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Home My WebLink AboutBRN2012-00039 - BLD Permit / Conditions - 12/10/2012 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 279 Shelton, WA 98584 BURN PERMIT BRN2012-00039 OWNER: DAVID NAVARRO RECEIVED: 12/10/2012 CONTRACTOR: LICENSE: EXP: ISSUED: 12/10/2012 SITE ADDRESS: 3937 NE OLD BELFAIR HWY BELFAIR EXPIRES: PARCEL NUMBER: 123091400010 LEGAL DESCRIPTION: TR 1 OF SE NE PROJECT DESCRIPTION: DIRECTIONS TO SITE: LAND CLEARING DEBRIS ST RT 3 TO BELFAIR, L ON ST RT 300 / FOLLOW TO OLD BELFAIR HWY, THEN TO SITE ADDRESS ON THE LEFT, SHARED DRIVEWAY WITH 3931,3933,3935 BURN TYPE: FEES Land Clearing Type By Date Amount Receipt Burn Permit TW 12/10/201 $160,50 S2201200000000000423 Total $160.50 BRN2012-00039 Please refer to the following pages for conditions of this permit. Page 1 of 4 CASE NOTES FOR BRN2012-00039 CONDITIONS FOR BRN2012-00039 1) Permit in ude o (2) inspections maximum, additional inspections will require a$73.00 re-inspection fee. 2) Applica s t call 360.426.4441, EACH day to report burning activity. Last 3 numbers of permit required at time of call in. X �C'� 3) Applica t call 360.586.1044 (ORCCA) EACH day to report/request any air quality issues associated with burning. X� 4) Valid po rmi ust 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 fires s extinguished immediately. X 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 o¢ cious odors when burned. X �- 7) All material st originate from the property on whichthe burning is to occur. X 8) The firu not create a nuisance from smoke, obscure visibility on public roads and highways or endanger life and property. X 9) The axi um pile size is twenty (20)feet in diameter, with a minimum ten (10)feet firebreak around each pile. X Q 10) Each pi t be at least one hundred (100) feet from any structure and atleast fifty(50) feet from standing timber. X ` BRN2012-00039 Please refer to the following pages for conditions of this permit. Page 2 of 4 11) . Do not urn<f wind is blowing more than seven (7) MPH. 12) Do not ur wind 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 PROVI E 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 capable of pumping 20 gallons per minute through a one-inch (diameter) 50-foot hose.) x Jc 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 or any rekindling on the fire/burn site. X W 16) Pro d ccavator/dozer with a fire extinguisher at the site with a qualified operator. X 17) Provid a -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 of ap,enforcement action. X 19) Accesst be passable with 2 wheel drive vehicle. X 20) Fire muse completely extinguished within three (3) days after ignition. X 21) After t is complete, YOU MUST touch by hand, the earth to make sure the fire has not burned down into the earth. X 22) Fan "Meed. X BRN2012-00039 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 p ress inspection.The owner or the agent on the owners behalf, represents that the information provided is accurate and grants employees of Maso unty ac ess to the ov described property and structure for review and inspection. OWNER OR AGENT: DATE: BRN2012-00039 Please refer to the following pages for conditions of this permit. Page 4 of 4 co z CONCRETE MECHANICAL MANUFACTURED HOME y N e By Footings /Setbacks Gas Piping et Ribbons o Intenor Date By interior-Date By Date By Extew Date By Exterior-Date B Set-up Point Load t Isolated Footings INSULATION Date By D BG/SLAB INSULATION C Date By Data By FIRE DEPARTMENT Foundation Wails Floors Date By Date By Data By DECKS F RAM I NG walls Date By Date By data By PROPANE TANKS PLUMBING vault Date ey Date By OTHER Groundwork Attic Date By Type. Data By Date BY 13MV DRYWALL Type: Date By Intt Brace Wall Date By CD By FINAL INSPECTION Z v N Water Line Fire Separation IV Dale By Date By Date By C N cu 6 o Pass or Request Inspect. c Type of Insp. Fail Date Date Done By Comments o CD y 0 O n O 7 D_ O O S N CD (D 3 N M 0 BRN2012_D ` ' ) J 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 INFORMATIO CONTRACT INFORMATION: Owner v Owner Mailing Addres Mailing Address City State Zip City State Zip Phone Cell Phone 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 I �'�— t�1 Sec. Twn. Rng. Fire District SITE ADDRESS(please inclu e LO name,number&city Directions to the site Parcel within 200'of: Saltwater❑ Lake❑ River/Creek❑ Pond❑ Wetland❑ Seasonal Runoff❑ Stream ❑ Slopes or Bluffs> 15% Yes/NO Will timber be cut and sold in parcel preparation?Yes/No Does Site require FPA or 6 yr.Moratorium:Yes/No Is site being converted or replanted:Yes/No 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 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 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. • On Site Water is required for permits between April 15"'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 uag lified 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 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 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 ill be liable for the c st of suppression if the fire gets out of control or if becomes necessary to extinguish the fire as the result of enf c ent a 'on. Date z l Z. dicate o e Appli epresentativ