HomeMy WebLinkAboutBRN2010-00020 - BRN Permit - 4/15/2010 BURN PERMIT
Mason County Dept. of Community Development
PO BOX 186 - 426 W Cedar St, Shelton WA 98584 - 360.427.9670 ext 352
www.co.mason.wa.us
BRN201 0 =00020
- /5' lU s= /S--/U
Issue Date Expiration Date
Applicant: DAVE KAMIN Contractor: KAMIN EXCAVATION LLC
Address: 5100 SE COLE RD SHELTON WA 98584 Address: PO BOX 2491 SHELTON WA 98584
Contact Number(s) - Must be a 24 hour number Reg#: KAMINEL947ND 08/21/2011
Parcel Number: 322353200130 Section 35 Township: 22 Range 3 Fire 6
Legal Description: TR 13 OF GOVT LOT 4& TAX 1083
Site Address: 8371 E STATE ROUTE 106 UNION
1. Valid permit must be onsite while burning
2. 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.
3. All materials must originate from the property on which the burning is to occur.
4. The fire must not create a nuisance from smoke, obscure visibility on public roads and highways, or endanger life and
property.
5. Maximum pile size is twenty(20) feet in diameter, a minimum ten (10)feet firebreak must be constructed around each pile.
6. Each pile must be at least one hundred (100) feet from any structure and at lease fifty (50)feet from standing timber.
7. Do not burn if wind is blowing more than seven (7) miles per hour.
8. Do not burn if the wind is blowing from 0 ,>e4_1 7 r, k
9. A responsible adult and equipment shall be on site and in att ndance at the fire while burning. Must provide 24 hour fire
watch.
10. On Site Water is required between April 15th and Oct. 15th. An 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.)
11. Provide EXCAVATOR/DOZER (with fire extinguisher) on site with qualified operator.
12. Fire must be completely extinguished within three (3) days after ignition
13. Fan required.
14. Upon completion of above conditions, applicant must have inspection &approval before ignition. Call(360)427-9670, ext.
262
15.Applicants must call 360.427.7761, EACH day to report burning activity. Last 3 numbers of permit required at time of call in.
16. Applicants must call 360.586.1044 (ORCCA) EACH day to reporttrequest any air quality issues associated with burning.
17.After the burn is complete make sure the fire has not burned down into the earth by checking the fire location for hot spots.
18. 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 or party is responsible for any rekindling on the burn site.
19.A BURN BAN when implemented by Fire Marshal will take effect as noted and all permits become null and void. After a burr
Official Use Only
Inspector:
Date: y/�--/v
Sketch of Site/Comments
BRN2010-00020 04/14/2011
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
IrP14 Shelton,WA 98584
BURN PERMIT BRN2010-00020
OWNER: DAVE KAMIN RECEIVED: 4/14/2010
CONTRACTOR: KAMIN EXCAVATION LLC LICENSE: KAMINEL947ND EXP: 8/21/2010 ISSUED: 4/14/2010
SITE ADDRESS: 8371 E STATE ROUTE 106 UNION EXPIRES:
PARCEL NUMBER: 322353200130
LEGAL DESCRIPTION: TR 13 OF GOUT LOT 4 &TAX 1083
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
LAND CLEARING DEBRIS
BURN TYPE: FEES
Land Clearing Type By Date Amount Receipt
Burn Permit GMM 4/14/2010 $160.50 S1201000000000000702
Total $160.50
BRN2010-00020 Please referto the following pages for conditions of this permit. 1 of 3
.;1) Do n rn i nd is blowing more than seven (7) MPH.
X
12) Do n n i ind is blowing from XX direction. (This will be indicated on the posted permit at the time of site inspection.)
X
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
PRO 2 UR FIRE WATCH.
X
14) 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
respo o y rekindling on the fire/burn site.
X
15) Provi"31r
/dozer with a fire extinguisher at the site with a qualified operator.
X
16) Provt4 ur fire watch.
X
17) 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
resul p nrcement action.
x--,-
18) Acc ItItIpassable with 2 wheel drive vehicle.
X
19) Fire mpletely extinguished within three (3) days after ignition.
X
20) AfteMV!
complete, YOU MUST touch by hand, the earth to make sure the fire has not burned down into the earth.
X
21) Fa i it
X
This permit becomes null and void if work orconstruction 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 County access to
the above described prop a structure r revie inspection.
OWNER OR AGENT: '� �- , `--�_ DATE: L� 1 L� v
BRN2010-00020 Please referto the following pages for conditions of this permit. 3 of 3
CASE NOTES FOR
BRN2010-00020
CONDITIONS FOR
BRN2010-00020
1) Perm'
two (2) inspections maximum, additional inspections will require a $73.00 re-inspection fee.
X
2) Appllc!j!�r call 360.427.7761, EACH day to report burning activity. Last 3 numbers of permit required at time of call in.
X
3) Appli!!S�-
call 360.586.1044 (ORCCA) EACH day to report/request any air quality issues associated with burning.
X
4) Valid I i st 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,
XI fides-mu�e extinguished 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
sm xious odors when burned.
X
7) All m m I rrt originate from the property on whichthe burning is to occur.
X
8) The �tcreate isance from smoke, obscure visibility on public roads and highways or endanger life and property.
X
9) Xhe m x um size is twenty(20) feet in diameter, with a minimum ten (10) feet firebreak around each pile.
10) Each it u at least one hundred (100) feet from any structure and atleast fifty(50) feet from standing timber.
X
BRN2010-00020 Please referto the following pages for conditions of this permit. 2 of 3
I
lx7
z CONCRETE MECHANICAL MANUFACTURED HOME .D
o _�_
Dale By .__-..___-- --- 3
o Footings !Setbacks Gas Piping Ribbons Z
00 Intenor Date By Interior-Date By Date By
v
oExterior Date BY Exterior-Date_ B Set-up —_— G
Point Load/Isolated Footings INSULATION Date By M
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 W
Oats BY Date By FINAL INSPECTION z
(D Water Line Fire Seperation N
a)
Date By Date By Date by
O
Pass or Request Inspect. c
Type of Insp. Fail Date Date Done By Comments o
CD f o
Cn
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MASON COUNTY BURN PERMIT APPLICATIONUN Zfflo
426 W CEDAR ST. • PO BOX 186• SHELTON WA 98584 ,
SHELTON 360.427.9670 • BELFAIR 360.275.4467 •ELMA 360.482.5269
APPLICA T INFORM TON: CONTRACTOR INFORMATION:
Owner Owner W`w k_3 K v-e h►�,
Mailing Address 2 5 I Mailing Address Q.(1. 2 r( 2
City S �_t�-}dyk State L-A Zip City StateLt,/4_Zip
Phone 3 C&- L 2(,-4= Cell Phone 3 U - Phone 3 - l 2 tp—O ther Phone 3 -Z 31-
Lien/Title Holder Contractor Reg.# K 1-k R_ 7 Exp. '9/aD/Z /D
E-mail address E-mail address
Drivers Lic.# DOB (.//3/rz-1 Drivers Lic.# D.O.B. S�/
TAX PARCEL NUMBER.3 Z.Z3`-1`j y 9�1n// Sec. Twn. Rng. Fire District_
SITE ADDRESS(please include street name,num er&city
Directions to the site rw6 lt� e r- r-dC o v% yG e1,4
Parcel within 200'of: Saltwater❑ Lake❑ River/Creek o Pond❑ Wetland❑ Seasonal Runoff❑ Stream o
Slopes or Bluffs> 15% 4 es NO Will timber be cut and sold in parcel preparation?Yes/ o
Does Site require FPA or- yr. Morajorium Yes o) Is site being converted or replantedN'61046
Reason For land Clearing
Is this application the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No
Burning 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 arovide 24 hour fire watch.
• On Site Water is required for permits between April 15'"and Oct. 15''. 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 360.427.7761,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 burn 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 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
pers harge of t fire wKIle liable for the cost of suppression if the fire gets out of control or if APPROVED DENIED
bec s cessary to xtinghe fire as the result of an enforcement act'o .
X Date �� 2Q/ U INTIALS
Ow er wners Representati Contractor(indicate which one) DATE