HomeMy WebLinkAboutBRN2025-00013 - BRN Inspections - 3/6/2025 w +�
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
BRN2025-00013 BURN PERMIT
PROJECT DESCRIPTION: BURN PERMIT ISSUED: 03/06/2025
SITE ADDRESS: 2400 SE COLE RD SHELTON
EXPIRES: 04/05/2025
PARCEL: 319044200090
APPLICANT: ANDERSON MICHELE OWNER: ANDERSON MICHELE
2240 SE COLE RD 2240 SE COLE RD
SHELTON,WA 98584 SHELTON,WA 98584
CONTRACTOR: Justice Bros Trucking &Excavating LLC
3503 E North Island Dr
SHELTON, WA 98584
360.204.9927
GENERAL CONTRACTOR'S LICENSE: Justice Bros Trucking &Excavating LLC License: JUSTIBT852DL
3503 E North Island Dr Expires: 03/09/2026
SHELTON, WA 98584
360.204.9927
FEES: Paid Dig
Burn Permit Fee $175.00 $0.00
Totals : $175.00 $0.00
REQUIRED INSPECTIONS
Burn Inspection
CONDITIONS
* 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.
* Fire must be completely extinguished within three(3)days after ignition.
.......... ------ ------- ------------------------- .........
* Provide EXCAVATOR/DOZER(with fire extinguisher)on site with qualified operator.
* Valid permit MUST be onsite while burning. If permit is not on site during burning the fire will be extinguished at your cost
Printed by:Annie Wilson on:03/06/2025 02:07 PM
Page 1 of 2
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kiwi Mason County
B 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 BRN2025-00013
* The fire must not create a nuisance from smoke, obscure visibility on public roads and highways, or endanger life and
property.
.........................................................................................
* Permit includes two(2)inspections maximum,additional inspections will require a re-inspection fee. (at current rate).
------- -- - -------------------------- ------ ------------------- ---------------------------------------------
* 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.)
...............................................................................................................
* After the bum is complete make sure the fire has not burned into the earth by checking the fire location for hot spots.
... . .............. .........................................................................................
* APPLICANTS MUST CALL 360.426.4441 EACH DAY TO REPORT BURNING ACTIVITY.
------------------------------------------------------------------------------------------------------------
* Each pile must be at least one hundred(100)feet from any structure and at lease fifty(50)feet from standing timber.
.----•................................................. ......................................................
* 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.
..................................................................
* A responsible adult and equipment shall be on site and in attendance at the fire while burning. Must provide 24 hour fire
watch.
_........ ._............................................................... ...................................
* Do not burn if wind is blowing more than seven (7)miles per hour. DO NOT BURN IF WIND BLOWING FROM
............----..........-----......................--- - - - - ............... ........ ......
* Maximum pile size is twenty(20)feet in diameter, a minimum ten(10)feet firebreak must be constructed around each pile.
.................... .. ----------.- --------......------------•-----....... .....................
* Access must be passable with 2 wheel drive vehicle.
...........................................................
* *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.
........................................... .......................
* All materials must originate from the property on which the burning is to occur.
...................................................................... ..... ......
* 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.
- - ------------------------------------------------------------------------
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: �3n !,'2 �.�Dtn
Contractor or Authorized Agent: Date:
Printed by:Annie Wilson on:03/06/2025 02:07 PM
Page 2 of 2
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EXPIRATION DATE: Permit#: BRN a2.5-pool 3_
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: CONTRACT_O4 INFORMATION:
Owner &?r C II O(� Owner - Z- C
Mailing Address Mailing Address
City State Zip City �fi S n4 State
Phone Cell Phone -%6-11Qp d'Ycj 7 Phone ,�)�- 2 ther Phone
Lien/Title Holder Sir Contractor Reg.# "i Exp. / /ZuZs
E-mail address E-mail address _ 3'yS t72 611 eU
Drivers Lic.# D.O.B. a Drivers Lic.# D.O.B.
TAX PARCEL NUMBER l�G�Y��06 / � (12 digit number) Fire District
SITE ADDRESS(please include street name,number&city) �'r /l�� `7.11�j
Directions(to the site) itm k,i( i+( 12-b C
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 provide 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 bum 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 fireibum 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.Anr 19.2017
f �
r
Burn Permit # S' '0A5
PARCEL AND SITE INFORMATION:
Parcel within 200'of. Saltwater❑ Lake❑ River/free tre Pond❑ Wetlands❑ Seasonal Runoff❑ : 4/ e
Slopes or Bluffs>15%within 50 feet Yes/ o i 1 timber be cut and sold in parcel preparation?Yes No ✓ 2
Does Site require FPA or 6 yr.Moratorium:PA)?:
No Is site being converted or replanted:Yes No ��
i4- N
l
Is site located in an Urban Growth Area(U Yes/No Una [Burning is currently NOT allowed inside UGAJ
Zoning. ,.' f l
Summarize proposed land clearing items to be burned: j2l(k� A ,r_
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 Runo , Streams etc
x x— -eC4A- Pl <c S
- x X
` ) X
l.� x
x x Act 51,7 Oq�1
4 OF 4 cot
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.
SIGNATURE- MUST BE SIGNED PROPERTY OWNER Date Signed
FOR OFFICIAL USE ONLY:
PLANNING DEPT REVIEW:
Date: Approved by: Denied by: N/A-No Critical Areas