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HomeMy WebLinkAboutFIR2011-00031 Fireworks Stand - FIR Permit / Conditions - 6/23/2011 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Una(360)427-7262 Phone:(360)427-9070,ext.352 - Masan County Bldg. 3 426 W. Cedar P.O. Box 186 Shelton,WA 9BS84 m 0 FIRE PROTECTION PERMIT FIR2011-00031 APPLICANT: NORTH MASON PEE WEE'S RECEIVED:6/6/2011 CONTRACTOR: LICENSE: EXP: ISSUED:6/23/2D11 SITE ADDRESS: 201 NE STATE ROUTE 300 BELFAIR EXPIRES: 1203/2011 PARCEL NUMBER: 123294290001 LEGAL DESCRIPTION: TR 10 OF NW SE-LOT: 8 EX OF SP#691 LOT: 1 OF SP#29315 PROJECT DESCRIPTION: FIREWORKS STAND [-+ ENE AL INFORMATION system Information M Type of Use: STND 5prinkter Heads: Audible Switches: Pull Stations: a. Fire District: 2 Flow Switches: Visual Devices: Door Releases: 0 Hood&Duct?: N Pressure Switches;: Smoke Detectors: Duct Detectors: z Dry Chemical?: N Zones: Heat Detectors: v, Wet Chemical?: N Sprinkler?: N Standpipe?: N SQ ARE FOOTAGE FEES Monitoring Company: FirstMoor: Type Amount Due Amount Paid Monitoring Phone No.:O- Second Floor: Fireworks Stand Permit $ti40.00 $100,00 (I Auto Fire Alarm?:N Third Floor;: m Total: $100.00 $100.00 h N 4 m h (D (y O e •• N p .. co 0 .4 0 N M � A N C m 0 Page1of6 � FIR2011-0003'1 Please refer to the fotlawing pages for conditions of this permit. t CASE NOTES N FIR2011-00031 0 CONDITIONS FOR FI R2011-00031 F M a 0 U x 0 N � O n �I m w 0 y ON O O N m � N n N L O please refer to tt *fpUowing pages for conditions of this pQrm►t.; Page 2 of 6 FIR2011�00031 f 1.) Owner�gent is responsible to post the assigned address end/or purchase and post privale road signs in accordance with Masan County Ile 14.28. m 2.) Valid Per t, lusl be on-sitemmmr_ . Q x �} • 0 0 H H 47 Fr O V z 4 N m N ti N O m (D N. O Ln r� O 0 � o N m � N N N, � o FIR2011.00031 Please refer to,the fonowing pages for condltlona of this permit. page 3 of e I 3.) Consumer fire works may be sold only on the following days and times. June 26th from 12 noon to 11 PM It June 291h to July 5th from 9 AM to 11 PM July 6th fry 9 AM to 12 noon 0 0 Only Wa �tanStaleMarshal approved class C common fire works may be sold. X A fire works stand shall not be located more than 150 feet from an approved access road.Shall be at least 100 feet from another fire works stand or separated by a road,street or highway at least 30 feet in width. Shall not be located any closer than allowed by the attached table to other structures or exposures or be located closer than 100 feet from any flammable liquid or gas dispensing device,or M feet from any flammable liquid or gas bulk storage dispensing facility. X y� The minimum areas around a fire works stand,as specified in the attached table,shall be kept free from dry grass, brush,or combustible debris.This area shah arked and flagged, Motor vehl�� or trailers may not be parked within 20 feet of the fire works stand except when delivering, loading or unloading fireworks, X H Fireworks shall not be discharged within 300 feet of any fireworks stand.A sign staling"No Fireworks discharge within 300 feet"in letters at least 2 Inches high and I trasting color shall be posted conspicuously on all sides of the structure. a X 0 z No smoking shall be allowed within the fireworks stand or flagged off area.Signs stating"No Smoking Willn 100 feet"in letters at least 2 inches high and in ccntras frig colors shall be posted conspicuosly on all sides of the structure. � K � Ali battery powered equipment, electrical equipernent and cords shall be UL listed and used in accordance with that listing. Extension cords shall be of an Industrial type and shall be protected from physical damage. All hP�Gng devices ah�ll�.U�li .�►IY_ eh �9_ �`�Jl M-QIed type elemer} shall ba used, i.e.oil tilled or water filled radiator type. Open flame - - - - - -�� or open el t heating devices are prohibited. N X r Generators II be located a minimum of 20 feet from any fire works stand. Fuel storage is limited to 5 gallons. h X o w A minimum 24 inch wide isle shall be maintained inside the full length of the stand. Customer are not allrnved inside the fireworks stand.There shall be a minimum of 2 exits at least 20 Inches in width located at oppsite ends of the stand. N These exIN shall remain unlocked and unobstructed during hours of operation or when stand is occupied. X N Sleeping I 10 a fireworks stand is prohibited, tCT m Cl w C m a FIR2011-M3'I Please rehr to the following papas for conditions of We permit. Page 4 of 6 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 Ln local emetrn phone number, 911. and the address of the fireworks stand shall be conspicuously posted Inside the stand. X Ja � v a There shell minimum of 2 approved 2 112 gallon pressurized water fire extinguishers located adjacent to each exit door. X Cooking, on lame or any type of open flame equipment is prohibited In a fireworks stand. X Fireworks stands shall be locked when unoccupied and not open for business if fireworks are storged in the stand during these times. Fireworks stand shall not be locked when occupied. Fireworks maybe 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 feet from the fireworks stand during business hours, or in a locked and secured metal or wooden garage, shed, barn or other accessary building that is at least 20 feet from the fireworks stand, n X f� H At least one person 18 yrs of age or older shall be on duty in the fireworks stand when fireworks are being sold to the public. Such person shall he 0-4 responsible for the supervision of the fireworks stand and its operation. No person under tha ago of 16 shall be allowed to occupy the fireworks stand 9 when opeo the publlc. a n X OJ 0 zIt is illegal to knowingly sell fireworks to persons under the age of 16,A sign stating"No Sales Of Fireworks to Persons tinder the age of 16"in letters at 0 least 2 inches high and in contrasting color shall be posted on the front of the stand.A photo ID is required and it is responsiblily of the seller to require 0 proof of agehdDrrIver's license or photo ID showing date of birth issued by a public or private school,state,federal or foreign government is acceptable. _ KK sin This permit becomes null and void if work or construction authorized is not commenced within 180 days,or it construction or work Is suspended for a period of t80 days at any tune after work is commenced. Evidence of continuation of work Is a progress Inspection within the 1BO day period. Final Inspection must be approved before bullding can be occupled. 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 CO employees of Masan County access to the above described property and structure for review and inspection. ti OW�IERAGI 'DATE: N O m h O try N [) W � n .-t o N m � N N C o FIR2011'4t)031 Please refer to the rollowing pages for conditions of this permit. Page 5 of 6 I CONCRETE MECHANICAL MANUFACTURED HOME O p Date By ;U Footings/Setbacks Gas Piping Ribbons = IntenorDate By Interior-Date By Date By O Exterior Date By Exterior-Date By Set-up N Point Load/isolated Footings INSULATION Date By O BG Date By Data !SLAB INSULATION By FIRE DEPARTMENT Foundation Walla Floors Date By m M Date By Data By DECKS FRAMING Watt Date By m Date By By PROPANE TANKS N PLUMBING Vault Date By Date By OTHER Groundwork Attic Date By Date By Type: Date By D.W.v DRYWALL Type: Int Brace Wall Date By m Date By Date By FINAL INSPECTION c N m Water Line Fin Separation Q Date By Date By Date By O o Pass or Request Inspect. c Type of Insp. Fail Date Date Done By Comments w G �y�� InC4 remL �� eL f N 0 O n / o' 3 y O S H N 3 K v (p (D O) 0 CONCEPTUAL SITE PLAN C sr Boa r_w \ BFLDPAMELD FAIR FESarvE AREA \ lHE IQtOG[R COMPAM ama�aosrts¢r,wrtcsto OTuor-e..D \ VICYW11 IVV1P E;lm FAXPWI36" \ e A \ $ r (� \ V Ear GAS STATION �\ I ADDITION .4A=SF.OF 0.DBPIFAIR nwNwAY &FARWA B P ANDN 101 ,\ i 7 BFA �m UI .V'ww Y DOSTM BULDM s G a \ - �cu i L .® o I B 8 B B I aaerns haraM y►u N^a �_ DD-1 AJrOY R-f�M�R l�6~'riMM A CYrNWPI V BELmR HQMAY _ _ - CONCEPTUAL - - - - - a� SITE PLAN C ACORD,M CERTIFICATE OF INSURANCE ISSUE DATE 10/29/2010 PRODUCER This certificate is issued as a matter of information only and confers no rights MCGRIFF,SEIBELS 8 WILLIAMS,INC. upon the Certificate Holder. This Certificate does not amend,extend or alter the P.O.Box 10265 coverage afforded by the policies below. Birmingham,AL 35202 PHONE:800-476-2211 COMPANIES AFFORDING COVERAGE Comcpany Liberty Surplus Insurance Company INSURED Company American Promotional Events, Inc. B dba TNT Fireworks P.O.Box 1318 Company Florence,AL 35631 C Company D Company E This is to certify that the policies of insurance described herein have been issued to the Insured named herein for the policy period indicated. Notwithstanding any requirement,term or condition of 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,conditions and exclusions of such policies. Limits shown may have been reduced by paid claims. CO TYPE OF INSURANCE POLICY NUMBER EFFECTIVE LIMITS OF LIABILITY LT EXPIRATION A GENERAL LIABILITY DGLB00810581 11/01/2010 EACH OCCURRENCE $ 1,000,000 ®Commercial General Liability 11/01/2011 FIRE DAMAGE $ 100,000 ❑Claims Made ®Occurrence ❑owners'and Contractors'Protection MEDICAL EXPENSE $ EXCLUDED ❑ PERS.AND ADVERTISING INJURY $ 1,000,000 ❑ GENERAL AGGREGATE $ 2,000,000 General Aggregate Limit applies per: PRODUCTS AND COMP.OPER.AGG. $ 2,000,000 ❑Policy ❑Project ®Location AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ El Any Automobile BODILY INJURY Perperson) $ ❑All Owned Automobiles ❑Scheduled Automobiles BODILY INJURY Per accident $ ❑Hired Automobiles PROPERTY DAMAGE Per accident $ ❑Non-owned Automobiles COMPREHENSIVE ❑ COLLISION WORKERS'COMPENSATION WC Statutory Limit Other AND EMPLOYERS'LIABILITY EL EACH ACCIDENT $ EL DISEASE Each employee) $ EL DISEASE(Policy Limit $ EXCESS LIABILITY EACH OCCURRENCE $ ❑occurrence ❑Claims Made AGGREGATE $ This certificate only applies to Re:QFC located at 1403 Old Belfair Hwy in Belfair,WA (loc#WWM6505);. The Certificate Holder is named as Additional Insured with respect to General Liability as required by written contract subject to policy terms,conditions,and exclusions. CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF North Mason Pee Wees ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. QFC Mason County Authorized Representative PO BOX 186 426 W Cedar Shelton,WA 98584 —J s Page 1 of 1 Certificate I D# 89U4QNW5 APPLICATION FOR RETAIL FIREWORKS STAND PERMIT WWM6505 TO: Governing body of city, town, or county in which DATE OF I April 12, 2011 fireworks stand will be located. APPLICATION: Applicant Name: Address, City,State: NORTH MASON PEE WEES 2120 MILWAUKEE WAY, TACOMA„ WA 98421 Sponsor (If other than applicant): Address, City, State: BRETT BERGDAHL 2120 MILWAUKEE WAY, TACOMA„ WA 98421 Location of proposed fireworks stand: [Enclose drawing of stand location] NE 1403 OLD BELFAIR HWY QFC BELFAIR, WA 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 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - FIREWORKS STAND PERMIT For The Fireworks Sales Year Of: 2011 (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 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 31" From: From: To: To: Sponsor: NORTH MASON PEE WEES Location: QFC NE 1403 OLD BELFAIR HWY BELFAIR, WA /s/ /s/ FOR BRETT BERGDAHL Signature of Official Granting Permit Signature of Applicant Title: Agency: Date: Permit Number: Licensee Name: NORTH MASON PEE WEES License Number: 00506 3000-420-013(Rev.2/05) Washington State Patrol \n ��� -� C � 12 412 Fire Protection Bureau V`� Office Of The State Fire Marshal Fireworks Stand License Washington State Fireworks License License is Non-Transferable and Valid for Only One Stand Licensee Information North Mason Pee Wees 2120.Milwaukee Way State Fire M rshal gat e Tacoma, WA 98421 License Number: WSPFL-00506 Detach this 11 c and carry with you for verifi tion f certification. Stand Information -- -- -------— -- --- --------- Washington State Patrol 12 41 Contact Person: Brett Bergdahl Fire Protection Bureau Phone Number: (360) 710-2121 Office Of The State Fire Marshal ANNUAL FIREWORKS STAND LICENSE County: Mason Date of Expiration Date of Issue Licensee: Norths©tt:: weer Stand Number: SN-05832 January 31, 2012 April 1, 2011 Contact Person: Bre B rgtlAl", License Number: W$pR�­005Q6 Stand Number: SMk O5$ 2' = �- ai id For One Stand) —'- Date of Expiration: Jan Location: Stand Location: L ( tand Location mpleted By Licensee] (Stand Location To Be Completed By Licensee) 3000-420-012(R 9/05) State Fire ars ay; nature Licensee Signature