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Home My WebLink AboutBLD2025-00020 - BLD Inspections - 4/2/2025 _-6-, 615 W.Alder St.Bldg 8,SHELTON,WA 98584 / MASON COUNTY SHELTON:360-427-9670,EXT 352 i COMMUNITY SERVICES BELFAIR:360- - 6 ,EXT 352 ELMA:360-482482-525269,EXT 352 Buddin%Plannin%Environmental Healtk Community Health www.co.mason.wa.us BURN PERMIT BRN2025-00020 Issued Date 03/28/2025 Expiration Date 04/27/2025 Parcel Number 221232250030 Fire District 3 Site Address E ADONAI WAY Applicant NOLAN ET AL AMBER 1.360.741.7334 Contractor WESTSOUND LOGGING&EXVTN LLC License Number WESTSLE804JZ Contractor 360-340-1679 Expiration Date 04/13/2026 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: iJt� Sketch of Site/Comments: Date: EXPIRATION DATE: Permit#: BRN ;096 (wyo 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 i,Al , xbl't'\ Owner l;., ja 4nJety Mailin Address -�Z �4 SE Mailin Address !-5'tz A/ft No City /�� s ��_State W4 Zip City ( )— State) fJ Zip 4 C Phone Cell Phone 3 S q Phone 34p j qd--j b 7,rj Other Phone Lien/Title Holder Contractor Reg.# iJFS'rSt E i Z Exp. y / /�Q�y E-mail address E-mail address , +. [•:h Drivers Lic.# D.O.B. Drivers Lic.# ' G r, D.O.B.y .L 7 TAX PARCEL NUMBER ,j 5'0 U-1 d (12 digit number) Fire District SITE ADDRESS(please include street name,number&city) an 4 1, tv-t. Directions(to the site)D9 klW T h+�14J ofv bt-WL-4i,! ylets�� Ad LN e ) 9 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 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 provide 24 hour fire watch. • On Site Water is required for permits between April 15'and Oct. 15'.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 bum 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 b Rev.Anr 19.2017 I Burn Permit # °) C�iZV PARCEL AND SITE INFORMATION: Parcel within 200'of: Saltwater❑ Lake❑ River/Creek/Stream❑ Pond❑ Wetlands❑ Seasonal Runoff❑ : Yes/None Slopes or Bluffs> 15%within 50 feet Yes/ o Will timber be cut and sold in parcel preparation?Yes Does Site require FPA or 6 yr.Moratorium:Yes No Is site being converted or replanted: e /No Is site located in an Urban Growth Area(UGA)?:Yes/ /Unknown [Burning is currently NOT allowed inside UGAJ Zoning: 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 - - -- - - - - - -- - --- - - -- ------ --- - - -- - - - - -- - - -- - - - - - - - --- - - -- - -- - - - - -- - - - - - - -- 7 5 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 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 nguish e e as a result of an enforcement action. X � rz7_ z � SIGNA RE-tvl , E SIGNED BY PROPERTY OWNER Date Signed FOR OFFICIAL USE ONLY. PLANNING DEPT REVIEW: Date: Approved by: Denied by: N/A- No Critical Areas Mason County B Mason County - Division of Community Development 615 W. Alder St. 1 Building 8 Shelton, WA 98584 360-427-9670 ext 352 www.masoncountywa.gov BRN2025-00020 BURN PERMIT PROJECT DESCRIPTION: BURN PERMIT FOR LAND CLEARING ISSUED: 03/28/2025 SITE ADDRESS: E ADONAI WAY GRAPEVIEW EXPIRES: 04/27/2025 PARCEL: 221232250030 APPLICANT: NOLAN ET AL AMBER OWNER: NOLAN ET AL AMBER 3254 SE MAHALI LN 3254 SE MAHALI LN PORT ORCHARD, WA 98366 PORT ORCHARD, WA 98366 1.360.741.7334 GENERAL CONTRACTOR'S LICENSE: WESTSOUND LOGGING& EXVTN LLC License: WESTSLE804JZ 50 NE PENINSULA BLVD Expires: 04/13/2026 BELFAIR,WA 98528 360-340-1679 FEES: Paid Due Burn Permit Fee $175.00 $0.00 Totals : $175.00 $0.00 REQUIRED INSPECTIONS Burn Inspection CONDITIONS * All materials must originate from the property on which the burning is to occur. " 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. 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. 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. ' Access must be passable with 2 wheel drive vehicle. Printed by:Genie Mcfarland on:03/28/2025 02:26 PM Page 1 of 2 Mason County M E&19= Mason County - Division of Community Development 615 W. Alder St.8 Building 8 Shelton, WA 98584 360-427-9670 ext 352 www.masoncountywa.gov BURN PERMIT BRN2O25-00020 * Each pile must be at least one hundred (100)feet from any structure and at lease fifty(50)feet from standing timber. ..........------------- .......----_--------_____.._...____. ,_.___ .______.-__________________-._, * Provide EXCAVATOR/DOZER(with fire extinguisher)on site with qualified operator. - ------------------------- ------- ----- ------------------ - _ ...... .. ... .. * 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.) * 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. * IF BURNING WITHOUT CALLING IN,THE FIRE WILL BE EXTINGUISHED AT OWNERS EXPENSE AND POSSIBLE SUSPENTION OF PERMIT.* .........................„-____...,._.-._....__.. .__._ ._....... ....-.____- -. ---------. * Permit includes two(2)inspections maximum, additional inspections will require a re-inspection fee. (at current rate). . ........... A responsible adult and equipment shall be on site and in attendance at the fire while burning. Must provide 24 hour fire watch. --------------------------------------------------------------------------------. * Maximum pile size is twenty(20)feet in diameter,a minimum ten(10)feet firebreak must be constructed around each pile. ...................................................................... ........... * Upon completion of all conditions,applicant must have inspection&approval before ignition. Call (360)427-9670,ext. 352 ........................................................................................---------------------- * Fan required. ---------------------------------------------------------------------------------------------------------------. * After the bum is complete make sure the fire has not burned into the earth by checking the fire location for hot spots. ..................... ............................................... ......... .... .......... * Do not bum if wind is blowing more than seven (7)miles per hour. DO NOT BURN IF WIND BLOWING FROM ---------- ............... . ............... ........----------- ................ * APPLICANT'S MUST CALL 360.426.4441 EACH DAY TO REPORT BURNING ACTIVITY. .......... _.. .,--------...........---.......---..................................... * 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: Contractor or Authorized Agent: Date: 7 �i`- Printed by:Genie Mcfarland on:03/28/2025 02:26 PM Page 2 of 2