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Home My WebLink AboutBLD2023-01335 Replace Pier, Ramp, Bulkhead, New Dock FLD2023-00075 - BLD Application - 11/6/2023 DocuSign Envelope ID:CDACIB6B-7C74-4793-9AOB-EF119A57DEDC ! ' MASON COUNTY COMMUNITY SERVICES {'cr•mit No: I V E D PERMIT ASSISTANCE CENTER: -BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL 615 W.Alder Street,Shelton,WA 98584 Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone N 0 V 0 6 2023 Belfair.(360)2754467•Phone Eke:(360)482-5269 BUILDING PERMIT APPLICATION"' 615 W. Alder Street PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: Uaralyn VaIdeman o o NAME: Richard Wall NAME:Integ[ated NW Construction.LLC MAILING ADDRESS: 4417 SW 109th St MAILING ADDRESS:PO Box 1008 41 PR CITY: Seattle STATE:WA ZIP:98146 CITY: HoodsDort STATE: WA ZIP:98548-1008 PHONE#1: 206-852-5698 PHONE:253-888-5314 ext 10ELL: 206-310-4239 PHONE#2: EMAIL:caralyn(a)integratedNWconstruction.com EMAIL:richar 'wail(gZcomcast.net L&I REG#INTEGNC843J1 EXP.A-1 /2024 PRIMARY CONTACT: OWNER❑ CONTRACTOR® OTHER❑ NAME EMAIL MAILINGADDRESS CITY STATE ZIP PHONE CELL PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) 42333-51-02911 ZONING Residential LEGAL DESCRIPTION(Abbreviated)LAKE CUSHMAN EASTSIDE#1 BLK:2 LT 25B&WLY 1n LTFIRE DISTRICT SITE ADDRESS 101 N Marine View Ln CITY Hoodsport DIRECTIONS TO SITE ADDRESS Get on US-101 N from Olympic Hwy N and follow for 13.2 miles Tum left on WA-119 NM Lake Cushman Rd for 5.5 miles Tum left onto Muine View Dr for 0.2 miles.Sham right onto N Marine View Ln for 0.1 miles.Destination will be on the left IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YESE NO❑ IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER❑ LAKEN RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW❑ ADDITION❑ ALTERATION❑ REPAIR S OTHER ❑ USE OF STRUCTURE(Residence,Game,Commerciat Bldg,Etc.) Bulkhead IS USE: PRIMARY❑ SEASONAL N NUMBER OF BEDROOMS NUMBER OF BATHROOMS HEATED STRUCTURE? YES(whole Bldgl❑ YES(Pan[s)ojBtdgl❑ NO DESCRIBE WORKgpplacP eYictins�jljpg t SaIIlp and hLlkheAd conetrnct new floating dock wish cradle w SOUARE FOOTAGE:(propose+exiszoW 1 ST FLOOR sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft. GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq.ft. Attached❑ Detached❑ 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❑ / NEW❑ EXISTING PLUMBING IN STRUCTURE? YES❑ NO❑ Ifyes,attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NO[] EXISTING SQ.FT. EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS 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 all the necessary parties,including 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 Zo,,,,, COUNTY CODE 14.08.42) 10/16/2023 X Signature of OWNER(Must be signed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDPPIONS BUILDING DEPARTMENT 1 L t PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH MASON COUNTY Mason County Permit Center Use: COMMUNITY SERVICES \ Fm 20 A�� Building,Planning,Environmental Health,CommuniRe I�di�E I V/E l ,� 615 W.Alder Street—Bldg.8,Shelton,WA 98584 Date RCVd I _LX Phone:(360)427-9670 Ext.352♦Fax:(360)427-7798 o V 0 6 2023 Fee: $300.00 615 W. Alder Street No fee if w/other permits FDPO Development Permit Application Applicant: Contractor: " W &n&�rcaG-41vn Mailing Address: Mailina Address: City, State, Zip City, State, Zip Phone: gap) !6a_5ip6 Phone: (9�)8W -5314 62 !.[&010.4A 9 Email: Yl(�1')C!/1 .ht-� Email: Parcel Number: Property Addres . 4x -6 1 - o I I 101 n p i EW L&+1e, � C I understand I am making application for a permit to develop in a designated flood hazard area. The o 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. 1 Applicants Signature: `� t�— �/l�A� � Date: ao� Official Use: A. Description of Work (complete for all work): 1. Proposed Development Description: ❑ New Residence (section C) ❑ New Manufactured home (section C) ❑ Commercial (see section E) ❑ Fill/grade Pilo449Z3 D13 Addition/Remodel/Repair to an existing structure (see section D) � 2. The parcel has been identified in the following Flood Hazard Area: )(A O AE ❑ AO ❑ VE 3. Are any other Federal, State, or local permits required? Must attach copies of permits. /Yes ❑ No If yes, list type: L P', l 1 S 4. Is the proposed development in an identified floodway? ❑Yes 0"No 5. If yes to #4, a No Rise Certification must be attached. ❑ Yes 0 No r C' 0111W f B. Complete for Historic Structure. 1. Provide documentation of historic registry from Federal or State. 2. Provide a detailed letter requesting a variance. Letter must include parcel number, address of site, scope of work and mitigation items regarding wetproofing or floodproofing that are available. No work can affect or result in increase flood heights or additional threats to public safety. All mechanical and plumbing must be flood or wetproofed. No variances will be granted in a Floodway. C. Complete for New Structures and Building Sites: 1. A FEMA Elevation Certificate is required, must be completed by a Washington State licensed Surveyor. Elevation Certificate must be attached. 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 D. Complete for Alterations, Additions, or Improvements to Existing Structures: 1. What is the estimated market value of the existing structure? $ Attached: Assessor's Parcel Detail Report OR Appraisal from a Washington State Licensed Appraiser 2. What is the cost/valuation of the proposed construction? $ Percentage Attached: Contractors Bid (FEMA Criteria) OR County Valuation per Mason County Ordinance 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 ❑ Yes ❑ No If yes, complete section C above. E. 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 • i arr� _ F. 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 Administrative 1. Approved: Denied: Planning Staff Signature: Date: la'07-a3 Building Staff Signature: Date: �020�✓� 3. As-built lowest floor elevation: feet NAVD88 j Comments/Conditions: CACLL ✓ S�VA Ulnn(,� Mason County Flood Damage Prevention Ordinance #41-17 & International Building Codes