HomeMy WebLinkAboutBRN2010-00018 Final - BRN Permit - 3/29/2010 Inspection Line(360A27-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext.352
Mason County Bldg. III 426 W. Cedar P.O. Box 186
Shelton, WA 98584
BURN PERMIT BRN2010-00018
OWNER: TIMOTHY BECK RECEIVED: 3/29/2010
CONTRACTOR: ARROW LANDCLEARING & SEPTIC LICENSE: ARROWLC95216 EXP: 4/26/201 1 ISSUED: 3/29/2010
SITE ADDRESS: 21 E CATFISH LAKE RD SHELTON EXPIRES:
PARCEL NUMBER: 321343490034
LEGAL DESCRIPTION: LOT: 4 OF SP#2967 OF S1/2 SW EX
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
LAND CLEARING FROM SHELTON TURN ON HWY 3 GO 3 MILES TO MASON
LAKE RD TURN LEFT GO .5 MILES, TURN R ONTO CATFISH
LAKE RD. SITE IS ON LEFT
BURN TYPE: FEES
Land Clearing Type By Date Amount Receipt
Burn Permit MEC 3/29/2010 $160.50 S1201000000000000543
Total $160.50
BRN2010-00018 Please refer to the following pages for conditions of this permit. 1 of 4
CASE NOTES FOR
BRN2010-00018
CONDITIONS FOR
BRN2010-00018
1) 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 fir rpust be extinguished immediately.
X- I
2) 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
jmmo j oy-obnoxious odors when burned.
3) All material ust originate from the property on whichthe burning is to occur.
X
4) Valid Wit;. ust be on-site while burning.
X J [Y --
5) Perm iUin Ip udes two (2) inspections maximum, additional inspections will require a$73.00 re-inspection fee.
X
6) Applica�rrJUst call 360.427.7761, EACH day to report burning activity. Last 3 numbers of permit required at time of call in.
X CCU, �_
7) Applicants must call 360.586.1044 (ORCCA) EACH day to report/request any air quality issues associated with burning.
X a, -..
8) The fire-my t not create a nuisance from smoke, obscure visibility on public roads and highways or endanger life and property.
X
9) Xh Tpm pile size is twenty(20)feet in diameter, with a minimum ten (10) feet firebreak around each pile.
10) Eacb-pile must be at least one hundred (100)feet from any structure and atleast fifty (50) feet from standing timber.
X @) C--
BRN2010-00018 Please referto the following pages for conditions of this permit. 2 Of 4
11) Do-091,1%im if wind is blowing more than seven (7) MPH.
X
12) Don rn if 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
PROVL 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
Xustbe enable of p��ping 20 gallons per minute through a one-inch (diameter) 50-foot hose.)
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
respe,figible for any ekindling on the fire/burn site.
x A ~ ` /VW
16) Provide excavator/dozer with a fire extinguisher at the site with a qualified operator.
X�� &-
17) ProviSie-a 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 n enforcement action.
X -
19) Acc t be passable with 2 wheel drive vehicle.
X
20) Fire et be completely extinguished within three (3) days after ignition.
X ' F,
21) Afi<e�-t#ye+burn is complete, YOU MUST touch by hand, the earth to make sure the fire has not burned down into the earth.
X
22) Fan..is required.
X_LkL
BRN2010-00018 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 anytime 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 property and ructure for revie d in�ion.
OWNERORAGENT: DATE: 3,12 / ��/
i
BRN2010-00018 Please refer to the following pages for conditions of this permit. 4 Of 4
W
z CONCRETE MECHANICAL MANUFACTURED HOME m
Date n
oFootings 1 Setbacks $Piping By Ribbons
o Intenoa Date By interior-Date By Date By
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Exterar Date By Exterior- Date By Set-up �
r
OD INSULATION O
Point Load i Isolated Footings Date By
BG/SLAB INSULATION
Date By Data By FIRE DEPARTMENT
Foundation Walls Floors Date By
Date By Data By DECKS
FRAMING Wails Date By
Dale By Data By PROPANE TANKS
PLUMBING Vault Data By
Date By OTHER
Groundwork Attic
Type
dale By Date By Date By
D.W.v DRYWALL Type_
Int.Brace Wall Date By W
Date BY pate By FINAL INSPECTION z
ni Water Line Fire Separation N
Date By Date By Date
Pass or Request Inspect. c
Type of Insp. Fail Date Date Done By CommentsCD o
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PERMIT NO R 0 Q�: Olb-k _)Oi
f MASON COUNTY BURN PERMIT APPLICATION
426 W. Cedar• P.O. Box 186, Shelton, WA 98584
Shelton (360) 427-9670 • Belfair(360) 275-4467 • Elma (360) 482-5269 -mvw.co.mason.wa.us
API LICA T INFORMATION CONTRACTOR INFORMATION
Owner i C Company Name A IQ D I N 6
Mailing Address ' = LA v v yz Mailing Address P D.
City `��-1 t i +,-, State Zip city D State Zip Cod_�a.2_3 p Code� �s�s�} ty .�_ p e
Phone 11 Lc,.)u oa - a i Other Ph. Phone O 4-:;g Other Ph.
Lien/Title_Holder _Ls� tz�N A c c-, Contractor Reg. # Exp. a as I
E mail Address E Mail Addressarr IM.
Drivers Lic.# 1�, c �c ;-s �I53e�OB _ - Drivers Lic. # e) DOB
PARCEL INFORMATION - 12 Digit Parcel No - L -3 Fire District
E3 Is property flagged or addressed prior to inspection? Yes / No
Site Address (Please include street name,street number and city) 11✓. C8T-IFI-s4 L-A RD.
Directions site (n -, c e -� ,
e Will timber be cut and sold in parcel pre ration?Yes/
Is property within 200' of Saltwater Lake River/Creek ?-' Pond 41�2
Wetland 'L _ Seasonal Runoffs Stream_ �?__...-Slopes or Bluffs > '5%
The person in charge of the fire may be liable for the cost of fire supression if the fire gets out of control or if it becomes
necessary to extinguish the fire as a result of enforcement action.
Open burning shall be prohibited during any period of impaired air quality as designated by the Olympic Region Clean
Air Agency, or during extreme fire danger due to dry weather conditions as designated by the Mason County Fire
Marshal's Office.Information hotline(360)427-7799
Is this permit submittal 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 on site while burning
0 Prohibited materials.the following muat not be burned:
Garbage,dead animals,asphalt, petroleum products, paints, rubber products,plastics, paper, cardboard,treated wood,
1nstruction/demolition debris, metal, or any substance(other than natural vegetation)that normally releases toxic
0ffier
issions,dense smoke,or obnoxious odors when burned.
materials must originate from the property on which the burning is to occur.
Ld e fire must not create a nuisance from smoke,obscure visibility on public roads and highways,or endanger life and property.
ximum pile size is twenty(20)feet in diameter,a minimum ten(10)feet firebreak must be constructed around each pile.
ch pile must be at least one hundred (100)feet from any structure, at least fifty(50)feet from standing timber.
not burn if wind is blowing more than seven(7)miles per hour.
not burn if wind is blowing from (direction)
esponsible adult and equipmer�hall be required to be on site and in attendance at the fire while burning.
site water required: ®Yes 0 No
vide EXCAVATOR/DOZER with a fire extinguisher at the site with a qualified operator.
vide 24 hour fire watch.
must be completely extinguished within three(3)days after ignition.
required
❑ Upon completion of above conditions,applicant must call(360)427-9670 Ext r inspection prior to burning .
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,owners legal representative,or the 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 neces-
sary 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 access to the above described property for review and
inspection. This permit/applicatiorg becomes null and void if work is not completed within 30 days. Permit includes two (2) inspections ma>amum,
additional i pecti s will r a fees four(64)dollars per inspection.
X Date: bU
Owner/Owners Re resentative/Contractor indicate which one
FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Fire Marshal
Burn Permit Fee Site Inspection Violation Fee
State Fee Pre-Paid at Submittal Other
TOTAL FEES