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HomeMy WebLinkAboutFIR2024-00008 Fireworks - FIR Inspections - 7/1/2024 i 4 Mason County o Mason County - Division of Community Development 615 W. Alder St. t Building 8 Shelton, WA 98584 360-427-9670 ext 352 www.masoncoun"a.gov [FIR2024-00008 FIREWORKS STAND APPLICATION & STANDARDS ROJECT DESCRIPTION: TEMPORARY RETAIL FIREWORKS ISSUED: 05/01/2024 UNDRAISER ITE ADDRESS: 201 NE STATE ROUTE 300 BEL EXPIRES: 10/28/2024 PARCEL: 123294290001 APPLICANT: Lovitt, Rhiannon OWNER: QUALITY FOOD CENTER#70500101 2120 Milwaukee Way C/O NICKEL&CO, LLC Tacoma,WA 98421 CINCINNATI,OH 45202 2538303062 FEES: Paid Due Retail Fireworks Stand Permit $100.00 $0.00 Fee Totals : $100.00 $0.00 REQUIRED INSPECTIONS Fireworks Inspection CONDITIONS * (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. * (4) No open flames nor any type of open flame equipment shall be allowed in any temporary fireworks storage structure. * (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. * (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 08:27 AM Page 1 of 2 Mason County Mason County - Division of Community Development 57 615 W. Alder St. 1 Building 8 Shelton, WA 98584 360-427-9670 ext 352 www.masoncountywa.gov FIREWORKS STAND APPLICATION & STANDARDS FIR2024-00008 " 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. (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. " 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. " (2) No motor vehicle or trailer may be parked within twenty feet of a retail fireworks stand except when delivering, loading or unloading fireworks. 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. (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 may be 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. 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.�l Issued By: AV,Vie.,�� . Contractor or Authorized Agent: Date: Printed by:Anna Schaffran on:05/02/2024 08:27 AM Page 2 of 2 ct, WAS5004: QFC #101 . 201 NE State Rt 3 STAND Belfair WA, 98528 LOCATION TYPE: STAND 32' CONTAINER IAN \ y Ay �V nlC�lrl�'� ccat (llTrPt k \ Ns Aw , •� �i� t `'�` r ;�jl ��'R� f1' }1 ' � fro fir 1 �' '� - �!' .t r 1 • n is i {l,�na r-y} ,y- j-� Joe 104' iF uw.o wasnington state tratrol rtre Protection bureau G239$9 Office of the State Fire Marshal CONSUMER FIREWORKS RETAIL SALES (CFRS) FACILITY LICENSE �,*Fy'RtHAt'a0 ' S['-70peratioriaLData fer:-S-N=�1`67�36 a 1:1Licensee Data American Promotional Eve Ab P§ N VkoFePa,41PA e Promotional Events, Inc. - W, 2120 Milwaukee Way ofOefati' Is ` Tacoma, WA 98421 Operates or: NORTH ASON PEE WEES License Number: WSPFL-02766 tand O' e tom Phone Number: (253) 922 80� p y' ABY TREADWAY Date of lssue:Marc =12, ry 2024 Date o€ pira�on:Janua 31, 2025 Consumer Fireworks Re ailer Licenses issue a er ay are L 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(1011e) SURRENDER THIS PORTION OF THE LICENSE TO THE FIREWORKS WHOLESALER WASS004 tT' Washington State Patrol Fire Protection Bureau Office of the State Fire Marshal G23989 CONSUMER FIREWORKS RETAIL SALES (CFRS) FACILITY LICENSE *Er�RJHAVSGt Stan u er: 7- . Licensee Data O erationalsData I - E T" � 1 A �M � � ��� American Promotional Evens�l�ac, F i . st holfrser / m�rfoan �zomotional Events Inc. - W� 2120 Milwaukee Way - my o p til ason Tacoma, WA 98421 r Op�er�atesN r. NORTH;MASON PEE WEES License Number: WSPFL- 276 and Oper ted ti : C BY TREADWAY Phone Number: (253) 922-0800 Date of Issue:Marcl-J.2, 024 Date of�-x irati9n:January 31, 2025 Consumer Fireworks Retailer Licenses issue a er ay are 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 3000-020-Daf(1D/18) WAS5004 +�NSxGTGM dT*� WAS5004 Washington State Patrol Fire Protection Bureau G23989 Office of the State Fire Marshal CONSUMER FIREWORKS RETAIL SALES (CFRS) FACILITY LICENSE �r�1ttHALK4� � � St2� u. ` er: SN-15736 Data Licensee Dat t IDhaI O � American Promotional Events c - s ZW.1� D6l4saer A erc r promotional Events, Inc. - W( 'R 2120 Milwaukee Way c C my of OpePatio Mason r' Tacoma WA 98421 NO : Oppt es r. RTH MASON PEE WEES License Number: WSPFL Q276 an O erated B . Phone Number: 253 922-0800�__d,� .-.a p ;,,. CO��BY TREADWAY 4 /`[ Date of Issue:March-12 2024 Date of x Iration:January 31, 2025 �• 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. 3000420-041(10116) THIS PORTION OF THE LICENSE MUST BE POSTED AT THE STAND AT ALL TIMES THIS FORM IS INTENDED FOR USE BY LOCAL AUTHORITIES HAVING JURISDICTION(AHJ)IN THE EVENT THEY DO NOT HAVE A PERMIT FORM SPECIFIC FOR RETAIL FIREWORKS SALES ATA CONSUMER FIREWORKS RETAIL SALES(CFRS)FACILITY. IT IS NOT MEANT TO BE REQUIRED IN ADDITION TO OR IN LIEU OF ANY LOCAL PERMITTING FORM AND/OR PROCESS THAT MAY EXIST WITH THE LOCAL AHJ. Directions: Provided the local jurisdiction has no permit form of their own,complete this permit application and submit it with the local AID portion of your Retail Fireworks Stand License to the jurisdiction in which you wish to run your CFRS facility. WASHINGTON STATE FIREWORKS RETAIL SALES PERMIT APPLICATION Applicant Information ❑ New/First Time Applicant � Previous Permit Holder NORTH MASON PEE WEES Name of Group,Organization,or Person(Last,First,Middle Initial,and Date of Birth)Issued the Fireworks Retailer License COBY TREADWAY Name of Permit Applicant(Last,First,Middle Initial,and Date of Birth) 2120 Milwaukee Way Tacoma, WA 98421 Permit Applicant Mailing Address(Complete Including Street,City,State,and ZIP Code) (360 ) 551-2411 LOVITTR@TNTFIREWORKS.COM ( 253) 922-0800 Phone Number E-Mail Address Local Business Number(if required) CFRS Facility Information � Stand ❑ Tent Other: Size: 8X24 Specify Square Feet/Dimensions 201 NE STATE ROUTE 300 BELFAIR, WA 98528 CFRS Facility Address(Complete Including Street,City,State,and ZIP Code) QFC ( ) Name of Property Owner Phone Number Parcel Number for Stand Location Fireworks Supplier Information List all of the licensed fireworks wholesalers who will be supplying this stand product AMERICAN PROMOTIONAL EVENTS, INC. - WEST Storage Information X❑ on Site ❑ Off Site: IN STAND WITH SECURITY Storage Address(Complete Including Street,City,State,and ZIP Code) X❑ Sales Structure ❑ Detached Building ❑ Truck/Trailer ❑ Other: Specify CHECKLIST FOR SUBMISSION Check with the local AHJ for all applicable submission dates and deadlines: ❑X Application/Permit Fee X❑ Insurance Certificate ($1,000,000) ❑ Clean-Up Bond Fee (if applicable) X❑ Valid Washington State Fireworks Retailer License Property Owners Written Permission Detailed Site Plan ❑ Interior Plan (required for tents and "other"facilities) I hereby certify the information in this application is true and correct. I am aware of and agree to comply with all relevant provisions of law, rule, and any ordinance of the state of Washington and the city/county permitting this CFRS Facility. FOR COBY TREADWAY RHIANNON LOVITT 4/19/24 Signature of Permit Applicant Printed Name of Permit Applicant Date of Signature :,FIRE CODE UT!ORITY HAVINGSJURISDICTION ❑ APPROVED ❑ DENIED 4 Permit Number Approved By Date of Approval SEE BACK OF THIS FORM FOR ANY RESTRICTIONS, CONDITIONS, OR NOTE i IONS ON THIS PERMIT r Sig4lata- of Pertrtlttittg Official Printed Name and Title Date of Signature THE FIREWORKS RETAILER LICENSE HOLDER(LICENSEE)SHALL RETAIN THIS PERMIT WITH THE ASSOCIATED FIREWORKS RETAILER LICENSE AND MAKE THEM BOTH AVAILABLE FOR INSPECTION AT ANYTIME THE STAND IS IN OPERATION 3000-420-013(R 11116) ro�er March 15, 2024 TNT Fireworks-Leasing Operations 4003 Helton Drive Florence,AL 35630 RE:2024 July TNT Fireworks Locations—QFC Subject to the terms of any applicable property lease agreement,any applicable REA's or property management requirements and approvals, and to a fully executed License Agreement. Division Store# Address City LL—Acj 705 101 201 NE State Route 300 Belfair WA I WAS5004 Should you have any questions please feel free to contact me. Sincerely, ?4 PtA" Liz Harpole I Real Estate Development 1014 Vine Street I Cincinnati, OH 45202 Office:513.562.4293 liz.harpole@kroger.com ,Oft i.�„.E1R Mltt(AA7•toS. '� ` 1 &mWmr Fa'tkSar Q ROUNIfY5. p 75/29/2024 E(MM/DD/YYYY) ACOR" CERTIFICATE OF LIABILITY INSURANCE 11/l/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.O.Box 1318 INSURER D: 4511 Helton Drive INSURER E Florence AL 35630 INSURER F COVERAW1003 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 ADDL TYPE OF INSURANCE So SUBR POLICY NUMBER MMIDDIYYYY MM POLICY EFF POLICY EXP LTR IDD//YYYY LIMITS A COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1000 000 X Y N SI8GL00242-231 I1/l/2023 11/1/2024 CLAIMS-MADE a OCCUR PREM SESOE.oNcu ence $ 1 000 000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY PE � 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 $ XXXXXXX AUTOS ONLY AUTOS ONLY Per accident $ XXXXXXX UMBRELLA LIAB OCCUR NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX EXCESS LIAB HCLAIMS-MADE AGGREGATE $ XXXXXXX DED I I RETENTION$ $ XXXXXXX WORKERS COMPENSATION NOT APPLICABLE PER OTH- AND EMPLOYERS'LIABILITY STAT Y/N UTE ER ANY PROPRIETOR/PARTNER/EXECUTI— 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 DESCRIPTION OF OPERATIONS I LOCATIONS/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 terns,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 REPRESENT9TjV_E 411 North 5th Street Shelt n WA 98584 &f ©1988-201 ACORD CORP00ATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD MASON COUNTY 615 W.Alder St.Bldg 8,SHELTON,WA 98584 him COMMUNITY SERVICES SHELTON:360�27-9670,EXT 352 BELFAIR:360-275-4467,EXT 352 Building,Plaming,Emwcnmental 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://www.co.mason.wa.us/community-services/bid-inspection.php Permit Number FIR2024-00008 Date Issued 05/01/2024 Issued By r11►nq�- Project TEMPORARY RETAIL FIREWORKS FUNDRAISER Site Address 201 NE STATE ROUTE 300 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