Loading...
HomeMy WebLinkAboutFIR2015-00013 Final Fireworks Stand - FIR Permit / Conditions - 6/28/2015 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line (360)427-7262 �� sp Mason County Bldg. III Phone: (360)427-9670, ext. 352 426 W. Cedar St Shelton, WA 98584 7X54 FIRE PROTECTION PERMIT FIR2015-00013 APPLICANT: BELFAIR COMMUNITY BAPTIST CONTRACTOR: LICENSE: EXP: RECEIVED: 3/2/2015 SITE ADDRESS: 23300 NE STATE ROUTE 3 BELFAIR ISSUED: 3/17/2015 PARCEL NUMBER: 123325000015 EXPIRES: 9/17/2015 LEGAL DESCRIPTION: SAM B. THELER'S HOME & GAR TRS TR 7 EX N 25' OF &TR 7-A& 7B DOR#4656-001 PROJECT DESCRIPTION: FIREWORKS STAND 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?: Pressure Switches:: Smoke Detectors: Duct Detectors: Dry Chemical?: Wet Chemical?: Zones: Heat Detectors: Sprinkler?: Standpipe?: SQUARE FOOTAGE FEES Monitoring Company: First Floor: Type Amount Due Amount Paid Monitoring Phone No.:() - Second Floor:Auto Fire Alarm?: Third Floor;: Fireworks Stand Permit $100.00 $100.00 Total: $100.00 $100.00 FIR2015-00013 Please refer to the following pages for conditions of this permit. Page 1 of 6 CASE NOTES FIR2015-00013 CONDITIONS FOR FIR2015-00013 FIR2015-00013 Please refer to the following pages for conditions of this permit. Page 2 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!2u ne 28 through July 3. Fireworks may not be sold from 12:00 midnight to July 4 through 9:00 AM on July 5. X Firework a sold from 12:00 noon to 11:00 PM on each day from the 27th of December through the 31st of December of each year. X Only Division 1 AG consumer fireworks,obtained from state-licensed wholesalers, not otherwise prohibited by chapter 70.77 RCW or local ordinance,and holiday r�la Faducts incidental but related to these products, may be sold in retail fireworks stands. X ( S T5 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 combulib r 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 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 requiements of a permanent structure, except tents or canopies as defined in the Intemational Fire code retail stand greater than 400 FIR2015-00013 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(Le,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 drops, subject to possible fees. (6)Retail ns fiLeworks and other products which are holiday related shall be from buildings used for no other purpose. Storage 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 Intemaitonal 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 fife and property is not diminished. FIR2015-00013 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 ciarg_ �f�all such inspections. 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. 100�a3/aa 15 Date OWNER REPRESENTATIVE CONTRACTOR Print Name re a one to Indicate) FIR2015-00013 Please refer to the following pages for conditions of this permit Page 5 of 6 -7 ca ;aCONCRETE MECHANICAL MANUFACTURED HOME m Footings !Setbacks Date By -n Gas Piping Ribbons D CIntenor Date By Interior-Date By Date By CExtenor Date By Exterior-Date By n INSULATION Set-up0 W Point Load/Isolated Footings Date By BG 1 SLAB INSULATION Date By Data By FIRE DEPARTMENT C Foundation Waifs Floors Date By Z Date By Data By DECKS < FRAMING Wails Date By ca D Date By Data By PROPANE TANKS PLUMBING Vault Date 13y N Dot$ By _ OTHER Groundwork Attic t Date By ' Date By Type. Hate By D.W.'V DRYWALL Type. Date By Int.Brace Wail Date BY. "n — u01, Date 13y FINAL NSPECTION N Water Line Fire Seperation C Late By Date By Dal€�4 `� (A O o Pass or Request Inspect. c ype of Insp. Fail Date Date Done By Comments G, a � Z N 0 o O O N O N fD K 1 (D O) 0 �P9oN ooUNT� MASON COUNTY (360)427-9670 Shelton ext.352 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 '854 PO Box 279, Shelton, WA 98584 www.co.mason.wa.us RECEWED MARSHAL FIR20 112" - oaol MAR 0 2 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: BELFAIR COMMUNITY BAPTIST CHURCH Mailing Address: PO BOX 160 City: BELFAIR State: WA Zip: 98528 Phone#: 360-801-5682 Email: LicensingN@tntfireworks.com Sponsor Information: Name: BONNIE BUTLER Address: PO BOX 160 City: BELFAIR State: WA Zip: 98528 Phone #: 360-801-5682 Email: LicensingN@tntfireworks.com Washington State Fireworks License Information (Copy Required): License Number: Date of Issuance-rc10(UCWL1 q-2QS ❑ Pyrotechnic Operator License o Fireworks Stand License Bond or Certificate of Insurance (Copy of Certificate/Bond Required): Provider: SEE ATTACHED Insured: Certified Holder: Location of Stand/Display: Site Address: BELFAIR COMMUNITY BAPTIST CHURCH, 23300 ST HWY 3, BELFAIR, WA Directions to Site: Parcel Number: (twelve digit number) 12 Legal Property Owner y. co, CJ `\ G�P�by P•Sve0��\`s� t "Please see reverse side to complete y�pi `G GooC2 VV e04 ��g�Pgo�yag' AP '��✓ ED \ o ��JLP�'c, w� f O NO 1 I Q tOriOP��P�� MASON BUILDING INSPECTOR N00\ is RANGES SUBJECT TO A PROVALo�o�oo�a D P r 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 MAR 0 2 2015 426 W. CEDAR ST FIRE MARSHAL 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 maintaine w Signed FOR BONNIE BUTLER Date 02/03/2015 FIRE PROTECTION BUREAU CEDFIREWORKS LICENSING PROGRAM PO Box 42600 Olympia WA 98504-2600 Sw�••+ MM 0 2 2015 (360)596-3914 FAX: (360)596-3934 0 426 W. CEDAR ST, APPLICATION FOR RETAIL FIREWORKS STAND PERMIT WWM6507 TO Governing body of city,town, or county in which DATE OF JANUARY 22, 2015 fireworks stand will be located. APPLICATION Applicant Name Address,City,State BELFAIR COMMUNITY BAPTIST CHURCH 2120 MILWAUKEE WAY,TACOMA,WA.98421 Sponsor(If other than applicant) Address,City,State BONNIE BUTLER 2120 MILWAUKEE WAY,TACOMA,WA 98421 Location of proposed fireworks stand I Enclose drawing of stand location] 23300 ST HWY 3, BELFAIR, WA BELFAIR COMMUNITY BAPTIST CHURCH 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,*MRS HA - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - FIREWOR.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 b e date and times: Sales for Jul ` Sales f �ecember " From: �7�� From: To: To: Sponsor BONNIE BUTVIR+ n WOW TY C URCH, 23300 ST HWY 3, BELFAIR, WA �S� FOR BONNIE BUTLER j r a ra Signature o plicant 1 QA,�E �,G`p� EAROPs 1t1Gr L O G c+�ALL PP RE SOLE PREG- genCy Elate ���PPPC\0,,,,SSIOWNER,co1N5 N 5` ` l- exP I be . s. PON$16�1 V1RE0 F GBU"TOR PNY P -TV- Lice �nW n )OONIE BAPTIST CHURCH ► � AT E$r+� r u License Number PF%9E 0*4 00 V%0LPT a� 3000-020-013 (R 3/09) ' ♦ DATE(MMIDD/YYYY) Act CERTIFICATE OF LIABILITY INSURANCE 1 l/l/2015 10/3 1/2014 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 CT 3280 Peachtree Road NE,Suite#250 PHONE FAX Atlanta GA 30305 MAILo 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 Florence AL 35630 INSURER E INSURER F COVERA CERTIFICATE NUMBER: 12376406 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 INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY A X1 COMMERCIAL GENERAL LIABILITY y N S18GL00242-141 H/1/2014 11/1/2015 EACH OCCURRENCE CLAIMS-MADE OCCUR DAMAGES( RENTED 11){ PREMISES(Ea occurrence) $ SOO OOO MED EXP(Any oneperson) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JE� X� LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY NOT APPLICABLE (Ea accident) $ }{}{X}{XXX ANY AUTO BODILY INJURY(Per person) $ XXXXXXX ALL OWNED SCHEDULED BODILY INJURY Per accident $ XXXXXXX AUTOS AUTOS NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS $ XXXXXXX $ XXXXXXX UMBRELLA LIAB OCCUR NOT APPLICABLE EACH OCCURRENCE $ X}{}{}{XXX EXCESS LAB CLAIMS-MADE AGGREGATE $ XXXXXXX DED RETENTION$ $ }{}{}{}{XXX WORKERS COMPENSATION NOT APPLICABLE PER T7rpr-- AND EMPLOYERS'LIABILITY Y/N STATUTE JER ANY OFFICER/MEMBER/EXCLUDED? N/A E.L EACH ACCIDENT $ XXXXXXX (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ XXXXXXX If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ X}{}{}{XXX DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Located at Belfair Baptist Church 23300 Washington 3,Belfair,WA(WWM6507)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 12376406 Mason County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Belfair Baptist Church THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN p ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 186 426 W Cedar Shelton WA 98584 AUTHORIZED REPRESENTATLVE ©1988-201 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD Loc No: t uW;,,A Co 50 7 FDaterawn: ' /` nce Of: a Address: 3 `+ Store/Center/Lot: 1 Z City&State: 'J2>A�r Parcel No: a��a-50" coo Stand Faces The Direction Of: (A ) Stand Size: Vv KL MARSHAL C. -qW r � r r Jet• � r` r}r i Y � 777 im4.' February 12, 2015 Fire Marshal Mason County PO BOX 186 426 W. Cedar Shelton, WA 98584 Dear Fire Marshal, In preparation for the upcoming 2015 4 t h of July season, please find enclosed with this letter all information to apply for 1 fireworks stand permit. I have also enclosed 1 check for $100.00 for the Permit Fee. If you have any questions or require further information please feel free to contact me at (253) 922-0800. Thank you for your time and attention to this matter, and allowing us to operate in your wonderful city! Sincerely, Sabrina Dick Licensing & Permits LicensingN@tntfireworks.com American Promotional Events, Inc. - Northwest Enclosure(s) AMERICAN PROMOTIONAL EVENTS, INC. 2120 MILWAUKEE WAY • TACOMA, WA 98421 TACOMA(253)922-0800 • FAX(253)830-2930 www.tntfireworks.com