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Home My WebLink AboutFLD2024-00053 BLD2024-00720 - BLD Application - 6/10/2024 Ap DocuSign Envelope ID:AA7412B5-711A-4601-BE33-1769F8013F7C MASON COUNTY Mason County Permit Center Use: COMMUNITY SERVICES FLD C20 Building,Planning,Environmental Health,Community Health . E I E D 615 W.Alder Street—Bldg.8,Shelton,WA 98584 Date Rcvd Phone:(360)127-9670 Ext.352 ♦Fax:(360)427-7798 Flood Development Permit Application JUN 10 2024 Owner's Name: Contractor: TerraFirma Foundation SystiebsW. Alder tre et Kim& Konstantine Roumeliotis Mailing Address: Mailing Address: 13110 SW Wall St 221 NE Mountain View Dr City, State, Zip City, State, Zip Tigard OR 97223 Tahuya WA 98588 Phone: 253-221-8813 Phone:971-205-5223 Email: Email:Ashley.hane oterrafirma.com Tax Parcel Number: Site Address: 221 NE Mountain View Dr 223195000002 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. Doc�Signed by: Owners Signature (required): �eln's�avf vx r6w%t, As Date: 5/22/2024 1 5:54:57 PM PC Scope work for review: Voluntary underpinning using 4 helical piers A. Description of Work (complete for all work): Assoc. Permit(s): � D7 , 1. Proposed Development Description: ❑ New Residence ❑ New Manufactured home ❑ Bridge/Culvert/Stabilization ❑ Non-Residential ❑ Fill/grade ❑ Bulkhead (new, repair, replace) U 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: JA ❑ AE ❑ AO ❑ VE FIRM Panel/Map 95c Base Flood Elevation (BFE): Official Use 3. Habitat Assessment required: ❑ Yes B1 No, exempt per /y14 nttA*ALr; If NO, must state what exemption qualifies, if YES attach Habitat Management plan, Biological Evaluation, or JARPA Application. t DocuSign Envelope ID:AA741213 711A-4601-BE33-1769F8013F7C 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? $ WAX Attached: Assessor's Parcel Detail Report OR Appraisal from a Washington State Licensed Appraiser 2. What is the cost/valuation of the proposed construction? $ .0 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 i� Ias I� If yes complete section C above. DocuSign Envelope ID:AA7412B5-711A-4601-BE33-1769F8013F7C I E. Complete for Non-Residential Floodproofed Construction:*** 1. Type of floodproofing method: 2. The required floodproofing elevation is: feet NAVD88 3. Floodproofing 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: 4—( — Denied: Building Staff Signature: Date: J3� Approved. Denied: Environmental Health Staff Signature: Date: Approved: Denied: Comments/Conditions: p P"M)' py �y)t� ,�y�� r Aay ***A final completed FEMA Elevation Certificate must provide prior to final inspection. Mason County Flood Damage Prevention Ordinance #41-17 & International Building Codes 6L-VW6aY - 007a�) _ _ r` !VED ., ,' 4 Patti McLean Parcel Details r Mason County Assessor JUN 10 2024 22319-50-00002/2024 ? 411 N 5TH ST Active X J 6o�B7-9 70 49;84 W. Alder St1VIIII111111111111111111111111111111111111111111111111111111 11 * 3 0 0 0 0 + 4 2 2 7 3 0 3 Parcel Number: Roll Year: Type: Retired: Exempt: 22319-50-00002 2024 Active No No Assessment Type: Description Real Property Primary Owner Primary Situs: ROUMELIOTIS, KONSTANTINE C 221 NE MOUNTAIN VIEW DR, TAHUYA 98588 Legal: WOOTEN LAKE TRACTS LOT:TR 2&TR 3A&3B DOR: Secondary Land Code Map Number 18- Residential-All other 72 WF Total Acres Property Class Appraiser Initials 0.49000 TX Field Sheet FS 05449: 1 sys 1/6/15 District: Neighborhood 0262-Tax District 0262 N8/AREA 4 SubDivision: Quick Value Summary Exemption Type/Level: Frozen Value: Category '24 New Const 124 Market '24 Assessed Estimated Exemption Amount: 0 Land: 0 103,995 103,995 Non-Senior Amount: 0 Impr: 0 190,700 190,700 Exemption Amount: 0 Perm Crop: 0 0 0 Remaining Taxable Value: 294,695 Total: 0 294,695 294,695 Appraisal Summary Type Description Value Roll Adjustment Value Land ® ® 103,995 Land o 0 95,408 + 95,408 Economic Adjustment A4 N8(HAVEN&WOOTEN LK 0 ❑ 9 °/ 8,587 WF)UPDATE FOR 2024 ° Single Family Residence Building 1 ® ® 177,198 Single-family Residence ❑O ❑x 97,415 + 1 97,4_5 Economic Adjustment A4 N8(HAVEN&WOOTEN WF) O 82 79,783 °/ UPDATE FOR 2024 ° Site Improvements ® ® 13,500 Lump Sum Septic System IR e,5ac + e,soo 300002 ParcelDetails www.terrascan.com Parcel Details Printed on 5/22/2024 2:58:59 PM Page 1 of 3 TERWRMA _ ��=QEIVED 761 NE Garden Valley Blvd. FOUNOPTION SYSTEMS SUN 10 2024 Roseburg, OR 97470 INVOICE W Alder Street WA CC #TERRAFR931LH Bill To Date Invoice# Project# Kim Roumeliotis 5/28/2024 S109086 RJR.J125872-401... 221 NE Mountain View Dr Job Address Tahuya, WA 98588 Kim Roumeliotis 221 NE Mountain View Dr Tahuya, WA 98588 DESCRIPTION RATE QTY U/M AMOUNT Materials 11,608.00 11 ,608.00 Labor 1,509.04 1,509.04 Thank you for your business. Your invoice is payable upon receipt. We accept Visa, Mastercard,American Express and Discover. Total $13,117.04 Phone# Fax# (866) 486-7196 (541) 229-4051