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20140148 Permit Pkg 05092014 . f'�o� TH�p,��' City of Yelm Permit No.: 20140148 � � 7� Community Development Department Issue Date: 5/09/2014 d � (Work must be completed within 180 days) Building Division Phone: (360)458-8407 YELM Fax: (360)458-3144 Applicant: Name: CARLA HAMRICK Phone: 253-431-1671 Address: 5207 187TH ST E TACOMA WA 98446 Property Information: Site Address: 906 YELM AVE E B Owner: YELM PLAZA LLC Assessor Parcel No.: 227330110204 Subdivision: N/A Lot: N/A Contractor Information: Name: CARLA HAMRICK Phone: Address: CARLA HAMRICK 5207 187TH ST E TACOMA WA 98446 Contractor License No.: Expires: 0/00/0000 Project Information: Project: FIRE WORKS Description of Work: Sq. Ft. per floor: First Heat Type(Electric,Gas, Other): Second Third Garage Basement Fees: Item Contractor Fees FIRE CARLA HAMRICK $ 30.00 TOTAL FEES: $ 30.00 ApplicanYs Affidavit: OFFICIAL USE ONLY I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of #Sets of Prints: Yelm regulations including those governing zoning and land subdivision,and in addition,all covenants, easements and restrictions of record. If applying as a contractor,I further certify that I am currently Final Inspection: registered in the Stat ashington. Date: Signature Date / '� ' I By: Firm Cit� of V�lm (36 ) 458-8402 REC#: OU160293 5/09/2014 8:28 AM OPER: CO T�RM: 001 REF#: TRpN: 33.U000 BUILDING PERMITS 20140148 30.00CR HAMRICK, CARLA 906 YELM AVE E B FIRE 30.00CR TENDERED: 30�00 CASN APPLIED: 30.Q0- CHANGE; � 0.00 a�/ 0/�/8 � CITY OF YEL.M COMMERCIAL BUILDING PERMIT APPLICATION FORM Project Address:906 Yeim Ave East Parcel#:22�30�to2o4 Zoning; Comercail Current Use:Grocery Store/Retail pfoposed USe:Consumer Fireworks ❑ New Construction ❑ Re-Model/Re-Roof/Tenant Improvement ❑ Plumbing CJ Mechanical � Fire Prevent/Suppress/Alarm ❑� Other Project Description/Scope of Work:Retail sales of 1.4 G Consumer Fireworks Ciass C Project Value: NA Building Area(sq.ft) Parking Garage NA 15`Floor�600' 2"d FIoOr�a 3`�Floorna Building Height na Are there any environmentally sensitive areas located on the parcel? n� If yes, a compieted environmental checklist must accompany permit application. BUILDING OWNER/TENANT NAME:ve�m P�aza��c�creat wa��Propertise�nc. ADDRESS �s2ao Eascvaney Hwy. EMAIL NA CITY Kent STATEwA ZIP sso32 TELEPHONE 1d25-982-0049 ARCHITECT/ENGINEER NA UCENSE# ADDRESS EMAIL CITY STATE ZIP TELEPHONE GENERAL CONTRACTOR NA TE�EPHONE ADDRESS EMAIL CITY STATE ZIP FAX CONTRACTOR'S LICENSE# EXP DATE_CITY WCENSE# PLUMBING CONTRACTOR NA TELEPHONE ADDRESS EMAIL CITY STATE ZIP FAX CONTRACTOR'S �ICENSE# EXP DATE_CITY LICENSE# MECHANICAL CONTRACTOR NA TELEPHONE ADDRESS EMAIL , CITY STATE ZIP FAX CONTRACTOR'S LICENSE# EXP DATE_CITY LICENSE# Copy of City Mitigation documentation(TFC). I hereby certify that the above Information is correct and that the construction on,and the occupancy and the use of the above de ribed property will be in accord e with the laws,rules and regulations of the State of Washington and the City o elm. � 1/16/2014 Applica ' ' at r Date Owner I Contractor 1 Owner's Agent/Contractor's Agent!Tenant (Please circle one.) All permits are non-transferable and will expire if work author'¢ed by such permit is not begun within 180 days of issuance,or if work is suspended or abandoned for a period of 180 days I05 Yel»�Aventie West (360)455-3835 PO Box 479 (360)458-3144 FAX Ye►m,WA 98597 wwcu.cd.yelm.wa.us j � � S �r�yoly � January 15, 2014 Attention Gary. City of Yelm 105 Yelm Avenue West Yelm WA 98597 RE: FIREWORKS PERMIT— 1.4G CONSUMER FIREWORKS Dear Gary, Please find enclosed a packet submitted to you for the purpose of a Class "C" Fireworks tent for the 2014-selling period of June 28, 2014 thru July 4, 2014 and December 30cn thru January 1, 2015 The information provided in this packet is for a fireworks stand located at: yU6�iigie;�I�rive 11%ort%z west ��elm ��S'ff yaSy7(yiio t'e[�ye fivE�c�st. Parcel#22730110204 Please confirm receipt of this application by fax, mail, or email at your earliest convenience. Once accepted, please direct all permits and or other pertinent information to Thunder Fireworks, attention James Bland. If any more infarmation is required please let me know. You can contact me via email, or phone at 253-875-0700 or james(c�thunderfireworks.com. Sincerely, /�.—� /� James Bland Thunder Fireworks �C�IVED Ma� 2 6 2a�a BY: 5207 - 187th Street E., Tacoma, WA 98446 • Phone (253) 875-0700 • Fax - � � January 16, 2014 Attention Bob. City of Yelm PO Box 479 Yelm WA 98597 RE: TEMPORARY USE DESCRIPTION Dear Bob: We are requesting temporary use of the parking lot at 906 Algiers Drive North West Yelm WA 98597. (906 Yelm Ave East. Parcel # 22730110204. We will be setting up a 40' X 40' tent for the use of class C 1.4G Consumer Fireworks sales during June 28, 2014 until July 4, 2014. The fireworks tent will be open to the public starting June 2gtn upon inspection. Operating hours from June 29th to July 4t" will be from 9:00 am to 11:00 pm. We will be setting up a 10 x 40 Trailer for the New Years sales season December 28tn. 2014 thru January 1, 2014. There will be electrical usage, such as; cash registers, credit card machines, overhead lighting. All appliances will be plugged into an outside generator using approved extension cords. There will be a minimum of two people on site 24 hours a day. There will be approximately 4 employees. If you have any questions or need any more information please call me at 888-900-7799. Thank you for you time. Sincerely, / James Bland Thunder Fireworks 253-875-0700 j ames@thunderfireworks.com 5207 - 187th Street E., Tacoma, WA 98446 • Phone (253) 875-0700 • Fax (253} 875-0550 APPLICATION FOR RETAIL FIREWORKS STAND PERMIT TO: Gaveming body of city, town,or county in which DATE OF 1/16/14 fireworks stand will be located. APPLICATION. ---- ----- �pplicant Nxme: Address,Citv,State: Carla Hitchner PO Box 298 Mckenna WA 98558 Sponsor(If other than auplicant): Address,City,State: Same as above Same as above Location of proposed fire�vorks stand: (Enclose drawing of stand location] 906 Algyers Dri��e NE. Yelm WA 98597 (906 Yelm Ave East) Manner and place of stora�e prior, during, and after sales dates: In Stand With Security State Licensed Fireworks Supplier: Thunder Fireworks ------------------------------------------------------------------- FI�:EW�I�:KS STAND PER.MIT For The Fireworks Sales Year Of:2014 (Must be conspicuously displayed at all times while the stand is open to the public) By viriue of having been granted a license by the State of Washington and this permit from The City of Yelm as the local governing authority,the named person,firm or organization is hereby authorized to sell U.N. 0336 1.4G Consumer fireworks at the location designated herein between the following date and times: Sales For July 4t'' Sales For December 31St From: Noon June 28th 2014 From: To: 11:00 PM July 4th 2014 To: sponsor: Same as above Location:90 rs Drive NE. Yelm WA 98597 9 Yelm Ave East / /s/ ' Sib ature of Official Granting Permit Signa tre of App ican Title: � 1 Agency: �u�l �� (�' Date: Permit Number:_��2�� Licensee Name:Carla Hitchner License Nuxnber: 3000.42(1-011(Rzv.2/0S) �' n � �� w rn W � v � � � � y � ,�. � � � z � ° � �, � w � � � ^, � V � � W � 3 0 � `� �y° m�' � � C� � � � � � � z � � � � � � �� o � � � ' � H ��,. o � � �., � ._ � � w �n � �d, , v � O � C C� - O a�.+ V] � �� N.;' � � � C �. V i �c.r."N ' Y O � y V� � a.V-. ��'n M ��'Er:., p �y • .,+ � �rr Q� � � � � L�i J.' O W ``�,+""�M .� . . O :� �3 �c � p.F 3 c��,a�i o � :A �, :; � � �� > 3wo a��.3�::�� - ~ _ � r � �' �� G a L _ `'� o �q � c ,c �,�, L � � � w z L ��- � � � z az � k � � � , � Q � � �zwo(1 � �' � _ � �-� °� � t . � � a� ca� c � uv � , O z avav�Aa .ti � � � � ,U � c I '� ^� 0 I� �' N � �~ M ��.. `� � � � � N y O � � � '"'a A '� � a w � C/� y � � � U � � � ' �I � •� �V � r-1 � � i�. N �� .., � '� � �" °' � .� � z w M q w � o � � ii O U y�„ a ��r OI� � � � �� ' 61 -/� 1/ V � �, o a � � � a A � � � � W .a � � � '~ � �s O y ca C V 'r�a 'J O `? � � � � � �aE � � � � O �� w � � x � � � � � w � --� M � ° 0 � O �� O � � U �F-'� C/'1 `�Q � W 0�0 O C� i+ i+ v_ ° ry �" ..� C� � � o� �•I � y � � v�i � C� ,� p x �y � � r•Ll � f.�J.' � � i�,,, a � U � � o � y r-.� � � �, C� � Z p -t !� r�n � 00 c� i..l i,�,, � � a o0 h� U ,� O p � O � � � � .. � � V p" e� a � � H � � FIREWORKS TEI�iT LEASE AGREEMENT THIS LEASE AGR.EEMENT("Lease Agre�ment"),made this 9th day of 9eptember 2013 between Yelm Plaza LLC.A Washiilgton corporati�n hereinafter deszgnated the "Land Owner"and THUNDER FIR.EWORKS,hereinafter designated the"Lessee." WITN&SSES:Tl�at the�aid Land Owner does by these presents lease to Lessee the following: 1.PREMISES: 906 Algiers Drive North West,(906 Yelm Ave East) As per the diab am marked Exi�ibzt"A". 2,T.ERM: June 15,2414 to July 15,2014 i � i � I � S.SUBI;ET: Lessee sha11 not assign this.Lease Agreement ox any part hereor waznuu� the prior�vritten consent of Laad Owner. 6.LESSEE'S OBLIGATIONS:Lessee sllall: (a) Asswne full liability for any at�d all�laims,damages or causes of action arising durin�ttie tenn of t3iis Lease Agreeinent caused by Lessee, it's agents,contractors,sub-contractors,guests and invitees,and hold Land Owner harmless there from. (b) Provi.de Land Owner with evidence of liability insurance effective for the Term in an an�our�t of not l.ess the two million doliars ($2,Q00,00�.00)�vith a rider listing Land Owner as an additiotial insured. Lessee witt prayide documentation to Land Owner sl�owing the insurance eoverage is active prior to the commencement of aay use of the Premises for the texm of the Lease. (c) Praperly dispase of all rubbish,garbage and waste generated by Lessee, its agents,cantraotors,sub-cantractars,guests and invitees,in a clean and sanitary manner. (d) Not res#rict the flow o�traffic(pedestrian/vehicular}. (e) Comply witl�any and all la�vs,ruies,regulations and requirements imposed upon it by any bovecnmental agency governing Yhe Lessee's proposed use of t�e Premises and post any reyuired performance bonds with the local gavernment.. Any permits or iicenses required of the LEASE AGREEMENT—PAGE 1 � ,� . . � , ; undersigned Lessee shall be obtained by the Lessee prior to the commencement of the Term af this agreement. (fl Not intentionally or negligently destroy,deface,damage,impair or Remove any part of the Premises,nor to permit any of it's agents, contractors,sub-contractors,guests and invitees ar other persons acting under its cantrol to do so. (g) Suffer no lien to arise or be files by any taxing authority or by any contractor,sub-contractor,or supplier or labar or materials used be Lessee or any other third party on the Premises;and,in the event any such lien or claim of lien is filed,cause the same ta 6e satisfied or discharged in full witliin thirty(30)days follo�ving the�ling thereo� 7.USE: Licensee will use the Premises to conduct retail sales of approved"l.4G" or commanly knawn as Class"C"and/or Consumer Firetivorks along with those activities attez�dant to that iiltended use. Lessee may place temporary striping or cones and a tent as necessary and erect appropriate signage and will reroove the same at the end of the term. Lessee shall Yzot use the Premises for any illegal purpose. Lessee a�ees ta conform to all state,county and municipal codes,statutes,ordinances and regulations concarning the use and occupatiqn ofthe Prexnises and to obtain the prior receipt of approval of authorities of competent jurisdiction far its intended use of the Premises with copies thereaf ta Land Owner. If the Lessee is unable to procure the necessary firework permits from the State of Washin�ton and the City ofYelm to operate a �reworks tent on the above mentioned Premises then this Lease Agreement s}�all be nu(!and void. , 8.ALTERATIONS: Lessee agrees not to make alteratians to the Preynises�vith the prior written consent of the Land Owner. 9. SURRENDER: At the expiration of said term of this Lease Agreement Thunder Fireworks,tne will surrender the Premises to Land Orvner in a canditian equivalent to or better that when first made available to Licensee. 10.ACCESS: Lessee will liave unlimited access to the Premises durin�the term of the Lease at the entrance/exit shown on the attached ExhiGit A. 11.TAXES: Land Owner shall be solely responsible for any taxes on the real properly. Lessee shall be salefy responsible for any t�es on its personal property andlor the conduct of its activities. 12.COSTS,ATTdRNEY'S FEES AND VENUE: If,by reason af any c�efault or breach an the part of either parly in the performance of any of the provisions of this agreement,enforcement af any term of tliis Lease is sou�ht,whether or not legal action is instituted, the lasin�party agrees to pay ail��easonable costs and attorney's fees af the prevailing party in connection therewitli. In the event any claim for _, LEASE AGREEMENT—PAGE 2 .r`�" � �,. _ personal injury,death,property damage,or other alleged liabiliry is asserted against Land Owner,Lessee agrees to defend and hold Land Owner harmless of any such claim,including attorney's fees and tegal costs. It is agreed that the venue of any legal action brought under the terms of this agreement shali be Pierce County,State of Washingtan. 13.NOTiCES: (a)Notices to Land Owner shall be delivered,personally or by certified mail,postage prepaid,addressed to Land Owner at: Ye3m Plaza LLC. 18230 East Valiey Hwy. Suite t08 I�ent WA 98032 (b) Notices to Licensees shall be dslivered,personally or by certified mail,postage prepaid,addressed to Li�ensees at: Thunder Fireworks 5207 187`i'Street E. Tacoma,WA 98446 P:253.875.0704 F: 253.875.OS50 14.EXECUTION: This instrument is signed in multiple identical copies,any one ofwhici� wil(suffica for iegal purposes as an ori;inal. IN SIGNING THIS INSTUME�+iT EACH PARTY ACKNOWLEDGES AND REPRESENTS TO THE QTHEI�t SIGNERS: (a) That the person signing has read the instrument in its entirety. (b) That the person signing this document has authority to do so and to bind his/her principal, understands that this instrument constitutes and iznportant and binding legal contract,which fixes az�d determines certain legal and obligations aFthe persons signing it. (c) That no provision of this document can be changed by reference to any oral representations or agreements. IN WTTNESS WH�R.EOF,the Lessee and Land Owner have each hereunto si;ned this instrument in duplicate the day and year first above tivritten. LAND OWNER: LESSEE: Yelm Propertise LLC. , _ Thunder Firewoks. r � �,, �'`" ,,-�` ..� � � ,-t'y '�,z,.y�� "-�� ._-,.. By: James W.Biand Leasing Agent By: �t. �.,, 1 r LEASE AGREEMLNT—PAGE 3 ACORU� �ii/isiz is� �. CERTIFICATE OF LIABILITY INSURANCE 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 1-425-454-3386 NAMEACT Joanne MaIIiOn Arthur J. Gallagher Riak Management Services, Inc. PHONE g25-454-3386 q/C No: 425-451-3716 AIC No Ext: E-MAII P.O. BOx 367 ADDRESS: Bellevue, WA 98009-0367 INSURERS AFFORDINGCOVERAGE NAIC# INSURERA: T.H.E. IIISlli'3IIC2 COiRPdny INSURED INSURER B: Thunder Eireworks, Inc. INSURER C: 5207 187th Street E. INSURERD: INSURER E: Tacoma, WA 98446 INSURER F: COVERAGES CERTIFICATE NUMBER: 369�1290 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. ADDL SUBR POLICY EFF POLICY EXP �LTR TYPE OF INSURANCE POLICY NUMBER MMIDDIYYYY MMIDD/YYYY LIMITS A GENERALLIABILITY CPP010389800 11/15/1 11/15/14 EACHOCCURRENCE $ 1,000,000 X DAMAGETORENTED 100,000 COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ CLAIMS-MADE �OCCUR MED EXP(Any one person) $ PERSONAL 8 ADV INJURY $ 1,000,000 GENERALAGGREGATE $ 2.000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2.000,000 POLICY PR� X LOC $ AUTOMOBILE LIABILITY . Ea aBC tleD SINGLE LIMIT ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS NON OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident $ p UMBRELLALIAB X pCCUR ELP001151000 11/15/1 11/15/14 EACHOCCURRENCE $ 9,000,000 g EXCESS LIAB CLAIMS-MADE AGGREGATE $ 9,000,000 DED RETENTION$N/A $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY TORY LIMITS ER YIN ANY PROPRIETOR/PARTNER/EXECUTIVE❑ N�A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Atlach ACORD 101,Additional Remarks Schedule,if more space is required) Location: 906 Algiers Drive NW, Yelm, WA 98597 The City of Yelm and all its employees and Yelm Plaza and all its employees are included as additional insureds but only as respects the operation of the named inaured per policy form CG133F 07/95. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Yelm THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. P. 0. Box 479 AUTHORIZEDREPRESENTATIVE Yelm, WA 98597 � � USA � O 1988-2010 ACORD CORPORATION. All rights reserved. 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