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Home My WebLink AboutBRN2015-00048 - BRN Inspections - 1/6/2016 Inspection Line (360)427-7262 P9oN Co MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone (360)427-9670, ext. 352 Mason County Bldg. III 426 W. Cedar St Shelton, WA 98584 1854 BURN PERMIT BRN2015-00048 OWNER: CARL BARFIELD RECEIVED: 12/28/2015 CONTRACTOR: LICENSE: EXP: ISSUED: 12/28/2015 SITE ADDRESS: 200 E MURRAY RD SOUTH GRAPEVIEW EXPIRES: PARCEL NUMBER: 121182290022 LEGAL DESCRIPTION: TR 2-D OF GOVT LOT 4 &T.L. TR 3 OF SP#1948 PROJECT DESCRIPTION: DIRECTIONS TO SITE: BURN PERMIT N ON HWY 3, RT ON GRAPEVIEW LOOP RD, RIGHT ON MURRAY RD BURN TYPE: FEES Land Clearing Type By Date Amount Receipt Burn Permit JBN 12/28/201 $160.50 S2201500000000001148 Total $160.50 BRN2015-00048 Please refer to the following pages for conditions of this permit. Page 1 of 4 CASE NOTES FOR BRN2015-00048 CONDITIONS FOR BRN2015-00048 1) 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 e extinguished immediately. X L� 2) Permit includes o (2) inspections maximum, additional inspections will require a$73.00 re-inspection fee. X 3) Applicants must r,,211 360.426.4441, EACH day to report burning activity. Last 3 numbers of permit required at time of call in. X 4) Applicants must rill 360.539.7610 (ORCCA) EACH day to report/request any air quality issues associated with burning. X 49 5) Valid permit mu be on-site while burning. Land clearing burn permits are valid 30-days from issuance. X 6) 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 obn .ous odors when burned. X 7) All material mkt originate from the property on whichthe burning is to occur. X a 8) The fire mu not create a nuisance from smoke, obscure visibility on public roads and highways or endanger life and property. X iX 9) The maxi m pile size is twenty (20) feet in diameter, with a minimum ten (10) feet firebreak around each pile. X 10) Each pile st be at least one hundred (100)feet from any structure and atleast fifty (50)feet from standing timber. X BRN2015-00048 Please refer to the following pages for conditions of this permit. Page 2 of 4 11) Do not b if wind is blowing more than seven (7) MPH. X 12) Do not burn i wind is blowing from XX direction. (This will be indicated on the posted permit at the time of site inspection.) X 13) A minimum of one qualified operator is required to be in attendance at the fire while burning. A burn site/fire shall never be left unattended. MUST PROVIDE X �/2�HOUR FIRE WATCH. 14) On Site Water is required between April 15th and Oct. 15th. The pump truck or trailer must have 300 gallons of water loaded and 200 ft of hose. (Pump X must be �pable of pumping 20 gallons per minute through a one-inch (diameter) 50-foot hose.) 15) It is advisable to pump the entire content of the water tank onto the burn site to assure the fire is completely extinguished. Permitted individual is X sponsiblef r any rekindling on the fire/burn site. 16) Provide exc vator/dozer with a fire extinguisher at the site with a qualified operator. X l 17) Provide a 4-hour fire watch. X 18) 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 a forcement action. X 19) Access must/be passable with 2 wheel drive vehicle. X 4i - 1 20) Fire must b completely extinguished within three (3) days after ignition. X 21) After the burrki�complete, YOU MUST touch by hand, the earth to make sure the fire has not burned down into the earth. X LP 22) Fan is requi d. X BRN2015-00048 Please refer to the following pages for conditions of this permit. Page 3 of 4 OWNER/ BUILDER acknowledges submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement of such is by signature below. I declare that I am the owner, owners legal representative, or contractor. I further declare that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the necessary parties, including any easement holder or parties of interest regarding this project. The ' owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property' and structure(s)for review and inspection. This permit/application becomes null &void if work or authorized construction is not commenced within 180 days or if , construction work is su ended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATI F 8Q AYS WILL INVALIDATE THE APPLICATION. Signature f VDate 'Cu,r ( GC V- e— OWNER - REPRESENTATIVE - CONTRACTOR Print Name (Circle one to indicate) BRN2015-00048 Please refer to the following pages for conditions of this permit. Page 4 of 4 CC) z CONCRETE MECHANICAL MANUFACTURED HOME �,y Date N Footings/Setbacks Gas Piping By Ribbons -n 0o Interior Date By Interior-Date By Date By r -I'. Exterior Date By Exterior-Date B Set-up � Point Load 1 isolated Footings INSULATION Date By n BG 1 SLAB INSULATION Date By Data By FIRE DEPARTMENT Foundation Walls Floors Date By Date By Data By DECKS FRAMING Wails Date By Date By Data By PROPANE TANKS PLUMBING vault Date By Date By OTHER Groundwork Aft Type. Date By Date By Date By o.W.v DRYWALL Type- -0Int Brace Wall Date By Date By Date By CD 0) FINAL INSPECTION Z N Water Line Fire Separation N CD G - 1-6 By0/w o Date By Date By Date / i5 CA g Pass or Request Inspect. c Type of Insp. ,pFail Date Date Done By Comments Co O n O 7 _a 0 Cn 0 s CD m 3 i i >v cn co 0 2015 M C C D - PM01% COUNTY BURN PERMIT APPLICATION . 426 W CEDAR ST. •PO BOX 279•SHELTON WA 98584 SULTON 360.427.9670•BELFAIR 360.275.4467 a ELMA 360.482.5269 APPLICANT IN)FORMATION: CONTRACTOR INFr>a,rT��Ty N: Owner r /h le t� Owner E-4 r 4 1'e 1 Mailing Address O Mailing Address VC i3ox 7 City State-(A/q Zip City A 11)m State ag, Zip L Phone -4 495 Cell Phone Phone '3 O-Z 77-45 6 4 Other Phone 6 - Lien/TiiIe Holder Mtckad dr a Contractor Reg.#360 64-919 Q E 12 / 12 / 1 4 E-mail address ar a v O '1 wtu (•tawr E-mail address Cvv tr 0 o wtal .(ew Drivers Lie.# ct r F i c 2 A DOB 3- 146 6 Drivers Lic.# r i c aE nA D.O.B. -1 6 TAX PARCEL NUMBER Z -Z Z-QQ G l"Z Sec. 1� Twn ZRng. Fire District 3-G'r��.a v! _LVSITE ADDRESS(please include street name,number&city 7Z-0 O E Wl v r v-a (L . G r a e�z e Uj 1�a S 46 cl Directions to the site Al, O-t kj vy 3 , 1Q P 41+# ®h !�r.s t9e y;cw n v✓✓a Parcel within 200'of: Saltwater Lake❑ River/Creek❑ Pond❑ Wetland❑ Seasonal Runoff❑ Stream❑ Slopes or Bluffs> 151/6 Yes N Will timber be cut and sold in parcel preparation? /N Does Site require FPA or 6 yr. oratorium:Yes Is site bei4 converted or replanted: o Reason For land Clearing T v d2vt5ee kaOAe 5%lraarcGr1 60CE(e , e-1&g-f �ara�ir• Is this application the result of a Stop Work Notice,Correction Notice or other enforcement action?Ye BURNING IS AUTHORIZED SUBJECT TO THE FOLLOWING CONDITIONS: • Valid permit must be onsite while burning • 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 bum if wind is blowing more than seven(7)miles per hour.DO NOT BURN IF WIND BLOWING FROM So�`�lr s�. • 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 15''and Oct. 15''.A pump truck or trailer%%ith 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.Last 3 numbers of permit required at time of call in. Applicants must call 360.586.1044(ORCCA)EACH day to report/request any air quality issues associated with bunting. • After the bum 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/bum 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 OWNER/CONTRACTOR: Acknowledges submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement of such is by signature below.I declare that I am the owner,owner's legal representative,or contractor.I further declare that I am entitled to receive this permit and to do the work as proposed in the application I declare that I have obtained the permission from all the necessary parties.If permission is required from any easement holder or any other party in interest regarding this application or the work proposed in the application,I have obtained permission from them to apply for this permit and conduct the work proposed.The owner or agent on owners behalf,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 fine as the result of an enforceme I IL X Date 4 0 Al 0 V Indicate ow er/Amlicant/Revresentative