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HomeMy WebLinkAboutFLD2023-00067 - BLD Application - 9/20/2023 f 7 MASON COUNTY Mason County Permit Center Use: COMMUNITY SERVICES FLD Building,Planning,Environmental Health,Community Health 615 W.Alder Street—Bldg.8,Shelton,WA 98584 Date Revd Phone:(360)427-9670 Ext.352♦Fax:(360)427-7798 Fee: $300.00 No fee if w/other permits FDPO Development Permit Application Applicant: Contractor: Dave & Pat Larson Mailinq Address: Mailing Address: 14244-55th Ave. S City, State, Zip City, State, Zip Tukwila, Wa. 98168 Phone: ( ) Phone: ( ) 206-799-7892 davidvlarson@msn.com Email: Email: Parcel Number: Property Address: 12105-52-00106 860 E. Treasure Island Dr. I understand I am making application for a permit to develop in a designated flood hazard area. The undersigned agrees that all such work shall be done in accordance with the requirements of the County Flood Damage Prevention Ordinance,building codes and all other applicable Local, State and Federal regulations. This application does not create liability on the part of the County or any officer or employee thereof for any flood damage that results from reliance on this application or any administrative decision made lawfully thereunder. Applicants Signature: �' ,�tirwco+t Date: 1'�4 -,,2-3 Official Use: 06d ftion �e)rnxW A. Description of Work (complete for all work): 1. Proposed Development Description: ❑ New buildin Addition ❑ Manufactured home ❑ Fill/grade ❑ Other: ❑ Commercial (see section D) )?�Remodel/repair to existing building (see section C) 2. The parcel has been identified in the following Flood Hazard Area: ❑ A X AE ❑ AO ❑ VE 3. Are any other Federal, State or local permits required? Must attach copies of permits. ❑ Yes kNo If yes, list type: 4. Is the proposed development in an identified floodway? ❑Yes O No 5. If yes to#4, a No Rise Certification must be attached. 0 Yes kNo . 7T 1 V ` B. Complete for New Structures and Building Sites: 1. A FEMA Elevation Certificate is required, must be completed by a Washington State licensed Surveyor. Must attach a copy of certificate. 2. Base Flood Elevation at the building site: feet NAVD 88 3. Required lowest floor elevation (including basement floor): feet NAVD88 4. In flood hazard areas without a base flood elevation (BFE), what is the highest adjacent Grade? (HAG) Structure must be a minimum of two (2)feet above the HAG. The required finish floor height is C. Complete for Alterations, Additions or Improvements to Existing Structures: ******(See attached Substantial Improvement& Substantial Repair)******* 1. What is the estimated market value of the existing structure? $ 2. What is the cost/valuation of the proposed construction? $ !? y i , percentage 3. If the cost or valuation of the proposed construction equals or exceeds 50 percent of the market value of the structure, then the substantial improvement/repair provisions shall apply. Is the proposed work a substantial repair/improvement XYes ❑ No D. Complete for Non-Residential Floodproofed Construction: 1. Type of floodproofing method: 2. The required floodproofing elevation is: feet NAVD88 3. Floodproofing certification by a registered engineer is attached: ❑ Yes ❑ No E. Complete for Subdivisions and Planned Unit Developments: 1. Will the subdivision or other development contain 50 lots or 5 acres? ❑ Yes ❑ No 2. If yes, does the plat or proposal clearly identify base flood elevations? ❑ Yes ❑ No 3. Are the 100 Year Floodplain and Floodway delineated on the site plan? ❑ Yes ❑ No 14 Administrative 1. APPROVED: DENIED: statement attached 2. Elevation Certificate aftached:X Yes ❑ No 3. As-built lowest floor elevation: feet NAVD88 Comments/Conditions: ( "f� I Mason County lood Dadidge Pre-vention Ordinance #41-17 & International Building Codes �OV vl 1Z7/20-2-Z Patti Mclean Parcel Details �-�'t Mason Coon, A.s"ssor S Act-fve J I - ��rir irr r rrrrr�s � t i Rsev Yew TYp'e- IR**wd: lExompt Assess-=-- -�- _- - :.ea - E r'airnary flame P.mmary Situs: rVES LARSQN..PAT.`RICIA C B E TRF-ASUR;=ISLAND DR.ALL%v8-524 Legal: TREASURE ISLAND TR ICe&TL S W.2 TR 105 DOR: Secondary Land Code Map Number 98-Residential•All other 34 Total Acres Property Class Appraiser initials 0.44000 TX Field Sheet FS 06083: --T District: Neighborhood 0080-Tax District 0080 N5 Grapeview Loop Rd area!AREA 5 SubDivision: TREASURE ISLAND Quick Value Summary Exemption Type/Level: Frozen Value: Category '23 New Const: '23 Market 123 Assessed 1 Estimated Exemption Amount: 0 Land: 0 312,535 312,535 Non-Senior Amount: 0 Impr: 0 _44.e50 144,850 Exemption Amount: 0 Perm Crop: a 0 0 Remaining Taxable Value: 457,385 Total: Lartrl Land 3_2,537 She Facer Resi a 540 ,. _. AMW U.S. DEPARTMENT OF HOMELAND SECURITY p C c 1660-0008 Federal Emergency Management Agency 11 C 5 '� .,,/30/2026 National Flood Insurance Program JAN 2 4 2024 ELEVATION CERTIFICATE IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON INSTRUCTIOI i*9/A*r Street Copy all pages of this Elevation Certificate and all attachments for(1)community official, (2)insurance agent/company, and(3)building owner. SECTION A-PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name: V,e 5 /� =S� Policy Number: A2. Building Street Address(including Apt., Unit,Suite,and/or Bldg. No.)or P.O. Route and Box No.: Company NAIC Number: C) City: tl} 1 f Y / Stater ZIP Code: �� Z A3". Property Description(e.g., Lot and Block Numbers or Legal Description)and/or Tax Parcel Number: A4. Building Use(e.g., Residential, Non-Residential,Addition,Accessory, etc.): 'ge4i /-- A5. Latitude/Longitude: Lat.'y7-20 .23,Iti LongJ7,-z-4q- 4(,-5e, Horiz. Datum:❑ NAD 1927 OINAD 1983 ❑WGS 84 A6. Attach at least two and when possible four clear color photographs(one for each side)of the building(see Form pages 7 and 8). A7. Building Diagram Number: 9 - A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s): p sq.ft. b) Is there at least one permanent flood opening on two different sides of each enclosed area? ❑Yes [t3'f4o ❑ N/A c) Enter number of permanent flood openings in the crawlspace or enclosure(s)within 1.0 foot above adjacent grade: Non-engineered flood openings: 0 Engineered flood openings: 0 d) Total net open area of non-engineered flood openings in A8.c: t) sq. in. e) Total rated area of engineered flood openings in A8.c(attach documentation-see Instructions): 0 sq.ft. f) Sum of A8.d and A8.e rated area(if applicable-see Instructions): Q sq.ft. A9. For a building with an attached garage: a) Square footage of attached garage: sq.ft. b) Is there at least one permanent flood opening on two different sides of the attached garage? ❑Yes Mlo ❑ N/A c) Enter number of permanent flood openings in the attached garage within 1.0 foot abov adjacent grade: Non-engineered flood openings: A A Engineered flood openings: d) Total net open area of non-engineered flood openings in A9.c: IVI# sq. in. e) Total rated area of engineered flood openings in A9.c(attach documentation-see Instructions): sq.ft. f) Sum of A9.d and A9.e rated area(if applicable-see Instructions): /✓ P- sq.ft. SECTION B-FLOOD/!INSURANCE RATE MAP(FIRM)INFORMATION B1.a. NFIP Community Name:ryJdSte/✓ �Z&, 722A6.b. NFIP Community Identification Number. � 62.County Name:ip,L}5 67A Cy�N B3. State: �A" B4. Map/Panel No.: B5. Suffix: B6. FIRM Index Date: m/}y /7, % ��?! B7. FIRM Panel Effective/Revised Date: Zv ZV / B8. Flood Zone(s): B9. Base Flood Elevation(s)(BFE)(Zone AO, use Base Flood Depth): B10. Indicate the source of the BFE data or Base Flood Depth entered in Item 139: ❑ FIS [g' IRM ❑Community Determined ❑Other: ` - Bl 1. Indicate elevation datum used for BFE in Item B9: ❑NGVD 1929 [ -f4AVD 1988 ❑Other/Source: B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes 2<0 Designation Date: ❑CBRS ❑OPA 813. Is the building located seaward of the Limit of Moderate Wave Action (LiMWA)? ❑Yes [2/No FEMA Form FF-206-FY-22-152(formerly 086-0-33)(8/23) Form Page 2 of 8 ELEVATION CERTIFICATE IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON INSTRUCTION PAGES 1-11 Building Street Address(including Apt., Unit,Suite, and/or Bldg. No.)or P.O. Route and Box No.: FOR INSURANCE COMPANY USE gi 0 C i A-tA SL/" :V51r,41JD QA1V-'�-1 Policy Number: City: A(/�� State:_� — A ZIP Code: � -f Company NAIC Number: SECTION C—BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1. Building elevations are based on: 0 Construction Drawings* Building Under Construction* Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations—Zones Al—A30,AE,AH,AO,A(with BFE), VE, V1—V30, V(with BFE),AR, AR/A,AR/AE,AR/A1—A30,AR/AH,AR/AO, A99. Complete Items C2.a—h below according to the Building Diagram specified in Item AT In Puerto Rico only, enter meters. Benchmark Utilized: M&5 511-1Jn t?-gaIll Vertical Datum: /V A V0 / �1 Indicate elevation datum used for the elevations in items a)through h)below. NGVD 1929 RNAVD 1988 ❑Other: Datum used for building elevations must be the same as that used for the BFE. Conversion factor used? 0�es No If Yes, describe the source of the conversion factor in the Section D Comments area. Check the measurement used: a) Top of bottom floor(including basement,crawlspace, or enclosure floor): , o L- feet n meters b) Top of the next higher floor(see Instructions): / 7 , Z 5 g feet meters c) Bottom of the lowest horizontal structural member(see Instructions): A feet meters d) Attached garage(top of slab): feet meters e) Lowest elevation of Machinery and Equipment(M&E)servicing the building _ (describe type of M&E and location in Section D Comments area): 1 5 Meet meters f) Lowest Adjacent Grade(LAG)next to building: Natural EKinished 3 , Meet meters g) Highest Adjacent Grade(HAG)next to building: ❑ Natural ge inished / ? Meet meters h) Finished LAG at lowest elevation of attached deck or stairs, including structural r / support: ( ❑ feet ❑ meters SECTION D—SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by state law to certify elevation information. I certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Were latitude and longitude in Section A provided by a licensed land surveyor? [R'�es M No ❑Check here if attachments and describe in the Comments area. Certifier's Name: r Ec.- �, O�iV)/!'I� License Number: L Company y�/ �� P Y Name: � �� S S, D G 14 'e"w -e- t, Address: 2—3.7 City: /I f�-/�� State: /� ZIP Code: �v Telephone: � IZ4 Zy d Ext.: -- Email: Signature: J)0Y0J \ r Date: 1/Z� 2 � y Place_�eal Hbr•e Copy all pages of this Elevation Certificate and all attachments for(1)community official,(2)insurance agentt66h4pany -&tid(3y'btillTiwbw*,�'r' Comments(including source of conversion factor in C2;type of equipment and location per C2.e; and description of any attachments): C c? wR j ey_11 fi a/v r3�'i m / ✓i Nv' FEMA Form FF-206-FY-22-152(formerly 086-0-33)(8/23) Form Page 3 of 8 ELEVATION CERTIFICATE IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON INSTRUCTION PAGES 1-11 Building Street Address(including Apt., Unit,Suite,and/or Bldg. No.)or P.O. Route and Box No.: FOR INSURANCE COMPANY USE Policy Number: City State: ZIP Code: Company NAIC Number: SECTION E—BUILDING MEASUREMENT INFORMATION(SURVEY NOT REQUIRED) FOR ZONE AO,ZONE AR/AO, AND ZONE A (WITHOUT BFE) For Zones AO,AR/AO, and A(without BFE),complete Items E1—E5. For Items El—E4, use natural grade,if available. If the Certificate is intended to support a Letter of Map Change request,complete Sections A, B, and C. Check the measurement used. In Puerto Rico only, enter meters. Building measurements are based on: ❑Construction Drawings* ❑ Building Under Construction* ❑ Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. E1. Provide measurements(C.2.a in applicable Building Diagram)for the following and check the appropriate boxes to show whether the measurement is above or below the natural HAG and the LAG. a) Top of bottom floor(including basement, crawlspace, or enclosure)is: ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor(including basement, crawlspace, or enclosure)is: ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 1-2 of Instructions),the next higher floor(C2.b in applicable Building Diagram)of the building is: ❑ feet ❑ meters ❑ above or ❑ below the HAG. E3. Attached garage(top of slab)is: ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is: ❑ feet ❑ meters ❑ above or ❑ below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown The local official must certify this information in Section G. SECTION F—PROPERTY OWNER(OR OWNER'S AUTHORIZED REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A(without BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge ❑ Check here if attachments and describe in the Comments area. Property Owner or Owner's Authorized Representative Name: Address: City: State: ZIP Code: Telephone: Ext.: Email: Signature: Date: Comments. FEMA Form FF-206-FY-22-152(formerly 086-0-33)(8/23) Form Page 4 of 8 ELEVATION CERTIFICATE IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON INSTRUCTION PAGES 1-11 Building Street Address(including Apt., Unit,Suite,and/or Bldg.No.)or P.O. Route and Box No.: FOR INSURANCE COMPANY USE Policy Number: City: State: ZIP Code: Company NAIC Number: SECTION G—COMMUNITY INFORMATION(RECOMMENDED FOR COMMUNITY OFFICIAL COMPLETION) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Section A, B, C, E, G, or H of this Elevation Certificate. Complete the applicable item(s)and sign below when: G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by state law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2.a. ❑ A local official completed Section E for a building located in Zone A(without a BFE), Zone AO, or Zone AR/AO, or when item E5 is completed for a building located in Zone AO. G2.b. ❑ A local official completed Section H for insurance purposes. G3. ❑ In the Comments area of Section G,the local official describes specific corrections to the information in Sections A, B. E and H. G4. ❑ The following information (Items G5—G11)is provided for community floodplain management purposes. G5. Permit Number: G6. Date Permit Issued: G7. Date Certificate of Compliance/Occupancy Issued: G8. This permit has been issued for: ❑New Construction ❑ Substantial Improvement G9.a. Elevation of as-built lowest floor(including basement)of the building: ❑feet ❑ meters Datum: G9.b. Elevation of bottom of as-built lowest horizontal structural member: ❑feet ❑ meters Datum: G10.a. BFE(or depth in Zone AO)of flooding at the building site: ❑feet ❑ meters Datum: G10.b. Community's minimum elevation(or depth in Zone AO) requirement for the lowest floor or lowest horizontal structural member: ❑feet ❑ meters Datum: G11. Variance issued? ❑Yes ❑ No If yes, attach documentation and describe in the Comments area. The local official who provides information in Section G must sign here. I have completed the information in Section G and certify that it is correct to the best of my knowledge. If applicable,l have also provided specific corrections in the Comments area of this section. Local Official's Name: Title: NFIP Community Name: Telephone: Ext.: Email: Address: City: State: ZIP Code: Signature: Date: Comments(including type of equipment and location, per C2.e; description of any attachments; and corrections to specific information in Sections A, B, D, E, or H): FEMA Form FF-206-FY-22-152(formerly 086-0-33)(8/23) Form Page 5 of 8 ELEVATION CERTIFICATE IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON INSTRUCTION PAGES 1-11 Building Street Address(including Apt., Unit,Suite,and/or Bldg.No.)or P.O. Route and Box No.: FOR INSURANCE COMPANY USE City: State: ZIP Code: Policy Number. Company NAIC Number: SECTION H—BUILDING'S FIRST FLOOR HEIGHT INFORMATION FOR ALL ZONES (SURVEY NOT REQUIRED) (FOR INSURANCE PURPOSES ONLY) The property owner, owner's authorized representative, or local floodplain management official may complete Section H for all flood zones to determine the building's first floor height for insurance purposes. Sections A, B, and I must also be completed. Enter heights to the nearest tenth of a foot(nearest tenth of a meter in Puerto Rico). Reference the Foundation Type Diagrams(at the end of Section H Instructions)and the appropriate Building Diagrams(at the end of Section I Instructions)to complete this section. H1. Provide the height of the top of the floor(as indicated in Foundation Type Diagrams)above the Lowest Adjacent Grade(LAG): a) For Building Diagrams 1A, 1121,3,and 5-8.Top of bottom feet meters above the LAG floor(include above-grade floors only for buildings with crawlspaces or enclosure floors)is: b) For Building Diagrams 2A,2B,4, and 6-9.Top of next feet ❑ meters above the LAG higher floor(i.e.,the floor above basement,crawlspace, or enclosure floor)is: H2. Is all Machinery and Equipment servicing the building(as listed in Item H2 instructions)elevated to or above the floor indicated by the H2 arrow(shown in the Foundation Type Diagrams at end of Section H instructions)for the appropriate Building Diagram? ❑ Yes ❑ No SECTION I—PROPERTY OWNER(OR OWNER'S AUTHORIZED REPRESENTATIVE)CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and H must sign here. The statements in Sections A, B, and H are correct to the best of my knowledge. Note: If the local floodplain management official completed Section H, they should indicate in Item G2.b and sign Section G. Check here if attachments are provided(including required photos)and describe each attachment in the Comments area. Property Owner or Owner's Authorized Representative Name: Address: City: State: ZIP Code: Telephone: Ext.: Email: Signature: Date: Comments: FEMA Form FF-206-FY-22-152(formerly 086-0-33)(8/23) Form Page 6 of 8 ELEVATION CERTIFICATE IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON INSTRUCTION PAGES 1-11 BUILDING PHOTOGRAPHS See Instructions for Item A6. Building Street Address(including Apt., Unit,Suite, and/or Bldg. No.)or P.O. Route and Box No.: FOR INSURANCE COMPANY USE Policy Number: City: State: ZIP Code: Company NAIC Number: Instructions: Insert below at least two and when possible four photographs showing each side of the building(for example, may only be able to take front and back pictures of town houses/rowhouses). Identify all photographs with the date taken and"Front View,""Rear View," "Right Side View,"or"Left Side View."Photographs must show the foundation.When flood openings are present, include at least one close-up photograph of representative flood openings or vents, as indicated in Sections A8 and A9. Photo One Photo One Caption: Clear Photo Photo Two Photo Two Caption: Clear Photo FEMA Form FF-206-FY-22-152(formerly 086-0-33)(8/23) Form Page 7 of 8 ELEVATION CERTIFICATE IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON INSTRUCTION PAGES 1-11 BUILDING PHOTOGRAPHS Continuation Page Building Street Address(including Apt., Unit,Suite,and/or Bldg. No.)or P.O. Route and Box No.: FOR INSURANCE COMPANY USE City: State: ZIP Code: Policy Number: Company NAIC Number: Insert the third and fourth photographs below. Identify all photographs with the date taken and"Front View,""Rear View," "Right Side View,"or"Left Side View."When flood openings are present, include at least one close-up photograph of representative flood openings or vents, as indicated in Sections A8 and A9. Photo Three Photo Three Caption: Clear Photo Three Photo Four Photo Four Caption: Clear Photo Four FEMA Form FF-206-FY-22-152(formerly 086-0-33)(8/23) Form Page 8 of 8 Appraisal Report Of wiliff J. Tw+b _ .r •1 Residential Property Located at 860 E Treasure Island Dr Allyn, Washington 98524 Prepared For Pat Larson As Of January 10, 2022 Prepared By Joe Cinkovich Certified Residential Real Estate Appraiser Appraisal Services of Puget Sound, Inc. Real Estate Appraiser/ Consultant 12617 SE 217th P1, Kent, Washington 98031 (206) 227-1452 asps.joe( ive.com May 27, 2022 RE: Appraisal of residential property located at 860 E Treasure Island Dr, Allyn, Washington. Dear Pat Larson: In accordance with your request, I have conducted the required investigation, gathered the necessary data, and made certain analyses that have enabled me to form an opinion of the value of the fee simple interest in the above-captioned property. The following is an appraisal report with a limited area neighborhood description. In addition, I may have limited some discussion concerning the comparable sales and analysis. The summarizing of this data has not affected my final value estimate of the property being appraised. Based upon my observation of the property and the investigation and analyses undertaken, I have formed the opinion that as of January 10, 2022; and subject to the assumptions and limiting conditions set forth on Page 1 of this appraisal report, the estimated opinion of value of the property, which is the subject of this appraisal, is set forth as follows: Estimated Opinion of Value $ 735,000 The appraisal report that follows sets forth the identification of the property, the assumptions and limiting conditions, pertinent facts about the area and the subject property, comparable data, the results of the investigation and analysis, and the reasoning leading to the conclusions set forth. The following appraisal report is intended to conform to the format content as set forth by the Appraisal Foundation's Uniform Standards of Professional Appraisal Practices, the State of Washington's appraisal guidelines, and the Internal Revenue Service valuation guidelines. I certify that to the best of my knowledge and belief- 1. The statements of fact contained in this report are true and correct. 2. The reported analyses, opinions, and conclusions are limited only by the reported assumptions and limiting conditions and is my personal, impartial, and unbiased professional interpretations, opinions, and conclusions. 3. I have no present or prospective interest in the property that is the subject of this report and no personal interest with respect to the parties involved. 4. I have no bias with respect to the property that is the subject of this report or to the parties involved with this assignment. 5. My engagement in this assignment was not contingent upon developing or reporting predetermined results. 6. My compensation for completing this assignment is not contingent upon the development or reporting of a predetermined value or direction in value that favors the cause of the client, the amount of the value opinion, the attainment of a stipulated result, or the occurrence of a subsequent event directly related to the intended use of this appraisal. 7. My analyses, opinions, and conclusions were developed, and this report has been prepared in conformity with the Uniform Standards of Professional Appraisal Practice. .8. As of the date of this report, I, Joe Cinkovich, have completed the education requirements for the State of Washington Certified Residential Real Estate Appraisers Licensing. 9. I, Joe Cinkovich, made a personal walkthrough visit of the property that is the subject of this report. 10. No one provided assistance to the person signing this certification. 11. Joe Cinkovich is a Washington State Certified Residential Real Estate Appraiser (#1701508). 12. I have performed no services as an appraiser or in any other capacity, regarding the property that is the subject of this report within the three- year period immediately preceding acceptance of this assignment. Opinion of Value $ 735,000 Thank you for the opportunity to be of service. If you have any questions, please contact me. Respectfully submitted, Joe Cinkovich Washington State Certified Residential Real Estate Appraiser 23 January 2024 RECEIVED JAN 2 4 2024 Mason County Building Department ATTN:Trish Woolett 615 W. Alder Street Dear Trish, I am writing regarding two existing submittals to your department for permits regarding Ives Larson on Treasure Island and Doug Walsh-Kathy Blain on Highway 106 in the Union area. The elevation certificates provided were said to be outdated, however when I researched the FEMA video instructions pertaining to utilization of the new form elevation certificate, I found that the "old form"was allowable for use until November 1,2023. The "new"form requires a land surveyor(in Washington State)to complete sections C and D. Therefore, I am resubmitting a new form for both the Ives Larson lot,Tax#12105-52-00106 and the Dough Walsh-Kathy Blain property,Tax#32234-43-00101. I am completing sections C and D on the new forms, per FEMA instructions,for both properties. I feel that it is unnecessary given the FEMA video instructions, but I will certify the two sections required of a Land Surveyor by FEMA. Also,the form for Walsh-Blain was dated November 11, 2022 many months previous to a new form and the Dave Larson certificate was dated September 14, 2023,about a month and a half before a November 1, 2023 deadline. Sincerely, 1, —( 44�� Daniel F. Holman Holman &Associates Land Surveyors PO Box 2379 Shelton,WA 98584 U-Sr DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency �OZMBNo. 1$so-onng_Nationai Flood Insurance Program tion ovember 30.2022 ELEV.#h ION CERTIFICATE important:Follow the Instructions on pages 1-9. Copy all pages of this Elevation Certificate and all attachments for(1)community official,(2)insurance agent/oompany,and(3)building owner. SECT-ION A—PROPERTY INFORMATION Al. Building Owner's Name FOR INSURANCE COMPANY USE —r-Ve—S C� Policy Number A2. Building Street Address(including Apt✓.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No.City (4 v 15_ TV Fh S u /2 C V�, Company NAIC Number. State ZIP Code _ El Proper�r escription(Lot and 81ock Numbers,Tax Parcel Number,Legal Description,etc.) RSA-5✓P A4. Building Use(e.g.,Residential, Non- esidential,Addition,Accessory,etc.) AS. Latitude/Longitude: Let, y�`Zd Z3,!2. Long.lZZ-4-/�7�Horizontal Datum: A8. Attach at least 2 s photographs of the building if the Certificate is being used to obtain flood insurance. NAD 1927 [g-f�AD 9 983 AT. Building Diagram Number A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawispace or enclosure(s) sq ft b) Number of permanent flood openings in the crawispace or enclosure(s)within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b 0 U sq in d) Engineered flood openings? ❑Yes [(fit o A9. For a building with an attached garage: a) Square footage of attached garage sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade c) Total net area of flood openings in A9.b v sq in d) Engineered flood openings? ❑Yes al No' SECTION 8—FLOOD INSURANCE RATE MAP(FIRM)INFORMATION 81.NFIP Community Name&Community Number B2.County Name / 5�/11 Cv vi�J 1/y O �� cj /��UjV B3. State B4.Map/Panel B5.Suffix B6. FIRM Index B7.FIRM Panel 88. Flood Number Date Effective/ B9• a Flood Eleva' n Revise Date Zones) one AO,use Base to Depth) 4 e5 / Zj B10. Indicate the source of a Base Flood Elevation(BFE)data or base flood depth entered in Ite B9: ❑FIS Profile IRM ❑Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 [b/NAVD 1988 ❑ Other/Source: B 12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? []Yes Designation Date. — c G CBRS [i OPA i FEMA Form 086-0-33(12/19) Replaces all previous editions. Form Page 1 of 6 AEVA'hopj CERTIFICATE 08 IMPORTANT.In these spaces,copy the corresponding information from Section q, OMB No. Date: ov ' Expiration Date:November 30,2022 Building Street Address(i ctudin A FOR INSURANCE COMPANY USE j 9 Apt., Unit,Suite,and/or Bldg.No.)or P,O.Route and Box No. Policy Number. City cv o2 e.4 'u,�2C /5 tr A�v p JR1 Ve t State ZIP Code Company NAIC Number sECT1©N C-BUILDING ELEVATION INt=OR `�- C1. Building elevations are based on: MAT10N(SURVE1r REQUIRED) nge kA new Elevation Certificate wiH be required when construction l or m[J Building Under Construction? C2. Elevations-Zones Al-A30,AE,AH,A(with BFE, n shed Construction building is complete. Complete Items CZa-h below according to fhe building diagram (Wirth in item .AR/p Puerto Rfco only,Benchmark Utilized: �nl A3Q AR/AH,AR/AO. Vertical Datum: y meters. indicate elevation datum used the elevations in items a)through h)below. v❑ NGVD 1929 AVD 1988 ❑Other/Source: Datum used for building elevations must be the same as that used for the BFE. a) Top of bottom Moor(including basement,crawlspace,or enclosure floor Check the easurement used. b) Top of the next higher floor ) / eet [] meters c) Bottom of the lowest horizontal structural member(V Zones only) -r? eel ❑ meters d) attached garage(top of slab) ❑ feet ❑meters e) Lowest elevation of machinery or equipment servicing the building -- ❑ feet meters (Describe type of equipment and location in Comments) Z `— 0 Lowest adjacent(finished 9 9 grade next to building(SAG) � � [P feet ❑ meters � 3 J 3 9) Highest adjacent(finished)grade next to building(HAG) t ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs,including 7/ ER"feet ❑ meters structural support j SEC T 10N D-SURVEYOP., ENG(1VEEl?, OR ` 7 et [] meters This certification is to be signed and sealed by a land surveyor, engineer,or architect autlhorized by I certify that the bnfounislion on this Certificate represents my best efforts to interpret the data available. I and statement maybe punishable by Erne or imprisonment under 18 U.S Code, Section 10 Y certify elevation information. V�/ere latitude and longitude in Section A provided by a licensed land surveyor? understand that any false Certirier's Marne `L` '" ❑No Check here if attachments. R70 -� /License Number r -nue V�rr6'A� J L_ Company Na rn v� f3 a�-. f' � ." e r xs. 6 O�/ Address ��L' t j T• $ city - :j ' © State ZfP Code Signature /� LO Date Telephone `;,��:.s:-��•.-.�_ 2�= l� phone Ext. Copy all pages of this Elevation Certifica and all te attachments for(1)dommuniry official,(2)insurance agent/company, -Gr U Comments(including type of equipment and location,per C2(e),if applicable) p Y,and(3)building owner. c Z e-) t=EkhA Form 086-0-33(12/19) Replaces all previous editions. Form Page 2 of 6 ELEVAT80iq CERTIFICATE OMB No. 1660-0008 IMPdRTAN T:in these spaces, co Expiration Date:November 30,2022 Building copy the corresponding information from Section A. g Street Address(incWI'f n . Unit, FOR INSURANCE COMPAN_ 'USE G 0 9 Apt.,A , Suite,and/or Bldg.No.}or P.O.Route and Box No. Policy Number. City /1 Y State ZIP Code '7 Company NAIC Number SECTION a—BUILDING ELEVA7TON INFO M Tlp_}(slJR MCI`RE FOR ZONE AO AND ZONE A(WiTHOiJT BFE} Ql1iREp) For Zones AO and A(without BFE),complete Items E1—E5.If the CertFicate is intended to support complete Sections A,Band C.For Items El—E4,use natural grade, if available.Check the measurement used. In Puerto Rico only, enter meters. a LIMA or LOMR-F request, El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade(HAG)and the lowest adjacent grade(LAG). a) Top of bottom floor(including basement, w Crawlspace,or enclosure)is b) Top of bottom floor(including basement, ❑feet ❑meters El above or ❑below the HAG. crawlspace,or enclosure)is ❑feet El meters El above or EJ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A items 8 and/or 9(see pages 1 2 of Instructions the next higher floor(elevation C2.b in the diagrams)of the building is ), E3. Attached garage(Fop of slab)is �feet ❑meters ❑above or ❑below the HAG. E4. Top of platform of machinery and/or equipment feet meters El above or El below the NAG. servicing the building is feet 11 mters [I E5. Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated neaccordance with th above the community's or ❑below the HAG. floodplain management ordinance? 0 Yes ❑ No Unknown. The local official must certify this information in Sec tion G. SECTION F—PROPERTY OWiJi=R(OR OWNER'S REPRESEN►A 11VE)CER T iFICA T ION The property owner or owner's authorized representative who completes Sections A, B,and E for Zone A(without a FEMA-issued or community-issued BFE)or Zone AO must sign here.The statements in Sections A, B,and E are correct to the bast of my knowledge. Property Owner or Owner's Authorized Representative's Name Address Signature City Stale 07 ZIP Code Date Telephone Comments FEK4A Form 086-0-33(12/19) 0 Check here if attachments. Replaces all previous editions. Form Page 3 of o ELEVATION CERTIFICATE 1lU E I AMT:to these spaces,co 0�6 No- 0o8 Expiration Date:Date:November 30,2022 Building Street Address(including Apt.,Unit, Suite,and/or Bldg (� onrormatior P 0 Sec 11 tion!�. fla Route and Box No. Policy Number CE COMPANY USE City C1,�E 11 ' State ZIP Code 44 ❑ z Company NAIC Number v SEC T fON G—COt�ftlUJt}NITY INFOR(UlA7 lON(OP t h}q� The local ol•;tcial who is authorized by law or ordinance to administer the corn } Sections A,B, C(or 0. and a Of this Qevation Certificate. Complete the apP munit item(s)sadanagement ordinance can complete USEd in Hems G8—G 10.!n Puerto RICO only,enter meters. ) sign below.Check the measurement G 1. ❑ The information in Section C was taken from other documentation that has been signed and seal engineer,or architect who is authorized by law to certify elevation information,(indicate the source and date of the data in the Comments area below.) sealed by a licensed surveyor, elevation G2. ❑ o community Official completed Section E fore building located in Zone a{without a FEMA-issued o or Zone AO. r community-issued BFE} G3. ❑ The following information(Items G4—G10)is provided for community foodpiain management ur p poses. G4. Permit Number G5. Date Permit Issued G6. Date Certfcate of Complience/Occupancy Issued G7• This permit has been issued for. ❑ New Construction❑ Substantial Improvement 138. Elevation of as-built lowest floor(including basem of the building: ent) ❑ _ Gg. BFE or(in Lone AO)depth of flooding at the building site: feet meters Datum ❑ ❑ _ G10. Community's design flood elevation: feet meters Datum ❑feet ❑ meters Datum Local Official's Name Title Community Name Telephone Signature pate Comments(including type of equipment and location,per C2(e}, if applicable) f =Elul A Form 086-0-33(12113) Check here if attachments. Replaces all previous edltfons. Form Page 4 of 6 BUILDING PHOT'OGt2,APHS r-LEVATION CERT IFOC TE See Instructions for Item A6. OMB No. 1660-0008 IMPOR ANTf spaces,copy the corresponding Expiration Date:November 30,2022 p g information from Section A. FOR INSURANCE COIviPANY USE Building Stre (Including Apt.,Unit,Suite,and/or Bldg.No,)or P.O.Route and Box No. 1 Policy Number: City p State AN 71 , '' ZIP Code Company NAIC Number W``� If using the Elevation Certificate to obtain NFIP flood insurance, affix- at least 2 building instructions for Item A6.Identify all photographs with date taken;"Front View"and"Rear View';and,if required,"Right Side View"and "Left Side View." When applicable, photographs must show the foundation with representaiivehexamplesP s below according to the vents,25 Indicated In Section A8. It SUbmitting more photographs than will 5t on this page, use the Continuation age flood openings or r I i Photo One Caption Rim one Clear Photo one 23 Ion 1D" r i f i Photo i wo Caption GK FEMA Form 086-0-33(12/99) Ctsar Pnotfl T:vo Replaces all prevlous editions. Form Page 5 of 6 ELEVATION CERTIFICATE BUILDING PHOTCGRAPF-gm OMB No.1660-0008 ' Continuation Page IMPORTANT:Irl these spaces,copy the correspondingExPi+�tion Date:November 30,2022 Building Street Address includin tniOmat1On from Section/�. t FOR INSURANCE COMPANY USE f Q ( 9 Apt,Unit,Se and/or No.)or P.O.Route and Box No. Policy Number: City State� � Gy Z1P Code Company NAIC Number ' if submitting more photographs than will fit on the preceding .. with: date taken; "Front View" and "Rear View'; and, if requigredaRighe Side View"onal hand Lefrs S tle V Identify When applicable, photographs must show the foundation with representative examples of the flood openings or vents,as indicated in Se pion Agographs i = Photo Tiire=_ Photo Three Caption Clear Photo Three rt; A g:.. 1� 1 Phom=our Caption '� C1earFhoto=our F>=MA Form 086-0-33(12/19) Replaces all previous editions. Form Page 6 o;6 National Flood Hazard Layer FIRMette FEN.1A Legend 122°49'45"W 47°20'35"N SEE FIS REPORT FOR DETAILED LEGEND AND INDEX MAP FOR FIRM PANEL LAYOUT Without Base Flood Elevation(BFE) 2onu A,V,A99 SPECIAL FLOOD I With BFE or Depth Z.1wAE.Ao.AH,VE.Aa HAZARD AREAS Regulatory Floodway 0.2%Annual Chance Flood Hazard,Areas of 1%annual chance flood with average depth less than one foot or with drainage Zone AE areas of less than one square mile_'one x (EL 1.3�Feet) 1 , Future Conditions 1%Annual Chance Flood Hazard zone x Area with Reduced Flood Risk due to OTHER AREAS OF Levee.See Notes.z-::- FLOOD HAZARD Area with Flood Risk due to Levee zone o NO SCREEN Area of Minimal Flood Hazard zone Effective LOMRs Zone arc OTHER AREAS Area of Undetermined Flood Hazard zone. iEL 131Feetj GENERAL -—-' Channel,Culvert,or Storm Sewer STRUCTURES I I I L I I 1 1 Levee,Dike,or Floodwali ARE�I OF MINIMA,L�,LOOD H�47.�1RD B 20 Z Cross Sections with 1%Annual Chance LOMR 19-10-110$P Z411e?C 17.5 Water Surface Elevation 1. e- - -- Coastal Transect 1I1^I7020 —to--- Base Flood Elevation Line(BFE) misio1] CdtlUty Limit of Study $30111- r% VV S5 f21 N R1V�S4 Jurisdiction Boundary ---- Coastal Transect Baseline OTHER - -- Profile Baseline f Feet} FEATURES Hydrographic Feature Zone AE (EL 14!Feet) Digital Data Available N No Digital Data Available MAP PANELSI Unmapped The pin displayed on the map is an approximate point selected by the user and does not represen an authoritative property location. This map complies with FEMA's standards for the use of digital flood maps if It is not void as described below. The basemap shown complies with FEMA's basemap accuracy standards The flood hazard information is derived directly from the authoritative NFHL web services provided by FEMA.This map was exported on 8,/29j2023 at 5:24 PM and does not reflect changes or amendments subsequent to this date and time.The NFHL and effective information may change or become superseded by new data over time. This map image Is void if the one or more of the following map elements do not appear:basemap imagery,flood zone labels. legend,scale bar,map creation date,community Identifiers. G 122°49'8"W 97°2011"N FIRM panel number,and FIRM effective date.Map Images for Feet 1.V 00o unmapped and unmodernized areas cannot be Used for 7) 250 500 1,000 1.500 2,D00 regulatory purposes.