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Home My WebLink AboutBRN2014-00023 Final Land Clearing - BRN Permit - 10/29/2014 �. 1110v0%.L'vI I LII IC`Jvv)' '-I- �90N coupTA MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352 r Mason County Bldg. III 426 W. Cedar St Shelton, WA 98584 INN BURN BURN PERMIT BRN2014-00023 OWNER: JODY JONES RECEIVED: 10/10/2014 CONTRACTOR: LICENSE: EXP: ISSUED: 10/10/2014 SITE ADDRESS: 151 NE ALDERWOOD PL BELFAIR EXPIRES: PARCEL NUMBER: 123297590030 LEGAL DESCRIPTION: TR 3A OF SURV 10/95 TR A OF SP#1746 PROJECT DESCRIPTION: DIRECTIONS TO SITE: LAND CLEARING DEBRIS BURN TYPE: FEES Land Clearing Type By Date Amount Receipt Burn Permit TW 10/10/201 $160.50 S1201400000000001124 Total $160.60 BRN2014-00023 Please refer to the following pages for conditions of this permit. Page 1 of 4 CASE NOTES FOR •. BRN2014-00023 CONDITIONS FOR BRN2014-00023 1) Per 1 �t in ludes two (2) inspections maximum, additional inspections will require a $73.00 re-inspection fee. X J 2) ApPNa s must call 360.426.4441, EACH day to report burning activity. Last 3 numbers of permit required at time of call in. X 3) App ant ust call 360.586.1044(ORCCA) EACH day to report/request any air quality issues associated with burning. X 4) Valid ermit ust be on-site while burning. Land clearing burn permits are valid 30-days from issuance. X i � 5) A B RN f3AN 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 fi s st be 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 sm ke t Xbnoxious odors when burned. r 7) All ateri.I-mist originate from the property on whichthe burning is to occur. X 8) The e t not create a nuisance from smoke, obscure visibility on public roads and highways or endanger life and property. X i 9) Th m cimum pile size is twenty (20) feet in diameter, with a minimum ten (10) feet firebreak around each pile. X 10) Ea&P le must be at least one hundred (100) feet from any structure and atleast fifty (50) feet from standing timber. X BRN2014-00023 Please refer to the following pages for conditions of this permit. Page 2 of 4 l 1) uo of urn it wino is uiowiny more man seven kt) ivirn. X 12) Do of Vurn if wind is blowing from XX direction. (This will be indicated on the posted permit at the time of site inspection.) X 13) A mini um 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 PR VI E 24 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 ca able of pumping 20 gallons per minute through a one-inch (diameter) 50-foot 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 resp le for any rekindling on the fire/burn site. X 16) Pro ide X e avator/dozer with a fire extinguisher at the site with a qualified operator. , 17) Pro deb 24-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 resu of n enforcement action. X 19) AE be passable with 2 wheel drive vehicle. X 20) Fompletely extinguished within three (3) days after ignition. X 21) A is complete, YOU MUST touch by hand, the earth to make sure the fire has not burned down into the earth. X 22) Fa r uired. X s BRN2014-00023 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 P RMIT APPLI TION OF 180 DAYS WILL INVALIDATE THE APPLICATION. r'. _J \c3 Signs - Date OOWNER - REPRESENTATIVE - CONTRACTOR Print Name (Circle one to indicate) BRN2014-00023 Please refer to the following pages for conditions of this permit. Page 4 of 4 co z CONCRETE MECHANICAL MANUFACTURED HOME O N _ C� Date Footings I Setbacks Gas piping By Ribbons M 0o Interior Date By Interior-Date By Date By o N Exterior Date BY Exterior Date B Set-up w Point Load I Isolated Footings INSULATION v Date By -< BG I 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 Date ey Date By OTHER Groundwork Attic Type- date By Date By Date By D.W.v DRYWALL Type- Date By Int.Brace Wall Date By 03 CD By FINAL INSPECTION Z v y Water Line Fire Seperation N m CD Date By Date By Date By CD m 4P, g Pass or Request Inspect. c 5 Type of Insp. Fail Date Date Done By Comments N EP (D (D N M A O 7 Q. O 7 Ch O C lD 3 N fD 0 BRN24+3 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 INFORMATION: CONTRACTOR INFORMATION: Owner Owner Mailing Address \ ` Mailing Address City C;DQ\,C� �. State 1P► Zip City State Zip Phone 3tav 19U k1 11 U Cell Phone Phone Other Phone Lien/Tide Holder Contractor Reg.# Exp. E-mail address �,ay 5.-k9 cQ[��,...�. ( �„� E-mail address Drivers Lic.# ��5)`��3��_DOB y_t(._t•� Drivers Lic.# D.O.B. TAX PARCEL NUMBER Sec. Twn. Rng. Fire District SITE ADDRESS(please include street name,number&city `-, n7E ink �[t Directions to the site Parcel within 200'of: Saltwater❑ Lake❑ River/Creek❑ Pond❑ Wetland❑ Seas u n Stream❑ Slopes or Bluffs> 15% Yes NO Will 'tuber be cut and sold in parcel preparation?Yes Does Site require FPA or 6 yr. torium:Y o Is site being converted or replan A- L Reason For land Clearing Is this application the result of a Stop Work Notice,Correction Notice or other enforcement action?Y o 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, rt*6w products, plastics, paper, cardboard, treated wood, construction/demolition debris, metal or any substance (other than nUftral 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 vrovide 24 hour fire watch. • On Site Water is required for permits between April 15t'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 reporttrequest 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 enforceme action. Date - - � ® Uit�t �tati�