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HomeMy WebLinkAboutFIR2015-00033 Fireworks Stand - FIR Permit / Conditions - 6/20/2015 P'Or' Cot,,NrA MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line i e(96704ext726Pho2 Mason County Bldg. III 426 W. Cedar St Shelton, WA 98584 x 8 FIRE PROTECTION PERMIT FIR2015-00033 APPLICANT: NORTH MASON PEE WEES RECEIVED: 6/17/2015 CONTRACTOR: LICENSE: EXP: ISSUED: 6/24/2015 SITEADDRESS: 24121 NE ST RT 3 BELFAIR EXPIRES: 12/24/2015 PARCEL NUMBER: 123283290041 LEGAL DESCRIPTION: LOT: B-2 OF SP#2816 PTN NW SW PROJECT DESCRIPTION: FIREWORKS STAND GENERAL INFORMATION System Information Type of Use: STND Sprinkler Heads: Audible Switches: Pull Stations: Fire District: Hood& Duct t: Flow Switches: Visual Devices: Door Releases: Dry Chemical?: Pressure Switches:: Smoke Detectors: Duct Detectors: Wet Chemical?: Zones: Heat Detectors: Sprinkler?: Standpipe?: SQUARE FOOTAGE FEES Monitoring Company: First Floor: Type Amount Due Amount Paid Monitoring Phone No.:()- Second Floor: Fireworks Stand Permit $100.00 $100.00 Auto Fire Alarm?: Third Floor;: Total: $100.00 $100.00 I FIR2015-00033 Please refer to the following pages for conditions of this permit. Page 1 of 6 1.) Sales: WAC 212-17-21505 Retailers of fireworks-General provisions. Fireworks may be sold from 12:00 noon to 11:00 PM on June 28 through 9:00 PM on July 5. Fireworks may not be sold between the hours of 11:00 PM and 9:0 AM from June 28 through July 3. Fireworks may not be sold from 12:00 midnight to July 4 through 9:00 AM on July 5. X Fireworks may be sold from 12:00 noon to 11:00 PM on each day from the 27th of December through the 31 st of December of each year. X n Only Division 1 AG consumer fireworks, obtained from state-licensed wholesalers, not otherwise prohibited by chapter 70.77 RCW or local ordinance, and holiday related products incidental but related to these products, may be sold in retail fireworks stands. X Fireworks stand locations: WAC 212-17-21509 Retailers of fireworks-location. (1)Activities or uses subject to this rule shall not be limited in location except where such activities or uses are prohibited or controlled by local development regulation, traffic safety or road construction standards. (2) Temporary retail fireworks stands shall not be located more than 150 feet from a private way, fire department access road, public road, street or highway as measured by an approved route around the exterior of the stand. The minimum requirements for private way shall be determined by the local authority having jurisdiction, but shall not exceed the requirements of locally adopted street, road and access standards. (3)Any two retail fireworks stands shall be at least 100 feet apart or shall be separated by a road, street or highway not less than 30 feet in width. (4) Retail fireworks stands shall be located as required by table 212-17-21509 in this section and attached to the permit. The minimum required area surrounding the stand shall be marked or flagged, except that flagging and marking shall not block a sidewalk or pedestrian pathway. Flagging need not exceed twenty feet in any direction. (5) Retail fireworks stands shall not be located closer than 100 feet from any motor fuel dispensing station, retail propane dispensing station, flammable liquid storage, or combnustible liquid storage. Retail fireworks stands shall not be located closer than 300 feet from any bulk storage of flammable or combu tible quid or gas, including bulk plant dispensing areas. X Surrounding area arond fireworks stands: WAC212-17-21511 Retailers of fireworks-areas around the retail fireworks stand. (1)The minimum areas around the retail fireworks stand specified in WAC212-17-21509 shall be kept free of accumulation of dry grass, dry brush and combustible debris. No parking shall be permitted within this minimum area. (2) No motor vehicle or trailer my be parked within twenty feet of a retail fireworks stand except when delivering, loading or unloading fireworks. (3) Fireworks shall not be discharged within 100 feet of a retail fireworks stand. Signs reading "NO FIREWORKS DISCHARGE WITHIN 100 FEET" in letters at least 2 inches high, with the 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 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 2 inches high, with the principal stroke of not less than one half inch, on a contrasting background, shall be conspicuously posted on all four sides of the stand. X Electrical supply and usage: WAC 212-17-21513 Retailers of fireworks stand use and construction. (1) Fireworks may be sold from: (a)A permanent structure which meets provisions of WAC 212-17-21505(3). (b)Temporary, stable structures made of wood, metal, fiberglass or other material. Any temporary fireworks retail stand greater than 400 square feet shall meet the requirments of a permanent structure, except tents or canopies as defined in the International Fire code retail stand greater than 400 FIR2015-00033 Please refer to the following pages for conditions of this permit. Page 3 of 6 square feet shall meet the requirements of a permanent structure. (c)Tents , canopies, or structures utilizing temporary membrane material. All tents, canopies or temporary membrane materials structures shall be made from fire retardant material or treated with fire retardant as identified in the International Fire code. Any tent, canopy or temporary membrane material structure falling within the scope of the International Fire code shall comply with those requirements. When those requirements are in conflict with other provisions of these rules, the more restrictive provisions shall apply. (2) Battery powered equipment, electrical equipment cords which are used in conjunction with a retail fireworks stand or a temporary storage structure or location must be listed by a recognized laboratory and used in accordance with that listing. If electrical power is supplied by an extension cord, the size of the cord, the length of the cord and the amperage and the voltage supplied shall be in compliance with the requirements of the National Electrical code, current edition. The cord shall be protected as necessary from drive-over and other physical damage. No additional permits from a city or county or state official having jurisdiction shall be required for these temporary uses except as specified in subsection(5) of this section. (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. (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. (5) Compliance with the National Electrical code, current edition, shall be required for all new, permanent electrical installations, including temporary Power tops, subject to possible fees. (6) R ail sales of fireworks and other products which are holiday related shall be from buildings used for no other purpose. X St a associated with retail fireworks: WAC212-17-21517 Retailers of fireworks-Temporary fireworks storage associated with the retail fireworks stand operation. (1)Temporary fireworks storage is not permanent fireworks storage. Temporary fireworks is defined as storage associated with retail fireworks sales and may only be from June 13 through July 13 and from December 12 through January 10 of the following year. Permanent fireworks storage is associated with retail or wholesale fireworks activites when the period of time of storage is other than, or longer than that specified for temporary storage. Temporary fireworks storage shall be in accordance with this section. Permanent fireworks storage is subject to the Internaitonal Fire Code and the local ordinances. (2) Delivery of fireworks to a location, or storage of fireworks in a facility, not authorized by the license and permit is prohibited. If the approved storage location is outside the jurisdiction issuing the permit, the authority issuing the permit shall notify the appropriate authorities of the jurisdiction in which the storage is to be Icoated. (3)A temporary fireworks storage facitlity or a temporary fireworks storage location shall be authorized as a part of a license and permit if it meets the requirements specified herein. (4) No open flames nor any type of open flame equipment shall be allowed in any temporary fireworks storage structure. (5) Storage of fireworks authorized by a retail license and permit is legel only during the periods specified in this section. (6) Fireworks may be stored: (a) In a locked or secured retail fireworks stand;or (b) In a locked or secured truck, container, trailer, other vehicle or anything similar which is not less than 20 feet from the retail fireworks stand during hours of retail sales;or (c) In a locked or secured truck, container, trailer, other vehicle or anything similar which is not less than 20 feet from an inhabited building where the term "inhabited building" is defined as in the International Fire Code; or (d) In a magazine which meets the minimum standards of a type 4 as prescribed by the International Fire code, and which is not less than 10 feet from an inhabited building where inhabited building" is defined as in the International Fire code: or (e) In a locked or secured metal or wooden garage, shed, barn or other accessory building, or anything similar which is not less than: 20 feet from an inhabited building for storage of fireworks for one or two retail stands; or 30 feet from an inhabited building for storage of fireworks for three or more stands. The term " inhabited building is defined as in the International Fire code. (7) The local authority having juisdiction may reduce the minimum separation required of this section provided that safety of life and property is not diminished. FIR2015-00033 Please refer to the following pages for conditions of this permit. Page 4 of 6 (8) No Cooking is permitted in a retail fireworks stand or in a temporary fireworks storage structure. (9)Temporary fireworks storage structures may be inspected prior to use and other inspections may occur on other days as warranted. There shall be no additional charge for all such inspections. X 2.) Valid r t Must be on-site. X 3.) Owner/Agent is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28. X �� OWNER / BUILDER acknowledges 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, owners legal representative, or contractor. 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 authorized agent 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 permit/application 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 IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. u — Signa ur j�/f Date � L " x� OWNER - REPRESENTATIVE - CONTRACTOR Print Name (Circle one to indicate) FIR2015-00033 Please refer to the following pages for conditions of this permit. Page 5 of 6 - Z To CONCRETE MECHANICAL MANUFACTURED HOME O p Date By L Footings/Setbacks Gas Piping Ribbons _ CInterior Date By interior-Date By Date By 3 O Exterior Date By Exterior-Date By �.� N tW Point Load/Isolated Footings INSULATION Date By O BG/SLAB INSULATION Date By Dater By FIRE DEPARTMENT T Foundation Walls Floors Date By m rn Date By Data By DECKS FRAMING Walls Date By m Date By Data �y' PROPANE TANKS N PLUMBING Vault DatL By Datt� By OTHER Groundwork Attic Date By Type. Date By Date By o.w.v DRYWALL Type, Int Brace Wall Date By Date By Dates B � Water Line Fire Separation y FINAL I PE TION c Date By tData By Dato Zj� By (in t O o Pass or Request Inspect. t CD Tpe p Of Ins . Fail Date Date Dane B Comments Y w 0 Ce �N i d ca N M O 4 n O a o' N O y � i t ..a.A. ...... . ..«e„.� gym.. ..,,.,.........., .,...o._....-,. .o....._ f e t 4 P E i --C !v (D 0) 0 —n MASON COUNTY (360)427-9670 Shelton ext.352 +' rp DEPARTMENT OF COMMUNITY DEVELOPMENT (360)275-4467 Belfair ext. 352 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 FIR20 i5 33 JUN 17 2015 Mason County Fireworks Permit Application 426 W. CEDAR ST. 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 WEES Mailing Address: 302 NE HAVEN LAKE DR City. TAHUYA State: wA Zip: 98588 Phone#: 253-208-3235 Email: LicensingN®tnt fireworks.com Sponsor Information: Name: RAYMOND Mow Address: 302 NE HAVEN LAKE DR City: TAHUYA State: WA Zip: 98588 Phone#: 253-208-3235 Email:LicensingN®tnt fireworks.com Washington State Fireworks License Information (Copy Required): License Number: Date of Issuance ❑ Pyrotechnic Operator License ® Fireworks Stand License Bond or Certificate of Insurance (Copy of Certificate/Bond Required): Provider: SEE ATTACHED Insured: Certified Holder: —412 Location of Stand/Display: , Site Address:VACANT LOT, •QQQAQ, NE HWY 3, BELFAIR, WA Directions to Site: 3Z Parcel Number: (twelve digit number) JZ3%a - AM - Legal Property Owner "Please see reverse side to complete your application" 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 FOR RAYMOND MOW Date } RL 4e I fat s� f Y � 6 E A. : a•. 4 l 4 a,• + t W-gd; o ., • FIRE PROTECTION BUREAU FIREWORKS LICENSING PROGRAM PO Box 42600 Olympia WA 98504-2600 (360)596-3914 FAX: (360)596-3934 APPLICATION FOR RETAIL FIREWORKS STAND PERMIT VWM6512 TO Governing body of city,town, or county in which DATE OF FEBRUARY 13, 2015 fireworks stand will be located. I APPLICATION Applicant Name Address,City,State NORTH MASON PEE WEES 2120 MILWAUKEE WAY,TACOMA,WA.98421 Sponsor(If other than applicant) Address,City,State RAYMOND MOW 2120 MILWAUKEE WAY,TACOMA,WA 98421 Location of proposed fireworks stand ]Enclose drawing of stand location] 9-i-4 NE HWY 3, BELFAIR, WA VACANT LOT Manner and place of storage prior,during,and after sales dates ON SITE WITH SECURITY State-Licensed Fireworks Supplier AMERICAN PROMOTIONAL EVENTS NW 2120 MILWAUKEE WAY,TACOMA,WA.98421 - - -- - - - - - - - - - - -- - - - - - - -- - - -- - - - --- - - -- - - - - - - - - - - - - - - - - - -- -- - - - - - - - - FIREWO]':KS STAND PERMIT For the Fireworks Sales Year of: 2015 (Must be conspicuously displayed at all times while the stand is open to the public) By virtue of having been granted a license by the State of Washington and this permit from MASON COUNTY as the local governing authority,the named person, firm or organization is hereby authorized to sell U.N. 0336 I AG Consumer fireworks at the location designated herein between the following date and times: Sales for July 4th Sales for December 31st From: From: To: To: Sponsor RAYMOND MOW Ze1.1 L l Location VACANT LOT, a39t"NE HWY 3, BELFAIR, WA /s/ /s/ FOR RAYMOND MOW Signature of Official Granting Permit Signature of Applicant Title Agency Date Permit Number Licensee Name NORTH MASON PEE WEES License Number 3000-420-013(R 3/09) DATE(MM/DD/YYYY) ACC)R" CERTIFICATE OF LIABILITY INSURANCE 11i1i2015 2/13/2015 ��. 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 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). PRODUCER Lockton Companies NAME:CONTACT 3280 Peachtree Road NE,Suite 4250 PHONE FAX Atlanta GA 30305 Io Ems' aIC 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 COVERAGES CERTIFICATE NUMBER: 12219627 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 TYPE OF INSURANCE ADD SUBR POLICY EFF POLICY EXP LIMITS LTR IN SD WVD POLICY NUMBER MMIDO/VYYY MMIDDIYYYY A X COMMERCIAL GENERAL LIABILITY N N S18GL00242-141 II/l/2014 II/l/2015 EACH OCCURRENCE $ 1-000-000 DAMAGE RENTED CLAIMS-MADE CI OCCUR PREM SESO(Ea occurrence) $ 500,000 MED EXP(Any oneperson) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 2,000,000 PRO- POLICY DECT Y LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY NOT APPLICABLE (Ea accident) $ XX){}{X}{){ ANY AUTO BODILY INJURY(Per person) $ XXXXXXX ALL OWNED SCHEDULED BODILY INJURY Per accident $ XXXXXXX AUTOS AUTOS PROPERTY DAMAGE $ XXXXXXX NON-OWNED HIRED AUTOS AUTOS (Per acc dent) $ XXXXXXX UMBRELLA LIAB OCCUR NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX EXCESS LIAB HCLAIMS-MADE AGGREGATE $ XXXXXXX DED I I RETENTION$ $ XXXXXXX WORKERS COMPENSATION NOT APPLICABLE AND EMPLOYERIABILITY Y/N SITER S•L ATUTE I ER ANY OFFICER/MEMBER/EXCLUDED ECUTIVE ❑ NIA E.L EACH ACCIDENT $ XXXXXXX (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ }(}(}{}{XXX If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ XXXXXXX DESCRIPTION OF OPERATIONS/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 Vacant lot located at 23969 NE Hwy 3 in Belfair,Wa(Loc.W WM6512)Certificate holder is an additional insured on the General Liability as required by written contract subject to policy terms,conditions,and exclusions. CERTIFICATE HOLDER CANCELLATION 12219627 Mason County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE North Mason Pee Wees THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO BOX 186 ACCORDANCE WITH THE POLICY PROVISIONS. 426 W Cedar Shelton WA 98584 AUTHORIZED REPRESENT8.T[VE__ ©16141- 01 ACORD CORPORATION. All rights reserved. AC-ORD 25(2014/01) The ACORD name and logo are registered marks of ACORD