HomeMy WebLinkAboutFIR2024-00024 - FIR Inspections - 7/8/2024 MASON COUNTY FIRE MARSHAL
Mason County Bldg.8
615 W Alder St,Shelton,WA 98584
(360)427-9670 Ext.309
F I R20 -
Mason County Fire Protection System Permit Application
To avoid any "el please complete all applicable sections
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Owner: �`( �— l�Jl�l1UV� 1 U11 Niione#:';�V
Mailing Address:� City: W l 01-) State: +-ip:—Z
Site Address: G�f�V City: State:cam£ Zip:
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Parcel#: 50 ,f, ; L-eg�1-Bc�ss tiori:
Contractor: Phone#: •3�f '?4
Address: .2?7c 510 City State: u'4
Contractor License#: A M:l P,I I A- Expiration Date: � ''%!_ ?
Email:
System Being Installed (Please refer to the link below for all plan submittal and inspection requirements)
https:llmasoncountywa.go v/commun ity-services/fire-marshallindex.php
Fire Alarm Designer NICET Certification# Level
Fire Sprinkler
Commercial(13): Designer Cert. of Competency# Level
Multi-flex(13R): Designer Cert. of Competency# Level
Residential (13D): Designer Cert. of Competency# Level
U/G Fire Main: Designer Cert. of Competency# Level
Range Hood System: ICC/NAFED Certification#
Building Use: X>5T-/fle - Building Sq. Ft:
IBC Occupancy Class: IBC Const. Type: Bid Price:
Contractors Affidavit:
I certify that I am currently registered as a contractor in the State of Washington and 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.I acknowle a that o changes will be made without first obtaining written approval from
the M Marsh .
By. Date:
r 3
Mason County
B Mason County - Division of Community Development
615 W. Alder St.
} Building 8
Shelton, WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
FI 22024-00024 HOOD /DUCT
PROJECT DESCRIPTION: MOVE EXISTING HOOD TO NEW LOCATION ISSUED: 07/25/2024
SITE ADDRESS: 5130 E STATE ROUTE 106 UNION
EXPIRES: 01/21/2025
PARCEL: 322325008008
APPLICANT: UNION COUNTRY STORE OWNER: UNION COUNTRY STORE
5130ESR106 5130ESR106
UNION,WA 98592 UNION,WA 98592
1.360.898.2641
GENERAL CONTRACTOR'S LICENSE: AMERISAFE INC License: AMERII'907K1
3006 29TH AVE SWTUMWATER,WA 98512 Expires: 06/13/2026
360-943-5634
VALUATIONS: FEES: Paid Due
Project Valuation (BID, 1500.00 $1,500.00 Technology Surcharge $3.80 $0.00
ESTIMATION..) Fire Protection Permit Fee $190.00 $0.00
Fire Protection Plan Check $123.50 $0.00
Total: $1,500.00 Totals : $317.30 $0.00
REQUIRED INSPECTIONS
KNOX BOX VERIFICATION BLD-Final Inspection
Hood/Suppression System Inspection-Final
CONDITIONS
Printed by:Annie Wilson on:07/25/2024 10:37 AM
Page 1 of 2
Mason County
Mason County - Division of Community Development
615 W. Alder St.
Building 8
Shelton, WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
HOOD /DUCT FIR2024-00024
" 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 I 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 UNLESS OTHERWISE APPROVED.
Fire Marshal Comments
I hereby certify that I have read and examined this application and know the same to be true and correct.
All provisions of Laws and Ordinances governing this type of work will be complied with whether
specified herein or not. The granting of a permit does not presume to give authority to violate or cancel
the provisions of any other state/local law regulating construction or the performance of construction.
Issued By: I i, W I
Contractor or Authorized A Date:
Printed by:Annie Wilson on:07/25/2024 10:37 AM
Page 2 of 2
I INSPECTION CARD
>� k Mason County
615 W. Alder St.
Building 8, Shelton, WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
PERMIT# FIR2024-00024 PROJECT ADDRESS 5130 E STATE ROUTE 106 UNION, WA 98592
PARCEL# 322325008008 PROJECT DESCRIPTION MOVE EXISTING HOOD TO NEW LOCATION
OWNER UNION COUNTRY STORE ADDRESS 5130 E SR 106 PHONE 1.360.898.2641
CONTRACTOR AMERISAFE INC ADDRESS 3006 29TH AVE SW PHONE 360-943-5634
CONTRACTOR LICENSE AMERII'9071<1 LENDER
INSPECTION INSP DATE Comments INSPECTION INSP DATE Comments
KNOX BOX VERIFICATION BLD-Final Inspection
Hood/Suppression System