HomeMy WebLinkAboutBRN2025-00004 - BRN Inspections - 1/21/2025 !. 615 W.Alder St.Bldg 8,SHELTON,WA 98584
MASON COUNTY SHELTON:360-427-9670,EXT 352
COMMUNITY SERVICES BELF :360- - 6 , EXT 352
f ELMAMA: 360-482482-525269,EXT 352
Budding Plam mg,Enviro mental Fiealtfi,Community Heatth www.co.mason.wa.us
BURN PERMIT
BRN2025-00004
Issued Date 01/21/2025 Expiration Date 02/20/2025
Parcel Number 221293490004 Fire District 5
Site Address E SPENCER LAKE RD
Applicant JONES ALFRED W JR&DEBRA A
1.360.426.3893
Contractor HANSON EXCAVATION LLC License Number HANSOEL851QQ
Contractor 360-239-6792 Expiration Date 11/18/2025
Phone
1.Valid permit MUST be onsite while burning. If permit is not on site during burning the fire will be extinguished at your cost.
2.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.
3.All materials must originate from the property on which the burning is to occur.
4.The fire must not create a nuisance from smoke, obscure visibility on public roads and highways, or endanger life and
property.
5. Maximum pile size is twenty(20)feet in diameter, a minimum ten (10)feet firebreak must be constructed around each
pile.
6. Each pile must be at least one hundred (100)feet from any structure and at lease fifty(50)feet from standing timber.
7. Do not burn if wind is blowing more than seven (7)miles per hour. DO NOT BURN IF WIND BLOWING FROM
8.A responsible adult and equipment shall be on site and in attendance at the fire while burning. Must provide 24 hour fire
watch.
9. 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.)
10. Provide EXCAVATOR/DOZER(with fire extinguisher)on site with qualified operator.
11. Fire must be completely extinguished within three(3)days after ignition
12. Fan required.
13. Upon completion of above conditions, applicant must have inspection&approval before ignition. Call (360)427-9670,
ext. 352
14.APPLICANT'S MUST CALL 360.426.4441, EACH DAY TO REPORT BURNING ACTIVITY.
15. APPLICANTS MUST CALL 360.539.7610(ORCCA) EACH DAY TO REPORT/REQUEST ANY AIR QUALITY ISSUES
ASSOCIATED WITH BURNING.
16.IF BURNING WITHOUT CALLING IN,THE FIRE WILL BE EXTINGUISHED AT OWNERS EXPENSE AND POSSIBLE
SUSPENSION OF PERMIT.
17. After the burn is complete make sure the fire has not burned into the earth by checking the fire location for hot spots.
18. 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/burn site.
19.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.
20. Permit includes two(2)inspections maximum, additional inspections will require a re-inspection fee. (at current rate)
21. Access must be passable with 2 wheel drive vehicle
Official Use Only
Inspector: Sketch of Site/Comments:
Date:
s
Mason County
o Mason County - Division of Community Development
615 W.Alder St.
}1 Building 8
Shelton, WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
BRN2025-00004 BURN PERMIT
PROJECT DESCRIPTION: BURN PERMIT FOR LAND CLEARING ISSUED: 01/21/2025
SITE ADDRESS: E SPENCER LAKE RD SHELTON
EXPIRES: 02/20/2025
PARCEL: 221293490004
APPLICANT: JONES ALFRED W JR&DEBRA A OWNER: JONES ALFRED W JR&DEBRA A
2494 E PICKERING RD 2494 E PICKERING RD
SHELTON,WA 98584 SHELTON,WA 98584
1.360.426.3893
GENERAL CONTRACTOR'S LICENSE: HANSON EXCAVATION LLC License: HANSOEL851QQ
86 E BANJO LANESHELTON,WA 98584 Expires: 11/18/2025
360-239-6792
FEES: Paid Due
Burn Permit Fee $175.00 $0.00
Totals : $175.00 $0.00
REQUIRED INSPECTIONS
Bum Inspection
CONDITIONS
* Fire must be completely extinguished within three (3)days after ignition.
................ .............. ... ..............................................................
* 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.
....... .................... ....... . . . . .. ........................... ................... ..
* 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.)
- -------------- ____..__
* *IF BURNING WITHOUT CALLING IN,THE FIRE WILL BE EXTINGUISHED AT OWNERS EXPENSE AND POSSIBLE
SUSPENTION OF PERMIT.*
__.__....... ... .... . ............. ....... . .... ............................... .. ................
* Maximum pile size is twenty(20)feet in diameter, a minimum ten (10)feet firebreak must be constructed around each pile.
Printed by:Genie Mcfarland on:01/21/2025 03:32 PM Page 1 of 2
VONMason County
Mason County - Division of Community Development
615 W.Alder St.
1 Building 8
Shelton, WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
BURN PERMIT BRN2025-00004
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.
----------- ------------------------------------------------ -------
* Fan required.
-----------------------------------------------------------------------------------------------.
" Do not burn if wind is blowing more than seven (7)miles per hour. DO NOT BURN IF WIND BLOWING FROM
-------------- --------------------------------------------------------------------------------------
" Access must be passable with 2 wheel drive vehicle.
* 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
........................................... ....................................................................
A responsible adult and equipment shall be on site and in attendance at the fire while burning. Must provide 24 hour fire
watch.
----------------------------------------------- ------ ------- -----------------------
Upon completion of all conditions, applicant must have inspection &approval before ignition. Call (360)427-9670, ext. 352
-------------------------------------------- ----
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.
-
------------------------------------------------------------------------------------------ ------
The fire must not create a nuisance from smoke, obscure visibility on public roads and highways, or endanger life and
property.
----------- -------- ------------------------- ------------------- --------------------=---
APPLICANT'S MUST CALL 360.426.4441 EACH DAY TO REPORT BURNING ACTIVITY.
----------- ----------------------------------------------------------------------------------------------------.
* All materials must originate from the property on which the burning is to occur.
-------------------------------------------------------- --------------------------------------------.
Provide EXCAVATOR/DOZER (with fire extinguisher)on site with qualified operator.
--------- -----
Each pile must be at least one hundred (100)feet from any structure and at lease fifty(50)feet from standing timber.
I hereby certify that 1 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:
Contractor or Authorized Agent: Date:
Printed by:Genie Mcfarland on:01/21/2025 03:32 PM
Page 2 of 2
s _ �EXPIRATION DATE: Permit#: BRN 2026 ' 00664
MASON COUNTY BURN PERMIT APPLICATION
615 W Alder St• Shelton,WA 98584
SHELTON 360.427.9670 x352 •BELFAIR 360.275.4467 x352 9 ELMA 360.482.5269 x352
APPLICANT/OWNER INFORMATION: CONTRACTOR INFORMATION:
Owner Alfred Jones Owner Hanson Excavation LLC
Mailing Address 2494 E.Pickering RD. Mailing Address 88 SE Banjo LN
City Shelton State WA Zip 98584 City Shelton State WA Zip 98584
Phone 360-426-3893 Cell Phone Phone 360-239-6792 Other Phone
Lien/Title Holder Contractor Reg.#HANSOEL851QQ Exp.t r /ra /25
E-mail address E-mail address jared@hansonex.com
Drivers Lic.# D.O.B. Drivers Lic.# D.O.B.
TAX PARCEL NUMBER 221293490004 (12 digit number) Fire District
SITE ADDRESS(please include street name,number&city) approx.2700 Spencer Lake road
Directions(to the site)hwy 3 to pickering.pickering to E Spencer Lake Rd.,on the left.25 down from intersection of pickering and E spencer lake rd
BURNING IS AUTHORIZED SUBJECT TO THE FOLLOWING CONDITIONS:
• Valid permit MUST be onsite while burning If permit is not on site duringburning-the urning-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 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 vrovide 24 hour fire watch.
• On Site Water is required for permits between April 151 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/REQUEST 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 E*
Rev Aor 19.2017
1
Burn Permit # 1 w 2o 2,c2- -woa4
PARCEL AND SITE INFORMATION:
Parcel within 200'of: Saltwater❑ Lake❑ River/Creek/Stream❑ Pond❑ Wetlands❑ Seasonal Runoff❑ : Yes on
Slopes or Bluffs> 15%within 50 feet Y No Will timber be cut and sold in parcel preparation?YAM
Does Site require FPA or 6 yr.Moratorium:Yes No Is site being converted or replanted:
Is site located in an Urban Growth Area(UGA)?:Yef"Zol Unknown [Burning is currently NOT allowed inside UGAJ
Wining;•„ r ... : ...4 ,, .,.
Summarize proposed land clearing items to be burned: Stumps and brush from previous work
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
- - - - - - - ------- - -- -- - - - -- ---- - - - - -
See Atta hed
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CZ
V
Or v )
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.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 enforcement action.
X �Y' BrL 1/2.1_/2025
SIGNA RE-MUST BE SIGNED BY PROPERTY OWNER Date Signed
FOR OFFICIAL USE ONLY:
PLANNING DEPT REVIEW:
Date: Approved by: Denied by: N/A- No Critical Areas