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Home My WebLink AboutFLD2024-00062 BLD2024-00894 - BLD Application - 7/26/2024 MASON COUNTY Mason County Permit Center Use: COMMUNITY SERVICES FLD 202A boot Building,Planning,Environmental Health,Community Health RECEIVE 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 JUL 2 6 2W4 Owner's Name: Contractor: BLACK HILLS INC BROCK POHL 615 W.AWer Street MailinAddress: Mailing Address: 476 EMT SATSOP ROAD W 1003 85TH AVE SE City, State, Zip City, State, Zip ELMA WA 98541 OLYMPIA WA 98501 Phone: 360-470-5906 Phone: 360-705-8590 Email: BROCKPOHL YAHOO.COM Email: INSTALL BLACKHILLSINC.COM Tax Parcel Number: Site Address: 61931-40-00090 476 fzMS7 SATSOP ROAD We T elma wa 98541 I understand I ain 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. Owners Signature (required): Date: Scope work for review: install ductless heat pump A. Description of Work (complete for all work): Assoc. Permit(s): ( -WQ2�-XB 1. Proposed Development Description: ❑ New Residence ❑ New Manufactured home ❑ Bridge/Culvert/Stabilization ❑ Non-Residential ❑ Fill/grade ❑ Bulkhead (new, repair, replace) ❑ 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 ❑ AO ❑ VE FIRM Panel/Map 55j4fc=,,� Base Flood Elevation (BFE): /& Official Use 3. Habitat Assessment required: 0 Yes 5L No, exempt per (Wj.:A•t4\dka If NO, must state what exemption qualifies, if YES attach Habitat Management plan, Biological Evaluation, or JARPA 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 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? p p $ �,� ,9� Percentage !b 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 0 Yes X 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. 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: D 8-0(-;?ti '7'.o........................ Approved: _X Denied: Building Staff Signature: Date: Approved: _K Denied: S Environmental Health Staff Signature: Date: Approved: Denied: Comments/Conditions: LAVAS v► \ 43W r T_ -c��►�k �ss�.c.d s-2� ^2h�� , v�do�tc.c,1 ps w-c,+��,. ads�� Z-0 lot , r i of -�o ru-w Mc,,Ps k aq FkW5Arvo� 5�v W-4+.sue. wq s Y of t'bLAkeA 'inn a-k l0Q6 zo►-u • �e,✓trv�;�- C rYL,ik- 2�1 p SS ***A final completed FEMA Elevation Certificate must provide prior to final inspection. Yo S -}- kl 19 NVVj Mason County Flood Damage Prevention Ordinance#41-17 & International Building Codes Patti McLean Parcel Details a. Mason County Assessor 61931-40-00090/2024 411 N 5TH ST Active 3 0� X J B7-9 70 985 49184 11111111111111 IN * 3 0 0 0 0 + 4 2 5 5 2 6 7 * Parcel Number: Roll Year: Type: Retired: Exempt: 61931-40-00090 2024 Active No No Assessment Type: Description Real Property Primary Owner Primary Situs: POHL ET AL, BROCK D 476 W SATSOP RD E, ELMA 98541 Legal: TR 9 OF N1/2 SE&S1/2 NE E OF RIVER DOR: Secondary Land Code Map Number 11 -Residential-Single Family Total Acres Property Class Appraiser Initials 5.00000 TX Field Sheet FS 17347:B District: Neighborhood 0161 -Tax District 0161 N9(Matlock)/AREA 1 SubDivision: E Exemption Type/Level: Frozen Value: Category '24 New Const '24 Market '24 Assessed Estimated Exemption Amount: 0 Land: 0 93,375 93,375 NonSeniorAmount: 0 Impr: 0 413,740 413,740 Exemption Amount: 0 Perm Crop: 0 0 0 Remaining Taxable Value: 507,115 Total: 0 507,115 507,115 IIF • f Land Land ® ® 93,374 Land o 0 40,263 + 40,263 Economic Adjustment Al N9 UPDATE FOR 2024 0 ❑O 179 % 72,03S Market Adjustment AREA 1 STRATIFICATION Il O (47) % (18,924) Single Family Residence SFR(20 ) 'q0 ® ® 384,042 Economic Adjustment Al N9 UPDATE FOR 2024 0 ❑O (s) % (19,363) Single-family Residence I El 1 0 1 403,405 + 1 403,405 Mfgd Housing-Singlewide Building 2 ® ® 15,698 Economic Adjustment Al N9 UPDATE FOR 2024 (5) % (792) Manufactured Housing 30-03197 El 1 O 16,490 + 1 16,490 300002 ParcelDetails www.terrascan.com Parcel Details Printed on 7/25/2024 1:19:28 PM Page 1 of 3 Black Hills Inc. Estimate 146927905 9 1003 85th Ave SE Ste A,Olympia,WA 98501 Project 146930820 ' United States Estimate Date 7/22/2024 ` PH:(360)705-8590 Fax:(360)705-8584 91-160339 Billing Address Job Address Brock Pohl Brock Pohl 476 East Satsop Road 476 East Satsop Road West Elma,WA 98541 USA Elma,WA 98541 USA Estimate Details 24k two zone system: 12 year parts and labor Complete duct system upstairs 9k wall mount in primary bedroom 2 new linesets and line hide New heat pump pad All electrical circuits Service# Description Quantity Standard Price Your Price Your Total HI-D-MH24OD Includes all labor,materials,and equipment. 1.00 $12,699.00 $12,699.00 $12,699.00 • 24,000 BTU Multi-Zone • Durable and lightweight equipment pad that absorbs and dampens vibration and noise caused by condensing unit • New copper line set run with UV resistant insulation(except where application does not allow us to do so) • Attractive line set cover system to limit and protect any exposed line set • Includes condensate pump when necessary Industry leading Black Hills and manufacturer warranties and guarantees. Workmanship Guarantee,"No Surprises" Guarantee,Property Protection Guarantee, Comfort Guarantee,and more! 12 year limited manufacturer parts warranty 1 year limited labor warranty Acquire and coordinate any mechanical and electrical permits necessary. Includes new electrical circuit to condensing unit if necessary HI-D-DD121D 12,000 BTU Ducted Ductless-Indoor 1.00 $3,499.00 $3,499.00 $3,499.00 • Automatic Operation for Year Round Comfort • Inverter Variable Speed Compressor • Adjustable Fan Speed • Remote Controller • Dry Mode • Auto Reset after Power Failure HI-D-WM091D Discreet wall mounted unit providing high efficiency 1.00 $2,499.00 $2,499.00 $2,499.00 and comfort. 9,000 BTU Inverter variable speed compressor Remote controller with backlit Automatic operation for year around comfort 1 Includes all labor,materials,and equipment. HI-AFB-170 Install duct fittings and flexible piping for supply air 3.00 $799.00 $719.10 $2,157.30 duct run.Install new boot and register.Properly seal all connections and check for air leaks. HI-AFB-170 Install duct fittings and flexible piping for supply air 1.00 $799.00 $719.10 $719.10 duct run.Install new boot and register.Properly seal all connections and check for air leaks. CP2.0 Comfort Pass Benefits: 1.00 $189.00 $189.00 $189.00 Front of the Line Service No Dispatch Fee w/Repair(Discounted w/out Repair)-Including After Hours . 2 Seasonal HVAC System Checks(one standard size filter included w/each visit) 10%Off and Two Year Warranty on Repairs 5%Off New Equipment Complimentary Home Electrical,Plumbing and Crawl Space Inspection Monthly and Annual Billing Options for Your Convenience Friendly Service from Your Favorite Super Heroes! A credit/debit card and valid email address are required for activation.By providing a credit card, you are authorizing Black Hills,Inc.to automatically process payment on that card for the membership's billing agreement starting on day of activation. TERMS&CONDITIONS:Along with this membership you receive discounts on repairs and upgrades.If this membership is canceled within the first 12 months,any discounts received as a part of this membership will be due upon cancellation.This is an ongoing membership that does not end until cancelation is requested.No refunds available upon cancelation. 3MXS24RMVJUA 18 SEER Mini Split,Multi-Zone Heat Pump,R410a 1.00 $0.00 $0.00 $0.00 Daikin FDMQI2WVJU9 A/H SLIMDUCT MID-STAT 12K-BTU 1.00 $0.00 $0.00 $0.00 Daikin FTXS09WVJU9 A/H H/P 9K-BTU 24.5SEER 1.00 $0.00 $0.00 $0.00 Daikin # Description Total HI-DISC-005 5%Discount $-1,078.67 CP2.0-5%DISC 5%off the purchase of new equipment for being a valued Comfort Pass client. $-1,078.67 Member Savings $319.60 Sub-Total $19,605.06 Tax $1,744.85 Total -- $21,349.91 Est.Financing $258.33 Thank you for choosing Black Hills Inc. THIS IS AN ESTIMATE,NOT A CONTRACT FOR SERVICES.The summary above is furnished by Black Hills Inc.as a good faith estimate of work to be performed at the location described above and is based on our evaluation.NO SURPRISES:the investment quoted is what you pay.CUSTOMER RESPECT:Our technicians will not swear or use tobacco products while on your property.They will courteously answer any questions or concerns and leave your home as neat at they found it.CODE COMPLIANCE:The installation will comply with all existing local codes.DRUG TESTED:Your work will be performed by our professional,highly trained and drug tested associates. SATISFACTION:We will guarantee that your system meets or exceeds your expectations for quality and reliability. 7/22/2024