The URL can be used to link to this page

Home My WebLink AboutBRN2013-00036 Final - BRN Permit - 3/11/2013 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 too Shelton, WA 98584 too BURN PERMIT BRN2013-00036 OWNER: SOUTH SHORE CONSTRUCTION RECEIVED: 11/13/2013 CONTRACTOR: SOUTH SHORE CONSTRUCTION INC 1-360-275-0818 360-509-1342 LICENSE: SOUTHSC01( ISSUED: 11/13/2013 SITE ADDRESS: 2221 NE STATE ROUTE 300 BELFAIR EXPIRES: PARCEL NUMBER: 123313200040 LEGAL DESCRIPTION: TR 4 OF GOUT LOTS 3-4 PROJECT DESCRIPTION: DIRECTIONS TO SITE: BURN PERMIT FOR LAND CLEARING ON THE FUTURE CHURCH ST RT 3 TO BELFAIR, L ON ST RT 300 TO SITE ADDRESS ON THE LEFT SIDE BURN TYPE: FEES Land Clearing Type By Date Amount Receipt Burn Permit GMM 11/13/201 $160.50 S1201300000000001176 Total $160.50 BRN2013-00036 Please refer to the following pages for conditions of this permit. Page 1 of 4 CASE NOTES FOR BRN2013-00036 CONDITIONS FOR BRN2013-00036 1) Permit includes two (2) inspections maximum, additional inspections will require a$73.00 re-inspection fee. X 2) Applican s must call 360.426.4441, EACH day to report burning activity. Last 3 numbers of permit required at time of call in. X —Z� 3) Applicants,must call 360.586.1044 (ORCCA) EACH day to report/request any air quality issues associated with burning. 4) Valid mt,,,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 must be extinguished immediately. X G' 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 smo r t�npxious odors when burned. X �v� 7) All mates I must originate from the property on whichthe burning is to occur. x I(V\ 8) The fire m st Dot create a nuisance from smoke, obscure visibility on public roads and highways or endanger life and property. X 9) The maxim} pile size is twenty(20) feet in diameter, with a minimum ten (10)feet firebreak around each pile. X V� 10) Each pil st at least one hundred (100) feet from any structure and atleast fifty (50) feet from standing timber. X � �1 BRN2013-00036 Please refer to the following pages for conditions of this permit. Page 2 of 4 11) Do not bu if wind is blowing more than seven (7) MPH. X 12) Do not bur if wind is blowing from XX direction. (This will be indicated on the posted permit at the time of site inspection.) x %vM 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 PROVIDE 4 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 b ca ble of pumping 20 gallons per minute through a one-inch (diameter) 50-foot hose.) X M 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 Xspo sib many rekindling on the fire/burn site. 16) Provide excavator/dozer with a fire extinguisher at the site with a qualified operator. CX 17) Provide a 24-ho r 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 a� nfgrcement action. XIN 19) Access fnustbe Dassable with 2 wheel drive vehicle. X 20) Fire mu t b completely extinguished within three (3) days after ignition. X 21) After the bur i cotnplete, YOU MUST touch by hand, the earth to make sure the fire has not burned down into the earth. X /\ 22) Fan i re X 1 BRN2013-00036 Please refer to the following pages for conditions of this permit. Page 3 of 4 OWNER/ BUILDER 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, owners legal representative, or contractor. I further declare that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the necessary parties, including any easement holder or parties of interest regarding this project. The owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s) for review and inspection. This permit/application becomes null &void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. #1gr—ature Date OWNER - REPRESENTATIVE- CONTRACTOR Print Name cle andindicate) BRN2013-00036 Please refer to the following pages for conditions of this permit. Page 4 of 4 1 z CONCRETE MECHANICAL MANUFACTURED HOME CAI O o Date Footings I Setbacks Gas By Piping Ribbons --1 o Interior Date By interior-Date By Data B N Y ow Exterior Date By Exterior-Date B cam{_ 2 °' INSULATION O Point Load I Isolated Footings Date By X BG I SLAB INSULATION m Date By Data By FIRE DEPARTMENT n Foundation Wails Floors Date By Z Date By Data By DECKS Cl) FRAMING Wails Date By I Date By Data By PROPANE TANKS n Vault Date By —� PLUMBING .____-------___---___ Date By OTHER _ O Groundwork Attic — — —_ Z Date By Type. Date By Date By o.w.v DRYWALL Type- Date Brace Wall pate By W oate By Rate By FINAL INSPECTION Z v 0 Water Line Fire Seperation N mCD m Date By Date By Date By m W s Pass or Request Inspect. c Type of Insp. Fail Date Date Dane By Comments o CD v 0 0 0 a o' Cn 0 s 0 fD 3 01 0 f M � BRN2013-O&�( MASON COUNTY BURN PERMIT APPLICATION 426 W CEDAR ST.•PO BOX 279•SHELTON WA 98584 SHELTON 360.427.9670 •BELFAIR 360.275.4467 •ELMA 360.482.5269 APPLICANT INFO TION: CONT CTO INFORMATION: Owner �P �1.�JG.) '--7f Owner Mailing Address Mailin ddress City State "Lip City State_gZip 7- Phone Cell Phone Phone —() Other Phone Lien/Title Holder Contractor Reg.# Exp. E-mail address E-mail address Drivers Lie.# DOB Drivers Lie.# D.O.B. TAX PARCEL NUMBER 2 0 Sec. Twn. Rng. Fire District SITE ADDRESS(please incilide reet name,number&city . Directions the site o Parcel within 200'of: Saltwate Lake River/Creek Pond❑ Wetland❑ Seasonal R&tff Stteam❑ VS!Slopes or Bluffs> 15% Yes/ O Will imber be cut and sold in p�aration?YesDoes Site require FPA or 6 yr Mpratorium:Y Is site being convert or replanted: Reason For land Clearing $U 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`h 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.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 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 nfor ement ac'o I X Date I 3 3 hidkate owner/ApDlican epresentative