The URL can be used to link to this page

Home My WebLink AboutBRN2012-00029 - BRN Permit - 10/22/2012 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 04 Shelton, WA 98584 BURN PERMIT BRN2012-00029 OWNER: GREG STAIRS RECEIVED: 10/22/2012 CONTRACTOR: FASSIO TRUCKING & EXCAVATION 36089807286 LICENSE: FASSITE909MO EXP: 7/14/20, ISSUED: 10/22/2012 SITE ADDRESS: EXPIRES: PARCEL NUMBER: 322325210020 LEGAL DESCRIPTION: UNION-GRAYS HARBOR & UCRR ADD BLK: 10 LOT 20-26 PROJECT DESCRIPTION: DIRECTIONS TO SITE: logging debris 5TH STREET UNION PARK TO GREAT BEND DRIVE 4 BLOCKS, UNION BURN TYPE: FEES Land Clearing Type By Date Amount Receipt Burn Permit TIN 10/22/201 $160.50 S2201200000000000312 Total $160.50 BRN2012-00029 Please refer to the following pages for conditions of this permit. Page 1 of 4 CASE NOTES FOR BRN2012-00029 CONDITIONS FOR BRN2012-00029 1) Per irlrl�d s two (2) inspections maximum, additional inspections will require a $73.00 re-inspection fee. X 2%`�� 2) Applic njr1st call 360.426.4441, EACH day to report burning activity. Last 3 numbers of permit required at time of call in. X 3) AppliGantust call 360.586.1044 (ORCCA) EACH day to report/request any air quality issues associated with burning. X 4) Valid p r i mist be on-site while burning. X 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, all fired rr tbe extinguished immediately. X 12�j� 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 b xi us odors when burned. X 7) All m�ter�lust originate from the property on whichthe burning is to occur. X 8) Xhe fare st of create a nuisance from smoke, obscure visibility on public roads and highways or endanger life and property. 9) Xhe nul pile size is twenty(20) feet in diameter, with a minimum ten (10) feet firebreak around each pile. 10) Each pileI t be at least one hundred (100) feet from any structure and atleast fifty (50) feet from standing timber. X BRN2012-00029 Please refer to the following pages for conditions of this permit. Page 2 of 4 11) Do npt n,if wind is blowing more than seven (7) MPH. X 12) Do no b i wind is blowing from XX direction. (This will be indicated on the posted permit at the time of site inspection.) X ,/a 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 PROV D 2 HOUR FIRE WATCH. X 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 ,Tlble 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 rrespon it�lg fo any rekindling on the fire/burn site.( r y 16) Prov Ior/dozer with a fire extinguisher at the site with a qualified operator. X _,(� 17) Provid 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 arygnlrcement action. X �T 19) Access;nust i bpassable with 2 wheel drive vehicle. X : ��+ 20) Fire mpsW completely extinguished within three(3) days after ignition. X .C3 21) Aft bmrng complete, YOU MUST touch by hand, the earth to make sure the fire has not burned down into the earth. e e X /0 22) Fan is e X _1Y BRN2012-00029 Please refer to the following pages for conditions of this permit. Page 3 of 4 This permit becomes null and void if work or construction authorized is not commenced within 180 days, or if construction or work is suspended for a period of 180 days at any time after work is commenced. Evidence of continuation of 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 inspection.The owner or the agent on the owners behalf, represents that the information provided is accurate and grants employees of Mason Countyaccess o the above described property and structure for review and inspection. OWNER OR AGENT: DATE: BRN2012-00029 Please refer to the following pages for conditions of this permit. Page 4 of 4 co z CONCRETE MECHANICAL MANUFACTURED HOME CA N Date By Ribbons Footings I Setbacks Gas Piping o Interior Date By Interior-Date By Date By C) Exterior Date By Exterior-Date B _� Point Load I Isolated Footings INSULATION Date By m BG I SLAB INSULATION Gn Date By Data By FIRE DEPARTMENT Foundation Wails Floors Date By Date By Data By DECKS FRAMING Walls Date By Date By Data By PROPANE TANKS PLUMBING vault Date By Date By OTHER Groundwork Attic Type Date By Date By Date By D.W.v DRYWALL Type. Int.Brace Wall Date By W Date BY Date By X v FINAL INSPECTION Z y Water Line Fire Separation C CD m Date By Date By Date �Q �,(� L By[4/i_ 2- m W ErPass or Request Inspect. c 5 o Type of Insp. Fail Date Date Done By Comments t pp cn o I✓nor /r i I / Zz �Z i0 7S �► /17 ' t Ok-- -� IGs� CX- v CD N O n O _a 0 Zn O m 3 n� cQ ru 0 •' ' BRN2012-� MASON COUNTY BURN PERMIT APPLICATION 426 W CEDAR ST. •PO BOX 186 • SHELTON WA 98584 SHELTON 360.427.9670 •BELFAIR 360.275.4467•ELMA 360.482.5269 APPLICANT INFO TON: CONTRACTOR INFORMATION:Owner Y Gt1 r Owner 6 t✓ �Q�r ( CQu1d r} r l t 1, Mailing Adkess Mailing Address City ( wit h State Zip ti City V 1+��q„ State Zip Phone Cell Phone l7 Phone Other Phone Lien/Title Holder Contractor Reg.# Exp. E-mail address E-mail address Drivers Lic.# DOB Drivers Lic.# D.O.B. TAX PARCEL NUMBER 3 51- OTO v 3 v -31,9O�ec. Twn. Rng. Fire District_ SITE ADDRESS(please cludepeet +- name, umber&city ' Directions to the site '� .� 12 'fl i Parcel within 200'of: Saltwater❑ Lake❑ River/Creek❑ Pond❑ Wetland❑ Seasonal Runoff❑ Stream❑ Slopes or Bluffs> 15% Yes/ Will timber be cut and sold in parcel preparation?Yes/ Does Site require FPA or 6 yr.Moratorium:Yes o Is site being converted or replanted: es Reason For land Clearing Is this application the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes 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 • 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 15a'and Oct..15a'.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 gualified 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 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 bum site to assure the fire is completely extinguished. The permitted individual is responsible for any rekindling on the frelbum 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 fire as the result of an enforcement action. XA Date / Indicate o ner/Aaulicant/Representative