HomeMy WebLinkAboutCOM2019-00024 Annual Review - COM Application - 4/25/2019 �oN coy;, MASON COUNTSMUNITY SERVICES
PERMIT ASSISTANCE CENTER: Perrtlit No:66DMA
�r •BUILDING•PLANNING•PUBLIC HEALTH.FIRE MARSHAL
615 W.Alder Street,Shelton,WA 98584 1 rq yyl 2-0(v' CCO
Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone
Beltair:(360)275-4467•Phone Elms:(360)482-5269
18.54
BUILDING PERMIT APPLICATION
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATIO
NAME: �j �1UnIC _ NAME:
MAILIN,Cj ADDRESS: _ MAILING ADDRESS:
CITY: 6 STATE:bj,4 ZIP: CITY: STATE: ZIP:
PHONE#1: PHONE: CELL:
PHONE#2: - 9,�/� EMAIL
EMAIL: ��- L&IREG# EXP.
PRIMARY ONTACT: ,l oxv � CONTRACTOR❑ OTHER❑
NAME �Q �J'3'"f0'��- GGtfj EMAIL
MAILING ADDRESS CITY STATE ZIP
PHONE CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) �3 I?j(_Q -fig - QGG I Q ZONING
LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT 5
SITE ADDRESS�\Yq&2 a E QJ x) 3 CITY h e-U,4,4, _
DIRECTIONS TO SITE ADDRESS -
1 EW
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)4EATER THAN 14%: YES❑ NO❑
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Checkall that apply):
SALTWATER❑ LAKE ❑ RIVER/CREEK❑ POND ❑ WETLAND❑ SEASONAL RUNOFF ❑ STREAM❑
TYPE OF WORK: NEW❑ ADDITION❑ ALTERATION ❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.
IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS
HEATED STRUCTURE? YES(Whole Bldg) ❑ YES(Part[s]of Bldg) NO ❑ r Y L
DESCRIBE WORK ( I 0
SQUARE FOOTAGE: (p pose+existing) 01,6L-�?Oyj -,L ��— / +(✓X•U�f1 t
1ST FLOOR sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq. ft.
GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq.ft. Attached❑ Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE L YEAR LENGTH
W H BEDROOMS BAT SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOUR C • SEPTIC ❑ SEWER❑ / NEW❑ EXISTING ❑
PLUMBIN STRUCTURE? YES ❑ If yes, attach completed Water Adequacy For
PE ETERNOUNDATION DRAINS PROPOSED? Y NO❑ EXIS .FT.
ISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS
OWNER acknowledges that 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 and 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 legal
representative,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 permittapplication 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 ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.08.42)
Signature of OWNER(Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL 'j z r
PUBLIC HEALTH
C', L�
oj
A P
I r
3s �+
yt �' VC'� 1r4C_
t
i I i ......... .
i 4l-.,., or
It
• � r
4/17/2014 CALIFORNIA STATE FIRE MARSHAL Page 47 of 6'
FLAME RETARTDANTS - FABRICS
LIST OF ACTIVE RECORD(S). (BY ALPHABETICAL ORDER)
Y
ID NO. COMPANY COMPANY LOCATION APPL. NAME RENEWAL DATE
MAIL ADDRESS CITY/STATE/ZIP PROD. CHAR EXPIRES DATE
CONTACT PERSON(S) CITY/STATE/ZIP TELEPHONE ORG. LIST LABEL STATUS ROC NUMBER
(F-558.01 POLYWOOD WHOLESALE SHUTTER CO 3999 PONDEROSA WAY POLYWOOD SHUTTERS 5/29/2013
3999 PONDEROSA WAY LAS VEGAS, NV 89118 RIME POLYVINYL CHLORIDE 6/30/2014
JOHN BARNES LAS VEGAS, NV 89118 (702) 070-4488 8/3/2000 V00357 A 56485
(F-380.01 POSTCRAFT 625 W RILLITO ST PREM/ACLAVE 5/21/2013
). 625 W RILLITO ST TUCSON, AZ 85705 PVC 6/30/2014
DONNA M. BEYER\ TUCSON, AZ 85705 (520) 624-2531 3/30/1987 V00003 A 57036
(F-380.02 POSTCRAFT 625 N RILLITO ST SOFT-O-CLAVE 7/3/2013
625 W RILLITO ST TUCSON, AZ 85705 NON-WOVEN POLYPROPYLENE 6/30/2014
DONNA M. BEYER TUCSON, AZ 85705 (520) 624-2531 7/8/1987 V00462 A 57036
(F-914.01 PRECOMP LLC 24 GRANDVIEW LANE VINYL LAMINATED POLYESTER 6/20/2013
24 GRANDVIEW LANE MANCHESTER CTR, VT 05255 61" WIDE 13 OE/SO YD DENIER VINYL LAMINA 6/30/2014
STEPHEN KITTREDGE MANCHESTER CTR, VT 05255 (860) 304-0314 6/23/2011 V00434 A 57071
(F-900.01 PRESCO POLYMERS, L.P. 1201 E PECAN STREET CONVENTION TAFFETA, VELON 7/10/2013
1201 E PECAN STREET SHERMAN, TX 75090 NONE 6/30/2014
CRYSTAL PERKINS SHERMAN, TX 75090 Z (903) 957-2231 V00466 A 57570
T O �
(F-621.01 PRESCO PRODUCTS 9 1201 E. PECAN STREET FLEXIBLE PVC FILM 6/27/2013
1201 E. PECAN STREET m �j SHERMAN, TX 75090 FLEXIBLE PVC 6/30/2014
JOSH JAMES SHERMAN, TX 75090 �10 1,— z (903) 957-2263 8/7/2007 v00455 A 56511 (.
rr (Z) l.i i
q p
(F-310.00 PRO FLEX VINYLS O N 1201 E PECAN STREET CONVENTION TAFFETA 5/21/2013
1201 E PECAN STREET SHERMAN, TX 75090 VINYL FILM 6/30/2014
JOSH JAMES SHERMAN, TX 75090 p (903) 957-2263 6/23/1989 V00029 A 56511
(F-572.02 PTM INCORPORATED 7801 SOMERSET BLVD. OXFORD 7/10/2013
7801 SOMERSET BLVD. PARAMOUNT, CA 90723 POLYETHYENE TARP MATERIAL 6/30/2014
ALICE KIM PARAMOUNT, CA 90723 (310) 603-0888 3/23/2005 V00463 A 57628
f
AP
CALIFORNIA DEPARTMENT OF FORESTRY and FIRE PROTECTION
OFFICE OF THE STATE FIRE MARSHAL
REGISTERED FLEE RESISTANT PRODUCT
Froducs oq UY'��'1�1� Registration No.
VINYL •.,E F-9Y .YESTER �
r 01
69 DOSE HILL RD
CEESTER, CT 06412
This product meets the minimum requirements of flame resistance established by the California
State Fire Marshal for products identified in Section 13115,California.Health and Safety Code.
The scope of the approved use of this product is provided in the current edition of the
CALIFORNIA APPROVED LIST OF FLAME RETARDANT CHEMICALS AND
FABRICS,GENERAL AND LIMITED APPLICATIONS CONCERNS publisher!by the
California.State Fire 14arshal,
THESE PLANS MUST BE
ON THE JOB SITE
FOR INSPECTION
Expire: 6/30/2013
Deprt St to Fire 2.1 �aA
MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT
FIRE MARSHAL
d Mason County Bldg. VIII,
615 Alder Street, Shelton, WA 98584
www.co.mason.wa us Shelton (360)427-9670 Belfair(360)275-4467 Elma (360)482-5269
March 21,2019
Fire Marshal Notes/Conditions For Permit:
2PI I-=Zq SITE
Permit: C0M20Y8-MTB
Name: S and S Produce 0 p y
Phone:253-405-2832
• Portable Fire Extinguishers iequired per IFC 906. Minimum rating of 2A:1 OBC . Fire extinguishers shall
be located along a path of egress spaced such that not more than 75 feet of travel distance exists between
any point inside the building and a extinguisher. Extinguishers shall be located not higher than 5 feet above
the finished floor. Provide current annual inspection certificate for extinguishers. If the extinguisher is
new provide the receipt for purchase on the extinguisher.
• Aisle width shall be not less than 44 inches between all displays and not less than two exit points. Travel
distance to exits shall not exceed 100 feet and exit signs shall be posted at all exit points.
• All tent coverings shall comply with NFPA 701 testing requirements and have a permanent label
demonstrating the UL test or be Fire Marshal approved and meet the testing requirements as set forth n the
IFC.
• Smoking,open flame,or similar devices shall not be permitted in the membrane structure or within 20 feet
of the membrane structure.
• Temporary tents shall not be erected for a period of more than 180 days within a 12-month period.
Plan approval does not relieve the designer/contractor from complying with all applicable codes and requirements
as adopted by Mason County and the State of Washington, not does it abrogate the requirements of the requirements
( of other authorities having jurisdiction.
Reviewed by:Jerom ks FIRE
MARSHAL
FIRE MARSHAL COMMENTS
NOT MET 3/12/201 5
PORTABLE FIRE EXTINGUISHERS:
Fire extinguishers are required for this occupancy.Minimum rating of 2-A:10-B:C required.Fire extinguisher
shall be located along a path of egress and spaced such that not more than 75 feet of travel distance exists
between any point inside the building and an extinguisher.Extinguishers shall be located not higher than 5 feet
above the finished floor.Indoor fire extinguisher cabinets shall not be equipped
with locks.E It egui he sheris
rs shall
have a service tag verifying they have been serviced by a professional extinguisher
recently purchased,the tag inside the box may be affixed to the extinguisher with"NEW"and the date of
purchase.
X
MINIMUM AISLE WIDTH
Aisle width shall be not less 44 inches between all displays and not less than 2 exit points.Travel distance to
exits shall not exceed100 feet and exit signs shall be posted at the all exit points.
X
TENT COVERING
All tent coverings
>�Maor��approved with and0meets the testing r requirements
equirements as set forth in the 2012 dmonstrating
the UL test orb
International Fire code.(Reference IFC 3104)
X
Smoking,open flame,or similar devices shall not be permitted in the membrane structure or within 20-ft of the
mane structure.
MUST MEET ALL CURRENT
WASHINGTON STATE CODES
?ESE PLANS MUST BE
ON THE JOB SITE
FOR INSPECTION
2c)[cl
��aa -Soo
coplc rj , I CY i:,-
-01~ I i:SFF=c CIN,
Sl �
SUERAIT CH,,NGES FOR: PPRCV.N
PR►O`1TO'F` FLJ MINC,WOR'
REVIEWED FOR
CODE COMPLIANCE
MASONCOUNTY IV! '-,$i rv(r_E I P Lt.-C.URREN"I
BUILDING DEPARTMENT
4aSkilNUTQiv STATE CODES
Date
com
Y " TH
PERMIT CONDIPONS