FIRE MARSHALL APPROVAL.PDF

Maricopa County — Formal (2013-10-09)

View PDF Item 7 Meeting page

Extracted text (via pymupdf_layout) 4410 characters
MARICOPA COUNTY BOARD OF SUPERVISORS
301 West Jefferson, 10th Floor, Phoenix, Arizona 85003
APPLICATION FOR FIREWORKS DISPLAY
Arizona Revised Statutes § 36-1603 requires every display shall be handled by a competent operator, and shall be of a
character and located, discharged and fired so that it will not be hazardous to property or endanger any person. Before a
permit is granted, the operator, location and handling of the display shall be approved by the sheriff of the county. After a
permit is granted, the sale, possession, use and distribution of fireworks for the display shall be lawful for that purpose only.
Permits are not transferable or assignable.
Further, A.R.S. § 36-1604 requires that the governing body shall require each applicant to provide a satisfactory bond of not
less than $500, or a copy of the certificate of liability insurance in a principal amount usually not less than $1 million,
conditioned upon payment of all damages which may be caused to persons or property by reason of the display.
Complete the following application and submit to the Clerk of the Board of Supervisors, 301 W. Jefferson, Phoenix, 85003
(602-506-2774) at least 30 days prior to the event date.
RECEIVED
Include the following items with your application:
1. Proof of appropriate bond or insurance payable to Maricopa County. SEP I 9 Z013 if.
2. Map of display area.
3. List of fireworks to be discharged. The Director of Display for the fireworks company ismilettiftk tOCIIAINIEfensed
and/or trained by the City of Phoenix or have other verification of expertise. (.....:ERK BOARD OF SUPERVISORS
4. Verification from local fire department that they were notified of event, date, location and time.
NAME1ORGANIZATION I St. Rose Philippine Duchesne Catholic Parish
EVENT ADDRESS 2825 W. Rose Canyon Circle, Anthem AZ 85086
DATE AND TIME OF EVENT October 18, 2013 @ approx. 9:00pm
DISPLAY DIRECTOR (permit will be issued to the following)
Name: Sarah Harris Phone: 480-948-0090
Business: Fireworks Productions of Arizona Fax: 480-423-5430
Address: 17034 S. 54th Street, Chandler AZ 85226 Email:
• sarah©fireworksaz.com
`Nloci ti 3
Signa lky Director Date
SHERIFF'S OFFICE RECOMMENDATION
The State Fire Marshal has inspected the site and fireworks described by the awitqnt and found them to be satisfactory.
Sheriff's Office Signature Date
NOW ~1../FOIF•01.•II••.11.0M141.1•1 .....
PERMIT FOR FIREWORKS DISPLAY
The above application filed pursuant to A.R.S. § 36-1603, together with proper bond as provided by law, and having been
approved by the State Fire Marshall and Sheriff, permission is granted to the above-named applicant to conduct a fireworks
display on the dates set forth in the application. IN THE EVENT OF POSTPONEMENT OF SAID SHOW, the display will be
given not later than one (1) week from the date specified above.
DATED this day of 20
Clerk of the Board, authorized signature

MaLinda Johanning - SHERIFFX
From: Robert Barger <Robert.Barger@dfbls.az.gov >
Sent: Monday, September 16, 2013 1:16 PM
To: MaLinda Johanning - SHERIFFX
Cc: Frederick Durham; Jeff Ashley; fire.marshal@dmfd.org
Subject: RE: Fireworks Application
Melinda, Mr. Nielson's approval is all that is needed for this event.
Bob Barger
Arizona State Fire Marshal
602-364-1081
From: MaLinda Johanning - SHERIFFX [mailto:M JohanningaMCSO.maricopa.gov ]
Sent: Monday, September 16, 2013 1:04 PM
To: Robert Barger
Subject: FW: Fireworks Application
Mr. Barger,
Attached is a Fire Works Application for St. Rose Philippine Duchesne Catholic Parish Firework Display
for October 18th, 2013 along with a letter from Mr. Nielson of Daisy Mountain Fire Department. As
with the last one, will Mr. Nielson's approval be all that is needed for this event?
Thanks for your help in this matter.
MaLinda Johanning #A9657
Deputy Chief Trombi's
Administrative Assistant
602-876-1822/ Fax 602-251-3709
From: Kristina Kidd - COBX
Sent: Thursday, September 12, 2013 4:08 PM
To: MaLinda Johanning - SHERIFFX
Subject: Fireworks Application
Hello MaLinda,
Here is a copy of a fireworks permit application that we received on 9/11/2013. I will also be sending the
original in the mail to you today.
If you have any questions, please let me know. Thank you.
Kristina Kidd

Special Duty Deputy Clerk
Maricopa County Clerk of the Board of Supervisors
301 West Jefferson Street, 10th Floor
Phoenix, Arizona 85003
602-506-3766 Desk
602-506-6402 Fax
2