HomeMy WebLinkAboutFIR2024-00007 Fireworks - FIR Inspections - 7/1/2024 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
FIR2024-00007 FIREWORKS STAND APPLICATION &
STANDARDS
PROJECT DESCRIPTION: TEMPORARY RETAIL FIREWORKS ISSUED: 05/01/2024
FUNDRAISER
SITE ADDRESS: 23969 NE STATE ROUTE 3 BELFAIR EXPIRES: 10/28/2024
PARCEL: 123294190021
APPLICANT: Lovitt, Rhiannon OWNER: ACAH INVESTMENTS LLC
2120 Milwaukee Way 5312 PACIFIC HWY E
Tacoma,WA 98421 FIFE,WA 98424
2538303062
FEES: Paid Due
Retail Fireworks Stand Permit $100.00 $0.00
Fee
Totals : $100.00 $0.00
REQUIRED INSPECTIONS
Fireworks Inspection
CONDITIONS
" (3)All heating units shall be listed by a recognized testing laboratory and shall be used in accordance with
the listing. Heating sources shall have"tip-over"and temperature overheat protection. All heating
devices shall have sealed type elements(i.e., oil filled or water filled radiator type). Open flame heating
devices are prohibited.
Fireworks maybe sold from 12:00 noon to 11:00 p.m. on each day from the 27th of December through the 31st of
December of each year.
(8)No cooking is permitted in a retail fireworks stand or in a temporary fireworks storage structure.
" (4)Generators which use combustible fuel and which are at least twenty feet from the retail fireworks stand
or the temporary fireworks storage structure shall be allowed. Generator fuel shall be limited to not more
than five gallons and stored at least twenty feet from all stands.
Printed by:Anna Schaffran on:05/02/2024 08:25 AM
Page 1 of 2
Mason County
Mason County - Division of Community Development
615 W.Alder St.
WWI Building 8
Shelton, WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
FIREWORKS STAND APPLICATION & STANDARDS FIR2024-00007
* Retailers of fireworks—Cleanup.
(1)At the end of the legal selling period, all fireworks must remain in the retail fireworks stand,temporary
storage location authorized by the retail permit or another location approved by the local authority having
jurisdiction or his or her designee until returned to the suppliers from which they were obtained, or until
transferred to an approved location.
* (4)No smoking shall be allowed within the retail fireworks stand or within the minimum flagged off area.
Signs reading "NO SMOKING WITHIN 20 FEET' in letters at least two inches high,with principal stroke of not
less than one-half inch, on a contrasting background, shall be conspicuously posted on all four sides of the stand.
* Failure to comply at any time with the provisions of this rule or any other applicable regulation shall
constitute a violation of chapter 70.77 RCW and may result in the temporary suspension or immediate revocation of the
license or permit, closure of the fireworks sales or storage structure, the seizure and/or forfeiture of some or all of the
fireworks, and other criminal penalties as specified by
law.
* (3) Fireworks shall not be discharged within one hundred feet of a retail fireworks stand. Signs reading"NO
FIREWORKS DISCHARGE WITHIN 100 FEET' in letters at least two inches high,with a principal stroke of not less
than one-half inch, on contrasting background,shall be conspicuously posted on all four sides of the stand.
* (4) No open flames nor any type of open flame equipment shall be allowed in any temporary fireworks storage structure.
* (4) Failure of the licensee to comply with subsection (3)of this section shall constitute forfeiture of the
clean-up bond and the licensee shall be liable for any clean-up costs incurred by the city or county which
exceed the amount of the bond.
* WAC 212-17-21505 Retailers of fireworks—General provisions.
Fireworks may be sold from 12:00 noon to 11:00 p.m. on June 28 through 9:00 p.m. on July 5.
Fireworks may not be sold between the hours of 11:00 p.m. and 9:00 a.m.from June 28 through July 3. Fireworks may not
be sold from 12:00 midnight on July 4 through 9:00 a.m. on July 5.
* (2) No motor vehicle or trailer may be parked within twenty feet of a retail fireworks stand except when delivering, loading
or unloading fireworks.
1 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: Arno S-
Contractor or Authorized Agent: Date:
Printed by:Anna Schaffran on:05/02/2024 08:25 AM
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DATE(MMIDD/YYYY)
ACOR" CERTIFICATE OF LIABILITY INSURANCE
16-.� 11/l/2024 5/29/2024
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
CONTACT
PRODUCER Lockton Companies NAME:
3280 Peachtree Road NE,Suite#1000 PHONE FAX
Atlanta GA 30305 E-MAIL Ext: A/C No
(404)460-3600 ADDRESS:
INSURERS AFFORDING COVERAGE NAIC#
INSURER A:Everest Indemnity Insurance Company 10851
INSURED American Promotional Events,Inc. INSURER B:
1359629 DBA TNT Fireworks,Inc. INSURER C:
P.Q.BOX 1318 INSURER D:
4511 Helton Drive
INSURER E
Florence AL 35630
INSURER F
COVERAdW1003 CERTIFICATE NUMBER: 14058742 REVISION NUMBER: XXXXXXX
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR ADDLTYPE OF INSURANCE INSD WVDSUBR POLICY NUMBER POLICY LTR MM DD/YYYY MMIDDNYYY LIMITS
A COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
X Y N SISGL00242-231 11/l/2023 11/1/2024
CLAIMS-MADE �OCCUR PREM SESOEa oNcu ence $ I111 OOO OOO
MED EXP(Any one person) $ 5,000
PERSONAL&ADV INJURY $ 1000 000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
POLICY jE F LOC PRODUCTS-COMP/OP AGG $ 2 000 000
OTHER: $
AUTOMOBILE LIABILITY NOT APPLICABLE COMBINED SINGLE LIMIT $
Ea accident XXXXXXX
ANY AUTO BODILY INJURY(Per person) $ XXXXXXX
OWNED SCHEDULED BODILY INJURY(Per accident) $
AUTOS ONLY AUTOS XXXXXXX
HIRED NON-OWNED PROPERTY DAMAGE $ XXXXXXXAUTOS ONLY AUTOS ONLY Per accident
$ XXXXXXX
UMBRELLA LIAB OCCUR NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX
EXCESS LIAB CLAIMS-MADE AGGREGATE $ XXXXXXX
—TIED I I RETENTION$ $ XXXXXXX
WORKERS COMPENSATION NOT APPLICABLE PER OTH-
AND EMPLOYERS'LIABILITY STAT
Y UTE ER
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ XXXXXXX
❑
OFFICER/MEMBER EXCLUDED? N/A
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ XXXXXXX
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ XXXXXXX
.:E - _,E
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required)
THIS CERTIFICATE SUPERSEDES ALL PREVIOUSLY ISSUED CERTIFICATES FOR THIS HOLDER,APPLICABLE TO THE CARRIERS LISTED AND THE POLICY TERM(S)REFERENCED.
Property located at Belfair Valley Plaza 23960 State Route 3,Belfair,WA 98528(WAS5003) Certificate holder is an additional insured on the General Liability as required by
written contract subject to policy tenns,conditions,and exclusions.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
14058742 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Mason County ACCORDANCE WITH THE POLICY PROVISIONS.
North Mason Pee Wees
North Mason Fire Rescue Authority and their Agents AUTHORIZED REPRESENT, E
411 North 5th Street
Shelt n WA 98584 1 8�
@ 11"989_-201149 ACORD CORPOIVATION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
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MASON COUNTY 615 W.Alder St.Bldg 8,SHELTON,WA 98584
� •� COMMUNITY SERVICES SHELTON:360�27-9670,EXT 352
BELFAIR:360-275-4467,EXT 352
,f Building,Plamung,Environmental Health.Community Health
ELMA:360-482-5269,EXT 352
-- www.co.mason.wa.us
INSPECTION CARD AND CERTIFICATE OF OCCUPANCY**
To schedule an inspection call or visit http:/hvww.co.mason.wa.us/community-services/bid-inspection.php
Permit Number FIR2024-00007 Date Issued 05/01/2024 Issued By/'fnm-alg ,
Project TEMPORARY RETAIL FIREWORKS FUNDRAISER
Site Address 23969 NE State Route 3
Applicant Lovitt,Rhiannon
Contractor
Contractor Phone
Primary Code UPC IBC,IRC,IFC,IEC,IMC,& Type
Permit Type FIREWORKS STAND Occupancy
APPLICATION&STANDARDS
-APPROVED PLANS MUST BE ONSITE FOR ALL INSPECTIONS.
-DO NOT PROCEED BEYOND EACH STAGE OR COVER WORK UNTIL APPROVAL IS GRANTED.
THIS CARD MUST BE POSTED IN A CONSPICUOUS LOCATION,FRONT OF THE PREMISES IS BEST FOR MAKING ENTRY.
-ALL PERMITS EXPIRE 180 DAYS AFTER THE PERMIT IS ISSUED OR 180 DAYS AFTER DATE OF LAST INSPECTION.
-OWNER/AGENT IS RESPONSIBLE FOR REQUESTING ALL INSPECTIONS THROUGH FINAL INSPECTION.
**THIS STRUCTURE MAY NOT BE USED OR OCCUPIED UNTIL ALL APPROVALS ARE GRANTED.**
PRIOR TO CALLING FOR FINAL INSPECTION,ALL CONDITIONS OF THE PERMIT MUST BE MET
Public Works Access/Driveway Other
Health Septic Well
Deptartment
Planning Site Inspection
Department
Fire Marshall Fire Apparatus Access Fire Sprinkler
Auto Fire Alarm Hood and Duct
Other Final
Building Building Official: Community Services Designee
Department
Concrete Setbacks Slab
Footing Perimeter Point load Footing
Footing Interior Footing Decks/Porches
Foundation Stem Walls Other
Rough-In Groundwork Plumbing Framing
Groundwork Mechanical Plumbing
Groundwork Gas Pipe Mechanical
Gas Piping Shear Wall Nailing
Underfloor
Other
Insulation Slab Ceiling
Floor Vaulted Ceiling
Walls Vapor Barrier
Other
Wallboard Interior Wall Brace Panels Fire Walls
Nailing
Other
Final Building
Manufactured Setbacks Setup
Home
Concrete Foot/Runners Final
Other
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Office of the State Fire Marshal
#j CONSUMER FIREWORKS RETAIL SALES (CFRS) FACILITY LICENSE
S �NIR '5I a5
El 1J
Licensee Datarl-VopmevationalzMata
ommAmerican Promotional EvetIVt1WtN Nyvj
� eal r' ' Promotional Events, Inc. - W
2120 Milwaukee Way fy' f`Oia ati� as F
Tacoma, WA 98421 Operate "or: N. MA l PEE WEES
License Number: WSPFL-+ 27 tand Ope tey:
Phone Number: (253) 922- 80C OBY TREADWAY ,i`P,2q o0o7
Date of Issue:Marc 2, 2024 Date o E 'pira'lon:January 31, 2025
Consumer Fireworks etailer Licenses issue after ftAay are i_ valid for New Years Sales
This license is NOT valid without a permit from a local fire code official/authority having jurisdiction This license allows for operation of a single location/stand for
retail sales to the public of state legal consumer fireworks purchased only from a licensed fireworks wholesaler.
30DO-420-041(10119) SURRENDER THIS PORTION OF THE LICENSE TO THE FIREWORKS WHOLESALER WAS5003
� wcroN,r� Washington State Patrol Fire Protection Bureau
E G23988
Office of the State Fire Marshal
CONSUMER FIREWORKS RETAIL SALES (CFRS) FACILITY LICENSE
'*f�,RiNAt's�t� Str:Licensee Data1.1al
�Brafivnal%Data y
American Promotional Even A�.t01st N X,�oi ert )ANi riWa'D,IO,,romotional Events, Inc. - Wi
2120 Milwaukee Way n y o p ' ti anon
Tacoma, WA 98421 O erates F r: N. MA S r EE WEES
License Number: WSPFL-i 276- and Oper-ted : C ' BY TREADWAY
Phone Number: (253) 922- 800
Date of Issue: arc , 202A Date o ' x irati n:January 31, 2025
Consumer Fireworks Re ailer Licenses issue a er ay are ONL valid for New Years Sales
This license is NOT valid without a permit from a local fire code official/authority having jurisdiction. This license allows for operation of a single location/stand for
retail sales to the public of state legal consumer fireworks purchased only from a licensed fireworks wholesaler.
THIS LICENSE PORTION ACCOMPANIES YOUR LOCAL PERMIT APPLICATION
3�Oo-02�-64,t,or,e, WAS5003
�GTON,f*lF WAS5003
Washington State Patrol Fire Protection Bureau G23988
Office of the State Fire Marshal
CONSUMER FIREWORKS RETAIL SALES (CFRS) FACILITY LICENSE
St d Sp ;be SN-15735
Licensee Data � ,i`ot Ja -
American Promotional Eve c. st VUH, werer�A a��romotlonai Events Inc. Wt
2120 Milwaukee Way C 4_ !my of OpeX o : Mason
Tacoma WA 98421
-Operates For. N.MA, SQ,��PEE WEES
License Number: WSPFL-I`276 ��
Stand per ted R�, COBY TREADWAY
Phone Number- (253) 922 0.800 :u �
Date of Issue:March�l 2Q24 r" _ Date of`Ex irati6mianua 31 2025
p rY
Consumer Fireworks Retailer Licenses issued after May are ONLY valid for New Years Sales
This license is NOT valid without a permit from a local fire code official/authority having jurisdiction. This license allows for operation of a single location/stand for
retail sales to the public of state legal consumer fireworks purchased only from a licensed fireworks wholesaler.
3JDo-420-041 (,or;a) THIS PORTION OF THE LICENSE MUST BE POSTED AT THE STAND AT ALL TIMES