HomeMy WebLinkAboutFLD2023-00098 BLD2023-01507 - BLD Application - 12/15/2023 RECEIVED
DEC 15 2023
MASON COUNTY Mason County Permit Center Use:
COMMUMT aticV 5 FLD
Building,Planning,Environmental Health,Community Health ��77
615 W.Alder Street—Bldg 8,Shelton,WA 98584 Date Rcvd l.L
Phone:(360)427-9670 Ext.352♦Fax:(360)427-7798
Fee: $300.00
No fee if w/other permits
FDPO Develo ment Permit Application
(Applicant: Contractor:
Louis -11- l C1C.
Mailing Address: Mailing Address:
01 (-_Sw PQ, qs(g�6
City State Zip City, State, Zip
0)l u-M q s 3rem L"'. A G83 z
Pho e: (3 -)c)p.4 to I O Phone: (3(,0 8'7 b "7(v-7 c-)
Email: Email:YY\Q Sh .0
Parcel Number: Property Address:
Z.231 9 5bb 00S-7 )0LK M-
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: eg(_�2,4::�72_5- o [60-7
A. Description of Work(complete for all work):
1. Proposed Development Description:
❑ New building/Addition ❑ Manufactured home ❑ Fill/grade ❑ Other:
❑ Commercial (see section D)
RRemodel/repair to existing building (see section C) '
2. The parcel has been identified in the following Flood Hazard Area:
>(A ❑ AE ❑ AO ❑ VE
3. Are any other Federal, State or local permits required? Must attach copies of permits.
❑ Yes ❑ No If yes, list type:
4. Is the proposed evelopment in an identified floodway?
❑Yes No
5. If yes to#4, a No Rise Certification must be attached.
0 Yes 0 No
e,
B. Complete for New Structures and Building Sites:
1. A FEMA Elevation Certificate is required, must be completed by a Washington State licensed Surveyor.
Must attach a copy of certificate.
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? $
2. What is the cost/valuation of the proposed construction? $ . ZS +ercentageS 9
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: statement attached
2. Elevation Certificate attached: ❑ Yes ❑ No
3. As-built lowest floor elevation: feet NAVD88
Comments/Conditions:
0 " V S _
Mason County Flood Oamage Prevention Ordinance #41-17 & International Building Codes
Patti McLean Parcel Details
Mason County Assessor 22319-50-00057/2024
411 N 5TH ST Active
a
360 * 3 0 0 0 0 + 4 2 2 7 8 4 4
Identification
Parcel Number: Roll Year: Type: Retired: Exempt:
22319-50-00057 2024 Active No No
Assessment Type: Description
Real Property
Primary Owner Primary Situs:
MATAUTIA, LOUIS&DONETTA 2920 NE TAHUYA BLACKSMITH RD,TAHUYA 98588
Legal:
WOOTEN LAKE TRACTS TR 57
DOR: Secondary Land Code Map Number
18-Residential-All other 72 WF
Total Acres Property Class Appraiser Initials
0.35000 TX
Field Sheet
FS 05449:
District: Neighborhood
0262-Tax District 0262 N8/AREA 4
SubDivision:
WOOTEN LAKE TRACTS
Quick Value Summary
Exemption Type/Level:
Frozen Value: Category 124 New Const 124 Market 124 Assessed
Estimated Exemption Amount: 0 Land: 0 155,555 155,555
Non-Senior Amount: 0 Impr: 0 499,960 499,960
Exemption Amount: 0 Perm Crop: 0 0 0
Remaining Taxable Value: 655,515 Total: 0 i655,515i6mn -
Appraisal i,515
DescriptionType
Land' ® ® 155,557
Land l] 142,713 + 142,713
Economic Adjustment A4 N8(HAVEN&WOOTEN LK 9 % 12,844
WF)UPDATE FOR 2024
Single Family Residence Building 1 ® ® 486,459
Single-family Residence O 171 454,635 + 454,635
Economic Adjustment A4 N8(HAVEN&WOOTEN IF 0 7 % 31,824
PRIOR AV>550,000)UPDATE
Site Improvements ® ® 13,500
Lump Sum Septic System I E I ❑O 8,5001 + 1 8,500
300002 ParcelDetails www.terrascan.com
Parcel Details Printed on 12/22/2023 3:32:09 PM Page 1 of 3
s
i
DEC 19 2023
PO Box 456f Q a Alder Street
2181 Chico�'QWy
Uanas Bremerton, WA 98312
360-876-7670
HEATING & COOLING, INC. INVOICE
Name Donetta or Louis Matautia Date 3/20/2023
-
Address 2920 NE Tahuya Blacksmith Rd Invoice No. i30631
City Tahuya,WA Customer No. 37065
Phone (360)790-4610
TOTAL
American Standard SILVER 16 side discharge heat pump(16.0 SEER 9 HSPF) S 17,744.00
American Standard Silver TEM 6 air handler with a ECM blower(AHRI
Certified)
Comfort Control Programable Thermostat j
Properly sized refrigerant line set from heat pump to air handler
Electrical breaker change for the heat pump to match requirements
Washington State permit for complete installation
10-year parts and 5-year labor warranty
1-year Danas Heating USA maintenance program
All labor and materials for a complete job
Remove and recycle all debris --
_-j
I
SubTotal j $ 17,744.00
Labor warranties require an annual maintenance by Dana's Heating Inc.
O Financed Sales Tax $ 1,508.24
O Check TOTAL $_ 19,252.24
Credit Card
O Billing Down Payment $ 9,500.00
Visa Auth#06543D Final Payment $ 9,752.24
AMEX Auth#205656
TOTAL OWED $ 00 .
(Thank you for your business
"Large enough to serve you, Small enough to care" �