HomeMy WebLinkAboutFIR2003-00024 Sprinkler System - FIR Application - 6/27/2003 RECEIVED
MASON COUNTY FIRE MARSHAL JUN 2 7 2003
Mason County Bldg.III 426 W.Cedat
P.O.Box 186 Shelfon.Washington 98SU 426 W, CEDAR STi
(360)427-9670
CODE ENFORCEMENT FIRE INSPECTIONS FIRE INVESTIGATION PUBLIC EDUCATION
PERMIT Niafian.ZX3
MASON COUNTY C FIRE PROTECTION SYSTEMa
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: i-V-5S VgSA&tf.P_ PHONE: FIRE DISTRICT
SITE ADDRESS.'30/1I15 FXMAJcE &I-L R0CITY &CF'4r4 STATEOA__�ZIP i95 S
MAILING ADDRESS: CITY STATE ZIP
LIENMTLE HOLDER.
ADDRESS- CITY STATE ZIP
CONTRACTOP, f On 4)�o
ADDRESS:/a/soX CtiY?,-,.2T V�A2l� STATE W/+ZIP
CONTRACTOR PHONE# 0-85- CONTRACTOR REG# OX Fr(PC(Z-2tlg _
PARCEL# /.Z3 3 2 /Sp 1 D000"-'LEGAL DESCRIPTION:' t 7 eGT 3 Z.7Z1/V
BLDG.SQ. FT. (EXISTING/PROPOSED}t ST FLjWdND / 3RD /
USE OF BUILDING O1`f�V-cf-
DESCRIPTION OF WORK: SPRINKLER: WET_DRY—.k STANDPIPE: WET DRY
AUTOMATIC FIRE ALARM HOOD &DUCT DRY CHEMICAL
WET CHEMICAL HALON NEW SYSTEM MODIFIV.'1i �-w
MONITORING STNONE
pg
Z0012 A,LNaOD SZ68LZb09C XVd CC:DT 11HL 00/OT/80
YOUR SUBMITTAL MUST INCLUDE:
1_ DIMENSIONS,SCALE,NORTH ARROW
2. FLOOR PLAN AND CROSS SECTIONAL ELEVATION
3. ALL CONCEALED SPACES (LABELED COMBUSTIBLE AND NON-COMBUSTIBLE)
4. CUT SHEETS OR REFERENCES FOR ALL NEW DEVICES
S. LOCATION/DESCRIPTION OF ANY EXISTING DEVICES
G. BATTERY CALCULATIONS FOR FIRE ALARM SYSTEMS
7. RISER/V1IIRING DIAGRAM FOR FIRE ALARM SYSTEMS
8. HYDRAULIC CALCULATIONS FOR SPRINKLER SYSTEMS
PLEASENOTE: WORK MAY PROCEED ONLY IN ACCORDANCE WITH A VALID FIRE PROTECTION
SYSTEM PERMIT ISSUED BY THE MASON COUNTY FIRE MARSHAL A VALID PERMIT AND AN
APPROVED SET OF PLANS MUST BE ON THE JOB SITE DURING CONSTRUCTION AND MUST REMAIN
THERE UNTIL A FINAL INSPECTION IS DONE BY THE MASON COUNTY FIRE MARSHAL FAILURE TO
OBTAIN A VALID PERMIT PRIOR TO WORKING ON A FIRE PROTECTION SYSTEM AND/OR FAILURE TO
PROVIDE THESE PLANS AND PERMIT FOR THE MASON COUNTY FIRE MARSHAL MAY RESULT IN A
CITATION AND FINE.
OWNER'S AFFIDAVIT
I certify that I am exempt from the requirements of the Contractor's Registration Law RCW 18.27, and am
aware of the Mason County ordinance requirements forwhich this permit is issued and that all work will be done
in conformance therewith. No changes will be made without first obtaining approval from the Mason County
Fire Marshal.
OWNER' DATE:
CONTRACTOR'S AFFIDAVIT
I certify that I an a currently registered contractor in the State of Washington and I am aware of the ordinance
requirements regulating the work for which the permit is issued and all work done will be in conformance
therewith. No changes will be made with first taining approval from the Mason County Fire Marshal.
BY: DATE: D 3
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JUN 13 200�
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PTO SE"CES
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`3 CONCRETE MECHANICAL MANUFACTURED HOME
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c Footingr-i Setbacks Date By Ribbons
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Date By Gas Piping Date By
Foundation Walls Date B y Set-up
Date By INSULATION Date By
B G I 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 WALLBOARD NAILING
D.W.V. Date By
Date By FINAL INSPECTION
`D Water Line Date By
D ate By Date By
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