HomeMy WebLinkAboutCOM2021-00109 Cancelled Cell Tower Generator - COM Inspections - 9/16/2024 MASON COUNTY 615 W.Alder St.Bldg 8,SHELTON,WA 98584
COMMUNITY SERVICES SHELTON:360-427.9670,EXT 352
BELFAIR:360-275-4467,EXT 352
Building Planning,EnvlrmmentalllcalthCmnmunityliealth 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 COM2021-00109 Date Issued 11/18/2021 Issued By r
Project ADD EMERGENCY BACKUP DIESEL 30 KW GENERATOR TO EXISTING CELL TOWER
Site Address 19680 NE North Shore Rd
Applicant KGPCO-AT&T AGENT
Contractor LEGACY POWER SYSTEMS
Contractor Phone 1.253.686.3050 A N C E l L E D
Primary Code UPC IBC,IRC,IFC,IEC,IMC,& Type
Permit Type MECH/PLUMB-COMMERCIAL 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
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Mason County
Mason County - Division of Community Development
615 W. Alder St. Bldg.8
-UT 1« '"� Shelton,WA 98584
360-427-9670 ext 352
CANCELLED www.co.mason.wa.us
FGENERATOR
1-00109 MECH/PLUMB - COMMERCIAL
ESCRIPTION:ADD EMERGENCY BACKUP DIESEL 30 KW ISSUED: 11/18/2021
TO EXISTING CELL TOWER
ESS: 19680 NE NORTH SHORE RD TAHUYA EXPIRES: 05/17/2022
PARCEL: 322183190083
APPLICANT: KGPCO-AT&T AGENT OWNER: GOWER KIMBERLY M &MARK
3305 MN-60 PO BOX 555
FARIBAULT, MN55021 TAHUYA,WA98588
1.425.205.3007
GENERAL CONTRACTOR'S LICENSE: LEGACY POWER SYSTEMS License: CCLEGACT821 LL
8102 SKANSIE AVE Expires: 06/13/2022
GIG HARBOR,WA98332
1.253.686.3050
FEES: Paid Due
Building Permit 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
BLD-Final Inspection
CONDITIONS
• All property lines shall be clearly identified at the time of foundation inspection.
• 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.
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.
Printed by:Genie Mcfarland on:11/18/2021 11:25 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
MECH/PLUMB - COMMERCIAL COM2021-00109
The foundation/footing must be placed on undisturbed, firm-native soil. Provide copy of batch plant criteria for concrete
foundation.
* 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.
* 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.
* 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.
* 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.
* 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 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.
* 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.
* 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.
Printed by:Genie Mcfarland on:11/18/2021 11:25 AM Page 2 of 3
• � w. I
Mason County
Mason County - Division of Community Development
`'l11 615 W.Alder St. Bldg.8
xc ' Shelton, WA 98584
360-427-9670 ext 352
www.co.mason.wa.us
MECH/PLUMB - COMMERCIAL COM2021-00109
* 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 construction work is suspended for a period of
180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT
APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
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: LLI
Contractor or Authorized A nt: _1 Date:
Printed by:Genie Mcfarland on:11/18/2021 11:25 AM
Page 3 of 3
MASON COUNTY COMMUNITY SERVICES Permit No: 061
PERMIT ASSISTANCE CENTER: RECEIVED
C r I` /E D
•BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL R C C V
40 615 W.Alder Street,Shelton,WA 98584
Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone N 0 V O 20��
Belfair.(360)275-4467•Phone Elma:(360)482-5269
BUILDING PERMIT APPLICATION
- t
P RTY OWNER INFO I QATION:• .�� CONTRACTOR INFORMATION:
NAME: Mark&Kimberly Gower NAME: Lpgaav Pawer Syat ms /A Ryan Lnndin
MAILING ADDRESS: PO Box 555 MAILING ADDRESS: 8t n2-Rk ..iP.Aw.
CITY: Tahuya STATE:WA ZIP: 98588 CITY: nog,Harhnr STATE:WA ZIP: gg,
PHONE#1: PHONE:(2s3)686-3o50 CELL:
PHONE#2: EMAIL:rlundin@leeacypQwer.com
EMAIL: L&I PEG# CC I.FGACTR2I I.I. EXP.0.fi_/1L/_a
PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER[5X
NAME Ranee Pregler / KGPCo -AT&T Agent EMAIL ranee.pregler@kgpco.com
MAILING ADDRESS 3305 MN-60 CITY Fairbault STATE MN Zlp 55021
PHONE CELL 425-205-3607
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 322183190083 ZONING Forest Land
LEGAL DESCRIPTION(Abbreviated) Lot 4 and Portion of Lot 2-518,T22N,R3W FIRE DISTRICT
SITE ADDRESS 19680 NORTHEAST NORTH SHORE ROAD CITY TAHUYA,WA 98588
DIRECTIONS TO SITE ADDRESS
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO❑ SNOW LOAD:_pst
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Checkall that apply):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW❑ ADDITION❑ ALTERATION❑ REPAIR❑ OTHER Generator Add
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) Existing Telecommunications Site
IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS
HEATED STRUCTURE? YES(Whole Bldg)❑ YES(Parils)ojBldg)❑ NO❑
DESCRIBE WORK add an emergency backup diesel 30 KW generator on a new 10'x 4'concrete pad within the existing compound
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 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:
SEWAGEISEWER SOURCE: SEPTIC❑ SEWER❑ / NEW❑ EXISTING❑
PLUMBING IN STRUCTURE? YES❑ NO❑ If yes,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 OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.08.42) 11
X Ranee Pregler-Agent for AT&T,LOA attached 1010 /L
Signature of OWNER(Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
AT&T
LETTER OF AUTHORIZATION
September 28,2021
To whom it may concern,
This letter serves as authorization for KGPCo,their employees and agents to act as an agent on
behalf of AT&T Wireless,property owners and/or property managers for the proposed AT&T
Wireless generator addition for the purpose of obtaining Land Use Entitlements,Zoning Approvals,
Building Permits or any other application, permit or approval required for a generator addition at an
existing AT&T Wireless telecommunications site.
If you have any questions concerning this authorization, please contact me.
Thank you,
�e- 62k�
Michael Lents
Professional—Tech Vendor MGMT
AT&T Mobility West
1002 3RD Ave NW
Ardmore,OK.73401
Mobile: 626-319-8927 1 ml2946@att.com