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Home My WebLink AboutBRN2019-00018 Final - BRN Permit - 3/27/2019 I F-TE MECHANICAL MANUFACTURED HOME x ...t..� a ty - - i` :t d =. Gas pipingi�Ii Ribbons i or Late RY interior-Rate E S axteri�Date By Exterior-late Sy Point Load I issl;ftd r- ngs INSULATION Date Rate BY �f SLAB INSULATION ,a By FIRE DEPARTI ENT Foutrr&lan ift- is Flows Hale By Rafe- By Data By DECKS FRAMING - �N�ils Date By Date PROPANE TANKS PLUMBING vault � � By Groundwork Luc _ OTHER Date S Data By Mate By yp� DRYWALL Race By int Brace Wall fl� By a- (v � y FINAL INSPEGT10N � V CDfer Line Fire Sepe ration � Gates By Dm By Date 1"y m s Pass or RequestIns Q T i f E rt Fa ( [ E�� a e By h a s 0 { Q o o 3 - f a Mason County MASON COUNTY Mason County Community Services COMMUNITY SERVICES 615 W.Alder St. Bldg. 8 _... Shelton, WA 98584 360-427-9670 ext 352 www.co.mason.wa.us BRN2019-00018 BURN PERMIT PROJECT DESCRIPTION: BRUSH AND TREE LIMB BURNING ISSUED: 03/27/2019 SITE ADDRESS: 8402 SE LYNCH RD SHELTON EXPIRES: 04/26/2019 PARCEL: 220294290012 APPLICANT: BRANDON J HOEYE OWNER: BRANDON J HOEYE P O BOX 265 P 0 BOX 265 SHELTON,WA 98584 SHELTON,WA 98584 FEES: Paid Due Burn Permit Fee $175.00 $0.00 Totals : $175.00 $0.00 REQUIRED INSPECTIONS Burn Inspection CONDITIONS " Valid permit MUST be onsite while burning. If permit is not on site during burning the fire will be extinguished at your cost " Upon completion of above conditions, applicant must have inspection &approval before ignition. Call (360)427-9670, ext. 262 " "IF BURNING WITHOUT CALLING IN,THE FIRE WILL BE EXTINGUISHED AT OWNERS EXPENSE AND POSSIBLE SUSPENTION OF PERMIT." * Access must be passable with 2 wheel drive vehicle. * Fan required. " A responsible adult and equipment shall be on site and in attendance at the fire while burning.Must provide 24 hour fire watch. * Do not burn if wind is blowing more than seven (7)miles per hour. DO NOT BURN IF WIND BLOWING FROM • After the burn is complete make sure the fire has not burned into the earth by checking the fire location for hot spots. Printed by:Nicole Norris on:03/27/2019 03:47 PM Page 1 of 2 4 M Mason County MASON COUNTY Mason County Community Services ?COMMUNITY SERVICES 615 W. Alder St. Bldg. 8 Shelton, WA 98584 360-427-9670 ext 352 www.co.mason.wa.us BURN PERMIT BRN2019-00018 * Each pile must be at least one hundred (100)feet from any structure and at lease fifty(50)feet from standing timber. " Fire must be completely extinguished within three (3)days after ignition. * Permit includes two(2) inspections maximum, additional inspections will require a re-inspection fee. (at current rate). " On Site Water is required for permits between April 15th and Oct. 15th.A pump truck or trailer with 300 gallons of water loaded and 200 ft of hose. (The pump must be capable of pumping 20 gallons per minute through a one inch (diameter)50 foot section of hose.) The fire must not create a nuisance from smoke, obscure visibility on public roads and highways, or endanger life and property. * The following materials are prohibited and must 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 releases toxic emissions, dense smoke, or obnoxious odors when burned. * Maximum pile size is twenty(20)feet in diameter, a minimum ten (10)feet firebreak must be constructed around each pile. • Provide EXCAVATOR/DOZER (with fire extinguisher)on site with qualified operator. " A BURN BAN when implemented by Fire Marshal will take effect as noted and all permits become null and void.After a burn ban. has been implemented, all fires must be extinguished immediately. " APPLICANT'S MUST CALL 360.426.4441 EACH DAY TO REPORT BURNING ACTIVITY. " All materials must originate from the property on which the burning is to occur. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of Laws and Ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisiRn o a y other state/local law regulating construction or the performance of construction. Issued B :/ v Y 7 Contractor or Authorized Agent: Date: J G //� Printed by:Nicole Norris on:03/27/2019 03:47 PM Page 2 of 2 l EXPIIAATION DATE: RECEIVED Permit#: BRN MAR 2 7 2019 MASON COUNT %* Fl P�IT APPLICATION 61 der S , 98584 SHELTON 360.427.9670 x352 •BELFAIR 360.275.4467 x352 •EL6 MA 360.482.5 i 6699 x3 2�l a,o APPLICANT/OWNER INFORMATION: CONTRACTOR INFORMATION: 1 �V Owner Bran elon J Hoe u e Owner Mailing Address PO 'Noy, 26 5 Mailing Address City hqj lro� StateAAI�Zip qq S'j N Ciry State Zip Phone 360 qqO LQ 51 Cell Phone Phone Other Phone Lien/Title Holder Hoep Contractor Reg.# Exp. E-mail address �rw�►e�0+'11�1bP l P o(�i'C ;rye E-mail address Drivers Lic.# 1112f Yt K 166 I7 P D.O.B. Drivers Lic.# D.O.B. TAX PARCEL NUMBER `Z n29 (42 q 0() 1 Z, (12 digit number) Fire District SITE ADDRESS(please include street name,number&city) 84UZ SE jYe)Ch 12d S a l WA 915 Directions(to the site) 101 I(A rr) 00 lynC4 S 1 a wl l I e !0 R: BURNING IS AUTHORIZED SUBJECT TO THE FOLLOWING CONDITIONS: • Valid permit MUST be onsite while burning If permit is not on site during burning;the fire will be extinguished at your cost. • The following materials are prohibited and must 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 releases toxic emissions,dense smoke,or obnoxious odors when burned. • All materials must originate from the property on which the burning is to occur. • The fire must not create a nuisance from smoke,obscure visibility on public roads and highways,or endanger life and property. • Maximum pile size is twenty(20)feet in diameter,a minimum ten(10)feet firebreak must be constructed around each pile. • Each pile must be at least one hundred(100)feet from any structure and at lease fifty(50)feet from standing timber. • Do not burn if wind is blowing more than seven(7)miles per hour.DO NOT BURN IF WIND BLOWING FROM • A responsible adult and equipment shall be on site and in attendance at the fire while burning.Must provide 24 hour fire watch. • On Site Water is required for permits between April 151 and Oct. 15'.A pump truck or trailer with 300 gallons of water loaded and 200 ft of hose.(The pump must be capable of pumping 20 gallons per minute through a one inch(diameter)50 foot section of hose.) • Provide EXCAVATOR/DOZER(with fire extinguisher)on site with qualified operator. • Fire must be completely extinguished within three(3)days after ignition. • Fan required. • Upon completion of above conditions,applicant must have inspection&approval before ignition.Call (360)427-9670,ext.262 • APPLICANT'S MUST CALL 360.426.4441 EACH DAY TO REPORT BURNING ACTIVITY. • APPLICANTS MUST CALL 360 539 7610(ORCCA) EACH DAY TO REPORT/REQUEST ANY AIR QUALITY ISSUES ASSOCIATED WITH BURNING. ************IF BURNING WITHOUT CALLING IN,THE FIRE WILL BE EXTINGUISHED AT OWNERS EXPENSE AND POSSIBLE SUSPENTION OF PERMIT.*************** • After the bun is complete make sure the fire has not burned into the earth by checking the fire location for hot spots. • It is advisable to pump the entire content of the water tank onto the burn site to assure the fire is completely extinguished. The permitted individual is responsible for any rekindling on the firelburn site. • A BURN BAN when implemented by Fire Marshal will take effect as noted and all permits become null and void.After a burn ban has been implemented,all fires must be extinguished immediately. • Permit includes two(2)inspections maximum,additional inspections will require a re-inspection fee. (at current rate) • Access must be passable with 2 wheel drive vehicle Date Received: Application continued, please go to next page=> Rev.Aor 19.2017 � y Burn Permit # PARCEL AND SITE INFORMATION: Parcel within 200'of: Saltwater❑ Lake❑ River/Creek/Stream❑ Pond❑ Wetlands Seasonal Runoff❑ e None Slopes or Bluffs> 15% Yes/ Will timber be cut and sold in parcel preparation?Yes/ o Does Site require FPA or 6 yr.Moratorium:Yes A4 Is site being converted or replanted: Is site located in an Urban Growth Area(UGA)?:Yes/ /Unknown lBurning is currently NOT allowed inside UGAJ Zoning. ?jr ' u� Summarize proposed land clearing items to be burned: �T ar) a!Eut 1 1"n1 G t SITE PLAN (to be verified and approved by Planner) In the space provided below,please draw a top-view site plan of the parcel and notate locations of the following items with distances to/from"Burn Pile": o Burn Pile and Feeder Piles o Any existing buildings/structures (ie: Residence, Garage, Storage shed, Driveway, etc.) o Existing standing timber o Any"Critical Areas" such as Steep Slopes, Lake, River/Creek, Wetlands, Seasonal Runoff, Streams, etc - - - - - - - - - -S�- - L-yncJN - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - -� dG ISO" I5c,'► OWNER/CONTRACTOR:Acknowledges submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of such is by signature below.The owner represents that the information provided is accurate and grants employees of Mason County&local fire authorities access to the above described property and structure for review and inspection.The person in charge of the fire will be liable for the cost of suppression if the fire gets out of control or if becomes necessary to extinguish the fire as the result of an enforcement action. X v SI NATURE-MUST BE SIGN BY PROPERTY OWNER Date Sig ed PUNNING DEP'T REVIEW: Approved by&date: Denied by&date: