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HomeMy WebLinkAboutMIS95-0297 Final Relocate F.D.C. - MIS Permit / Conditions - 5/9/1995 MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 M y S95-0297 PARCEL. s 1232..943.rt 0020 PLAT - Div ; 61-K : LOT JOB ADDRESS : HE 23681 STATE ROUTE 3 BE FA I R APPL I C:AN T : ITCH LT_ 1-UPABEn 275-°2090 OWNER : MITCHELL. LUMBER 275-2090 PERMIT LEGAL : TR 2 A 'S OF STI SF NULL & VOID BY EXP!RATIO PROJECT DESCR I PT I DN < DATE l2 �(lBy RELOCATE F ..D.Ca PROJECT LDCA T I ON c ON IC Y 3 IN BELFA T R MORTIS SIDE OF ROAD PROJECT NOTES c TYPE AMOUNT BY DATE RECEIPT PRMT 25 .00 KS 05 f 09195 22900 �TOTAL - 25 .00 OWNEI R AGEMT DATE ��. Wes •��.--•-..::.�.�-_.-_.°--�....-^.,^-.,�.^-.;.� MIS PORT, rev. 04101192 t: I CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date b Foundation Walls date by Set Up date! by INSULATION date by BG/SLAB Insulation Floors Final date by date by date by FRAMING Walls FIRE DEPT. date by date by date by PLUMBING Attic OTHER Groundwork date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by J C 1. 6 i MASON COUNTY FIRE MARSHAL. Mason County Bldg.III 426 W.Cedar P.O.Box 186 Shellon,Washington 98584 (206)427-9670 ! I CODE ENFORCEMENT FIRE INSPECTIONS FIRE INVESTIGATION i PQBLIC EDUCATION . 1 PERMIT NO.. oagl} MASON COUNTY FIRE PROTECTION SYSTEM PERMIT APPLICATION No' TEt 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 end brought to the office of the Mason County Fire Marshal. This. is not a I ` 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 P$tINT ' #1 OWNER_14ITGNPv�t _ C,t,IfaL �� lLU2lF� �I;'HONE ( ZQ(�)� SSC�C SITE ADDRESS Nvi`i' FIRE DIST.' e _ CITY PAL i(L STATg ZIP r DI"CTIONS TO JOB SITE 3 . I OWNER MAILING ADDRESS i CITY STATE ZIP ' LIEN/TITLE HOLDER ADDRESS i CITY I' #2 CONTRACTOR 1 ATM0-F Cac_ PZo,2 A)CONTRACTOR REG #P9T(L1�'dq-q Cr- ADDRESS -2� - I-A Lor GT, F-SXP. DATE / _/ o s CITY STATES ZIPZ¢ #3 . PARCEL # l Z3 Z� - �- D©oZo LEGAL DESCRIPTION f #4 BLDG. SQ. FT (EXISTING/PROPOSED) j 1ST FL / / 2ND / 3RD / BASEMENT / DECK �� #BR #BATH GARAGE / CARPORT / ENCL ATTIC: ,Y.. 7 ! OTHER SQ FT ' 1 USE !OF BUILDING #5 DESCRIPTION OF WORK: f_e4_�eA F_ C'9.6- r Pf�q_- I ( SPRINKLER: WET DRY STANDPIPE: WET DRY;' ; AUTOMATIC FIRE ALARM CORRIDOR SMOK85 ' HOOD & DUCT -DRY CHEMICAL WET CHEMICAL HALON NEW SYSTEM MODIFICATION NUMBER. OF NEW DEVICES Y :i MONITORING STATION PHONE i I MASON COUNTY BLDG 5 4277798 P. 03 ' I I 1 I • 1 I I 4 . #6 DOES YOUR SUBMITTAL INCLUDE: y 1 1. •DIMENSIONS, SCALE, NORTH ARROW? YESX NO r 2. FLOOR PLAN AND CROSS SECTIONAL ELEVATION? YES><-Np� I, ' 3. ALL CONCEALED SPACES (LABELED COMBUSTIBLE f AND NON-COMBUSTIBLE) ? Nk'YES NO g. ALL AREAS ON OPP03ITE SIDE OF NEW WALLS? 5. CDT SHEETS OR REFERENCES FOR ALL NEW DEVICES?N;&-YES ; NO� 6. LOCATION/DESCRIPTION OF ANY EXISTING DEVICES YES: ; NO- 7. BATTERY CALCULATIONS FOR FIRE ALARM SYSTEMS? Nds-YES NO__ 8. RISER/WIRING DIAGRAM FOR FIRE ALARM SYSTEMS? 6'^YES NO 9• HYDRAULIC CALCULATIONS FOR SPRINKLER SYSTEMS YES NO I, OTE: WORK MAY PROCEED ONLY IN ACCORDANCE WITS A VALID . FIRE PROTECTION SYSTEM PERMIT ISSUED BY THE MASON COUNTY: :FIRE MARSHAL. A VALID PERMIT AND AN APPROVED SET OF PLANS X9ST BE ON THE JOB SITE DURING CONSTRUCTION AND MUST REMAIN (THERE ; ' S UNTIL A FINAL INSPECTION IS DONE BY THE MASON COUNTY .FIRE MARSHAL. FAILURE TO OBTAIN A VALID PERMIT PRIOR TO WORK;NG ON A FIRE PROTECTION SYSTEM AND/OR FAILURE TO PROVIDE THESE -PLANS t AND PERMIT FOR THE MASON COUNTY FIRE MARSHAL MAY RESULT ;IN A CITATION AND FINE. OWNERS AFFIDAVIT I certify that I am exempt from the requirements of the' Contrac- tors Registration Law RCW 18.27, and am aware of the Mason County ordinance requirements for which this permit is issued and that• all ti j work will be done in conformance therewith. No changes will be me without first obtaining approval from the Mason County; Fire al Marshal. , DATE . I CONTRACTORS AFFIDAVIT I certify that I am a currently' regi,stered contractor in the State of Washington and I am aware of the ordinance requirements r ' � regulating the work 'for which the permit is issued and all', work done will be in conformance therewith. No changes will be , made without first obtaining approval from the Mason County Fire Marshal. , . DATE T . 4 E j—DETACH TO DISPLAY CERTIFICATE DEPARTMENT OF LABOR AND INDUSTRIES . THIS CERTIFIES THAT THE PERSON NAMED HEREON IS REGISTERED AS PROVIDED BY LAW AS A C-bNST G �I. 31AA710N MBE �`�- �✓zi" ,asAEGI �'U R` •yi' ^�r t bn 0{PIHATIOA E ATE OF WASHINGTON F it PA`F�`t�L�`f PYRE .:f'R©7EGT�ON INC r ,r 2004.A. 48TH "AVE CT E r: TACQMA WA 98424 - F625-052-000(3-92( frue- l MONA L. KEIFER STATE OF WASHINGTON NOTARY--:--PUBLIC MY Comn;ission Expires 41-98