HomeMy WebLinkAboutBRN2010-00022 Final Land Clearing - BRN Permit - 5/17/2010 Inspection Line(360)427-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone (360)427-9670,ext.352
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Mason County Bldg. III 426 W. Cedar P.O. Box 186
Shelton, WA 98584
p;oi
BURN PERMIT BRN2010-00022
OWNER: ROBERT DROHMAN RECEIVED: 5/13/2010
CONTRACTOR: JOE FASSIO EXCAVATING 36089807286 LICENSE: JOEPFE*015MR EXP: 7/14/2011 ISSUED: 5/14/2010
SITE ADDRESS:
EXPIRES:
PARCEL NUMBER: 322367500040
LEGAL DESCRIPTION: TR 4 OF SURV 4/84-86
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
LAND CLEARING PERMIT SHELTON TO UNION DOWN HWY 106 TO MERRIMOUNT GO
UP HILL TURN LEFT GO TO END OF ROAD SITE ON LEFT BY
MACHINES
BURN TYPE: FEES
Land Clearing Type By Date Amount Receipt
Burn Permit GMM 5/13/2010 S160.50 S1201000000000000940
Total $160.50
BRN2010-00022 Please refer to the following pages for conditions of this permit 1 of 4
CASE NOTES FOR
BRN2010-00022
CONDITIONS FOR
BRN2010-00022
1) Permi ndludes two (2) inspections maximum, additional inspections will require a$73.00 re-inspection fee.
X
2) Apfants must call 360.427.7761, EACH day to report burning activity. Last 3 numbers of permit required at time of call in.
X
3) Appli must call 360.586.1044 (ORCCA) EACH day to report/request any air quality issues associated with burning.
X
4) Valid r it must be on-site while burning.
X
5) A BURN 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 rePiqst be extinguished immediately.
X
fol 6) The lowing 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 o obnoxious odors when burned.
X
7) All mat i I must originate from the property on whichthe burning is to occur.
X
8) The fir must not create a nuisance from smoke, obscure visibility on public roads and highways or endanger life and property.
X
9) The YeRe
size is twenty(20) feet in diameter, with a minimum ten (10) feet firebreak around each pile.
X
10) Each pilleast one hundred (100) feet from any structure and atleast fifty (50) feet from standing timber.
X
BRN2010-00022 Please refer to the following pages for conditions of this permit. 2 of 4
7I 1) Don n f wind is blowing more than seven (7) MPH.
X
12) Do not b if owing from XX direction. (This will be indicated on the posted permit at the time of site inspection.)
t X
13) A minimum of ne qualified operator is required to be in attendance at the fire while burning. A burn site/fire shall never be left unattended. MUST
PROVID 11 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
mus le of pumping 20 gallons per minute through a one-inch (diameter) hose.
X
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
responsible fprrlekindling on the fire/burn site.
X
16) Provi Fcavator/dozer with a fire extinguisher at the site with a qualified operator.
X
17) Provid 2 our 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
re n enforcement action.
X
19) Acc ss s passable with 2 wheel drive vehicle.
X
20) Fire st ompletely extinguished within three (3) days after ignition.
X
21) After th n complete, YOU MUST touch by hand, the earth to make sure the fire has not burned down into the earth.
X
22) Fan is r ui d.
X
BRN2010-00022 Please referto the following pages for conditions of this permit. 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 County access to
the above described p erty and structure for eview and inspection. u�
OWNER OR AGENT: 1 v DATE:
BRN2010-00022 Please referto the following pages for conditions of this permit. 4 of 4
W
z CONCRETE MECHANICAL MANUFACTURED HOME
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o Footings/Setbacks Gase Piping By Ribbons ��
2
O0 Interior Date By interior-Date By Date Fly ic
N Exterior Date By Exterior-Date By
Set- _ Z
N INSULATION .
up
Point Load l Isolated Footings Date B y
BG l SLAB INSULATION ---- _--.. -.---- - Q
Date By Data By FIRE DEPARTMENT 00
m
Foundation Wails Floors Date By M
Date _ By Data By DECKS
FRAMING Walls Date By
Date By Data By PROPANE TANKS
PLUMBING vault Date By
Date By OTHER
Groundwork Attic
Date By Date By Type.
Date By
D.w.v DRYWALL Type:
Int.Brace Wall Date By
Date sY Date By FINAL INSPECTION z
m Water Line Fire Seperation N
Date By Date By Date By o
o
Pass or Request Inspect. c
Type of Insp. Fail Date Date Done By Comments o
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MASON COUNTY BURN PERMIT APPLICATIOre�" Z0.11 O
426 W CEDAR ST. • PO BOX 186 • SHELTON WA 98584
SHELTON 360.427.9670 • BELFAIR 360.275.4467 •ELMA 360.482.5269
APPLICAPq INFORMAT ON: \ CONTRACT INF ATION:
Owner J aye � S s 1 0 Owner O S I(� L---,CCAVPFr70t\J
Mail' Address 1p Mail' Address
City Y1 o r'l State G Zip City n i State��Zip
Phone Cell Phone / Phone her Phone
Lien/Tit a Holder Contractor Reg.# Exp. / O / 10
E-mail address E-mail address
Drivers Lic.# DOB Drivers Lic.# _TP &SCt D.O.B. U Ga
T_r
TAX PARCEL NUMBER as ` 0 0 d y aec. Twn. Rng. Fire District
SITE ADDRESS(please ' lude treet name nur�►b�er&city
pi
rections to the site '? (•f /D / O I
III :r o
Parcel within 200'6f: Saltwate Lake❑ iver/Creek❑ Pond❑ Wetland❑ Seasonal un ❑ Stream ❑ "��l r1Q S
Slopes or Bluffs> 15% Yes/ O Will 'tuber be cut and sold in parcel preparation?Yes N 1 )Gt
Does Site require FPA or 6 yr. ratorium Ye o Is site being converted or replanted Yes/No
Reason For land Clearing -11 OYYL2 S
Is this application the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes o
Burning is authorized subject to the followintl 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 15t'and Oct. 15`s.A pump truck or trailer with 300 gallons of water loaded and
200 R 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
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
bec nec sary to extin uish the fire as the result of an enforcement action es . 2
X ► Date I ?j ) V INTIALS
O r/Owners Representative/Contractor(indicate which one) DATE
I
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 =00022
Issue Date Expiration Date
Applicant: ROBERT R DROHMAN Contractor: JOE FASSIO EXCAVATING
Address: 4326 LEGACY DR NE OLYMPIA WA 98516-6250 Address: PO BOX 362 UNION WA 98592
PH 1: 36089807286
Contact Number(s) - Must be a 24 hour number Reg#: JOEPFE"015MR 07/14/201,
Parcel Number: 322367500040 Section 36 Township: 22 Range 3 Fire
Legal Description: TR 4 OF SURV 4/84-86
Site Address:
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
9. A responsible adult and equipment shall be on site and in attendance 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 report/request 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 burn 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:
Sketch of Site/Comments
BRN2010-00022 05/14/2011