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Home My WebLink AboutBRN2024-00045 - BRN Inspections - 10/11/2024 Mason County B Mason County - Division of Community Development 615 W. Alder St.8 , Building 8 Shelton, WA 98584 360-427-9670 ext 352 www.masoncountywa.gov [BRN2024-00045 BURN PERMIT ROJECT DESCRIPTION: BURN PERMIT ISSUED: 10/11/2024 TE ADDRESS: 781 E MASON BENSON RD GRAPEVIEW EXPIRES: 11/10/2024 PARCEL: 221103200010 APPLICANT: BENNETT JASON OWNER: BENNETT JASON 2800 SAGEMILL DR 2800 SAGEMILL DR MODESTO, CA 95355 MODESTO, CA 95355 1.510.914.1121 FEES: Paid Due Burn Permit Fee $175.00 $0.00 Totals : $175.00 $0.00 REQUIRED INSPECTIONS Burn Inspection CONDITIONS A responsible adult and equipment shall be on site and in attendance at the fire while burning. Must provide 24 hour fine watch. ------------------ * *IF BURNING WITHOUT CALLING IN,THE FIRE WILL BE EXTINGUISHED AT OWNERS EXPENSE AND POSSIBLE SUSPENTION OF PERMIT.* ...._........______--------------_---------------------------------_-------------------------........... __. * Upon completion of all conditions,applicant must have inspection&approval before ignition. Call(360)427-9670,ext. 352 ------------------------------------------------------ -------------------------------------............ * Fan required. - ------------------------------------------------------- ----------_------.____..---------_____.__.---------- . * Permit includes two(2)inspections maximum, additional inspections will require a re-inspection fee. (at current rate). * After the bum is complete make sure the fire has not burned into the earth by checking the fire location for hot spots. * 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. __ ________________ __________ -------_------------------------------------ ------------------ * Access must be passable with 2 wheel drive vehicle. ----------______________________________ Printed by:Annie Wilson on:10/11/2024 11:22 AM Page 1 of 2 ++�I Mason County gII�3B , e Mason County - Division of Community Development 615 W. Alder St. Building 8 Shelton, WA 98584 360-427-9670 ext 352 www.masoncountywa.gov BURN PERMIT BRN2024-00045 * Maximum pile size is twenty(20)feet in diameter,a minimum ten(10)feet firebreak must be constructed around each pile. -----------------------_---------------------------------------------_________________________________________. * APPLICANT'S MUST CALL 360.426.4441 EACH DAY TO REPORT BURNING ACTIVITY. ------------------_----_------------_----_--------------___.-------____-___--_______________-_--__-_------__-__-. * A BURN BAN when implemented by Fire Marshal will take effect as noted and all permits become null and void.After a bum ban. has been implemented,all fires must be extinguished immediately. -------------------------------______-----------------------------------_--------------------__________ * Do not bum if wind is blowing more than seven (7)miles per hour. DO NOT BURN IF WIND BLOWING FROM --------------------------------------------------------------------. ..-_------.. ._--. ------------. * Each pile must be at least one hundred(100)feet from any structure and at lease fifty(50)feet from standing timber. 11 _..._...._.... . � .. . . .�..�_..�...__. . . , .. a __ti---- - ----- ------ __. _.__�_.._� _.. * On Site Water is required for permits between April 15th and Oct. 15th.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. _--_____.__..______________ * All materials must originate from the property on which the burning is to occur. * All other necessary permits from Mason County,Washington State, Federal Agencies, and/or other agencies/groups that are required for this proposed development and construction must be obtained PRIOR TO DEVELOPMENT AND CONSTRUCTION. ___-------------_-----------------------------------------------------------------_----------------------------- * Valid permit MUST be onsite while burning.If permit is not on site during burning the fire will be extinguished at your cost ___________________________------------------------------------------------------------------ -------- . * Fire must be completely extinguished within three(3)days after ignition. - ------------------------------------------- -_--_________-___ ---------------------------------- The fire must not create a nuisance from smoke, obscure visibility on public roads and highways,or endanger life and property. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of Laws and Ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state/local law regulating construction or the performance of construction. Issued By: iKi Contractor or Authorized Agent: Date: Printed by:Annie Wilson on:10/11/2024 11:22 AM Page 2 of 2 r � o k- Date ft�tEIVED �E'1 '16-4jo'soki J;L0aIUNTY OCT 11 2024 TY DEVELOPMENT 6 Alder Steet Building,Planning 15 W. Permit#:_glQ� ,V�r-l__VV . r Imer's Authorization Letter Name Mailing Address City State ZIP Phone Email Parcel Number Site Address City State ZIP I(we): (Property Owners Name) Hereby Authorize: (,Name of Person/Contractor to Sign Permit) To apply for, sign, and pick-up building permits for the following proposed work: (Brief Description of Work to be Done) As property owner(s),I(we)hereby grant permission to the applicant referenced above to apply for,sign,and pick- up the building permit for the work as indicated above. All work performed must meet all provisions of the Building Codes and the Laws of Mason County and the State of Washington, as applicable,whether specified or not.Residential Contractors are required to have a current State of Washington Contractors License(RCW 18.27). (Property Owner Signature) (Date) EXPIRATION DATE: Permit##: BRN �Z 0&4—QQ�—_ MASON COUNTY BURN PERMIT APPLICATION 615 W Alder St• Shelton,WA 98584 SHELTON 360.427.9670 x352 •BELFAIR 360.275.4467 x352 •ELMA 360.482.5269 x352 APPLICANT/OWNER INFORMATION: CONTRACTOR INFORMATION: Owner -'T SO l- a h►k Owner Mailing Address .14(p SA.giAnr Q r• Mailing Address City m p f p ate C: _Zip 95� City State Zip Phone Cell Phoned 10-9/4j—1lj Phone Other Phone Lien/Title Holder Contractor Reg.# Exp. E-mail address E-mail address Drivers Lic.# D.O.B. Drivers Lic.# D.O.B. TAX PARCEL NUMBER ;L2-110-3;�,-000. n (12 digit number) Fire District SITE ADDRESS(please include street name,number&city) 77 U f 4 MGt_Spl4— eay okq Rd. Directions(to the site) BURNING IS AUTHORIZED SUBJECT TO THE FOLLOWING CONDITIONS: • Valid permit MUST be onsite while burning.If permit is not on site during burning the fire will be extinguished at your cost. • 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 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 arovide 24 hour fire watch. • On Site Water is required for permits between April 15'and Oct. 151.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. • APPLICANTS MUST CALL 360.539.7610(ORCCA) EACH DAY TO REPORT/REOUEST ANY AIR QUALITY ISSUES ASSOCIATED WITH BURNING. ************IF BURNING WITHOUT CALLING IN,THE FIRE WILL BE EXTINGUISHED AT OWNERS EXPENSE AND POSSIBLE SUSPENTION OF PERMIT.*************** • 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 Date Received: Application continued, please go to next page Rev.Aor 19.2017 Burn Permit # PARCEL AND SITE INFORMATION: Parcel within 200'of: Saltwater❑ Lake❑ River/Creek/Stream❑ Pond o Wetlands❑ Seasonal Runoff❑ : Y /None Slopes or Bluffs> 15%within 50 fe Yes No Will timber be cut and sold in parcel preparation?YC/No) Does Site require FPA or 6 yr.Moratorium:Yes No Is site being converted or replanted:Ve-k No Is site located in an Urban Growth Area(UGA)?:Ye /N /Unknown [Burning is currently NOT allowed inside UGAJ Z*ing:, Summarize proposed land clearing items to be burned: SITE PLAN In the space provided below,please draw a top-view site plan of the parcel and notate locations of the following items with distances to/from"Burn Pile": o Burn Pile and Feeder Piles o Any existing buildings/structures(ie: Residence, Garage, Storage shed, Driveway, etc.) O Existing standing timber o Any"Critical Areas"such as Steep Slopes, Lake, River/Creek, Wetlands, Seasonal Runoff, Streams, etc - - - - - - - - - -- - - -- - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - S; -781 Cv � T jrP& OWNER/CONTRACTOR:Acknowledges submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of such is by signature below.The owner 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.T erson in charge of the fire will be liable for the cost of suppression if the fire gets out of control or if becomes necessary t ex nguish the fire as t result of a enforcement action. /�2 IV x l/ S NATURE-M IGNED BY PROPERTY OWNER Date Signed FOR OFFICIAL USE ONLY. PLANNING DEPT REVIEW: Date: Approved by: Denied by: N/A- No Critical Areas