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COM2013-00093 Lattice Tower, 3 Panel Antenna, 3 Hybrid Cables, Microwave Antenna - COM Permit / Conditions - 4/16/2014
totoMASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line(360)427-7262 Mason County Bldg. 3 426 W. Cedar P.O. Box 186 Phone: (360)427-9670, ext. 352 o Shelton, WA 98584 o COMMERCIAL BUILDING PERMIT COM2013-00093 OWNER: SPRINT WIRELESS RECEIVED: 9/5/2013 CONTRACTOR: LICENSE: EXP: ISSUED: 4/16/2014 SITE ADDRESS 633 DAYTON AIRPORT RD SHELTON EXPIRES: 10/16/2014 PARCEL NUMBE 3260010 LEGAL DESCRIPTION: SW PROJECT DESCRIPTION: DIRECTIONS TO SITE: On an existing 155' tall lattice tower- install 3 panel antennas, STATE PATROL ACADEMY remove 6 panel antennas; install two cabinets, remove 2 cabinets; install 3 hybrid cables, remove antenna coaxial cables; install 3 remote radio units; install microwave antenna General Information Construction &Occupancy Information Type of Use: COMMUNICATION Insp.Area: No. of Units: Type of Constr.: Type of Work: ADD Fire Dist.: No. of Bathrooms: Occ. Group: No. of Stories: Exit Design. Load: Valuation: $ 20,000.00 Building Height: Pre-Manufactured Unit Information Square Footage Information Make: Length: Lot Size: Model: Width: Building: Year: Serial No.: Basement: Parking Spaces: Setback Information Shoreline 8 Planning Information Front: Ft. Shoreline: Ft. Rear: Ft. Slope: Ft. Water Body: Shoreline Desig.: Not Applicable Side 1: Ft. SEPA?:No Comp. Plan Desig.: Urban Growth Area 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?: COM2013-00093 Please refer to the following pages for conditions of this permit. Page 1 of 4 7) 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 C,pty Building Inspector shall be made prior to requesting additional inspections. X LI, 8) 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-compnt with Mason County ordinances and building regulations. X 61— 9) 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. X G �... 10) 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 1-800-647-0 The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X 11) Per Mason County's Ordinance 5-98, "Towers shall not be artificially lighted, unless required by the FAA or other applicable authority. If lighting is required, the governing authority t2:� he available lighting alternatives and approve the design that would cause the least disturbance to the surrounding views." X 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 contractor. 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 authorized agent 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 con str on work is spend or a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PE 1�AP LICAT F 0 AYS WILL INVAIlJBrTE THE APPLICATION. Sin re Date � _ t �C OWNER - EPRESENTATI - CONTRACTOR Print Name (Circle one to i icate) COM2013-00093 Page 3 of 4 Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Plan Check Fee TIN Qisnnli .t9nR Al g97n1'Ann Planning Review Fee TIN Qir,ign1 i .tviln nn C99n1,Ann Building State Fee I atN Q111/gn1i Rd 5n G19n1dnn Building Permit Fee I AIN Qi1IOn1I R'i91 95 S17n1dnn Total $864.56 CASE NOTES FOR COM2013-00093 CONDITIONS FOR COM2013-00093 1) All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may extend the time for action for a period not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of th it holder have prevented action from being taken. No more than one extension may be granted. rm X � 2) 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 reinspection fee, based on the current fee schedule, minimum one-hour will,be charged and collected by the Mason County Building Department prior to any further inspections being performed or approvals granted. X 3) 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 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 gcpupancy inspections. X Lcl 4) 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 reinspection fee, based on the current fee schedule, minimum one-hour will be charged and collelM the Mason County Building Department prior to any further inspections being performed or approvals granted. X 5) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND THE INTERNATIONAL CODE REQUIREMENTS AND OCCUPANCY IS LIMITED TO THE PERMITTED AND APPROVED CLASSIFICATION. ANY CHANG OF USE OR OCCUPANCY WOULD RESULT IN PERMIT REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x 6) Changes to approved building plans that affect compliance to the current Washington State Energy Code (WSEC), ventilation requirements), Building/�I mbing/Mechanical Codes and/or Mason County Regulations shall be approved prior to construction. X COM2013-00093 Page 2 of 4 MASON COUNTY PtKMI I NUNJ)aJ 1 DEPARTMENT OF COMMUNITY bEVEL6PMENT BUILDING•PLANNING•FIRE MARSHAL 1 WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.352 / Mason County Bldg.111,426 West Cedar Street (360)275-4467 Betfair ext.352 PO Box 279, Shelton, WA 98584 (360)482-5269 Ekma ext.352 A _ BUILDING PERMIT APPLICATION ,OWNER-INFORMATION: `` CONTRACTOR INFORMATION: NAME: 'Sm w NAME: MAILING ADDRESS: 2 L{L 3 ` 4 �) MAILING ADDRESS: CITY: '.>e,, tit*-- STATE: t.J A ZIP: 9 9 10 T CITY: STATE: ZIP: PHONE: CELL: tot; ( 227-387 PHONE: CELL: EMAIL: t. EMAIL : L&I REG# EXP. PARCEL INFORMATION: PARCEL NUMBER(12 DIGIT NUMBER) fW lil .by Z— 3 -2- FIRE DISTRICT LEGAL DESCRIPTION(ABREVIATED): SITE ADDRESS Cf I L.,` IZ d CITY ;b.. t C. DIRECTIONS TO SITE ADDRESS IS PROPERTY WITHIN 200 FT: SALTWATER ❑ LAKE ❑ RIVER/CREEK❑ POND ❑ WETLAND❑ SEASONAL RUNOFF ❑ STREAM ❑ DOES PROPERTY HAVE SLOPE(S)WITHIN 300 FT OF THE PROJECT-GREATER THAN 14% YES❑ NO❑ TYPE OF JOB: NEW ❑ ADDITION ❑ ALTERATION'S, REPAIR❑ OTHER ❑ USE OF STRUCTURE(RESIDENCE,GARAGE t: -C.) r��e 55 c-,e , t4 IS USE: PRIMARY ❑ SEASONAL ❑ NUMBER OF BEDROOMS(U Q_ MBER OF BATHROOMS DESCRIBE WORK re-w,, e- r C"�' 0 3 l i 5 �1 e_ SOUARE FOOTAGE: f`' l A 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 sq. ft. GARAGE sq. ft. ATTACHED❑ DETACHED ❑ CARPORT sq. ft. ATTACHED❑ DETACHED❑ MANUFACTURED HOME INFORMATION: 0 1A *4 COPIES OF THE FLOOR PLAN MAKE MODEL YEAR - LENGTH WIDTH BEDROOMS BATHS SERIAL NUMBER OWNER/BUILDER aduxwAedges submission of inaccurate information may result in a stop work order or permit revocation. Admowledgement of such is by signature below. I declare that I am the owner,owners legal representative,or contractor. 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 authorized agent 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 perrrWappkadon 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 OF CONTINUATION OF WORK IS BY MEANS OF INSP!S�N_INA '� �OF�7�i1S APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. X re of Applicant Date x �_ �,e , S ^A OWNER/6EPRESENTATIVE NTRACTOR Print Name DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL MASON COUNTY I I PtKMI I 1YI3 r'_?,` -673 DEPARTMENT OF COMMUNITY DtVELOOMENT BUILDING•PLANNING•FIRE MARSHAL WWW.CO.MASON.WA.US (360)427-9670 Shelton exL352 Mason County Bldg.131,426 Vilest Cedar Street (360)275-4467 Belfair ext.352 PO Box 279, Shelton,WA 98584 (360)482-5269 Elma ext.352 - BUILDING PERMIT APPLICATION INFORMATION: CONTRACTOR INFORMATION: NAME: !s P ,� I --- -v,q z1� �'r�i , .i �� NAME: 1 MAILING ADDRESS: �- t, ' �`.��� ,` ti� MAILING ADDRESS: CITY: `-)e,, }-sly STATE: G ` ZIP: ci iz,r 0 Y CITY: STATE: ZIP: PHONE: CELL: z c(. / 'LZ 7-367 PHONE: CELL: EMAIL: �-i.c. . cl s,. kn Lcr;4 . ,t c EMAIL : L&I REG# EXP. I / PARCEL INFORMATION: PARCEL NUMBER(12 DIGIT NUMBER) C FIRE DISTRICT LEGAL DESCRIPTION(ABREVIATED): SITE ADDRESS (c �-', f 4' 0,._,,, CITY 1•,t_t 'C: : DIRECTIONS TO SITE ADDRESS IS PROPERTY WITHIN 200 FT: SALTWATER F1 LAKE ❑ RIVER/CREEK[ POND WETLAND SEASONAL RUNOFF[] STREAM�] DOES PROPERTY HAVE SLOPE(S)WITHIN 300 FT OF THE PROJECT-GREATER THAN 14% YES© NO TYPE OF JOB: NEW [] ADDITION [J ALTERATIONV, REPAIR Q OTHER E] USE OF STRUCTURE(RESIDENCE,GARAGE ETC..) !14J t�4`c 55 � c:c . �L IS USE: PRIMARY Q SEASONAL[] NUMBER OF BEDROOMS NtMBER OF BATHROOMS DESCRIBE WORK r�a.o N t {c� c -�= l fi r 5 e� ( cAc i te�rt C Ci 't iW �fG� �\ SOUARE FOOTAGE. t I ST FLOOR sq. ft- 2ND FLOOR sq. ft- 3RD FLOOR sq.ft. BASEMENT sq.ft. DECK sq. fL COVERED DECK sq. fL STORAGE sq.fL OTHER sq.fL GARAGE sq.fL ATTACHED[] DETACHED[] CARPORT sq.fL ATTACHED[ DETACHED MANUFACTURED HOME INFORMATION: v 1 A 44 COPIES OF THE FLOOR PLAN MAKE MODEL YEAR LENGTH WIDTH BEDROOMS BATHS SERIAL NUMBER OWNER/BUILDER acknowledges submission of inaccurate information may result in a stop work order or pemvt revocation. Acknowledgement of such is by signature below.I declare that I am the owner,owners legal representative,or contractor.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 authorized agent 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 worts is suspended for a period of 180 days.PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSP .N.INACT 7Y OFPTZHtS PEIZNT APPUCATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. X 'Z(= .- i Signature of Applicant Date X 51.e'", S;--\ OWNER / EPRESENTATIVE ONTRACTOR Print Name DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTMCONDITIONS BIJILDiNG DEPARTMENT PLANNING DEPARTMENT /a / FIRE MARSHAL FEE'S TOTAL VALUATION: BUILDING PERMIT FEE FIRE ACCESS AND GRADE PLAN REVIEW GEO-TECH REVIEW PLUMBING&BASE FEE STORMWATER REVIEW MECHANICAL& BASE FEE TOTAL FEES WOODIGASIPELLET STOVE VIOLATION INVESTIGATION FEE PLANNING REVIEW FEE VIOLATION FEE MASON COUNTY PLKM11 NU 1,�- DC� 1 • , DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING•PLANNING.FIRE MARSHAL WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.352 Mason County Bldg. 111,426 West Cedar Street (360)275-4467 Beftr ext.352 PO Box 279, Shelton,WA 98584 (360)482-5269 Erna ext-352 BUILDING PERMIT APPLICATION SVANINFORMATION: CONTRACTOR INFORMATION: NAME: ;.�� C���<<.�� -Sm ' .1 k NAME: t (� MAILING ADDRESS: 2- L( Z 3 ` � U k) MAILING ADDRESS: CITY: `)(:" 0 - STATE: (,` A ZIP: 9 ii 1 01 CITY: STATE: ZIP: PHONE: CELL: 2.o( LLZ-7-39-74, PHONE: CELL: EMAIL: �l`�,,�<d v� (� G Gcr . ,1 e EMAIL : L&I REG # EXP. PARCEL INFORMATION: PARCEL NUMBER(12 DIGIT NUMBER) �-1'Z. �Z— .Z C G I @ FIRE D1STRiCT LEGAL DESCRIPTION(ABREVIATED): SITE ADDRESS 4' %Z_yA1 c=,'k- 1j'��1 CITY DIRECTIONS TO SITE ADDRESS IS PROPERTY WITHIN 200 FT: SALTWATER❑ LAKE ❑ RIVER/CREEK❑ POND ❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM ❑ DOES PROPERTY HAVE SLOPE(S)WITHIN 300 FT OF THE PROJECT-GREATER THAN 14% YES[I NO TYPE OF JOB: NEW ❑ ADDITION AyLTERA`TION 14 REPAIR❑ OTHER W ❑ USE OF STRUCTURE(RESIDENCE,GARAGE ETC.) �✓c le 55 � C.C . t� IS USE: PRIMARY[] SEASONAL NUMBER OF BEDROOMS ? aNeMBER OF BATHROOMS #-' 1 DESCRIBE WORK N cic� c 1,4 SOUARE FOOTAGE: F ` IA ti IST FLOOR sq. ft. 2ND FLOOR sq. IL 3RD FLOOR sq.ft. BASEMENT sq.ft. DECK sq. ft. COVERED DECK sq. ft.STORAGE sq.ft. OTHER sq. ft. GARAGE sq. ft. ATTACHED❑ DETACHED [] CARPORT sq. ft. ATTACHED❑ DETACHED ❑ MANUFACTURED HOME INFORMATION: $� (A 44 COPIES OF THE FLOOR PLAN MAKE MODEL YEAR - LENGTH WIDTH BEDROOMS BATHS SERIAL NUMBER OWNER/BUILDER acknowledges submission of inaccurate information may result in a stop work order or permit revocation- Acknowledgement of such is by sign-Are below.I declare that I am the owner,owners legal representative,or cDnhactor.1 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 authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property and shiwture(s)for review and inspection.This permit/application becomes null&void if work or authorized construction is not commenoed within 180 days or if construction work is suspended for a period of 180 days.PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECIMI .N.INACTIVITY 00 IS PE_WT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. Srr-m� ature of Applicant Date x >l\c" � `� � OWNER/ EPRESENTATIVE ONTRACTOR Print Name DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BtJILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL FEE'S TOTAL VALUATION: BUILDING PERMIT FEE -T FIRE ACCESS AND GRADE PLAN REVIEW GEO-TECH REVIEW PLUMBING&BASE FEE STORMWATER REVIEW MECHANICAL.& BASE FEE TOTAL FEES WOODIGASIPELLET STOVE VIOLATION INVESTIGATION FEE PLANNING REVIEW FEE VIOLATION FEE GENERAL DYNAMICS Wireless Services August 26, 2013 Mason County Intake Specialist 426 W Cedar Shelton,WA 98584 RE: Permit Intake 631 W Dayton Airport Rd Dear Intake Specialist: Sprint is undertaking a network upgrade in Western Washington to allow for high- speed data transfers,the upgrade will incorporate the use of Long Term Evolution technology. The following proposal is part of that upgrade. This is building permit is for a modification to an existing wireless facility with no increase in height located at 631 W Dayton,APN 2002-32-6000010. The project has a construction valuation of$20,000. I have verified with Allan Borden that no land use is required and Genie McFarland provided the amount for the building permit intake. I respectfully resect that the receipt for the building permit be emailed or sent to the following address. Please let me know if I can provide any additional information. I can be reached at 206/227-3876 or shanedsmith(@comcast.ne 2463 8th Ave N, Seattle,WA 9819. Thanks for your attention to this mater. Shane Smith Site Acquisition Specialist 1NE r9 P i j P T� EXISTING TREES v z / m APPROVED MASON COUNTY DCD PLANNING y 1 SITE PLAN REQUkEU TO BE ON SITE ' ' y CHANGES SUBJECT TO APPROV L llj PROPERTY „LINE .. _ 04�Al � .. EXISTING SPRINT I t EQUIPMENT 1� 1 AREA � 1 A-2 I m � PROPERTY LINE I i. 'THER THAN THAT WHICH RELATES TO CARRIER SERVICES IS STRICTLY PROHIBITED.