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Date By D ate By FINA IvA CT Water Line Date QB v Date By Date By o ti o � 1 � Z 0 i O O O 00 `r. a r. t MASON COUNTY FIRE MARSHAL Mason County Bldg.III 426 W.Cedar RECEIVED P.O.'Box 186 Shelton,Washington 98584 (M)427-9670 NOV 2 6 2003 CODE ENFORCEMENT FIRE INSPECTIONS FIRE IN42ffWTLftAR SL PUBLIC EDUCATION PERMIT NO. I e--a ') MASON COUNTY FIRE PROTECTION SYSTEM PERMIT APPLICATION PLEASE NOTE:This application must be completed and accompanied by a minimum of three (3)copies of plans,specifications,and applicable calculations per Mason County Fire Protection Standards,and submitted to the office of the Mason County Fire Marshal. This is not a permit and failure to submit all necessary information will cause a delay and/or rejection of your submittal. When a permit has been issued,you will be notified. PLEASE PRINT OWNER: , �c CD • PHONE:3GO-, �j5'W FIRE DISTRI T SITE ADDRESS:I(D�_I rtk S CITY t� STATE, ZIP -L MAIUNG ADDRESS:C CITY STATE ZIP LIENrrITLE HOLDER: �qce[A' A&4: d/ utt Co. ADDRESS: sft dwg t° CITY STATE ZIP CONTRACTOR e�� c�-z---A . ��.� L ADDRESS:.. Ir.�.�n �� Kd�_ CITY-apt-'- STATEIL. ZIP CONTRACTOR PHONE#` ✓ !1. 5�CONTRACTOR REG# PARCEL#1 / "/ / P LEGAL DESCRIPTION: co BLDG. SQ. FT.(EXISTING/[R�P(OPOSEDr)1S(T FL. 2ND / 3RD / NG USE OF BUILDING l�'-��CP 1 ,��C-r)D DESCRIPTION OF WORK: SPRINKLER: WET DRY STANDPIPE: WET DRY AUTOMATIC FIRE ALARM HOOD&DUCT DRY CHEMICAL WET CHEMICAL H1tAL`ON NEW SYSTEM . MODIFICATION MONITORING STN N Vim' 1 PHONE P I i 1 I Plan Submittal Requirements Your plan submittal shall include the following: • Plans shall be on standard 24"x 36"paper,drawn to scale with dimensions and north arrow. • Site and Floor plan with cross sectional and exterior elevations. • Location of occupancy and/or area separation walls,partitions, stairway enclosures, concealed spaces, etc. • Cut sheets and/or references for all new devices. • Location/description of all new and existing devices. • Battery calculations. • Wiring diagrams per floor or zone overlaid on an accurate floor'plan. • Electrical riser diagram showing all zones,circuits, devices, and end—of—line resistors. e Hydraulic calculations. li • Copy of Contractors bid. i Fees The permit fee will be assessed based on the submitted contractor bid for the project or a minimum of$100.00. i A plan review fee will be calculated at 65%of the permit fee and is due upon submittal of permit application. Contractor's Affidavit I certify that I am a currently registered contractor in the State of Washington. I am aware of the ordinance requirements regulating the work for which the permit is issued and certify that all work will be in compliance with this ordinance. No changes will be made without first obtaining approval from the Mason County Fire Marshal. B � Y• Date: a ' n.V MASON COUNTY FIRE MARSHAL !!� � Mason County Bldg.111426 W Cedar St PO BOX 186 Shelton,WA 98584 (360)427-9670 E-A 273 Permit# Mason County Fire Protection System Permit Application Incomplete application will not be accented Owner: Phone#: Mailing Address: City: State: Zip: Site Address: City: State: Zip: Parcel#: Legal Description: Lien/Title Holder: Address: City: State: Zip: Contractor: Phone#: Address: City: State: Zip: Contractor Registration#: Expiration Date: Building Square Footage(existing&proposed): lst / 2nd / 3rd / Building Use: Occupancy Classification: Construction Type: Type of System: Type of Work: Sprinkler: Wet Dry New System: Standpipe: Wet Dry Modification: AFA: Hood&Duct: Dry Chem: Wet Chem: Fire Pump: UL certified Monitoring company: Phone#: Contractors Bid Price: $ y \ pmt((I` t337 F't uls U1tA. SIn �A ,,. S�it�3 i� `�►�8t3 Jo�a tame ate 9/8103 coo ome R g zff� #3� y ww­ � Altn: s m 4, K 2 from. Ox Sst ;t Fire Alarm System Proposal szi� -00 System: Stretch Island Fruit(New Maintenance Building) Price U. w 1. N �. i' 9 rr�uf�frrl trrrl� tt€w��iMYW1�rrWrw���1ww— V1i©rk© nil ; Nv�tysp ? bl for perbrming s>:' Ad ett n/ar« Gtatrrtner l ❑ b, Mason C WA L7 :ff ❑� Avi Cl Cl z e4 � y c ` ` ;2lra o "y ° r the R IC, S. Spdctauicee �e�nts ° Comer ° ° �ei € k a r i MASON COUNTY FIRE MARSHAL Mason County Bldg.111 426 W.Cedar P.O. Box 186 Shelton,Washington 98584 (360)427-9670 Ext.273 Z -1 ' z� ZDD O -0m 1/� '`' �� mm0 -1 ;0 I — m � v-- e � X° � � mn v _ o --I-ImN ,ftj V' ' m m D p � go o av � i R/ wf f 0 © 1�' / o �' m CD ommy p�•-'� �- gyp- nm 1 > 0 -1a) �' rr zz c R' 0 0° � CAn -1 -4 o �, o v > m 1 -5 -' ° X z n m A _ r N N p m 8 ryp rip 10 w m CD C� nZ DZ XZ o 6- Q _�-' 0 y .. = Z �' ! Z N � D �, m o Z m --. IT! m m m ;a CD � mn m O o m ic S m D'`-- r0 X 0 n r Z X -< ;a n go O0 n ID O mn m c � 0 m ZO X rjm z D O m -� -n o O O rn m o Z Z vC� m �m D- m mwo m ch