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N _ CA p Footings/Setbacks Gas Piping By Ribbons O Cinterior Date By interior-Date By Data By Z o Exterior Date By Exterior-Date B n o Set-up X 40hPoint Load I Isolated Footings INSULATION Date By m Date By ova SLAB INSULATION Date FIRE DEPARTMENT TC` Foundation wa0s Floors Date By c O Date By Data By DECKS 3 FRAMING waits Date By z Date By Data By PROPANE TANKS N PLUMBING °aDatee ft Date _ By p t By OTHER ;a Groundwork Attic X Pate By Type. M Date By Date By o.w.v DRYWALL Type Int.Brow wall Datr. By � Date ey Date By IX FINAL INSPECTION c Water Line Fire Separation o Date By Date By Date By CID C o Pass or Request Inspect. o Type of Insp. Fail Date Date Dane By Comments � to i-c_1- 1 _ �G f r _ a r nv 4 a_ `0 v -6-0 0 P. H S N f w 0 .p Am=vauml MASON COUNTY FIRE MARSHAL Mason County Bldg.III 426 W Cedar St PO BOX 186 Shelton,WA 98584 (360)427-9670 Ext.273 Permit#-r` e 2Cd /—dZg8 Mason County Fire Protection System Permit Application Incomplete application will not be accented Owner: a pv}wLP v i n� C✓g e c-+�n vn S Phone#: -:?in. oaa- �yg3 Ca' ;io.\ p1avL✓L�v�� e} tbede-1oemevLt Mailing Address: 7?,L-15 L;vv4Prsorn 11 ow City:R&mwwte.v State: wA Zip: g5,)1 Site Address: ?LA'JQ Nt SvO (k,t� FI, City: RP 1�a2L v- State: WA Zip: cjSG"tS f-v1v�v�a5ttcw� FA ����r«a� Parcel 3op(ooc)pc) Legal Description: Lien/Title Holder: Address: City: State: Zip: Contractor:�}�.1n�✓} Elec-4v'jr_ Phone#: Address: 5QQ CInQ v✓v, St City: nbnmpi ti State: VQA Zip: q.%�2UI Contractor Registration#: Expiration Date: Zj2$jzot u Building Square Footage(existing &proposed): 1st / 2nd / 3`d / Building Use: Occupancy Classification: Construction Type: Type of System: Type of Work: Sprinkler: Wet Dry New System: Standpipe: Wet Dry Modification: ✓ AFA: Hood&Duct: Dry Chem: Wet Chem: Fire Pump: UL certified Monitoring company: ACe �74'e -4 c3ecuvi�X Phone#: l 800•a3$-�1o2(n Contractors Bid Price: $ ?M a5 l 4 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. • Hydraulic calculations. • Copy of Contractors bid. Fees The permit fee will be assessed based on the submitted contractor bid for the project or a minimum of$168.50. A plan review fee will be calculated at 65%of the permit fee(minimum$109.50)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. By: r Date: I �i i f J Pr elect Informations � Fast Track: Yes site Customw*: �� `'* 1 O tp�� Flect dar Deft 7/8/09 Proj�oetSdrtDota• 7/8/09 Proled OWN Mission Creek Correction Center for Women CompWm Drb: 10/31/09 ProisdAnhw:Gymnasium Upgrade Address;3420 NE Sand NR Road PO/3u600n&sct*: 13162 CRY,Stag,uP:Belfair,WA. CQ--1035 7(12 S 38,951.00 5Vl tp .*::_r�►_tO yo3 86 Pr�,.�*: Qua 3�250�- Cuotolm .Betschart Bazt Aft SW Cherry Street SE Cft,SUPW=I:OWpla,WA. 98501 i J COrMaet:Jim Reahle Sodom Rep A: Mark Thomas Q Plum *:360-943-4545 9i: (Responsible Person#1) () 0-4 Fox*: 0"Rp*2: AA�c�jy�l� W ,- 7obNOt Contort Firono*: Pr Morlow Mark Thomas (Responsible Person#2) Fox*: PMA Sol m Rep.: BE Davidson Q hCblM iiSt*6h Patriot Fire Protection IN 4 01 a b m""dwe Cnstormes Office Addro m:2707 70th Ave East CRr,Sbda,nP:Tacorna,WA. 96424 IrewwWhom. Comae Phan*:253-926-2290 Fox*:253-922-6150 ',1 iii-016 Fed-X Ground aC °Travelers Casualty&Surety Co.of America ❑ Addnmrr Century Squmre,Suite 1650 PM ApprwN: Datm: CRY,glassy 3V':Seattle,WA. 98101 Opm Mm mW ApproW: Dote: Csntmrt: Phww*: 10010018 Fmx*: Smddrmxo:TBD Bond*: 105306333 Dowimmw TBD Panels:TBD Smttmrlmm:TBD 0106M Department of Corrections Addraam Capihl P ww"&Development CRY,Stamm,M.7345 Underm Way 1 PR Prisons Cmnhet:TumwaOer,WA 98501 2 I Nowltdogm Cmftmw. Phmn*:Leo Gleason 360-277-2483 3 Now Slbts Fmx*:Ieglemor4docl.wa.gov 4 Solo Sours/ SNr Souroe 5 INNION MMdm/s Mrmuuml 6 Porrmiots Al'WAN*-Fnxman Fong Architecture,PS 7 . !0 Addy 505 3rd Avenue Walt 81 ftbdrAIPA CRY► SUN^=I'Seattle,WA. 90119 91 pwmnmam $ Csntoet:Kwh Kobayadni 10 Fmrlbrrnmamm Send:No x PhmN*:206-262-8245 11 Fox*:206-293-M 12 cmumod PWOOMe: Fmrris ARardrmde 13 1 Form AftmtAd: Lli ;DEI Electrical ConwitaMs 1 UK am `< Add 22D5 North Woodruff Road,Sulte 5 15 OlmmolN:h No ' " CRY/,Stott'aP:Spam Valley,WA. 99206 16 brdDdmm Name NoWlap Im,NO C" I , Emk Nye 171 WE Proposal Nm & RevWw&Datm Pho@w*:SW747-5139 ftt 102 1 pluiedbNbrrNmtlmrl, ei RM Fax*:509-623-1555 19 CAD Drawing Contact LMo:On Server lmtbrr AD p limpult•Lobw Udnd. z1 a: cs Phan*: ................... II' •RaMN�d 2z wellarra as WOW 23 c ow WhNimm es 4LY 12 Din Dole:7 24 Smqumrroa or brdo" es PMmR Cophiw Yes QtF-1 25 lclrmdidm>dMbnrrdtlon b:dirdldt e< 26 mbo.: as >;';.;' QtYI: 12 D:N Q 7 28/09 1 dm Nf 5 291 quotwoor OubMdm P:adram� es c ¢ O' M se 30 QU§tw 1br Imommodon tabor.Not QtF Due DoW. 31 32 CAD Bodq frmNrdm 33 m Fornr(ftojectoOqr es 34 3ob Coot/ro]mct T"m: Non-Irnstall 35 ]ob Cost Saopm TVIm Retrofit 7/81200e 1361 Sig :SubcontaU Rev.2-14-07 T.. h Job Name t Application SpwWht sales RepnsenbtMs .Thomas Project Number Design Cotstruction or mian Project Mange► Cunt Phorw 01, See` Project Contact Estimated MOJ Dab: Meeting Date: . . (to be entered on the WIP Meeting Minutes) Scope o/Work 10 11h A14J, • ai M at-bui t rawfrt�a as M `pw plMni aitd��drtesy6g►�s• �D ta�rs',i rl6w 41iow ntlt cad ba*to o tBAp ' 'exia�og RdminiNraUae 9u-Sr►a 9taptr1C MnurrCMw to rat new btill ft in co quncWn with 1tit'FOb#�tl't)nk pre�t. P oisc sohedule 1 . AHJ Dmwim sulmnYM subcontracts Long Land or Outatde Purohaee Ibms Method A or B _ s Contractor rsmenb Genewb d Work Note for Drawl Meeting Nobs Name r MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMEINTC CALCULATIONFEE • - VALUATION DETERMINATION ;04cupa ay T"pe Square Footage -a1uatioln Amount Total Valuation x valuation) Residence/Addition/Basement $96.83 $ Garage/Storage $37.72 $ Unfinished Basement $15.00 $ Deck $14.34 $ Carport/Covered Deck $20.38 $ Other I mo 0 rL $ Total Valuation $JS 't 5T 00 Estimated Plan Review Fee, due when the permit is submitted $ Planning Dept. Review Fee ($205,$330,$70), due when permit is submitted $ GEO - Geotechnical Review Fee ($255.00) $ Addressing Fee ($173.50), due upon submittal: $ Fire Warden Review Fee ($73.00) $ Environmental Health Plan Review Fee ($103.00) $ Environmental Health Water Adequacy Review Fee ($103.00) $ TOTAL DUE WHEN PERMIT IS SUBMITTED: $ The estimated plan review fee is based upon information provided at the time of application and is subject to change. Planning Department fee is a flat fee which is due when permit is submitted. Environmental Health is a flat fee, a portion which is due at submittal with the balance collected when permit is issued. Building, mechanical, and plumbing permit fees will be calculated during plan review. The balance of all other fees will be collected when permit is issued. Building Permit Fee (ICC,Table 1 —Building Valuation Data) $ 5 Plan Review Fee (Submitted with Building Permit Application,65%of the building permit fee) $ Estimated Mechanical Fees (u.M.C.,Table 1-A) $ Estimated Plumbing Fees (u.P.C. ,Table 1-1) Estimated Environmental Health Fee $ Estimated Fire Marshal Fees (Commercial projects-50%plan review) $ State Fee $ 4.50 Other: $ Total Estimated Building Permit Fees $ Cmh:12009 fee worksheel SimplexGrinnell LP Simp/ex6rinne// HE SAFE. 9520 10th Avenue South,Suite 100 ATyco International Company Seattle,WA 98108 LETTER OF TRANSMITTAL# SG 0001 Phone: 206-291-1400 Fax: 206-291-1500 DATE: 8/21/2009 Contractor's License:SIMPLL"988BG Electrical License: SIMPLL'981SG TO: Mason County ph:360-427-9670 Fire Marshal Office SG PROJECT#: 945312502 426 W. Cedar Shelton WA 98584 PROJECT: Mission Creek Correctional Facili for Women, Gym FA UpgradeEl WE ARE SENDING YOU: 9- Shop Drawings Letter EjApplication for: WO Fire Alarm Permit/# Product Data Sheets/Cut Sheets riSubmittals I- ISprinkler Permit/# Change Order Request r-IO&M Manuals r riCheck ry I Other: Return Fed Ex THESE ARE TRANSMITTED: J For Approval Approved as Submitted Resubmit copies for approval J For Your Use Approved as Noted Submit copies for distribution J As Requested Returned for Corrections Return corrected prints 9— For Review and Comment r Return upon approval:Permit&Approved Drawings r DATE QNTY NUMBER DESCRIPTION 7/29/2009 3 sets Fire alarms stem drawings for above job 8/21/2009 3 sets Data sheets/submittal package for above job 8/21/2009 1 application Mason County Fire Protection System Permit Application 8/21/2009 1 3057553 Check in the amount of$878.87 SHIPPED VIA: FEDEX(STANDARD OVERNIGHT) f- COURIER UPS(GROUND) f- OTHER REMARKS: Questions regarding work for the particular job, please contact: name: Mark Thomas hone: 206-291-1479 email: mathomas@simplexgrinnell.com Questions pertaining to permitsubmittal or issuance, please contact: name: Janet Stebbins hone: 206-291-1468 email: jastebbins@simplexgrinnell.com Please give a call or email me if there are any questions-thanks! Janet file jak et ste66it Ls COPY TO: TRANSMITTED BY: If enclosures are not as noted,kindly notify us at once