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Home My WebLink AboutFIR2013-00039 Final Fireworks Stand - FIR Permit / Conditions - 12/30/2013 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line (360)427-7262 Mason County Bldg. 3 426 W. Cedar P.O. Box 279 Phone: (360)427-9670, ext. 352 111 Shelton, WA 98584 i FIRE PROTECTION PERMIT FIR2013-00039 APPLICANT: JOHN MILLER CONTRACTOR: LICENSE: EXP: RECEIVED: 12/9/2013 SITE ADDRESS: 22950 NE STATE ROUTE 3 BELFAIR ISSUED: 12/17/2013 PARCEL NUMBER: 123325000044 EXPIRES: 6/17/2014 LEGAL DESCRIPTION: SAM B. THELER'S HOME & GAR TRS TR 19-B PROJECT DESCRIPTION: FIREWORKS STAND FOR NEW YEARS SALE s 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 FIR2013-00039 Please refer to the following pages for conditions of this permit. Page 1 of 5 1.) Consur r fire wo may bbe old only on the following days and times: June 28th from 12 noon to 11 PM and June 29th to July 5th from 9 AM to 11 PM. X Only W shhi t ate ' e Marshal approved class C common fire works may be sold. A fire works st d 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 300 feet from any flammable liquid or gas bulk storage or ' pen ' facility. X The minimu s around a fire works stand, as specified in the attached table, shall be kept free from dry grass, brush, or combustible debris. This area shall ark and flagged. X Motor vehicl tr ' snt�y not be parked within 20 feet of the fire works stand except when delivering, loading or unloading fireworks. X Fireworks sha discharged within 300 feet of any fireworks stand. A sign stating"No Fireworks discharge within 300 feet"in letters at least 2 inches high and in c ntras co all be posted conspicuously on all sides of the structure. x No smoking s e allowed within the fireworks stand or flagged off area. Signs stating" No Smoking 1Nitin 100 feet'in letters at least 2 inches high and in contrasting color I osted conspicuosly on all sides of the structure. X All battery pow d equipment, electrical equipement and cords shall be UL listed and used in accordance with that listing. Extension cords shall be of an industrial gra yp hall a protected from physical damage. X All heatin e s 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 ennent ting es are prohibited. X Generators ocaat minimum of 20 feet from any fire works stand. Fuel storage is limited to 5 gallons. X A minimum 2 ch wide isle shall be maintained Inside the full length of the stand. Customer of allowside the fireworks stand. There shall be a minimum of 2 exits at least 28 inches in width located at oppsite ends of the stand. These ex�she main unlocked and unobstructed during hours of operation or when stand is occupied. X Sleeping ins' a fir or d is prohibited. X The location of t e earest phone shall be posted in the fireworks stand. All occupants of the stand shall be informed as to the 1 tion of this phone. The local emergency hone number, 911,and the address of the fireworks stand shall be conspicuously posted inside the stand. FIR2013-00039 Please refer to the following pages for conditions of this permit. Page 3 of 5 i t X ThIshalla inimum of 2]approved 2 1/2 gallon pressurized water fire extinguishers located adjacent to each exit door. X C a an ppen flame equipment is prohibited in a fireworks stand, X Fireworks stands s II 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. X Fireworks may 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 hour , r 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. X 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 be responsible for the supervision of the fireworks stand and its operation. No person under tha age of 16 shall be allowed to occupy the fireworks stand when open t e publi X It is illegal to owingly sell fireworks to persons under the age of 16.A sign stating"No Sales Of Fireworks to Persons Under the age of 16"in letters at y least 2 inches igh and in contrasting color shall be posted on the front of the stand. A photo ID is required and it is responsibility of the seller to require proof of age. D 'ver nse or photo ID showing date of birth issued by a public or private school, state,federal or foreign government is acceptable. X OWNER/BUILDER a nowledges submission of inaccurate Information may result in a stop work order or permit revocation, Acknowledgement of such is by Sig below. I decl re 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 permitlappilcation 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 APPLICATIO 180 DAYS WILL INVALIDATE THE APPLICATION, v i tur i Date Print Name OWNER - REPRESENTATIVE - CONTRACTOR (Circle one to indicate; FIR2013-00039 Please refer to the following pages for conditions of this permit. Page 4 of 5 N MASON COUNT (360)427-9670 Shelton ext.352 �. ° DEPARTMENT OF COMMUNITY DEVELOPMENT (360)276-4467 Belfair ext.352 BUILDING• PLANNING• FIRE MARSHAL (360)482-6269 Elma ext.352 Mason County Bldg. 111, 426 West Cedar Street PO Box 279, Shelton. WA 98584 www.co.mason.wa.us FIR2 I Mason County Fireworks Permit Application DEC 0 9 2013 Incomplete applications will not be accepted 426 W. CEDAR ST 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: ra N Mailing Address: iJ I-(,4e C,•A,,0 City: Sc State:W 4- Zip: i 37-D Phone 4: 7 j� o- 6 Z.c1 i 7 Z Email: vr,) Ile.-0 7 d h--1 - C Sponsor Information: Name: D o '^`'}tj w`^ i-t, A S Address: 1 1i 5 1 N w ►- L -r CA.14IL City: Stater 1" Zip9 V V a Phone 4: .3 G o - 2 0 - i 7 3 2 Email: ,,j; -7 3 � %�►-�,�.,�; I. c a� Washington State Fireworks License Information (Copy Required): License Number: W S P F-L— 0 20 2-7 Date of Issuance ❑Pyrotechnic Operator License VFireworks Stand License Bond or Certificate of Insurance (Copy of Certificate/Bond Required): Provider: a C o n•�c I L �r Lk1.�. c Insured: 3 b oM+o wyv p►-e L�� Lac . I-�or 6� u ±"1 ,�� Certified Holder: -- �� ,�, 1 ►-V,� III-LC— Location of Stand/Display: Site Address: 22- 9 -b-b y Directions to Site: 0 I jE SJp(z °ter. ¢ 3 -(fz-- u t c-.'f4 l iJ e x..-1-- -f„ '�4z t.t Parcel Number: (twelve digit number'_ Legal Property Owner � t p.��.-!rLS , 1_l c- J o-- .Ca I is **Please see reverse side to complete your application** I:\Community DevelopmentFlRE MARSHAL\Fireworks Permit application.doc