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Home My WebLink AboutBRN2023-00059 Expired - BRN Inspections - 4/3/2023 Mason County e Mason County - Division of Community Development If 1 615 W.Alder St. 1 Building 8 Shelton, WA 98584 360-427-9670 ext 352 www.masoncountywa.gov BRN2023-00059 BURN PERMIT PROJECT DESCRIPTION: BURN PERMIT ISSUED: 12/15/2023 SITE ADDRESS: 61 N TYEE PL HOODSPORT EXPIRES: 01/14/2024 PARCEL: 422165200143 APPLICANT: PAVLOV DENIS V&OLGA N OWNER: PAVLOV DENIS V&OLGA N 33036 42ND AVE S 33036 42ND AVE S FEDERAL WAY,WA 98001 FEDERAL WAY,WA 98001 2537378667 GENERAL CONTRACTOR'S LICENSE: SIMPSON TREE SERVICE LLC License: SIMPSTS784DH 2261 E CRESTVIEW DR Expires: 03/08/2024 SHELTON,WA 98584 FEES: Paid Due Burn Permit Fee $175.00 $0.00 Totals : $175.00 $0.00 REQUIRED INSPECTIONS Burn Inspection CONDITIONS " All materials must originate from the property on which the burning is to occur. • Permit includes two(2)inspections maximum, additional inspections will require a re-inspection fee. (at current rate). * 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. * Valid permit MUST be onsite while burning. If permit is not on site during burning the fire will be extinguished at your cost * Fire must be completely extinguished within three (3)days after ignition. " Fan required. * Each pile must be at least one hundred (100)feet from any structure and at lease fifty(50)feet from standing timber. Printed by:Annie Wilson on:12/15/2023 09:19 AM Page 1 of 2 �rl Mason County B Mason County - Division of Community Development 615 W. Alder St. Building 8 Shelton, WA 98584 360-427-9670 ext 352 www.masoncountywa.gov BURN PERMIT BRN2023-00059 * Maximum pile size is twenty(20)feet in diameter, a minimum ten (10)feet firebreak must be constructed around each pile. ' A responsible adult and equipment shall be on site and in attendance at the fire while burning. Must provide 24 hour fire watch. 'IF BURNING WITHOUT CALLING IN, THE FIRE WILL BE EXTINGUISHED AT OWNERS EXPENSE AND POSSIBLE SUSPENTION OF PERMIT.' * APPLICANT'S MUST CALL 360.426.4441 EACH DAY TO REPORT BURNING ACTIVITY. * Upon completion of above conditions, applicant must have inspection&approval before ignition. Call (360)427-9670, ext. 262 * 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. * 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. * Access must be passable with 2 wheel drive vehicle. * 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.) * Provide EXCAVATOR/DOZER (with fire extinguisher)on site with qualified operator. * The fire must not create a nuisance from smoke, obscure visibility on public roads and highways, or endanger life and property. 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 provisions of any other state/local law regulating construction or the performance of construction. In I I Issued By: ,I� V y I l�t?✓1 Contractor or Authorized Agent: 6wQ � Date: J� Printed by:Annie Wilson on:12/15/2023 09:19 AM Page 2 of 2 EXPIRATION DATE: Permit#: BRN 3-Or'Y)�i�j MASON COUNTY BURN PERMIT APPLICATION 615 W Alder St• Shelton,WA 98584 SHELTON 360.427.9670 x352•BELFAIR 360.275.4467 x352 0 ELMA 360.482.5269 x352 APPLICANT/OWNER I O TION: CONT TCjR IN eQRMATION: Owner 1 Owner t t wfi o,,, Mailing Address 3X 56 CY 2'16 Mailin d ss 22 Gr S ` City . State wlaf zip—q83Qj City ,.._ State Zip Phone tS3- - Cell Phone Phone -3 o ( Other Phone Lien/Title Holder Contractor Reg.# (, xp E-mail address Lp'A n%C N!V T$ /}}Ipp un E-mail address Drivers Lic.#1N� Wb S3 S D.O.B.�1��-�ar Drivers Lic.# TAX PARCEL NUMBER_I r --�Y (12 digit number) Fire District SITE ADDRESS(please include street name,number&city) Directions(to the site) BURNING IS AUTHORIZED SUBJECT TO THE FOLLOWING CONDITIONS • Valid permit MUST be onsite while burnine If Hermit is not on site during btintine the fire will be extinguished at vour 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 151h and Oct. 15'h.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 EXCAVATORMOZER(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 EO SST ANY Al[R QUALITY ISSUES ASSOCIATED WITH BURNING. ************IF BU_R_NING WITHOUT CALLING IN THE FIRE WILL BE EXTINGUISHED AT OWNERS EXPENSE AND POSSIBLE SUSPENTION OF PERMIT.*************** • After the burn 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 fire/burn 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 c* Rev.Apr 19.2017 Burn Permit# PARCEL AND SITE INFORMATION: Parcel within 200'of: Saltwater o Lake o River/Creek/Stream o Pond❑ Wetlands o Seasonal Runoff o : Yes/ on Slopes or Bluffs> 15%within 50 feet Yes A Will timber be cut and sold in parcel preparation Y /No Does Site require FPA or 6 yr.Moratorium:YesNo Is site being converted or replanted:Yes rN@ Is site located in an Urban Growth Area(UGA)?:_Yes No/Unknown (Burning is currently NOT allowed inside UGAJ Zoning: l Summarize proposed land clearing items to be burned: r y, 1 1;y /qe_�.SIT E PLAN 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"Bum 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 1�C, ----- -- -------------� C�-- ------- ------- ---------- ---------------- bay^ Au ` ` V Wa� 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 fire will be liable for the cost of suppression if the fire gets out of control or if becomes necessary to extinguish the fire a result of an enforcement action. x -- ---- 17,—kt-2023 SIGNA E-MUST BE SIGNED BY PROPERTY OWNER Date Signed FOR OFFItiAL USE ONLY: PLANNING DEPT REVIEW: -- - Date: Approved by: Denied by: N/A-No Critical Areas rv`' 615 W.Alder St.Bldg 8,SHELTON,W.A 98584 MASON COUN I jr' SHEL T ON:360-427-9670,EXT 352 x,� T— • * { K'+' BEL FAIR:360-275-4467,EXT 352 COMM4�{ "_';ti y iF _ ELMA:360-482-5269,EXT 352 '�ti ,/` 6uldiny.#'larutiatg.Ervnror m?ntnt l{r c�t�r,Ccnrrr., „ %°#, wwar.co.mason.wa.us BRN202: -00059! Issued Oatc 1215,7023 Expiration Data 01,1140024 Parcel Number 422165200143 Fire )is,rict Site Address 61 N Tvee PI Applicant PAVLOV DENIS V&O_LGA N 2537378667 Contractor SIMPSON TREE SERViCE.LI_C Liceese Number SIMP5TSe784DH Contractor Phone Expiration Date 03/08/2021 1.Valid permit MUST be onsite while burning. If permit is not on s-te during burning the fire will be extinguished at your cost.. 2_.The following materials are prehitiited aria mutt not be hurried: garbage, dead animals, asphalt, petroleurn products, paints, rubber products,plastics, pager, cardboard,treated wood, construction/demolition debris, metal or any substance (other than natural vegetation)1s.at releases toxic,emissions, dense smoke, or obnoxious odors when burned. 3. All materials must originate from tiie urc-pe,ty u,i which the booing Is to oca.,r 4.The fire must not create a nuisance rrorn smoke,Obscure visibility on public reads and highways, or endanger life and proper;y. 5. Maximum pile size is twent`j(20)feet in d'ametur, a minimum ten(10)feet Firebreak most be constmcted around each pile. 6. Each pile must be at least one hundred,100)feet from any structure and 2t lease fifty(FO)feet from standing timber. i. Do not burn if wind is blowing more than :even (7)miles per hour. DO NO-)'BURN IF WIND Ri O'vVING FROM 8.A responsible adult and equipment shall t�oit=:te and in ariendan< 4 tho Fie while ourriing. Must provide 24 hour Tire watch. 9. On Site Water is required for.permits betweer,April 15th and Oct. 15th A rump truck or mailer with 300 gallons of water loaded and 200 ft of hose, (The pump must be capaeli-of pumping 20 gallons per minute through a one inch(diameter)50 foot section of hose.) 10. Provide EXCAVATOR/DOZER(with fire extinguisher)on site with qualified operator. 11. Fire must be completely extinguished within three(3)days after ignition 12. Fan required. 13. Upon completion of above conditions, applicant must have inspection&approval before ignition. Call (360)427-9670, ext.352 14.APPLICANT'S MUST CALL 360.42G.4441, EACH DAY TO REPORT BURNING ACTIVITY. 15.APPLICANTS MUST CALL 360.539.7610(ORCCA)EACH DAY TO REPORT/REQUEST ANY AIR QUALITY ISSUES ASSOCIATED WITH BURNING. 16.IF BURNING WITHOUT CALLING IN,THE FIRE WILL BE EXTINGUISHED AT OWNERS EXPENSE AND POSSIBLE SUSPENSION OF PERMIT. 17.After the burn is complete make sure the fire has not burned into the earth by checking the fire location for hot spots. 18. 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 fireiburn site. 19.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. 20. Permit includes two(2)inspections maximum, additional inspections will require a re-inspection fee. (at current rate) 21.Access must be passable with 2 wheel drive vehicle Official Use Only Inspector: Sketch of Site/Comments: Date: