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HomeMy WebLinkAboutBLD2023-01129 Change Carport to Living, Garage - BLD Application - 9/20/2023 MASON COUNTY COMMUNITY SERVICES Permit No: q� �j PERMIT ASSISTANCE CENTER: •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL O 2�23 615 W.Alder Street,Shelton,WA 98584 S EP 2 1 -W Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone Belfair.(360)275-4467•Phone Elma:(360)482-5269 ' 615 W. Alder Street BUILDING PERMIT APPLICATION �Q PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: ' V NAME:Dave&Pat Larson NAME: MAILING ADDRESS: 14244-55th Ave.S MAILING ADDRESS: CITY:Tukwila STATE:WA ZIP:98168 CITY: STATE: ZIP: PHONE#1:206-799-7892 PHONE: CELL: PHONE#2:206-478-5834 EMAIL: EMAIL:davidvlarson@msn.com L&I REG# EXP. 1 PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER❑ NAME Dave Larson EMAIL davidvlarson@msn.com MAILING ADDRESS 14244-55th Ave.S CITY T k nl, STATE WA ZIP98168 PHONE 20r17W7es2 CELL 20r�79%TN2 PARCEL INFORMATION: v PARCEL NUMBER(12 Digit Number) 12105-52-00106 ZONING residential r LEGAL DESCRIPTION(Abbreviated) TREASURE ISLAND TR 106&TL&N1/2 TR 105 FIRE DISTRICT 5 Z SITE ADDRESS 860 E.Treasure Island Dr CITYAIIyn,WA DIRECTIONS TO SITE ADDRESS N on HWY 3 towards Allyn;R.on Grapeview Loop Rd;R on E.Treasure Island Rd;L at Stop sign around island to east side;860 is on the east(left side)of the road 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: (Checkall that apply): SALTWATER E] LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW❑ ADDITION 0 ALTERATION Q REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc) residence,garage IS USE: PRIMARY❑ SEASONAL 0 NUMBER OF BEDROOMS 2 NUMBER OF BATHROOMS 2 HEATED STRUCTURE? YES(whole Bldg)❑ YES(Part(s)of Bldg)0 NO❑ DESCRIBE WORK convert carport to family room and add garage SQUARE FOOTAGE:(proposed) 1ST FLOOR 347 sq.ft. 2ND FLOOR 295 sq.ft. 3RD FLOOR sq.& BASEMENT sq.& DECK 56 sq.ft. COVERED DECK 192 sq.fL STORAGE sq.fL OTHER sq.ft. GARAGE 651 sq.ft. Attached 0 Detached❑ CARPORT sq.ft. Attached[I 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 E] SEWER❑ / NEW❑ EXISTING PLUMBING IN STRUCTURE? YES 0 NO❑ Ifyes,attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NOQ EXISTING SQ.FT. EXISTING BEDROOMS 2 PROPOSED BEDROOMS 0 TOTAL BEDROOMS 2 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 permitlapplication 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 PER APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON n COUNTY CODE 14.08.42) Signature of OWNER(Must beVicirfed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDIT ONS BUILDING DEPARTMENTPhaw PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH MASON COUNTY COMMUNITY SERVICES Permit No: I 26 - ( l all PERMIT ASSISTANCE CENTER: •BUILDING •PLANNING •FIRE MARSHAL • 615 W.Alder St-Shelton,WA 98584 www.co.mason.wa.us Phone Shelton:(360)427-9670 ext. 352• Fax:(360)427-7798 Phone Belfair.•(360)275-4467• Phone Elma:(360)482-5269 PLUMBING & MECHANICAL PERMIT APPLICATION OWNER INFORMATION: CONTRACTOR INFORMATION: NAME:Dave and Pat Larson NAME: MAILING ADDRESS: 14244-55th Ave.s MAILING ADDRESS: CITY: Tukwila STATE:wA ZIP: 96168 CITY: STATE: ZIP: 1 st PHONE:206799a692 PHONE: CELL: 2"d PHONE:206-478-5834 EMAIL : EMAIL: davldAarson@msn.com L&I REG# EXP. PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number):12105-52-00106 Zoning: residential LEGAL DESCRIPTION(Abbreviated): TREASURE ISLAND TR 106&TL&N1/2 TR 105 SITE ADDRESS: 860 E.Treasure Island Dr CITY:AIyn,wA DIRECTIONS TO SITE ADDRESS: N on Hwy 3 toward Allyn; L on Grapeview Loop Rd; R. on E. Treasure Island Rd; L at stop sign; around island to east side; 860 is on the east (left side) of the road TYPE OF JOB: NEW=ADD=ALT=REPAIR=OTHER=USE OF BUILDING LOCATION OF FIXTURES/UNITS—1 ST FLOOR ✓=2ND FLOOR=BASEMENT=GARAGED✓ OTHERO PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS Type of Fixture No.of Fixtures Fees Fuel Type:ElectricE LPGOIJatural Gas[�Ductless0 Toilets Type of Unit No.of Units Fees Bathroom Sink Furnace Bath Tubs Heat Pump 1 Showers 1 Spot Vent Fan Water Heater 1 Propane Tank Clothes Washer 1 Gas Outlets Kitchen Sinks Wood/Gas/Pellet Stove Dishwasher 1 Kitchen Exhaust Hood Hose bibs 1 Dryer Vent 1 Other Solar Panel Other Base Fee Base Fee TOTAL PLUMBING TOTAL MECHANICAL OWNER acknowledge 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,owners legal representative,or contractor.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 authorized agent 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 OFTHIS PERMIT IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL I (DATE THE APPLICATION. ?-ao- a3 Signature of Owner Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL Rev.1/27/2016 JBN orI Ve.-4-1 -V-1 ,<• #'##�#��1��+��# ar*+s"�s��`���i i���•►�r�.s i��r t�.ir�ir� WAM Quick view �� # '# +� iM • i iiii '1� i iii �1 i It a! ! i►f i i#/1 # +i ii i<w: Freedom •o• Vent 116"x8" - Flood 60: The Freedom Flood Vent is a cost-effective, ICC-ES certified, engineered flood vent that covers 250 sq. ft. and meets FEMA, NFIP, and building code requirements.This bi-directional foundation flood vent relieves hydrostatic pressure and .. . . • tO C,9rt Co m•.re MASON COUNTY • COMMUNITY SERVICES Building,Planning,Environmental Health,Community Health November 20, 2023 Dave & Pat Larson 14244- 55' Ave S Tukwila, WA 98168 Re: BLD2023-01129 Mr. & Mrs. Larson, I am working on the Building Department review of the construction plans and Flood Development Permit review. In my review I have the following items identified as deficient: 1. The supplied FEMA Elevation Certificate is expired. See upper right corner of the document, expired November 30, 2022. The surveyor must supply a current Elevation Certificate. Please contact the surveyor and supply the new certificate. 2. 1 assume from the supplied information that you understand your project will be a Substantial Improvement. To follow both Building Codes and Mason County Flood Prevention Ordinance you must meet elevation and flood opening requirements for both the new and existing structure. The supplied plan pages must include the following: must not only show the flood opening locations, but also the calculations for the required flood openings in accordance with section 322 of the International Residential Code. The submitted drawings do not show any flood openings in the existing structure or calculations. If you wish to pursue a determination of Substantial Improvement more information will be needed. The supplied appraisal is not adequate due to lack of detail in the report. To use an appraisal, it must be a full appraisal with a full breakdown of the value of the land, structure and other improvements. 3. The finished floor must meet the elevation requirements for all occupied spaces. The garage is not required, however everything below the BFE must be water resistant. The construction plans must include the location of the existing elevations, must show the where the Base Flood Elevation is located onto the structure and the finished floor elevation for compliance. Please work with the surveyor of record to add this detail to the plan pages. 4. In review of the structural drawing, it has been determined that the structure is an irregular design and requires engineering for the structure. This determination is based on Section R301.2.2.6(2) Lateral Support of Roofs and Floors. The area of the deck above the garage creates a condition where a section of the floor or roof is not laterally supported by shearwall or brace wall line on all edges. 5. Regarding the location of the new point load footings for the upper floor, is there an existing beam to pick up the load or will a new beam be installed, if so, please indicate on the plans what the beam is or will be. 6. PSI 3,000 concrete requires Special Inspection. Must provide a Special Inspection Agreement completed and returned prior to permit approval. See Attached. 7. When scaled the stair on the exterior will exceed the maximum of 155 inches or vertical rise. Please address this with a revised plan with a landing or redraw plans to be compliant. 8. A floor plan of the structure before needs to be supplied for the project. 9. When reviewing the supplied drawing for the location of the existing carport, will the slab be retained? If so, it needs to be updated to show slab and elevation of slab. 10.The deck above the garage framing is deficient. Both the beam and the joists are not adequate. Please refer to Table 507.5(1) & Table 507.6 of 2018 IRC. 11.The copy of the table for beams included in the plan pages is not legible. Please submit as 8 x11 pages with one for each beam labeled and highlighted. If you have any questions regarding these items, please email me at tw(a�masoncountywa.gov Kind Regards, Tricia Woolett Building Inspector/Plan Review (360) 427-9670 tw(aD-masoncountywa.gov Attached: Special Inspection Agreement MASON COUNTY x=j COMMUNITY SERVICES Building,Planning,Environmental Health,Community Health November 20, 2023 1 Dave & Pat Larson 14244- 551h Ave S ��� -71,' Tukwila, WA 98168 �(Z Re: BLD2023-01129 Mr. & Mrs. Larson, am working on the Building Department review of the construction plans and Flood Development Permit review. In my review I have the following items identified as deficient: 1. The supplied FEMA Elevation Certificate is expired. See upper right corner of the document, expired November 30, 2022. The surveyor must supply a current Elevation Certificate. Please contact the surveyor and supply the new certificate. 2. 1 assume from the supplied information that you understand your project will be a Substantial Improvement. To follow both Building Codes and Mason County Flood Prevention Ordinance you must meet elevation and flood opening requirements for both the new and existing structure. The supplied plan pages must include the following: must not only show the flood opening locations, but also the calculations for the required flood openings in accordance with section 322 of the International Residential Code. The submitted drawings do not show any flood openings in the existing structure or calculations. If you wish to pursue a determination of Substantial Improvement more information will be needed. The supplied appraisal is not adequate due to lack of detail in the report. To use an appraisal, it must be a full appraisal with a full breakdown of the value of the land, structure and other improvements. 3. The finished floor must meet the elevation requirements for all occupied spaces. The garage is not required, however everything below the BFE must be water resistant. The construction plans must include the location of the existing elevations, must show the where the Base Flood Elevation is located onto the structure and the finished floor elevation for compliance. Please work with the surveyor of record to add this detail to the plan pages. 4. In review of the structural drawing, it has been determined that the structure is an irregular design and requires engineering for the structure. This determination is based on Section R301.2.2.6(2) Lateral Support of Roofs and Floors. The area of the deck above the garage creates a condition where a section of the floor or roof is not laterally supported by shearwall or brace wall line on all edges. 5. Regarding the location of the new point load footings for the upper floor, is there an existing beam to pick up the load or will a new beam be installed, if so, please indicate on the plans what the beam is or will be. ;�,-Z-,,( 0%4 (. 6. PSI 3,000 concrete requires Special Inspection. Must provide a Special Inspection Agreement completed and returned prior to permit approval. See Attached. https://www.masoncountywa.gov/forms/Community_Dev/special-inspection- agreement.pdf 7. When scaled the stair on the exterior will exceed the maximum of 155 inches or vertical rise. Please address this with a revised plan with a landing or redraw plans to be compliant. 8. A floor plan of the structure before needs to be supplied for the project. 9. When reviewing the supplied drawing for the location of the existing carport, will the slab be retained? If so, it needs to be updated to show slab and elevation of slab. 10.The deck above the garage framing is deficient. Both the beam and the joists are not adequate. Please refer to Table 507.5(1) & Table 507.6 of 2018 IRC. tV.The copy of the table for beams included in the plan pages is not legible. Please submit as 8 x11 pages with one for each beam labeled and highlighted. sub p g If you have any questions regarding these items, please email me at tw(abmasoncou ntywa.gov Kind Regards, Tricia Woolett Building Inspector/Plan Review (360) 427-9670 twCcDmasoncountywa.gov Attached: Special Inspection Agreement ee23.820M M—ao.arwm Mason County WAGIS M.-.C..myMum.p- ti+ isiosesn- x 0, f q rr 93 all a t2S 2!Y . : r. v •n F��1 - 2°� -- 10' rot j JbG �1+2r EH Setbacks A.) Drainfield/Reserve requires 10'setback from footing/foundations B.)Septic tank(s)requires 5'setback from all footing/foundations C.)No foundation/Perimeter Drains within 30ft,downgradient of 1.NSW Drainfield/Reserve area � /ae� 6• I k D.)No Cut Bank(s)(greater than 5ft and over 45 degrees)within - 50ft,down gradient of Drainfield/Reserve area PA. 2Q1--7qrf-Z8q2- EH APPROVED Rhonda Thompson 10/16/2023 r ` U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency OMB No. 1660-0008 National Flood Insurance Program Expiration Date: November 30,2022 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/company, and (3)building owner. SECTION A—PROPERTY INFORMATION Al. Building Owners Name FOR INSURANCE COMPANY USE Policy Number: A2. Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No. O �DU Company NAIC Number: City ���/� S� 2 C r`,5�.A-rV' -�' State ZIP Code l_ Prope escription(Lot and Block Numbers,Tax Parcel Number Le al Description, etc.)❑ O � c7-1� 5 A4. Building Use (e.g., Residential, Non- esidential,Addition,Accessory, etc.) A5_ LatitudelLongitude: Lat. �- .y9_ y/ �eS 7p�/✓ -��"Zd 23,lZ Long.�z ,7kHorizontal Datum: ❑ NAD 1927 AD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. AT Building Diagram Number A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or encfosure(s) j 162— sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s)within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b 01 sq in d) Engineered flood openings? ❑Yes 0<0 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 sq in d) Engineered flood openings? C3 Yes a'r`o SECTION B—FLOOD INSURANCE RATE MAP(FIRM) INFORMATION B1. NFIP Community Name& Community Number B2. County Name Sn/V coJN f B3. State B4=Pane NumbeMap/Par 5.Suffix B6. FIRM Index 87. FIRM Panel B8. Flood ❑ Date Effective/ Zones B9. Base Flood Elevation(s) Revised Date ( ) (Zone AO, use Base Flood Depth) �� 7/°/�" z� Zo,y / Z� v B10. Indicate the source or e Base Flood Elevation (BFE)data or base flood depth entered in Item 89: ❑ FIS Profile IRM ❑ Community Determined ❑ Other/Source: 811. Indicate elevation datum used for BFE in Item E39: ❑ NGVD 1929AVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS)area or Otherwise Protected Area (OPA)? ❑ Yes [� Designation Date: ❑ GBRS ❑ OPA FEMA Form 086-0-33(12/19) Replaces all previous editions. Form Page i of E ELEVATION CERTIFICATE )008 IMPORTANT.ANT.in these spaces,copy the corresponding information from Section q, OMB No. Date Nov Expiration Date:November 30,2022 Building Street Address(including Apt., Unit, Suite,and/or Bldg.No.)or P.O.Route and Box No. , Policy Number. FOR INSURANCE COMPANY USE g� C� aeeA '✓ C �S'LA�D �V i city e State ZIP Code Company NAIC Number SECTION C—BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1. Building elevations are based on: Building °A new Elevation Certificate will be required when consttruction of the Construction Drawins* ❑building is Under Construction' Wished Construction C2. Elevations—Zones A1A30,AE,AH,A(with BFE),VE,V1—V30,V(with BFE),AR,AR/A,AR/AE,AR/Al A30,AR/AH Complete Items C2.a—h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: .AR/AO. SA'it/�,�2�,��ti! Vertical Datum: d Indicate elevation datum used the elevations in items a)through h)below. ❑ 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 floor(including basement, crawlspace,or enclosure floor) _ Chec_k,,thhee measurement used. b) Top of the next higher floor Teet ❑ meters c) Bottom of the lowest horizontal structural member(V Zones only) , 2� eet ❑ 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) Z5 Lowest adjacent(finished)grade next to building(LAG) [meet [I meters g) Highest adjacent(finished ! �e t ❑ meters grade next to building(HAG) `�t 7 h) Lowest adjacent grade at lowest elevation of deck or stairs,including feet ❑ meters structural support ! 7 / SECTION D—SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATIONI�reet [I meters This certification is to be signed and sealed by a land surveyor, engineer,or architect authorized by law to certifyelevation information. I certify that the information on this Certificate represents my best efforts to interpret the data available. l understand that an false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 10 false Were latitude and longitude in Section A provided by a licensed land surveyor? � ,,�,/ y se Certifier_'s Name y — '"" ❑�O tf9 Check here if attachments. j E License Number Cr Title r'`' 'J" Company Nam F. Address city ' © 5tate ZIP Code .: Signature LOA S Date l� c/ Telephone Ext. Copy all pages of this Elevation Certificate and r Z6 Z �� �' .> D ail attachments for(1)community official,(2)insurance agent/company, and(3�iiding owner. Comments(including type of equipment and location,per C2(e), if applicable) 0, 2- a) 4"-,* Acep- 6/11 5/�,- ecl-5,0,0e, FEMA Form 086-0-33(12/19) Replaces all previous editions. Form Page 2 of 6 EVZ IMPORTANT-in these spaces, copy the corresponding informatior] ,';om Section A. OMB No 1 ate:Nob Expiration Date:November 30,2022 Building Street Address(including Apt., Unit,Suite,and/or Bldg.No.)or P.O. Route and Box IVo. 4 FOR FOR INSURANCE COMPANY USE U "_ P,4 vlel �j� y Number: City /7/i-9 �k/L 4 / L Slate ZIP Code u (� � Lti/� S Z _ Company NAIL Number SECTION E—BUILDING ELEVATION INFORM,,i 1®N (SURVEY � FOR ZONE AO AND ZONE A(tflllT!-7©UT Q )NOT 2C��IRED)- For Zones AO and A(without C. FE),complete Hems Enatur If the Certificate is intended to support a LOIyIA or LOtvl - complete Sections A, Band C. For Items E i—E4, use natural grade, if available. Check the measurement used. In Puerto Rico enter meters. R F request, E1. Provide elevation information for the following and check the a only the highest adjacent grade (HAG)and the lowest adjacent grade(LAG). only to show w a) Top of bottom floor(including basement, crawispace,or enclosure)is Nether the elevation is above or below b) Top of bottom floor(including basement, feet []meters cra4vlspace, or enclosure)is [I above or ❑below the HAG. E2. For Building Diagrams the next higher floor 6-9 with permanentfeet ❑meters El above or [�below the LAG. n flood openings provided in Section A Items 8 and/or 9 (see pages 1-2 of Instructions), (elevation C2.b in the diagrams)of the building is E3. Attached garage(top of slab)is ❑feet ❑meters ❑above or []below the HAG. E4. Top of platform of machinery and/or equipment ❑feet El meters (]above or []below the HAG. servicing the building is E5. Zone AO only: if no flood depth number is available, is the top of the bottom tloor'elevaeet ��meters ❑above or ,, ❑belon the HAG. floodplain management ordinance? ea in accordance with the community's ❑ Yes � No [D UnknoUvn. The local official must certify this information in Section G. Si?C!!ON F—PR©PERTYU'1NiV+'R OP OLrUN!3o' �—. �- ( S 1•.Er�RESENIT A T lEl�) CI=R s ti=iCr'S T!ON The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A(without a FEIviA-issued or community-issued BFE)or Zone AO must sign here.The statements in Sections A, B,and E are correct to the best of m Propert; O`.vner or Ov✓ner's Authorized P,epresentative's dame /knorvledge. IAddr=ss City Signature State ZIP Code Lii Date Telephone Comments I r FEiviA'=orm 086-0-33 (12119) 1_' Checic here if attachments. Replaces all previous editions. Form PeQe 3 ofo r IMPORTANT: In these spaces, co OMB No. 1660-0008 COPY the corresponding information from Expiration Date: November 30,2022 Building Street Address(including Apt., Unit, Suite,and/or Bldg. N°,)or P.O. Route and Box IUo. FOR IiVSURANCE COivIPANY USE 1 Polio IVumber. City v e- ' State ZIP Code Company NAIC Number SECTION G—COIWMUNjl'R`INFORMA T ION(OPT NAL) The local ofrlciai who is authorized by law or ordinance to administer the community's Sections A, B, C(or E), and G of this Elevation Certificate. Complete the applicable item(s)and sign below.Check t used in liems G8—G10. In Puerto Pico only, enter meters. ty s flood plain management ordinance can complete he measurement G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed b a licensed engineer, or architect who is authorized by law to certify elevation information. (indicate the source and date of the elevation data in the Comments area below.) y ed surveyor, G2. ❑ A community official completed Section E for a building or Zone AO. located in Zone A(without a FEIUiA-issued or community-issued � ssued BFE) G3. ❑ The following information (Items G4—G10)is provided for community;loodplain management purposes. G?. Permit Number G5. Date Permit Issued G6. Date Certificate of Compliance/Occupancy Issued I G7• This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as-built lowest floor(including basement) or the building: ❑ feet ❑ meters Datum G9. BFE or(in Zone AC)depth of flooding at the building site: Datum ❑ G10. Community's design flood elevation: ❑ feet meters Datum -------- ❑feet ❑ meters Da Local Official' Name .�_ Title Community Name Telephone f Signature [Date Comments (including type of equipment and location, per C2(e), if applicable) I FEMA Form 086-0-33 (12/19) u Check here if a tachments. Replaces all previous editions. Form Page 4 of 6 See Instructions for Item A6. ONIB No. 1660-0008 IMPOR i AN i:In these spaces, copy the co 11 rresponding information rom Section A. Expiration Date:November 30,2022 Building Street A dress(including Apt., Unit, SulTe,and/or Bldg.No. or P.O. ) Route and Box No. po cylNurCnRbAel\10E COMPANY USE City a U�''e•. L 1 State ZIP Code Company NAIL idumber • If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 b instructions for Item A6. Identify all photographs with date 'taken;"Front View"and "Rear View "Left Side View." wilding photographs below according to the When applicable, photographs must show the foundation with representative examples of the flood openings or vents,as indicated in Section A8. If submitting more photographs than will tit on this page, use the ontinuuationd Page.lht Side View"and 9 r t n r Photo One Caption Photo one /r a �r!� Clear Photo One J. .... .�• 4 mat. r in»rs .t JfR�{Fbf. r — I i ?1-0+:pro Caption A�K - i r ED1A Form 086-0-33 (i 21 i 9) Replaces all previous editions. 7 Clear Photo Two Form Pace 5 0 6 ELEVATioN CERTIFICATE BUILDING PHOTOGRApHq ' Continuation Page OMB No. 1660-0008 IMPORTANT: fn these spaces, copy the corresponding information from Section A. Expiration Date:November 30,202, Building Street Address(including Apt.,Unit, Suite,and/or Bldg.No,)or P.O.P.oute and Box No, t FOR INSURANCE COMPANY USE S/E' U j_ Policy Number. City 4-�J / � � State ZIP Code Company NAIC Number 'i if submitting more photographs than will fit on the Preceding ., with: date taken; "Front View" and "Rear View'; and, if quiredaRight Side View- and "Left Sid 9 the additional photographs below. Identify all photographs photographs must show the foundation with representative examples of the flood openings or vents,as indicated in Section A8. �r , .i. Photo Three Caption =roloTivee Clear Photo Three X I Photo Four Caption i FEMA Form 086-0-33(12/19) Re la Z Clear Rhoto Four P ces all previous editions. Form Paoe 6 of 6 National Flood Hazard Layer FIRMette x EMA 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) Zone A.V A99 SPECIAL FLOOD With BFE or Depth zone AE.AO.Ax.VE.AR 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 t�f)E? areas of less than one square mile.,ff n {EL 13 Feet} Future Conditions 1%Annual Chance Flood Hazard zone x I Area with Reduced Flood Risk due to OTHER AREAS OF Levee,See Notes.z,,nw x FLOOD HAZARD Area with Flood Risk due to Leveez,)a c NO SCREEN Area of Minimal Flood Hazard Lone•!: one AE © Effective LOMRs OTHER AREAS Area of Undetermined Flood Hazard (EL 13 Feet) GENERAL "—-- Channel,Culvert,or Storm Sewer STRUCTURES IIIIIII Levee,Dike,or Floodwall AREAalF`4 'IINIIVIAL FLOOd HAZARD t3 20,2 Cross Sections with 1%Annual Chance LUMRLI,9 1071106 Of le 17.5 Water Surface Elevation 1/1^11020 a- -- - Coastal Transect Mason Cawnty —su— Base Flood Elevation Line(BFE) 53011.5 � R1W S5 Limit of Study Jurisdiction Boundary �� Coastal Transect Baseline OTHER _ -- Profile Baseline ' �Fe@t} FEATURES Hydrographic Feature r DEL 14�Feet} Digital Data Available N P, No Digital Data Available MAP PANELS C-7 Unmapped The pin displayed on the map is an approximate point selected by the user and does not represer 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 basernap 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 8/29/2023 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. Feet 122°4 '8"W 47020'11"N FIRM panel number,and FIRM effective date.Map images for 1:6 000 unmapped and unmodernized areas cannot be used for J 250 500 1,000 1,500 2,000 regulatory purposes. U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency gOMBNo. 1660-0008 National Flood Insurance Program ation Date:November 30,2022 ELEVAT10N CERO TIFICATE 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/company,and(3)building owner. SECTION A—PROPERTY INFORMATION Al. Building Owner's Name FOR INSURANCE COMPANY USE _Z-6/-cS Z �� Policy Number. A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.j or P.O.Route and Box No. Company NAIC Number. �ot� f �,4 S u 2 C l city Q/Z-/ u-e_ State/ ZIP Code _ Prope escription(Lot and Block Numbers,Tax IN M O S ��� G Ta�Parcel Number,Legal Description etc.) A4. Building Use(e.g., Residential,Non- esidentlal,Addition,Accessory,etc.) A5. Latitude/Lon itude: Lat. �j g �l7 0 Z -2, Long.�Z2-yy_ 7 ,7�HorizontalDatum: ❑NAD 1927 [Z-I�AD 1983 A6. Attach at least 2 photographs of the building If the Certificate is being used to obtain flood insurance.AT. Building Diagram Number A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) 4�2 sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s)within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b sq in d) Engineered flood openings? ❑Yes 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? 0 Yes W'W0 SECTION 8—FLOOD INSURANCE RATE MAP(FIRM)INFORMATION 81.NFIP Community Name&Community Number 82.County Name s�1-50n1 C'c�vivix � 0 ll� /�?��C�it✓ B�to Map/Panel 85.Suffix B6. FIRM Index B7. IRM Panel B8.Floodood 4 Number Date Effective/ Zone(s) 69.(Zone AO,use BaElevase Flood Depth) 3 Revised Date 465 B10. Indicate the source of ihe Base Flood Elevation(BFE)data or base flood depth entered in Item 89: ❑FIS Profile ji IRM ❑Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 G! NAVD 1988 ❑ Other/Source: B 12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? Q Yes Designation Datc. ❑ CBRS ❑ OPA 1 FEMA Form 086-0-33(12/19) Replaces all Previous editions. Form Page 1 of 6 1 1 ELEVATION CERTIFICATE IMPORTANT.In these spaces, copy the corresponding information it om Section A. OMB No. Date: Oos Building Street Address{including Apt., Unit,Suite,and/or Bldg.No Expiration Date:November 30,2022 g(� ( 9 .)or P.O.Route and Box No. Policy Number: COMPANY USE City �'A 'v C 1 S Lh-A�)p fd e/Ve I i State ZIP Code Company NAIC Number SECTI©N G—BIJiLDING ELEI/ATION INFORMATION(SURVEY RE C1. Building elevations are based on: C}UII�Efl) ❑ Construction Drawings" ❑Building Under ConstruetionY ``A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations—zones Al—A30,AE,AH,A(with BFE),V Wished Construction Complete Items CZa.-h below according to the building diagram specified in Item A7.In Puerto Rico only,enter m E, V'—V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-130,AR/AH,AR/AO. Benchmark Utilized: ( �,� Vertical Datum: meters. indicate elevation datum used the elevations in items a)through h)below. ❑ 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 floor(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) J ZS eel ❑ meters d) Attached garage yam` 8 ge(top of slab) Q feet C]meters e) Lowest elevation of machinery or equipment servicing the building ❑ feet ❑ meters I (Describe type of equipment and location in Comments) 9 Lowest adjacent(fi �! �S nished [�reel grads next to building(LAG) � � , 3 .7 ❑ meters 93- 9) Highest adjacent(finished)grade next to building(HAG) e t ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs,including —� / ER"reel ❑ meters structural support ` ' SECT iON D— ! 7 r I reet ❑ meters SURVEYOR, ENGINEER., OP,, 3 Tcertifyhis certification is to be signed and sealed by a land surveyor, engineer,or architect authorized by awltoON i stem that the information a this Certificate represents my best efforts fo interpref the data available. ! statement maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1 he - certify elevation information. Were latitude and longitude in Section A provided by a licensed land surveyor?Section 10 ❑No understand that any false Certifier's Name Check here if attachments. t )m + Nu license mber Title ( !n oV r f �jr Company Namt ; d1 r .•�.r tom.. Address ' city State ZIP Code r; �b /`f �..1.�� � ;� � '+ �-•`�=�" �' �� Signature Date Telephone ExL Copy all pages of this Elevation Certificate and all atta 9�t Z6 Z 3'& Q' Comments(inc luding z chments for(1)community official,(2)insurance agent/cOmpan, and(3 building owner. type of equipment and location,per C2(e),if applicable) r=EtvlA Form 086-0-33(12/79) Replaces all previous editions. Form Page 2 of 6 1 yp pp� ELEVATION CERTIFICATE OMB No. 1660-0008 IMPORTANT:in these spaces,copy the corresponding information from Sectron q, Expiration Date:November 30,2022 Building Street Address(Including Apt.,Unit,Suite,and/or Bldg_No.)or P.O. Route and Box No. FO INSURANCE COMPANY USE City 7-1ib P� (�,�r! y�l�4nJ✓J ��/(i',� Policy Number. /1 State ZIP Code i '7 Y El1Z Company NAIC Number SECTION E—BUILDING ELEVATION INFORMATION (SL1R 0 AND O E LV NOT REQUIRED)?} ZONE A(WITHOU� BFE) For Zones AO and A(without BFE),complete Items E1—E5.If the to complete Sections A.B,and C.For Items E1—E4,use naturai grade, if available.b�le�Check the measurement used, O Puerto Rico enter meters. support a LOMA or LOfvIR-F requesf, E1. Provide elevation information for the west adjacent grade(LAG). followin he highest adjacent grade(HAG)and the lo g and check the appropriate boxes to show whether the elevation is above or b to t a) Top of bottom floor(including basement, elow Crawtspace,or enclosure)is b) Top of bottom floor(including basement; feef ❑meters EI above or crawlspace,or enclosure)is ❑below the HAG. feet E2. For Building Diagrams 6-9 with permanent flood openings provided in SectionEl Items and/or meters s El above or E]below the LAG. the next higher floor(elevation C2.b in the diagrams)of the building is (see Pages 9 2 of Instructions), E3. Attached garage(top of slab)is feet ❑meters ❑above or ❑below the HAG. E4. Top of platform of machinery and/or equipment feet 0 meters ❑above or 0below the HAG. servicing the building is EJ eet [I E5. Zone AO only:if no hood depth number is available, is the top of the bottom floor leevate in cordters ❑above the []below the HAG. floodplain management ordinance? EJ Yes ❑ No [] Unknown. The local official must certify this information in ce with the community's SECT ION i=—P Section G. ROPER T Y OUvi+1ER(OR OWN P.'S REPRESENTATIVE I he roe )CERTIFICATION Property rty owner or owner's authorized representative who completes Sections A, B,and E for Zone A(without a FEMA-issued or community-issued SFE)or Zone AO must sign here.The statements in Sections A, B.and E are correct in the best of my knowled e. Property Owner or Owner s Authorized Representative's Name g Address City Signature State ZIP Code Date Telephone Comments i FEMA Form 086-0_33(12/19) ❑Check here if attechmsnis. Replaces all previous editions. Form Page 3 of a ELEVATION CERTIFICATE IMPflR f AIVT:to These spaces, co ONiB No. 1660-0008 COPY the corresponding information frorl Section A. d Expiration Date:November 30,2022 Building Street Address rincluding Apt,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box FOR INSURANCE CO[IPANY USE , Stat D ` L)� No. Policy Number. 1 city � 1 U,�E ZIP Code t `{ Gl/4 z Company NAIC Number v qMUNIry The local official who is authorized by taw or ordinance to ad mister the Sections (©P NAL Sections A,B, C(or E),and G or ) this Elevation en enter meters. Complete the applicable it nl(s)and sigain n below.Check agement ante can complete U52d in Hems G8-01 O,In Puerto Rico only,enter meters. the measurement G 1• Q ►he information in Section C was fatten€rom other documentation that has been signed and se engineer,or architect who is authorized by law to certify elevation information.(indicate the source and date o€ data in the Comments area below.) sled by a licensed surveyor, the elevation G2. ❑ o community official completed Section E for a building located in Zone A(without a FEMA-issued or Zone AO. or community-issued DFE) G3. ❑ The following information(Items GA—G10)is provided;or community r7oodplain Management g purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certtricate of Compliance/Occupancy Issued G7. This permit has been issued for. 0 New Construction[3 Substantial Improvement G8. Elevation of as-built lowest floor(including basement) of the building: (]feet ❑ meters G°. BFE or(in Zone AO)depth of flooding at the building site: Datum _ G10. Community's design flood elevation: ❑feet 0 meters Datum ❑feet meters Datum Loco!O€r'icial`s Name Title Community Name Telephone Signature Date Comments(including type o€equipment and IOCation,per C2(e), if applicable) i =Eiv; Form 086-0-33(12118) Check here if attachments. Replaces all previous editions. Form Page 4 of 6 rA BUILDING PHOTOGRAPHS ir-LEVATION CERTIFOC ATE' See Instructions for Item A6. OMB No. 1660-0008 IMpO7n-1- re :in these spaces, copy the corresponding Date:November 30,202Z Buildet A dress mcludin A t. Unit, g+nformatlon from Section A. FOR INSURANCE COMPANY USE St � �C g Apt., Suite and/or Bldg.No.)or P.O. Route and Box No. Policy Number: t city State ZIP Code Company NAIC Number If using the Elevation Certificate to obtain NAP flood insurance, athx at least 2 building instructions for Item A6.Identify all photographs with date taken:"Front View"and"Rear View";andtog ra iff q�Isrede�Rtght Side Vige to the w""and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents,2S tndlCBt@d In section A8. It Submitting more photographs than will tit on this page, use the Continuation Page. I I 7 I Photo One Caption Phom one O liC J 'J Clear Photo One �A �nr h= Photo T,rvo Caption GK Eivt.`t Form 086-0 r -33(12/19) Clear Photo Tyro Replaces all previous editions. Farm Papa 5 of 6 ELEVATION CERTIFICATE BUILDING PHOTOGRApHq Continuation Page OMB No. 16ti0-0008 rBuilding RTANT:In these Sf s,copy the corresponding in;ormation from Section A. E�plratlon Date:November 30,202? k S reet Address ding Apt.,Unit,Suite,and/or Bldg.No.)or P.O. Route and BOX No. Policy N m NCfi COMPANY US2= t/P s� � a Ira— �✓ ZIP Code Company NAIC Number if submitting more photographs than will fit on the preceding .. with: date taken; "Front View" and "Rear View; and, if requiired, *Right Side View*onal and"Lefts Side View."! Whall en applicable,photographs photographs must show the foundation with representative exampies of the flood openings or vents,as indicated in Section A8. X I Y" Photo Three Caption Photo Three Clear Photo T hree I - 1 i t t i. .3•. Y� l Photo Four Caption PEt+rf;Form 086-0-33 12/19 Clear Photo=our ) Replaces all previous editions. Form Pepe 6 of 6 National Flood Hazard Layer FIRMette , FEN_iA Legend : 122°49'45"W 47°20'35"N SEE FIS REPORT FOR DETAILED LEGEND AND INDEX M1IAP FOR FIRM PANEL LAYOUT Without VBas9 Flood Elevation(BFE) -,r A SPECIAL FLOOD I With BFE or Depth z°neAE.Ao.AH,ve.Art HAZARD AREAS Regulatory Fioodway 0.2%Annual Chance Flood Hazard,Areas of 1%annual chance flood with average depth less than one foot or with drainage areas of less than one square mile zone r, ZonepE p� Future Conditions 1%Annual {EL 13*Fee#) Chance Flood Hazard zinc r Area with Reduced Flood Risk due to OTHER AREAS OF; Levee,See Notes.zone s FLOOD HAZARD Area with Flood Risk due to Levee Zune D NO SCREEN Area of Minimal Flood Hazard zonex Effective LOMRs on AE OTHER AREAS I Area of Undetermined Flood Hazard (EL 13tFeet} GENERAL -—'- Channel,Culvert,or Storm Sewer STRUCTURES I I I I I I I Levee,Dike,or Floodwall AREA OF K41 I u zo.z Cross Sections with 1%Annual Chance LOMRti19�1�-1108P Zon"e�x 17.5 Water Surface Elevation e- - - Coastal Transect eif.111^I'�020 -.•--iu-» Base Flood Elevation Line(BFE) 11�IasG+n Coulaty Limit of Study SS Jurisdiction Boundary 1 N RAW S4 —-•— Coastal Transect Baseline QE OTHER - ---- Profile Baseline f Feet} FEATURES Hydrographic Feature one AE {EL 14{Fee#� Digital Data Available N No Digital Data Available MAP PANELS Q Unmapped The pin displayed on the map is an approximate point selected by the user and does not represeu 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 compiles 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 8/29/2023 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 ,r 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, FIRM panel number,and FIRM effective date.Map Images for Feet 122°49'8"W 47°20'12"N unmapped and unmodernized areas cannot be used for 1 250 500 1,000 1,500 2,000 1'6,000 regulatory purposes.