The URL can be used to link to this page

Home My WebLink AboutBRN2011-00008 Land Clearing - BRN Permit - 3/31/2011 Inspection Line(360)427-7262 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext.352 Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton,WA 98584 ` to BURN PERMIT BRN2011-00008 OWNER: JONATHAN HOLLOWAY RECEIVED: 3/31/2011 CONTRACTOR: LICENSE: EXP: ISSUED: 3/31/2011 SITE ADDRESS: 1110 E TIMBER TIDES DR UNION EXPIRES: PARCEL NUMBER: 322357590122 LEGAL DESCRIPTION: TRS 12-B & 12-C OF S 1/210-213 LOTS: 3-4 OF SP#760 S 29/197 PCL 1 OF BLA#03-31 (R)AF#1792720 PROJECT DESCRIPTION: DIRECTIONS TO SITE: LAND CLEARING ST RT 106 TO TIMBER TIDESDR, LEFT ATT" INTERSECTION AT TOP OF HILL SECOND PARCEL ON THE RIGHT BURN TYPE: FEES Land Clearing Type By Date Amount Receipt Burn Permit KS 3/31/2011 $160.50 S1201100000000000498 Total $160.50 BRN2011-00008 Please refer to the following pages for conditions of this permit. 1 of 4 CASE NOTES FOR BRN2011-00008 CONDITIONS FOR BRN2011-00008 1) Valid permi$Aj�on-sit ile burning. X i 2) A BURN BAN, 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 mus a .ngu. hed immediately. X 3) The following aterials may not be burned: Garbage, dead animals, asphalt, petroleum products, paints, rubber products, plastics, paper, cardboard, treated wood, c struction/demolition debris, metal or any substance (other than natural vegetation)that normally releases toxic emissions, dense smoke or t i us when burned. X 4) All mated ginate fro property on whichthe burning is to occur. X 5) ApplicantsAll ACH day to report burning activity. Last 3 numbers of permit required at time of call in. X 6) Permit inc u 2 inspe s maximum, additional inspections will require a$73.00 re-inspection fee. X 7) The fire to a nui om smoke, obscure visibility on public roads and highways or endanger life and property. X 8) The ma e 20)feet in diameter, with a minimum ten (10) feet firebreak around each pile. X 9) Each pile ne hundred (100)feet from any structure and atleast fifty (50)feet from standing timber. X 10) Do not rif)—K owing more than seven (7) MPH. X BRN2011-00008 Please referto the following pages for conditions of this permit. 2 of 4 11) Do i d is ng from XX direction. (This will be indicated on the posted permit at the time of site inspection.) X 12) A mini�nu f one qu d operator is required to be in attendance at the fire while burning. A burn site/fire shall never be left unattended. MUST PRO ID FIRE WATCH. X 13) On Site Wate is re ired 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 b a I pum 1 20 gallons per minute through a one-inch (diameter) 50-foot hose.) X 14) It is a visa o pump the tire content of the water tank onto the burn site to assure the fire is completely extinguished. Permitted individual is respon I any r i ing on the fire/burn site. X 15) Provid a /d rwith a fire extinguisher at the site with a qualified operator. X I 16) Provide 4 u re wa X 17) The person in h e o��!�tion. 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 en c me X 18) Access t pass with 2 wheel drive vehicle. X 19) Fire m Wple extinguished within three (3) days after ignition. X 20) After the b r i co ete U MUST touch by hand, the earth to make sure the fire has not burned down into the earth. X 21) Fan is X BRN2011-00008 Please referto the following pages for conditions of this permit. 3 of 4 This permit becomes null and void if rk orconstruction authorized is not commenced within 180 days,or if construction or work is suspended for a period of 180 days at anytime after work is commenced. Evidence of continuation work is a progress inspection within the 180 day period. Final inspection must be approved before building can be occupied. Proof of continuation of work is by means of a progress inspecti .The owner a gent on the owners behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property ads uct f re i ar spection. 1 OWN ER OR AGENT: DATE: �7 BRN2011-00008 Please refer to the following pages for conditions of this permit. 4 of 4 MAS�NOUNT �T APPLICATION �A 426 W CEDAR ST. •PO BOX 186• SHELTON WA 98584 ` SHELTON 360.427.9670•BELFAIR 360.275.4467•ELMA 360.482.5269 APPLICANT INFORMATION: CONTRACTOR INFORMATION: Owner 1.4 .0 po 4e.0 y1,0 Owner Mailing Address Mailing Address Ci _Stdte A Zip 7-2-/5f City State Zip Phone V7->Ys-3s2-2- Cell Phone Phone Other Phone Lienfritle Holder tl S.= Fee& 94-y7�_ Contractor Reg.# Exp. E-mail address JO.-`*>74;4 G: E-mail address Drivers Lic.# rL /r yCc' ,1256-S7Yy DOB L5'm Drivers Lic.# D.O.B. TAX PARCEL NUMBER 31_2 �5 7.5- r1 CS I�� Sec. Twn. Rng. Fire District SITE ADDRESS(please include street name,number&city ///D ,. Tifia c Ti Directions to the site W q 106 PC :w-C [.e_;r ,y j " %", A7 i r' 4/-- HILL. Z'Y" .�}c�G Zr 7�e s216v-t7 Parcel within 200'of Saltwat ❑ Lake❑ River/Creek❑ Pond❑ Wetland❑ Seasona_I_Runoff❑ Stream❑ Slopes or Bluffs,15% Yes/ Will timber be cut and sold in parcel preparation.YesY No Does Site require FPA or 6 yr. oratorium Yes o Is site being converted or replant es o Reason For land Clearing �E ',�re.�rz�✓ ;g.� /�?e s ivy. %.`76p L Is this application the result of a Stop Work Notice,Correction Notice or other enforcement action?Y o _Burnine is authorized subject to the followine 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 is 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 ISlh and Oct.I5'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)427-9670,ext.262 • Applicant's must call 360.427.7761,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 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 bran 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 SITE SKETCH/NOTES 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 1 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 APPROVED DENIED becom s to extinguish the fir�asthe esult of an enforcement action. Date �� ,4r2 .�ll INTIALS Own /Owne presentative/Contraicate which one) DATE co z CONCRETE MECHANICAL MANUFACTURED HOME Footings J Setbacks Gas Piping Date By Ribbons O o Intenor Date By interior-Date By Date By 0 0 o 0 6cterar Date By Exterior-Date By Set-up D co INSULATION <Point Load J Isolated Footings Date By BG J SLAB INSULATION C_ Date By FIRE DEPARTMENT 0 Data By Z Foundation Walls Floors Date By > Date By. Data By DECKS D FRAMING Walls Date By Z Date By Data By PROPANE TANKS PLUMBING Vault Data By Date By OTHER ._ Groundwork Attic Date By Type- Date By Data By D.W.v DRYWALL Type- Int.Brace Wall Date By Date By Date By FINAL INSPECTION Z m Water Line Fire Seperation C 0) Date By Date By Date By Pass or Request Inspect. c s Type of Insp. Fail Date Date Done By Comments c 00 o d,-\ S) G m r CD LJ N M g e u 'GvC( t; ct a U) 0 s 0 h