Loading...
HomeMy WebLinkAboutFIR2020-00036 Final Fireworks Stand - FIR Permit / Conditions - 12/28/2020 { Mason County Mason County - Division of Community Development 615 W. Alder St. Bldg.8 Shelton, WA 98584 360-427-9670 ext 352 www.co.mason.wa.us FIR2020-00036 FIREWORKS STAND APPLICATION & STANDARDS PROJECT DESCRIPTION: FIREWORK STAND ISSUED: 12/16/2020 SITE ADDRESS: 22950 NE STATE ROUTE 3 BELFAIR EXPIRES: 06/14/2021 PARCEL: 123325000044 APPLICANT: Johnathan Miller OWNER: Johnathan Miller 13507 79th AVE Court NW 13507 79th AVE Court NW GIG HARBOR, WA 98329 GIG HARBOR, WA 98329 360-6201732 FEES: Paid Due Retail Fireworks Stand Permit $100.00 Fee Totals : $100.00 REQUIRED INSPECTIONS Fireworks Inspection CONDITIONS " (3)Any two retail fireworks stands shall be at least one hundred feet apart or shall be separated by a road, street or highway not less than thirty feet in width. Printed by:Kati Dooley on:12/16/2020 02:27 PM Page 1 of 5 Mason County B Mason County - Division of Community Development 615 W. Alder St. Bldg.8 Shelton, WA 98584 360-427-9670 ext 352 www.co.mason.wa.us FIREWORKS STAND APPLICATION & STANDARDSFIR2020-00036 * (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 twenty 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 twenty 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 Type 4 as prescribed by the International Fire Code, and which is not less than ten feet from an inhabited building where the term "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. * (3)A temporary fireworks storage facility or a temporary fireworks storage location shall be authorized as a part of a license and permit if it meets the requirements specified herein. * (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 located. * (5) Retail fireworks stands shall not be located closer than one hundred feet from any motor vehicle dispensing station, retail propane dispensing station, flammable liquid storage, or combustible liquid storage. Retail fireworks stands shall not be located closer than three hundred feet from any bulk storage of flammable or combustible liquid or gas, including bulk plant dispensing areas. EXCEPTION: 1. Fuel for generators as allowed by WAC 212-17-21513(4). 2. Fuel within the tanks of motor vehicles. * (4) Retail fireworks stands shall be located as required by Table 212-17-21509 in this section. 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. NOTE: Clearance distances are not cumulative *Measured from the outer edge of the nearest traffic lane. **If stand is equipped with 135 fusible links which will automatically close all sales doors in case of fire, or is equipped with a wire-mesh screen with openings of not more than one inch which covers not less than 90% of all sales openings * APPROVED FIREWORKS: Only Division 1 AG consumer fireworks, obtained from state-licensed wholesalers, not otherwise prohibited by chapter 70.77 RCW or local ordinance, and holiday related products incidental but related to these products, may be sold in retail fireworks stands. * (5) Storage of fireworks authorized by a retail license and permit is legal only during the periods specified in this section. * Failure to comply at any time with the provisions of this rule or any other applicable regulation shall constitute a violation of chapter 70.77 RCW and may result in the temporary suspension or immediate revocation of the license or permit, closure of the fireworks sales or storage structure, the seizure and/or forfeiture of some or all of the fireworks, and other criminal penalties as specified by law. Printed by:Kati Dooley on:12/16/2020 02:27 PM Page 2 of 5 ' Mason County B Mason County - Division of Community Development 615 W. Alder St. Bldg.8 Shelton, WA 98584 360-427-9670 ext 352 www.co.mason.wa.us FIREWORKS STAND APPLICATION & STANDARDSFIR2020-00036 * SURROUNDING AREA AROUND FIREWORKS STANDS: WAC 21 2-1 7-21 51 1 Retailers of fireworks-Area around the retail firework stand. (1)The minimum areas around the retail fireworks stand specified in WAC 212-17-21509 shall be kept free of accumulation of dry grass, dry brush and combustible debris. No parking shall be permitted within this minimum area. * 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. * (7)The local authority having jurisdiction may reduce the minimum separation requirements of this section provided that safety of life and property is not diminished. * (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 permit fees. * (4) No open flames nor any type of open flame equipment shall be allowed in any temporary fireworks storage structure. * Licensees shall familiarize all persons working in a retail fireworks stand with the provisions of these rules. * ELECTRICAL SUPPLY & 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 WAC212-17-21505(3). (b)Temporary, stable structures made from wood, metal, fiberglass or other material. Any temporary fireworks retail stand greater than four hundred square feet shall meet the requirements of a permanent structure, except tents or canopies as defined in the International Fire Code retail stand greater than four hundred 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 a 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)Temporary retail fireworks stands shall not be located more than one hundred fifty 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 a 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. * (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 two inches high, with principal stroke of not less than one-half inch, on a contrasting background, shall be conspicuously posted on all four sides of the stand. * (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. * (3) Fireworks shall not be discharged within one hundred feet of a retail fireworks stand. Signs reading "NO FIREWORKS DISCHARGE WITHIN 100 FEET' in letters at least two inches high, with a principal stroke of not less than one-half inch, on contrasting background, shall be conspicuously posted on all four sides of the stand. Printed by:Kati Dooley on:12/16/2020 02:27 PM Page 3 of 5 Mason County Mason County - Division of Community Development 4 615 W. Alder St. Bldg.8 Shelton, WA 98584 360-427-9670 ext 352 www.co.mason.wa.us FIREWORKS STAND APPLICATION & STANDARDSFIR2020-00036 * STORAGE ASSOCIATED WITH RETAIL FIREWORKS: WAC 212-17-21517 Retailers of fireworks—Temporary fireworks storage associated with the retail fireworks stand operation. (1)Temporary fireworks storage is not permanent fireworks storage. Temporary fireworks storage is defined as storage associated with retail fireworks sales and may only be from June 13 through July 31 and from December 12 through January 10 of the following year. Permanent fireworks storage is associated with retail or wholesale fireworks activities 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 International Fire Code and the and local ordinances. * (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 (i.e., oil filled or water filled radiator type). Open flame heating devices are prohibited. * (2) Battery powered equipment, electrical equipment and electrical 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. * Fireworks may be sold from 12:00 noon to 11:00 p.m. on each day from the 27th of December through the 31st of December of each year. * (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 charge for all such inspections. * (6) Retail sales of fireworks and other products which are holiday related shall be from buildings used for no other purpose. * WAC 212-17-21505 Retailers of fireworks—General provisions. Fireworks may be sold from 12:00 noon to 11:00 p.m. on June 28 through 9:00 p.m. on July 5. Fireworks may not be sold between the hours of 11:00 p.m. and 9:00 a.m. from June 28 through July 3. Fireworks may not be sold from 12:00 midnight on July 4 through 9:00 a.m. on July 5. * (2) No motor vehicle or trailer may be parked within twenty feet of a retail fireworks stand except when delivering, loading or unloading fireworks. * (8) No cooking is permitted in a retail fireworks stand or in a temporary fireworks storage structure. * (2) Cities and counties may require a clean-up bond, not to exceed five hundred dollars, as a condition of the permit, to ensure the removal of all structures and debris from the site. * (4) Failure of the licensee to comply with subsection (3)of this section shall constitute forfeiture of the clean-up bond and the licensee shall be liable for any clean-up costs incurred by the city or county which exceed the amount of the bond. * Retailers of fireworks—Cleanup. (1)At the end of the legal selling period, all fireworks must remain in the retail fireworks stand, temporary storage location authorized by the retail permit or another location approved by the local authority having jurisdiction or his or her designee until returned to the suppliers from which they were obtained, or until transferred to an approved location. Printed by:Kati Dooley on:12/16/2020 02:27 PM Page 4 of 5 r""'� Mason County M o Mason County - Division of Community Development 615 W. Alder St. Bldg.8 Shelton, WA 98584 360-427-9670 ext 352 www.co.mason.wa.us FIREWORKS STAND APPLICATION & STANDARDSFIR2020-00036 (3) In order to obtain return of a clean-up bond, cleanup of debris associated with the retail fireworks activity and the removal of all temporary structures authorized by the license and permit shall be completed no later than 11:59 p.m., July 15 for the Fourth of July selling period or no later than 11:59 p.m., January 10 for the New Year's selling season. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of Laws and Ordinances governing this type of work will be complied with whether specified her 'nor not. The granting of a permit does not presume to give authority to violate or cancel the provision f ny o er state/local law regulating construction or the performance of construction. Issued B Contractor or Authorized Agent: Date: Printed by:Kati Dooley on:12/16/2020 02:27 PM Page 5 of 5 APPLICATION FOR RETAIL FIREWORKS STAND PERMIT TO: Governing body of city, town, or county in which DATE OF fireworks stand will be located. APPLICATION: 5/22/2020 Applicant Name: Address, City, State: Johnathan Miller 15156 NW Hite Center Rd, Seabeck, WA 98380 Sponsor(If other than applicant): Address, City, State: Location of proposed fireworks stand: [Enclose drawing of stand location] 22950 NE State Route 3, Belfair, WA Manner and place of storalle prior,during, and after sales dates: ATF and L & I approved storage. Fireworks to be delivered on site State Licensed Fireworks Supplier: Jakes Fireworks & NW Pyro - -- - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - FIREWORKS STAND PERMIT For The Fireworks Sales Year Of: (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 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 between the following date and times: Sales For July 41h Sales For December 31S' From: From: To: To: Sponsor: Location: /s/ /s/ Signature of Official Granting Permit Signature of Applicant Title: Agency: Date: Permit Number: Licensee Name: License Number: #1854 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. 111, 426 West Cedar Street PO Box 279, Shelton, WA 98584 www.co.mason.wa.us FIR20X Mason County Fireworks Permit Application 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: Johnathan Miller Mailing Address: 13507 79th Ave Court NW City: Gie Harbor State: yyA Zip: 98329 Phone #: 360.620.1732 Email: m'11Pd7'AAhntmai1 rnm Sponsor Information: Name: Boomtown Productions LLC Address: 13507 79th Ave Court NW City: Gig Harbor State: WA Zip: 9g329 Phone #: 360.620.1732 Email: Washington State Fireworks License Information (Copy Required): License Number: woPFi_-09027 Date of Issuance April 30,2020 ❑ Pyrotechnic Operator License VFireworks Stand License Bond or Certificate of Insurance (Copy of Certificate/Bond Required): Provider:Britton Gallagher Insured: Boomtown Productions, Mason County, Joe Solis Certified Holder: Boomtown Productions LLC Location of Stand/Display: Site Address: 22950 State Hwy 3 Belfair Directions to Site:Corner of NE State Route 3, Belfair NE, Roessel Rd, next to Belfair Elementary Parcel Number: (twelve digit number) 123325 - 25 - 000044 ia�3a-5o •000L44 Legal Property Owner Joe Solis, EFM Properties "Please see reverse side to complete your application" 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 Site Map 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 maintained. Signed Date 12/20/2020 MASON COUNTY (360)427-9670 Shelton ext.352 It 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 PO Box 279, Shelton, WA 98584 www.co.mason.wams STANDARDS FOR THE OPERATION OF RETAIL FIREWORKS STANDS SALES: WAC 212-17-21505 Retailers of fireworks—General provisions. • Fireworks may be sold from 12:00 noon to 11:00 p.m. on June 28 through 9:00 p.m. on July 5. Fireworks may not be sold between the hours of 11:00 p.m. and 9:00 a.m. from June 28 through July 3. Fireworks may not be sold from 12:00 midnight on July 4 through 9:00 a.m. on July 5. • Fireworks may be sold from 12:00 noon to 11:00 p.m. on each day from the 27th of December through the 31 st of December of each year. • Licensees shall familiarize all persons working in a retail fireworks stand with the provisions of these rules. • Failure to comply at any time with the provisions of this rule or any other applicable regulation shall constitute a violation of chapter 70.77 RCW and may result in the temporary suspension or immediate revocation of the license or permit, closure of the fireworks sales or storage structure, the seizure and/or forfeiture of some or all of the fireworks, and other criminal penalties as specified by law. APPROVED FIREWORKS: • Only Division I AG consumer fireworks obtained from state-licensed wholesalers, not otherwise prohibited by chapter 70.77 RCW or local ordinance, and holiday related products incidental but related to these products, may be sold in retail fireworks stands. 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 one hundred fifty 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 a 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 one hundred feet apart or shall be separated by a road, street or highway not less than thirty feet in width. (4) Retail fireworks stands shall be located as required by Table 212-17-21509 in this section. 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. Retail Fireworks Stands- Minimum Clearances MOTOR MOTOR VEHICLE VEHICLE TRAFFIC TRAFFIC Combustibl Property Parkin PUBLIC PRIVATE Buildings es Line g ROAD* ROAD* BACK OF STAND 20 FT. 20 FT. 5 FT. 20 20 FT. 5 FT. FT. SIDE OF STAND 20 FT. 20 FT. 5 FT. 20 20 FT. 5 FT. FT. FRONT OF STAND 40 FT, 40 FT. 20 FT. 20 20 FT. 20 FT. FT. 20 FT.** 20 FT.** NOTE Clearance distances are not cumulative "Measured from the outer edge of the nearest traffic lane. "If stand is equipped with 135 fusible links which will automatically close all sales doors in case of fire,or is equipped with a wire-mesh screen with openings of not more than one inch which covers not less than 90%of all sales openings. (5) Retail fireworks stands shall not be located closer than one hundred feet from any motor vehicle dispensing station, retail propane dispensing station, flammable liquid storage, or combustible liquid storage. Retail fireworks stands shall not be located closer than three hundred feet from any bulk storage of flammable or combustible liquid or gas, including bulk plant dispensing areas. EXCEPTION: 1.Fuel for generators as allowed by WAC 212-17-21513(4), 2.Fuel within the tanks of motor vehicles. SURROUNDING AREA AROUND FIREWORKS STANDS: WAC 212-17-21511 Retailers of fireworks-Area around the retail firework stand. (1)The minimum areas around the retail fireworks stand specified in WAC 212-17-21509 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 may be parked within twenty feet of a retail fireworks stand except when delivering, loading or unloading fireworks. (3) Fireworks shall not be discharged within one hundred feet of a retail fireworks stand. Signs reading "NO FIREWORKS DISCHARGE WITHIN 100 FEET" in letters at least two inches high, with a 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 two inches high, with principal stroke of not less than one-half inch, on a contrasting background, shall be conspicuously posted on all four sides of the stand. ELECTRICAL SUPPLY & 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 from wood, metal, fiberglass or other material. Any temporary fireworks retail stand greater than four hundred square feet shall meet the requirements of a permanent structure, except tents or canopies as defined in the International Fire Code retail stand greater than four hundred 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 a 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 and electrical 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 (i.e., 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 permit fees. (6) Retail sales of fireworks and other products which are holiday related shall be from buildings used for no other purpose. STORAGE ASSOCIATED WITH RETAIL FIREWORKS: WAC 212-17-21517 Retailers of fireworks—Temporary fireworks storage associated with the retail fireworks stand operation. (1)Temporary fireworks storage is not permanent fireworks storage. Temporary fireworks storage is defined as storage associated with retail fireworks sales and may only be from June 13 through July 31 and from December 12 through January 10 of the following year. Permanent fireworks storage is associated with retail or wholesale fireworks activities 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 International Fire Code and the and 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 located. (3)A temporary fireworks storage facility 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 legal 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 twenty 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 twenty 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 Type 4 as prescribed by the International Fire Code, and which is not less than ten feet from an inhabited building where the term "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 jurisdiction may reduce the minimum separation requirements of this section provided that safety of life and property is not diminished. (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 charge for all such inspections. WAC 212-17-21519 Retailers of fireworks—Cleanup. (1)At the end of the legal selling period, all fireworks must remain in the retail fireworks stand, temporary storage location authorized by the retail permit or another location approved by the local authority having jurisdiction or his or her designee until returned to the suppliers from which they were obtained, or until transferred to an approved location. (2)Cities and counties may require a clean-up bond, not to exceed five hundred dollars, as a condition of the permit, to ensure the removal of all structures and debris from the site. (3) In order to obtain return of a clean-up bond, cleanup of debris associated with the retail fireworks activity and the removal of all temporary structures authorized by the license and permit shall be completed no later than 11:59 p.m., July 15 for the Fourth of July selling period or no later than 11:59 p.m., January 10 for the New Year's selling season. (4) Failure of the licensee to comply with subsection (3) of this section shall constitute forfeiture of the clean-up bond and the licensee shall be liable for any clean-up costs incurred by the city or county which exceed the amount of the bond. ZY Office of the State Fire Marshal tgl.e�0 : CONSUMER FIREWORKS RETAIL SALES (CFRS) FACILITY LICENSE Stand Number: SN-13492 NiNA1.'e Licensee Data Operational Data Boomtown Productions, LLC Wholesaler: [MULTIPLE SUPPLIERS] 15156 Northwest Hite Center Road County of Operation: Mason Seabeck, WA 98380 Operated For: Licensee License Number: WSPFL-02027 Stand Operated By: Johnathan Miller Phone Number:(360) 620-1732 Date of Issue:April 30, 2020 Date of Expiration:January 31, 2021 Consumer Fireworks Retailer Licenses issued after May are ONLY valid for New Years Sales This license is NOT valid without a permit from a local fire code official/authority having jurisdiction This license allows for operation of a single location/stand for retail sales to the public of state legal consumer fireworks purchased only from a licensed fireworks wholesaler. SURRENDER THIS PORTION OF THE LICENSE TO THE FIREWORKS WHOLESALER 3000420-041(10/18) -------------- ��NaTON��rt Washington State Patrol Fire Protection Bureau G2095p Office of the State Fire Marshal 15 CONSUMER FIREWORKS RETAIL SALES (CFRS) FACILITY LICENSE ��Fv+ RNAIM �� Stand Number: SN-13492 Licensee Data Operational Data Boomtown Productions, LLC Wholesaler: [MULTIPLE SUPPLIERS] 15156 Northwest Hite Center Road County of Operation:Mason Seabeck, WA 98380 Operated For:Licensee License Number: WSPFL-02027 Stand Operated By:Johnathan Miller Phone Number:(360) 620-1732 Date of Issue:April 30, 2020 Date of Expiration:January 31, 2021 Consumer Fireworks Retailer Licenses issued after May are ONLY valid for New Years Sales This license is NOT valid without a permit from a local fire code official/authority having jurisdiction. This license allows for operation of a single locationlstand fo retail sales to the public of state legal consumer fireworks purchased only from a licensed fireworks wholesaler. THIS LICENSE PORTION ACCOMPANIES YOUR LOCAL PERMIT APPLICATION 3000-420-041(10118) _. —--- _ +►�"""°i°"`r�r Washington State Patrol Fire Protection Bureau Office of the State Fire Marshal G20950 3''' CONSUMER FIREWORKS RETAIL SALES (CFRS) FACILITY LICENSE g�4RJNA6' p1� Stand Number: SN-13492 Licensee Data Operational Data Boomtown Productions, LLC Wholesaler: [MULTIPLE SUPPLIERS] 15156 Northwest Hite Center Road County of Operation: Mason Seabeck, WA 98380 Operated For: Licensee License Number: WSPFL-02027 Stand Operated By: Johnathan Miller Phone Number:(360) 620-1732 Date of Issue:April 30, 2020 Date of Expiration:January 31, 2021 Consumer Fireworks Retailer Licenses issued after May are ONLY valid for New Years Sales This license is NOT valid without a permit from a local fire code official/authority having jurisdiction. This license allows for operation of a single location/stand fc retail sales to the public of state legal consumer fireworks purchased only from a licensed fireworks wholesaler. 3000-420-041(10n8) THIS PORTION OF THE LICENSE MUST BE POSTED AT THE STAND AT ALL TIMES AoC"R" 5/20/2 CERTIFICATE OF LIABILITY INSURANCE DATDYYVY) /20/2020 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 CONTACT NAME: Britton Gallagher PHONE FAX One Cleveland Center, Floor 30 C. •216-658-7100 arc Not:216-658-7101 1375 East 9th Street ADDRESS: Cleveland OH 44114 INSURERS AFFORDING COVERAGE NAIC p _ _ INSURER A:Everest Indemnity Insurance Co. 10851 INSURED 2567 INSURER B:Arch Speciality Ins CO 21199 Jake's Fireworks Inc. 1500 E 27th Terr, INSURER C: Pittsburg KS 66762 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:463505852 REVISION NUMBER: 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 INSR SUER POLICY NUMBER MM/DDY� MMIDD/YYYY EXP LIMITS LTR A GENERAL LIABILITY S18ML01699-201 2/15/2020 2/15/2021 EACH OCCURRENCE $1,000,000DAMAGE TO RENTE X COMMERCIAL GENERAL LIABILITY PREMISE Ea occurrence $500,000 CLAIMS-MADE a OCCUR MED EXP(Any one person) $ _ PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2.000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 17 POLICY 7 PRO- X LOC I $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) S ALL OWNED I SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE S HIRED AUTOS AUTOS (Per a enl S B UMBRELLA LIAB X OCCUR UXPI037038-00 2/1512020 2/15#2021 EACH OCCURRENCE $4,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $4,000,000 DED RETENTIONS $ WORHERS COMPENSATION WC STATU- OTH- ANDEMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE❑ NIA E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ If yes.descnbe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT E DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) Additional Insured extension of coverage is provided by above referenced General Liability policy where required by written agreement. Sales Location:22950 NE State Route 3,Belfair,WA 98528 Land Owner:Joe Solis 22950 NE State Route 3,Belfair,WA,98528 Additional Insureds:Boomtown Productions LLC, Mason County,Joe Solis,22950 NE State Route 3,Belfair,WA 98528 Term:February 15,2020 through February 14,2021 The Certificate Holder and the above listed are Additional Insureds with the respects to General Liability policy as required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Boomtown Productions, LLC, DBA Boomtown Fireworks ACCORDANCE WITH THE POLICY PROVISIONS. Johnathan Miller 15156 NW Hite Center Rd Seabeck WA 98380 AUTHORIZED REPRESENTATIVE United States ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD II _J l r FIREWORKS STAND SITE PLAN SITE DIAGRAM DATE UPDATED: 5/22/2020 LOCATION NAME: Belfair Stand PARCEL NUMBER: 123325000044 ORDINANCE OF: Boomtown Productions SITE ADDRESS: 22950 NE State Route 3 STRUCTURE TYPE: Wood CITY&STATE: Belfair,WA STUCTURE SIZE: 32 x 8 CROSS STREETS: State Route 3 & NE Roessal Rd STRUCTURE FACES: West L X QT r zr- �yjJy „ w'' yy Yt 1 1 FIREWORKS LICENSE AGREEMENT This agreement is made bemeeen Joe Solis. as licensor and Boomtown Productions, LLC as licensee for the said purpose of allowing retail sales of Consumer Fireworks from the following location: 22950 NE STATE ROUTE 3 BELFAIR Parcel tax 1D#123325000044 The licensor represents that it owns,or controls the use of the lot as listed above and agrees to grant licensee the right to operate a retail firework stand on the premises for the period ol'Dcc 18,2020 through Jan 6,2020 for a license fee of$750.00 due no later than Jan. 51", 2020. The licensee shall pay all cost involved in the erection, operation and maintenance of the stand, and shall guarantee that the premises shall be returned to the original condition after removal of the stand. The licensee will provide liability insurance coverage and provide to the licensor, before occupancy. The insurance shall name the licensor as an additional insured,and licensee will hold the licensor harmless from any claims arising From the maintenance or operation of the structure. The licensee shall pay for and obtain licenses and permits required by law and post any performance bonds which might be required. The licensee shall guarantee that the stand is operated in a business like manner and adhere to all local state regulations. 1 f the property is sold. ingresslegress changed, or location impacted due to construction or the like,then this license is subject to revocation and refund of any payments made. LICENSOR: LICENSEE: 11/29/2020 Joe Solis -Owner Boomtown Productions, LLC Phone: 360.4404873 Phone: 360.830.0114 I �