Loading...
HomeMy WebLinkAboutFIR2016-00020 Fireworks Stand - FIR Permit / Conditions - 6/14/2016 ) ) CN - CD - E IL 6 CD {$ 6 \/ \ 77 ( / / ) J - _ ! tLL 04 a.0 ) / \ ! § e } qb / Q = k LU m % , q U) a a ( f t � \ j � \ \ { c\i \ w w [ - LU z x ° } w § § 2 [ < F- $ / 0 0 2 < o 0 E ■ j { U) i ƒ ¥ _! ` � 00 0 § ( \ \ k / ( \ } Q ` > § m a o \ k \ k a W ° a- ) w k § ( c 0. / � 2 / k § 0 (n m z \ I \ § g ) 0 0 � "o ' ° > » b 2 Q f§ \ ( � I7m w of 0c) § ( ) ) z W ^ fffff � § � k # te £ % ® >ak ; ; « t ° © - m 2 § ) @b B � { = aE2 . 2 ( 0 § bC3 � § J0wB0 (L ¥ J = ; ! m ƒ - * \ ) / § § � � ) \ > ° ° m [ ! ! ` j \ § w ) ' k LL 0 _co 6 _ C 2O O W m a d LL N �` C a C C�- W e w p U N C Q) d E Q ° m N LL O N p C O N a1 L F c O <_ C Ms 17 c N cr m �. ai W O N j m E O- 0) o � v C3 3 CD L T O "O `O 0) ELL y 0 y G Z T O m a) L O (D U N .L 7 CMa) C) Z V L w m o 3 'O v_ E3 rn °1 c (D U c Cat 35 « cLa 03 � Oc N tcj - c .E O N o 'O C w a O N MN T ° .O O N a N y O 7 U� oCo V) ° O) ' M r0 ° Q N � N m 'O 7 p O g� CI O C E C) 'p y T 5 N .0 O)l a) z = c 'p O a) ` .N, m m vi of m T m C U L - L m d c yg Q 2 L m d -OO m N O` m j OOL V 'O y CD 0m o mmcw °da aE {� y ((ppc ° N m N T 0. W W .� O C Y V y Y TL M G m C y O «O O N ° m 0 7 rn-Y O .s EO1 d w m maS3 °c y ID 0C ' � � o, 7 v o ,.. d W .ig y Y L L L tll 7 v N O N U 'N .i� Cl) a K U m 0) w O. ° . rn on o mEcL `° m mm ° mLLa m = Z n y % 'o� ay 4) c ? � a� 0 cw " 30 c � m 10 c ' 3 o `o m a d o d rn m m 8 t0 O a— L V C «5 O) L E N m .0.. E m 4) O C y V'UD .O y X V C M m �, ° rrEN; w B 2 Ba lvmc°i o Q m co zOE C O m E y m H O) " O y N y c 0 7 V C O E w a) y o c `o - .LC rnt E c y Emo. � d n -- o w a o LC) e4rp y c L O L O m c o .0 o c w m 3 F v m E .- 3N ovZ E c co E a 0 , C14 •p O. 2) < c - o p) O E L O N C w )a T y )° G m 10 = U m Q ; d '.. 0 7 )CD O G �'� E 3a am LO 2P� Ey d3m � Yo wm c N � c Q '� O V m O a) c ✓ O cx C Q y a1 C j N O c 3 $ y O C 'L-' y T C E Vl l0 O O 1�/ Ny N 0) N C r 0 E m L `L-' O N "O (V N O 'y N "O C V O C a) O d 2] a) O y co 7 E m - N C — O N 2) .t. cE - o Qcc (°(pp ?? 'o m � iw `od � � � �` 2 L L ac u°i SQ o a-7j >. N .0. O` )i G E y 7 N >.a-. C. 3 m N y C y 7 > L° co E o y aai o E u � t d `O a °� $ w H E m o 0 o Y ° W c � .N oayi 2' = 2 � -o01m . y d - w �0y '3ryx d y cE m N a d w Y a) u) C .L-. a 7 0 . a y y c N o �. y y O '$ q � o � o_ c ° a�ic � � ma i4) � � v o3 0 � kga 3 c3 a L` o � � m laic E m 'ci d 30 " c am oLBc do� c rnm `Q1d c 'cai Cl.46 M O 10 y fa O O C p °_ Vl .� - uY Y C aL-. O_ .� i a) C T C < L �- O 0 , a 0 '- N 'C O a) 'O o °o ' °o � 5 `� ? ° y � � yoa�i ayn7 cF' d -0CL. cLO EE c L c ° � � y 4)) v > L a-a) Y c o » N � ar m a � L. L L m g� c � � c N- L. ami � cym • Eocg y � .L. U) Mf= 33 N L2) � � E N a) N o O y R a) m a) an d o � cEL '3 fit K E 3 = 7 � E0 E Ec ¢ �i � @c� N = ayy � drQm �'-pm _oc m � 2 v2 m 4) m vl O t041= 7 C `$ ��" 3 >.2LVL >'O 7 a! � < m pp• L O O a) y p 7 C a) n y mC m c C m 'O N y N d fn N 9j 7 d 10 'O C V_p C y 0 �' .O V y J a a)R. a Ol C � m 0 0 � L V V N N y U 7 y fL-0 K C C y .c_. C Vl QE O E Z N C V @ C c y N rcc 9 E N U0 O N 7 .�- N �l.4 -V) y a) .w ` "O M r O .0 L la C V y N N M N_ T m N T T r C O N O a) �) W �> L.+ ?. 3 ° Q N () 7 > N .� M m Y a N E F N p� NEQm m G R ZE '> YN cT01 a) O)QEa) Oymzi yY� 7Qyta E ° '° y dac) � yLon` C) dw m - c � � .9 .. v` _ywp -- an d UY y y :. EQm 3 - 'vL> - oa ;o E ,- ° rEmA-0 E c Q $ � o ' oEm w3c .Oy y � E m U) La `� 3QN p vi � 3oi ; o a) 7 m .p .o La O Lay o � •c p °) - � g � '7 E f EziL y dz d ' iL mg c U) ii ccaX iiX O ox ii �a �:E m' 2d: r0n axi ��$ X � c� ��d 'n 'a:5 � X W to O N < LL 0 m E o N mm La L Q- LpawcN3) y�`yyNmy a_m � 4) 0) v� y y m m Z EoE 3 'm Onm oL0 a 0) V ErNm y p N / . 'DomE E E ma - Etm5 ( , o mp m m 0 Os > c mN CQ oo , p 0Cd T c � W - O 3 m ` N C m rn L •VGL' a U NaLE N m yO p E CNy m - i B m Z@ ' Z E o a� L 0 ioE £ ° $. EE o3 w o co via L).= 0 @o m_ E E`( E E o - m W m E O o oE n� N m .OLL2c o my w @m 0 Cr & 0 O)E O CwfanT n m .? _ o 2 0 c w ca 3tN — = OomWcq) & E8 mEm ° - i' O p8N N o O m w m € am EcoQ) m OLc m m y c m m o L m. 0) CD m mn n mZo = - ind N -N 0U)@ Na' m Lv � ' a L m )G at o_ ) $ mE ID M ° m� 8 O O amc 0 mO N C O a nm C cw.O O) EUvm . N 4) mLC� Ny r c o $° m � rnyaLc 4mC m nm ° am ca cm � an!E � E O c3 0) N m m E°' o N c c E o N ar . �° Om o M L .0 W l o E _ y d d r 8 L a N �B =3y 7mC_ n y p pt�7/J Y-agON� ONO� Ta€ VW' a�Occci ww8mN` �mo� cy ��CmNcm c o . m� cm caL c n Q Tcm y O d N $) - a) O� ) O ° mM cm d= m mY0m E 3c� n � S mmoonQm c Ed m m o Um?Ep. O - O y j ry � N2 m N 1 O i aGoowONE y 0rEw aUO -Cj - Ic A ' Ec � L • I p � mcNm0M b 'O L amc m E EE m y m -O d O f N H a) > > IL ° m q E21 Na . y c OL o Em cc o3 mym0 -0 w m0E -6 : Z a)x � ` m 3 t � �E o o �° dcEcM LocN to a) 0mv � U y m �E m Z`� mNNmmym Ea) N n - a) tm m 0 ENOa) N { mE 20o ? cL � m ° � m N CD d °2anaMm vrn NZ � ( cEoco nuw € m6J J d w E a' i d N Ev d ° � WEL - £ _ c 02 Bc '- Ow c3 3 m N � U8ym °_ n ~ a m0c - ° c �Uv c4. � o � o n L o a 8a a ° nNo a -6 om 190 cC: M0 =mmmOa m ° 4) m 'm ° E NOO O E2m 3 er N q � p T ' LjM nEm $ cL ° ° mNa Na - O " 'O= dO N m m O :3 7 o V �m � 0 a) a) p� � N ^ NN E m o m ai a° o ° N � cLmU a Ow mLOdoc -L N N O N C N mc � ai Q NN % c ° CC N = N O O N O C OS r- E g .4 KoW Oc -2m N 9 .8 m ' Yyqm 0 � Q Z 2 cm � . ° O� vm �� � p N o EO ccccycatp> anE E E o � t c a CIAc E m L m n m m n o m 49m20 c2 ENc o m2O -E mcw � Ec ff O- c t - ~- 0 � yo � a) o0) E > ¢ U oLL C� VNO 0EXVOO 'OW E — C yam3 C14 N P O N LL f f0 ` kk / (ƒ/ / 0=— ±0U. ! � cI—M 0 CL E /� -� § ( -0 o ƒ ( co ) M z °f Ez § \ / ) § G § � o - ° � § ate { \ d � ff2 $ f > Etoo2 9 ° . o - § 5 � { / k / �= \ { } � CL \ � ` 20 ! k k � -6 0 ) } � E5,w ' 2 }_ 18 0 Ckw /) 2 � j{ s0a ) � )cm Z \ � c \ � 'a > / \ {) k � ca 3Z0 } ■ y$2 ` � � }_ Ec - m E \ CL \ / \ f2I( o \ ; aea � E ! a R ) m4) 720M0 � 7k % « (J = eE � � c \ ) k c "s, k \ - F- T) S - Mc ( \ /\ ] f0) &� ( i , , § k2CLZ § [ko i { ##o 1.0 ) ƒ\ & C � a { ; B § ) �(k 8 � m �49 0k w ) E_ w a)o � 2 « oE § l ; O �� � ( I ) * a § 2COLCL �k <E§ ` §x w02, '52 > 3 « D § § f § § { § IL ƒ \ ƒ OaO3v;o s11Aew PwalslBeA we OB01 pue oweu aHOOV a41 (101410Z)SZ 0800V 'PeA3a8a4 214BN IIV 'NOIL OdH03 OH OV IBM CD � LAY I 7 3A 1N3s3tld3u unmownv 48586 VM ao1la4S 'SNOISIAOlId A31IOd 3H1 H 033V NI a3H330 38 TIM 33LLON 'd NO l20AS W WON 1117 M 03H3H1 31tla NOLLVHldX3VHId%3 3H1 saaM o0d voseW WON 3UOi38 031133NV3 38 93131-10d 03SIM0930 3AO8V 3141 d0 ANV a1nOHS f4tmoz)aOMW Z4/99011. NOII%913ONVO 113010H 31V3IdI1H30 •suolsnlaxa pue'wonlpuoa'suuat Aallod of taprgns taeauoo union. Aq pallnbal se AtII!gel'I ivaua0 a4l uo palnsul leuoulpps up sl laploy ateayluaJ tlM j!slla8-E atnoH atatS 3N 196£Z(1 5S9HMM)OMS A—JOS to ppteaol Auadnld-paovalaal(s)asut Aagod a41 poe palsy vawea aln W algeaydde'laploq ayl loJ atsagryao pausal Alsnolrvd Ile sapasladtts aleagwao slyl (pwln0uelowdepmw/1peN poAw'WnpapSsVewea IeuoNlppv'lot Oa00tl) 831OIH3Al SWUV301 I SNMW3da 40 MMAdta083O Xy,v,{'XXX S jjmn Aonod-3svamo l'3 M K SNOIIVH3dO 40 401"a'�O mpun aQposapn 33AO1dw3V3-3SV361G'l'3 INN uI A,p em) .XX ' S 1N3000V H3V3•l•3 V I N ElRAUM 3�M3N1aYdM WdOacnmm 3dtANV m 3lluvls H1HV311ddV LDN XU1Wl.W3Aoldw3 am O N0IIVSNUM00 ZMMaOM XXXXXXXI SNOLLNMEM 030 XXXXXXX S 31v0311p9v 30v"Mrm Um mmm XXXXXXX 5 aowmnoo0Hov3 318V3I1d4V.LON Hnmo SIM VITJUM XXXXXXX S XXXXXXX $ SOMW SOMW MUM 3BWM Allf dOHd 03MMOWON XXXXXXX S Aanrm Amo9 03-MaH3s OMAAOTtl XXXXXXX S (wswd,ad)AHnrNI A1100e OWV AM+ XXXXX)CX sjivingismaggNIM03. 818V311ddV10N ALnfam311aa1401M S alaHlo 000000Zs MY dWdnoo-S10n008d Ool XC� p3r0AollOd OOO OQO Z S 31V93aQ9V 1V83N30 :aid 9Wmdv umn 3 vmmomv iNm OOO OOO I s AanrNi Aava Toosmm 0005 s (-WWzwAav)dxacaw 000 005 s e01B— S3s1W3Hd an=a 3aV"MWM 000,01 I S ammianooOH0v3 910VIIII 510VI/II ISI•ZVZ00'IOHIS N N AmvsvnIVe3mg9 Mmo* X V sLMn dl(3 AOnOd 3d3 AonOd 1138MnN AMOd 33N"n9M dO 3dA1 la�aNl 'SWIV73 OIVd A8 033na3H N33B aAVH AVW NMOHS S11WII"S313110d HOnS 30 SNOWONOO ONV SNOISnlOX3 'SWH31 31-11 T1V 01 133r8nS SI NI3H3H O381HOS30 S313110d 31-11 A8 03080ddV 3ONtlunSNl 3141 'NIV1H3d AVW u0 a3nSSl 38 AVW 31VOIdI"30 SIHl.HOIHM 01133dS3u HIIM 1N3V4n3OO u3H10 HO 10tlH1NOO ANV d0 NOWONOO HO WH31'1N3W3Ha103u ANV ONIONVISHIIMLON '031V310NI OOIH3d A3110d 3H1 HOd 3AOBtl 03WVN 03HnSN1 3HL OL a3nSSl N338 3AVH MO138 031SI1 3ONVHnSNI d0 531311Od 3H11VH1 Ad11H33 Ol SI SIHI XXXXXXX tH38WI1N NOISIA3H ZirLMVI :H38WIIN nvoizmmo S39VH3AO3 d a3ansM 3a3ansM OE99C TV 33ual01d MLta uo11aH I 1 S4 aleansM HIEI x08'Od as nsM mi'syloroand INl V8O =a HaansM '3al'sluaA31suollowoAd uwwaLV 6Z £CERUMWI ISM AUUMUCO 33UUmsa1 PU=PUI 1samaAr3 va3anSM so" 30Va3A000NI0aOddV M -Haar 009E-094(404) aN �, llvw- 50£0£VD MMIIV xvd 3NONd OSZ#a1lnS'3Ai peoy aallyaead OSZ£ :30VN Salmdmo 00113o'I MonaOHd 1J 1NOa •a uOWSWOpua Lions Jo nag ul ioplay eleogplao 84101 S1461A AaJuOo 10u saOP eleogllleo slyl uO luewslels V •juawa=pua up a.11nbw Aew selollod uleyao'AogOd a41 p suoglpuoo pue stlual 041 o1 toelgns'03MVM SI NOI1V90H8nS 11 'Peslopue eq lsnw(sal)Aollod 94;'a3HIISNI 1VNOWOOV up sl lapl04 aleagllleo 04111 :1NV.LHOdWl 'H301OH 31VOWLL1133 3H1 ONV'H30n00Hd 110 3ALLV1N3S3lld3H 03ZI110HlnV '(S)H3HnSNl ONInSSI 31-11 N93ML38 LOVHINOO V mmmsNOO LON S30a 30NvunSNI d0 31VOULUM SIHL 'MO138 S31311Od 31-11 A8 030HOddV 39"HAOO 3H1 H311V HO ON31X3 'ON3WV A13ALLV93N HO Al3AIlVWHiddV LON 930a 31VOIALL833 SIHl 'H3010H 31VOMMI33 3H1 NOdn SLH9R1 ON SH3dNOO CINV AINO NOLLVWHOANI d0 H311VW V SV a3nSS1 SI 31VOIALLH30 SIHL 91oz/91/9 910Z/1/11 33N"nSN1 )U1-119V11 30 31V313112133 IAAAuaamw131va T Z N CONCRETE MECHANICAL MANUFACTURED HOME 0 BY ate Footings/Setbacks Gas Piping Ribbons = GInterior Date By Interior-Date By Date By 3 00 Exterior Date By Exterior-Date B ,up N p Point load I Isolated Footings INSULATION pate By O BG!SLAB INSULATION Z Date By Data By FIRE DEPARTMENT M Foundation Wdle Floors Date By m m Date By Data By DECKS FRAMING Walla pate By m Date By Data By PROPANE TANKS m PLUMBING vault Date By Date By OTHER Groundwork Attic Typo. Dale By Date 6y Date By D.W.v DRYWALL Typo InL Brace Wall pate By T Date By *;a Dale By FINAL IN EC ON tv 0 Water Line Flo Seperation O Date By Date By Data to o^ Pass or Request Inspect. c 5 Type of Insp. Fail Date ate Done By Comments o 0 f m a m to w w 0 0 0 a a 0 w 0 v w s~ m m rn 0 1 ! MASON COUNTY (360)427-9670 Shelton ext.352 DEPARTMENT OF COMMUNITY DEVELOPMENT (360)275.1467 Belfair ext. 362 BUILDING• PLANNING• FIRE MARSHAL (360)482-5269 Elma ext. 352 Mason County Bldg. III, 426 West Cedar Street PO Box 279. Shelton, WA 98584 www.co.mason.wa.us RECEIVE® FIR20-�J-- 000�0 JUPI 0 3 2016 Mason County Fireworks Permit Application 615 W. Alaer Street Incomplete applications will not be accepted A permit for retail sales or public display of fireworks is required. A completed application with required documentation and fees shall be submitted for Fire Marshal review. A permit will be issued upon satisfactory site inspection by the Fire Marshal. Applicant Information: Owner: NORTH MASON PEE WEE Mailing Address: 302 NE HAVEN LAKE DR. City: TAHUYA State: WA Zip: 98588 Phone#: 253.208.3235 Email: IkonorhidDintfirewnrks.com Sponsor Information: Name: RAyMONO MOW Address: 302 NE HAVEN LAKE DR City: TAHUYA State: WA Zip: 98588 Phone#: 253,208,3235 Email: Iisicich0tntfireworks com Washington State Fireworks License Information (Copy Required): License Number: WSPFL 16-0518 Date of Issuance 04/01/2016 ❑ Pyrotechnic Operator License no Fireworks Stand License Bond or Certificate of Insurance (Copy of Certificate/Bond Required): Provider: SEE ATTACHED Insured: Certified Holder: Location of Stand/Display: Site Address: SAFEWAY STORE-23961 NE STATEROUTE -BE FAIR WA Directions to Site: Parcel Number: (twelve digit number) 12329 41 - 00010 Legal Property Owner SAFEWAY INC. "Please see reverse side to complete your application** c • s% Apo ,yam, V' ,p I It V. v Imo, •s It a A LL F: , Q � `' \t _ \ . ♦gyp i - \ � L h 4b The following pertinent information MUST be provided on the site diagram below Location and Setback distances from the back, sides and front of retail sales stands or designated display areas to: Fire Hydrants Property Lines Mortar separation distance Combustibles Parking Designated landing area Fire Lanes Public Roads and Right of Ways Trees/Brush Private Roads and Right of Ways Utilities Landmarks SEE ATTACHED DIAGRAM Applicants Affidavit I certify that the information provided herein is accurate and that compliance with all County, State and Federal laws pertaining to the sales or discharge of fireworks shall be maintained. Signed Date 05/16/2016