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COM2022-00032 Cell Tower Antenna, Equipment - COM Inspections - 7/18/2024
MASON1�T 1�T�-�/ 615 W.Alder St.Bldg 8,SHELTON,WA 98584 MASOlr COUNTY j SHELTON:360-427-9670, EXT 352 �i COMMUNITY SERVICES BELFAIR:360-275-4467,EXT 352 ©uiWmy Piennlnq,[nvho�mentalllcvldr.communhyHealth 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/bid-inspection.php Permit Number COM2022-00032 Date Issued Issued By Project ADD EQUIPTMENT ANTENNA MOUNT AND 9 ANTENNAS AND ANCILLARY TO EXISITING TOWER Site Address 52 N COOPER HAWK PL Applicant VERIZON-CITY OF TACOMA Contractor Contractor Phone 2015 Primary Code UPC IBC,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 Department Building Official: Community Services Designee 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 r � Mason County Mason County - Division of Community Development 615 W. Alder St. Bldg.8 Shelton, WA 98584 360-427-9670 ext 352 www.co.mason.wa.us FRJ 2-00032 NEW COMMERCIAL PERMIT ESCRIPTION: ADD EQUIPTMENT ANTENNA MOUNT AND ISSUED: 06/16/2022 S AND ANCILLARY TO EXISITING TOWER ESS: 52 N COOPER HAWK PL HOODSPORT EXPIRES: 12/13/2022 PARCEL: 422050060000 APPLICANT: TACOMA PUBLIC UTILITIES OWNER: TACOMA PUBLIC UTILITIES 3628 S 35TH ST 3628 S 35TH ST TACOMA,WA 98409 TACOMA,WA98409 1.253.232.3847 CONTACT: LYNX CONSULTING 17311 135TH AVE NE,A100 WOODINVILLE,WA98072 1.206.972.1368 VALUATIONS: FEES: Paid Due Project Valuation (BID, 150000.00 $150,000.00 Planning Commercial Review $380.00 $0.00 ESTIMATION-) Fee Technology Surcharge $46.03 $0.00 Plan Check Fee $906.72 $0.00 State Fee-Commercial $25.00 $0.00 Building Permit Fee $1,394.96 $0.00 Total: $150,000.00 Totals : $2,752.71 $0.00 REQUIRED INSPECTIONS BLD-Final Inspection CONDITIONS * 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. Printed by:Genie Mcfadand on:12/01/2022 11:40 AM Page 1 of 3 Mason County Mason County - Division of Community Development 615 W.Alder St. Bldg.8 Shelton,WA 98584 360-427-9670 ext 352 www.co.mason.wa.us NEW COMMERCIAL PERMIT COM2022-00032 * 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. * WIND LOADS-Roof coverings shall be designed and tested to withstand the maximum basic wind speed. The basic wind speed for Mason County is 85 MPH. * Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners, connectors, and flashing. Install metal connectors approved for contact with the new types of pressure treated material. * Concrete encased grounding electrodes must be installed and used at each new building or structure that is built upon a permanent concrete foundation. In Mason County the electrical code is regulated by Washington State Department of Labor & Industries(L&I). For more information contact L&I for additional information. In Olympia call (360)902-6350 and in Bremerton call (360)415- 4000. * All property lines shall be clearly identified at the time of foundation inspection. * 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. Proper frost depth shall be observed below grade in undisturbed soils. * When parcel development requires direct access to state road(s), a Road Access Permit or Approval must be granted and approved by the Washington State Department of Transportation. For more information contact Washington State Department of Transportation, at (206)357-2620, ext. 630. * 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. * REQUIREMENTS FOR ROOF COVERINGS. Roof coverings shall be applied in accordance with the applicable provisions of the current code and the manufacturer's installation instructions. A drip edge shall be provided at eaves and gables of shingle roofs. * 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 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. * All surface water and potential runoff must be controlled on site and shall not adversely affect any adjacent properties nor increase the velocity flow entering or abutting to any state or county culverting/ditching system or road way. * 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. Printed by:Genie Mcfarland on:12/01/2022 11:40 AM 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 www.co.mason.wa.us NEW COMMERCIAL PERMIT COM2022-00032 * 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. * 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. * 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. * Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. * 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. * 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. * 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. * Towers shall not be artificially lighted, unless required by the FAA or other applicable authority * Towers shall be enclosed by security fencing not less than six feet in height and shall also be equipped with an appropriate anti-climbing device. 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 herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state/local law regulating construction or the performance of construction. Issued By: Contractor or Authorized Agent: Date: Printed by:Genie Mcfarland on:12/01/2022 11:40 AM Page 3 of 3 J verizonIES Tower Engineering Solutions, LLC 1320 Greenway Dr. Suite 600 Irving, TX 75038 972.483.0607 TESOrders@testower.us Third Party Antenna Mount Post-Modification Inspection Report PMI-Third Party SMART Tool Project#: 10240550 July 9, 2024 Site Information Site ID: 5000023108-VZW Site Name: LAKE CUSHMAN-A Carrier Name: Verizon Wireless Address: 52 N Coopers Hawks PI Hoodsport, Washington 98548, Mason County ,p, Latitude: 47.4226390 Longitude: -123.216858' Structure Information Tower Type: Self-Support Mount Type: (3) SitePro1 VFA12-HD FUZE ID#2438722 Inspection Result: [Pass] Report Prepared By:Joshua Veliz Mount Post-Modification Inspection Report July 9, 2024 (3)SitePro1 VFA12-HD Site ID: 5000023108-VZW/LAKE CUSHMAN-A Page 12 Executive Summary: The objective of this report is to confirm that the proposed mount modification has been completed in accordance with the proposed mount modification documents referenced below. Tower Engineering Solutions LLC did not visit the site and was not present during construction. This report is not a review of the adequacy or effectiveness of the mount modification. It should be noted that Tower Engineering Solutions LLC is not the engineer of record (EOR)for this project. Based on our review of the provided modification photos and documents, it is our opinion that the modification has been completed in accordance with the proposed mount modification documents. Project Closeout Documents: Document Type Remarks Proposed Mount Modification Lynx, Dated 212812022 Signed PMl Requirements Checklist N/A Contractor As-Built Drawings Provided by Steelhead Communications *Modification Photos Provided, Dated 611112024 Material Packing Listlinvoice Provided by Steelhead Communications, Dated 5/31/2023 Documents &Photos Required from Contractor. Post-Modification Inspection Summary: Modifications: Antenna: • Install (3) Ericsson AIR6449 N77D • Install (6)JMA MX06FIT865-02 • Install (3) Ericsson 8843 • Install (3) Ericsson 4449 • Install (1) Raycap 12-Port OVP Steel: • Install (3) SiteProi VFA12-HD sector frames • Install antenna mount pipes Deviations: Antenna: • Installed (3) Ericsson 8843 on position #2 instead of position#3—Approved • Installed (3) Ericsson 4449 on position#3 instead of position#2—Approved Steel: • Installed tiebacks on the same side of the mount instead of 1 per side—Approved Comments: • Deviations above were checked and approved by TES. (Use one) Mount Post-Modification Inspection Report July 9, 2024 (3)SiteProl VFA12-HD Site ID: 5000023108-VZW I LAKE CUSHMAN-A Page 3 Additional Information: Contractor certifies that the climbing facility/safety climb was not damaged during installation: ❑ Yes ❑ No ® N/A Contractor did provide climbing facility/safety climb photos.(See below) r. Y N Y ` rP P 1 Y Mount Post-Modification Inspection Report July 9, 2024 (3) SiteProl VFA12-HD Site ID: 5000023108-VZW/LAKE CUSHMAN-A Page 4 a IIIIIIIIIIIIIIININgq. �_'..,....,- , "1 4P � e i Mount Post-Modification Inspection Report July 9, 2024 (3)SitePro1 VFA12-HD Site ID: 5000023108-VZWI LAKE CUSHMAN-A Page 5 .r 77777 z� s w F 1 Mount Post-Modification Inspection Report July 9, 2024 (3)SitePro1 VFA12-HD Site ID: 5000023108-VZWI LAKE CUSHMAN-A Page 6 s. n ,j.. R