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HomeMy WebLinkAboutFLD2024-00087 BLD2024-01302 New Underground Propane Tank - BLD Application - 11/4/2024 T• RECEIVED MASON COUPM- 4 2024 Mason County Permit Center Use: .. COMMUNITYI SERVI WE&et, FLD o2C)a - C70ob Buidin%Plarming,Environmental Health,Community Health 615 W.Alder Street—Bldg.8,Shelton,WA 98584 Date Rcvd Phone:(360)427-9670 Ext.352♦Fax:(360)427-n98 Flood Development Permit Application Owners Name: Contractor: Mailina Address: Mailina Address: City,State,Zip City,State,Zip $(ZA_Q�Irl�_ ) �W_5 �Oc� Phone: _j \$'3 C - I Phone: ,T6 Email: Y Oa\ Email: �V�S�SDI�- y H���\\ u�S C• t� ParcelTax m - Site Address: 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 anT administrative decision made lawfully there under. A Owners Signature (required): % Date: Scope work for review: \_D w 1 r'rWZ_ "ov ; \ni CX11, , ( A. Description of Work(complete for all work): Assoc. Pennit(s):.eASD 0 _ C 1-5 0?, 1. Proposed Development Description: ❑ New Residence ❑ New Manufactured home ❑ Bridge/Culvert/Stabilization ❑ Non-Residential ❑ Fill/grade ❑ Bulkhead(new, repair, replace) ,gAddition/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 XAE ❑ AO ❑ VE FIRM Panel/Map Base Flood Elevation(BFE): Official Use 3. Habitat Assessment required: ❑ Yes ❑ No, exempt per If NO, must state what exemption qualifies, if YES attach Habitat Management plan, Biological Evaluation, or JARPA Application. R 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? $ 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 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? ❑ 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 1 l� Administrative Planning Staff Signature: Yv -t—` Date: Approved: Denied: Building Staff Signature: Date: Approved. l Denied: Environmental Health Staff Signature: Date: Approved: Denied: Comments/Conditions: ` oco,+---ta i Y) 2,PYlti Ad O� QV,0 ywt ***A final completed FEMA Elevation Certificate must provide prior to final inspection. Mason County Flood Damage Prevention Ordinance #41-17 & International Building Codes