HomeMy WebLinkAboutFLD2023-00016 BLD2023-00228 HVAC - BLD Permit / Conditions - 3/2/2023 M �
MASON COUNTY Mason County Permit Center Use:
COMMUNITY SERVICES FLD UT) - 000110
Building,Planning,Environmental Health,Community Health
615 W.Alder Street—Bldg.8,Shelton,WA 98584 Date Rcvd Z Z
Phone:(360)427-9670 Ext.352♦Fax:(360)427-7798
Fee. 0
No fee if w/o er pe is
FDPO Development Permit Application 2023-- i=b
Owner: ,Pad S�Lk-k Lta Rnvle Contractor: M-0.NCOM
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Mailing Address: Mailing Address:
100 N T01 i( tAM C')rea(h Ln PC) k5ox 16'�)O
City, State, Zip Citv. State Z'
Sh e ktorn WA q b51 R q 9j5-1 C1
Phone: (H245- '6172--7 217Z Phone:
Email: r u tf.e-., Ac)L-- cc)rn Email: eils.SQ yam-er1000kLAE •Com
Parcel Number: Property Add egL1 Old N Ti 11 i Bunn
H2221, 5D00021 oe(t(h Ln , ,Srne lion WA q,65-79
I understand I am making application for a permit to develop in a de 'grated flood hazard area. The
undersigned agrees that all such work shall be done in accordance wi Lh the requirements of the County Flood
Damage Prevention Ordinance, building codes and all other applicab e Local, State and Federal regulations.
This application does not create liability on the part of the County or officer or employee thereof for any
flood damage that results from reliance on this application or any administrative decision made lawfully
thereunder. 11
Applicants Signature: Date: 5! 20-2-
Official Use:
A. Description of Work (complete for all work):
1. Proposed Development Description: /
❑ New building/Addition ❑ Manufactured home Fill/grade fed'Other: ductless
❑ Commercial (see section D)
❑ Remodel/repair to existing building (see section C)
2. The parcel has been identified in the following Flood Hazard rea:
❑ A VA ❑ AO ❑ VE
3. Are any other Federal, State or local permits required? Must 3ttach copies of permits.
❑ Yes ❑ No If yes, list type:
4. Is the proposed development in an identified floodway?
❑Yes ❑ No
5. If yes to#4, a No Rise Certification must be attached. RECEIVED
❑ Yes ❑ No
MAR 0 2 2023
615 W. Alder Street
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 delincatcd on the site plan?
Yes ❑ No
Administrative
1. Approved: Denied:
I 2
Planning Staff Signature: Date:
Building Staff Signature: Date:3 -14 -23
3. As-built lowest floor elevation: feet NAVD88
Comments/Conditions:
Mason County Flood Damage Prevention Ordinance #41 17 & International Building Codes