HomeMy WebLinkAboutFLDFLD2024-00068 BLD2024-00982 - BLD Application - 8/13/2024 MASON COUNTY
Mason County Permit Center Use:
COMMUNITY SERVICES FLD 202±4
Building,Planning,Enviraunental Health,Community Health
615 W.Alder Street- Bldg.8,shOton,WA 98584 Date Revd ! 1
Phone:(360)427')670 Ext.352• Fax:(360)427-7798 L.
Flood Development Permit Application _
Owner's Name: Contractor:
Fred Holtman The Roof Doctor-Shelton
Mailing Address: Mailing Address:
326002 71h Ave SW PO Box 851
City, State, Zip City. State, Zip
Federal Way WA 98023 Shelton, WA 98584
Phone: 253-661-4310 Phone: 360-427-8611
Email: Email: sheiton@theroofdoctor.com
Tax Parcel Number: Site Address:
519015101017 40 W Lost Lake Park Court, Shelton WA 98584
1 understand I am making application for a pen-nit 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. Aa
Owners Signature (required): Date: gD[12-
T_
Scope work for review: Tear-off re-roof house
A. Description of Work (complete for all work): Assoc. Permit(s): gLn2WA- onfy�,2
1. Proposed Development Description:
❑ New Residence ❑ New Manufactured home ❑ Bridge/Culvert/Stabilization
❑ Non-Residential ❑ Fill/grade ❑ Bulkhead (new, repair, replace)
X 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:
/X/A ❑ AE ❑ AO ❑ VE FIRM Panel/Map r-)304c
Base Flood Elevation (BFE):
Official Use
3. Habitat Assessment required: ❑ Yes IN No, exempt per A&:A}cl�ak c
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 O 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
0
2. What is the cost/valuation of the proposed construction? $ i 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.
K v W rv)1, mod tw o y k- {vY' Pfk- U I
Is the proposed work a substantial repair/improvement ❑ 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. 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?
O 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: Denied:
Building Staff Signature: •NA-A0Date: " 15
Approved: Denied:
Environmental Health Staff Signature: Date:
Approved: Denied:
Comment /Conditions:
***A final completed FEMA Elevation Certificate must provide prior to final inspection.
Mason County Flood Damage Prevention Ordinance #41-17 & International Building Codes
Mailing Address: "WE MAKE HOUSE CALLS' Ken Stater Roofing
P.O.Box 851 gOOF DOCTOR tNC serving the
Shelton,WA 98584 Pack Northwest
360-427-861'! ��� .� � since 1959
www.theroofdoctor.com 8
CONT.REGISTER NO.
R00FDI't68N8
PROPOSAL SUB TO -- �99 PHONE pA
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C[TY,STREET AND ZIP CODE LQ�P.TION
We hereby submit specifications an A&&JsWcVy WS KKI AND -KOO - F M. I!'{ N
Brand: A)
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2 Wall f.�a COX $i "f !A rfac �t; 5,4.s �{ `�
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5 Hndd asif dingle iD Ife x of -nfane vitla moffng ads.
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£ Prlpuge hereby to furnish material and labor—complete in accordance with
above specifications,for the sum of:
QAL tl O u2i T) a YYtp rl ` dollars $
Payment to be made as follows:
All work to be completed in a workmanship manner according to standard roofing practices.Any replacement of damaged sheathing,soffit board,or structural damage,or necessity to mortar,cut,and
counter-flash chimney and vents will constitute an extra charge over and above the stated contract sum.Down payments are non-refundable.Contractor is authorized to substitute roofing materials as long
as the substitute meets or exceeds the specifications of the quoted materials.Time of performance of work will be in accordance with contractor's availability.Ownerto carry standard peril insurance on the
account Contractor shall not be responsible for damage to land or driveway caused by weight of loaded trucks.Payment in fu0 to be made upon completion.Service charge of 1.5%per month for past due
account.Customer agrees to pay reasonable attorney fees and costs in the event of collection for non-payment.Credit card fees will apply.
Note:This proposal may be withdrawn by pus if
not accepted within days. Authorized Signature
0[eeeptarce of Propogar — The above prices,specifications and Signature
conditions are satisfactory and are hereby accepted.You are authorized to do the
work as specified.Payment will be made as outlined above.
Date of Acceptance:
Signature
Patti McLean Parcel Details
Mason County Assessor 51901-51-01017 /2024
411 N 5TH ST Active
_ A 60 462°96X J
V70 x49584 II II II II 11111111111111111111111111111111 III
* 3 0 0 0 0 + 4 2 1 5 3 1 3
Parcel Number: Roll Year: Type: Retired: Exempt:
51901-51-01017 2024 Active No No
Assessment Type: Description
Real Property
Primary Owner Primary Situs:
HOLTMAN, FRED J JR 40 W LOST LAKE PARK CT,SHELTON
Legal:
LOST LAKE PARK Lot 17, Block 1
DOR: Secondary Land Code Map Number
18-Residential-All other 72 WF
Total Acres Property Class Appraiser Initials
0.32000 TX
Field Sheet
FS 16845:1-17
District: Neighborhood
0141 -Tax District 0141 N6-Lost Lk WF/AREA 1
SubDivision:
LOST LAKE PARK
Exemption Type/Level:
Frozen Value: Category '24 New 7Const '24 Market '24 Assessed
Estimated Exemption Amount: 0 Land: 0 110,790 110,790
Non-Senior Amount: 0 Impr: 0 209,310 209,310
Exemption Amount: 0 Perm Crop: 0 0 0
Remaining Taxable Value: 320,100 Total: 0 320,100 320,100
Appraisal Summary
Type Descr!Rl(_ ValuC� Roll Adjustment Value
Land Land ® ® 110,788
Land ❑x ❑x 118,325 + 118,325
Economic Adjustment Al N6(LOST LK WF)UDPATE 0 13 % 14,944
FOR 2024
Market Adjustment AREA 1 STRATIFICATION 1XI O (19) % (22,4 82)
Single Family Residence Building 1 ® ® 198,310
Single-family Residence 0 0 75,975 + 75,975
Economic Adjustment Al N6(LOST LK WF)UDPATE 0 151 % 122,335
FOR 2024
300002 ParcelDetails www.terrascan.com
Parcel Details Printed on 8/13/2024 8:09:08 AM Page 1 of 3