HomeMy WebLinkAboutCOM2012-00040 Addition 6 New Panel Antennas - COM Permit / Conditions - 7/27/2012 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line(360)427-7262
Phone:(360)427-9670,ext.352
Masan County Bldg. 3 426 IN. Cedar P.O. Box 186
Shelton, WA 98584
COMMERCIAL BUILDING PERMIT COM2012-00040
OWNER: AT&T MOBILITY RECEIVED: 4/3/2012
CONTRACTOR: LICENSE: EXP:
ISSUED: 7/27/2012
SITE ADDRESS: 300 W CHAPPELL CROSSING SHELTON EXPIRES: 1/27/2013
PARCEL NUMBER: 420163290300
LEGAL DESCRIPTION: NW SW EX LOT: C OF SP#2693
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
Addition of 6 new panel antennas&3 TMA's on existing 150'
steel monopole.Addition of utility H-Frame&ice bridge,
Removal/replacement of 1 existing equipment cabinet with 3
new site support cabinets.
General Information Construction&Occupancy information
No. of Units: Type of Constr.:
Type of Use: Communication Insp.Area: No.of Bathrooms: Occ.Group:
Type of Work: ADD Fire Dist.: 16 No.of Stories: Exit Design.Load:
Valuation: $ 50,000.00 Building Height:
Pre-Manufactured Un t n ormation Square Footage Informatlon
Make: Length: Lot Size:
Model: Width: Building:
Year: Serial No.: Basement: Parking Spaces;
Setback Information Shoreline&Planning Information
Front: W 800.00 Ft, Shoreline: Ft.
Rear. W 400.00 Ft. Slope: Ft. Water Body:na ShorelineDesig.: Not Applicable
Side 1: N 200.00 Ft. SEPA?:Yes Comp.Plan Desig.. Rural
Side 2: S 400.00 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?:
COM2012-00040 Please refer to the following pages for conditions of this permit page I of 4
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qom_ Type By Date Amount Receipt
Planning Review Foe rw AtIPM1 .,ian nn C47M2nn
Plan Check Fee Tlnr annr2nt7 111A1AAA gi9ni9nn
Building State Fee W+ erg OM9 4d Fn rtgnt2nn
Building Permit Fee TIN arjnr?nl9 Tnd37s gnt2nn
Total $1,396.69
CASE NOTES FOR
COM2012-00040
CONDITIONS FOR
COM2012-00040
1) 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 m �tetary Ilabllities to the homeowner for using an unregistered contractor. Further information can be
obtained at 1-800 Q 'fh e o Ing this condition is either the homeowner,agent for the owner or a registered contractor according to
WA state law. X ` r
2) Owne /Agen po Bible t ost the assi ned address and/or purchase and post private road signs in accordance with Mason County Title
3) Pnor tb final ap�roval, all uplan areas disturbed or e o str �n ctivlties shall be seeded,vegetated or given an equivalent type
of erosion protection (,silt fencing or straw matting).
4) T p S�I I b ll compliance with the Mas County O Tower Ordl nca#5-98(Revised by Ordinance No. 53 04).
5) T design of the equipme�t buildings and related structures shall, to the extent possible, use materials, colors, textures, screening and
landscaping that will blend the tower facllitles to the natural setting and built environment.
8) A#aproved
p r, siC setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
7) plans are required to be on-site for inspection purposes. If inspection is called for and plans not on site,Approval WILL NOT be
granted, In addition, a reinspection fee, based on the current fee schedule, minimum one-hoe h, ,a c I ctQd by the Mason County
Building Department prior to any further inspections being performed or approvals granted.�C
8) The approved site plan is required to be on-site for inspection purposes. If Inspection is cal or and th ite plan Is not on site,Approval WILL
N9T be granted. In additNor
reinspection fee, based on the current fee schedule, minimum one-hour will be charged and collected by the Mason
to any further inspections being performed or approvals granted.
COM2012-00040 Page 2 of 4
9) 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
lnsp ion. Inspection r orts shall be completed and submitted to the depL In a timely manner and shall be submitted prior to the framing and
fia �f
10) changes in nstruction hall be reviewed by engineer of record and submitted in wrlting to the Masan 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
rem ved, ap val wilt t be granted. In addition,a relnspection fee, based on the current fee schedule, minimum one-hour will be charged and
h a o C nt Building Department prior to any further Inspections being performed or approvals granted.
11) A CON TION MUS MEET OR EXCEEDALL LOCAL CODESAND THE INT RNATI NAL C E REQUIREMENTSAND OCCUPANCY
IS LIMITED TO THE PERMITTED AND APPROVED CLASSIFICATION. ANY CHR OR JC UPANCY WOULD RESULT IN PERMIT
REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. 2 `A
12) Ch ges to proved Ing plans that affect compliance to the current Washington State Energy Code(W EC), ventilation requirements),
1 e I Godes and/or Mason County Regulations shall be approved prior to construction.
13) N TRUC ON PROCES 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
conformanc 'th th,. ternational codes as amended and adopted by Mason County, Any corrections, changes or alterations required by a
q uIIdi ctor shall be made prior to requesting additional Inspections.
y
14) A property lines shall be cle rly Identified at the time of foundation inspection.X -�
15) All building permits sh II have a final Inspection performed and approved by the Mason County Building Department prior to permit expiration. The
failu ?to r q�.tt inspection or to obtain approval will be documented in the legal property records on file with Mason County as being
County ordinances and building regulations.
16) permits expire 180 da after permit issuance, or 180 days after the last Inspection activity is performed. The Building Official may extend the
time for action or a period not exceeding 180 days, upon the receipt of a written extension request Indicating that circumstances beyond the control
o e if r hav d v nted action from being taken. No more than one extension may be granted.
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 employees of on C acces above described property and structure Jo,re ew and inspection.
OWNER OR AGENT:' 1 DATE:
COM2012-00040 Page 3 of 4 }
MASON COUNTY PERMIT N0.1�0r2' 1 Z_
BUILDING PERMIT APPLICATION ' ' q
426 W. Cedar• P.O. Box 186, Shelton, WA 98584
D"�a O IZ Shelton (360) 427-9670• Belfair(360) 275-4467 • Elma (360) 482-5269
! On the web www.co.mason.wa.us
APPLIC NTINFOR ATInN �I,�,,- CONTRACTOR INFORMATION -}-� tD
Owner 6 D FU C "" �r�v��t't'� Company Name I ►� I.�
Mailin Address 3 by W N U 411 O Mailing Address
City State WR Zip Code City State Zip Code
Phone ZrAQ ' 3-42— Z
155 Other Ph. 2Q(o • 1 3. ict32 Phone Other Ph.
Lien/Title Holder Contractor Reg. # Exp.
E mail address _, H Vi VV V U_VM • C D lA E Mail Address
Drivers Lic.# DOB Drivers Lic.# DOB
SEPTIC/WATER SYSTEM INFORMATION -Connect to New Se�pPtic x�sting Septic
Connect to Water System Name of Water System 4OD n11 CGI Ie_
At
Well Water System Name of Water System
PARCEL INFORMATION - 12 Digit Parcel No Fire District
Legal Description N FX " 6 A Zlv Cr
Site Address(Please include street name,street number and cit
Directions t site ` "
T—
Will timber be cut and sold in parcel preparation? Yes No
Is property within 200'of Saltwater filc Lake River/Creek tAo Pond b
Wetland _Seasonal Runoff �1�Stream Mb Slopes or Bluffs > 15% t0
Is this permit submittal the result of a Stop Work Notice, Correction Notice or other enforcement action?Yes/No
TYPE OF JOB - Nggw Add Alt Repair Other PRIMARYg�SIDENCE ❑ SEASONAL ❑
Use of Building���Vl�� �.1 Describe Work��� '�W"'O�� GLnLb eAU;h G^ ;V-
No. of Bedrooms —No. of Bathrooms ME Square Footage- 1 Floor N 2nd Floor N A
3rd Floor NO Basement---NP Deck NA14 Covered Dec Other Sq.ft. N►-1
Garage A Attached Detached —WA Carport rAA Attached Detached
MANUFACTURED HOME INFORMATION - Make_. U f 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.
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 the contractor.I further declare that I am entitled to receive this
permit and to do the work as proposed in the application.I declare that I have obtained the permission from all the necessary parties. If permission is
required from any easement holder or any other party in interest regarding this application or the work proposed in the application,I have obtained
permission from them to a ly for this permit and conduct the work proposed. The owner or agent on owners behalf,represents that the information
provided is rate and nts employees of Mason County access to the above described property and structure for review and inspection.
PROOF OF INUAT N OF WO IS BY MEANS OF A PROGRESS INSPECTION.
X Date: Z t `� ZD
er/ e resentative Contractor indicate which one
FOR OFFICIAL U E BEYOND THIS POINT Accepted by_1T.6 H Date
DEPARTMENTAL REVIEW A PROVED DENIED NOTES
Building Department K3L
Planning Department
Environmental Health Department
Public Works Department
Fire Marshal
FEES
Building Permit Fee Site Inspection
Plan Review Fee EH Review Fee
Plumbina &Base Fee Planning Review Fee
Mechanical & Base fee Other
Wood/Gas/Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal
Valuation $ TOTAL FEES
THIS_I_S_NOT A SURVEY
ALL INFORMATION AND TRUE NORTH HAVE BEEN OBTAINED
FROM EXISTING DRAWINGS AND ARE APPROXIMATE.
a &
I � I I Your world.Delivered.
I I
( PROJECT CONSULTANTS:
I APPROVED
MASON C WEs TOWER
OUNTY DCD PLANNING COMMUNICATIONS
� TL#420163200020 f TL#420163290011 I TL#4201632�0012 I
I I I SITE PLAN REQUIRED TO BE ON SITE PLANS PREPARED BY:
I I CHANGES SUi3JECT TO APPROVAL
I (E)PAD MOUNTED 4eI I COnNitiTofVG
TRANSFORMER By Date __� 1692E WOODINVILLE41EDNOND RD NE.SUITE 210
(E)TELCO I I WOODINVILLE,WA9W72
(E)DENSE FOREST I PEDESTAL-� I PHONE:425.407.1732 FAX425.487.1734
EMAIL: RNERSTONE-NGP.COM
NN,M'.CORNERSTONE�NGR.COM
PROJECT INFO:
PROPERTY LINE
OL42
I
1 1 DAYTON
I 1
I
�(E)t150'-0'HIGH STEEL MONOPOLE 6018 WEST SHELTON-HAYCOCK RD
(E)17-TMDE ACCESS RD WI CHAIN-LINK FENCE ENCLOSURE SHELTON,WA 98584
MASON COUNTY
ISSUED FOR:
I
�A2 ZONING
l I I Zr ji:
REV::DATE:-ISSUED FOR: BY:
0� LU
(E)WEST CHAPPELL
I ao �N
CROSSING GRAVEL RD I TL0420184980700 I TL#420183290200 IZ TL#420163290300 alz TLO42MOS290M I TL#420160000000
I ±216.929 SO-FT. I
I (1-4.98ACRES) I 1 OQ 03-26-12 FINAL ZONING JRF
II I I QA 03-21-12 ZONING REVIEW JRF
1
I I I rDRAWN BY:-CHK.: APV.:
JRF BMH I MWO
I- PROPERTY LINE_ CURRENT ISSUE DATE:
- I
N86°49'S3'W(�S29,r) _ _ I r 03-26-12
I
LICENSURE
� I -
h010
(E)DENSE FOREST
TL#420163300000 I '
T< I DRAWING INFORMATION;
I
SITE ACCESS DO NOT SCALE DRAWINGS.CONTRACTOR MUSTVERIFY
\O \\ ALL DIMENSIONS AND ADVISE CONSULTANTS OF ANY
ERRORS AND OMISSIONS.ALL PREVIOUS ISSUES OF THIS
DRAAWING ARE SUPERSEDED BY THE LATEST REVISION
THE INFORMATION CONTAINED IN THIS SET OF DOCUMENTS
` - - OiHERRTEHAN WHICH IS RELATEDTO NAMED CLIEN IS
STRICTLY PROHIBITED.
DRAWING TITLE:
SITE PLAN
DRAWING NUMBER:
PLAN NORTH A 1 0
SITE PLAN
CEI JOB NUMBER UMTS 12-13032
22x34 SCALE:1'=100'4' 111x17 SCALE:1'=200'-0"