HomeMy WebLinkAboutBRN2011-00012 Final Land Clearing - BRN Permit - 5/11/2011 BURN PERMIT
Mason County Dept. of Community Development
�� PO BOX 186 - 426 W Cedar St, Shelton WA 98584 - 360.427.9670 ext 352
www.co.mason.wa.us
B RN201 1 =000 12
S It -
Issue Date Wxpirlbtft Date
Applicant: DAVE KAMIN Contractor: KAMIN CONSTRUCTION
Address: P O BOX 2491 SHELTON WA 98584 Address: 500 SE COLE RD SHELTON WA 98584
PH1. 1.360.426.0002 PH2: 239-6769
PH2: 1.360.239.6769 PH1: 426-0003
Contact Number(s) - Must be a 24 hour number Reg#: KAMINCL947NB 08/20/201
Parcel Number: 322344400010 Section: 34 Township: 22 Range: 3 Fire District: 6
Legal Description: PCL 2 OF BLA#05-10 PTN OF GL 1 S 24/53
Site Address:
1. Valid permit must be onsite while burning
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.
8. Do not burn if the wind is blowing from
9. A responsible adult and equipment shall be on site and in attendance at the fire while burning. Must provide 24 hour fire watch.
10. On Site Water is required between April 15th and Oct. 15th. An 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.)
11. Provide EXCAVATOR/DOZER (with fire extinguisher) on site with qualified operator.
12. Fire must be completely extinguished within three (3) days after ignition
13. Fan required.
14. Upon completion of above conditions, applicant must have inspection & approval before ignition. Call (360)427-9670, ext. 262
15. Applicants must call 360.427.7761, EACH day to report burning activity. Last 3 numbers of permit required at time of call in.
16. Applicants must call 360.586.1044 (ORCCA) EACH day to report/request any air quality issues associated with burning.
17. After the burn is complete make sure the fire has not burned down 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 or party is responsible for any rekindling on the 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. 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.
22. Access must be passable with 2 wheel drive vehicle.
Official Use Only
Inspector: &04
Date:
Sketch of Site/Comments
BRN2011-00012 05/09/201
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 186
Shelton, WA 98584
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BURN PERMIT BRN2011-00012
OWNER: DAVE KAMIN RECEIVED: 5/9/2011
CONTRACTOR: KAMIN CONSTRUCTION 426-0003 LICENSE: KAMINCL947NB EXP: 8/20/2011 ISSUED: 5/9/2011
SITE ADDRESS:
EXPIRES:
PARCEL NUMBER: 322344400010
LEGAL DESCRIPTION: PCL 2 OF BLA#05-10 PTN OF GL 1 S 24/53
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
LAND CLEARING PERMIT FOLLOW ST RT 106 PAST ALDERBROOK, TOWARD TWANOH,
PROPERTY IS ON THE RIGHT, LARGE SWAG ON LOT CALL
DAVE 1.360.239.6769
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BURN TYPE: FEES
Land Clearing Type By Date Amount Receipt
Burn Permit GMM 5/9/2011 $160.50 S1201100000000000777
Total $160.50
BRN2011-00012 Please refer to the following pages for conditions of this permit. Page 1 of 4
CASE NOTES FOR
BRN2011-00012
CONDITIONS FOR
BRN2011-00012
1) Permit includes two (2) inspections maximum, additional inspections will require a $73.00 re-inspection fee.
X ��
2) Applicants,must call 360.427.7761, EACH day to report burning activity. Last 3 numbers of permit required at time of call in.
X
3) Applicants u tall 360.586.1044 (ORCCA) EACH day to report/request any air quality issues associated with burning.
X
4) Valid permit must be on-site while burning. i
X
5) A BURN BAN when implemented by Fire Marshal will take effect as noted and all permits become null and void. After a burn ban has been implemented,
all fires u t e extinguished immediately.
X
6) The following materials may not be burned: Garbage, dead animals, asphalt, petroleum products, paints, rubber products, plastics, paper, cardboard,
treated wood, construction /demolition debris, metal or any substance (other than natural vegetation)that normally releases toxic emissions, dense
smoke or o noxious odors when burned.
X
7) All r must originate from the property on whichthe burning is to occur.
X
8) The fire,�rtu$t not create a nuisance from smoke, obscure visibility on public roads and highways or endanger life and property.
X �,
9) The m C um pile size is twenty(20) feet in diameter, with a minimum ten (10)feet firebreak around each pile.
X
10) Each pil ust be at least one hundred (100) feet from any structure and atleast fifty(50) feet from standing timber.
X
BRN2011-00012 Please refer to the following pages for conditions of this permit. Page 2 of 4
11) Do not burn if wind is blowing more than seven (7) MPH.
12) Do not burn 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
PRO I 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 pable of pumping 20 gallons per minute through a one-inch (diameter) 50-foot hose.)
X Xf —
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
responsible boy any rekindling on the fire/burn site.(
16) Provide excavator/dozer with a fire extinguisher at the site with a qualified operator.
X 1n 10
17) Provide a 24-h it 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 an enforcement action.
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19) Access must
t be passable with 2 wheel drive vehicle.
20) Fire must be completely extinguished within three (3) days after ignition.
X
21) After the bur i complete, YOU MUST touch by hand, the earth to make sure the fire has not burned down into the earth.
X
22) Fan is re uir d
X
BRN2011-00012 Please refer to the following pages for conditions of this permit. Page 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 any
time 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 Mas County access the above described property and structure for review and inspection.
OWNER OR AGENT: DATE:
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BRN2011-00012 Please refer to the following pages for conditions of this permit. Page 4 of 4
z CONCRETE MECHANICAL MANUFACTURED HOME y
o Date By '^
Footings !Setbacks Gas Piping Ribbons Z
oIntenor Date By interior-Date By Date By v
o Exterior Date By Exterior-Date By Set-up D
INSULATION <
Point Load J Isolated Footings Date By M
BG 1 SLAB INSULATION
Date By Dafe By FIRE DEPARTMENT
Foundation Walls Floors Date By
Date By Data By DECKS
FRAMING Waits Date By
Date By Data By PROPANE TANKS
PLUMBING vault Data By
Date By OTHER
Groundwork Attic
Dale By Date By Type.
Date By
D.w.v DRYWALL Type-
Date By Int Brace Wall Date By W
Date By FINAL INSPECTION z
0 Water Line Fire Separation C
Dale By Date By Date By t4Dk--
Pass or Request Inspect. c
Type of Insp. Fail Date Dane Done By Comments o
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MASON COUNTY BURN PERMIT APPLICATION
426 W CEDAR Sf• PO BOX 186• SHELTON WA 98584 13 eo 20i i y ow f
SHELTON 360.427.9670 • BELFAIR 360.275.4467 •ELMA 360.482.5269
APPLICANT INFORMATION: CONTRACTOR INFORMATION,
Owner PAUF_ Wg04iA) Owner � IN11v�/ QXCtt tJL al) —_-
Mailing Address Pt;,13�v,t 2441 Mailing Address
Q City Slsa/fit✓ State_U/A- Zip &SV4 City gke4 State_WZip ¢ggS*
Phone 4.24—e=vZ Cell Phone 23f-6764 Phone 23e 6769 Other Phone 4¢z —cr:)03
Lien/Title Holder Contractor Reg.# KA!!�WsL 94 7AU 0 Exp.F/Z
i E-mail address E-mail address
Drivers Lic.# MojW, DOB Drivers Lic.# V DV4 D.O.B.
TAX PARCEL NUMBE Sec._ Twn.22- Rng._ Fire District I ' �S
SITE ADDRESS(please include street name,number&city tcL
Parcel within 200'of. Salt-at6i❑ Lake❑ River Creek❑ Pond❑ Wetland❑ Seasonal Runoff❑ Stream❑
Slopes or Bluffs> 15% Yes/ Will timber be cut and sold in parcel preparation?Yes/No
Does Site require FPA or 6 yr. Moratorium Ye Is site being converted or replanted Ye o
Reason For land Clearin9__AnnnLs_1�e
Is this application the result of a Stop Work Notice,Correction Notice or other enforcement action?Ye 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, 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 is 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 15th and Oct. 151h. 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 EXCAVATORIDOZER(with fire extinguisher)on site with uag lifted 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 360.427.7761,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 SITE SKETCH/NOTES
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 APPROVED DENIED
becomes n c sary to ext' guish the fire as the result of an enforcement action.
X Date l20/� INTIALS
Owner wners Representative/Contractor(indicate which one) —�T DATE