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HomeMy WebLinkAboutBRN2015-00041 - BRN Permit - 11/10/2015 Inspection Line(360)427-7262 By0N Cf)U MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352 Mason County Bldg. III 426 W. Cedar St Shelton, WA 98584 /Rtd BURN PERMIT BRN2015-00041 OWNER: JOSH &APRIL LAMBERT RECEIVED: 11/10/2015 CONTRACTOR: LICENSE: EXP: ISSUED: 11/10/2015 SITE ADDRESS: 19253 E STATE ROUTE 106 BELFAIR EXPIRES: PARCEL NUMBER: 122065300001 LEGAL DESCRIPTION: BELCOVE ESTATES LOT: 1 PROJECT DESCRIPTION: DIRECTIONS TO SITE: BURN PERMIT TO PREPARE SITE FOR BUILDING A RESIDENTIAL WA ST RT 3 N, LEFT ONTO WA-106 W, SITE ON RIGHT DWELLING BURN TYPE: FEES Land Clearing Type By Date Amount Receipt Burn Permit JBN 11/10/201: $160.50 S2201500000000001029 Total $160.50 BRN2015-00041 Please refer to the following pages for conditions of this permit. Page 1 of 4 CASE NOTES FOR BRN2015-00041 CONDITIONS FOR BRN2015-00041 1) Per es two (2) inspections maximum, additional inspections will require a$73.00 re-inspection fee. X 2) Ap i st call 360.426.4441, EACH day to report burning activity. Last 3 numbers of permit required at time of call in. X 3) A t ust call 360.539.7610 (ORCCA) EACH day to report/request any air quality issues associated with burning. X 4) Va it must be on-site while burning. Land clearing burn permits are valid 30-days from issuance. X 5) A B N AN 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 r us extinguished immediately. X 6) ThVyollowing materials may not be burned: Garbage, dead animals, asphalt, petroleum products, paints, rubber products, plastics, paper, cardboard, tre d ood, construction /demolition debris, metal or any substance (other than natural vegetation) that normally releases toxic emissions, dense s obnoxious odors when burned. X 7) All t i must originate from the property on whichthe burning is to occur. X 8) The ust not create a nuisance from smoke, obscure visibility on public roads and highways or endanger life and property. X 9) Th #'m pile size is twenty (20) feet in diameter, with a minimum ten (10) feet firebreak around each pile. X 10) E must be at least one hundred (100)feet from any structure and atleast fifty(50)feet from standing timber. X BRN2015-00041 Please refer to the following pages for conditions of this permit. Page 2 of 4 11) D urn if wind is blowing more than seven (7) MPH. 12) ton n if wind is blowing from XX direction. (This will be indicated on the posted permit at the time of site inspection.) X - 13) A mi im m one qualified operator is required to be in attendance at the fire while burning. A burn site/fire shall never be left unattended. MUST PR HOUR FIRE WATCH. X 14) On Site Viater 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 m e apable of pumping 20 gallons per minute through a one-inch (diameter) 50-foot hose.) X.I/t / 15) It is vis ble to pump the entire content of the water tank onto the burn site to assure the fire is completely extinguished. Permitted individual is res ns le for any rekindling on the fire/burn site. X 16) Pro i !l xcavator/dozer with a fire extinguisher at the site with a qualified operator. X 17) Pr ide 24-hour fire watch. X 18) The er n 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 res t o a enforcement action. X 19) Ac s ust be passable with 2 wheel drive vehicle. X 20) Fir st be completely extinguished within three (3) days after ignition. X 21) A burn is complete, YOU MUST touch by hand, the earth to make sure the fire has not burned down into the earth. X 22) Fa i uired. X BRN2015-00041 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 ob ined permission from all the necessary parties, including any easement holder or parties of interest regarding this project. The owner or orized a resents that the information provided is accurate and grants employees of Mason County access to the above described property and tr ctur (s) r i d inspection. This permit/application becomes null &void if work or authorized construction is not commenced within 180 days or if cons ctio i e ded for a period of 180 days. PROOF OF CONTINUATION OF WO IS BY 7ANS OF INSPECTION. INACTIVITY OF THIS PE IT F 180 DAYS WILL INVALIDATE THE APPLICATION. RoC Sint �Q Date iK1 ( R OWNER - REPRESENTATIVE - CONTRACTOR rint Name f (Circle one to indicate) BRN2015-00041 Please refer to the following pages for conditions of this permit. Page 4 of 4 W z CONCRETE MECHANICAL MANUFACTURED HOME y 1j Date By ic Footings l Setbacks Gas Piping Ribbons il 03 nl O Interior Date By Interior-Date By bate By O M Exterior Date By Exterior-Date B� Set-up Point Load r Isolated Footings INSULATION _ gate 8y Q Date By Daa SLAB INSULATION By FIRE DEPARTMENT Cn i Foundation Walla Floors Date By 90 Date By Data By DECKS FRAMING walls Date By Date By Data By PROPANE TANKS r PLUMBING Vault DatLx 3v 090 Fly OTHER Groundwork Attie Type Date By Date By Date ay D.W.V DRYWALL Type- Date 8y Int Brave Wall Date Es y y _ m Date t3 FINAL INSPECTION z v (n Water Line Fire Separation N mCD Date By Date By Date By m � o Pass or Request Inspect. CD Type of insp. Fail Date Date Done By j Comments C) s51 r&101CD -t y M O 0 O 7 d O 7 N O S CD CD 3 N C� lD O Y , l', Lu.0 Ai el BItN201r- A�`><� ,� 'J MASON COUNTY BURN PERMIT APPLICATION 6 426 W CEDAR ST. •PO BOX 279 •SHELTON WA 98584 SHELTON 360.427.9670 a BELFAIR 360.275.4467 s ELMA 360.482.5269 APPLICANT INFO) ATI CONTITOR IN�QRLViAT�O�i Owner . C (�� Owner c h l f Mail Address 'C w w C Mailing Address O k) lift 6 City ' Tic ;.•W State _Zip Ye City �� 'iM cf Sta eY Zip y ©. Phone -I S %Z D Cell Phone 36'0 C 5 l- i Y 3 Phone? Other Phone 0- S -313_�_ Lien/Title Holder 0/U e- Contractor Reg.4 S 6 ASS y Ex /FA_/� E-mail address ii; is �e G &C,;" E-mail address. L-(' ) G i 1"(' Drivers Lic.4 I AMf�f1111,26.�L=qDOB i4' 7 r f Drivers Lic.# F C8 D.O.B., i 7- TAX PARCEL NUMBER1 "53-006 Ooe�L� Sec. C Twn. Rng. Fire DistrictQf SITE ADDRESS(please include st et name,nu ber&c)t L r' C � ) / D' ections to the site �u tl 5P 1 'r c, T ,.,v r Parcel within PO'of- SaltwateQC Lake❑ River/Creek o Pond❑ Wetland❑ Seasonal gunoff❑ Stream❑ Slopes or Bluffs> 15% Yes! O Will timber be cut and sold in parcel preparation? e /No Does Site require FPA or 6 y oratorium:Y o Is sitg e1pg converted or replan ed Yes Reason For land Clearing V C2 C U,I of,, ', rP S i d /1 lor Is this application the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No BURNING IS AUTHORIZED SUBJECT TO THE FOLLOWING CONDITIONS: o Valid permit must be onsite while burning m The following materials are prohibiter) 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. 4 All materials must originate from the property on which the burning is to occur. a The fire must not create a nuisance from smoke,obscure visibility on public roads and highways,or endanger life and property. o Maximum pile size is twenty(20)feet in diameter,a minimum ten(10)feet firebreak must be constructed around each pile. o 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. 15d.A pump truck or trailer with 300 gallons of water loaded and 200 ft of hose.(The pump must be capable of pumping 20 gallon$per minute through a one inch(diameter)50 foot section of hose.) e Provide EXCAVATOR/DOZER(with fire extinguisher)on site with qualified operator. o Fire must be completely extinguished within three(3)days after ignition 4 o Fan required. ® Upon completion of above conditions,applicant must have inspection&approval before ignition.Call (360)427-9670,ext.262 e Applicant's must call 360.426.4441.EACH day to report burning activity.Last 3 numbers of permit required at time of call in. a Applicants must call 360.586.1044(ORCCA)EACH day to report/request any air quality issues associated with burning. ® 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 fireiburn site. a 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. 3 Permit includes two(2)inspections maximum,additional inspections will require a re-inspection fee.(at current rate) a 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. owner or ag i'i owners behalf;represents that the information provided is accurate and grants employees of Mason County to a aut i 'access to the above described property and structure for review and inspection.The person in charge of the fire'wifl, is e t e.ost of suppression if the fire gets out of control or if becomes necessary to extinguish the fire as the result of an enlio 6 n i Date /j /C ! > x to o- lAaplicant/Representative RECEIVED NOV 10 2015 426 W. CEDAR ST.