80.00 $0.00
State Fee-Commercial $25.00 $0.00
Totals : $295.00 $0.00
REQUIRED INSPECTIONS
Footing Inspection BLD-Final Inspection
CONDITIONS
The stamped approved site plan is required to be on-site for inspection purposes. If an inspection is requested and the
approved site plan is not on site, approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule,
minimum 1 hour)will be charged and shall be collected by the Building Department prior to any further inspections being
performed or approvals granted.
Printed by:Kati Dooley on:03/31/2021 02:44 PM
Page 1 of 3
Mason County
Mason County - Division of Community Development
615 W. Alder St. Bldg.8
Shelton, WA 98584
C 360-427-9670 ext 352
www.co.mason.wa.us
NEW COMMERCIAL�P IT COM2020-00108
* When parcel development requires direct access to county road(s), a Road Access Permit or Approval must be granted by
the Mason County Department of Public Works. For more information contact Public Works, at(360)427-9670, ext. 450 or
100 W Public Works Dr. Shelton. The building permit will not be finaled until the permit holder can show proof that the
access permit from Public Works has been finaled and approved.
* 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 1-800-647-0982. The person signing this condition is either
the homeowner, agent for the owner or a registered contractor according to WA state law.
* 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 and 14.17.
* All property lines shall be clearly identified at the time of foundation inspection.
* All construction must meet or exceed all local and state ordinances in addition to the International Codes requirements as
adopted and amended by Mason County and the State of Washington. Occupancy is limited to the approved and permitted
classification. Any non-approved change of use or occupancy would result in permit revocation.
* 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 which may affect your project.
* Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the
structure.
* By definition, propane tanks and heatpumps are structures, which must meet setback conditions. Please check your
"Approved Site Plan"to ensure these structures meet the setback conditions listed.
* All building permits shall have a final inspection performed and approved by 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-compliant with Mason County ordinances and building regulations.
* The international code requires a fire apparatus access road for every facility, building, or portion of a building that is more
than 150'from an approved access road. Roads are required to meet the minimum Mason County Fire Marshal standards
for Fire Apparatus Access Roads up to the point where such roads connect with a county maintained public road or to
another fire apparatus access road which connects to a county maintained public road.
* All RED stamped approved plans are required to be on-site for inspection purposes. If an inspection is called for and
plans are not available on site, then approval will not be granted. In addition, a re-inspection fee (refer to current fee
schedule, minimum 1 hour)will be charged and must be collected by the Building Department prior to any further inspections
being performed or approvals granted.
* 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 Mason County Building Inspector shall be made prior to requesting
additional inspections.
* All changes to "approved" building plans that effect compliance with the international codes as amended and adopted, or
any other Mason County ordinance or regulation, must be reviewed and approved by Mason County prior to construction.
Printed by:Kati Dooley on:03/31/2021 02:44 PM
Page 2 of 3
Mason County
Mason County - Division of Community Development
615 W. Alder St. Bldg.8
Shelton, WA 98584
360-427-9670 ext 352
[ `�U www.co.mason.wa.us
NEW COMMERCIAL PERMIT COM2020-00108
* All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building
Official may grant a one time extention of 180 days, upon the receipt of a written extension request prior to permit expiration.
Letter must indicating that circumstances beyond the control of the permit holder preventing action from being taken. No
more than one extension may be granted.
* The foundation/footing must be placed on undisturbed, firm-native soil.
* 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, approval will not be granted. In
addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and shall be collected by the
Building Department prior to any further inspections being performed or approvals granted.
* In addition to the inspections required in IBC, Section 110, 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, 615 W Alder St, Shelton WA98584
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 final occupancy inspections.
I hereby certify that I have read and examined this application and know the same to be true and correct.
All provisions of Laws and Ordinances governing this type of work will be complied with whether
specified herei o.�not. The granting of a permit does not presume to give authority to violate or cancel
the provisio s�a y other st /local law regulating construction or the performance of construction.
Issued By.
Contractor or Authorized Agent: Date: 03/31/2021
Printed by:Kati Dooley on:03/31/2021 02:44 PM
Page 3 of 3
Date Received:
MASON COUNTY
R� COMMUNITY SERVICES DEPARTMENT
BUILDING•PLANNING.FIRE MARSHAL
Mason County Bldg.8,615 W.Alder St
J Shelton,WA 98584 www.co.mason.wa.us 360427-9670 ext 352
Permit#:
Property Owner's Authorization Letter
I (we): CHAPPELL BORDEN TRSE,MARY-MARY CHAPPELL BORDEN RLT
(Print Property Owners Name/Firm/Organization)
Hereby Authorize: Allen Koreis -
(Applicant-Name of Person to Sign Permit)
Representative of General Dynamics on behalf of AT&T
(Applicant Company Name/Organization)
To apply for, sign, and pick-up building permits for the following proposed work:
INSTALL(1)OPTIONAL STANDBY DIESEL GENERATOR WITH BASE FUEL TANK ON CONCRETE PAD AND
ATS/EQUIPMENT WITHIN COMPOUND NEAR EXISTING AT&T EQUIPMENT AREA. INTEGRATE NEW
GENERATOR WITH EXISTING SERVICE.
(Brief Description of Work to be Done)
Job Location: 6018 WEST SHELTON-MATLOCK ROAD,SHELTON,WA 98584
(Property Site Address)
As property owner(s),I(we)hereby grant permission to the applicant referenced above to apply for,sign,and pick-
up the building permit for the work as indicated above.All work performed must meet all provisions of the
Building Codes and the Laws of Mason County and the State of Washington, as applicable, whether specified or
not.Residential Contractors are required to have a current State of Washington Contractors License(RCW 18.27).
03/24/2021
0�
(Properq,Owner Signature) (Date)
Rev.03/10,12016jlbn
MASON COUNTY COMMUNITY SERVICES Permit No: j`"`lq
PERMIT ASSISTANCE CENTER:
•BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL
615 W.Alder Street,Shelton,WA 98584 RECEIVED
Phone Shelton:(360)427-9670 ext.352-Fax:(360)427-7798 Phone
Belfair.•(360)275-4467-Phone E/ma:(360)482-5269
SEP 0 E 2020
BUILDING PERMIT APPLICATION 615
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: eet
NAME: CHAPPELL BORDEN TRSE NAME: GENERAL DYNAMICS
MAILING ADDRESS: 340 NE ANCHOR DR MAILING ADDRESS: 19240 Des Moines Mem. Dr. S#300
CITY: BELFAIR STATE: ZIP:98528 CITY: Seatac STATE: WA ZIP: 98148
PHONE#1: unknown PHONE:385-313-3247 CELL: 719-247-0607
PHONE#2: EMAIL : candace.kramer@gdit.com
EMAIL: unknown L&I REG# GENERD1927CG EXP. 2 /7 /22
PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER N SiteAc Manager,General Dynamics
NAME ALLEN KOREIS EMAIL allen.koreis@gdit.com
MAILING ADDRESS 2606 67th Way NW CITY Olympia STATE WA ZIP 98502
PHONE 360-250-2222 CELL 360-250-2222
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 420163290300 ZONING 91 -Undeveloped Land
LEGAL DESCRIPTION(Abbreviated) R4W T20N S16-NW SW EX LOT:C OF SP#2693 Size in Acres:4.9 _.FIRE DISTRICT 16
SITE ADDRESS 30D W Chq(WC-"C'A SHELTON
DIRECTIONS TO SITE ADDRESS From Shelton,go west on W Shelton-Maticok Rd-6.5 miles,go north on W Chappell Crossing
to site.
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO Pq
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER❑ LAKE ❑ RIVER/CREEK❑ POND ❑ WETLAND ❑ SEASONAL RUNOFF ❑ STREAM ❑
TYPE OF WORK: NEW ❑ ADDITION❑ ALTERATION ❑ REPAIR❑ OTHER ® Add generator
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc) Add concrete pad and generator to existing wireless site
IS USE: PRIMARY ❑ SEASONAL❑ NUMBER OF BEDROOMS N/A NUMBER OF BATHROOMS N/A
HEATED STRUCTURE? YES(Whole Bldg) ❑ YES(Part[s)of Bldg ❑ NO
DESCRIBE WORK
SQUARE FOOTAGE: (proposed)
1ST 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 40 sq.ft.
GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq.ft. Attached❑ Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH: N/A adding 10'x 4'concrete pad and generator
SEWAGE/SEWER SOURCE: SEPTIC ❑ SEWER❑ / NEW❑ EXISTING❑
PLUMBING IN STRUCTURE? YES ❑ NO❑ If yes, attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES ❑ NO® EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS
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 and 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—QE CONTIN RK 0N THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
CATION OF 1 AYSOFAUXI WILL CAUSE THE APPLICATION TO BE EXPIRED. (MASON
COON DE 14.08.42)
X
Signature of 01AfNER_(Must be signed hu R) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT 3'rj
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH