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FIR2003-00054 Wet Sprinkler System - FIR Permit / Conditions - 2/23/2004
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line(360)427-7262 Mason County Bldg. 3 426 W. Cedar P.O. Box 186 Phone: (360)427-9670,ext.352 Shelton, WA 98584 FIRE PROTECTION PERMIT FIR2003-00054 APPLICANT: NORTH MASON UNITED METHODIST RECEIVED: 12/12/2003 CONTRACTOR: FOX FIRE PREVENTION (360) 871-1985 LICENSE: FOXFIP1127M8 EXP: ISSUED: 1/13/2004 SITE ADDRESS: 25140 NE STATE ROUTE 3 BELFAIR EXPIRES: 7/13/2004 PARCEL NUMBER: 123214300000 LEGAL DESCRIPTION: SW SE EX PCL 1 OF BLA#93-22 AF#561021 DOR#9150 001 25140 NE STATE ROUTE 3 BELFAIR PROJECT DESCRIPTION: WET SPRINKLER SYSTEM GENERAL INFORMATION System Information Type of Use: COMM Sprinkler Heads: 6 Audible Switches: 0 Pull Stations: 0 Fire District: 2 Flow Switches: 1 Visual Devices: 0 Door Releases: 0 Hood& Duct?: N Pressure Switches:: 0 Smoke Detectors: 0 Duct Detectors: 0 Dry Chemical?: N Wet Chemical?: Y Zones: 1 Heat Detectors: 0 Sprinkler?: Y Standpipe?: N SQUARE FOOTAGE FEES Monitoring Company: First Floor: 375.00 Type Amount Due Amount Paid Monitoring Phone No.:()- Second Floor: Auto Fire Alarm?:N Third Floor;: Sprinkler System Permit $100.00 $100.00 Sprinkler System Plan $65.00 $65.00 Total: $165.00 $165.00 FIR2003-00054 Please refer to the following pages for conditions of this permit. 1 of 3 CASE NOTES FIR2003-00054 CONDITIONS FOR FIR2003-00054 1.) Flow switch to be connected to building alarm system. X This project becomes null and void if work or construction authorized is not commenced within 180 days,or if construction or work is suspended fora period of 180 days at anytime after work is commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Owner or Agent:_ Date:_ _ FIR2003-00054 Please refer to the following pages for conditions of this permit. 2 of 3 T N ' O O °' CONCRETE MECHANICAL MANUFACTURED HOME 0 CD c Footings / Setbacks Date By Ribbons ,Up Date By Gas Piping Date By Foundation Walls Date B y Set-up Date By INSULATION Date By B G / Slab Insulation Floors Final Date By Date B y Date B y FRAMING Walls FIRED P D ate B y Date B y Date B y &j PLUMBING Attic OTHER Groundwork Date B y Date By WALLBOARD NAILING D.W.V. Date By Date By FINALITtSPECTI Water Line Dater B o Date By Date By O O 7 cC � M (C M O o N o W �i N O S O f%1 3 00 y C� d W 0 co MASON COUNTY DEPT. OF COMMUNITY DEVELOWENT Implocifon Line(360)z77262 m Mason County Bldg. 3 426 W. Cedar R.O. Box f86 PMna (3dCK7-2670,ext 352 She Iton,WA 98584 w ^+ JI FIRE PROTECTION PERMIT FiR2003-00054 APPLICANT: NORTH MASON UNITED METHODIST CCUTRACTCk FOX FIRE PR EVENTj()N (3601871-1985 LCENSE:FOXFjRl27M8 F:XP: SITE ADDRESS; 25140 NE STATE ROUTE 3 BE:I FAIR ICJ=IVED: 12112/2403 PARCEL All W8ER: 123214300OW ISSUED: 1/13f ON LEGAL DESCRIPTim.- EXPIRES:7/1 3f2004 z SUS EX �L 1 OP BLA3-�Af561021 DOR IhIDTSp 001 25140 NE STATE ROUTE 3 SELFAfR 0 H w PROJECT DE3CRIPT1tX+J; WET SPRINKLER SYSTEM w o' w w IN L-M System into on x Type or Use: COMM o% Fie District: 2 Sprinkier Hem; 6 Audi3111e 5vitcfga p Pull Stations-0 Hood Q atrct3: N Fr SwitcIne3: t VEsuaf Devices: p U My CilemicalT. N Pressure SA tc�ree:: g Door Releases: p tWetCemical f; y Smoke Dsfieccnns: 0 zones 1 Duct De�ctars p n Heat Detectors: p stain<teR Y Staadp 09?: N �4oni►oringCc�gpany SQ FUt7 AGE roar: 3 �.00 FEES ttfonttari�sg Phone No.:( _ Typo- FUa Alarm?:h Second Floor: Arttount Due Amount Paid � °a r Trilyd Floor: Sprinkler Systsrn Permit $100.00100,00 N. Sprinkler Syst$m Plan S65-Otl � Totel: $lfi5.00 $165.Di7 co. m� 000 N4 vi m> m� CV- LCD m�F(R2003-OOQrJ4 Pfaa�e fer to tho following PZW8 for CCUlfkxts ofW5 perrnit 1 of 3 CASE NOTES m FIR2003-00054 w � � o d � a- CONDITIONS FOR FIR2003-00054 �.) Flow sml&to be rcxtnected to bul6din9 alaam system. X Thisprojecttet nes null and%oidifwofkerrconstr=UanauQxrizedIsnot dwltNrr180 days,orifcrn®tmrtbnaworkissuspendedforaParkedaS180da conuermd. Eridwxeof© tofworkIsa sinspectionwllhnttta180dayperiod. datanytimeafternarkis HOwner cr Agen z w w Of w [ifH � M x 0 LL D U z 0 9 lD 7D N ti CN h I N N m aY I co D LD a mnq m CV N Q _ CD D m N 04 � D iD Z CD m .14 ' FIRZ 33.00054 Pleasecaferto the followin 9 Pag"for cortdittores oftlds permfi 2 of 3 06/24/2003 12:40 FAX 360 427 7798 MASON CO PERMIT CM 0 001 MASON COUNTY FIRE MARSHAL Mason County Bldg.111426 W Cedar$t Po BOX_186 sheaDn.WA W84 (360)d27-9@10 Ext_273 --� Permit# h Qa0o3 cvs� Mason County Fire Protection System Permit Application Incomplete a lication will not be accepted i ounl er: �, 145ol1 (1rjz,-Ep C�Rct/ Phone#: Mai ingAddress:25Ho NE 3 City: � A��2 State. ��� Zip: 9g5-ZS Site Address: 2S I4o /�i; s-r izr -3 City: BELs;NsP_ State: �Zip: `{$SZS Par,el#: 1232 i�'9 OcvooO Legal Description: Lie I itle Holder: Address: City. State: Zip. Contractor: K,x PT Phone#:36 o g�1 8 Ad : Fo '1'sox 59� City:aR-t I State: k Zip:9 S34�, Colactor Registration#: rr-,x F: Pi: z':7-N19 Expiration Date: /Z:3l-o3 Building Square Footage(existing&proposed): is` i 2 d / 3'd / B ' ' g Use: C-Our,-d Occupancy Classification: Construction Type: T e of System: Type of Work: Sprinkler: V4�et Dry New System: Standpipe: Wet Dry Modification:_>(, AFA: Hood&Duct: Dry Chem: Wet Chem: U, berti£ed Monitoring company: Phone#: Co tors Bid Price: S Subnaittal Requirements on Back 1 r. Lj ( '65 � GL� DEC � 1 �(��� uo� HEALTH SERVICES • FIRE & LIFE SAFETY INSPECTION: STATEMENT OF DEFICIENCY & CORRECTIVE ACTION FACILITY CITY ZIP PHONE NAME Ibr +3v. �jY10�V\ U't��Ac C .,�,��k�c���` ��vRlisS Ul :�f` �, � - INSPECTOR11 AGENCY DATE DAVE SALZER 360-427-9670 X-273 MASON COUNTY FIRE MARSHAL FD ITEM STATEMENT OF CODE OR WAC CORRECTIVE ACTION y CORRECTION NO. DEFICIENCY REFERENCE REQUIRED REQUIRED BY DATE . here G.a..��<°5��� o !urS Q W Lo Lo o00 L.i.. 7C) a � c U o 1-- 3 m L Z N 0 c^ U 0) O N K m L w Z ?� O o - a 0 U K N QC m V C O O ,O THE DEFICIENCIES DESCRIBED ABOVE HAVE BEEN NATURE REINSPECTION DATE EXPLAINED TO ME, AND I AGREE TO MAKE CORRECTIONS NO LATER THAN THE DATES INDICATEDL 'Aj PAGE OF PAGES White Copy: Occupant— Yellow Copy: Fire Marshal — Pink Copy: Fire District .. FIRE & LIFE SAFETY INSPECTION: STATEMENT OF DEFICIENCY & CORRECTIVE ACTION FACILITY �^,,, _ ( �, �\` ,ApC�RESS {-� CITY ZIP PHONE I NAME O`( l'� ` `v i s R3'� `�! j l `'tv S7\`\ INSPECTOR =t±- ._q- -- AGENCY DA E DAVE SALZER 360-427-9670 X-273 MASON COUNTY FIRE MARSHAL FD l� ITEM STATEMENT OF CODE OR WAC CORRECTIVE ACTION CORRECTION NO. DEFICIENCY REFERENCE REQUIRED REQUIRED BY DATE J" J Q CQ G W Lo � CD oCD LL C � c 0 .2 rn Z ' L _ N 0 O U 0 = . X m L w Z TN O 10 n O 0 - (� Cn U x N a0m : :� d !3 THE DEFICIENCIES DESCRIBED ABOVE HAVE BEEN ;SIGNATUR REINSPECTION DATE EXPLAINED TO ME, AND I AGREE TO MAKE CORRECTIONS NO LATER THAN THE DATES INDICATED 16 PAGE OF PAGES White Copy: Occupant— Yellow Copy: Fire Marshal Pink Copy: Fire District