HomeMy WebLinkAboutBLD0044 Woodstove - BLD Permit / Conditions - 6/5/2002 0044
OFFICE OF THE MASON COUNTY FIRE MARSHAL
LAND CLEARING BURN PERMIT rr���►
Office Use: Validation Date, ',0 Q4?acpiration Date. U:�O'Spended
THIS PERMIT IS VALID FOR 30 DAYS FROM THE DATE OF ISSUE.
To notify before ignition: Fire Dist. Phone 11Zb
Sec. T r R (E) Directions, mileage (address if applicable) to burn
TT
site: C /b orf • .L�'L� j►�
THE PERSON IN CHARGE OF THE FIRE MAY BE LIABLE FOR THE COST OF SUPPRESSION
IF THE FIRE GETS OUT OF CONTROL OR IF IT BECOMES NECESSARY TO EXTINGUISH
THE FIRE AS THE RESULT OF AN ENFORCEMENT ACTION.
OPEN BURNING SHALL BE PROHIBITED DURING ANY PERIOD OF IMPAIRED AIR QUALITY
AS DESIGNATED BY THE OLYMPIC AIR POLLUTION CONTROL AUTHORITY, OR DURING
AN EXTREME FIRE DANGER DUE TO DRY WEATHER CONDITIONS AS DESIGNATED BY
THE MASON COUNTY FIRE MARSHAL.
BURNING IS AUTHORIZED SUBJECT TO THE FOLLOWING CONDITIONS: ,
1. Valid permit must be on site while burning.
2. PROHIBITED MATERIALS. The following materials may not be burned:
Garbage, dead animals, asphalt, petroleum products, paints, rubber products, plastics,
paper, cardboard, treated wood, construction/demolition debris, metal, or any substance
(other than natural vegetation) that normally releases toxic emissions, dense smoke, or
obnoxious odors when burned.
3. Materials to be burned shall not be moved from one site to another. All material must
originate from the property on which the burning is to occur. -
4. The fire must not create a nuisance from smoke, obscure visibility on public roads and
highways, or endanger life and property.
5. Maximum pile size is twenty (20) feet in diameter.
6. A minimum 10-foot firebreak must be constructed around each pile.
7. Each pile must be at least 100 feet from any structure, at least 50 feet from standing
timber.
8. Do not burn if wind is blowing more than/ mph.
9. Do not burn if wind is from (Direction)
10. Minimum people required to be in attendance at the
11.Water requirement: HOSE.LINE UMP TRUCK/TRAIL
12. Provide an: XCAVATO DOZ , with a qualified
operator. (Circle
13.Provide 24-hour fire watch. YES NO
14. Fire must be completely extingw -Within three (3) days after ignition.
15.Other conditions:
PERMIT FEE INFORMAT "`>
Fee Amount Check No. 6 Received By Est. Tonnage /'10
Attach check oavadle to Masi iunty Treasurer.
Issued by i � Date V y (� .
it Warden, Signa e
By signing this permit, I agree to comply with all requirements of Chapter 332-24 WAC, the
Smoke Management Plan in effect at the time of burning and any additional terms and
conditions specific on this permit.
Landowner�A A ko( 1.5 °OL Z,..
Home Phorq i ' '� t Work Phone
Landowner/Agent
Home Phone 6 9 7 Work Phone > ' 261
Mailing Address g" . j rda /-�'A "Clf Kt t/<L A_, •
Signature of Landowner/ ant ,;
ORIGINAL-Landowner Canary-Fire Marshal Pink-Fire Warden Goldenrod-Fire District
Shorelines: Plumbing:
Setback: Mechanics :
Special Interior:
Conditions: FINAL:
Mobile Home:
Smoke Detector:
Remarks:
Footing:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
TYPE WOODSTOVE
Permit No. 0044 No. Floors Sq Ftg
Owner WOLFF, Philip Te1-279---4596 Date10-18-888 �
Address E 3131-71 Grapeview Lp Rd GrapeviewZip
Contractor J W Foran & Sons
Address Zip
Legal Description Tr 4-C Survey 7/64 (Tr C S/P 1072)
Direction to project site 7-21-1
ATTACHED
Plumbing Mechanical Sewer Wood Stove X
Fireplace Deck Garage Carport
Basement Loft Other
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
(� P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED,V-���e_�r
PERMIT NO. �7
NAME MAILADDRESS CITY BSTATE ZIP PHONE
OWNER ,/Z-/ "6zEr 2Z-91-7/ z, ✓ a. 8�y 6 0s-ys 9 6
DIRECTIONS
TO JOB SITE 21) 3{-7/ l7, b /�oR..A6n.. pyyCe�P Ld �ts�.
L
h/1 JLD S Co. af /3s6 Z f oul
PARCEL LEGAL Imo. S. $�G .7 �z i,✓
NUMBER ,7��5 ESCR.
NAME MAILADDRESS CITY BSTATE LICENSE NO. ZIP PHONE
CONTRACTOR —� r,t,� so-vS 6,. �r ,.�r 7 �i� �S
USE OF
BUILDING �S
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓ C I
,/
WORK DESCRIBE ` ",� /t S7 4 �17
c 5 ✓� n J G�j 6,3 7-/,1�� -^ /1 p/L.Bt-r ✓_I
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SO.FT. GARAGE CONDITIONING.
NO.OF STORIES _ BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SQ.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
OWNERS FFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT 1 AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTR ION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIR ENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
IN CON ORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAIN G APPROVAL FROM THE BUILD G DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
NER DATE X BY DATE
OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION
YES NO YES NO
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
TOTAL
BY CASH CK MO
I