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HomeMy WebLinkAboutBLD2024-00143 FLD2023-00100 Foundation Repair - BLD Permit / Conditions - 2/2/2024 Permit No: MASON COUNTY J O y COMMUNITY DEVELOPMEME C E IV E Permit Assistance Center, Building,Planning BUILDING PERMIT APPLICATION FEB -2 2024 PROPERTY OWNER INFORMATION: CONTRACTOR INFORMA'gQPIfi W Alder t rE e t NAME:Miguel&Jane Repay NAME:Ashley Haney-TemaFirma Foundation System MAILING ADDRESS:9341 E State Route 106 MAILING ADDRESS:13110 SW Wall St CITY:Union STATE:WA ZIP:96592 CITY:Tigard STATE:OR ZIP:97223 PHONE#1:253-3247414 PHONE:9712055223 CELL: PHONE#2:425 890 0268 Jane EMAIL:Ashley,Haney@goterrafira.com 1 EMAIL: L&I REG#173547 EXP. / 7- -PRIMARY CONTACT: OWNER❑ CONTRACTOR p OTHER❑ NAME A'N'H—y EMAIL Ashley.Haney@goterrafinna.00m MAILING ADDRESS 13110 SW Wall St CITY T-,d STATE OR ZIp97223 PHONE CELL 97120552223 most PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number)322355100005 ZONING r MOO LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT .y1 SITE ADDRESS 9341 E State Route 106 CITY DIRECTIONS TO SITE ADDRESS IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO E] SNOW LOAD: psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that opph): SALTWATER❑ LAKE EI RIVER/CREEK EI POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW❑ ADDITION[I ALTERATION❑ REPAIR E] OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.)Residence IS USE: PRIMARY 0 SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS HEATED STRUCTURE? YES(naieStdg)❑ YES(Part(sf afBhlg)❑ NO❑ DESCRIBE WORKVoluntary underpinning using 9 helical piers&36'Angle Iron SQUARE FOOTAGE:(p npa.ed) 1ST 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.& Attached❑ Detached❑ CARPORT sq.& 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❑ If i es,attach completed Water Adequacy Form PERIMETERNOUNDATION 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 pernit/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 MCA0 12/5/2023 gn ture OWNER(Must be sinned by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT -�hZ PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH �J u � o CHATMAN FOUNDATION REPAIR 9341 E STATE ROUTE 106 IlIiiim UNION,WA 98592 3N PARCEL#:322355100005 L W � RECEI D :) w o PORCH/DOCK FEB -2 2 2 N 0 GENERAL LOCATION OF 615 W. Alder tre Ito �i (N)HELICAL PIERS,TYP. v BALCON /r F 14. SEE FOUNDATION N j. . PLAN ON SHEETS0.1. *aN �O In� v1z T-O %- o (E) RESIDENCE \`• 13'-0" 1876SQFT Ln co Ol V) CL Z z O f z MAIN ENTRANCE ^O6 Q O o C Y ,/ z Q IW— (E)CONCRETE ,`'�` *+/� 1-1 O z O > DRIVEWAY /'y IRP �,t� / I� � z `` / j // Q 1< 0 o a Q < w O N �- � -1 U 1 RESIDENCE LAYOUT LU z m Ln IMPERVIOUS AREA BUILDING COVERAGE LOT AREA p�why,, F .0 ,� `"1' DRIVEWAY/PATIO: 745SF (E)RESIDENCE -904SF TOTAL 0.06ACRES CJa PLAN ROOF AREA: 1079 SF C Z TOTAL --904 SF � TOTAL 1824 SF CHECKED BY: DMH DRAWN BY: MA ®N� O -04-2023 RECEIVES FEB -2 2024 - y M 615 W. Alder Str MASON COUNTY Mason County Permit Center Use: COMMUNITY SERVICES FLD Buil ding,Kann ing,Environmental HwI(KCommunftyflealth 615 W.Aldcr Street—Bldg.R,Shchon,WA 98594 Date Rcvd ;_A Phone:(360)427-9670 Ext.352•Fax:(360)427-7798 Fee: $300.00 No fee if w/other permits FDPO Develo went Permit Application ication Applicant; II Contractor. Y Y G C _TUI Y[ti V lY FOJv�GIti I Wv. Mailing Addre s: Mailing Address: �) A� City, State Zip City, State,Zip 5 �C� �xc a c-I aa3 Phone: ( 3) 3a --ILI 0A Phone: Email: V-t 0 0S U Email: Parcel Number: Property Address: 3 y\ E she Rovtf -ao �::l 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 Dainage Prevention Ordinance,building codes and all other applicable Local,State and Federal regulations. "I-his 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: Date: la Ind la� Official Use: A. Description of Woric(complete for all work►: 1. Proposed Development Description: ❑ New building/Addition ❑ Manufactured home ❑ Fill/grade ❑ Other. ❑ Commercial (see section D) a Remodel/repair to existing building (see section C) FL)n,- �hon -�e p6,t, 2. The parcel has been identified in the following Flood Hazard Area: 53" [IA l AE ❑ AO ❑ VE � �Lf. 3. Are any other Federal, State or local permits required?Must attach copies of permits. ❑ Yes N No If yes, list type: 4. Is the proposed development in an identified floodway? ❑Yes *o 5. If yes to#4, a No Rise Certification must be attached. ❑Yes ❑ N o B. Complete for New Structures and Bulldino Sites: 1. A FEMA Elevation Certificate ulred, must be completed by a Washington State licensed Surveyor. Elevatlon Certificate must be attached. 2. Base Flood Elevation at the building site: feet NAVD 88 3. Required lowest floor elevation(including basement floor —.feet NAVD68 4. In flood hazard areas without a base flood elevation(BFE),what is the highest adjacent Grade?(HAG) i i Structure must be a minimum of two (2)feet above the HAG. I The required finish floor height Is__________. C. Com lets for Afterations Additions or Im rovements to Existin Structures: -----(bee attached Substantial Improvement&Substantial Repair) 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/valuatlon of the proposed construction? �qC $1�1� Percentage °'I Attached: Contractors Bid(FEMA Criteria) OR County Valuation per Mason County Ordinance 3. If the cost or valuation of the propose d'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 repairTimprovement ❑ Yes ❑ No D. Complete for Non-Residential Floodoroofed 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: I. 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 O No 3. Are the 100 Year Floodplain and Floodway delineated on the site plan? 0 Yes 0 No Administrative 1. Approved: _ Denied: Planning Staff Signature: Date: 2.Y­7 Building Staff Signature: _A N OU Date: t! L 3. As-built lowest floor elevation: feet NAV088 Comments/Conditions: ICYJ YY) mow no � Y17�v�iJeMv+�J� 10<�+-�ec1 t ►� Mason County Flood Damage Prevention Ordinance#a41-17 & International Building Codes �0 ° °rye 761 NE Garden Valley Blvd. Roseburg, OR 97470 INVOICE CC CCB#173547 WA CC#TERRAFR931LH Bill To: Date Invoice# Project# Larry Chatman 12/26/2023 PRJ122475 PRJ122475-401PR 9341 E State Route 106 Union, WA 98592 Job Address Larry Chatman 9341 E State Route 106 Union, WA 98592 Description Rate Quantity U/M Amount Materials 30,739.95 $ 30,739.95 Labor 4,152.76 $ 4,152.76 Thank you for you business.Your invoice is payable upon receipt.We accept Visa, Mastercard,American Express and Discover. Total $ 34,892.71 Phone # Fax# (866) 486-7196 (541)229-4051 Patti McLean Parcel Details Mason County Assessor 32235-51-00005/2023 1 J 411 N 5TH ST Active PO BOX J IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Shelton,WA 98584 360-427-9670 xasl * 3 0 0 0 0 + 4 1 8 5 3 9 1 Parcel Number: Roll Year: Type: Retired: Exempt: 32235-51-00005 2023 Active No No Assessment Type: Description Real Property Primary Owner Primary Situs: RABAY TRUST,MIGUEL&JANE M 9341 E STATE RT 106 Legal: BROOK POINT TR 5 DOR: Secondary Land Code Map Number 18-Residential-All other 32 Total Acres Property Class Appraiser Initials 0.04000 TX Field Sheet FS 01812:05 District: Neighborhood 0350-Tax District 0350 N2 Southshore/106/AREA 5 SubDivision: Exemption Type/Level: Frozen Value: Category '23 New Const 123 Market '23 Assessed Estimated Exemption Amount: 0 Land: 0 347,260 347,260 Non-Senior Amount: 0 Impr: 0 277,595 277,595 Exemption Amount: 0 Perm Crop: 0 0 0 Remaining Taxable Value: 624,855 Total: 0 624,855 624,855 Na d Ir' Ad I.' Land ® ® 347,259 Land Z 347,259 + I 347,259 Single Family Residence Building 1 ® ® 265,595 Single-family Residence L Z 210,790 + 1 210,790 Market Adjustment A5 N2(WF)MARKET MODIFIER O © 26 % 1 54,805 Miscellaneous Improvements ® ® 1,000 Lump Sum Asphalt 240 sf O O 1,0001 + 1 1,000 Site Improvements ® ® 11,000 Lump Sum Septic System C] O 8,5001 + 1 8,Soo 300002 ParcelDelails www.terrascan.com Parcel Details Printed on 12/22/2023 11:27:21 AM Page 1 of 3