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HomeMy WebLinkAboutR-2007-107 Eagle Fireworks Permit Application (Yakima County Stadium / Yakima Bears)RESOLUTION NO. R-2007 —107 A RESOLUTION granting a public fireworks display permit to Eagle Fireworks on behalf of the Yakima County Stadium, Yakima Bears Baseball. WHEREAS, Eagle Fireworks applied to the City for a public fireworks display permit to conduct a public fireworks display at Yakima County Stadium, July 28, 2007 at approximately 10:00 PM; and WHEREAS, Eagle Fireworks has complied with the requirements of Sections 10.15.040 and 10.15.050 of the City of Yakima Municipal Code in that it has shown proof of adequate insurance, and is the holder of a valid State Fire Marshal Permit for such display and the Code Administration Manager has investigated and approved the location of such display, now, therefore BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF YAKIMA: Pursuant to the provisions of Section 10.15.040 of the City of Yakima Municipal Code, this Resolution ratifies Eagle Fireworks' permit application approval for a public fireworks display according to the terms and conditions found upon the attached and incorporated permit application. ADOPTED BY THE CITY COUNCIL this 17th day of July, 2007. ATTEST: City Clerk Neil McClure, Mayor Pro Tem tu1p /3o AID 0.11&-A1 OfAOW Q • 'v a nJ .0 Orr City of ma ARM s ' cenertI _wiso.'k,z' Eagle Fireworks, bfa• Post+OffiA8 Office x:15.45 , ',tilw Ken, , ' 1 • , iiii,..n ' • ' : Stephen Thorntoll (360) 748-197 Pii,611e41 t6bll Dte0 fissus E ra'tion'D- February 2 2007 Janu 31, 100, Detach this wallet card and carry with you for verification of ceitification. :Washington State Patrol .-Vire:Protection Thireatt Office -Of -The State Fire Marshal GeneLal t»snaL gt}1.1,471‘tewcorks., Inc. 1 ' ti..cet_)4:t..l _..—L — , P9014%,:e, .: Lice illilNimo. . : ; . T:::..,..y :,_440,,, 400: ta 1,1014y' (1131 -, . , :, kkoriel_t_thibeir: : 4x. iratzou, ate:- : ‘ efe 7259 ACORD,. CERTIFICATE OF LIABILITY INSURANCE 6/8/2 07DD"'"Y) POLICY EFFECTIVE POLICY NUMBER DATE (MM/DD/YY). PRODUCER Allied Specialty Insurance of.Texas , Inc. 85 N.E. Loop 410, Suite 600 San Antonio, TX 78216 210-341-1321 • 800-235-8774 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED EAGLE FIREWORKS, INC. 1750 BUNKER CREEK CHEHALIS, WA 98532 INSURER A: T.H.E. Insurance Company 05/01/08 INSURER B: DAMAGE TO RENTED PREMISES (Ea occurence) : $ 50,000 INSURER C: MED EXP (My one person) $ INSURER D: PERSONAL &ADV INJURY $ 1,000,000 INSURER E: GENERAL AGGREGATE$ 1,,000,000 S 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 DESCRIBEC HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAIL CLAIMS. INSR LTR ADD' JNSRO TYPE OF INSURANCE POLICY EFFECTIVE POLICY NUMBER DATE (MM/DD/YY). POLICY EXPIRATION DATE (MM/DD/YY) UNITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY M7MT4494 05/01/07 05/01/08 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES (Ea occurence) : $ 50,000 CLAIMS MADE OCCUR MED EXP (My one person) $ PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE$ 1,,000,000 N'L AGGREGATE LIMIT APPLIES PER: t — _ PRODUCTS - COMP/OP AGG ' $ 1,000,000 PRO - POLICY JECT ri LOC 1 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS ' L_ NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY $ (Per person) BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY - ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN ' EA AC: . $ AUTO ONLY: AGS ' S EXCESS/UMBRELLA UABILJTY EACH OCCURRENCE : $ OCCUR CLAIMS MADE AGGREGATE $ 1 DEDUCTIBLE 1 RETENTION $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PRC.RIETOR/PARTNER/EXECUTIVE OFFICER MEMBER EXCLUDED? 0 yes, deszebe under SPECIAL ?ROVISIONS below WC STATU- I 07--1 TORY LIMITS E= I E.L. EACH ACCIDENT $ EL DISEASE • EA EMPLOY=_ I $ E.L. DISEASE - POLICY LIMP I $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS DISPLAY DATE: 7 le -‘97 RAIN DATE: 7 - LOCATION: y AIA.. ,4.r 4,1 Gv0.*04 if 51-46,•'vsm. AMOUNT:Z, 3- ADDITIONAL INSUREDS: C 4'-f y o -' F/4/c, ;44 4 `'e�gk,.G 'e4 11 -4..i /4 AS RESPECTS COMMERM�G 1r ,I..,CIAL GENERAL LIABILITY INSURANCE PERTAINING TO THE OPERATIONS 21 -a 7 6a. co OF THE NAMED INSURED ONLY. CANCELLATION f ,4 /c- 4-, 4 e4/5 Z4Ld /4 k: G , w G. 4 8 40 ACORD 25 (2001/08) Certificate # 021 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE ENSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Ra4/Ed D i4pfvrile ©ACORD CORPORATION 1988 J PART II ,v\ PERMIT PERMIT# 1 (3 (1 / 2 3a5 DATE: 7 f 3 Iv 7 In accordance with the provisions of RCW 70/7 and applicable local ordinances, this permit is granted to conduct a fireworks display as per the above application. at[e S (Full name of person, firm, or corporation granted permit) NAME: RESTRICTIONS: Permit not valid without verification of the appropriate State Fireworks License LICENSE NUMBER: C — G /3/ B of Official granting permit) 1A (Instructions on reverse side) (Title) 11 3000-420-050 (R 02/05) Distribution: WHITE (A): Local Fire Authority; _YELLOW (B): Permitee PART I =o °Nsr® APPLICATION MOTOR �r DATE OF APPLICATION 7 - C35-- G 7 FOR PUBLIC FIREWORKS DISPLAY PERMIT O TO: Governing body of city, town, or county in which display is to be conducted. APPLICANaTi�. €'� "k" 4 b E �4 i+ •_ , .pdyy, t � _ ' �#' 34:, , �. .. 'k:!4��+ �� ``i61�...,.�'s" .xit ., ter;;- ,tea *' S:i" a -¢�S ti3"•c-'Sf'SS+Ya�a NAME Et/ /c c.'de_ War /c5 .1',/>c ADDRESS /0 ...et, a- / `/`yr /Cesv.z, �.. 4. (37Vg-f7 PHONE SPONSOR 64 /0,0, c_ 0 c 4. "5 lS4s6,d4 ADDRESS 'PHY / g. i auc(5- f' Pile "� (.mac CSe) ONu�[IE 57 5r.i / S / (:d._ lab- A-,. f—b- ...:S .41 ' 3, T- .. .. NAME Al f' /4 ,dit 0 4, ,t) ADDRESS / Y S G r-4' #0 c 5'/V -lc -'4., c, tgag LICENSE # Z 7 9 g -, AO -0% S at IWO one re uirecl • .. y ' '• / A o/NAME� d/d 0-e. /` ieces ADDRESS / LAv• s c._,C. 2 j LeifiO/C:('® 'e// lam c- AGE /g NAME , ADDRESS AGE EOC*IR OPI O'F ,PRO`Pi;OS D DISP ,.:t_. : -- : k;" . � b ` " Lea t , y: LOCATION i'if-A-.1/11 c..1 cac.9,v7s i' JLcd,' ,e -c DATE a7 -z8-47 TIME • e'?efc, S4,K-c 40-1IBER•:API.D;KIt�( SxOFfFIREWORK�S� OBE„D $PL_AYE _ . '° _ b,« zcCY 3,/ 2- Y Y if /vt. 5 G it C- 7 CS .' 3MANNER=& PIS -"I"' CO: ,RIC3TRciPLA*To, -6.: orapproval orioatitocsit, o ,tty)? %z ccs t`' .0 e s SIGNATURE F PPLICANT ,'.,o L '" -; _.• ,, "'c.3 FIS+IANCIAt,1RES;PO�JS�B1�.171( b ..: ya. • �.s..'�.i . ,. BONDING OR INSUIRANCE. COMPANY �, //.. 201 ec s'c / �-/ S' (Mark One) a Bond or certificate of insurance attached ADDRESS r o S iv , G p O 7 ( / cSa' d e gO,,,, /0,41740xf,• 0 / 74 Ne. ,..5 7g Z / C ❑ Bond or certificate of insurance on file with State Fire Marshal Bond or certificate of insurance shall provide minimum coverage of $50,000/$1,000,000 bodily injury liability for each person and event, respectively, and $25,000 property damage J PART II ,v\ PERMIT PERMIT# 1 (3 (1 / 2 3a5 DATE: 7 f 3 Iv 7 In accordance with the provisions of RCW 70/7 and applicable local ordinances, this permit is granted to conduct a fireworks display as per the above application. at[e S (Full name of person, firm, or corporation granted permit) NAME: RESTRICTIONS: Permit not valid without verification of the appropriate State Fireworks License LICENSE NUMBER: C — G /3/ B of Official granting permit) 1A (Instructions on reverse side) (Title) 11 3000-420-050 (R 02/05) Distribution: WHITE (A): Local Fire Authority; _YELLOW (B): Permitee BUSINESS OF THE CITY COUNCIL YAKIMA, WASHINGTON AGENDA STATEMENT Item No. f -1 For Meeting of July 17, 2007 ITEM TITLE: Application for permit for Public Display of Fireworks SUBMITTED BY: I ook, Director of Community & Economic Development CONTACT PERSON/TELEPHONE: Doug Maples, Code Admin. & Planning Manager SUMMARY EXPLANATION: Eagle Fireworks has applied for a permit to conduct a public fireworks display at the Yakima County Stadium following the Yakima Bears baseball game July 28, 2007 at approximately 10:00 PM. Evidence of liability insurance, state permit and site plan are on file in the office of Code Administration. The Public Display of Fireworks application complies with the provisions of Chapter 10.15 of the Yakima Municipal Code. Resolution x Ordinance_Contract Other (Specify) Public fireworks display permit Funding Source APPROVAL FOR SUBMITTAL: City Manager STAFF RECOMMENDATION: Pass Resolution BOARD RECOMMENDATION: COUNCIL ACTION: Resolution adopted. RESOLUTION NO. R-2007-107 Updated: 6/16/06 DEPARTMENT OF COMMUNITY AND ECONOMIC DEVELOPMENT Office of Code Administration * codes ® ci.yakima.wa.us Doug leco Maples, Street, and Planning Manager • www ci yakima wa.ns 2nd Floor Yakima, Washington 98901 (509) 575-6126 or 575-6121 *Fax (509) 576-6576 2001 APPLICATION FOR PERMIT FOR PUBLIC DISPLAY OF FIREWORKS AND/OR PYROTECHNICS DISPLAY WITHIN THE CITY LIMITS OF THE CITY OF YAKIMA (Application Must Be Submitted No Less Than 15 Days Prior to Fireworks Display Date) The undersigned does hereby apply this date 0 7 - Z C- D for a permit for public display of fireworks. The applicant shall provide a detailed site plan of the exact location of the display, along with the signature of the property owner or person responsible upon whose property the public display of fireworks is located. The applicant for a public display of fireworks shall, at the time of application, submit his license issued by the State Fire Marshall for inspection. In addition, the applicant shall submit a Certificate of Insurance in an amount not less than Fifty Thousand Dollars and One Million Dollars for each person and event respectively. And not less than Twenty -Five Thousand Dollars for property damage liability for each event and the Certificate of Insurance shall also name, as additional insured parties, the City of Yakima, its officers and employees acting in their capacity as agents of the City. Display Date: o 9 -11-- 0 7 Display Location: uti-/c/. 4 e. o U -,/ Signature of Responsible Person/Owner: Signature of WA St Licensed Pyrotechnic Operator: Reviewed by: Approved by: Enclosed: , Fire Code Inspector IA Site Plan Proof of Insurance , Code Admin & Planning Manager MINIMUM REQUIREMENTS FOR FIREWORKS DISPLAY CITY OF YAKIMA CODE ADMINISTRATION DIVISION 129 NORTH 2nd STREET, YAKIMA, WA 98901 Call (509) 575-6121 for appointments and information BUILDING CODE PROCEDURE 02-300 This procedure describes the process for the application of a Fireworks Display Permit conducted in Yakima, Washington under the Yakima Municipal Code, Chapter 10.15. WHEN IS A PERMIT REQUIRED? • Displays are allowed until 10:00 p.m., displays after 10:00 p.m. require additional approval from the City Council 111. SITE PLAN / INSPECTION A site plan must be provided indicating the location of the fireworks: • The site plan will be reviewed by a City of Yakima fire inspector; • A city of Yakima fire inspector will make a site inspection prior -to the display. IV. AREA NOTIFICATION A permit is required for any person to make a public display of fireworks within the city limits of Yakima, Washington. I. PERMIT APPLICATION • An application to make a fireworks display shall be made in writing to the Code Administ.fation Manager or his designee. • A fifty -dollar fee for each display and a $47.00 fee for plan review and site inspection; • The City Council may waive the fifty- dollar fee for student organizations; • Application shall be made at least fifteen It is the responsibility of the applicant to notify the surrounding neighborhoods of the display as to the times and location and to supply Codes with notification flyer. V. STAFF NO1'141CATION City staff will contact the Fire and Police departments and fax them a copy of the application for their knowledge. Chapter 10.15 Fireworks 10.15.010 Definitions days in advance of the proposed display for City Council approval; • The City Council may grant or deny the application and place reasonable conditions on any permit issued; • • The permit is not transferable. II. PYROTECHNIC OPERATOR 10.15.015 Fireworks Ban 10.15.040 Permit for Public Display • The applicant at the time of application for a public display of fireworks shall; Submit their license issued by the State • Fire Marshal for inspection; • Also, submit to the Code Administration Manager or his designee, a certificate of insurance in an amount not less than twenty-five thousand dollars and one million dollars for each person and event respectively; Anda certificate of insurance not less than • twenty-five thousand dollars for property damage liability for each event; • The certificate of insurance shall also name as additional parties, the City of Yakima and its officers and employees acting in their capacity as agents of the city. 10.15.050 Public Display Employee Compensation and Liability Insurance 10.15.065 Special Purchase and Use Permits 10.15.070 Unclassified Fireworks- Sales, Possession, etc. prohibited 10.15.100 Enforcement 10.15.120 Violation- each day a separate, continuing offense 10.15.130 Severability d ,6 ®-af_. 07- ZG'- U ? AW/V-- Applicant Date P ,r /4 6',3fa ry ,./ G 7- z5 -O7 Pyrotechnic Operator Date a.ro.a,o r'n,fA eamity; °fret;.....0 vi o.,..:..., T r..,scu .. r.,.a,Pa ,,.. 1 nnan') $CORDCERTIFICATE ICATE OF LIABILITY INS • URANCE Allied Specialty Insurance of Texas , inc.N. 210-341-1321 85 E. Loop 410, Suite 600 San Antonio, TX 78216 800-235.8774 mum EAGLE RREWORKS, INC. 1750 BUNKER CREEK CHEHALIS, WA 98532 COVERAGES 98 CERTIFICATE 5/13/2007IS 1 A MATTER OF INFORMATION HOLDER. DOS ONLY AND CONFERS NO RIGHTS UPON THEAMEND, BID OR CERTIFICATE DOES NOTEIM AFFORDEDAUER 7/1E COVERAGE BY THE POUC1ES BELOW. INSURERS AtIORDING COVERAGE INSURERA: T.H.E. Insurance Comm NM # INSURER Et INSURERINSURER Eha 'THE POLICIES ANY OF INSURANCE USTED BELOW HAVE BERM ISSUED TO 11•E NAMED ABOVEPCICPEINDICATED, NOTWITHSTANDING REQUIREMENT. TERM COtawnom OF ANY CCRCT OR OTHER DO i R 10 WHICH 'ATE MAY BE ISSUED MAY BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO AU.. THE TE�BS, OCCLUSIONS AND CONDITIONS OF SUCH AeGFECATE Lig SHOWN MAY HAVE BEEN READ BY TAD CLNS GENERAL LOBS= X GENERALLIABILITY 1 RNA,M1 . [} OCCUR POLLCYNILLRIBL POLICY EFFEEoT YE FOLICTEMPIRSTION I M7lIIT4484 GEHLAGGREGAIEUMITAPPLIESPEFt POLICY AUmuoD: Eumany ANY AUTO AU -OWNED SCHEDuom AUTOS AULOs AUTOS GARAGE Lmssin MWAtno LALmeemr 0 DEDUCTIBLE RETENTION WORKBOCOMPENBATIONAND LOC ANT PROPINEMR$0_ARDIERIOCEOUTIVE OFFICEWMELISER, ff desalts under PROVISIONS CHEM 0510tH OSAUmB P11osepoPL sses LeFaeIONS,vB#CLEgre sesex rBLpp T /SPECIALPROOSIONS DISPLAY DATE::: 0 = l 1- © 7 LOCATION:" 1:V..1174.,. --c- RAIN DA'T'E oo - ADDITIONAL INSUREDS: 'C ©Zs .v f'Y- „(744. fc d•'ci .� AMOUNT r . 5,-,4.1- Y a .G y,4-/� ;r•tc - t-,/1:14,'",• 4 j - - - 'ZIYs'Ci o CERTIFICATE HOLDER G qL LIABu.rr INSURANCE PRRTNMNG TO THE OPERATIONS -OF lliE NAMED INSURED ONLY. Ca►nON MOTS OCCURRENCE a 1,030,000 a 50,00i3 NI. PE O! AL ADV INJU! Y s 1 GIBtomAL TE a 1. ,000 PRODUCTS -C FAGS $ 1,000,000 (EasmetEtaer BODILYINUURY BODILYROURY ONO eccIdent) PROPERTY DAMAGE AUTOONLY.EA1o:mit T OTHER THAN AUTO 0 , $ $ a EsAAACC $ AGO S EACH OCCURRENCE S AGGREGATE 5 $ $ EL EACH OCCIDENT DISEASE- $ EL. DISEASE -POI.ICYLVAIT $ t(;/ A.'/Has .5/-rcGt '4/;m , G✓e; 1 'Oz ACORD 25 (2001AM) Certificate # )! 8 SWUM ANT OF 711E maim DESCRIBED POLICES BE CANCELLED THE R T ION DATE THEREOF. sax ustravon 1L1 MALL DAYS warner NOTICE TO THE cERflnCATE HOLDER HAM® TO THE LEFT. ®NT FAILJ1RECI OO SO SHILL IMPOSE NO OMLOOATTQN OR LOAlsoY OF ANT Heap IPPON THE ENSURIERtIT8 ASS OR REPRESENTATIVES. AUTHOA¢ED REPRESENTATIVE ;added D Wiwi* 0 ACORD CORPORATION 1988 J_—� O°��APPLICATION WASHINGTON �� PATROL� .PARTI1 W�r DATE OF APPLICATION FOR PUBLIC FIREWORKS DISPLAY PERMIT G 7 - 2 Y—G 7 TO.: Governing body of city, town, or county in which display is to be 'conducted. APPLICANT NAME rt" re Coo 1-k5 gn,/coHo, Wc 14/45 kfn- wet -chaD3s PHONE ..36j 7gQ-Ig37 SPONSOR ADDRESS '13ci(c-',4� eieais0<J-40r-a S.,•"- 2 Aedc.Q Sf.4-/c.'r/,,. c,ic. (i..ci)gi-7-,f'/,"/ PHONE PYROTECHNIC OPERATOR NAME in ,'/ 4 O A o w .v ADDRESS g/ 61 S- C r`' ,6 U e- i ,4-- ,'r, c., w e_ LICENSE # 2 7 9 0 NAME OFASSISTANTS: (at least one required) NAME $ u P 4 Z o,-,.0", ADDRESS g ay ,5 . C /Is /9' e -'fl-%-:., ` C•✓ c. AGE ,S-1 NAME , ADDRESS AGE EXACT LOCATION OF PROPOSED DISPLAY LOCATION i)/4/c-,A-%.c C-OUNfiP S+4S ,cI �. . DATE o B -it-07 TIM Euea,ln6 NUMBER AND KINDS OF FIREWORKS TO BE DISPLAYED Z 6 0 ' e( S 4c_ //1' z Y Y" (Sticif$ / e a 4 MANNER & PLACE OF STORAGE PRIOR TO DISPLAY(Subject to approval'of Local Fire Authority) /n, -c J% ` ,? ox SI .AUR. OF AP I T"741.,� 1..Z� FINANCIAL RESPONSIBILITY � � i � (�c�4'k.S iv C -- d BONDING OR INSURANCE COMPANY R. < tied tr 5 o low\C e_ (Mark One) and or certificate of insurance attached ADDRESS S A) E .1.-.0 O e L! 10, S0 1 ``e (coo CU -IG n r . o "T. X, Bond or certificate of insurance on file with State Fire Marshal Bond or certificate of insurance shall provide minimum coverage of $50,000/$1,000,000 bodily injury liability for each person and event, respectively, and $25,000 property damage PART II PERMIT # ds3as 3c., PERMIT DATE. In accordance with the provisions of RCW 70 77 and applicable local ordinances, this permit is granted to conduct a fireworks display as per the above application NAME. eAb-k pi. re. L ark 5 /L)c_ RESTRICTIONS (Full name of person, firm, or corporation granted permit) Permit not valid without verification of the appropriate State Fireworks License LICENSE NUMBER: C 013 I () (Si. ��1^.f Official granting permit) (Instructions on reverse side) (Title) ") 3000-420-050 (R 02/05) Distribution: WHITE (A): Local Fire Authority; YELLOW (B): Permitee INSTRUCTIONS APPLICANT ^ Complete Part | of the Application and present both copies 10 the Chief Fire Official of the dty. Nwn, or county in which the display is to be held. If a Special Public Display License is contemplated, attach documentary proof of a surety bond or a certificate of public liability ingurunoecovering-the hhneperiod c4'ihe'di |ay..1-f the applicant o|madyhenoGeneral Display Lioonua'b,diap|aysaLiahouo locations, indicate that a bond or certificate of insurance is on file with the State Fire Marshal, covering the date and location of the General PubI,c Display Licensees retain Copy 8' of the competed Applicaiion Copy 'B' and the icense wiU authorize the purchase of the specia! fireworks isted on the Apphcation Copy B shall be rnantained at the d;splay ste and made avadabe to oca or state officials to verify the Permit and License. CHIEF FIRE OFFICIAL / GOVERNING BODY ° Determine that the applicant is in possession of a current state fireworks Iicense and that the Pyrotechnician hods a current [cense. ° Make an investigation of the proposed site to determine whether the display will be hazardous to property or dangerous to life Exercise reasonabe discretion in evaluating fire hazards, vehicle parkirig,rowd co\nd storage prior to dispiay. and genera! precautions agaihst fire, exp!osion, or panic during the thspay. (Use nf'NFPA1123Public DionlayofFireworks is. recommended for guidelines.) Submit your findings and renn ndatibnuVothogoverningbndyforfina|deoioionor.inthoevon1Uha<dnis authority has been delegated toyou, issue ordeny the ye-rmiL ' ° If approved, the governing .body or fire official should complete Part II of the Application and retain Copy "A" plus the documentary proof 0! insurance, and return Copy "B" of the Application to the applicant. FIREWORKS WHOLESALER Possession by the applicant of Copy 'B" of the completed Application, signed by the local issuing authority along with the _license issued by the State Fire Marshal, shall serve as authorization to the wholesaler to sell the applicant the Special Fireworks:listed on the ' Application, for use at tho date and Iocation specifled. Ths Pyrotechnicians report, required to be flled by the Pyrotechnician withwi ten days following the display, will be retained by the State Fire Marshal as evidence of the display. RCW 70FILING The applicant tor a, public display of fireworks permit shall, at the time of the application, file with the officer to whom the application is made, a bond iSsued by an -authorized syrety-Company to be approved by such officer, conditioned upon the applicant's payment.of all damages to persobs'or property Which.shall obrnay.result from or be caused by such public display of fireworks, or any negligence on the part of the applicant, or their agent, servants, employees,.or sub -contractors in the presentation thereof, or a certificate of insurance evidencing the carrying of appropriate public liability insurance for the benefit of the persop named therein as assured, as, evidence of ability to respond in damages in at least such amount, said policies to be similarly-apProvech , • • — • - RCW 70.77.295. AMOUNT OF BOND OR INSURANCE. ' In the case of an application for a permit for the public display of fireworks, the amount of such aisurety such asurety bond or cortificate of insurance aha|/benot|musdhanfiftythounanddoUamandonemiUiondoUars8orbodi|yinjuryUuhi|ityforeenhpemnndnd'§rioh�-reSbeEtiN:re|y.ond not less than twenty-five thousand dollars for property damage liability for each event. RCW 70.77.355. ALTERNATIVE PROVISIONS FOR GENERAL LICENSEES. (1) Not withstanding aofm*icuhorpmvisionnof<hisohopternelahn&0opub|ic|iabi|i\yjnnumncoand bonds, any adult individuat, concern, firm,,corPsoration, of co -partnership may secure a general license for the public' display of fireworks within the state of Washington subject to the provisions of this chapter retative to the securing of local permits for, the public disptay,of fireworks in any city or county, except that in lieu of filing the bonds or certificate of public liability insurance as reqUired in Rqw 70.77.285 and 70 77.295, a surety bond similarly conditioned or a certificate evidencing public liability insurance in a like amount shall be filed with the State Fire Marshal The bond orcertificate evidonoing;pubUcliability ufinsurance in Uke amoqnt shalt provide that: (a)the insurer will not cancel the insured's coverage without fifteen days prior written notice to the State Fire Marshal; ) the duly licensed pyrotechnic operator required by law to supervise and discharge the public display, acting either as an employee of the insured or as an independent contractor and the state of Washington, its officers, agents, employees, and servants, are included as additional insured but only - insofar aoonynperadonoundern:ntmctemoon*amod;and(o)thontateisno\mspnna\b|eforanypnemiumausesomen\sontho policy (2)�� Tha3��Fire�emho|ohaU��� have�uordto �����ouch|iconsoo.subjeot tosuch reasonable mies.andregulations which h*or she may adopt, rto inconsistat wTh the provisions of this -chapter. Acertificate evidencing such general license when so obtained, shatt he fied with the iegislative body or officer grcnting perh-t for the pubtic disptay of fireworks prior to lhe issuance therof CITY OF YAKIMA PERMIT CENTER 129 N 2ND ST YAKIMA, WA 98901 (509) 575-6121 Trx id#: Date: Quantity: Unit Cost: Tax Rate: For: Amount Due: Subtotal Amount: Tax Amount: Check Amount: Cash Amount: Total Amount: Issued by: Log name: Station: 214219 *** 07/26/07 1 $47.00 REPRINTED ON 07/26/07 BY codes2 FIRE CODE INSPECTION FEES $47.00 $47.00 $0.00 $47.00 $47.00 codes2 on 07/26/07 10:36AM 1 City: 42 *** Vrutr¢A/3O AlID 0111,Sa_palagf s - 7/x'0' %, f City of Yakima • A*00ngtnif tate Pe#:61: • . 1?joirrOtect104 Bureau • frmitif 1,)*$ta43 Fire Marshal Washiiiton State trOvorkwLicense General IDisOlay: Eagle Fireworks, Post Once Box 1445 Kent, WA 98035 In -State ReOresentathie: Stephen Thornton , Phone Nnifiller: (360) 748-1937 Date orIssue Expiration Oate FebrUary 2, 2007 January 31;2008' • General Disp av License Lieed, Nunther e-01318 Detach this wallet card and carry with you for verification•of certification. Washington State Patrol Vire PrOection Bureau Office Otthe State Fire Marshal 9eneral,PisplaY.: LitenNunibeki fP6e0•171:11aeiise:. 'PhOtte:Nnniher: tiptrattOrOgtet, EagletFitpwprics, Inc. VatYP);4; ... 7259 :VV*11Jilgtoo St4tejafrol Iire l'ifiteditp#,-Otire# Ciffi.b Of.TiStag FiiiMatshal ilt2tow:State-Firoi8rot, .4 4: -• ,", • .. „. Date of Aprip6007, (R9/05) 7812 • '1 ,"-'• . , ,•,. ".4.,k ,,,,, ,, ...., ti‘ 1t.:0P1.P'ky3. c. teNunillt-, , ... ,,_..;.,., 14niary. al; 2008 1. .,- ' '*. -- • P.027:98 . • 1.. - • • • • bpqatot Lienee Signatlire