HomeMy WebLinkAboutFIR2009-00021 Final Fireworks Stand - FIR Permit / Conditions - 6/28/2009 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
1p; Shelton, WA 98584
FIRE PROTECTION PERMIT FIR2009-00021
APPLICANT: ROBERT SUMARA
CONTRACTOR: LICENSE: EXP:
RECEIVED: 4/21/2009
SITE ADDRESS: 23331 NE STATE ROUTE 3 BELFAIR ISSUED: 5/7/2009
PARCEL NUMBER: 123325000014 EXPIRES: 11/7/2009
LEGAL DESCRIPTION: SAM B. THELER'S HOME &GAR TRS TR 6 S 1/2 OF
PROJECT DESCRIPTION: Fireworks Stand
GENERAL INFORMATION System Information
Type of Use: STND Sprinkler Heads: Audible Switches: Pull Stations:
Fire District: 2
Hood& Duct?: N Flow Switches: Visual Devices: Door Releases:
Dry Chemical?: N Pressure Switches:: Smoke Detectors: Duct Detectors:
Wet Chemical?: N Zones: Heat Detectors:
Sprinkler?: N
Standpipe?: N SQUARE FOOTAGE FEES
Monitoring Company: First Floor:
Type Amount Due Amount Paid
Monitoring Phone No.:()- Second Floor:
Auto Fire Alarm?:N Third Floor;: Fireworks Stand Permit $100.00 $100.00
Total: $100.00 $100.00
FIR2009-00021 Please refer to the following pages for conditions of this permit. 1 of 6
1.) Consumer fire works may be sold only on the following days and times.
June 28th from 12 noon to 11 PM -June 29th to July the 5th from 9 AM to 11 PM -July 6 th from 9 AM to 12 Noon.
X. 12i1 -
Only Washington State Fire Marshal approved Class C common fire works may be sold.
X L,w-�
See attached table to the approved site plan for required minimum clearances to back sides and front of the stand.
X „j
The minimum areas required by the attached table shall be kept free from dry grass, brush or combustible debris. This area shall be marked and flagged.
X
Motor vehicle r s�r trailers may not we parked within 20 feet of the fire works stand except when delivering , loading or unloading fire works.
X
Fire works shall not be discharged within 300 feet of any fire works stand. A sign stating NO FIRE WORKS DISCHARGE WITHIN 300 feet in letters at
least 2 inches high and in contratrstin g g colors shall be posted conspicuously on all sides of the structure.
X
No smoking shall be allowed within the fireworks stand or flagged off area. Signs stating NO SMOKING WITHIN 100 feet in letters 2 inches high and in
contrasting color shall be posted conspicuously on all sides of the structure.
X
All battery powered equipement, electrical equipement and cords shall be UL listed and used in accordance with there listing. Extension cords shall be of
an X 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
element heatin devices are prohibited.
X
Generators shall be located a minimum of 20 feet from the fire works stand. Fuel storage is limited to 5 gallons.
X /'4-1
A minimum of 24 inche wide isle shall be maintained inside the full length of the stand.
X
Customers are ot allowed inside the fire worlks stand.
X
There shall be a minimum of 2 exits at least 28 inches 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.
X f ea
Sleeping insi a the fireworks stand is pohibited.
X
FIR2009-00021 Please refer to the following pages for conditions of this permit. 3 of 6
The location of .e nearest phone shall be posted in the fire works stand. All occupants of the stand shall be informaed as to the location of this phone.
X
The local emergency phone number is 911, and the address of the fire works stand shall be conspicuously posted inside the stand.
X Z�,'4 /—
There shall be a Jeast 2 approved 2 1/2 gallon pressurized water fire extinguishers located adjacent to each exit door.
X
Cooking, open flame or any type of open flame equipement is prohibited in a fire works stand.
X_�./Z_.�
Fireworks stands shall be locked when unoccupiedand not open for business if fireworks are stored in the stand during these times. Fire works stand
shall not be locked when occupied. Fire works maybe removed or transferred to a temporary storage structure or location approved as part of the license
and permit.
X
Fire works 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 or barn or other accessary building that is at least 20 feet away from the fire
works stand.
X
At least one person 18 yrs of age or older shall be on duty in the fire works stand when fire works are being sold to the public. Such person shall be
responsible for the suppervision of the fire works stand and it's operation. No person under the age of 16 shall be allowed to occupy the fire works stand
when it's open to the public.
X
It is illegal to knowingly sell fire works 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 inches high and in contrasting color shall be posted on the front of the stand. A photo ID is required and it is the responsiblity of the
seller to require proof of age. Drivers license or photo ID showing a date of birth issued by a public or private school, state, federal or foreign goverment is
acceptable.
X (..t �
2.) 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 ��._.
3.) Valid Permit Must be on-site.
X Z_�,
This permit becomes null and void if work orconstruction authorized is not commenced within 180 days,or if construction or work is suspended for a period of 180 days at any time after work is
commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection must be approved before building can be occupied. Proof of continuation ofwork is
by means of a progress inspection.The ownerorthe agent on the owners behalf, represents that the information provided is accurate and grants employees of Mason County access to the above
described property and structure
effor
/review and inspection.
OWN6(OR AGENT: DATE: .
FIR2009-00021 Please refer to the following pages for conditions of this permit. 4 of 6
Mason County
Fireworks Permit Application
PO BOX 186
426 W Cedar St Permit# FIR -)"(�C10 — COODIJ
Shelton WA 98584
(360) 427-9670 ext 273 Receipt # 5
CK # C�- .
Date Received RECEMED
APR z �
A Permit for the Retail Sales or Public display of fireworks is required. A cowwmAA�DA?�PR
application with required documentation and fees shall be submitted for Firs' gml COUNTY
review. A permit will be issued upon satisfactory site inspection by the Fire Marshal.
Applicant Information
Name:
Mailing Address: 11D j(/
City: ,�,c/ State: Zip:
Contact Number )
Sponsor Information
Name: � �� ��� A�
Mailing Address. �� �f fT
City: ,O1Z -- State: lr Zip:
Contact Number
Washington State Fireworks License Information (Copy Required)
License No.: Date of
Issue:
❑ Pyrotechnic Operator License Fireworks Stand License
Bond or Certificate of Insurance
(Copy of Certificate/Bond Required)
Provider: ,�771,�;
Insured: � � s �,�
Certified Holder: ��
Location of stand/display
Address: ;t?
Directions to Site.
Parcel Number: / _ _Vz-)D�
Legal Description:
Legal Property Owner:
* * Please see the reverse side to complete your application
The foRowing pertinent information MUST be provided on the site diagram below
Locations and Setback distances from the back, sides and front of retail sales stands or
designated display areas to:
• Fire Hydrants • Property Lines
• Buildings • Parking
• Combustibles • Public Roads and Right of Ways
• Fire Lanes 0 Private Roads and Right of Ways
• Trees/Brush • Landmarks
• Utilities and Gas • Mortar separation distance
• Designated landing area
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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 maintain
Signed , ` Date
FOR OFFICIAL USE ONLY BELOW THIS LINE
Accepted By: Date: