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FLD2024-00034 BLD2024-00512 - BLD Application - 4/19/2024
DocuSign Envelope ID:59A32C80-Cl BA-4673-97C9-ACE3B4FC1 BCD E C E I V E D A.P R 19 2024 MASON COUNTY Mason County Permit Center Use: COMMUNITY SERv ICE5`t re e FLD 2,y 4 o l.z�y Building,Planning,Environmental Health,Community Health 615 W.Alder Street- Bldg.8,Shelton.WA 98584 Date Rcvd Phone:(360)427-9670 Ext.352 ♦Fax:(360)427-7798 Flood Development Permit Application Owner's Name: Contractor: J MailingAddress: Mailing Address: Nqli At City, State, Zip City, State Zip k2e 40 qD Phone: 'Id57/-v i" 7Q37 // Phone: // / Email: ��G1" 0 F� 1 reti.�, Email: rtr (� '� , ('6; t cc Tax Parcel Numb r: Site Ad ress:o r+ f cx d o� 0 9- ` R A - !) 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 there under. DocuSigned by: Owners Signature (required): FDate: 3/13/2024 8995 0089 7. / d Scope work for review: ,J on cc 6' A. Description of Work (complete for all work): Assoc. Permit(s): L. 69 _ 0P51R 1. Proposed Development Description: ❑ New Residence ❑ New Manufactured home ❑ Bridge/Culvert/Stabilization ❑ Non-Residential 14 FuilWab& Bulkhead (new repair, eplace) ❑ Addition/Remodel/Repair to an existing structure (includes mechanical, plumbing, and work such as a re-roof). 2. The parcel has been identified in the following Flood Hazard Area:❑ A AE ElAO ❑ VE FIRM Panel/Map ! :70 /U s ( ) Base Flood Elevation (BFE):_ Official Use 3. Habitat Assessment required: ❑ Yes ❑ No, exempt per If NO, must state what exemption qualifies, if YES attach Habitat Management plan, Biological Evaluation, or JARPA Application. DocuSign Envelope ID:59A32C80-Cl BA-4673-97C9-ACE364FC1 BCO 4. Are any other Federal, State, or local permits required? Must att ch copies �lof permits. P�� P�f Yes ❑ No If yes, list type: •�T— ? Div,-i1#)�ov-, 5. Is the proposed development in an identified floodway? ❑ Yes ❑ No If yes, a No Rise Certification must be attached. B. Complete for Historic Structures(must be on historic registry). 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 or Substantial Improvements 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 When 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. DocuSign Envelope ID:59A32C80-C1BA-4673-97C9-ACE3134FC1BC0 E. Complete for Non-Residential Floodproofed Construction." 1. Type of floodproofing method: 2. The required floodproofing elevation is: feet NAVD88 3. F000dproofing certification by a registered engineer is attached: ❑ Yes ❑ No 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 Planning Staff Signature: Date: Approved: Denied: Lj Building Staff Signature: v Date: - Approved: X Denied: Environmental Health Staff Signature: Date: Approved: Denied: Comments/Conditions: dpe,-, Yl( Y0 l p .+ +[ 0� --e_ r-e�S c���-�-- . �� v pin 1 v� • I�cr� S��S�h—I���lZi'y v�u� � P ***A final completed FEMA Elevation Certificate must provide prior to final inspection. Mason County Flood Damage Prevention Ordinance#41-17 & International Building Codes Patti McLean Parcel Details Mason County Assessor 22222-21-00240 / 2024 1 411 N 5TH ST Active !t' PO BOX JI. (I N Shelton,WA 584 •}f*s• - 3 0-427 9670 x4911 I IIIII IIIII IIIII IIIII('lll IIII I II IIIII IIII)IIIII IIIII IIIII IIIII IIII IIII * 3 0 0 0 0 + 4 2 1 9 9 0 2 Identification Parcel Number: Roll Year: Type: Retired: Exempt: 22222-21-00240 2024 Active No No Assessment Type: Description Real Property Primary Owner T imary Situs: POST, RICHARD K& ELIZABETH A 4971 E STATE RTE 106 BELFAIR Legal: TR 24 OF GOUT LOT 3 &T/L EX W 50'SO OF HWY DOR: Secondary Land Code Map Number 18- Residential-All other 33 WF Total Acres Property Class Appraiser Initials 1.27000 TX Field Sheet FS 02576: District: Neighborhood 0241 -Tax District 0241 N2 Southshore/106/AREA 5 SubDivision: Quick Value Summar Exemption Type/Level: in Frozen Value: Category '24 New Const '24 Market '24 Assessed Estimated Exemption Amount: 0 Land: 0 305,710 305,710 Non-Senior Amount: 0 Impr: 0 1,657,385 1,657,385 Exemption Amount: 0 Perm Crop: 0 0 0 Remaining Taxable Value: 1,963,095 Total: 0 1,963,095 1,963,095 Appraisal DescriptionType Roll Adjustment Land Land 0 ® 305,709 Land IK Z 545,909 + 545,909 Economic Adjustment JA5 N2(WF)UPDATE FOR 2024 ❑O 0 (44) % (240,200) Single Family Residence Building 1 0 ® 1,642,884 Single-family Residence © O 670,565 + I 67C,565 Economic Adjustment JA5 N2(WF)UPDATE FOR 2024 O © 145 % 1 972,319 Miscellaneous Improvements 0 0 1,000 Lump Sum 18xl2 Shed O O 1,0001 + 1 1,000, 300002 ParcelDetails www.terrascan.com Parcel Details Printed on 4/22/2024 11:00:51 AM Page 1 of 3