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Home My WebLink AboutBRN2015-00003 - BRN Permit - 1/21/2015 Inspection Line(360)427-7262 PyoN �oUNT� MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352 Mason County Bldg. III 7>1 q yx co jils dr 426 W. Cedar St 11 ✓ j Shelton, WA 98584 Ot i p 1�� Pot✓'cam , ` K- "`° BURN PERMIT BRN2015-00003 OWNER: ERIC HURD RECEIVED: 1/21/2015 CONTRACTOR: LICENSE: EXP: ISSUED: 1/21/2015 SITE ADDRESS: 510 NE ALDE REEK LN BELFAIR EXPIRES: PARCEL NUMBER: LEGAL DESCRIPTION: TR 5 F NE NW LOT 2 OF SUR 2/81 PROJECT DESCRIPTION: DIRECTIONS TO SITE: REMOVING DISEASED TREES ST RT HWY 3 NORTH FOR 20 MILES, TURN RIGHT ONTO E MICHAEL DR FOR 2/10TH OF A MILES BURN TYPE: FEES Land Clearing Type By Date Amount Receipt Burn Permit JBN 1/21/2015 $160.50 S2201500000000000038 Total $160.50 BRN2015-00003 Please refer to the following pages for conditions of this permit. Page 1 of 4 111 Do not burn if wind is blpp ing more than seven (7) MPH. 12) Doe not burn if j$ owing from XX direction. (This will be indicated on the posted permit at the time of site inspection.) 0 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 24 H 1R FI E 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 must be cap21t mping 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 responsible for an ci dling on the fire/burn site. 16) Provide exIrr/ ozer with a fire extinguisher at the site with a qualified operator. 17) Provide a 24-hDw f_i watch. 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 enfoj e t action. 19) Access must be,fyaasable with 2 wheel drive vehicle. 20) Fire must be comp extinguished within three (3) days after ignition. V �� W 21) After the burn is com>t-WOU MUST touch by hand, the earth to make sure the fire has not burned down into the earth. 22) Fan is required.ft- r� 23) BRN2015-00003 Please refer to the following pages for conditions of this permit. Page 3 of 4 CASE NOTES FOR BRN2015-00003 CONDITIONS FOR BRN2015-00003 1) Permit inc l (2) inspections maximum, additional inspections will require a $73.00 re-inspection fee. + 2) ApplicoW 0 1360.426.4441, EACH day to report burning activity. Last 3 numbers of permit required at time of call in. #rX -v 3) Applican m II 360.586.1044 (ORCCA) EACH day to report/request any air quality issues associated with burning. 4) Valid pe u t be on-site while burning. Land clearing burn permits are valid 30-days from issuance. 5) 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, mall fires rb xtinguished immediately. 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 oLDbno ious odors when burned. pt 7) All materic3LPtusi originate from the property on whichthe burning is to occur. l /-- 8) The fire t n t create a nuisance from smoke, obscure visibility on public roads and highways or endanger life and property. Vqr 9) The maxmu ile size is twenty (20)feet in diameter, with a minimum ten (10) feet firebreak around each pile. 10) ch pile b_ t least one hundred (100) feet from any structure and atleast fifty (50) feet from standing timber. BRN2015-00003 Please refer to the following pages for conditions of this permit. Page 2 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 suspended for a period of 180 d . PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION O 80 DAYS W LL INV TE THE APPLICATION. J Signature _ Date OWNER - REPRESENTATIVE - CONTRACTOR Print Name (Circle one to indicate) BRN2015-00003 Please refer to the following pages for conditions of this permit. Page 4 of 4 co z CONCRETE MECHANICAL MANUFACTURED HOME C Footings/Setbacks Date By Ribbons T Gas Piping o Interior Date By Interior-Date By Date By n'I o Exterior Date By Exterior-Date By _ Set-up INSULATION n Point Load/Isolated Footings Date By BG!SLAB INSULATION Date By Data By FIRE DEPARTMENT Foundation Walls Floors Date By Date By, Data By DECKS � FRAMING walls Date By Date By Data By PROPANE TANKS PLUMBING vault Data By Date By OTHER Groundwork Attic Date By Date By Type- Date By D.W.V DRYWALL Type- Int.Brace Wall Date By, -_v Date By Date By FINAL INSPECTION Z v y Water Line Fire Separation M m Date By Date By Hale By m (n o Pass or Request Inspect. c 5 Type of Insp. Fail Date Date Done By Comments c nC, I ZI r AIL `�c� w S 23 S � �►e to 1,1G.l a. �t� co 0 0 0 _a o' n Cn 0 5 C' m 3 m cn tD 0 BRN2o25�-Dom MASON COUNTY BURN PERMIT APPLICATION 426 W CEDAR ST. •PO BOX 279 • SHELTON WA 98584 SHELTON 360.427.9670 •BELFAIR 360.275.4467•ELMA 360.482.5269 APPLICAN ORMAT N: _ — ( CONTRACTOR IN MATION: C Owner ir' /Z`�v Owner Mail' Ad ss Mailing Address a _ City �� State Zip City State Zip Phone Cell;Phone D 1 Phone Other Phone Lien/Title Holder Contractor Reg.# E-mail address E-mail address Drivers Lic.# U OB lt0 Drivers Lic.# D.O.B. TAX PARCEL NUMBER j D��► --Q `j'D Sec. Twn. Rng. Fire District SITE ADDRESS(please include street name,number&city ( r ,!- Di ti s to the site / r gadr Parcel within 200'of. Saltwater❑ Lake❑ Ri r/Creek❑ Pond❑ Wetland❑ Seasonal Runoff❑ Stream❑ Slopes or Bluffs> 15% Yes/ Will t' ber be cut and sold in parcel preparation?Yes/ o RECEIVED Does Site require FPA or 6 yr.Moratorium: Y s Is bite being coerted replanted: es d: Y o Reason For land Clearing ofnv Is this application the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No T. 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 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 15'h 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 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)127-9670,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 burning. • 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/burn site. • A BURN BAN when implemented by Fire Marshal will take effect as noted and all permits become null and void.After a bum 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 pert revocation. Acknowledgement of such is by signature below.I declare that I am the owner,owner's legal representative,or contractor.I finther 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 fire as the result of an enfo erA a X Date S Indic te owne /AvDlican evresentative