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FPYR2022-0006ADDITIONAL SITES CHRONOLOGY CONTACTS NAME TYPE NAME ADDRESS1 CITY STATE ZIP PHONE FAX EMAIL APPLICANT PYRO SPECTACULARS, INC - MARIA BARAJAS PO BOX 2329 LA QUINTA CA 92253 (909)355-8120 MBARAJAS@PYROSPEC .COM BILL TO Pyro Spectaculars, Inc.(909)355-8120 CONTRACTOR Maria Barajas PO Box 2329 Rialto CA 92377 (909)355-8120 MBARAJAS@PYROSPEC .COM OWNER MDM Enterprise 81345 Avenue 54 La Quinta CA 92253 (909)355-8120 CONDITIONS Description: FIREWORKS DISPLAY: MDM Enterprises November 12, 2022 Type: FIRE PYROTECHNICS (WEB)Subtype: Status: FINALED Applied: 10/17/2022 ECON Parcel No: 767320013 Site Address: 81345 AVENUE 54 LA QUINTA,CA 92253 Approved: 10/19/2022 KHET Subdivision: Block: Lot: Issued: ONLINE Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: 11/12/2022 KHET Valuation: $1.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: Fireworks Location: Merv Griffin Estate Dirt Lot, 81345 Avenue 54, La Quinta, CA FINANCIAL INFORMATION Printed: Friday, March 03, 2023 4:50:38 PM 1 of 3 Permit Details City of La Quinta PERMIT NUMBER FPYR2022-0006 BOND INFORMATION INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED DATE COMPLETED DATE RESULT REMARKS NOTES FIRE FINAL**KHET 11/12/2022 11/12/2022 APPROVED FSS MARIA ESCOBEDO REVIEWS REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED DATE STATUS REMARKS NOTES 1ST PERMIT TECH (1 DAY) AARON HICKSON 10/17/2022 10/18/2022 10/17/2022 COMPLETE 1ST FIRE - ETRAKIT (1 WK) KOHL HETRICK 10/17/2022 10/24/2022 10/19/2022 APPROVED SEE ATTACHMENTS PARENT PROJECTS DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT #CHECK #METHOD PAID BY CLTD BY FIRE PYROTECHNICS PERMIT (REVIEW AND STANDBY CHARGE) 101-0000-42421 0 $876.00 $876.00 10/19/22 WEB13366 742563585 CREDIT AEC1108 ECON FIRE PYROTECHNICS PERMIT (REVIEW AND STANDBY CHARGE) PC 101-0000-42420 0 $175.00 $175.00 10/19/22 WEB13366 742563585 CREDIT AEC1108 ECON Total Paid for FIRE FEES: $1,051.00 $1,051.00 RECORDS MANAGEMENT FEE 101-0000-42416 0 $11.00 $11.00 10/19/22 WEB13366 742563585 CREDIT AEC1108 ECON Total Paid for RECORDS MANAGEMENT FEE: $11.00 $11.00 TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $8.00 $8.00 10/19/22 WEB13366 742563585 CREDIT AEC1108 ECON Total Paid for TECHNOLOGY ENHANCEMENT FEE: $8.00 $8.00 TOTALS:$1,070.00 $1,070.00 Printed: Friday, March 03, 2023 4:50:38 PM 2 of 3 Permit Details City of La Quinta PERMIT NUMBER FPYR2022-0006 ATTACHMENTS Attachment Type CREATED OWNER DESCRIPTION PATHNAME SUBDIR ETRAKIT ENABLED DOC 10/17/2022 Etrakit Contractor 1ST SUBMITTAL APPLICATION AND SUBMITTAL PACKAGE MDM Enterprises_Permit App_11-12-22_.pdf 1 DOC 10/19/2022 KOHL HETRICK FPYR2022-0006 - APPROVED PERMIT.pdf FPYR2022-0006 - APPROVED PERMIT.pdf 1 DOC 11/15/2022 LEILANI ROJAS FPYR2022-0006 PYRO Checklist.pdf FPYR2022-0006 PYRO Checklist.pdf 0 Printed: Friday, March 03, 2023 4:50:38 PM 3 of 3 Permit Details City of La Quinta PERMIT NUMBER FPYR2022-0006 Draft 5/1/2019 RIVERSIDE COUNTY FIRE DEPARTMENT FIREWORKS INSPECTION CHECKLIST Per State Fire Marshal Laws and Regulations for Transportation, Use and Storage of Fireworks in California Title 19 California Code of Regulations, Chapter 6 State Fireworks Regulations Location - Address Date Time Inspector Name Permit# Operator to initial items with area for initial once task has been completed. PAPERWORK Contact Pyro Operator before date of display to verify: o Arrival/Inspection Time o Set Safety Briefing/Staff Present o Determine Security or Site Contact (Cell Phone) o Discuss Weather Forecast o Discuss Possible Wind Triggers o Discuss Possible Test Shot (If Applicable) o Discuss Inspections of Mortars (Preloaded If Applicable and Requested by FS0) o Discuss for Approval to Fire Show Verify Approved Permit attached [HSC, §12640] Approved Site Plan - attached Security Plan attached Verify the local weather on the date of display PERSONNEL Verify and record pyrotechnic operator identification Class & Number _____________________[Title 19, §997] Verify pyrotechnic operator possesses valid driver license of proper type - DL# _____________________ Verify and record pyrotechnic information on the identity and age of all assistants on application Safety Briefing & Staff Sign-in sheet (see last page of this form) SECURITY [Title 19, §992.6, §997] Verify site security of storage area, discharge area, display area and fallout area as indicated on approved plan. Verify arrangement for traffic and crowd control before, during and after display FIRE PROTECTION AND SAFETY EQUIPMENT Fire extinguishers (proper type and size) are available and accessible [Title 19, §1004(a)] Shovel and container available for retrieving duds [Title 19, §1004(a)] Verify with Pyrotechnic Operator appropriate protection gear, minimum a hard hat, eye protection, long sleeve shirt, gloves, long pants, and shoes or boots are available for persons discharging fireworks manually [Title 19, §1004(b)] MORTAR INSPECTION 3468-02 Draft 5/1/2019 Compare list of mortar racks, etc. with actual equipment Mortars are approved for use with type of shells to be fired [Title 19, §999] Mortars are inspected prior to use for defects, debris, etc. [Title 19, §999] Base plugs are securely attached to bottom of mortars [Title 19, §999] Mortars are proper length for size of shells to be fired [Title 19, §999] RACK INSPECTION [Title 19, §1002(a) See Figure A] Racks have no more than 10 tubes per unit Base and ends of racks are nominal 2 inches thick lumber lywood All racks with more than 5 tubes have diagonal side braces Racks are secured to prevent falling over TROUGH INSPECTION [Title 19, §1002(b) See Figure B] No trough is more than 8 feet in length Bottom surface of trough is provided Troughs - brackets at each end and center. Sand or soft dirt, free of racks or debris, is on-hand to fill trough Minimum separation distance between mortar is provided Trough is of adequate height to securely bury mortar 2/3 of their minimum legal length DRUM INSPECTION [Title 19, §1002(c) See Figure C] Drums are in good condition Sand or soft dirt, free of rocks or debris, is on-hand to fill drum Drums are of adequate size to provide minimum separation distance between mortars Drums are of adequate height to securely bury mortars 2/3 of their minimum legal length TRENCHES, ETC TO BURY MORTARS IN GROUND [Title 19, §1001] Planking below mortars is provided for unstable or unleveled surfaces Trenches are of sufficient depth to securely bury mortars 2/3 of their minimum legal length Minimum separation distance between mortars is provided Sand or soft dirt, free of rocks or debris, is on-hand to fill trench AERIAL SHELL INSPECTION [Title 19, §997, §1003] Number of shells matches quantity listed on permit ask for Bill of Transportation Shells properly labeled for use in California ___ Operator examines shells for damage [req. operator initials once completed] ___ Operator verify size shell for proper fit in mortars [req. operator initials once completed] GROUND DEVICES INSPECTION [Title 19, §1003(e)] Ground devices match items listed on permit Location and spacing of devices is per approved permit Equipment available to secure & brace ground devices TD TD Draft 5/1/2019 DISCHARGE FALLOUT AREA INSEPECTION Location is as per approved permit Minimum required fallout area is provided Arrangement provided to secure fall out area when shell loading begins ELECTRICALLY FIRED DISPLAY INSPECTION [Title 19, §992.1 §992.4] Power source is restricted to batteries or individually isolated generators. Firing system Is protected against accidental firing Method for circuit testing is available Firing panel is located with continuously unobstructed full view of operator MANUALLY FIRED DISPLAY INSPECTION [Title 19, §1003(a)(3)] o Safety caps protecting fuses remain in place until immediately before firing RELOADING MORTARS DISPLAY INSPECTION o No HDPE mortars shall not be reloaded for a period of at least one (1) hour after use [Title 19, §999(d)] o Ready box(es) are located more than 25 feet upwind of the closest mortar o Ready box(es) are divided into separate compartments for each shell size o Ready box(es) are covered with a flame-resistive canvas cover OPERATION OF DISPLAY Discharge, display and fallout area are cleared of all unauthorized personnel prior to loading shells [Title 19, §997] No one under the age of 18 is in discharge, display and fallout area once loading of shells begins [Title 19, §997] Mortar are aimed to be within the fallout area and away from spectators [Title 19, §997] On electrically fired shows, discharge area is cleared of all people prior to electrical circuit testing [Title 19, §992.2 992.4] All devices are ONLY fired upon or signal from licensed operator [Title 19, §1003(d)] ___ During discharge of shells, operator observes activities to ensure wind and trajectory are adequate and makes adjustment if necessary [req. operator initials once completed] ___ If a misfire occurs, pyrotechnic shall handle in an appropriate manner [Title 19, §997, §1003(g)] [req. operator initials once completed] POST DISPLAY ACTIVITES NO ONE permitted to enter display, discharge or fall out area until pyrotechnic operator has determined the area to be safe and secure [Title 19, §1003(d)(3)] Entire firing area is inspected by pyrotechnic operator and crew to locate any unexploded shells. Shells located are properly disposed of [Title 19, §1003(f)(2)] Unfired shells: re-loaded and re-fire; removed and returned directly to supplier or stored in manner approved [Title 19, §1003(h)] Inspect surrounding area to verify that no fire(s) were started from debris Draft 5/1/2019 NOTIFICATION [Title 19, §1005] PYROTECHNIC OPERATOR will provide verbal report to State Fire Marshal for any incident involving injury or death to public or crew, or for any fire requiring emergency action or response resulting from the firing of the show PYROTECHNIC OPERATOR will provide a copy of all reports sent to the State Fire Marshal to Riverside County Fire Department Office of the County Fire Marshal Draft 5/1/2019 Return this completed form to the office and place in file with original application and transportation permit. SAFETY BRIEFING AGENDA 1. Introduction of All Present 2. Review Required Safety Equipment/PPE 3. Communication Plan Radio/Cell Phones 4. Plan for Securing Fallout Area 5. Review/Verify Weather Conditions 6. Emergency Response Procedure 7. Review Process for Approval to Fire Show Pyrotechnician Assistants Sign-In Print Name Signature Pyro License Signature