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BLD2013-00257 - CANCEL
THIS BUILDING IS NOT FINALED . PERMIT WAS CANCELLED PRIOR TO RECEIVING ALL INSPECTIONS AND HAS NOT BEEN ISSUED A CERTIFICATE OF OCCUPANCY. • TION BLD Review Type: BUILDING PERMIT APPLICA Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD13-00257 Received Date: 8/21/2013 SITE ADDRESS: 1760 KALA POINT DR PORT TOWNSEND, 98368 OWNER: KALA POINT OWNERS ASSOC PHONE: 360-385-0814 1760 KALA POINT DR PORT TOWNSEND WA 983682505 SUBDIVISION: Block: Lot: TX 18 PARCEL NUMBER: 001281004 Section: 28 Township: 30 N Range: 01 W CONTRACTOR: STEELHEAD COMMUNICATIONS INC PHONE: 503-877-7371 DAVID MOOREHOUSE 28120 ST RT 410 E STE A3 BUCKLEY WA 98321 Contractor's License STEELCI972BS Expires 1/18/2015 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION ADD (1) MICROWAVE DISH (MICROCELL) TO EXISTING ANTENNA/TOWER TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP ALT MAIN: VALUATION 3,400.00 ADD'L: HEAT TYPE: CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $91.00 MEB 08/21/13 142410 Plan Check $59.15 MEB 08/21/13 142410 APPROVED State Building Code $4.50 MEB 08/21/13 142410 1 SEP , Total: $154.65 2Q�3 Jefferson County DCD MirlcmerlArinfo2fnrmc 2G RI n Ann Rlr!rn+ R/71/7l11 Z • I Elizabeth Williams From: Levario, Lezley[Lezley.Levario @GDIT.comj Sent: Tuesday, September 02, 2014 4:04 PM To: Elizabeth Williams Subject: RE: Expiration Notice for BLD13-00257 Attachments: image004.emz; BLD13-00257 Renewal.pdf • Elizabeth, No work was done and the permit should have actually been cancelled. How can we go about cancelling this permit? Thank You, Lezley Levario Regional Operations Analyst General Dynamics Wireless Services 8880 SW Nimbus Ave., Suite B Beaverton, OR 97008-7111 (503) 207-7591 desk Lezley.LevarioCa�gdit.com www.qdwireless.com GENERAL QYNAMICS Wireless Services From: Elizabeth Williams [mailto:EWilliams @co.jefferson.wa.us] Sent: Tuesday, September 02, 2014 3:36 PM To: Levario, Lezley Subject: Expiration Notice for BLD13-00257 ��w4 �s°N �oG Elizabeth Williams Administrative Clerk 4. Jefferson County Community Development fSbl NG. 621 Sheridan St.,Port Townsend,WA 98368 Mon-Thurs 9am-4:30pm,closed from 12-1 Ph: 360-379-4450 Fax: 360-379-4451 ewilliams@co.jefferson.wa.us http://www.co.jefferson.wa.us 1 • • BUILDING PERMIT EXPIRATION NOTICE Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD13-00257 Date Issued: 9/11/2013 APPLICANT: SPRINT-GENERAL DYNAMICS WIRELESS Date Expires: 9/11/2014 MELISSA KINDT 1000 124TH AVENUE NE, STE 200 BELLEVUE WA 98005 SITE ADDRESS: 1760 KALA POINT DR PORT TOWNSEND, WA 98368 SUBDIVISION: BLOCK: LOTS: TX 18 PARCEL: 001281004 Section: 28 Township: 30N Range: 1W According to our records, YOUR BUILDING PERMIT HAS NOT PASSED A FINAL INSPECTION AND WILL EXPIRE ON 9/11/2014. To keep your building permit active you must pay a $228 renewal fee. This will keep your permit active for one year after the date of expiration. If renewal fee is not paid by time of expiration, no more inspections can be performed until received. Please contact our office if you have any questions. Sincerely, Permit Technician DE `�, 9605/17. /1 4. \\ sse NIXIE To SAN f� RDRESSE NOT pELTVEit1���-E � �LY AEL E T� S2-17 V 68243921 +t+ 111++t �1 +1ttt ‘A -LD, vaihuL warhAysA-6) cow\ \\tidemark\data\forms\F_B LD_Perm it_Exp_Ntc.rpt • • AMERICAN TOWER. CO RPORATIO N Structural Analysis Report Structure : 150 ft.Self Supported Tower ATC Site Name : Port Townsend, WA ATC Site Number : 83041 C� Engineering Number : 53455821 1 013 6 2 Proposed Carrier : Sprint Nextel Carrier Site Name : Jefferson Airport aVERSON C DEVEIOPMEr DEPT OF C Carrier Site Number : SE33XC106 Site Location : 1760 Kala Point Dr. - Rv Lot Port Townsend, WA 98368-2505 48.068147,122.800447 County : Jefferson Date : May 28, 2013 Max Usage : 55% Result : Pass LPN. K. •, 7/z4 f/3 Anantha Shanubhogue �� Q� A O� Project Engineer y 1: 14, „ 44067 .„) EXPIRES /2.1 2 1)3 I ATC Tower Services,Inc.-8505 Freeport Parkway,Suite 135-Irving,TX 75063-972.999.8900 Office-972 999 8940 Fax-www.americantower.com • • Eng. Number 53455821 May 28, 2013 AMERICAN TOWER' C O R P O R A T I O N Table of Contents Introduction 1 Supporting Documents 1 Analysis 1 Conclusion 1 Existing and Reserved Equipment 2 Proposed Equipment 2 Structure Usages 3 Foundations 3 Deflection,Twist,and Sway 3 Standard Conditions 4 Calculations Attached ATC Tower Services,Inc.-8505 Freeport Parkway,Suite 135-Irving,TX 75063-972.999.8900 Office-972.999.8940 Fax-www.americantower.com • • Eng. Number 53455821 May 28, 2013 AMERICAN TOWER' Page 1 C O R P O R A T I O N it Introduction The purpose of this report is to summarize results of a structural analysis performed on the 150 ft. self supported tower to reflect the change in loading by Sprint Nextel. Supporting Documents Tower Drawings PiROD DWG.NO:120885-B dated December 16,1992 Foundation Drawing PiROD DWG.NO:120885-B dated December 09,1992 Geotechnical Report RZA Agra,Inc.W-8617 dated December 2,1992 Analysis The tower was analyzed using American Tower Corporation's tower analysis software. This program considers an elastic three-dimensional model and second-order effects per ANSI/TIA-222. Basic Wind Speed: 100 mph(3-Second Gust) Basic Wind Speed w/Ice: 30 mph(3-Second Gust)w/1/4"radial ice concurrent Code: ANSI/TIA-222-G/2009 IBC Structure Class: II Exposure Category: C Topographic Category: 1 Conclusion Based on the analysis results, the structure meets the requirements per the applicable codes listed above. The tower and foundation can support the equipment as described in this report. If you have any questions or require additional information, please contact me via email at anantha.shanubhogue @americantower.com or call 972-999-8910. ATC Tower Services,Inc.-8505 Freeport Parkway,Suite 135-Irving,TX 75063-972.999.8900 Office-972.999.8940 Fax-www.americantower.com • • A Eng. Number 53455821 May 28, 2013 AMERICAN TOWER' Page 2 C O R P O R A T I O N Existing and Reserved Equipment MountElev1(ft) City. Antenna Mount Type Coax(in) Carrier 1 2"x4"GPS 6 AWC-TMA-DD-700-C 147.0 6 ClearComm 850/1900 Sector Frame (12)15/8 Verizon Wireless 6 Antel WPA-80090/8CF (2)7/8 3 Antel BXA-70080/8CF 3 Antel BXA-185090/8_FP 137.0 3 Argus LLPX31OR (6)5/16 Clearwire Clearwire Mount (1) Corporation P 3 Samsung RRH-P4(1.9 GHz) (3)1 120.0 2 Andrew ADFD1820-3333B-XDM Hybriflex 2 RFS APXVRR13-C-A20 Sector Frame cable Sprint Nextel 6 DAPA 48010 (6)15/8 111.5 1 RSI MHP-60A96-S Pipe (1)EWP90 Verizon Wireless Proposed Equipment Elevationl(ft) Qty. Antenna Mount Type Coax(in) Carrier Mount RAD 1 Andrew VHLP2-18-2GR/B Pipe 1 3/8 Sprint Nextel 124.0 124.0 1 DragonWave Horizon Compact Plus _ Pipe _ ( ) / - p 1Mount elevation is defined as height above bottom of steel structure to the bottom of mount,RAD elevation is defined as center of antenna above ground level(AGM). Install proposed coax alongside existing Sprint Nextel coax. ATC Tower Services,Inc.-8505 Freeport Parkway,Suite 135-Irving,TX 75063-972.999.8900 Office-972.999.8940 Fax-www.americantower.com • • Eng. Number 53455821 May 28, 2013 AMERICAN TOWER' Page 3 C O R P O R A T I O N Structure Usages Structural Component Controlling Usage Pass/Fail Legs 46% Pass Diagonals 55% Pass Horizontals 10% Pass Anchor Bolts 39% Pass Leg Bolts 37% Pass Foundations Original Design Factored Design Reaction Component Reactions Reactions* Analysis Reactions %of Design Uplift(Kips) 307.8 415.5 189.5 46% Axial(Kips) 332.9 449.4 219.2 49% Shear(Kips) 35.5 48.0 23.0 48% *The design reactions are factored by 1.35 per ANSI/TIA-222-G,Sec.15.5.1 The structure base reactions resulting from this analysis are acceptable when compared to those shown on the original structure drawings,therefore no modification or reinforcement of the foundation will be required. Deflection,Twist and Sway* Antenna Elevation(ft) Deflection (ft) Twist(') Sway(Rotation) (1 124.0 0.124 0.007 0.125 'Deflection,Twist and Sway was evaluated considering a design wind speed of 60 mph(3-Second Gust)per ANSI/TIA-222-G ATC Tower Services,Inc.-8505 Freeport Parkway,Suite 135-Irving,TX 75063-972.999.8900 Office-972.999.8940 Fax-www.americantower.com • AMERICAN TOWER° C O N P O R A T 10 N Standard Conditions All engineering services are performed on the basis that the information used is current and correct.This information may consist of,but is not necessary limited,to: -- Information supplied by the client regarding the structure itself,antenna,mounts and feed line loading on the structure and its components,or other relevant information. Information from drawings in the possession of American Tower Corporation,or generated by field inspections or measurements of the structure. It is the responsibility of the client to ensure that the information provided to ATC Tower Services, Inc.and used in the performance of our engineering services is correct and complete. In the absence of information to the contrary,we assume that all structures were constructed in accordance with the drawings and specifications and that their capacity has not significantly changed from the"as new" condition. Unless explicitly agreed by both the client and American Tower Corporation,all services will be performed in accordance with the current revision of ANSI/TIA-222.The design basic wind speed will be determined based on the minimum basic wind speed as prescribed in ANSI/TIA-222.Although every effort is taken to ensure that the loading considered is adequate to meet the requirements of all applicable regulatory entities,we can provide no assurance to meet any other local and state codes or requirements. If wind and ice loads or other relevant parameters are to be different from the minimum values recommended by the codes,the client shall specify the exact requirement. All services are performed, results obtained,and recommendations made in accordance with generally accepted engineering principles and practices. ATC Tower Services, Inc. is not responsible for the conclusions,opinions and recommendations made by others based on the information we supply. ATC Tower Services,Inc.-8505 Freeport Parkway,Suite 135-Irving,TX 75063-972.999.8900 Office-972.999.8940 Fax-www.americantower.com . . w 0—"- O O N O m 0 -0 m E 0 r r m w :6:15 2 : 33 i 0 CL N O C Y 10 C O d a—C 0 ENx Q co c 10 p20 c la d g �UUM m m 0. Y.LL U� OM° O y d oU 3 r N�-� Gy1• C p 7 Op pO 0000.+�•�aNY L M m V CM., — Q' C R p10p 0 0100 M 7 Q. 2�M O Q. C C d a NNM�eO-7<-1 O O CO OOroMN J j0LL2 � 100 MC S-14-$$50.40R (7,121 inraGpx RK o o Q. 11 rr O 0) 0 E X1°CXXXpr d a ta7 >3 LL Q C F. C Q. 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Location: Port Townsend,WA Y 5/28/2013 3:09:48 FM Code: ANSIITIA-222 Rev G Struct Class: II Exposure: C Topo: 1 Section Forces LoadCase 1.2D+ 1.6W Normal 100.00 mph Normal to Face with No Ice Gust Response Factor: 0.85 Dead Load Factor: 1.20 Wind Importance Factor:1.00 Wind Load Factor: 1.60 Total Total Ice Ice Wind Flat Round Round Ice Eff Linear Linear Total Struct Linear Total Sect Height qz Area Area Area Sol Thick Area Area Area Weight Weight Force Force Force Seq (ft) (psf) (sqft) (sqft) (sqft) Ratio Cf Df Dr (in) (sqft) (sqft) (sqft) (Ib) Ice(lb) (lb) (Ib) (Ib) 8 140.0 29.56 0.00 13.90 0.00 0.13 2.83 1.00 1.00 0.00 7.87 22.30 0.00 1,729.7 0.0 895.38 767.37 1,662.75 7 125.0 28.86 4.76 7.81 0.00 0.21 2.55 1.00 1.00 0.00 8.30 15.27 0.00 1,229.1 0.0 831.40 501.52 1,332.92 6 110.0 28.10 12.22 17.23 0.00 0.20 2.60 1.00 1.00 0.00 19.88 49.84 0.00 3,234.5 0.0 1,976.53 1,575.6 3,552.19 5 90.00 26.94 13.46 18.83 0.00 0.17 2.70 1.00 1.00 0.00 21.55 50.78 0.00 3,758.7 0.0 2,129.15 1,535.1 3,664.29 4 70.00 25.55 14.87 18.83 0.00 0.15 2.78 1.00 1.00 0.00 22.73 50.78 0.00 3,834.0 0.0 2,197.43 1,456.0 3,653.46 3 50.00 23.80 16.41 22.04 0.00 0.14 2.80 1.00 1.00 0.00 25.54 50.78 0.00 5,252.3 0.0 2,316.31 1,356.4 3,672.76 2 30.00 21.37 24.04 22.04 0.00 0.15 2.78 1.00 1.00 0.00 33.25 50.78 0.00 5,524.9 0.0 2,685.07 1,218.1 3,903.23 1 10.00 18.50 26.30 23.64 0.00 0.14 2.80 1.00 1.00 0.00 36.10 50.78 0.00 6,335.1 0.0 2,544.03 1,054.1 3,598.17 30,898.3 0.0 25,039.78 LoadCase 1.2D+ 1.6W 60 deg 100.00 mph 60 deg with No Ice Gust Response Factor: 0.85 Dead Load Factor: 1.20 Wind Importance Factor:1.00 Wind Load Factor: 1.60 Total Total Ice Ice Wind Flat Round Round Ice Eff Linear Linear Total Struct Linear Total Sect Height qz Area Area Area Sol Thick Area Area Area Weight Weight Force Force Force Seq (ft) (psf) (sqft) (sqft) (sqft) Ratio Cf Df Dr (in) (sqft) (sqft) (sqft) (Ib) Ice(Ib) (Ib) (Ib) (Ib) 8 140.0 29.56 0.00 13.90 0.00 0.13 2.83 0.80 1.00 0.00 7.87 22.30 0.00 1,729.7 0.0 895.38 767.37 1,662.75 7 125.0 28.86 4.76 7.81 0.00 0.21 2.55 0.80 1.00 0.00 7.35 15.27 0.00 1,229.1 0.0 736.10 501.52 1,237.62 6 110.0 28.10 12.22 17.23 0.00 0.20 2.600.80 1.00 0.00 17.43 49.84 0.00 3,234.5 0.0 1,733.57 1,575.6 3,309.23 5 90.00 26.94 13.46 18.83 0.00 0.17 2.70 0.80 1.00 0.00 18.85 50.78 0.00 3,758.7 0.0 1,863.10 1,535.1 3,398.24 4 70.00 25.55 14.87 18.83 0.00 0.15 2.78 0.80 1.00 0.00 19.75 50.78 0.00 3,834.0 0.0 1,909.82 1,456.0 3,365.85 3 50.00 23.80 16.41 22.04 0.00 0.14 2.80 0.80 1.00 0.00 22.26 50.78 0.00 5,252.3 0.0 2,018.73 1,356.4 3,375.19 2 30.00 21.37 24.04 22.04 0.00 0.15 2.78 0.80 1.00 0.00 28.44 50.78 0.00 5,524.9 0.0 2,296.74 1,218.1 3,514.89 1 10.00 18.50 26.30 23.64 0.00 0.14 2.80 0.80 1.00 0.00 30.84 50.78 0.00 6,335.1 0.0 2,173.35 1,054.1 3,227.49 30,898.3 0.0 23,091.26 LoadCase 1.2D+ 1.6W 90 deg 100.00 mph 90 deg with No Ice Gust Response Factor: 0.85 Dead Load Factor: 1.20 Wind Importance Factor: 1.00 Wind Load Factor: 1.60 Total Total Ice Ice Wind Flat Round Round Ice Eff Linear Linear Total Struct Linear Total Sect Height qz Area Area Area Sol Thick Area Area Area Weight Weight Force Force Force Seq (ft) (psf) (sqft) (sqft) (sqft) Ratio Cf Df Dr (in) (sqft) (sqft) (sqft) (Ib) Ice(Ib) (Ib) (Ib) (Ib) 8 140.0 29.56 0.00 13.90 0.00 0.13 2.83 0.85 1.00 0.00 7.87 22.30 0.00 1,729.7 0.0 895.38 767.37 1,662.75 7 125.0 28.86 4.76 7.81 0.00 0.21 2.55 0.85 1.00 0.00 7.59 15.27 0.00 1,229.1 0.0 759.92 501.52 1,261.45 6 110.0 28.10 12.22 17.23 0.00 0.20 2.60 0.85 1.00 0.00 18.04 49.84 0.00 3,234.5 0.0 1,794.31 1,575.6 3,369.97 5 90.00 26.94 13.46 18.83 0.00 0.17 2.70 0.85 1.00 0.00 19.53 50.78 0.00 3,758.7 0.0 1,929.62 1,535.1 3,464.76 4 70.00 25.55 14.87 18.83 0.00 0.15 2.780.85 1.00 0.00 20.50 50.78 0.00 3,834.0 0.0 1,981.72 1,456.0 3,437.75 Page 1 • • Site Number: 83041 02007-2013 by ATC IP LLC.All rights reserved. Location: Port Townsend,WA Y 5/28/2013 3:09:48 PM Code: ANSIITIA-222 Rev G Struct Class: II Exposure: C Topo: 1 Section Forces 3 50.00 23.80 16.41 22.04 0.00 0.14 2.80 0.85 1.00 0.00 23.08 50.78 0.00 5,252.3 0.0 2,093.13 1,356.4 3,449.58 2 30.00 21.37 24.04 22.04 0.00 0.15 2.78 0.85 1.00 0.00 29.64 50.78 0.00 5,524.9 0.0 2,393.82 1,218.1 3,611.97 1 10.00 18.50 26.30 23.64 0.00 0.14 2.80 0.85 1.00 0.00 32.16 50.78 0.00 6,335.1 0.0 2,266.02 1,054.1 3,320.16 30,898.3 0.0 23,578.39 LoadCase 0.9D+ 1.6W Normal 100.00 mph Normal to Face with No Ice (Reduced DL) Gust Response Factor: 0.85 Dead Load Factor: 0.90 Wind Importance Factor:1.00 Wind Load Factor: 1.60 Total Total Ice Ice Wind Flat Round Round Ice Eff Linear Linear Total Struct Linear Total Sect Height qz Area Area Area Sol Thick Area Area Area Weight Weight Force Force Force Seq (ft) (psf) (sqft) (sqft) (sqft) Ratio Cf Df Dr (in) (sqft) (sqft) (sqft) (Ib) Ice(Ib) (Ib) (Ib) (Ib) 8 140.0 29.56 0.00 13.90 0.00 0.13 2.83 1.00 1.00 0.00 7.87 22.30 0.00 1,297.3 0.0 895.38 767.37 1,662.75 7 125.0 28.86 4.76 7.81 0.00 0.21 2.55 1.00 1.00 0.00 8.30 15.27 0.00 921.8 0.0 831.40 501.52 1,332.92 6 110.0 28.10 12.22 17.23 0.00 0.20 2.60 1.00 1.00 0.00 19.88 49.84 0.00 2,425.9 0.0 1,976.53 1,575.6 3,552.19 5 90.00 26.94 13.46 18.83 0.00 0.17 2.70 1.00 1.00 0.00 21.55 50.78 0.00 2,819.0 0.0 2,129.15 1,535.1 3,664.29 4 70.00 25.55 14.87 18.83 0.00 0.15 2.78 1.00 1.00 0.00 22.73 50.78 0.00 2,875.5 0.0 2,197.43 1,456.0 3,653.46 3 50.00 23.80 16.41 22.04 0.00 0.14 2.80 1.00 1.00 0.00 25.54 50.78 0.00 3,939.2 0.0 2,316.31 1,356.4 3,672.76 2 30.00 21.37 24.04 22.04 0.00 0.15 2.78 1.00 1.00 0.00 33.25 50.78 0.00 4,143.7 0.0 2,685.07 1,218.1 3,903.23 1 10.00 18.50 26.30 23.64 0.00 0.14 2.80 1.00 1.00 0.00 36.10 50.78 0.00 4,751.3 0.0 2,544.03 1,054.1 3,598.17 23,173.7 0.0 25,039.78 LoadCase 0.9D+ 1.6W 60 deq 100.00 mph 60 deg with No Ice (Reduced DL) Gust Response Factor: 0.85 Dead Load Factor: 0.90 Wind Importance Factor:1.00 Wind Load Factor: 1.60 Total Total Ice Ice Wind Flat Round Round Ice Eff Linear Linear Total Struct Linear Total Sect Height qz Area Area Area Sol Thick Area Area Area Weight Weight Force Force Force Seq (ft) (psf) (sqft) (sqft) (sqft) Ratio Cf Df Dr (in) (sqft) (sqft) (sqft) (Ib) Ice(Ib) (Ib) (Ib) (Ib) 8 140.0 29.56 0.00 13.90 0.00 0.13 2.83 0.80 1.00 0.00 7.87 22.30 0.00 1,297.3 0.0 895.38 767.37 1,662.75 7 125.0 28.86 4.76 7.81 0.00 0.21 2.55 0.80 1.00 0.00 7.35 15.27 0.00 921.8 0.0 736.10 501.52 1,237.62 6 110.0 28.10 12.22 17.23 0.00 0.20 2.60 0.80 1.00 0.00 17.43 49.84 0.00 2,425.9 0.0 1,733.57 1,575.6 3,309.23 5 90.00 26.94 13.46 18.83 0.00 0.17 2.70 0.80 1.00 0.00 18.85 50.78 0.00 2,819.0 0.0 1,863.10 1,535.1 3,398.24 4 70.00 25.55 14.87 18.83 0.00 0.15 2.78 0.80 1.00 0.00 19.75 50.78 0.00 2,875.5 0.0 1,909.82 1,456.0 3,365.85 3 50.00 23.80 16.41 22.04 0.00 0.14 2.80 0.80 1.00 0.00 22.26 50.78 0.00 3,939.2 0.0 2,018.73 1,356.4 3,375.19 2 30.00 21.37 24.04 22.04 0.00 0.15 2.78 0.80 1.00 0.00 28.44 50.78 0.00 4,143.7 0.0 2,296.74 1,218.1 3,514.89 1 10.00 18.50 26.30 23.64 0.00 0.14 2.80 0.80 1.00 0.00 30.84 50.78 0.00 4,751.3 0.0 2,173.35 1,054.1 3,227.49 23,173.7 0.0 23,091.26 Page 2 • I Site Number: 83041 ©2007-2013byATCIPLLC. All rights reserved. Location: Port Townsend,WA Y 5/28/2013 3:09:48 PM Code: ANSIITIA-222 Rev G Struct Class: II Exposure: C Topo: 1 Section Forces LoadCase 0.9D+ 1.6W 90 deq 100.00 mph 90 deg with No Ice (Reduced DL) Gust Response Factor: 0.85 Dead Load Factor: 0.90 Wind Importance Factor: 1.00 Wind Load Factor: 1.60 Total Total Ice Ice Wind Flat Round Round Ice Eff Linear Linear Total Struct Linear Total Sect Height qz Area Area Area Sol Thick Area Area Area Weight Weight Force Force Force Seq (ft) (psf) (sqft) (sqft) (sqft) Ratio Cf Df Dr (in) (sqft) (sqft) (sqft) (Ib) Ice(Ib) (Ib) (Ib) (Ib) 8 140.0 29.56 0.00 13.90 0.00 0.13 2.83 0.85 1.00 0.00 7.87 22.30 0.00 1,297.3 0.0 895.38 767.37 1,662.75 7 125.0 28.86 4.76 7.81 0.00 0.21 2.55 0.85 1.00 0.00 7.59 15.27 0.00 921.8 0.0 759.92 501.52 1,261.45 6 110.0 28.10 12.22 17.23 0.00 0.20 2.600.85 1.00 0.00 18.04 49.84 0.00 2,425.9 0.0 1,794.31 1,575.6 3,369.97 5 90.00 26.94 13.46 18.83 0.00 0.17 2.70 0.85 1.00 0.00 19.53 50.78 0.00 2,819.0 0.0 1,929.62 1,535.1 3,464.76 4 70.00 25.55 14.87 18.83 0.00 0.15 2.780.85 1.00 0.00 20.50 50.78 0.00 2,875.5 0.0 1,981.72 1,456.0 3,437.75 3 50.00 23.80 16.41 22.04 0.00 0.14 2.80 0.85 1.00 0.00 23.08 50.78 0.00 3,939.2 0.0 2,093.13 1,356.4 3,449.58 2 30.00 21.37 24.04 22.04 0.00 0.15 2.78 0.85 1.00 0.00 29.64 50.78 0.00 4,143.7 0.0 2,393.82 1,218.1 3,611.97 1 10.00 18.50 26.30 23.64 0.00 0.14 2.80 0.85 1.00 0.00 32.16 50.78 0.00 4,751.3 0.0 2,266.02 1,054.1 3,320.16 23,173.7 0.0 23,578.39 LoadCase 1.2D+ 1.0Di + 1.0Wi Normal 30.00 mph Normal with 0.25 in Radial Ice Gust Response Factor: 0.85 Dead Load Factor: 1.20 Wind Importance Factor:1.00 Wind Load Factor: 1.00 Ice Dead Load Factor : 1.00 Ice Importance Factor: 1.00 Total Total Ice Ice Wind Flat Round Round Ice Eff Linear Linear Total Struct Linear Total Sect Height qz Area Area Area Sol Thick Area Area Area Weight Weight Force Force Force Seq (ft) (psf) (sqft) (sqft) (sqft) Ratio Cf Df Dr (in) (sqft) (sqft) (sqft) (Ib) Ice(Ib) (Ib) (Ib) (Ib) 8 140.0 2.66 0.00 27.31 13.41 0.26 2.41 1.00 1.00 0.58 16.04 23.94 7.99 2,421.0 691.3 87.42 64.64 152.06 7 125.0 2.60 4.76 11.89 4.08 0.28 2.36 1.00 1.00 0.57 11.80 16.22 8.95 1,705.9 476.8 61.39 48.95 110.34 6 110.0 2.53 12.22 25.59 8.36 0.25 2.43 1.00 1.00 0.56 27.19 53.60 25.52 4,529.1 1,294.6 142.25 152.92 295.18 5 90.00 2.42 13.46 27.48 8.65 0.21 2.55 1.00 1.00 0.55 29.32 54.46 25.80 5,098.6 1,339.9 154.04 153.00 307.04 4 70.00 2.30 14.87 27.78 8.94 0.18 2.65 1.00 1.00 0.54 30.76 54.37 25.16 5,185.6 1,351.5 159.21 146.99 306.21 3 50.00 2.14 16.41 31.22 9.18 0.17 2.68 1.00 1.00 0.52 34.21 54.25 24.32 6,642.7 1,390.4 167.14 136.24 303.38 2 30.00 1.92 24.04 31.30 9.26 0.18 2.67 1.00 1.00 0.50 41.91 54.08 23.11 7,059.3 1,534.4 183.27 119.92 303.19 1 10.00 1.66 26.30 32.44 8.80 0.17 2.71 1.00 1.00 0.44 44.77 53.74 20.71 7,782.2 1,447.2 171.83 100.74 272.57 40,424.5 9,526.1 2,049.97 LoadCase 1.2D+ 1.0Di + 1.0Wi 60 deg 30.00 mph 60 deg with 0.25 in Radial Ice Gust Response Factor: 0.85 Dead Load Factor: 1.20 Wind Importance Factor:1.00 Wind Load Factor: 1.00 Ice Dead Load Factor : 1.00 Ice Importance Factor:1.00 Total Total Ice Ice Wind Flat Round Round Ice Eff Linear Linear Total Struct Linear Total Sect Height qz Area Area Area Sol Thick Area Area Area Weight Weight Force Force Force Seq (ft) (psf) (sqft) (sqft) (sqft) Ratio Cf Df Dr (in) (sqft) (sqft) (sqft) (Ib) Ice(Ib) (Ib) (Ib) (Ib) 8 140.0 2.66 0.00 27.31 13.41 0.26 2.41 0.80 1.00 0.58 16.04 23.94 7.99 2,421.0 691.3 87.42 64.64 152.06 7 125.0 2.60 4.76 11.89 4.08 0.28 2.36 0.80 1.00 0.57 10.85 16.22 8.95 1,705.9 476.8 56.44 48.95 105.39 6 110.0 2.53 12.22 25.59 8.36 0.25 2.43 0.80 1.00 0.56 24.75 53.60 25.52 4,529.1 1,294.6 129.47 152.92 282.39 5 90.00 2.42 13.46 27.48 8.65 0.21 2.55 0.80 1.00 0.55 26.63 54.46 25.80 5,098.6 1,339.9 139.89 153.00 292.90 4 70.00 2.30 14.87 27.78 8.94 0.18 2.65 0.80 1.00 0.54 27.78 54.37 25.16 5,185.6 1,351.5 143.82 146.99 290.81 Page 3 • • Site Number: 83041 ©2007-2013 by ATC IP LLC. 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Location: Port Townsend,WA Y 5/28/2013 3:09:48 PM Code: ANSI/TIA 222 Rev G Struct Class : II Exposure: C Topo: 1 Section Forces 3 50.00 2.14 16.41 31.22 9.18 0.17 2.68 0.80 1.00 0.52 30.93 54.25 24.32 6,642.7 1,390.4 151.11 136.24 287.35 2 30.00 1.92 24.04 31.30 9.26 0.18 2.67 0.80 1.00 0.50 37.10 54.08 23.11 7,059.3 1,534.4 162.24 119.92 282.16 1 10.00 1.66 26.30 32.44 8.80 0.17 2.71 0.80 1.00 0.44 39.51 53.74 20.71 7,782.2 1,447.2 151.64 100.74 252.38 40,424.5 9,526.1 1,945.44 LoadCase 1.2D+ 1.0Di + 1.0Wi 90 deg 30.00 mph 90 deg with 0.25 in Radial Ice Gust Response Factor: 0.85 Dead Load Factor: 1.20 Wind Importance Factor: 1.00 Wind Load Factor: 1.00 Ice Dead Load Factor : 1.00 Ice Importance Factor:1.00 Total Total Ice Ice Wind Flat Round Round Ice Eff Linear Linear Total Struct Linear Total Sect Height qz Area Area Area Sol Thick Area Area Area Weight Weight Force Force Force Seq (ft) (psf) (sqft) (sqft) (sqft) Ratio Cf Df Dr (in) (sqft) (sqft) (sqft) (Ib) Ice(lb) (Ib) (Ib) (lb) 8 140.0 2.66 0.00 27.31 13.41 0.26 2.41 0.85 1.00 0.58 16.04 23.94 7.99 2,421.0 691.3 87.42 64.64 152.06 7 125.0 2.60 4.76 11.89 4.08 0.28 2.36 0.85 1.00 0.57 11.09 16.22 8.95 1,705.9 476.8 57.68 48.95 106.63 6 110.0 2.53 12.22 25.59 8.36 0.25 2.43 0.85 1.00 0.56 25.36 53.60 25.52 4,529.1 1,294.6 132.67 152.92 285.59 5 90.00 2.42 13.46 27.48 8.65 0.21 2.55 0.85 1.00 0.55 27.30 54.46 25.80 5,098.6 1,339.9 143.43 153.00 296.43 4 70.00 2.30 14.87 27.78 8.94 0.18 2.65 0.85 1.00 0.54 28.53 54.37 25.16 5,185.6 1,351.5 147.67 146.99 294.66 3 50.00 2.14 16.41 31.22 9.18 0.17 2.68 0.85 1.00 0.52 31.75 54.25 24.32 6,642.7 1,390.4 155.12 136.24 291.35 2 30.00 1.92 24.04 31.30 9.26 0.18 2.67 0.85 1.00 0.50 38.30 54.08 23.11 7,059.3 1,534.4 167.50 119.92 287.42 1 10.00 1.66 26.30 32.44 8.80 0.17 2.71 0.85 1.00 0.44 40.83 53.74 20.71 7,782.2 1,447.2 156.69 100.74 257.43 40,424.5 9,526.1 1,971.58 LoadCase 1.0D+ 1.0W Service Normal Serviceability-60.00 Wind Normal Gust Response Factor: 0.85 Dead Load Factor: 1.00 Wind Importance Factor:1.00 Wind Load Factor: 1.00 Total Total Ice Ice Wind Flat Round Round Ice Eff Linear Linear Total Struct Linear Total Sect Height qz Area Area Area Sol Thick Area Area Area Weight Weight Force Force Force Seq (ft) (psf) (sqft) (sqft) (sqft) Ratio Cf Df Dr (in) (sqft) (sqft) (sqft) (Ib) Ice(Ib) (Ib) (Ib) (lb) 8 140.0 10.64 0.00 13.90 0.00 0.13 2.83 1.00 1.00 0.00 7.87 22.30 0.00 1,441.4 0.0 201.46 172.66 374.12 7 125.0 10.39 4.76 7.81 0.00 0.21 2.55 1.00 1.00 0.00 9.26 15.27 0.00 1,024.2 0.0 208.79 112.84 321.64 6 110.0 10.12 12.22 17.23 0.00 0.20 2.60 1.00 1.00 0.00 22.11 49.84 0.00 2,695.4 0.0 494.61 354.52 849.13 5 90.00 9.70 13.46 18.83 0.00 0.17 2.70 1.00 1.00 0.00 24.19 50.78 0.00 3,132.2 0.0 537.89 345.41 883.30 4 70.00 9.20 14.87 18.83 0.00 0.15 2.78 1.00 1.00 0.00 25.55 50.78 0.00 3,195.0 0.0 555.90 327.61 883.51 3 50.00 8.57 16.41 22.04 0.00 0.14 2.80 1.00 1.00 0.00 25.54 50.78 0.00 4,376.9 0.0 521.17 305.20 826.37 2 30.00 7.69 24.04 22.04 0.00 0.15 2.78 1.00 1.00 0.00 33.25 50.78 0.00 4,604.1 0.0 604.14 274.08 878.23 1 10.00 6.66 26.30 23.64 0.00 0.14 2.80 1.00 1.00 0.00 36.10 50.78 0.00 5,279.2 0.0 572.41 237.18 809.59 25,748.6 0.0 5,825.88 Page 4 • • Site Number: 83041 ©2007-2013 by ATC IP LLC.AN rights reserved. Location: Port Townsend,WA Y 5/28/2013 3:09:48 PM Code: ANSI/TIA-222 Rev G Struct Class : II Exposure: C Topo: 1 Section Forces LoadCase 1.0D+ 1.0W Service 60 deg Serviceability-60.00 Wind 60 deg Gust Response Factor: 0.85 Dead Load Factor: 1.00 Wind Importance Factor:1.00 Wind Load Factor: 1.00 Total Total Ice Ice Wind Flat Round Round Ice Eff Linear Linear Total Struct Linear Total Sect Height qz Area Area Area Sol Thick Area Area Area Weight Weight Force Force Force Seq (ft) (psf) (sqft) (sqft) (sqft) Ratio Cf Df Dr (in) (sqft) (sqft) (sqft) (Ib) Ice(Ib) (Ib) (Ib) (Ib) 8 140.0 10.64 0.00 13.90 0.00 0.13 2.83 0.80 1.00 0.00 7.87 22.30 0.00 1,441.4 0.0 201.46 172.66 374.12 7 125.0 10.39 4.76 7.81 0.00 0.21 2.55 0.80 1.00 0.00 8.31 15.27 0.00 1,024.2 0.0 187.35 112.84 300.19 6 110.0 10.12 12.22 17.23 0.00 0.20 2.60 0.80 1.00 0.00 19.66 49.84 0.00 2,695.4 0.0 439.94 354.52 794.47 5 90.00 9.70 13.46 18.83 0.00 0.17 2.70 0.80 1.00 0.00 21.50 50.78 0.00 3,132.2 0.0 478.03 345.41 823.43 4 70.00 9.20 14.87 18.83 0.00 0.15 2.78 0.80 1.00 0.00 22.58 50.78 0.00 3,195.0 0.0 491.19 327.61 818.80 3 50.00 8.57 16.41 22.04 0.00 0.14 2.80 0.80 1.00 0.00 22.26 50.78 0.00 4,376.9 0.0 454.21 305.20 759.42 2 30.00 7.69 24.04 22.04 0.00 0.15 2.78 0.80 1.00 0.00 28.44 50.78 0.00 4,604.1 0.0 516.77 274.08 790.85 1 10.00 6.66 26.30 23.64 0.00 0.14 2.80 0.80 1.00 0.00 30.84 50.78 0.00 5,279.2 0.0 489.00 237.18 726.18 25,748.6 0.0 5,387.46 LoadCase 1.0D+ 1.0W Service 90 deg Serviceability-60.00 Wind 90 deg Gust Response Factor: 0.85 Dead Load Factor: 1.00 Wind Importance Factor: 1.00 Wind Load Factor: 1.00 Total Total Ice Ice Wind Flat Round Round Ice Eff Linear Linear Total Struct Linear Total Sect Height qz Area Area Area Sol Thick Area Area Area Weight Weight Force Force Force Seq (ft) (psf) (sqft) (sqft) (sqft) Ratio Cf Df Dr (in) (sqft) (sqft) (sqft) (Ib) Ice(Ib) (Ib) (Ib) (Ib) 8 140.0 10.64 0.00 13.90 0.00 0.13 2.83 0.85 1.00 0.00 7.87 22.30 0.00 1,441.4 0.0 201.46 172.66 374.12 7 125.0 10.39 4.76 7.81 0.00 0.21 2.55 0.85 1.00 0.00 8.55 15.27 0.00 1,024.2 0.0 192.71 112.84 305.55 6 110.0 10.12 12.22 17.23 0.00 0.20 2.60 0.85 1.00 0.00 20.27 49.84 0.00 2,695.4 0.0 453.61 354.52 808.13 5 90.00 9.70 13.46 18.83 0.00 0.17 2.70 0.85 1.00 0.00 22.17 50.78 0.00 3,132.2 0.0 492.99 345.41 838.40 4 70.00 9.20 14.87 18.83 0.00 0.15 2.78 0.85 1.00 0.00 23.32 50.78 0.00 3,195.0 0.0 507.37 327.61 834.97 3 50.00 8.57 16.41 22.04 0.00 0.14 2.80 0.85 1.00 0.00 23.08 50.78 0.00 4,376.9 0.0 470.95 305.20 776.16 2 30.00 7.69 24.04 22.04 0.00 0.15 2.78 0.85 1.00 0.00 29.64 50.78 0.00 4,604.1 0.0 538.61 274.08 812.69 1 10.00 6.66 26.30 23.64 0.00 0.14 2.80 0.85 1.00 0.00 32.16 50.78 0.00 5,279.2 0.0 509.86 237.18 747.04 25,748.6 0.0 5,497.07 III Page 5 0 0 Site Number: 83041 ©2007-2013byATCIPLLC. 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Location: Port Townsend,WA Y 5/28/2013 3:09:48 PM Code: ANSIITIA-222 Rev G Struct Class: II Exposure: C Topo: 1 Tower Loading Discrete Appurtenance Properties No Ice Ice Attach Vert Elev Weight CaAa Weight CaAa Len Width Depth (ft) Description Qty (Ib) (sf) (Ib) (sf) (ft) (in) (in) Orientation Ecc Ka Factor (ft) 147.0 2"x 4"GPS 1 5.00 0.040 6.14 0.079 0.333 2.000 2.000 1.00 1.00 0.167 147.0 AWC-TMA-DD-700-C 6 14.00 0.580 14.32 0.593 1.167 9.000 4.000 1.00 0.67 0.000 147.0 ClearComm 850/1900 6 5.50 0.520 9.45 0.538 0.650 6.900 2.100 1.00 0.67 0.000 147.0 Antel WPA-80090/8CF 6 23.00 8.290 78.40 8.781 7.890 8.100 5.700 1.00 0.92 3.000 147.0 Sector Frame 3 300.00 14.400 422.02 19.891 0.000 0.000 0.000 0.75 0.75 0.000 147.0 Antel BXA-70080/8CF 3 23.00 8.290 78.40 8.781 7.890 8.100 5.700 0.80 0.92 3.000 147.0 Antel BXA-185090/8_FP 3 11.00 2.920 32.94 3.198 4.020 6.100 4.100 0.80 0.95 5.000 137.0 Argus LLPX310R 3 28.60 4.830 58.80 4.574 3.500 11.80 4.500 1.00 1.00 0.000 137.0 Huawei DBS3900 WiMAX 3 44.00 2.570 61.38 2.396 1.575 14.00 4.700 1.00 1.00 0.000 137.0 Clearwire Mount 1 40.00 8.500 51.09 10.857 0.000 0.000 0.000 1.00 1.00 0.000 124.0 Andrew VHLP2-18-2GR/B 1 31.00 4.690 62.62 5.103 2.175 0.000 0.000 1.00 1.00 0.000 124.0 DragonWave Horizon 1 7.50 0.810 14.17 0.397 0.330 9.600 8.700 1.00 1.00 0.000 120.0 Samsung RRH-P4(1.9 GI-Iz) 3 62.80 3.190 89.14 2.949 1.983 13.80 9.000 0.80 0.67 3.000 120.0 Andrew ADFD1820-33338- 2 38.00 12.300 101.79 10.895 4.750 22.00 5.000 0.80 1.00 3.000 120.0 RFS APXVRRI 3-C-A20 2 32.00 7.350 73.42 6.979 4.560 13.80 4.300 0.80 1.00 3.000 120.0 DAPA 48010 6 18.30 4.510 44.07 4.676 4.440 8.700 2.700 0.80 0.71 3.000 120.0 Sector Frame 3 300.00 14.400 419.11 19.760 0.000 0.000 0.000 0.75 0.75 0.000 111.5 RSI MHP-60A96-S 1 470.00 63.420 875.23 64.922 8.000 0.000 0.000 1.00 1.00 0.000 Totals 54 3366.50 5722.50 Number of Appurtenances: 18 Linear Appurtenance Properties Elev Elev Out From To Width Weight Pct Spread On Bundling Cluster Of Spacing Orientation Ka (ft) (ft) Description Qty (in) (Iblft) In Block Faces Arrangement Dia(in) Zone (in) Factor Override 0.00 147.0 1 5/8" Coax 12 1.98 0.82 50 Lin App Block 0.00 N 0.00 1.00 0.00 0.00 147.0 7/8" Coax 2 1.09 0.33 100 Lin App Individual 0.00 N 1.00 1.00 0.00 0.00 137.0 2"Conduit 1 2.20 1.48 100 Lin App Individual 0.00 N 1.00 1.00 0.00 0.00 137.0 5/16"Coax 6 0.32 0.04 100 Lin App Individual 0.00 N 1.00 1.00 0.00 0.00 124.0 3/8"Coax 1 0.44 0.08 100 Lin App Individual 0.00 N 1.00 1.00 0.00 0.00 120.0 1 1/4"Hybriflex 3 1.54 1.00 100 Lin App Individual 0.00 N 1.00 1.00 0.00 0.00 120.0 1 5/8" Coax 6 1.98 0.82 50 Lin App Block 0.00 N 0.00 1.00 0.00 0.00 111.5 EW P90 1 1.32 0.32 100 Lin App Individual 0.00 N 1.00 1.00 0.00 Page 6 • • Site Number: 83041 ©2007-2013 by ATC IP LLC. 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Location: Port Townsend,WA Y 5/28/2013 3:09:48 PM Code: ANSIITIA-222 Rev G Struct Class: II Exposure: C Topo: 1 Force/Stress Summary Section: 1 U18 Bot Elev(ft): 0.00 Height(ft): 20.000 phi Shear Bear Force Len Bracing% F'y Pn Num Num phiRnv phiRn Use Max Compression Member (kip) Load Case (ft) X Y Z KLIR (ksi) (kip) Bolts Holes (kip) (kip) % Controls LEG 12B-12"BD 2.25" -212.55 1.2D+1.6W 10.02 100 100 100 24.4 50.0 514.03 0 0 0.00 0.00 41 Member X HORIZ 0.00 0.000 0 0 0 0.0 0.0 0.00 0 0 0.00 0.00 0 DIAG SAE-4X4X0.25 -6.50 1.2D+1.6W 20.15 50 50 50 152.1 35.7 18.94 1 1 49.70 34.80 34 Member Z Force Fy Fu phit Pn Num Num Shear Bear Use Max Tension Member (Kip) Load Case (ksi) (ksi) (kip) Bolts Holes Cap(kip) Cap(kip) % Controls LEG 12B-12"BD 2.25" 184.73 0.9D+1.6W 60 50 65 536.85 0 0 0.00 0.00 34 Member HORIZ 0.00 0 0 0.00 0 0 0.00 0.00 0 DIAG SAE-4X4X0.25 5.88 1.2D+1.6W 36 58 52.08 1 1 0.00 34.80 11 Member Force Capacity Use Num Max Splice Forces (kip) Load Case (kip) % Bolts Bolt Type Top Tension 169.03 0.9D+1.6W 60 0.00 0 0 Top Compression 194.86 1.2D+1.6W 0.00 0 Bot Tension 190.87 0.9D+1.6W 60 488.46 39 6 1 114 A449(Anchor) Bot Compression 219.40 1.2D+1.6W 0.00 0 Section: 2 U16 Bot Elev(ft): 20.00 Height(ft): 20.000 phi Shear Bear Force Len Bracing% F'y Pn Num Num phiRnv phiRn Use Max Compression Member (kip) Load Case (ft) X Y Z KL/R (ksi) (kip) Bolts Holes (kip) (kip) % Controls LEG 12B-12"BD 2" -188.00 1.2D+1.6W 10.02 100 100 100 24.4 50.0 405.83 0 0 0.00 0.00 46 Member X HORIZ 0.00 0.000 0 0 0 0.0 0.0 0.00 0 0 0.00 0.00 0 DIAG SAE-4X4X0.25 -6.46 1.2D+1.6W 90 18.44 50 50 50 139.2 35.7 22.61 1 1 49.70 34.80 28 Member Z Force Fy Fu phit Pn Num Num Shear Bear Use Max Tension Member (Kip) Load Case (ksi) (ksi) (kip) Bolts Holes Cap(kip) Cap(kip) % Controls LEG 12B-12"BD 2" 161.73 1.2D+1.6W 60 50 65 423.90 0 0 0.00 0.00 38 Member HORIZ 0.00 0 0 0.00 0 0 0.00 0.00 0 DIAG SAE-4X4X0.25 6.26 0.9D+1.6W 90 36 58 52.08 1 1 0.00 34.80 12 Member Force Capacity Use Num Max Splice Forces (kip) Load Case (kip) % Bolts Bolt Type Top Tension 146.12 0.9D+1.6W 60 0.00 0 0 Top Compression 167.77 1.2D+1.6W 0.00 0 Bot Tension 169.03 0.9D+1.6W 60 523.32 32 6 1 1/4 A325 Bot Compression 194.86 1.2D+1.6W 0.00 0 Page 7 411 1111 Site Number: 83041 ©2007-2013byATCIPLLC. 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Location: Port Townsend,WA Y 5/28 22013 3:09:48 FM Code: ANSIITIA-222 Rev G Struct Class: II Exposure: C Topo: I Force/Stress Summary Section: 3 U14 Bot Elev(ft): 40.00 Height(ft): 20.000 phi Shear Bear Force Len Bracing% F'y Pn Num Num phiRnv phiRn Use Max Compression Member (kip) Load Case (ft) X Y Z KLIR (ksi) (kip) Bolts Holes (kip) (kip) % Controls LEG 12B-12"BD 2" -160.54 1.2D+1.6W 10.02 100 100 100 24.4 50.0 405.83 0 0 0.00 0.00 39 Member X HORIZ 0.00 0.000 0 0 0 0.0 0.0 0.00 0 0 0.00 0.00 0 DIAG SAE-3X3X0.3125 -6.04 1.2D+1.6W 90 16.80 50 50 50 171.2 36.0 13.73 1 1 49.70 43.50 44 Member Z Force Fy Fu phit Pn Num Num Shear Bear Use Max Tension Member (Kip/ Load Case (ksi) (ksi) (kip) Bolts Holes Cap(kip) Cap(kip) % Controls LEG 12B-12"BD 2" 140.94 0.9D+1.6W 60 50 65 423.90 0 0 0.00 0.00 33 Member HORIZ 0.00 0 0 0.00 0 0 0.00 0.00 0 DIAG SAE-3X3X0.3125 5.89 1.2D+1.6W 90 36 58 44.05 1 1 0.00 43.50 13 Member Force Capacity Use Num Max Splice Forces (kip) Load Case (kip) % Bolts Bolt Type Top Tension 121.93 0.9D+1.6W 60 0.00 0 0 Top Compression 139.33 1.2D+1.6W 0.00 0 Bot Tension 146.12 0.9D+1.6W 60 523.32 28 6 1 1/4 A325 Bot Compression 167.77 1.2D+1.6W 0.00 0 Section: 4 U12 Bot Elev(ft): 60.00 Height(ft): 20.000 phi Shear Bear Force Len Bracing% F'y Pn Num Num phiRnv phiRn Use Max Compression Member (kip) Load Case (ft) X Y Z KL/R (ksi) (kip) Bolts Holes (kip) (kip) % Controls LEG 12B-12"BD 1.75" -131.62 1.2D+1.6W 10.02 100 100 100 26.0 50.0 308.82 0 0 0.00 0.00 42 Member X HORIZ 0.00 0.000 0 0 0 0.0 0.0 0.00 0 0 0.00 0.00 0 DIAG SAE-3X3X0.1875 -5.77 1.2D+1.6W 15.24 50 50 50 153.4 36.0 10.46 1 1 49.70 26.10 55 Member Z Force Fy Fu phit Pn Num Num Shear Bear Use Max Tension Member (Kmp) Load Case (ksi) (ksi) (kip) Bolts Holes Cap(kip) Cap(kip) % Controls LEG 12B-12"BD 1.75" 114.87 1.2D+1.6W 60 50 65 324.45 0 0 0.00 0.00 35 Member HORIZ 0.00 0 0 0.00 0 0 0.00 0.00 0 DIAG SAE-3X3X0.1875 5.80 1.2D+1.6W 90 36 58 27.15 1 1 0.00 26.10 21 Member Force Capacity Use Num Max Splice Forces (kip) Load Case (kip) % Bolts Bolt Type Top Tension 95.49 0.9D+1.6W 60 0.00 0 0 Top Compression 109.39 1.2D+1.6W 0.00 0 Bot Tension 121.93 0.9D+1.6W 60 327.12 37 6 1 A325 Bot Compression 139.33 1.2D+1.6W 0.00 0 Page 8 • II Site Number: 83041 ©2007-2013 byATCIPLLC. 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Location: Port Townsend,WA Y 5/28/2013 3:09:48 PM Code: ANSIITIA 222 Rev G Struct Class: II Exposure: C Topo: 1 Force/Stress Summary Section: 5 U10 Bot Elev(ft): 80.00 Height(ft): 20.000 phi Shear Bear Force Len Bracing% F'y Pn Num Num phiRnv phiRn Use Max Compression Member (kip) Load Case (ft) X Y Z KL/R (ksi) (kip) Bolts Holes (kip) (kip) % Controls LEG 12B-12"BD 1.75" -100.97 1.2D+1.6W 10.02 100 100 100 26.0 50.0 308.82 0 0 0.00 0.00 32 Member X HORIZ 0.00 0.000 0 0 0 0.0 0.0 0.00 0 0 0.00 0.00 0 DIAG SAE-3X3X0.1875 -5.98 1.2D+1.6W 13.79 50 50 50 138.9 36.0 12.77 1 1 49.70 26.10 46 Member Z Force Fy Fu phit Pn Num Num Shear Bear Use Max Tension Member (Kip) Load Case (ksi) (ksi) (kip) Bolts Holes Cap(kip) Cap(kip) % Controls LEG 12B-12"BD 1.75" 88.44 0.9D+1.6W 60 50 65 324.45 0 0 0.00 0.00 27 Member HORIZ 0.00 0 0 0.00 0 0 0.00 0.00 0 DIAG SAE-3X3X0.1875 5.86 1.2D+1.6W 36 58 27.15 1 1 0.00 26.10 21 Member Force Capacity Use Num Max Splice Forces (kip) Load Case (kip) % Bolts Bolt Type Top Tension 64.61 0.9D+1.6W 60 0.00 0 0 Top Compression 75.90 1.2D+1.6W 0.00 0 Bot Tension 95.49 0.9D+1.6W 60 327.12 29 6 1 A325 Bot Compression 109.39 1.2D+1.6W 0.00 0 Section: 6 U8 Bot Elev(ft): 100.0 Height(ft): 20.000 phi Shear Bear Force Len Bracing% F'y Pn Num Num phiRnv phiRn Use Max Compression Member (kip) Load Case (ft) X Y Z KL/R (ksi) (kip) Bolts Holes (kip) (kip) % Controls LEG 12B-12"BD 1.5" -66.10 1.2D+1.6W 10.02 100 100 100 30.3 50.0 222.99 0 0 0.00 0.00 29 Member X HORIZ 0.00 0.000 0 0 0 0.0 0.0 0.00 0 0 0.00 0.00 0 DIAG SAE-3X3X0.1875 -6.70 1.2D+1.6W 12.50 50 50 50 125.9 36.0 15.34 1 1 49.70 26.10 43 Member Z Force Fy Fu phit Pn Num Num Shear Bear Use Max Tension Member (Kip) Load Case (ksi) (ksi) (kip) Bolts Holes Cap(kip) Cap(kip) % Controls LEG 12B-12"BD 1.5" 55.16 0.9D+1.6W 60 50 65 238.50 0 0 0.00 0.00 23 Member HORIZ 0.00 0 0 0.00 0 0 0.00 0.00 0 DIAG SAE-3X3X0.1875 6.76 1.2D+1.6W 90 36 58 27.15 1 1 0.00 26.10 24 Member Force Capacity Use Num Max Splice Forces (kip) Load Case (kip) % Bolts Bolt Type Top Tension 30.93 0.9D+1.6W 60 0.00 0 0 Top Compression 38.95 1.2D+1.6W 0.00 0 Bot Tension 64.61 0.9D+1.6W 60 327.12 20 6 1 A325 Bot Compression 75.90 1.2D+1.6W 0.00 0 Page 9 S S Site Number: 83041 ©2007-2013 by ATC IP LLC. All rights reserved Location: Port Townsend,WA Y 5/28/2013 3:09:48 PM Code: ANSIITIA-222 Rev G Struct Class: II X Exposure: C Topo: 1 7/ Force/Stress Summary Section: 7 U6 Bot Elev(ft): 120.0 Height(ft): 10.000 phi Shear Bear Force Len Bracing% F'y Pn Num Num phiRnv phiRn Use Max Compression Member (kip) Load Case (ft) X Y Z KL/R (ksi) (kip) Bolts Holes (kip) (kip) % Controls LEG 12B-12"BD 1.25" -30.21 1.2D+1.6W 10.02 100 100 100 36.4 50.0 150.33 0 0 0.00 0.00 20 Member X HORIZ 0.00 0.000 0 0 0 0.0 0.0 0.00 0 0 0.00 0.00 0 DIAG SAE-2.5X2.5X0.1875 -4.56 1.2D+1.6W 11.41 50 50 50 138.4 36.0 10.64 1 1 49.70 26.10 42 Member Z Force Fy Fu phit Pn Num Num Shear Bear Use Controls Max Tension Member (Kip/ Load Case (ksi) (ksi) (kip) Bolts Holes Cap(kip) Cap(kip) /o LEG 12B-12"BD 1.25" 24.92 0.9D+1.6W 60 50 65 165.60 0 0 0.00 0.00 15 Member HORIZ 0.00 0 0 0.00 0 0 0.00 0.00 0 DIAG SAE-2.5X2.5X0.1875 4.04 1.2D+1.6W 60 36 58 21.02 1 1 0.00 26.10 19 Member Force Capacity Use Num Max Splice Forces (kip) Load Case (kip) % Bolts Bolt Type Top Tension 19.92 0.9D+1.6W 60 0.00 0 0 Top Compression 25.88 1.2D+1.6W 0.00 0 Bot Tension 30.93 0.9D+1.6W 60 327.12 9 6 1 A325 Bot Compression 38.95 1.2D+1.6W 0.00 0 Section: 8 H-5.0 Bot Elev(ft): 130.0 Height(ft): 20.000 phi Shear Bear Force Len Bracing% F'y Pn Num Num phiRnv phiRn Use Max Compression Member (kip) Load Case (ft) X Y Z KL/R (ksi) (kip) Bolts Holes (kip) (kip) % Controls LEG SOL-2"SOLID -23.45 1.2D+1.6W 2.47 100 100 100 59.4 50.0 109.23 0 0 0.00 0.00 21 Member X HORIZ SOL-7/8"SOLID -0.40 1.2D+1.6W 5.000 100 100 100 192.0 50.0 3.69 0 0 0.00 0.00 10 Member X DIAG SOL-7/8"SOLID -2.56 1.2D+1.6W 90 5.579 50 50 50 137.7 36.0 7.16 0 0 0.00 0.00 35 Member X Force Fy Fu phit Pn Num Num Shear Bear Use Max Tension Member (Kip) Load Case (ksi) (ksi) (kip) Bolts Holes Cap(kip) Cap(kip) % Controls LEG SOL-2"SOLID 20.04 1.2D+1.6W 60 50 65 141.37 0 0 0.00 0.00 14 Member HORIZ SOL-7/8"SOLID 0.39 1.2D+1.6W 60 50 65 27.06 0 0 0.00 0.00 1 Member DIAG SOL-7/8"SOLID 2.57 1.2D+1.6W 90 36 58 19.48 0 0 0.00 0.00 13 Member Force Capacity Use Num Max Splice Forces (kip) Load Case (kip) % Bolts Bolt Type Top Tension 0.00 0.00 0 0 Top Com press ion 0.09 1.2D+1.0Di+ 0.00 0 Bot Tension 19.92 0.9D+1.6W 60 327.12 6 6 1 A325 Bot Compression 25.88 1.2D+1.6W 0.00 0 Page 10 • • • Site Number 83041 ©2007-2013byATCIPLLC.All rights reserved. Location: Port Townsend,WA Y 5/28/2013 3:09:48 PM Code: ANSIITIA-222 Rev G Struct Class: II Exposure: C Topo: 1 Support Forces Summary FX FY FZ Load Case Node (kip) (kip) (kip) (-)=Uplift (+)=Down 1.0D+1.0W Service 90 deg lb -3.13 -30.30 -1.61 la -4.41 49.67 2.35 1 -0.41 9.74 -0.75 1.0D+1.0W Service 60 deg lb -3.56 -36.16 -2.06 1a -2.90 32.46 1.31 1 -0.33 32.81 -3.18 1.0D+1.0W Service Normal lb -1.40 -14.22 -1.18 1a 1.37 -14.13 -1.24 1 0.03 57.46 -5.84 1.2D+1.0Di+1.0Wi 90 deg lb -4.06 2.76 -2.27 la 1.59 28.38 -0.99 1 -0.14 15.68 3.26 1.2D+1.0Di+1.OWi 60 deg lb -4.20 0.86 -2.43 1a 2.08 22.93 -1.33 1 -0.12 23.03 2.46 1.2D+1.0Di+1.0Wi Normal lb -3.48 7.93 -2.14 1a 3.47 8.11 -2.15 1 0.01 30.79 1.61 0.9D+1.6W 90 deg lb -15.82 -164.18 -8.25 1a -16.87 181.61 8.91 1 -1.79 8.77 -0.66 0.9D+1.6W 60 deg lb -17.69 -189.49 -10.21 la -10.33 107.10 4.39 1 -1.42 108.59 -11.18 0.9D+1.6W Normal lb -8.33 -94.99 -6.47 1a 8.19 -94.91 -6.70 1 0.14 216.10 -22.78 1.2D+1.6W 90 deg lb -15.63 -161.41 -8.14 1a -17.07 184.65 9.02 1 -1.79 11.70 -0.88 1.2D+1.6W 60 deg lb -17.50 -186.74 -10.10 1a -10.53 110.09 4.51 1 -1.42 111.59 -11.41 1.2D+1.6W Normal lb -8.14 -92.17 -6.35 la 8.00 -92.06 -6.59 1 0.14 219.17 -23.00 Max Uplift: 189.49(kip) Moment: 3,235.00 (ft-kip) 1.2D+1.6W Normal Max Down: 219.17(kip) Total Down: 34.94 (kip) Max Shear: 23.00(kip) Total Shear: 35.95 (kip) Page 11 • S Site Number: 83041 02007-2013 byATCIPLLC. All rights reserved. Location: Port Townsend,WA Y 5/28/2013 3:09:48 PM Code: ANSUTIA-222 Rev G Struct Class: II X Exposure: C Topo: 1 Page 12 I S • Site Number: 83041 ©2007-2013 by ATC IP LLC. All rights reserved. Location: Port Townsend,WA Y 5/28/2013 3:09:48 PM Code: ANSIITIA-222 Rev G Struct Class: II Exposure: C Topo: 1 Deflections and Rotations Elevation Deflection Twist Sway Load Case (ft) (ft) (deg) (deg) Serviceability-60.00 Wind 60 deg 110.00 0.0996 0.0052 0.1078 120.00 0.1190 0.0066 0.1135 137.63 0.1569 0.0117 0.1300 147.52 0.1794 0.0178 0.1218 Serviceability-60.00 Wind 90 deg 110.00 0.1000 0.0058 0.1080 120.00 0.1192 0.0064 0.1114 137.63 0.1570 0.0067 0.1284 147.52 0.1792 0.0066 0.0297 Serviceability-60.00 Wind Normal 110.00 0.1036 -0.0001 0.1112 120.00 0.1238 0.0009 0.1253 137.63 0.1637 0.0010 0.1379 147.52 0.1878 0.0009 0.2391 100.00 mph 60 deg with No Ice(Reduced DL) 110.00 0.4306 0.0301 0.4679 120.00 0.5156 0.0386 0.4918 137.63 0.6798 0.1387 0.5662 147.52 0.7778 0.2597 0.5384 100.00 mph 60 deg with No Ice 110.00 0.4311 0.0301 0.4686 120.00 0.5162 0.0386 0.4925 137.63 0.6806 0.1388 0.5669 147.52 0.7787 0.2600 0.5389 100.00 mph 90 deg with No Ice(Reduced DL) 110.00 0.4325 0.0255 0.4684 120.00 0.5161 0.0282 0.4827 137.63 0.6805 0.0298 0.5591 147.52 0.7773 0.0305 0.1204 100.00 mph 90 deg with No Ice 110.00 0.4330 0.0256 0.4690 120.00 0.5167 0.0282 0.4834 137.63 0.6813 0.0298 0.5598 147.52 0.7782 0.0306 0.1212 100.00 mph Normal to Face with No Ice(Reduced 110.00 0.4500 -0.0002 0.4848 120.00 0.5385 0.0043 0.5468 137.63 0.7132 0.0028 0.6039 147.52 0.8186 0.0006 1.0535 100.00 mph Normal to Face with No Ice 110.00 0.4505 -0.0002 0.4854 120.00 0.5390 0.0043 0.5475 137.63 0.7140 0.0028 0.6047 147.52 0.8195 0.0006 1.0543 30.00 mph 60 deg with 0.25 in Radial Ice 110.00 0.0314 0.0015 0.0341 120.00 0.0382 0.0016 0.0363 137.63 0.0502 0.0013 0.0408 147.52 0.0573 0.0013 0.0370 30.00 mph 90 deg with 0.25 in Radial Ice 110.00 0.0316 0.0016 0.0340 120.00 0.0380 0.0017 0.0356 137.63 0.0499 0.0013 0.0402 147.52 0.0568 0.0009 0.0141 30.00 mph Normal with 0.25 in Radial Ice 110.00 0.0327 0.0003 0.0347 120.00 0.0390 0.0002 0.0388 137.63 0.0514 0.0000 0.0427 147.52 0.0589 0.0001 0.0696 Page 13 r • • Site Number: 83041 ©2007-2013byATCIPLLC. 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Location: Port Townsend,WA Y 5/28/2013 3:09:48 PM Code: ANSIITIA-222 Rev G Struct Class: II Exposure: C Topo: 1 147.52 0.0000 0.0000 0.0000 Page 14 • N m I ZOZ T _73 m m N oDo•• A Z m , m I pm xi Pll b D m 42 g X V ED Z I co • D m it b 1 I • • • Fn IN s • v w m e,; , C0 -i:i o 0 • S,... .,,,„::: %`'ji' 4;;. e • �mm �� M / mmz •�i/�� mmR . • `'i=—l�� — 1 Vali • Z v M or o vc �rn ...I 40 A� 1,, m En 6 3 myy m 5 :�:•�'% p • • vOn --Olma• O •�� m Igo;�\ o �� m mm \ 5 lIc z mo p O�m ii-- $30 / ,....,..:. m i m� �v 0 •dos• 0 2 • .ses y. w =; • • • • • ;: m 0 • • . :..1.. ,. :4,74,...:.::•4,.. „. m m .� Ii m.-1 _ � =rm. ^-a■ii m mmommen CD r- O II •... 1•C •r • • A xrn CO CO CO 3 /1\ • m m I,.. �.......,___...., m C V co V / \ A CO -� n \ •• O 1 m� m� m c p P g 0 _�� n m �m nc� v C Q c � rn v C) co Z 4 a Ant7 M�• 3m ao 0, ro IL; c7 h-�Z. rrl � o I A > • O �� I y 2 I �� I 1 4i A 1 N N ° = _ z o i � Q D D ��° 2 o A Z r -1 O 71 g ■ �` pA pO,^p° m0 8QF �Z VI 0 m ;∎ W W qIIfflff t o• Z ° z uZ, s s�@ ; r 0 z co 9 im �m a° N l g o co Contractors or Tradespeople *ter Friendly Page Page 1 of 2 General/Specialty Contractor A business registered as a construction contractor with Lfxl to perform construction work within the scope of its specialty.A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Name STEELHEAD COMMUNICATIONS INC UBI No. 602235422 Phone 3608291330 Status Active Address 28120 St Rt 410 E Ste A3 License No. STEELCI972BS Suite/Apt. License Type Construction Contractor City Buckley Effective Date 1/10/2003 State WA Expiration Date 1/18/2015 Zip 98321 Suspend Date County Pierce Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company Other Associated Licenses Specialty Specialty Effective Expiration License Name Type 1 2 Date Date Status STEELCL003D1STEELHEAD Construction General Unused 3/21/2000 3/16/2004 Archived COMMUNICATIONS LLC Contractor Business Owner Information Name Role Effective Date Expiration Date MOOREHOUSE,JOLENE Agent 01/10/2003 MOOREHOUSE, DAVID ALAN President 01/10/2003 MOOREHOUSE,JOLENE ANNETTE Secretary 11/01/2011 MCDOUGALL,JOE A Secretary 01/10/2003 11/01/2011 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 2 INTERNATIONAL 0570765 01/07/2012 Until Cancelled $12,000.00 12/15/2011 FIDELITY INS CO 1 AMERICAN STATES INS 6201260 01/07/2003 Until Cancelled 01/07/2012 $12,000.00 01/10/2003 CO Assignment of Savings Information No records found for the previous 6 year period Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 7 Alaska National 13FPS32141 06/08/2013 06/08/2014 $1,000,000.0005/31/2013 Insurance Co 6 Alaska National 12FPS32141 06/08/2012 06/08/2013 $1,000,000.0006/01/2012 Insurance Co ALASKA 5 NATIONAL 09FPS32141 06/08/2010 06/08/2012 $1,000,000.00 05/19/2011 INSURANCE COMP ALASKA 4 NATIONAL 09F PS 32141 06/08/2009 06/08/2010 $1,000,000.00 03/19/2010 INSURANCE TRINITY 3 UNIVERSAL INS CAP001252505 03/16/2009 03/16/2010 $1,000,000.0003/04/2009 CO TRINITY 2 UNIVERSAL INS CAP001252504 03/16/2006 03/16/2009 $1,000,000.0003/14/2008 CO https://fortress.wa.gov/lni/bbip/Print.aspx 8/21/2013 I Contractors or Tradespeople Peer Friendly Page • Page 2 of 2 Summons/Complaint Information No unsatisfied complaints on file within prior 6 year period Warrant Information No unsatisfied warrants on file within prior 6 year period Infractions/Citations Information No records found for the previous 6 year period https://fortress.wa.gov/lni/bbip/Print.aspx 8/21/2013 S33XC106 Jefferson Airport 40131004II 44. N JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street• Port Townsend•Washington 98368 ,iieL„ '4' 360/379-4450 • 360/379-4451 Fax www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: Project Description(indude separate sheets as necessary): Add (1) Microwave dish (microcell) to existing antenna array on existing mo9oaPf iNumber: 001281004 Property Size:Lease area =132(acresssquare feet)I Site Address and/or Directions to Property: 1760 Kala Point Drive Port Townsend, WA 98368 Property Owner(s)of Record: Kala Point Owners Association Telephone: Fax: email: Mailing Address: 1760 Kala Point Drive Port Townsend, WA 98368 Applican TEM(if different from owner): Jesse London (Ryka Consulting) c/o Sprint Telephone: 206-523-1941 Fax: 206-260-7930 email)l ondon @rykac on s u 1 t ing.c om Mailing Address: 918 S. Horton St. #1002 Seattle, WA 98134 What kind of Permit?(Check each box that applies ®Building ❑Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor,Major or Reasonable Economic Use) ❑Single Family ❑Garage Attached/Detached ❑Conditional Use[C(a),C(d),or C]** ❑ Manufactured Home ❑ Modular ❑Discretionary"D"or Unnamed Use Classification ® Commercial* ❑Special Use(Essential Public Facilities)** ❑ Change of Use ❑Boundary Line Adjustment ❑ Address ❑Road Approach ❑Short Plat** ❑Home Business ❑Cottage Industry ❑Binding Site Plan** ❑Propane ❑Long Plat'"' ❑Sign ❑Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration" ❑Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions** ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial Development*" O Temporary Use ❑Shoreline Management Variance ®Wireless Telecommunication* ❑Comprehensive Plan/UDC/Land Use District Map Amendment ❑Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment e May require a Pre—Application Conference ❑Tree Vegetation Request *"Requires a Pre-Application Conference Please identify any other local,state or federal permits required for this proposal,if known: DESIGNATION OF AGENT I hereby designate to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his,her or its knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit I further agree to provide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any required late inspe.,ons. Staffs access and right of entry win be assumed unless the applicant informs the County in writing at the time of the appf.. on th, - ors wants prior notice. Signature: _ Date: O 2 The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if yo are in corn.Nance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transfers, responsi.,lity for ad ering to and complying with the ESA. The Applicant has read this disclaimer a sig and dates it below. Signature: _ _ Date: f)�--,Pr),4 rj o(.3 G:\PetmitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc r4 r iort, -iE,--A-1 .t_t-4 G 4,i-J— . Wa#4, BUILDER STATEMENT n f t1 5i��c- a` 1, The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are n• -,_ _. contractors and that they will be assuming the responsibility of the General Contractor for the proposed project. Signature: Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: General Dynamics Wireless Sercives (503) 877-7371 ( ) MAILING ADDRESS: 1000 124th Ave NE #200 EMAIL: Melissa.kindt @gdit.com CONTRACTOR'S LICENSE Bellevue, WA WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: Cornerstone Engineering, Inc PHONE (425) 487-1732 Fax:( ) l MAILINGADDRESS-6928 woodLnv111e-Redmond Rd. #21 MAIL Project Type: Frame Type: Bathrooms: N/A Shoreline: Type of Sewage Disposal: ❑ New ❑ Wood Existing: ❑ Sewer N/A ❑ Addition ❑ Steel Proposed: Bank ❑ Community System a Alteration/Remodel ❑ Concrete Total: ill fight: ❑ Individual System ❑ .Repair ❑ Masonry SEP Permit# ❑ Demolition Other. Bedrooms: N/A Water Supply: Tower Existing: Setback: ❑ Private well ❑ Two Party Type of Heat Proposed: ❑ Public N/A Total: Name of System: If this is a Commercial Protect you must answer the following: Number of Parking Spaces: Current N/A Proposed: N/A Number ofADA Parking Spaces: N/A Number of occupants includes owners,tenants,employees,etc) Current N/A proposed IBC Occupancy: N/A IBC Type of construction: Te Iecome. Win you have Food Service? Y:s / If this is a Propane Tank andlor Appliance Installation permit mark all items below that apply: N/A I Underground Tank I Above ground Tank Size of Propane Tank: I Heat Stove I Cook Stove I Woodstove I Fireplace Insert I Hot Water Tank I Pellet Stove I Other Is this appliance being installed in a Manufactured/Mobile Home? Yes I No N/A When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines,tank location and size,distances from the propane tank to all properly lines,buildings and septic system components, including the reserve area. S•uareFoota.e Current • .- , '' r,' ,t, ,,, '.... ,. Main Floor Heated ' Y L; EH Bid App Review: PE 2"0 Floor Heated Consistency Review: 21FS Other Heated = Base fee: 1 Mezzanine ' ' Additional Section: Heated Basement ., Plan Check fee: G Unheated Basement State Surcharge fee: 141 c Other Unheated : -1,iil Pot Water Review fee: Garage/Carport SUBTOTAL ,z , Decks .`, ;f 911/Rd Approach fee: Other �F TOTAL: $ 2 6 2.6( Microwave dish ( F '; Receipt Number. t(Q 4 1 0 °4,,i} , Cash/CheckNumber. 132,q ESTIMATED COST(REQUIRED) Date: y121 ('' •Fair market value of all labor and materials foundation to finish o l $3,400 Initials: GAP errnitCenter\###FORMS###\DRD FORMS\Master Pe nit Application 5-29-08.doc JEFFERSON COUNTY /k . NO. 14010 DATE %//3 RECEIVED FROM g ■ 1: 14--1KAAA.-:.c . - Teal...- DESCRIPTION ) BARS# AMOUNT CURRENCY 1�4�L 4.4 co . COIN . rim` N,,,_ 2 Z 2-cr. c..c) 32a�- . - Hg 3 2 cn. 00k- ' k 0 oli m ill Vii` , ' '',,,A; ri s RECEIVED BY TOTAL 2.,'ç-2_. c • • Maurine Irvine Trujillo From: Jesse London Sent: Wednesday, July 31, 2013 8:57 AM To: Maurine Irvine-Trujillo Subject: FW: Master Permit Application; Fee quote request Moe, I am prepared to make fee requests for five of the six Jefferson County sites.There was a miscommunication about the other one,and I should be clarifying and requesting that one very soon.Here are the sites/amounts: SE33XC013 $382.65 TARBOO LAKE Jefferson County SE33XC104 $564.15 NW Jefferson Pinnacle Towers Jefferson County SE33XC106 $382.65 Jefferson Airport Jefferson County SE33XC183 $382.65 Teal Lake Jefferson County SE72XC214 $382.65 Discovery Bay Jefferson County Thanks, Jesse From: Mary Blain[mailto:mblain@co.jeffersan.wa.us] Sent Tuesday,July 30, 2013 2:39 PM To:Jesse London Subject RE: Master Permit Application; Fee quote request Jesse, So for each permit application that has the estimated cost of$3,400 the total permit fee will be$382.65. The break-down is as follows: Base Fee:$91.00 Plan Check:$59.15 Consistency Review:$228 State:$4.50 This fee applies to each: SE33XC106-1760 KALA PT DR SE33XC013-2747 TARBOO LAKE RD SE72XC214-430 SOUTHPORT LN 1 SE33XC183-1033 TEAL LAKE RD • SE72XC213-100 DHARMA RD SE33XC104-4261 CASSELARY RD has a permit fee of$564.15,broke down as follows: Base fee:$201.00 Plan Check:$130.65 Consistency Review:$228.00 State:$4.50 And just a reminder,a complete building application consists of: • Master Permit Application—signed and completed • Three sets of plans(one must be 11 x 17 to facilitate planning review and copying the other two sets can be larger) o Within the plans there must be current elevations and proposed elevations o Include site plan and leased area • Two sets of structural analysis • Stormwater calc sheet(if the proposal includes any ground equipment or land disturbing activity) • For anything that is stamped by a licensed profession(like a PE)one original wet stamped set must be submitted any others can be copies. • Fees My apologies for taking so long to get these to you. Please let me know if I missed anything,or if you need me to email you other documents so you can complete them...the website can be a little difficult to navigate sometimes. Thanks! Mary Blain Permit Technician Dept of Community Development 621 Sheridan St Port Townsend,WA 98368 ph:360-379-4452 fax:360-379-4451 mblain@aco.iefferson.wa.us All email to or from this email address may be subject to the Public Records Act contained in RCW 42.56. Additionally,all email to and from the county is captured and archived by Information Services. From:Jesse London f!nailto:JLondon(alrykaconsuIting.coml Sent: Monday,July 29, 2013 10:15 AM To: Mary Blain; Zoe Ann Lamp Subject: RE: Master Permit Application; Fee quote request 2 • Cr CO I-1 O W O W 0 IL N J -0 Z LL • Q O I-1 O CO CC � in O .. .. 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Requests received after 3:00 PM will not be scheduled for the next day's inspections. ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries. The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection Inspection Item Date Approval Signature Notes Miscellaneous second party inspection required for instalation FINAL INSPECTION FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD13-00257 1.) The proposal meets JCC18.42.020(2)(d)which exempts the following from the provisions of the Chapter 18.42, JCC: Emergency or routine repairs, reconstruction, or routine maintenance of previously approved facilities, or replacement of transmitters, antennas, or other components of previously approved facilities which do not create a change in visual impact; \\tirlemark\riata\forme\F RI 11 Permit Rlrin rnf 9/11/9(113 • BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD13-00257 Received Date: 8/21/2013 SITE ADDRESS: 1760 KALA POINT DR Issue Date 9/11/2013 PORT TOWNSEND, 98368 Expiration Date 9/11/2014 OWNER: SPRINT-GENERAL DYNAMICS WIRELESS PHONE: 206-200-0256 MELISSA KINDT 1000 124TH AVENUE NE, STE 200 BELLEVUE WA 98005 SUBDIVISION: Block: Lot: TX 18 PARCEL NUMBER: 001281004 Section: 28 Township: 30 N Range: 01 W CONTRACTOR: STEELHEAD COMMUNICATIONS INC PHONE: 503-877-7371 DAVID MOOREHOUSE 28120 ST RT 410 E STE A3 BUCKLEY WA 98321 Contractor's License STEELCI972BS Expires 1/18/2015 PROJECT DESCRIPTION: ADD (1) MICROWAVE DISH (MICROCELL) TO EXISTING ANTENNA/TOWER TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP ALT MAIN: VALUATION 3,400.00 ADD'L: HEAT TYPE CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $91.00 MEB 08/21/13 142410 Exist: Exist: Plan Check $59.15 MEB 08/21/13 142410 Prop: Prop: State Building Code $4.50 MEB 08/21/13 142410 Total: Total: Total: $154.65 Directions to Site: HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL INSPECTION THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED BUILDING INSPECTION HOT-LINE 379-4455. Request must be received by 3pm the day before the inspection is needed. Office Hours 9:00 am -4:30 pm MONDAY - THURSDAY HOT LINE AVAILABLE 24 HOURS A DAY SPECIAL CONDITIONS APPLY-SEE ATTATCHED