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HomeMy WebLinkAboutBLD2019-00809 FLDApplication SFR, Garage Room - BLD Application - 7/24/2019 MASON COUNTY COMMUNITY SERVICES Permit No:12I61 Zo N•UU(69 PERMIT ASSISTANCE CENTER: •BUILDING•PLANNING•PUBLIC HEALTH.FIRE MARSHAL 615 W.Alder Street,Shelton,WA 98584 ®` Phone Shelton:19� 360)2 5-"6 0 ext.Phone •Fax:(360)427-7798 Phone RECEIVED Belfair.(360)275-4467•Phone Elma:(360)482-5289 Ve BUILDING PERMIT APPLICATION RECEIVED PROPERTY OWNER INFORMATION: CONTRACTOR 1NFQ%hA1bAL1 IV NAME: Richard Buchan NAME: Adair H n JUL 2U19 MAILING ADDRESS: 6027 77th Ave.SE MAILING ADD S: 1 11' E r mat t. It 00 CITY: Mercer Island STATE: WA ZIP: 98040 CITY: Vancouver STATE: WA z . Alder Street PHONE#1: (206)331-0098 PHONE: (541)283-4086 CELL: PHONE#2: EMAIL: bkelley@adairhomes.com EMAIL: rwbuchan@comcast.net L&I REG# ADAIRH262RZ EXP. 01 1 09/2019 PRIMARY CONTACT: OWNER CONTRACTOR❑ OTHER❑ NAME EMAIL MAILING ADDRESS CITY STATE ZIP PHONE CELL PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) 122213400032 ZONING RR5-Rual Residential 5 Acres LEGAL DESCRIPTION(Abbreviated) TR 3-R of Govt Lot 4&Tax 56R-5 FIRE DISTRICT North Mason SITE ADDRESS 4270 E State Route 302 CITY Belfair DIRECTIONS TO SITE ADDRESS IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO❑ IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER X LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW X ADDITION❑ ALTERATION❑ REPAIR❑ OTHER Replacement Home USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) Residence IS USE: PRIMARY SEASONAL❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 3 HEATED STRUCTURE? YES(wholemag)X YES(Part[,)ofBldg)❑ NO❑ DESCRIBE WORK 3 bed,2 bath SFR with attached garage and second story bonus room SOUARE FOOTAGE:(proposed) I ST FLOOR 2196 sq.ft. 2ND FLOOR 330 sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. DECK s I c'-&sq.ft. COVERED DECK f L¢O sq.ft. STORAGE sq.ft. OTHER sq.ft. GARAGE 619 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❑ SEWERX / NEW❑ EXISTING X PLUMBING IN STRUCTURE? YES X NO❑ If yes,attach completed Water Adequacy Form PERIMETERNOUNDATION DRAINS PROPOSED? YESX 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 CATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08.42) X \ 7-2 7-� Signature of OWNER(Must be signed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH MASON COUNTY COMMUNITY SERVICES Permit No: I PERMIT ASSISTANCE CENTER: •BUILDING •PLANNING .FIRE MARSHAL RECEIVED 615 W.Alder St-Shelton, WA 98584 www.co.mason.wa.us Phone Shelton:(360)427-9670 ext. 352• Fax:(360)427-7798 JUL 2 4 2019 Phone Belfair.•(360)275-4467• Phone Elma:(360)482-5269 PLUMBING & MECHANICAL PERMIT APPLICATI85 W. Alder Street N OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: Richard Buchan NAME: Adair Homes, Inc. MAILING ADDRESS: 6027 77th Ave. SE MAILING ADDRESS: 1311 SE Cardinal Ct. Suite 100 CITY: Mercer Island STATE: WA ZIP: 98040 CITY: Vancouver STATE: WA ZIP: 98683 I'tPHONE:_ (206)331-0098 PHONE: (541)283-4086 CELL: 2n,PHONE: EMAIL : bkelley@adairhomes.com EMAIL: rwbuchan@comcast.net L&I REG# ADAIR262RZ EXP. 01 /09/ 2019 PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number): 122213400032 Zoning: RR-Rual Residential 5 Acre LEGAL DESCRIPTION(Abbreviated): TR 3-13 of Govt Lot 4&Tax 5613-5 SITE ADDRESS: 4270 E State Route 302 CITY: Belfair DIRECTIONS TO SITE ADDRESS: TYPE OF JOB: NEW X ADD ALT REPAIR OTHER USE OF BUILDING Primary LOCATION OF FIXTURES/UNITS—1 sT FLOOR_2ND FLOOR BASEMENT GARAGE OTHER PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS Tyne of Fixture No.of Fixtures Fees Fuel Type:Electric X LPG Natural Gas Ductless_ Toilets 3 Tyne of Unit No.of Units Fees Bathroom Sink 3 Furnace 1 Bath Tubs 1 Heat Pump 1 Showers 2 Spot Vent Fan 4 Water Heater 1 Propane Tank 1 Clothes Washer 1 Gas Outlets 1r $ Kitchen Sinks 1 Wood/GPellet Stove Dishwasher 1 Kitchen Exhaust Hood 1 Hose bibs 2 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 permittapplication 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 INVALIDATE THE APPLICATION. r/ X 12-q J061 Signature of Owner Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL Rev:1/27/2016 JBN I - r ADAIR HOMES THL flUCHAN RESIDFACT (AAMA (C C'01-YRl(31Cr2Ult) -W.ar�ulrrrllYt, �i RECE VED nUJ JUL 2 20,9 615 W. Alder Street Id aot9 ac0� - __ P L I N I G • A L SETBACKSF ARE • CIST n FROM THE FU MEASURED _ R HEST PROJECTION of i HE BUILDING PLANNINGINA ; !o % 1 ri o._ 7 .. V Y T.&A GA V • alp, -jam` V _I � ix.c`. r r'• t(,�•t W I � rr N I _I Sk 1f 1 I / YAyilf7 • ' 1 r}lscutlnlllt; —� i` a ISj:• MI:R vf<Iluu I ru tYWrl'k Y.F_aYIYeSIHIi m1:+1 uR InIM INIV.At., � 4TfAf IIFTt � I � 1 Nlul nlNl .Yi1F0'NNPNNn.I 13.1WICIS11 TNr l.11C.xlliffi IfN , I l:Rk ica Ik�NrklKl't:M'INI�'N4)rFN r4'NY 1'L{flul.vtnl:l•5 if ALL I 1 NVS1= IINNI•N:iLY%TIiL'IiUt:51:'N'11111N'::1k:1_XCAY.iT1�NY7Nt:11 ,1 'AY I 1 CU\TdN51Y lq N:S)S:INL'IYaI•laaCK:... ��' , ,� f•L'%(OHF7L IriIT1Al4 UATE: ' f . . .. . .— .... 1 _ i + TltE CH1NCi LFNfl 1'HS: I L 19 i ICI la 41�1Ui.Y 1.Arl•kuYiA/iTf-- .� a I w'AII•A,il'I'Rt7y7M.i-IF.— W s.wn:%xY.vY'noxnl,itc - ri FLATWORK AREAS ..:,Lv.W.tY- - N.1.E sOt lF. _-iG— ruHlruY.(-u.— N L :a 5.r,. .7. ._ _ 02 PLAN PLOT PLAN S� .v �� T MASON COv U RDo gPP NVA E Sl GEs Susisc1 T A ,I. CHp,N p to 0 121IJ 1:5'fA i k ROLI71,.101. DELPAIR,WA 95525 By 1 ADAIR. HOMES THE I UCHAN RESINACE ♦ ([J COPYRiG1 CI.2019 .wrtualtrllllYr+'� D n RECEIV� ' J U L 2 4 2019 615 W. Alder S r no ApPR VtD i I OCT9 2019 �` MASON COUNTY Lyc NTAL HEALTH ENVIRONMENT � � I H EALTH I ' - �tA I I w fl)Ilk NuLN:Vk:S N � �IMIMI -�f I I 'AaIU rU,'I:X-1 ru:trrx,rn I N� I LNYI7.1]Nfi i Ll to It �>>-M>!R: a r. vl:u,.nu.Ir.X.,w,IxNrsw1.;uuu1u:.rlr1 1K1nmt;4 I arrarllrll +i-� 1 t'Al ftht 1 if V NNI G 5ia1.1 I-il Itl ISI:THt 11X.n I bl,m' � �, -�) t•6k,C�f 11.,laklRl. �'1 HI NWFN ri'HY PL iI ,[:.vlhlil5 if atL u1Y51� ' CfINNI X'fp.T72L HUUS1:•4'1l II1F1:It'"4"A•.i T1UN Will(.l l I II 1 AV 1 I " CU>,.ONiI%1J H:(r,;lkl'h bL•Ta+lCIC:.. Y�) � ra.%fri�1ER INITIAL4: lkiTE:__ 11•f .. t ' �1 17t1:ItiCHINC?Lh:NfiTHS: dl w l�tTtli.,i.hhl•ktlYiAf.iir-� •� ?IIY - -- - �I W'.hll•:(.ii'I'RI]IIIH.lTE--.— !!r aaHl1%'Jtl,tJt•N.I)INMAIL' - 14 1 5 i t'L.A'1'WORK r1l2L•',.AS IIN:i'LN'1Y- - N.1-.E.Mt'SY. I T ruavr u'.,l:�u'.,i•-.Hla —��Iyli r'xuNl'fIR(tl.._N,LI vS.K .. _ _ PLOT PLAN ST 0000 P,iltt.1?'I„y-13�13.1 U6[79t 4?SUGsrA 71:R{lu'ff::ia2 '�--� OFiLf ilR,WA Y6525 YS.'tlI9 t s ,r MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT ts D I N G 'WSEC/Ventilation Code Compliance Application Submit with heating/cooling system size worksheet (see instructions #4) Owner: Parcel#: Type of project: Richard Buchan 1 122213400032 1 New replacement primary Residence Total Sq. Ft. 1st Floor : 2nd floor: Heated Basement: of heated area:: 2196 330 Heating System Type: O Electric wall heater O Electric Central Furnace O LPG Furnace 9 Heat Pump with electric furnace O Heat pump with gas furnace O Ductless Heat Pump JUL � � 2019 O Boiler, specify fuel type: O Other: Specify: CK Prescriptive Option Table R402.1.1 (see table on previous page) reef Compliance Method ElComponent Performance, R402.1.3 — Calculation worksheets required Must Check one:: ❑ Other (Specify): Check one ❑ Whole House Ventilation system IX Whole House Ventilation Ventilatio using exhaust fans&window or wall Integrated with a Forced Air ❑ Other, describe: fresh air vents (M1507.3.4). If using System (M1507.3.5) n System window vents be sure to order windows with vents. Referencing Table R406.2, "Additional Residential Energy Efficiency Requirements," all residential units must develop credits as specified in Table 406.2. Identify and describe which option(s)will be used to comply. If the table is not attached to this form you can access the table on our website at: http://www.co.mason.wa.us/forms/Community Dev/iecc wsec.pdf Additional a) Description: Small dwelling units: less than 1,500 sq. feet of heated or cooled floor area and less than 300 sq. ft fenestration area (skylights, doors, windows, etc). Energy *Including additions to existing building that are greater than 500 sq. ft. of heated floor Efficiency Requirem but less than 1,500 sq ft of floor area. Requires 1.5 credits ents b) Medium dwelling units that are not included in (a)above (small dwelling), OR (c) below Energy (large dwelling) Requires 3.5 credits credits EXCEPTION: Dwelling units serving R-2 occupancies shall require. Requires 2.5 required: credits. See page two for description. 3.5 c) Large dwelling unit is a dwelling unit that exceeds 5,000 sq. ft. of heated or cooled floor area. Requires 4.5 credits d) Additions less than 500 sq feet. Requires .5 credits (Fenestration is defined in the IECC as skylights, roof windows, vertical windows, opaque doors, lazed-doors that include products with glass and non-glass glazing materials. Describe Energy Credit Option(s): Using Option number(s): ` .3 3 Simple Heating System Size: Washington State This heating system sizing calculator is based on the Prescriptive Requirements of the 2015 Washington State Energy Code(WSEC)and ACCA Manuals J and S.This calculator will calculate heating loads only,ACCA procedures for sizing cooling systems should be used to determine cooling loads. Please fill out all of the green drop-downs and boxes that are applicable to your project.As you make selections in the drop-downs for each section, some values will be calculated for you.If you do not see the selection you need in the drop-down options,please call the WSU Energy Extension Program at(360)956-2042 for assistance. Project Information Contact Information Richard Buchan Brandy Kelley Parcel Number 122213400032 (541)283-4086 Belfair,WA 98528 bkelley@adairhomes.com Heating System Type: To see detailed instructions for each section.place your cursor on the word"Instructions". Design Temperature 1Instructions Design Temperature Difference(AT) 8 �rl O V AT=Indoor(70 degrees)-Outdoor Design Temp Area off/lllBuilding Conditioned Floor Area Instructions Conditioned Floor Area(sq ft) 2,196 Average Ceiling Height Conditioned Volume Instructions Average Ceiling Height(ft) 8.0 17,568 Glazing and Doors U-Factor X Area = UA Instructions 0.280 329 92.12 Skylights U-Factor X Area = UA tructions 0.50 0 --- Insulation Attic U-Factor X Area = UA R-49 0.020 2,814 56.28 Single Rafter or Joist Vaulted Ceilings U-Factor X Area UA No selection Above Grade Walls(see Figure 1) U-Factor X Area UA Instructions 0.048 1,967 94.42 Floors U-Factor X Area UA Instructions 0.026 2.090 54.34 Below Grade Walls(see Figure 1) U-Factor X Area UA Instructions No selection 0 --- Slab Below Grade(see Figure t) F-Factor X Leh UA No selection — Slab on Grade(see Figure 1) F-Factor X Length UA No selection Location of Ducts Instructions Duct Leakage Coefficient Conditioned 1.10 Sum of UA 297.16 Envelope Heat Load 2,377 Btu/Hour Figure 1. Sum of UAXAT Air Leakage Heat Load 1,518 Btu/Hour Volume X 0.6 X AT X.018 Above Grade Building Design Heat Load 3,895 Btu I Hour Air Leakage+Envelope Heat Loss Building and Duct Heat Load 4,285 Btu/Hour Ducts in unconditioned space:Sum of Building Heat Loss X 1.10 Ducts in conditioned space:Sum of Building Heat Loss X 1 Maximum Heat Equipment Output 5,356 Btu/Hour Building and Duct Heat Loss X 1.40 for Forced Air Furnace Budding and Duct Heat Loss X 1.25 for Heat Pump (07/01/13) Prescriptive Energy Code Compliance for All Climate Zones in Washington Project Information Contact Information Richard Buchan Brandy Kelley Parcel Number 122213400032 541 283-4086 bELFAIR,wa 98528 bkelle adairhomes.com This project will use the requirements of the Prescriptive Path below and incorporate the the minimum values listed.In addition,based on the size of the structure,the appropriate number of additional credits are checked as chosen by the permit applicant. Authorized Representative Date All Climate Zones R-Valuea U-Factora Fenestration U-Factorb n/a 0.30 Skylight U-Factor n/a 0.50 Glazed Fenestration SHGCb,e n/a n/a Ceilin k 49j 0.026 Wood Frame Wall ,m,n 21 int 0.056 Mass Wall R-Valuei 21/21h 0.056 Floor 30g 0.029 Below Grade Wallc,m 10/15/21 int+TB 0.042 Slabd R-Value&Depth 10,2 ft n/a *Table R402.1.1 and Table R402.1.3 Footnotes included on Page 2. Each dwelling unit in a residential building shall comply with sufficient options from Table R406.2 so as to achieve the following minimum number of credits: 1.Small Dwelling Unit: 1.5 credits Dwelling units less than 1500 square feet in conditioned floor area with less than 300 square feet of fenestration area. Additions to existing building that are greater than 500 square feet of heated floor area but less than 1500 square feet. 2.Medium Dwelling Unit: 3.5 credits All dwelling units that are not included in#1 or#3.Exception: Dwelling units serving R-2 occupancies NLshall require 2.5 credits. 3.Large Dwelling Unit: 4.5 credits Dwelling units exceeding 5000 square feet of conditioned floor area. 4. Additions less than 500 square feet: .5 credits Table R406.2 Summary Option Description Credit(s) 1a Efficient Building Envelope 1a 0.5 10.50 0.5 lb Efficient Building Envelope lb 1.0- 1 c Efficient Building Envelope 1c 2.0 1d Efficient Building Envelope 1d 0.5 2a Air Leakage Control and Efficient Ventilation 2a 0.5 2b Air Leakage Control and Efficient Ventilation 2b 1.0 2c Air Leakage Control and Efficient Ventilation 2c 1.5 3a Hi h Efficiency HVAC 3a 1.0 3b High Efficiency HVAC 3b 1.0 1.00 1.0 3c High Efficiency HVAC 3c 1.5 3d High Efficiency HVAC 3d 1.0 4 Hi h Efficiency HVAC Distribution System 1.0 5a Efficient Water Heating 5a 0.5 0.50 0.5 51b Efficient Water Heating 5b 1.0 5c Efficient Water Heating 5c 1.5 1.50 1.5 5d Efficient Water Heating 5d 0.5 6 Renewable Electric Energy0.5 '1200 kwh 0.0 Total Credits 3.50 *Please refer to Table R406.2 for complete option descriptions Table R402.1.1 Footnotes For SI: 1 foot .= 304.8 mm, ci .= continuous insulation, int.= intermediate framing. a R-values are minimums. U-factors and SHGC are maximums.When insulation is installed in a cavity which is less than the label or design thickness of the insulation,the compressed R-value of the insulation from Appendix Table A101.4 shall not be less than the R-value specified in the table. b The fenestration U-factor column excludes skylights.The SHGC column applies to all glazed fenestration. c"10/15/21.+TB" means R-10 continuous insulation on the exterior of the wall, or R-15 on the continuous insulation on the interior of the wall, or R-21 cavity insulation plus a thermal break between the slab and the basement wall at the interior of the basement wall. "10/15/21.+TB" shall be permitted to be met with R-13 cavity insulation on the interior of the basement wall plus R-5 continuous insulation on the interior or exterior of the wall. "10/13" means R-10 continuous insulation on the interior or exterior of the home or R-13 cavity insulation at the interior of the basement wall. "TB" means thermal break between floor slab and basement wall. d R-10 continuous insulation is required under heated slab on grade floors. See R402.2.9.1. e There are no SHGC requirements in the Marine Zone. f Reserved. g Reserved. h Reserved. i The second R-value applies when more than half the insulation is on the interior of the mass wall. j Reserved. k For single rafter-or joist-vaulted ceilings,the insulation may be reduced to R-38. I Reserved. m Int. (intermediate framing) denotes standard framing 16 inches on center with headers insulated with a minimum of R-10 insulation. Table R402.1.3 Footnote a Nonfenestration U-factors shall be obtained from measurement, calculation or an approved source or as specified in Section R402.1.3. 0 o O o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 O O O CN 00 O O M O O O O O O O O O O O O O O O O O O O O O O O O O O O O O 0 < � (D I- O M CD CD CD CD CD O O O CD O O O O O O O O O O CD O O O O CD CD O O @ O O m O O O O O O M O O O O O O O O O O O O O O O O O O O O O O O O O O O (L> O O 0) O O COD N O O tl- O O O CD O O O O O CD CD O CD O O CD CD O O CD O CD CD O O Q Q r 04 L L V 0 0 0 0 0 .0 00 o U- T- J- 0 LO IT Ln ID Wi U E L_ C L_ C: 0 0 0 0 O 00 0 o > LL > LL C0 N c0 M TO a) N c — I co a5 r U m -0 LO O O U U 00 00 00 00 0 0 N N N N r r w N U N co O � O m 'o m co C G1 E R S y U � � N O c L M O O y c C C '- L O CD V .2 O C14c 3 3 3 3 0 0 � 0a a 0a p° o c oc_ m N 0 0 O U W d .. N com Il r N 0) U- _ .+ .o L Q) 00 O (L) y Y U Q C NCIO C z � o = a a U Co U m E c m o C r a d m w w > r 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 Sum of Vertical Fenestration Area and UA 1 312.81 80.80 Vertical Fenestration Area Weighted U= UA/Area 0.26 Overhead Glazing (Skylights) Component Width Height Description Ref. U-factor Qt. Feet nch Feet nch Area UA 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 Sum of Overhead Glazing Area and UA 0.0 0.00 Overhead Glazing Area Weighted U= UA/Area 0.00 Total Sum of Fenestration Area and UA (for heating system sizing caicuiations) 1312.81 80.80 f ` MASON COUNTY Mason County Permit Center Use: COMMUNITY SERVICES FLD - Building,Planning,Environmental Health,Community Health 615 W.Alder S t—Bldg. = 7g D Date Rcvd Phone:(3 0 Ext. 7 `N JUL 2 4 2019 Fee. $389.99 No fee if w/other permits FDPO ICI m@rermit Application A lican A ontrt: C ctor: IGkY,rG� C�1 G lur -+0 rnbe2 Mailing Address: Mailing Address: ()vat V& — City, State, Zip / City, State, Zip Phone: ( ) Phone: ( ) Email: �`�'� ' 33 I — Email: Parcel Number. Property Address: 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 thereunder. Applicants Signature: Date: Official Use: A. Description of Work (complete for all work): 1. Proposed Development Description: New building/Addition ❑ Manufactured home ❑ Fill/grade [ ther: ❑ Commercial (see section D) ❑ Remodel/repair to existing building (see section C) 2. The parcel has been identified in the following Flood Hazard Area: ❑ A XAE ❑ AO ❑ VE 3. Are any other Federal, State or local permits required? Must atta copies of permits. ❑ Yes ❑ No If yes, list type: 4. Is the proposed development in an identified flood y? ❑Yes XNo 5. If yes to#4, a No Rise Certification must be attached. 0 Yes 0 No B. 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 C. Complete for Alterations, Additions, or Improvements to Existing Structures: ******(See 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/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 D. 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 E. 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: Z Building Staff Signature: Date: 3. As-built lowest floor elevation: feet NAVD88 Comments/Conditions: G.1l�r� 1S D�r� t°� Mason County Flood Damage Prevention Ordinance #41-17 & International Building Codes -�106�4- M 0 Mason County WA GIS Web Map �. 2E� T 7E`Fi4 221 C1�!`• rA i� .. - _ }\ 1^ \ It � v E`TA-TE N i1 I T( 0 A C f � AM- # �'• E ti TAT E ll'TE f ' k 1! rY r V ' X 7/24/2019, 3:11:57 PM 1:766 _ 0 0.01 0.01 0.02 mi County Boundary AE 0 0.01 0.02 0.04 km • Site Address(Zoom in to 1:5,000) ® AE FLOODWAY ❑ Tax Parcels(Zoom in to 1:30,000) AO Source: Esri, DigitalGlobe, GeoEye, Earthstar Geographics, CNES/Airbus FEMA FIRM Map OPEN WATER DS,USDA,USGS,AeroGRID,IGN,and the GIS User Community ® A ® VE Mason County WA GIS Web Map Application Richard Diaz I Earthstar Geographics