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HomeMy WebLinkAboutFIR2006-00045 Fireworks Stand - FIR Permit / Conditions - 6/14/2007 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line(360)427-7262 Mason County Bldg. 3 426 W. Cedar P.O. Box 186 Phone: (360)427-9670,ext.352 Shelton,WA 98584 P14 FIRE PROTECTION PERMIT FIR2006-00045 APPLICANT: J & M LIQUIDATIONS, LLC RECEIVED: 12/4/2006 CONTRACTOR: LICENSE: EXP: ISSUED: 12/14/2006 SITE ADDRESS: 23770 NE STATE ROUTE 3 BELFAIR EXPIRES: 6/14/2007 PARCEL NUMBER: 123294100130 LEGAL DESCRIPTION: TR 13 OF NE SE PROJECT DESCRIPTION: Fireworks Stand -23770 NE State Route 3; Belfair WA GENERAL INFORMATION System Information Type of Use: STND Sprinkler Heads: Audible Switches: Pull Stations: Fire District: 2 Flow Switches: Visual Devices: Door Releases: Hood & Duct?: N Dry Chemical?: N Pressure Switches:: Smoke Detectors: Duct Detectors: Zones: Heat Detectors: Wet Chemical?: N Sprinkler?: N Standpipe?: N SQUARE FOOTAGE FEES Monitoring Company: First Floor: Type Amount Due Amount Paid Monitoring Phone No.: - Second Floor: Fireworks Display Permit $100.00 $100.00 Auto Fire Alarm.:N Third Floor;: Total: $100.00 $100.00 FIR2006-00045 Please refer to the following pages for conditions of this permit. 1 of 3 N CASE aoTs - m RF?2006-00M to a r a- CON DMONS FOR a FRH06-00045 1.) Shall I-equ s of the Lbsan Cmnty Stand.ras fo the()aeration n/Rpif Frra vP.ta-a er-,��a„�.►, .r_ CO / r m Ensure atiequaae distara ireJrii Proliare tank 1Ocaied wt adjacent^P3Fty to the Stmllh-X �n InsDecom by fie Fire Marslcl required before opening.GWtar t.360-d77-9670 or 360-275-4467 to sai►edl�e tF�e insaecbon. X 114�- T hi s pev,r it beoo�x nuli andvci d ff - -. ernrk or mrts �,thort� �s rc,lcwteralCed writ 180; e'W ov ei cn a work er- rboa fora pe fad or 1i! days ary 1'Rree after tt fs bywi m c* ErIgmesealo�Mkon.nP�amerirtheagortontspecfon�Ath /�19(Icoypeiod. Flr"'irtWedinnMbearorcve�dbelcreWlding can bat)mi jpier:.P,v-icdc=tuabnarw�r a" m by ntw�rt5 of a prQg.ess hspeCion.fl r aarisr ortA e N cxzcAlbed PFCP"are a kr rart�tr.a p�� the ot►m ss ead,ppre e�Teat Meintnnabn prodded is am rateand gran ernpronees of kimei county aoa m totteabuw OVJER OF A(,ENT_ DATF (n Z G O i ri � o Q A M IH M n -J .j E A Z Q h E �D N N m I I Z Q FIP20DS-OOM Please peter to the idtowing pages for con dNkAtb or this perm It '� of 3 46, pyr — FIRE & LIFE SAFETY INSPECTION: STATEMENT OF DEFICIENCY & CORRECTIVE ACTION FACILITY L/nJGo�i✓ Bl.�- _Lgr IcsL �Z a� ONE NAMEi QL INSPECTOR !CT C> AGENCY DATE 360-427-9670 X-273 MASON COUNTY FIRE MARSHAL FD �- a3- - o� ITEM STATEMENT OF CODE OR WAC CORRECTIVE ACTION CORRECTION NO. DEFICIENCY REFERENCE REQUIRED REQUIRED BY DATE f- YJA.o PS/6- L� . C�) v LDW6'k "PLvCr � Mi is��u s��°�lsc � ��SS �.�,✓ ! �Q�° Pam r'�� v��T 1y�.eo Psis �5 O o83o a3 — /G -off. a Q cn Q W ao co � 01 01 LL a C � c U rn 1— 3 c N 0 O c n U 6) 0N Q] L W Z E '0O n O 0 — O C/) ) x N Q 0 co C a0 � G � a THE DEFICIENCIES DESCRIBED ABOVE HAVE BEEN SIGNATURE REINSPECTION DATE EXPLAINED TO ME, AND I AGREE TO MAKE CORRECTIONS 21 NO LATER THAN THE DATES INDICATED PAGE�_OF /I PAGES White Copy: Occupant— Yellow Copy: Fire Marshal — Pink Copy: Fire District I FIRE & LIFE SAFETY INSPECTION: STATEMENT OF DEFICIENCY & CORRECTIVE ACTION FACILITY ADDRESS I QITY ZIP PHONE NAME INSPECTOR AGENCY DATE ^^VE��� 360-427-9670 X-273 MASON COUNTY FIRE MARSHAL FD a' o5-j,.'-o(o ITEM STATEMENT OF CODE OR WAC CORRECTIVE ACTION CORRECTION NO. DEFICIENCY REFERENCE REQUIRED REQUIRED BY DATE J a t/) ca L W w 0 00 '0 o, N c U 2 3 c Z L O ) ) N K m L w Z >y O n O o - a U x N a0m � c � O o THE DEFICIENCIES DESCRIBED ABOVE HAVE BEEN SIGNATURE EINSPECTION DATE EXPLAINED TO ME, AND I AGREE TO MAKE CORRECTIONS NO LATER THAN THE DATES INDICATED 17 PAGE OF PAGES White Copy: Occupant— Yellow Copy: Fire Marshal — Pink Copy: Fire District �FIRE & LIFE SAFETY INSPECTION: STATEMENT OF DEFICIENCY & CORRECTIVE ACTION FACILITY NAME P//'" �G ADDRESS CITY ZIP PHG NE <! INSPECTOR AGENCY TE DAVE SALZER 360-427-9670 X-273 MASON COUNTY FIRE MARSHAL FD y 06-Q'-�ns ITEM STATEMENT OF CODE OR WAC CORRECTIVE ACTION CORRECTION NO. DEFICIENCY REFERENCE REQUIRED REQUIRED BY DATE JI�ao To's I rt>r�"�� l �S/ _ f a b si� Al2C T�� � � i✓ ,Bad 00��871 VA L y`'i c ,� 1 C,4 L SP��•'�k�- � d�1.55�b� J Q cQ L W v co LO aCO 01 LL D c� U � 3 c Z L 04 V 60N ~ X [nLuw Z Y N O n - O o a +/ U x( N SQ 0 L 8 O 0 THE DEFICIENCIES DESCRIBED ABOVE HAVE BEEN SIGNATURE REINSPECTION DATE EXPLAINED TO ME, AND I AGREE TO MAKE CORRECTIONS 1Z NO LATER THAN THE DATES INDICATED PAGE OF PAGES White Copy: Occupant— Yellow Copy: Fire Marshal — Pink Copy: Fire District -n C_ 55 CONCRETE MECHANICAL MANUFACTURED HOME 90 CD CD Footings /Setbacks Date ByGas Piping Ribbons (M Inten(w Date By Interior-Date By Date By 6 5 C) Ex tef w Date By Exterior-Date By Set-u p C CD —------ 4011 INSULATION E5 tJt Point Load I Isolated Footings Date By > Date 6y BG I SLAB INSULATION I Data By FIRE DEPARTMENT 55 Foundation Walls Floors Date By z 51) Date By Data By DECKS r_ FIRMING Walls Date By r- Date By Data By PROPANE TANKS 0 PLUMBING Vauft Date By Date By OTHER Groundwork Attic Data BY Date By Type- Date By DRYWALL Type: D.w.1v Int Brace Wall Date By, -n -0 Dale By X (D Date By N(D Water Line Fire Sepe ration FINAL INSPECTION CD C) Date By Date By Date By 0) C) 0 Pass or Request Inspect. C)(D Type of Insp. Fail Date Date Done By Comments ca 0 0 01 0 MASON COUNTY Department of Community Development FIRE PROTECTION SYSTEMS INSPECTION CARD* PO BOX 186, 426 W Cedar ST, Shelton WA 98584 t General Questions: (360) 427-9670 ext 352 Inspection Requests: (360) 427-7262 Permit Number FIR2006-00045 Date 12/14/2006 Issued By Project Fireworks Stand -23770 NE State Route 3; Belfair WA Site Address 23770 NE STATE ROUTE 3 BELFAIR Applicant J & M LIQUIDATIONS, LLC Contractor License Number Con. Phone Expiration Date Primary Code 2004 IFC Wet Chem N Sprinkler N Use STND Dry Chem N Standpipe N Hod and Duct N Public Works Access/Driveway Other Health Dept Septic Well Planning Dept Site Inspection Fire Marshal Fire Apparatus Access Fire Sprinkler Auto Fire Alarm Hood and Dud Other Final Building Dept Building Official: Emmett Dobey Concrete Setbacks Slab Footing Perimeter Ret. Wall /Bulkhead Footing Interior Footing Decks/Porches Foundation Stem Other Rough-In Groundwork Plumbing Plumbing Groundwork Mechanical Other Groundwork Gas Pipe Gas Piping Framing Mechanical Insulation Slab Ceiling Floor Vaulted Ceiling Walls Vapor Barrier Other Wallboard Nailing Interior Wall Brace Panels Fire walls Other Final Building Manuf. Home Setbacks Setup Concrete Foot/Runners Final Other APPROVED PLANS MUST BE ONSITE FOR ALL INSPECTIONS *THIS STRUCTURE MAY NOT BE USED FOR OCCUPANCY UNITL ALL APPLICABLE FINAL INSPECTIONS ARE COMPLETED DO NOT PROCEED BEYOND EACH STAGE OR COVER WORK UNTIL APPROVALS ARE GIVEN. POST THIS CARD IN A CONSPICUOUS PLACE ON THE FRONT OF THE PREMISES CONVENIENT FOR MAFdNG REQUIRED ENTRIES. ALL PERMITS EXPIRE 180 DAYS AFTER PERMIT ISSUANCE OR 180 DAYS AFTER LAST INSPECTION ACTIVITY IS PERFORMED. OWNER I AGENT IS RESPONSIBLE FOR CALLING FOR ALL INSPECTIONS PRIOR TO CALLING FOR FINAL INSPECTION,ALL CONDITIONS OF THE PERMIT MUST BE MET. i4 +!3 ta�r2000 12:42 FAX 3-60-_427 7798 MASON c-iI PERMIT CTR [a001 ✓f , Mason County �J Fireworks Permit Application r I PO B mit BOX 186 Per # FIFA c �dr-�ooCP ^ c-�7 426 W Cedar St Shelton WA 98584 Receipt # (360) 427•-9670 ext 273 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 Iie'��ubrnitted for Fire Marshal review, A permit will be issued upon satisfactory site in spectlon by the Fire Marshal. Applk,u,c Informati,,n Name: J ,1.2_� ,' °/ Mailing Address: -,?e) 0'? City: i<e F State: dij/5c Zip: 2 gr-jV 4L� Contact Number ����,;22 c - �--' Sponsor Information Name: _ S� Mailing Address: el City �? v vim l rs State: Lv� _ Zip: 9y Contact Number S�� _ 570 91' — Washington State �Ireworks Ll+cense lnformatlon (copy Required) License No,: pate of r 5 ? O6721�- Issue: Pyrotechnic Operator License Fireworks Stand License - Bond or Certificate of Insurance -�- -- (COPY of Certificate/Bond Required) Provider: 09,,9Y7D& 1,�5�'/ i�c[ ✓3/Zak[:z� ; f�L 1//Pf�C l�''SUiy9�-G-� Insured: - Certified Holdef: TyN 4) 41„/47,t)7dyS Location of stand/riisplay - Addressi�- Directions to Site: Parcel Number: — - Legal Description: Legal Pr ---- -I 0 - 6 5= L � - e9 Property owner: please see Ehe reverse side to coMplete you aVpSmtiDnLN"`Y FIRE .HAL DATE�/L e4By Sl_jPJECT TO FIELD !f tSPECT10fV ALL AP-LICABL CODES SMALL APPLY. ERRORS M1D/OR P O ISSIONS ON PLANS ARE SOLE RE- ... SON81BILITY OF OWNER/CONTRACTOR. CORREC- 3jo� 360 — �5— 4 y d TIOf4S REOVIRED FROM FIELD INSPECTION SHALL BF A7 OWNER/CONTRACTOR'S EXPENSE. THIS AP- PROVAL DOES NOT GRANT TO ANY PERSON THE RIGHT 70 VIOLATE ANY CITY OR STATE LAWS. �— 10;42 FAX .'30() 427 7799 t+)A;yn:u Cli PERMIT c;'TR 002 _The folllowiug Pertinent►nformutioh M1t1ST be Eavid_ed on the site diagram below Locations and Setback distlaicPts f om the back, sides and front of retail sales stands or de/,i aajed display areas to: -- • Fire Hydrants Properw Lutes • Bidldings • Parlripg • Combustibles • Public Roads aad Right of Ways • kite Lanes a :Piivatc Roads and Rigs-A of Ways Trees/Brush • Landmarks I • Utilities and Gras .. • Kp�t ,, sopaxation distance � iG'�vua �tvlo S/lu Ne a 730 />wr3 I'1Kr/Iy . Ez,FltN <o6 ntc5 �� I I /hzx,g C� I"I /IAN fl 0 �irorr�ry d 3� 3 3 AD � � 1 a 37 /'A/(iv,�t, /,-VA alleA 3 a r.�s Applicants Affldavit --- -_-- ---"--- -- ---- I cerdfY that the information provided herein is accurate;and that compliance with all County, State and Federal laws pertainig to khe sale, c)r discharge of fireworks shall be in ined. Signed Dale FOR O.FMCIAL iT-SL ON y BrS)LO t'4r TMS LINE - 1 Ac:i:r pteii By: _-�---------•— --------- 1-late; 13602752330 KRUEGER ENTERPRISES 151 P01 NOV 22 106 12:1e A.4.•' l T •L• • r I 1 1 1 I'll l iI 1 1 L 1 w LI�L W 11 L I Y� J 1f'�Y I O�V Y:• r. V i I 11 i• SPE.CY,1%jj 'LEAS>y AQ EMFNT TI IIS LEWSE made and entered into as of the Date of Lease,by and between L $ KRUEGER.And JACK HUGUF S, doing business as J & M LIQUIDATIO'N'S. I,.,L,C' The following is agreed upon be,mcen Us Krueger And rack Hughes: A: Date of Least of space in parldrig lot: December 18, 2009 to January 4, 2007, A: Ucs Krueger is not liable for `ireworks stand or merchandise inside fireworks stand located at; 130fair Substation Property Next to Pizza Factory Belfair, WA J&M Liquidations, L.L.C. ,issurnes all responsibility for personal proporty and merchandise. Smounding orc;a of freworksi stand to be kept free of debris during 18 days of opuratlon, D: If the sale of fireworks is bar,nod by the State of Washington or by Mason County due to iir©clanger,this lease if void, i NOVROER 22, 2006 i DATE: ' ICRUI:OF1� I K Hi.r I•IES� 1'& M LIQUIDA TIONS, L.L.C. i ,..,uu".i :.:mumwwnw.wrwacumu�a,rnwvn-w:.--.-»ri .i—..;-,-w.v,r'.�r'r�••-•••• DRAYTON INSURANCE BROKERS, INC. ?500 CENTER POINT ROAD,SUITE 301 POST OFFICE BOX 94067 BIR.'1IINGIIAM,ALABAMA 35215 BIRMINGHAM,ALABAMA 35220 TELEPHONE: (205) a54-MO6 PAX: (205) 854-58" CERTIFICATE OF INSURANCE NO. 641471 We certify that insurance as outlined below is afforded the Named Insured under policy CA000003209-16 issued by Admiral Insurance Company. NAMED INS13RED R.Brown,Inc, 6716 Rattlesnake Drive Missoula,Montana 59802 ?1.RIOD March 1,2D06 to February 28,2007: Both Days Inclusive. COVERAGE Pmrnises Liubility In.urnnce. Covering the legal liability, of the Named Insured for Bodily Injury endtbr Property Damage arising out of the maintenance or use of Insured Retail Premises.USED PRINCIPALLY FOR THE RETAIL SALE of U.O.T.Class"C"Fireworks and related items. LIMIT OF LIABILITY S 1.000.000 each occurrence: $2,000,000 general aggregate It is certified shut the following are included as Additional Insurrd(s),but only in respect of the legal liability of such Additional Insured(s)for Bodily InJury and/or Property Damage sustained during the Period of Coverage stated below and arising out of the ownership,maintenance or use of the specific Insured Retail Premises stated below. The insurance afforded such Additional Insured(s)by the policy described herein is subject to ail the terns,exclusion and conditions of Such policy and,l'or particulars concerning such terms,exclusions and conditions,thz Additional Imumd(s) are referred to the policy docurnents in the possession of the Named Insured. The limit of liability stated above shall not be increased either; I) by the inclusion of more than one insured,nor 2) by the receipt of more than one certificate by any insured. NAME&ADDRESS OF i ADDITIONAL INSURED J&M LIQUIDATIONS L.L.C. P.O. BOX 603 OROYILLE, WA 96544 ALL AGENTS&ASSIGNS LESTER KRUEGER 14241 EAST STATE ROUTE 106 I BELFAIR, WA 98528 THE'COUNTY OF MASON, ITS OFFICERS,AGENTS & EMPLOYEES WHERE ACTING IN THEIR OFFICIAL CAPACITY'S AS SUCH. BELFAIR, WA 98528 ALL AGENTS &ASSIGNS LOCATION of INSURED RETAIL PREMISES 23770 N.E. STATE ROUTE 3 BELFAIR, WA 98528 DEC 15 2006 TO JAN 15TH 2O07 PERIOD OF COVERAGE both days inclusive,BUT IN NO EVENT AFTER February 28,2007 In the event,the above mentioned policy is cancelled before the expiration date thereof,we,the undersigned,will endeavor to mail 10 days written notice to the Additional Insured(s),whose name and address is shown hereon,but failure to rnail such nubw shall impose no obligation or liability of n,7y kind upon the company,its agents or representatives. DRAYTON INSURANCE BROKERS,INC. 1111012006 DATE OF ISSUF. RINGER PRESIDENT' t-tT11:7'd 02026t-s9et- '0111 NP10ZtJt3'clrW0d� 90rTT 9002-0T-,10N '�-`�`�` � z-r\ -11.�.::a, i.1.:.►_1,1.+. a:i: }, (�_+l/ _{ �J.i..a_1�Lt'E T F R V I C FL1f�"» "Ll_.:a .isl_:aL_./:1:.aq-.iS..:i_LL::a_[;L:: .I1L �_R 1 I i_l �tii I 4 _,. _ • ''.- � -_�`�.. _. • 'r�� I 1JG`h'a�4 0... f�7J�1.1(.J��t`'�� �[k'T�t'�T" �1 .t`}I�}�1�"dq I!,*9=5!}�.`I t ���i 1 ✓iSV REGISTRATIONS AND LICENSESs �s STATE Of t` WASHINGTON I k� Unified Business ID' #. 6i02 094 Business ID #: 1 ; l Expires: 01-31 -2007 li J & M LIQUIDATIONS, L . L .C. , f 38 WESTLAKE RD PO BOX 603 OROVILLE WA 98844 �';• Domestic Limited Liability Company Renewed by Authority of Secretary of State it q j REGISTERED TRADE NAMES: ry DISCOUNT FIREWORKS I� NX I , I I j I I I I 1I y'R4 4ts ll 24 f Sa' 9 .Y n ' . n' n�'7 �"ayyxK. ryt4 >+h'3r > .�' a K'- t Ilf��vg4Jat I� 3 tIP W. ihi Yy r r71Fj, ) i I r I I. err ', 5 ! =Zri�t - 'i The licensee named above has been issued the.business d 001Stratlq SQI J IICG'n j ses listed.By accepting this document the licensee certifies thQ tnTQra�Ihj provided on the application for these licenses was oomleto tfu` t to the best of his or her knowledge and {hat busin �� wi b Qa'i 'Q I compliance With all applicable rr �r i p r °[rr� wna� unt �IWashington state cpunt'y and `I ==e �� .... sn�•�:.��`-16�kt�,ik# -= 3T'\ o- - 1 w o I � N I F � I L M I i I O c 3 CU U0 Cr = O O to J 2 O LL �,.,�, z O ra Zp �\ a f FIREWORKS WHICH MAY BE LAWFULLY PURCHASED, ■ POSSESSED, OR DISCHARGED BY THE PUBLIC DURING THE WASHINGTON STATE PATROL INDEPENDENCE DAY AND NEW YEAR'S CELEBRATIONS ®r Check with the local authorities before discharging fireworks. FIRE PROTECTION BUREAU RCW 70.77.136 states: Consumer fireworks means any small firework device designed to produce visible effects by combustion..." and "...classified as fireworks UN0336 by the United States department of transportation..." RCW 70.77.401 states: "No fireworks may be sold or offered ublic as consumer fireworks for sale to the public which are classified as sky rockets, or missile-type rockets,farecraclkers, salutes, or chasers as defined by the United States department of'transportation and the federal consumer products safety commission... " SPARKLER: Stick or wire coated with pyrotechnic FLITTER SPARKLER: Narrow paper tube containing composition that produces a shower of sparks upon ignition. pyrotechnic composition which produces color and sparks upon ignition. This device does not have a fuse for ignition. The CYLINDRICAL FOUNTAIN: Cylindrical tubes containing . , paper at one end of the tube is ignited to make the device pyrotechnic composition. Upon ignition,a shower of colored fiinction. sparks and sometimes a whistling effect is produced. This device may be provided with a spike for insertion into the MINE/SHELL: Heavy cardboard or paper tube attached to a ground [spike fountain],a wood or plastic base for placing on wood or plastic base and containing pyrotechnic composition. the ground [base fountain],or a wood or cardboard handle if Upon ignition,"stars"or other devices are propelled into the air. intended to be hand-lield [handle fountain]. The tube remains on the ground. w CONE FOUNTAIN: Cardboard or heavy paper cone COMBINATION ITEMS: Firework devices containing a containing pyrotechnic composition. The effect is the same as '' combination of two(2)or more of the effects described in this that of a cylindrical fountain. section. ILLUMINATING TORCH: Cylindrical tube containing SMOKE DEVICE: Tube or sphere containing pyrotechnic pyrotechnic composition. Upon ignition,colored fire is composition which,upon ignition,produces white or colored produced. May be spike,base,or hand-held. smoke as the primary effect. WHEEL: Pyrotechnic device attached to a post or tree by HELICOPTER/AERIAL SPINNER: A tube containing means of a nail or string. Each wheel may contain tip to six pyrotechnic composition. A propeller or blade is attached driver units containing pyrotechnic composition. Upon ignition, which,upon ignition, lifts the rapidly spinning device into the the wheel revolves producing a shower of color and sparks and, air. A visible or audible effect is produced at the height of the sometimes, a whistling effect. flight. GROUND SPINNERS: Small device similar to a wheel in ROMAN CANDLE: Heavy paper or cardboard tube design and effect,placed on the ground and ignited. A shower containing pyrotechnic composition. Upon ignition,up to ten of sparks and color is produced by the rapidly spinning device. "stars" [pellets of pressed pyrotechnic composition that burn with bright color] are individually expelled at several-second intervals. FIREWORKS THAT ARE UNLAWFUL TO PURCHASE, POSSESS, OR DISCHARGE AT ANY TIME IN WASHINGTON STATE SKY ROCKET: Tubes that contain pyrotechnic composition. MISSILE-TYPE ROCKET: A device similar to a sky rocket Sky rockets utilize a wooden stick for guidance and stability and in size,composition,and effect that uses fins rather than a stick rise into the air upon ignition. A burst of color or noise or both for guidance. is produced at the height of flight. FIRE CRACKERS/SALUTES: Small,paper-wrapped or CHASER: Small paper or cardboard tube that travels along the cardboard tube containing pyrotechnic composition. Upon ground upon ignition. A whistling effect or other noise is often ignition,noise and a flash of light are produced. produced. 3000-420.039(Rev.3/05) FIRE PROTECTION BUREAU LICENSING PROGRAMS N 9 '� WASHINGTON STATE PATROL PO Box 42600 Olympia WA 98504-2600 (360) 570-3134 FAX: (360) 570-3136 RETAIL FIREWORKS LICENSEE REQUIREMENTS 1. Fireworks may be sold only in roadside stands or buildings used for no other purpose. 2. A fireworks license, and a permit to operate a fireworks stand, does not authorize the sale of articles other than fireworks. 3. Only U.N. 0336 1.4G consumer fireworks,not otherwise prohibited by--,kCW 70.77,may be sold in fireworks stands. 4. Only fireworks obtained from State licensed wholesalers may be sold in retail stands. 5. Fireworks can only be sold and purchased between the hours of 12:00 noon to 11:00 PM on June 281h, from 9:00 AM to 11:00 PM from June 291h to July 4`', from 9:00 AM to 9:00 PM on July 51h. During this period fireworks may not be sold between the hours of 11:00 PM and 9:00 AM. 6. Fireworks may also be sold from 12:00 noon to 11:00 PM from December 271h to December 31st. 7. At least one adult person (18 or over)shall be present at all times the fireworks stand is open to the public. No person under 16 years of age shall be allowed to sell fireworks or remain within a fireworks stand when it is open to the public. 8. Fireworks must be displayed in a manner to prevent handling by the public prior to sale. 9. At least two fire extinguishers, (2 '/2 gallon water or equivalent),must be accessible to sales personnel. 10. Smoking shall be prohibited within 20 feet of the fireworks stand. 11. No fireworks shall be discharged within 100 feet of the fireworks stand. 12. "No Smoking" signs,with red letters at least two inches high, shall be posted in plain view of all purchasers. 13. A list of fireworks that may be sold to the public, as furnished by the State Fire Marshal,must be prominently posted at each retail stand. 14. Firework stands shall be maintained free from any condition,which increases or may cause an increase of hazard or menace of fire or explosion, or may become the cause of any obstruction, delay, or hindrance to the prevention, suppression or extinguishment of fire. 15. Adequate and safe means of egress shall be provided from all areas where fireworks are sold. 16. Firework stands shall be securely locked when not open for business, or all fireworks removed to a safe location approved by the local fire official. 17. Fireworks shall be promptly removed from the fireworks stand and either returned to the supplier or transferred to an approved storage facility at the end of the selling period,pending ultimate disposal. July 31S`for the July 41h holiday period, and January 10`h for the New Years holiday period. 18. Fireworks retailers shall not knowingly sell-fireworks to persons under the age of sixteen(16)years of age. 19. A sign reading"No Sale of Fireworks to Persons Under the Age of Sixteen Years. PHOTO I.D. REQUIRED"in letters at least two inches high, on contrasting background,shall be conspicuously posted on the front of each retail fireworks stand. 3000-420-049(Rev.3105) FIRE PROTECTION BUREAU LICENSING PROGRAMS WA 0 ■ PO W WASNINGTON STATE PATROL PO Box 42600 u1w. Olympia WA 98504-2600 (360) 570-3134 FAX: (360) 570-3136 APPLICATION FOR RETAIL FIREWORKS STAND PERMIT TO Governing body of city, town, or county in which DATE OF fireworks stand will be located. TAPPLICATION Applicant Name Address,City,State -S 'c'w; Sponsor(it'other than applicant) Address,City,State Location of proposed tireivorks stand )Enclose drawing of stand location) Manner and place of storage prior,during,and after sale§dates /2) 5U./'Y,/ State-Licensed Fireworks Supplier Id 71Z, - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - FIREWOI14C STAND PERMIT For the Fireworks Sales Year of: ('\'lust be conspicuously displayed at all tinges while the stand is open to the public) By Virtue of having been granted it license by the State of Washington and this permit from as the local goyerning authority, the named person,firm or organization IS hereby authorized to sell U.N. 0336 1.4G Consumer fireworks at the location designated herein between the following date and times: Sales for July 4"' Sales for December 31" From: JZ;,(-e From: G To: To: Sponsor Location /s/ Signature of Official Granting Permit 1 lature of'AppficL iC Title Agency Date Permit N1.1111be1• Licensee ltianle %�t�S T.ic�:n�e N"nlli4rsj�j=L—oU7�'�f }unu.a?u.ul t Ilic .1 U51 Washington State Patrol 6 215 Fire Protection Bureau Office Of The State Fire Marshal Fireworks Stand License WashrnLyton State Fireworks License tLicense is Non-Transferable and Valid for Only One Stand Licensee Information J& M Liquidations , Post Office Box 603 I State Fire Mar ha z a — Oroville, WA 98844 License Number: WgPFL-00795 Detach this wallet card and carry with you for verification of certification. Stand Information t Washington State Patrol 6 215 Contact Person: Jack Hughes ! '' Fire Protection Bureau i 2�Office ppf Thhe gg e FFi�re MMaa hhaad�� Phone Number: (509) 476-4465 ANNUAL V RFWORK S4%&T1(ENSE County: Mason Date of Expiration Date of Issue I Licensee: J&M Liquidations Stand Number: SN-01243 January 31, 2007 March 10, 2006 i Contact Person: Jack Hughes i License Number: WS]Tl_ 00795 Stand Number: SN_Ef4243 [Tralid For One Stand] Date of Expiration: January 31,2007 Location D Alt -, otj�Zi Stand Location: �77G' �tl� S/�j O�lE' 3 �tZ/c�J/(� t P/� cah Be mpletedByLicensee] [Stand Location To Be Completed By Licensee] 1 3000-420-012 (R 9/05) i ! State Fire Marshal Signature Licensee Si afore P.O. BOX 603 OROVILLE, WA 98844 J&M LIQUIDATIONS, PHONE: (509) 476-4465 FAX: (509) 476-3048 Email: jmhughes@gdicom.net y1 November 29, 2006 This fireworks permit is for J&M Liquidations, LLC and is in the same location as it was for the 4th of July. A new lease and insurance copy is included for the New Year's selling period. Please mail copies back to: J&M Liquidations, LLC PO Box 603 Oroville, WA 98844 If you have any questions, please call me at (509) 322-5618. Thank you, ?Jack Hughe 14 MASON COUNTY FIRE MARSHAL . Mason County Bldg.III 426 W Cedar St PO BOX 186 Shelton,WA 98584 (360)427-9670 Ext.273 CODE ENFORCEMENT FIRE INSPE CTIONS FIRE INVESTIGATION PUBLIC EDUCATION STANDARDS FOR THE OPERATION OF RETAIL FIREWORKS STANDS Sales Consumer fire works may be sold only on the following days s and times. • June 28th from 12 noon to 11PM • June 29th—July 5ch from 9AM to 11PM • July 6th from 9AM to 12 noon • December 27th—3 1" from 12 noon to 11PM Approved Fireworks Only Washington State Fire Marshal approved Class C common fireworks may be sold. ^fireworks Stand Location • A fireworks stand shall not be located more than 150' from an approved access road, • Shall be at least 100' from another fireworks stand or separated by a road, street or highway at least 30' in width, • Shall not be located any closer than allowed by the table below to other structures or exposures, • Or be located closer than 100' from any flammable liquid or gas dispensing device, or 300' from any flammable liquid or gas bulk storage or dispensing facility. Retail Fireworks Stands—Minimum Clearances Buildings Combustibles Property Line Parking Motor Vehicle Motor Vehicle Traffic, Traffic, Public Road Private Way Back of Stand 20' 20' 5' 20' 20' 5' Side of Stand 20' 20' 5' 20' 20' 5' Front of Stand 20' 20' 20' 20' 20' 20' Surrounding Area around Fireworks Stands • The minimum areas around fireworks stands, as specified above, shall be kept free from dry grass, brush or combustible debris. This area shall be marked and flagged. • Motor vehicles or trailers may not be parked within 20' of the fireworks stand except when delivering, loading or unloading fireworks. • Fireworks shall not be discharged within 300' of any fireworks stand. A sign stating No Fireworks Discharge Within 300' in letters at least 2"high and in contrasting color shall be posted conspicuously on all sides of the structure. • No smoking shall be allowed within the fireworks stand or flagged off area. Signs stating No Smoking Within 100' in letters at least 2"high and in contrasting color shall be posted conspicuously on all sides of the structure. Electrical Supply & Usage • All battery powered equipment, electrical equipment and cords shall be UL listed and used in accordance with that listing. Extension cords shall be of an industrial grade type and shall be protected from physical damage. • All heating devices shall be UL listed. Only heating devices with sealed-type elements shall be used, i.e. oil filled or water-filled radiator type. Open flame or open element heating devices are prohibited. • Generators shall be located a minimum of 20' from any fireworks stand. Fuel storage is limited to 5 gallons. Fireworks Stand Operations • A minimum 24"wide isle shall be maintained inside the full length of the stand. • Customers are not allowed inside the fireworks stand. • There shall be a minimum of 2 exits at least 28" in width located at opposite ends of the stand. These exits shall remain unlocked and unobstructed during hours of operation or when stand is occupied. • Sleeping inside a fireworks stand is prohibited. • The location of the nearest phone shall be posted in the fireworks stand. All occupants of the stand shall be informed as to the location of this phone. • The local emergency phone number, 911, and the address of the fireworks stand shall be conspicuously posted inside the stand. • There shall be a minimum of 2 (two) approved 2 1/2 gallon pressurized water fire extinguishers located adjacent to each exit door. • Cooking, open flame or any type of open flame equipment is prohibited in a fireworks stand. • Fireworks stands shall be locked when unoccupied and not open for business if fireworks are stored in the stand during these times. Fireworks stands shall not be locked when occupied. Fireworks may be removed or transferred to a temporary storage structure or location approved as part of the license and permit. • Fireworks may be stored in a locked and secured retail fireworks stand, truck, container, or trailer that is at least 20' from the fireworks stand during business hours, or in a locked or secured metal or wooden garage, shed, barn or other accessory building that is a least 20' from the fireworks stand. • At least one person 18yrs of age or older shall be on duty in the fireworks stand when fireworks are being sold to the public. Such person shall be responsible for the supervision of the fireworks stand and its operation. No person under the age of 16 shall be allowed to occupy the fireworks stand when it is open to the public. • It is illegal to knowingly sell fireworks to persons under the age of 16. A sign stating"No Sale Of Fireworks to Persons Under the Age Of 16" in letters at least 2"high and in contrasting color shall be posted on the front of the stand. A photo ID is required and it is the responsibility of the seller to require proof of age. Driver's License or Photo ID showing a date of birth issued by a public or private school, state, federal or foreign government is acceptable.