HomeMy WebLinkAboutBLD2023-00991 - BLD CD Environmental Health Review - 8/21/2023plIIIIIIMIls
, ,• t;i MASON COUNTY COMMUNITY SERVICES Permit No
L aoa�-�,il
PERMIT ASSISTANCE CENTER: R E C E I E
/` 0/01%"7. •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL
I l. 615 W.Alder Street,Shelton,WA 98584
•
'a, -, a' Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone
.. Bellair:(360)275-4467•Phone Elma:(360)482-5269 AUG 21 2023
BUILDING PERMIT APPLIe/gI9I Alder Street
• PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATIONFNVI RON MENTAL
NAME:William Hoychuk NAME: H E!i LT H
MAILING ADDRESS:2341 NE Old Belfair Hwy MAILING ADDRESS:
CITY:&gar STATE:Wash ZIP:98528 CITY: STATE: ZIP:
PHONE#1:206-938-0510 PHONE: CELL:
PHONE#2:208453-0810 EMAIL:
EMAIL:bithoychuk@yahoo.com L&I REG# EXP._/ /
PRIMARY CONTACT: OWNER p CONTRACTOR 0 OTHER 0 c")
NAME wes.H.Yd., EMAIL billtnoychukQyahoo.com cz
MAILING ADDRESS 2341 NE Old Belfair Hwy CITY B"xer STATE Wash ZIP98528 N Lli
PHONE CELL 20e.e3e.510 CV W
TA G V
PARCEL INFORMATION: IJTAt— W
PARCEL NUMBER(12 Digit Number) 12317-14.00040 ZONINGRR5 Ed
LEGAL DESCRIPTION(Abbreviated)Sec 17 Twp 23N Range t West FIRE DISTRICTN Mason
SITE ADDRESS2341 NE Old Belfair Hwy CITY Belfair
DIRECTIONS TO SITE ADDRESS N from Belfair,turn west one drive past stop sign
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO❑+ SNOW LOAD:_psf
IS PROPERTY WITIIIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER 0 LAKE 0 RIVER/CREEK El POND❑ WETLAND 0 SEASONAL RUNOFF 0 STREAM 0
TYPE OF WORK: NEW❑ ADDITION 0 ALTERATION 0 REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg.Etc.)Residence
IS USE: PRIMARY ElSEASONAL 0 NUMBER OF BEDROOMS3 . NUMBER OF BATHROOMS2
HEATED STRUCTURE? YES(Whole Bldg)Q YES(I'orlsJofBldg)0 NO 0
DESCRIBE WORK Addition!den&bedroom
SQUARE FOOTAGE: (proposed)
1ST FLOOR496 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.ft. COVERED DECK sq.ft. STORAGE23 sq.ft. OTHER sq.ft.
GARAGE 528 sq.ft. Attached 0 Detached❑+ CARPORT sq.ft. Attached 0 Detached 0
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC❑ SEWER 0 / NEW 0 EXISTING❑r
PLUMBING IN STRUCTURE? YES❑� NO 0 I,fyes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES 0 NOD EXISTING SQ.FT.1285
EXISTING BEDROOMS 3 PROPOSED BEDROOMS 1 TOTAL BEDROOMS 3
OWNER acknowledges that 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 and I further declare that I am entitled to receive this permit and to do the work as proposed.I have
obtained permission from aR the necessary parties,induding any easement holder or parties of interest regarding this project. The owner or legal
representative,represents that the information provided is accurate and grants employees of Mason County access to the above described property
and structure(s)for review and inspection. This permit/application becomes null&void if work or authorized construction is not commenced within 180
days or If construction work is suspended for a period of 180 days.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.08.42)
x �U(�
��,� 1inS1 May 9,2023
Signature of OWN R ust be sinned by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL OCT- -',, ,ate
PUBLIC HEALTH ��,JC� J (Ot I c4 `EEC 't t"'Y s Cle64
f •
I
C1INIYOCw1101•004•WUE110061 RE0DENTW,flN1920A01-01 W41W110Y0100MLWM HOYCMMOwE EH0201140 PM
700'PROPERTY LINE 1
I
to
i
ri
H N i
7
x
5 01'00'ST W 32.34 N Ot'2tt0"E J00.10' —'
/ PROPERTY LINE PROPERTY UNE
xg /
yO o
O28H v %/
gfvf / .-
n m
,,, /
' D
3 O 1` 7 •
ymZ m 1 1i� M O
m Im. ' 'I Q
D -9 <
1 0 om
inv 00
/ I• f0-o-.5 w
/ r I 'o 0:433.6j W_
I 1 m' m u d 2
1
O a,N
'� °• 3 m 1• , TT
v
3 • Tyc.
s v8 ()
8
S�; I'd. S 0) = Hsz.� ,..f
my (1) CO . a'1. ..m
n ,•.T. �2 a >:o d
0 m 0 o m3 �,
u r—
a 8.830 r-
� 'o iv
Qom 0
a Da n o CO
g sN d o
0
N q)
.10
1-.
Co
1—
a
N
„ii iv
0
ili coxEgi, o
0
N
.-
oq.
z,>
II'� WILLIAMHOYCHUK MIKE BIGGS `" WASHINGTON
U) N 2341 NE OLD BELFAIR HIGHWAY BMRM1E1O ° BELFAIR,WA 98528 MIKE € ENGINEERING
j : ?o s 1736 Riddell Road Suit 100,Drcmcrton,WA 98310
SITE PLAN ZOOMED OUT MIKE BIGG$