HomeMy WebLinkAboutFLD2022-00021 for BLD2022-00333 - PLN General - 6/7/2022 0MMASON COUNTY Mason County Permit Center Use:
COMMUNITY SERVICES FLD 202-7
Building,Planning,Environmental Health Community HealthNCR
--- 615 W.Alder Street—Bldg.8,Shelton,WA 98584 Date RCvd 0 'L�--
Phone:(360)427-9670 East.352+Fax:(360)427-7798
Fee: $300.00
No fee if w/other permits
FDPO Development Permit Application
Applicant: Contractor:
Linda Weldon nla
Mailing Address: Mailing Address:
PO Box 1924 n/a
City. State, Zip City,State,Zip
Allyn, WA 98524
Phone: ( ) Phone: ( }
Email: 253.686.1460 Email:
Parcel Number: Property Address:
12232-40-01140
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 from7relian tIn ,pp ication or any administrative decision made law lly
thereunder.
Applicants Signature: Date:
Official Use: �' n
A. Description of Work(complete for all work):
1. Proposed Development Description:
❑ New building/Addition ❑ Manufactured home ❑ Fill/grade ❑ Other: Bulkhead repair
❑ Commercial (see section D)
❑ Remodel/repair to existing building (see section C)
2. The parcel has ZAE
n identified in the following Flood Hazard Area:
❑ A ❑ AO ❑ VE
3. Are/any other Federal, State or local permits required? Must attach copies of permits.
®'Yes ❑ No If yes, list type: 2---Ptl A C P t4
4. Is the proposed;7delopment in an identified floodway?
❑Yes
5. If yes to#4, a No Rise Certification must be attached.
0 Yes 0 No
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? $ 4 6-I'D
2. What is the cost/valuation of the proposed construction? $ > Percentage
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 13- o
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:
Mason County Flood Damage Prevention Ordinance #41-17 & International Building Codes
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
1. Approved: _ Denied:
Planning Staff Signature: Date:
- 22
Building Staff Signature: Date:to
3. As-built lowest floor elevation: feet NAVD88
Comments/Conditions:
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Mason Count Flood Damage Prevention Ordinance #41-17 & International Building Codes
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