HomeMy WebLinkAboutFIR2014-00042 - FIR Permit / Conditions - 12/17/2014 262
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MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT PIns ection Li e(967004ext7352
Mason County Bldg. III
426 W. Cedar St
Shelton, WA 98584
FIRE PROTECTION PERMIT FIR2014-00042
APPLICANT: WOLVERINE WEST, LLC
RECEIVED: 12/11/2014
CONTRACTOR: LICENSE: EXP: ISSUED: 12/17/2014
SITE ADDRESS: 10 E ALDERBROOK DR UNION EXPIRES: 6/17/2015
PARCEL NUMBER: 32233f0b0014
LEGAL DESCRIPTION: SUNNY BEACH PCL 1 OF BLA#04-58
PROJECT DESCRIPTION: New Years Fireworks Display
GENERAL INFORMATION System Information
Type of Use: DIS Sprinkler Heads: Audible Switches: Pull Stations:
Fire District: 6 Flow Switches: Visual Devices: Door Releases:
Hood& Duct?:
Pressure Switches:: Smoke Detectors: Duct Detectors: �
Dry Chemical?:
Zones: Heat Detectors:
Wet Chemical?:
Sprinkler?:
Standpipe?: SQUARE FOOTAGE FEES
Monitoring Company: First Floor: Type Amount Due Amount Paid
Monitoring Phone No.:()- Second Floor: Fireworks Display Permit $250.00 $250.00
Auto Fire Alarm?: Third Floor;:
Total: $250.00 $250.00
FIR2014-00042 Please refer to the following pages for conditions of this permit. Pagel of 4
CASE NOTES
FIR2014-00042
CONDITIONS FOR
FIR2014-00042
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 1 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.
Signature - "'y"`"' Date
by Rodney Hash
OWNER - REPRESENTATIVE - CONTRACTOR
Print Name Da 20 17/ (Circle one to Indicate)
10:49:59 -08'00'
FIR2014-00042 Please refer to the following pages for conditions of this permit. Page 2 of 4
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