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20170155 Permit Pkg 03282017APPLICATION FOR RETAIL FIREWORKS STAND PERMIT TO: Governing body of city, town, or county in which fireworks stand will be located. DATE OF APPLICATION: Applicant Name: Carla Hitchner Address, City, State: PO Box 298, Mckenna WA 98558 Sponsor (If other than applicant): Address, City, State: Location of proposed fireworks stand: [Enclose drawing of stand location] 906 Algyers Drive NE. Yelm WA 98597 (906 Yelm Ave East) Manner and place of storage prior, during, and after sales dates: In Stand With Security State Licensed Fireworks Supplier: Thunder Fireworks, Inc. FIREWORKS STAND PERMIT For The Fireworks Sales Year Of.- 2017 (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 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 4th From: Noon June 28, 2017 From: To: 11:00 PM July 4, 2017 To: Sponsor: Sales For December 31St Drive NE. Yelm WA 98597 Signature fif OffiLhal Granting Permit Title hn.Jl., �'r 1 �D Date: "�->L-OWI—q Permit Number: / Licensee Name: Carla Hitchner License Number: 1:1 " 0 Z (V�Y /s/ Agency: Yelm Ave East 3000- 420 -013 (Rev. 2/05) ��eM \NG70N S,4r F 'FF *4$SHAVS 0 Washington State Patrol Fire Protection Bureau Office of the State Fire Marshal CONSUMER FIREWORKS RETAIL SALES (CFRS) FACILITY LIC Licensee Data Thunder Fireworks, Inc. 5207 187th Street East Tacoma, WA 98446 License Number: WSPFL -00247 Phone Number. (253) 875 -0700 Stand Number Operational Data Wholesaler: Thunder` County of Operation: Thurston Operates For: Carla Hitchner Stand Operated By: Carla Hitchner Date of Issue-January 30, 2017 Date of Expiration: January 31, 2018 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 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 ..'aw—wigii ­ ' -'a Applicant: City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458 -3144 Permit No.: 20170155 Issue Date: 3/28/2017 (Work must be completed within 180 days) Name: THUNDER FIREWORKS Phone Address: 5207 - 187TH STREET EAST TACOMA WA 98446 Property Information: Site Address: 906 YELM AVE E B Owner: YELM PLAZA LLC Assessor Parcel No.: 227330110204 Subdivision: N/A Contractor Information: Name: THUNDER FIREWORKS Phone: Address: JAMES BLAND 5207 - 187TH STREET EAST TACOMA WA 98446 Contractor License No.: Expires: 0 /00 /0000 Project Information: Project: FIRE WORKS Description of Work: RETAIL SALES OF 1.4 G CONSUMER FIREWORKS CLASS C Sq. Ft. per floor: First Heat Type (Electric, Gas, Other): Second Third Garage Basement 253 - 875 -0700 Fees: Item FIRE Contractor THUNDER FIREWORKS TOTAL FEES: Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be tr a and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm r gul ins in those governing zoning and land subdivision, and in addition, all covenants, easem nt a restrictions record. If a plying as a contractor, I further certify that I am currently registe d t Sate of shi Signatu a Date 3 d l"T Firm I, f'l�_ Ow �t. c I —TS V' Lot: N/A Fees $ 35.00 $ 35.00 OFFICIAL USE ONLY # Sets of Prints: Final Inspection: Date: By: Cite of Yolm (36 ) 458 -3244 RECA: 00263934 3/28/2017 OPER: CO TERM: 001 REFS': 4312 PAID BY: TRAN: 33.0000 20170155 THUNDER 906 YELM FIRE TENDERED: APPLIED: CHANGE: 4-:23 PM BUILDING PERMII'S 35.0(CR FIREWORKS AVE E B 35.O(CR 35.00 (HECK 35.00- WIN CITY OF YELM &)% l ci s COMMERCIAL BUILDING PERMIT APPLICATION FORM Project Address: 906 Yelm Ave East Zoning; Comercail Parcel #: 22730110204 Current Use: Grocery Store/ Retail Proposed Use: Consumer Fireworks ❑ New Construction ❑ Re -Model / Re -Roof / Tenant Improvement ❑ Plumbing ❑ Mechanical ❑ Fire Prevent /Suppress /Alarm ❑✓ Other Project Description /Scope of Work: Retail sales of 1.4 G Consumer Fireworks Class C Project Value: NA Building Area (sq. ft) Parking Garage N/A 1St Floor 1600' 2nd Floor N/A 3rd Floor N/A Building Height N/A Are there any environmentally sensitive areas located on the parcel? no If yes, a completed environmental checklist must accompany permit application. BUILDING OWNER/TENANT NAME: Yel n Plaza L.0 /Great wall Propertise Inc. ADDRESS 18230 East valley Hwy. EMAIL NA CITY Kent STATE WA ZIP 98032 TELEPHONE 1-425 -98e -0049 ARCHITECT /ENGINEER NA LICENSE # ADDRESS EMAIL CITY STATE ZIP TELEPHONE GENERAL CONTRACTOR NA TELEPHONE ADDRESS EMAIL CITY STATE ZIP FAX CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE # PLUMBING CONTRACTOR NA TELEPHONE ADDRESS EMAIL CITY STATE ZIP FAX CONTRACTOR'S LICENSE # 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 described property will be in accordance with the laws, rules and regulations of the State of Washington and the City of etm. AJ Appli s SignatureT Date Owner/ Contractor/ Owner's Agent/ Contractor's Agent/ Tenant (Please circle one.) All permits are non - transferable and will expire if work authorized by such permit is not begun within 180 days of issuance, or if work is suspended or abandoned for a per' �d f �ys� 105 Yelm Avenue West ( 4&_WJ_�� rr PO Box 479 (360) 458 -3144 FAX Yelm, WA 98597 www.ci.yelm.wa.us March 15, 2017 City of Yelm 105 Yelm Avenue West Yelm WA 98597 RE: FIREWORKS PERMIT —1AG CONSUMER FIREWORKS City of Yelm, Please see the enclosed application for the purpose of the retail sale of consumer fireworks. The sales are planned to co=..ence on June 28, 2017 — July 4, 2017, 2016. The structure will be in a 40x40 tent. The proposed selling site is located at 906 Algiers Drive NW,, Yelm, WA 98597 on 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, Inc. If any more information is required, please let me know. You can contact me via email, or phone at 253- 875 -0700 or brandy @thunderfireworks.com Sincerely, Brandy Bargelt Director of Operations 5207 187th Street East, Tacoma, Washington 98446 Phone 253.875.0700 • Toll Free 888.900.7799 • Fax 253.875.0550 • www.thunderfireworks.com ACOR" CERTIFIC) THIS CERTIFICATE IS ISSUED AS A MATTER O CERTIFICATE DOES NOT AFFIRMATIVELY OR BELOW. THIS CERTIFICATE OF INSURANCE I REPRESENTATIVE OR PRODUCER, AND THE CE IMPORTANT: If the certificate holder is an ADDITi the terms and conditions of the policy, certain po certificate holder in lieu of such endorsement(s). PRODUCER The Partners Group Ltd 11225 SE 6th St., Suite 110 Bellevue WA 98004 INSURED Thunder Fireworks, Inc. 5207 187th St East Tacoma WA 98446 COVERAGES CERTIFICATE I 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 R TYPE OF INSURANCE I NSR WVD POLICY NUMBER Y MM DD/YYYY MM /DDfYYYY LIMITS A GENERALLIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE IT] OCCUR X $21k Deductible Y CPP010389803 11/15/2016 11/15/2017 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $100,000 MED EXP (Any one person) $N /A PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $N /A GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO L PRODUCTS - COMP /OP AGG $2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS Ea accident BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ A X UMBRELLA LIAB ix EXCESS LIAB OCCUR CLAIMS -MADE ELP001150103 11/15/2016 11/15/2017 EACH OCCURRENCE $9,000,000 AGGREGATE $9,000,000 DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR /PARTNER/EXEC UTIVE OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A WC STATU- I OTH- TORY LIMITS E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT 1 $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) The following are Additional Insured on General Liability as their interest may appear as respects to operations performed by or on behalf of the Named Insured, as required by written contract: Location: 906 Algiers Drive NW, Yelm, WA 98597 The City of Yelm and all its employees and Yelm Plaza and all its employees CERTIFICATE HOLDER CANCELLATION City of Yelm SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P. O. Box 479 ACCORDANCE WITH THE POLICY PROVISIONS. Yelm WA 98597 AUTHORIZED REPRESENTATIVE © 1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD dq . � \ \�z� » ■ � � m 0 ~ . � . #A w U m Lt) 00 E � 41 E � 0 w w 41 w 0-1 N A X Co N CT CD 24" X 8' Table 24" X 8' Table 24" X 8' Table 24" X 8' Table 24" X 8' Table N 24" X 8' Table X cD 24" X 8' Table m U fD 24" X 8' Table 24" X 8' Table N A X 00 a 24" X 8' Table I 24" X 8' Table I 24" X 8' Table I CD N A X CD v s m N 4' A X 24" X 8' Table Co 24" X 8' Table a' ® 4' m n 24" X 8' Table 24" X 8' Table 4' O O 10' 24" X 8' Table 24" X 8' Table 4' X 00 a 24" X 8' Table I 24" X 8' Table I 24" X 8' Table I CD N A X CD v s m N A X Co m n 30 "x4' Table O O 10' R 40'x40' Tent A = Lighting D = Cem Fire Ext. C = Water Fire Ext. 24" Tables B = Exit Signs E = Cash Registers Certificate of Flame Resistance , c ISSUED BY �d No. Manufactured Date x3: ~ FA- 444.01 Tacoma Tent & Awning 6/22/2007 Tacoma, Washington PE P� (253) 627 -4128 This is to certify that the materials described below have been flame retardant treated (or are inherently nonflammable). For: ANNA'S PARTY RENTAL Address'i: 7710 Waller Rd. E. Address2: City. Tacoma State, Zip: WA 98443- Certification is hereby made that: (Check "a" or "b ") r (a) The articles described below have been treated with a flame - retardant chemical approved and registered by the State Fire Marshal and that the application of said chemical was done in conformance with the laws of the State of California and the Rules and Regulations of the State Fire Marshal. Name of Chemical Chem. Registered No. Method of Application W {li} The articles described below are made from a flame- resistant fabric or material registered and approved by the State Fire Marshal for such use. Trade name of flame- resistant fabric Ferrari 502 FA- 444.01 Registered No. The flame retardant process used will not be removed by washing. Tom Randles BY / Name of Production Superintendent Vice 1- 1,esiu5ia: Description: (2) 40' x 20' canopy hip ends: Ferrari 502 translucent white vinyl. Ferrari 502 is certified to meet NFPA -701 standards. Serial Numbers: 66507E 66607E FIREWORKS TENT )LEASE AGREEMENT THIS LEASE AGREEMENT ( "Lease Agreement "), made this l8th day of November 2015, between Yehn Plaza LLC, hereinafter designated the "Land Owner" and Thunder Fireworks, Inc., a Washington corporation, hereinafter designated the "Lessee." WITNESSES: That the said 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 diagram marked F,xlaibit "A ". 2. TERM: Tone 15 '4 to July 15`x` for the year of 2017 3, RENT: 4. SECURITY AND DAMAGE DEPOSIT: Waived. 5.SUBLET: Lessee shall not assign this Lease Agreement or any part hereof without (lie prior written consent of Land Owner. 6. LESSEE'S OBLIGATIONS: Lessee shall: (a) Assume frill liability for any and all claims, damages or causes of action arising during tlac term of this Lease Agreement caused by Lessee, it's agents, contractors, sub- contractors, guests an([ invitees, and hold Land Owner harmless there from. (b) Provide Land Owner with evidence of liability insurance effective for the Term in an amount of not less the ten million dollars ($ 10,000,000.00) with a rider listing Land Owner as an additional insured. Lessee will provide documentation to Land Owner showing the insurance coverage is active prior to the commencement of any use of the Premises for the term of the Lease. (c) Properly dispose of all rubbish, garbage and waste generated by Lessee, its agents, contractors, SUb- contractors, guests and invitees, in a clean and sanitary manner. (d) Not restrict (lie flow of traffic (pedestrian / vehicular). (e) Comply with any and all haws, rules, regulations and requirements imposed upon it by any governmental agency governing the Lessee's proposed use of the Premises and post any required perl'ormance bonds with the local government.. Any permits or licenses required of the LEAS; AGREEMENT —PAGE I undersigned Lessee shall be obtained by the Lessee prior to the commencement of the Term of this agreement. (f) 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 or other persons acting under its control 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 labor 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 to be satisfied or discharged in frill within thirty (30) days following the filing thereof. 7. USE: Licensee will use the Premises to conduct retail sales of approved "I AG" or commonly known as Class "C" and/or Consumer Fireworks along with those activities attendant to that intended use. Lessee may place temporary striping or cones and a tent as necessary and erect appropriate signage and will remove the same at the end of the term. Lessee shall not use the Premises for any illegal purpose. Lessee agrees to conform to all state, county and municipal codes, statutes, ordinances and regulations concerning the use and occupation of the Premises and to obtain the prior receipt of approval of authorities of competent jurisdiction for its intended use of the Premises with copies thereof to Land Owner. If the Lessee is unable to procure the necessary firework permits from the State of Washington, Thurston County or the City of Yelm to operate a fireworks tent on the above mentioned Premises then this Lease Agreement shall be null and void. 8. ALTERATIONS: Licensee accepts the Premises in its present conditions, "AS IS, WHERE IS, and with ALL FAULTS." Lessee agrees not to make alterations to the Premises without the prior written consent of the Land Owner. 9. SURRENDER: At the expiration of said term of this Lease Agreement Lessee will surrender the Premises to Land Owner in a condition equivalent to or better that when first made available to Licensee. Reasonable wear and tear acceptable. 10. ACCESS: Lessee will have unlimited access to the Premises during the term of the Lease at the entrance / exit shown on the attached Exhibit A. 11. TAXES: Land Owner shall be solely responsible for any taxes on the real property. Lessee shall be solely responsible for any taxes on its personal property and/or the conduct of its activities. 12. COSTS, ATTORNEY'S FEES AND VENUE: If, by reason of any default or breach on the part of either party in the performance of any of the provisions of this agreement, enforcement of any term of this Lease is sought, whether or not legal action is instituted, the losing party agrees to pay all reasonable costs and attorney's fees of LEASE AGREEMENT — PAGE 2 the prevailing party in connection therewith. In the event any claim for personal injury, death, property damage, or other alleged liability is asserted against Land Owner arising from Lessee use of Premises during the Term of this Agreement. Lessee agrees to defend and hold Land Owner harmless of any such claim, including attorney's fees and legal costs. It is agreed that the venue of any legal action brought under the terms of this agreement shall be Pierce County, State of Washington. 13. NOTICES: (a) Notices to Land Owner shall be delivered, personally or by certified mail, postage prepaid, addressed to Land Owner at: Yelm Plaza LLC 18230 East Valley Hwy Suite 108 Kent WA 98032 (b) Notices to Licensees shall be delivered, personally or by certified mail, postage prepaid, addressed to Licensees at: Thunder Fireworks, Inc 5207 187''' Street E. Tacoma, Washington 98446 Phone: 253.875.0700 14. EXECUTION: This instrument is signed in multiple identical copies, any one of which will suffice for legal purposes as an original. IN SIGNING THIS INSTUMENT EACH PARTY ACKNOWLEDGES AND REPRESENTS TO THE OTHER 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 important and binding legal contract, which fixes and determines certain legal and obligations of the persons signing it. (c) That no provision of this document can be changes by reference to any oral representations or agreements. IN WITNESS WHEREOF, the Lessee and Land Owner have each hereunto signed this instrument in duplicate the day and year first above written. LAND OWNER;, LESSEE: THUNDER FIREWORKS, INC By: By: James Bland By: Witness LEASE AGREEMENT — PAGE 3