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Home My WebLink AboutBRN2024-00041 Burn - BRN Inspections - 6/26/2024 Pi fd l{ L MAN.U.IACTURF-D HOME ins$Jk Gas 1pimo (, ions interior Dzte By fn`Lrior-u ti By n S Data BY Ei_rior-1 !ra :Saint Iwd 1lsad--%d nr;& INSULATION D � BY D=aB FIRE DEPARTUE FT Bale PRAWNG By tit•= D-ata �` PROPANE TANKS PLUMBING 'Gott mat!� . By Data- Sy GTo At#G OTHER Bad By DRYWALL _ � Type � la&=e1 u-0 Date By p m D �Y s-[t�I1A IN CTION m W10ar Line Fire Br•peFabon N By B� By Boa By a m -sp N I55 ttr Requett Inact -� Type V gip. Far[ Qste mato Eire By CD co DD o D p D ' D O J co l� m 1 1 i M i EXPIRATION DATE: III 'Z Permit#: BRN �r MASON COUNTY BURN PERMIT APPLICATION 615 W Alder St• Shelton WA 98584 APPLIC T/OW ER INFORMATION: CONTRACTOR INFORMATION- Owner 1 I E401S b U� weer i�- Mailinj,kddress 15r Mailing Address C State City State Zip Phone — evil g Phone Other Phone Lien/Title Holder Ive ve Contractor Reg.# Exp. E-mail address ,, E-mail address Drivers Lic.#4VDL3P 666.-43 .O.B. 0( / Drivers Lic.# D.O.B. TAX PARCEL NUMBER <7a OQ 0 (12 digit number) Fire District_ SITE ADDRESS(please include street name,number&city) Q t`� nCpT Rj ocro-s.; r 4p, Directions(to the site) 1Sl Q £ CQ (77— ( !9-4'r BURNING IS AUTHORIZED SUBJECT TO THE FOL WING CONDITIONS: • Valid permit MUST be onsite while burning.If permit is not on site during burning the fire will be extinguished at your cost. • 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 156'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)427-9670,ext.262 • APPLICANT'S MUST CALL 360.426.4441 EACH DAY TO REPORT BURNING ACTIVITY. * APPLICANTS MUST CALL 360.539.7610(ORCCA) EACH DAY TO REPORT/REQUEST ANY AIR QUALITY ISSUES ASSOCIATED WITH BURNING. ************IF BURNING WITHOUT CALLING IN,THE FIRE WILL BE EXTINGUISHED AT OWNERS EXPENSE AND POSSIBLE SUSPENTION OF PERMIT.*************** • 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 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 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 Date Received: Application continued, please go to next page b Rev.Anr 19.2017 Burn Permit PARCEL AND SITE INFORMATION: arce wi m o : a a er❑ e❑ ver ree eam❑ Foncl❑ Wetiandso easona uno ❑ es one Slopes or Bluffs> 15% Yes�/ ,Q Will timber be cut and sold in parcel preparation?Yes N Does Site require FPA or 6 yr.Moratorium: Yes/ o Is site being converted or replanted:Yes/No Is site located in an Urban Growth Area(UGA)?:Yes/ o Unknown [Burning is currently NOT allowed inside UGAJ Zoning. Summarize proposed land clearing items to be burned: j I yN SITE PLAN (to be verified and approved by Planner) In the space provided below,please draw a top-view site plan of the parcel and notate locations of the following items with distances to/from`Burn Pile": o Burn Pile and Feeder Piles o Any existing buildings/structures (ie: Residence, Garage, Storage shed, Driveway, etc.) o .Existing standing timber o Any "Critical Areas" such as Steep Slopes, Lake, River/Creek,Wetlands, Seasonal Runoff, Streams, etc - - - - - - - - - -- - - - - -- - - - - - - - - - - - - - - -- - - - - - - - - -- -- - - - - - - - - - - - - - - - -- - - - - - - - - - - - -- 2Z oc)o J g25ev-) ce,,, OWNER/CONTRACTOR:Acknowledges submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement of such is by signature below. The owner represents that the information provided is accurate and grants emp yees of Mason County&local fire authorities ess to the above described property and structure for review and inspection. The person in charge of th e will be liabl the cost of suppression if the fire gets out of control or if becomes necessary extinAuishAhe e as the esult of aA enf ment action. LP �� ZAP SIGNATURE- UST 6rSIG4 D r OPERTY OVV R at igned FOR O CIAL USE ONLY.- PLANNING DEPT REVIEW: Approved by & ate: Denied by &date: Mason County li o Mason County - Division of Community Development 615 W.Alder St. Building 8 Shelton, WA 98584 360-427-9670 ext 352 www.masoncountywa.gov BRN2024-00041 BURN PERMIT PROJECT DESCRIPTION: BURN PERMIT FOR TREE DEBRIS ISSUED: 06/11/2024 SITE ADDRESS: E SPENCER LAKE RD SHELTON EXPIRES: 07/11/2024 PARCEL: 221314403000 APPLICANT: DEFFINBAUGH REVOCABLE LIVING TRUST OWNER: DEFFINBAUGH REVOCABLE LIVING TRUST DANIEL D&DEBRA A DEFFINBAUGH DANIEL D&DEBRA A DEFFINBAUGH TRUSTEES TRUSTEES SHELTON,WA 98584 SHELTON,WA 98584 360.250.5897 FEES: Paid Due Burn Permit Fee $175.00 $0.00 Totals : $175.00 $0.00 REQUIRED INSPECTIONS Burn Inspection CONDITIONS * On Site Water is required for permits between April 15th and Oct. 15th. 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.) * The fire must not create a nuisance from smoke, obscure visibility on public roads and highways, or endanger life and property- * Provide EXCAVATOR/DOZER (with fire extinguisher)on site with qualified operator. * After the burn is complete make sure the fire has not burned into the earth by checking the fire location for hot spots. * *IF BURNING WITHOUT CALLING IN, THE FIRE WILL BE EXTINGUISHED AT OWNERS EXPENSE AND POSSIBLE SUSPENTION OF PERMIT.* * 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. Printed by:Annie Wilson on:06/11/2024 01:52 PM Page 1 of 2 Mason County Mason County - Division of Community Development 615 W. Alder St. Building 8 Shelton, WA 98584 360-427-9670 ext 352 www.masoncountywa.gov BURN PERMIT BRN2024-00041 " Maximum pile size is twenty(20)feet in diameter, a minimum ten (10)feet firebreak must be constructed around each pile. " Upon completion of above conditions, applicant must have inspection &approval before ignition. Call (360)427-9670, ext. 352 " 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. * Each pile must be at least one hundred (100)feet from any structure and at lease fifty(50)feet from standing timber. * 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. • APPLICANT'S MUST CALL 360.426.4441 EACH DAY TO REPORT BURNING ACTIVITY. " Access must be passable with 2 wheel drive vehicle. • Fire must be completely extinguished within three (3)days after ignition. • All materials must originate from the property on which the burning is to occur. * Permit includes two(2)inspections maximum, additional inspections will require a re-inspection fee. (at current rate). " Valid permit MUST be onsite while burning. If permit is not on site during burning the fire will be extinguished at your cost • Fan required. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of Laws and Ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state/local law regulating construction the performance of construction. Issued By: q Contractor or Authorized Ag t: Date: Printed by:Annie Wilson on:06/11/2024 01:52 PM Page 2 of 2