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Home My WebLink AboutBLD2024-01506 FLD2024-00097 - BLD Application - 12/27/2024 I ®LNG MAS OUNTY Permit No: �,]�,U�, ITY DE ELOPMEN'�EC�l�'�� COMMUNITY V DEC 2 7 2024 Permit Assistance Center, Building,Planning 615 W. Alder Street BUILDING PERMIT APPLICATION PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME:Bob Hayward NAME:Groundworks MAILING ADDRESS:18251 E State Route 106, MAILING ADDRESS:1891516th AveS CITY:Belfair STATE:WA ZIP:98528 CITY:Seatac STATE:WA ZIP:98188 PHONE#1:925 719 3433 PHONE:2066983977 CELL: PHONE#2: EMAIL :permits.sseattle@groundworks.com EMAIL: L&I REG#GROUN"76305 EXP, 10/29/26 PRIMARY CONTACT: OWNER❑ CONTRACTOR E] OTHER❑ NAME O19aT'cot EMAIL permits,sseattle@groundworks.com MAILING ADDRESS 1891516th Ave S CITY seatac STATE WA ZIP98188 PHONE 206-698-3977 CELL PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) 222125600023 ZONING2W 22N 12 LEGAL DESCRIPTION(Abbreviated) ROSE POINT TRACTS,EDDYS FIRE DISTRICT SITE ADDRESS 18251 E State Route 106 CITYBelfair DIRECTIONS TO SITE ADDRESS IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO E] SNOW LOAD: psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER E] LAKE ❑ RIVER/CREEK ❑ POND ❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM ❑ TYPE OF WORK: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR Q OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.)SFR IS USE: PRIMARY Q SEASONAL ❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS HEATED STRUCTURE? YES(Whole Bldg) Q YES(Part[sj of Bldg) ❑ NO ❑ DESCRIBE WORK Installing helical tie backs with C-channel waler to secure the existing bulkhead SQUARE FOOTAGE: (proposed) I ST FLOOR sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq. ft. DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft. GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq.ft. Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE MODEL YEAR LENGTH WIDTH BEDROOMS BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC ❑ SEWER❑ / NEW ❑ EXISTING ❑� PLUMBING IN STRUCTURE? YES ❑� NO ❑ Ifyes, attach completed Water Adequacy Form PERIMETER&OUNDATION DRAINS PROPOSED? YES ❑ NOE] EXISTING SQ.FT. EXISTING BEDROOMS 2 PROPOSED BEDROOMS 0 TOTAL BEDROOMS 2 OWNER acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of such is by signature below. I declare that I am the owner and I further declare that I am entitled to receive this permit and to do the work as proposed.I have obtained permission from all the necessary parties,including any easement holder or parties of interest regarding this project. The owner or legal representative,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s)for review and inspection. This permit/application becomes null&void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY)JEANS OF INSPECTION. INACTIVI OF THIS PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUS HE APPLICATI N T BE EXPIR (MAS COUNTY CODE 14.0 .r / X r ER(Must be i ned by t WNER) Date DEPARTMENTAL REVI W APPROVED DATE DENNED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT TO LrU5 PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH MASON COUNTY Mason County Permit Center Use: COMMUNITY SERVICES FLD .pa� Building,Planning,Environmental Health,Community Health 615 W.Alder Street—Bldg.8,Shelton,WA 98584 Date Rcvd Phone:(360)427-9670 Ext.352♦ Fax:(360)427-7798 Flood Development Permit Application Owner's Name: Contractor: Bob Hayward Groundworks Mailing Address: Mailing Address: 18251 WA 106 18915 16th Ave S City, State, Zip City, State, Zip Belfair WA 98528 Seatac WA 98188 Phone: 925-719-3433 Phone: Email: 2sbhayward@gmail.com Email: permits.sseattle@groundworks.com Tax Parcel Number: Site Address: 222125600023 18251 WA 106, Belfair WA 98528 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 port of the County or any officer or employee there f fo any flood damage that results from relia ce on thi applic on, or any administrative decision made l ful there under. Owners Signature (r uired): ate: Scope work for review: Repairing existing bulckhead A. Description of Work (complete for all work): Assoc. Permit(s): EI.)oa1,11-0 1:5 lr 1. Proposed Development Description: ❑ New Residence ❑ New Manufactured home ❑ Bridge/Culvert/Stabilization ❑ Non-Residential ❑ Fill/grade .NrBulkhead (new, epair replace) ❑ 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: ❑ A k1 AE ❑ 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. 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 Administrative Planning Staff Signature: L p Date: Q V `�YYIa-✓`l `mil 0✓ Approved: x Denied: Building Staff Signature: Date: — 75 Approved: i' ; Denied: Environmental Health Staff Signature: Date: Approved: Denied: Comments/Conditions: p� r —��-us `TO ***A final completed FEMA Elevation Certificate must provide prior to final inspection. Mason County Flood Damage Prevention Ordinance #41-17 & International Building Codes