HomeMy WebLinkAboutFLD2024-00045 BLD2024-00579 - BLD Application - 5/21/2024 MASON COUNTY Mason County Permit Center Use:
COMMUNITY SERVICES PI.D C� 5
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Mdim%Pt nnuiq,Erwronmtrtol Heath,Coma-inay Heath
615 W,AWr Street Bide:8,Shelton.WA 98584 Date RCvd
Phom:(360A27-967(1 Ext.352♦Fax:tW)427-7798
Flood Development Permit Application
O(w�nt[ees Name:'`' Contractor. p t
t� 1�1L`1 q;e,3 "'(' Y^L-
Mailing Address: Mailinci Address:
City, State,Zip CRY. State,zip
Phone: Phone: ZI 6`f 15
Email: Email: Sc-v}C�li=vtr� )�tif►�i.� lit c, t'
Tax Parcel Number. Site Address:
14
1 understand I am making application for 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.
Owners Signature(required):Jate: L
Scope work for review:
A. Description of Work(complete for all work): Assoc. Permit(s): �`1� 2
1. Proposed Development Description:
❑ New Residence ❑ New Manufactured home ❑ Bridge/Culvert/Stabilization
❑ Non-Residential ❑ Fill/grade ❑ Bulkhead (new, repair, replace)
ddition/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 XAE ' ❑ AO o VE FIRM Panel/Map J L4,
Base Flood Elevation (BFE):
Official Use
3. Habitat Assessment required: D Yes ❑ No, exempt per
If NO, must state what exemption qualifies, if YES attach Habitat Management plan, Biological
Evaluation, or DARPA Application.
4. Are any other Federal, State, or local permits required?Must attach copies of permits.
❑ Yes ❑ No If yes, list type:
5. Is the proposed development in an identified Foodway?
❑ 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 Buildino 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 Existinta Structures:*"
1. What is the estimated market value of the existing structure? $4
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 5. 3--4- 70
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 repairrmprovernent ❑ Yes j 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. Floodproofng certification by a registered engineer is attached:
❑ Yes O 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?
O Yes ❑ No
3. Are the 100 Year Floodplain and Floodway delineated on the site plan?
❑Yes 13 No
Administrative
Planning Staff Signature: Date:
Approved: Denied:
Building Staff Signature: Date:
1
Approved: w Denied:
Environmental Health Staff Signature: Date:
Approved: Denied:
Comments/Conditions: D , ,� .I Y, ,p�G
TYU/rm`';TrLiY(10 ;)� (0►S ►Yot e�l 1m: l
***A final completed FEMA Elevation Certificate must p ovide prior to final inspection.
7
Mason County Flood Damage Prevention Ordinance#41-17 & International Building Codes
Patti McLean Parcel Details
i_ Mason County Assessor 32423-50-02004/2024
411 N 5TH ST Active
3X J
0-42277--670 49184 1111�111111 1 1111111 III IIIII 1111�
36 * 3 0 0 0 0 + 4 2 2 9 7 3 4
Identification
Parcel Number: Roll Year: Type: Retired: Exempt:
32423-50-02004 2024 Active No No
Assessment Type: Description
Real Property
Primary Owner Primary Situs:
LEGACY VIEW PROPERTIES LLC 36790 N HWY 101, LILLIWAUP 98555
Legal:
ALLIE AHL'S SUMMER HOME TRACTS (UNRECORDED) BLK:2 LOT:4&T.L. (TAX 1005)
DOR: Secondary Land Code Map Number
18- Residential-All other 52
Total Acres Property Class Appraiser Initials
0.50000 TX
Field Sheet
FS 00095:14
District: Neighborhood
0333-Tax District 0333 N4/AREA 3
SubDivision:
ALLIE AHL'S SUMMER HOME TRACTS
Quick Value Summary
Exemption Type/Level:
Frozen Value: Category 124 New Const 124 Market 124 Assessed
Estimated Exemption Amount: 0 Land: 0 189,930 189,930
Non-Senior Amount: 0 Impr: 0 371,575 371,575
Exemption Amount: 0 Perm Crop: 0 0 0
Remaining Taxable Value: 561,505 Total: 0 561,505 561,505
Appraisal Summary
•, _ . ion e
Land ® ® 189,932
Land El ❑x 213,407 t 1 213,407
Economic Adjustment JA3N4(WF)UPDATE FOR 2024 O ❑O (11) % (23,475)
Single Family Residence Building 1 ® ® 348,074
Single-family Residence 0 m 213,595 + 213,595
Economic Adjustment A3 N4(WF)UPDATE FOR 2024 El O 63 % 1 134,479
Miscellaneous Improvements Lump Sum ® ® 12,500
Lump Sum Stairs/dock/boathouse and tram ❑x ❑x _ _ +
300002 ParcelDetails www.terrascan.com
Parcel Details Printed on 5/8/2024 3:05:05 PM Page 1 of 3
i
RANDY'S HEATING LLC Invoice 27336637
4904 Kitsa` p Way,Bremerton,Washington Invoice Date 4/12/2024
98312 United States Completed Date
�at•Y�n (360)621-6915 Customer PO
Payment Term Due Upon Receipt
Billing Address Job Address
Legacy View LLC Legacy View LLC
36790 U.S.101 36790 U.S. SOS
Lilliwaup,WA 98555 USA Lilliwaup,WA 98555 USA
Description of Work
Task# Description Quantity Your Price Your Total
3 zone ductless Install daikin wall&floor units 1.00 $18,700.00 $18,700.00
mini-split 24k btu wall mount(in living room)
12k btu floor mount(in 2nd bedroom)
12k btu wall mount(in master bedroom)
Install speedy channel line hide on outside of house
Install lineset sized to manufacture specifications
Install drain gravity
Install wall bracket or pad and risers for HEATPUMP
Install Heat pump 4mxs36WMVJU9
Pressure test @550 psi per manufacture requirements
Vacuum @ 500 microns per ASHRAE standards
Release and charge units following all EPA requirements
Randy's Heating and Daikin manufacture warranty includes:
Life time craftsmanship warranty for work preformed by Randy's
Heating
2 year no lemon warranty
12 year compressor
12 year all parts
12 year labor warranty
2 year maintenance
Our Promise to You:
We promise that we meet all state licensing,bond,and insurance
qualifications
We promise that we will take care of your home
We promise to leave our work space tidy
We promise your comfort,if the system we install does not
perform as we promised we will make all necessary adjustments
to correct it
We promise 100%satisfaction
We promise to do our best and earn your referrals
PAYMENTS
10%non refundable due upfront in the case customer decides to
cancel project for restocking fees
90%due immediately upon completion of install
Electrical customer responsible for all electrical 1.00 $0.00 $0.00
Permits mason county mech Permit 1.00 $550.00 $550.00
# Description Total
Daikin MXS Instant Daikin instant rebate $-450.00
Rebate
mxs series multi zone ductless
(rebate not available if financing)
Paid On Type Memo Amount
4/12/2024 Visa $2,040.00
Sub-Total $18,800.00
Tax $1,598.00
Total Due $20,398.00
Payment $2,040.00
Balance Due $18,358.00
Thank you for choosing RANDY'S HEATING LLC
If payment is not made as agreed,seller can remove said equipment/materials at buyer's expense.Any damage resulting from said
removal shall not be the responsibility of seller.In the event that payment is not made,the undersigned agrees to pay all reasonable
collection costs including attorney's fees if applicable
DISCLOSURE STATEMENT
Randy's Heating is registered with the state of Washington,registration#RANDY"841OK has posted with the state a bond of$12,000
for the purpose of satisfying claims against the contractor for breach of contact including negligent or improper work in the conduct of
the contractor's business.The expiration date of this contractor's registration is 09/12/2024
This bond might not be sufficient to cover a claim that might arise from the work done under your contact.
This bond is not for your exclusive use because it covers all work performed by this contractor.The bond is intended to pay valid claims
up to$12,000 that you and other customers,suppliers,subcontractors,or taxing authorities may have.
For greater protection,you may withhold a percentage of your contract.
You may withhold a contractually defined percentage of your construction contact as retainage for a stated period of time to provide
protection to you and help insure that your project will be completed as required by your contract.
Your property may be liened.
If a supplier of materials used in your construction project or an employee or subcontractor of your contractor or subcontractor is not
paid,your property may be liened to payment and you could pay twice for the same work.
For additional protection,you may request the contractor to provide you with original"Lien Release"documents from each supplier or
subcontractor on your project.
The contractor is required to provide you with further information about lien release documents if you request it.General information
is also available from the state Department of Labor and Industries.
The signed contract of the scope of work is your copy of the disclosure statement..3 day right to cancel,You may cancel this
transaction without penalty or obligation within 3 business days of signing agreement.Any payments will be refunded within 10-
business days of notification of cancellation.Cancellation may be done via email,phone or standard mail.
DISCLOSURE STATEMENT
Randy's Heating is registered with the state of Washington,registration#RANDY`841OK has posted with the state a bond of$12,000
for the purpose of satisfying claims against the contractor for breach of contact including negligent or improper work in the conduct of
the contractor's business.The expiration date of this contractor's registration is 09/12/2024
This bond might not be sufficient to cover a claim that might arise from the work done under your contact.
This bond is not for your exclusive use because it covers all work performed by this contractor.The bond is intended to pay valid claims
up to$12,000 that you and other customers,suppliers,subcontractors,or taxing authorities may have.
For greater protection,you may withhold a percentage of your contract.
You may withhold a contractually defined percentage of your construction contact as retainage for a stated period of time to provide
protection to you and help insure that your project will be completed as required by your contract.
Your property may be liened.
If a supplier of materials used in your construction project or an employee or subcontractor of your contractor or subcontractor is not
paid,your property may be liened to payment and you could pay twice for the same work.
For additional protection,you may request the contractor to provide you with original"Lien Release"documents from each supplier or
subcontractor on your project.
The contractor is required to provide you with further information about lien release documents if you request it.General information
is also available from the state Department of Labor and Industries.
The signed contract of the scope of work is your copy of the disclosure statement..3 day right to cancel,You may cancel this
transaction without penalty or obligation within 3 business days of signing agreement.Any payments will be refunded within 10-
business days of notification of cancellation.Cancellation may be done via email,phone or standard mail.