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Home My WebLink AboutCOM2012-00043 Addition of 6 Panel Antennas - COM Permit / Conditions - 7/27/2012 MASON 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 Shelton, WA 98584 COMMERCIAL BUILDING PERMIT COM2012-00043 _ OWNER: AT&T MOBILITY RECEIVED: 4/3/2012 CONTRACTOR: LICENSE: EXP: ISSUED: 7/27/2012 SITE ADDRESS: 11 NE PENINSULABLVD BELFAIR EXPIRES: 1/27/2013 PARCEL NUMBER: 123213400030 LEGAL DESCRIPTION: TR 3 OF SE SW S 281106 PCL 1 BLA#03-14 BLA#03-14(R)AF#1779502 PROJECT DESCRIPTION: DIRECTIONS TO SITE: Addition of 6 new panel antennas in existing 185`steel monopole. Addition of 2 site support cabinets mounted on existing concrete slab and replacement of generator receptacle. (BELFAIR-WA6745) General Information Construction&Occupancy Information Type of Use: Communications Insp.Area: No. of Units: Type of Constr.: Type of Work: Ap No.of Bathrooms: Occ.Group: D Fire Dist.: 2 Valuation: $ 50,000,00 No.of Stories: Exit Design.Load: 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&Planning Information Front: S 20.00 Ft. Shoreline; Ft. Rear: N 600.00 Ft. Slope: Ft. Water Body:na Shoreline Desig.. Not Applicable Side 1: E 50.00 Ft. SEPA?:Yes Comp. Plan Desig.: Rural Side 2: W 20.00 Ft. Fire Protection System Information Auto Fire Alarm System?: Emergency Key Box?: Standpipe?: Auto Fire Sprinkler System?: Access Road?: Fire Extinguishers?: Fixed Fire Suppression SystemT Fire Hydrants?: Fire Lanes?: COM2012-00043 Please refer to the following pages for conditions of this permit. Page 1 of 4 Plumbing Fixtures Mechanical Fixtures FEES • Type city. Type Qty. Type By Date Amount Receipt Planning Review Fee TW IVAM17 S�:Annn Signi7nn Plan Check Fee Ttu dnnnnl7 R4194d AI7n1Vnn Plan Check Fee TtAl AIM0017 5a1R dd C17n1" Building State Fea 'nia A000niq u Fn C17nignn Building Permit Fee TW Aommni7 IFaa 7..r cz19ni9nn Total $1,016.13 CASE NOTES FOR COM2012-00043 CONDITIONS FOR COM2012-00043 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 p9tential ris and pnetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at 1-80 2. ersgni this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X I S 2) Own /A en r�Irspo it let past the as ned address and/or purchase and post private road signs in accordance with Mason County Title 3 Pri to final a roval all u la d areas disturbed or c t� Uo activities shall be seeded,vegetated or given an equivalent type PP p ,� of erosion protection (sil#fencing or straw matting). _ -- r � 4) Th b i full compliance with the Mason County Cell Tower Ordi nance#5-98(Revised by Ordinance No. 53-04). 5) a design of�e equipmen buildings and related structures shall, to the extent possible, use materials, colors, textures, screening and landscaping that will blend the tower facilities to the natural setting and built environment 6) All approved plans are required to be on-site for inspection purposes. If Inspection is called for nd plans 3 not site, Approval WILL NOT be granted. In addition, a reinspection fee, based on the current fee schedule, minimum one-00 ll c k �ar{d d by the Mason County Building Department prior to any further inspections being performed or approvals granted. X' l,r 7) The approved site plan is required to be on-site for inspection purposes. If inspection is cal for and the site plan is not n site, Approval WILL NOT e grantetL. in addition, a reinspection fee, based on the current fee schedule, minimum one-hour will be charged and collected by the Mason u I g p ✓ eyRbptior to any further inspections being performed or approvals granted. J COM2012-00043 Page 2 of 4 i 8) 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 ins coon pecti reports shall be completed and submitted to the dept. in a timely manner and shall be submitted prior to the framing and f a n c" ns. X_ J t 9) change in constructs n shall be reviewed by engineer of record and submitted in writing to the Mason County Building Department prior to construction. All enginfpring documents are a part of the approved set of plans and must remain attached thereto. If engineering documents are rem ved,a val wfOncllt be granted. In addition, a reinspection fee, based on the current fee schedule, minimum one-hour will be charged and b t lty ty Building Department prior to any further inspections being performed or approvals granted. 10) ALL CONST CTION MU T MEET OR EXCEED ALL LOCAL CODES AND THE IN RNATIQNAL C E REQUIREMENTS AND OCCUPANCY IS LIMITED TO THE PERMITTED AND APPROVED CLASSIFICATION. ANY CHA PP NCY WOULD RESULT IN PERMIT REVOCATION. CHANGE OF USE MUST BEAPPROVED PRIOR TO CHANGEtx 11) Chapges toy roved illding plans that affect compliance to the current Washingto 5fate En rgy Code(W EC), ventllationrequirements), B I 1 e a is I Codes and/or Mason County Regulations shalf be approved prior to construction. X\\ 12) IT C07VSTRUC 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 i:o inspections by the Mason County Building Department. All construction must be In confKmance wj e int national codes as amended and adopted by Mason County. Any corrections, changes or alteratlons required by a ink tor.shall be made prior to requesting additional Inspections. 13) AI uili ing permi4 shall have"nal inspection performed and approved by the Mason County Building Department prior to permit expiration. The *permfts a fin r� ection or to obtain approval will be documented in the legal property records on file with Mason County as being bj p o my ordinances and building regulations. 14) All ex ire 180 days aft r permit issuance, or 180 days after the last inspection activity is performed. The Building Official may extend the time lfor action far peri n ticeeding 180 days, upon the receipt of a written extension request Indicating that circumstances beyond the control o rrnit d v r ed action from being taken. No more than one extension may be granted. X i� � This permit becomes null anVvoid if work or construction authorized is not commenced within 180 days,or if construction orwork is suspended fora 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 asorif anty ac Jo the above described property and structure for review and inspection. OWNER OR AGEN ��O 'h DATE: 7( 7 f COM2012-00043 Page 3 of 4 MASON COUNTY PERMIT NO:) -' BUILDING PERMIT APPLICATION 1 426 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 CONTRACTOR INFORMATION Owner ) 2 YT MD Company Name T�f� Mailing Address Mailing Address City State U_ Zip Code 2V d 3 City State Zip Code Phone U4z 311) O Z-7 Other Ph. Phone Other Ph. Lien/Title Holder Contractor Reg. # Exp. E mail address KIy70�V a INGULUMS. C(3M E Mail Address Drivers Lic.# DOB Drivers Lic.# DOB SEPTIC/WATER SYSTEM INFORMATION C n ec New Septic Existing Septic Connect to Water System Name of Wat S s e Well Water System Name of Wat r to PARCEL INFORMATION - 12 Digit Parcel No Fire D"stric Legal Description PC F Sf;'5W S )p D G —/ /� 02 Site Address (Please include street name, street number and city) Directions to site DI S TD V� 5 Z Will timber be cut and sold in parcel reparation?Yes/,KI6] ID tv Is property within 200' of Saltwater Lake IV D River/Creek ND Pond N7) Wetland _LNL�Z_Seasonal Runoff fJ0 Stream_ /V� _Slopes or Bluffs > 15% ATO Is this permit submittal the result of a Stop Work Notice, Correction Notice or other enforcement action?Yes/No TYPE OF JQB -_New Add7— Alt�— Repair Other PRIMARY RESIDENCE P SEASONAL Use of Buildi ' cribe Work kVD)Nh AIC No. of Bedrooms No. of�B throoms A Square Footage - 1st Floor ?end Floo 3rd Floor N�Basement r Deck Covered Deck Other �3q:ft. Garage Attached aM Detached Carport Attached Detached MANUFACTURED HOME INFORMATION - Make i 1 11 Model Year Length Width Serial No. IV No. of Bedree+:as_. No. of Bathrooms Type of Heat Purchase Priem 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 apply for this permit and conduct the work proposed. The owner or agent on owners behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure for review and inspection. PROOF O CONTINUATION QF WORK IS BY MEANS OF A PROGRESS INSPECTION. x Date---It?9/701_2_ Owner 60wners Representative ontractor indicate which one FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date DEPARTMENTAL REVIEW A P OVED DENIED NOTES Building Department Planning Department Environmental Health Department Public Works Department Fire Marshal fl FEES Building Permit Fee Site Inspection Plan Review Fee EH Review Fee Plumbing & Base Fee Planninq Review Fee Mechanical & Base fee Other Wood/Gas/Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal Valuation $ TOTAL FEES )ONCULUMS at$ct FOR March 29, 2012 Mason County Permit Assistance Center Attn: Trish Woolett P.O. Box 279 Shelton, WA 98584 Re: Building Permit Application for Planning Review/Modification to existing telecommunications facility. AT&T Site Reference WA6745 Belfair, FA#10038052 Address: 24941 NE State Route 3 Belfair, WA APN: 123213400030 To Whom It May Concern: On behalf of AT&T Mobility, LLC (AT&T), Vinculums is submitting an application to install (6) additional panel antennas on an existing telecommunications facility with (2) new site support cabinets on an existing concrete slab at the base of the tower. Enclosed please find the following: Four sets of site drawings Building Permit Application form SEPA Checklist Check in the amount of$330.00 for land use review fees Check in the amount of$630 for SEPA review fees Please contact me at 206-310-5327 or kwalton@vinculums.com if you need additional information to process. Si cerely i alton Enclosures 3301 Burke Avenue N Suite 100 Seattle WA 98103 • 206.213.9932 I Y THIS IS NOT A SURVEY ALL INFORMATION AND TRUE NORTH HAVE BEEN OBTAINED FROM EXISTING DRAWINGS AND ARE APPROXIMATE. a � Your world.Delivered. i ! PROJECT CONSULTANTS: TUP 1232131190060 I TLO 123213190033 I TL#12321319DO34 WES TOWER COMMUNICATIONS PLANS PREPARED BY: I I IBM WDMNVLLE•1EDLIOND RD NE,SUITE 210 7.. \ WODDINVILLF WABBS72 NE _ `. ♦ PHO :A244B7.1M FAX425AB7.1734 1 ! TL#12321340DO10 EMAL: csi@o w+rww•ngrT WWW.CORNERSTDNE•ENGRDOM PROJECTINFO: WA6745 =/ _!6 / TL#123213400030 / � �\ BELFAIR ±828,076 SQ.FT. �� 24941 NE STATE ROUTE 3 (t19.01 ACRES) ` TLB 125214300010 BELFAIR,WA 9MB __ / MASON COUNTY I j TL#123213400030 '/ ISSUED FOR: ±828,076 SQ.FT. / / ZONING11 I (t19.01 ACRES) [ I ITL#12321 I % � REV:-DATE=ISSUED FOR: BY: TL#123213300020 I ) I (E)RAILROAD TRACKS 01OPm11 03-23-12 FINAL ZONING JRF (E)POND Fi// / �\ Q 03.15.12 ZONING REVIEW JRF ♦ r (E)BUILDING OYP) DRAWN BY:=CHK.: APV.: TL#123213490OW I TL#123213490000 yy OQ / ♦ r JRF BMH MWO CURRENT ISSUE DATE: 03-23-12 L LICENSURE: _ k �I I / •p 34201 - - — —� k IT/E ACCESS I 4lA' It ice` TL8123213400000 DRAWING INFORMATION: (E)s1W4r HIGH STEEL MONOPOLE DO NOT WALE DRAWINGS.CONTRACTOR KISTVERIFY A-1.1 W1 CHAIN-LINK FENCE ENCLOSURE ALL DIMENSIONS ANDADVISE CONSULTANTS OFANY V ERRORS AND OMISSIONS.ALL PREVIOUS ISSUES OF THIS APPROVED I — _ — — —— — — T — - — T— — _ _ _T T _ _ _ DRAWING ARE SUPERSEDED BY THE LATEST FEVIBNON. �� - - THE INFORMATION CONTANED IN THIS SET OF DOCUMENTS IS PROPRETARYBY NATURE ANY USE OR DI&IOSUFIE MASON COUNTY DCD PLANNING I `k OTHER THAN WSTRICTYPROHDTONAMED CLIENT Is STRICTLY FRTONIB,i®. SITE PLAN REQUIRED TO BE ON SITE DRAWING TITLE: CHANGES SUBJECT TO APPROVAL SITE PLAN (E)RAILROAD TRUSSEL Y - — Date Y DRAWING NUMBER PLAN NORTH /�—1 O SITE PLAN 1 1 CEI JOB NUMBER UMTS 12-13047 22x34 SCALE:1"=100'-Er I11x17 SCALE:1"a 2W4r )ANCULUMS : aw mo FOR March 29, 2012 Mason County Permit Assistance Center Attn: Trish Woolett P.O. Box 279 Shelton, WA 98584 Re: Building Permit Application for Planning Review/Modification to existing telecommunications facility. AT&T Site Reference WA6745 Belfair, FA#10038052 Address: 24941 NE State Route 3 Belfair, WA APN: 123213400030 To Whom It May Concern: On behalf of AT&T Mobility, LLC (AT&T), Vinculums is submitting an application to install (6) additional panel antennas on an existing telecommunications facility with (2) new site support cabinets on an existing concrete slab at the base of the tower. Enclosed please find the following: Four sets of site drawings Building Permit Application form SEPA Checklist Check in the amount of$330.00 for land use review fees Check in the amount of$630 for SEPA review fees Please contact me at 206-310-5327 or kwalton@vinculums.com if you need additional information to process. Si cerely i alton Enclosures 3301 Burke Avenue N Suite 100 Seattle WA 98103 206.213.9932