HomeMy WebLinkAboutFIR2012-00035 - FIR Permit / Conditions - 11/8/2012 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line (360)427-7262
Mason County Bldg. 3 426 W. Cedar P.O. Box 279 Phone: (360)427-9670, ext. 352
Shelton, WA 98584
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FIRE PROTECTION PERMIT FIR2012-00035
APPLICANT: ALDERBROOK RESORT RECEIVED: 111212012
CONTRACTOR: LICENSE: EXP: ISSUED: 11/8/2012
SITE ADDRESS: 10 E ALDERBROOK DR UNION EXPIRES: 5/8/2013
PARCEL NUMBER: 322335000014
LEGAL DESCRIPTION: SUNNY BEACH PCL 1 OF BLA#04-58
PROJECT DESCRIPTION: DISPLAY-WELCOME SANTA/TREE LIGHTING EVENT
GENERAL INFORMATION System Information
Type of Use: DIS
Fire District: 6 Sprinkler Heads: Audible Switches: Pull Stations:
Hood & Duct?: N Flow Switches: Visual Devices: Door Releases:
Dry Chemical?: N Pressure Switches:: Smoke Detectors: Duct Detectors:
Wet Chemical?: N Zones: Heat Detectors:
Sprinkler?: N
Standpipe?: N SQUARE FOOTAGE FEES
Monitoring Company: First Floor: Type Amount Due Amount Paid
Monitoring Phone No.:() - Second Floor.
Auto Fire Alarm?:N Third Floor.: Fireworks Display Permit $250.00 $250.00
Total: $250.00 $250.00
FIR2012-00035 Please refer to the following pages for conditions of this permit. Page 1 of 4
CASE NOTES
FIR2012-00035
CONDITIONS FOR
FIR2012-00035
1.) Spectators, spectator parking, dwelling units, buildings or structures shall not be cated within the display site, a minimum of a 70 ft set back per 1 inch in
diameter of mortar is required. Per section 3308.4 of the 2009 IFC Exception 2. h provision shall not apply to unoccupied dwellings, buildings and
structures with the approval of the building owner and the fire code ofFi I. 1 is t pplicants responsiblity to obtain permission from all property owners
whether peroo I or%Peal property.
X n
The stora a d eworks pt-the display site shall comply with the equirements of the 2009 IFC chapter 33 and NFPA 1123 and 1126.
X ��
Shells`shall-be inspected by the operator or assistant after delivery to the display site. Shalls having tears, leaks, broken fuses or signs of having been wet
shall beset aside and shall not be fired. Aerial shalls that do not fit properly hall not be fired. After the fireworks display, damaged, deteriorated or dud
shalls shall either be returned to the supplier or distroyed in Cl/
anc wi the suppliers instructions and section 3304.10 of the 2009 International Fire
code. t �,
X �
Mortafs for�firing fireworks shells shall be installed in accordance wit NFPA 1123 and shall be positioned so that shalls are propelled away from
spectators and over the fall out area. Under no circumstances shall ortars be angled.toward the spectator viewing area. Prior to placement, mortars
shal=ip d for defects, such as dents, bent en fvy,
a ed teriors and damaged plugs. Defective mortars shall not be used.
X '-
t IV
Patt fireworks display inspection, after the fireworks isplhe firing crew shall conduct an inspection of the fallout area for the purpose of locating
unexploded aerial shells or live components. This inspection shall be conducted before public access to the site shall be allowed. Where fireworks are
displaye ' pi t and it is not possible to inspect the site thoroughly, the operator or designated assistant shall inspect the entire site at first light.
X
X minimum o o 2 1/2 gallon approved water fir �r its er )hall be on site.
This permit b om s null and void if work or construction aut r e "is not commenced within 180 days, or if construction or work is suspended for a period of 180 days at any time
after work is commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection must be approved before building can be occupied.
Proof of continuation of work is by means of a progress inspection.The owner or the agent on the owners behalf, represents that the information provided is accurate and grants
employees of Mason County access to the above described property and structure for review and inspection.
: /
OWNER OR AGE DATE: i i� ( Z U Z
FIR2012-00035 Please refer to the following pages for conditions of this permit. Page 2 of 4
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CONCRETE MECHANICAL MANUFACTURED HOME
p Date By m t
Footings J Setbacks Ribbons m►
Gas Piping X
Interroc Date By interior-Date By bate 8y Go
O Exterior Date By Exterior-Date B
_. _
ct"'rt Point Load!Isolated footings INSULATION t By 0
BG I SLAB INSULATION -
Date By Date By FIRE DEPARTMENT m
Foundation Walls Floors Date By Cn
O
Date By date By DECKS X
FRAMING Walls Date By �
Date By Data By PROPANE TANKS
PLUMBING vault Date By
Date By. OTHER
Groundwork Attic
Type:
Dots By Date By Date By
D.w.v DRYWALL Type:
Date 6y In6 Brace Wall Date B
Y —
m Date By FINAL INSPECTION N
y Water Line Fire Seperatiori O
Date By Date By Date By N
o Pass or Request Inspect. c
Type of Insp. Fail Date DaA Done By CoiAments v
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m
N
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3
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N
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Alderbrook Inn & Resort C, ® P Y
Winter Wonderland Fireworks and Proximate Effects
November 26th norI —
p II O � 1Wr
7044 . -e- ��� G �c� �, � e-
General Notes Phase 1:
2.5"and 3"shells shot from Lady
Dock to be closed during all Alderbrook following path indicated.
phases. t/
All mortars angled 5 deg.Off back of
All devices to be sh�oy vessel during movement.Shootin o be
electronically. o complete during docking of vessel.
Approx show duration=5 minutes/
Setback required =210'
' Setback Provided=600'
,06
Phase 2:
3",4"and 5"aerial shells and finale s of
from floating platform moored to do
. All shells angled 10 deg.north.
Approx show duration=3 minutes
Setback required =350' •
Setback Provided=500'
Phase 3:
+` r Proximate effects shot from dock and
. ' from balcony of rm 204.
Gerbs to be shot as Santa walks by,
Crossette,comets to be shot at tree
M lighting.
Approx show duration=2 minutes
Setback required =None
'�- Setback Provided=50'
t06
APPROVED
MASON COUNTY FIRE 7RSHAL
DATE !I- ��Z BY
SUBJECT TO FIELD INSPE_ CTION
ALL APPLIGABL CODES SHALL APPLY. ERRORS
AND OR PLANS
SPONSIBIL IT VMOf,ONS OWNERr'CONTRACTOR RE OLE RE-
CORREC'
TlORr4 REQUIREO FROM FIELL 414SPECTSON SMALL
ME Al gy*NER/GONTPACTOR.S EXPcNSE. .41S
r}AjP-
Pfl A OIL ODE-
,, 407 GRAM TO ANti PEPSO
OCE
RNiNT TO
wuILA[c a.:iY CITY OF STATE 1O,..C_ t
r
`K Mason County
Fireworks Permit Application
PO BOX 186
426 W Cedar St Permit# FIR
Shelton WA 98584
(360) 427-9670 ext 273 Receipt #
CK #
Date Received
A Permit for the 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 l
Name: Alderbrook Spa&Resort u r o� �� L�hJ i GS
Mailing Address: 11210 Saskatoon LN SE
City: Olymipa State: WA Zip: 98513
Contact Number (253 ) 224-0997
Sponsor Information
Name: Alderbrook Spa and Resort
Mailing Address: 7101 WA-106
City: union _ _ State: wa Zip: 98592
Contact Number -(a6-0-)898- -5
Washington State Fireworks License Information (Copy Required)
License No.: Date of
P-04311 Issue: 01/01/2012
✓❑ Pyrotechnic Operator License ❑ Fireworks Stand License
Bond or Certificate of Insurance
(Copy of Certificate/Bond Required)
Provider: Combined Specialties International,inc.
Insured: Orion Pyrotechnics
Certified Holder: Alderbrook spa& Resort
Location of stand/display
Address: [ ie!' rUnion, WA 98592 (A-6v '0p .
hk-
Directions to Site: See Attachment lo�Yl I C)
Parcel Number: � 33 - - (DON�
Legal Description:
Legal Property Owner:
* * Please see the reverse side to complete your application
r
PART I APPLICATION ,0-23-2012 --�
FOR PUBLIC FIREWORKS DISPLAY PERMIT
TO: Governln body of city,town,or county in which display is to be conducted.
'api JCANT -
non Pyrotecnics Fmaskatoon LN SE Olympia,WA 98513 90-3409
er rook Spa and Resort 17101 WA-106,Union WA 98592 360-898-5529
PYROTECHN#C OPEFL TOR -
acoE B.Johnson 111740 Morris RD SE Yelm,WA 98597 -04313
►S TNT t i one � al
... � .�
ackie Ringquist 18740 119th Ave.SE Yelm,WA 98597 25
�t
Doug McClure 1703 N.Oakes Tacoma,WA 98406 0
' CACT L A QN_ COPOp ICI"SPLAY_ ,
4A.
UN
Ider rook Spa and Resort 7101 WA-106,Union WA 98592
11 23-2012 10: Opm
N+[UHBEN AND -{ iflS t3F F142EWOR1+ 'T{)BE PAYED
1(146)2.5"AREIAL SHELLS
'(194)3"AREIAL SHELLS
(86)4"AREIAL SHELLS
(1)MULIPLE SHOT CAKE
M & ,._ CE.( F'`5T> :RAGPRICR Q� �If-LL(.St#bj ;4t to aPpt�eWi3t►pf 1 o> i1tra Authf
equired dii product delivered to di5pidy site day ofSI R PP NT
FIN ANCIAi..RESPONSIBILITY
BONDING WSU AN E gQMPANY (Mark One)
Combined Specalties Inc. Il Bond or certificate of insurance attached
® Bond or certificate of insurance on file with State Fire Marshal
2205 San Marin Drive,Suite 5 Bond or certificate of insurance shall provide mininTum coverage of
Ndvato,California 94945 $50,000/$1,000,000 bodily injury liability for each person and event,
respectively,and$25,000 property damage
PART° PERMIT --
PERMIT# DATE:
In accordance with the provisions of RCW 70.77 and applicable local ordinances, this permit is granted to conduct a
firework —�
NAME:
RESTRICTIONS'
Permit not valid without verification of (Sinnnture of Official orantino wrmitl
the appropriate State Fireworks License
(Title)
LICENSE NUMBER: I
(Instructions on reverse side)
3000-420-050(R 02/05) Distribution: WHITE(A): Local Fire Authority; YELLOW(B): Permitee