HomeMy WebLinkAboutFLD2025-00007 BLD2025-00107 - BLD Application - 2/3/2025 r .
F
k MASON COUNTY Mason County Permit Center Use:
COMMUNITY SERVICES
FLD a 00'1 5 - MOO
11 Building,Planning,Environmental Health,Community Health
1 9) 6l5 W.Alder Street—Bldg.8,Shelton,WA 98584 Date Revd026
Phone:(360)427-9670 Bxt.352♦Fax:(360)427-7798
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Flood Development Permit Application
Owner's Name: Contractor:
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Mailing Address: Mailing Address:
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City, State, Zip City, State, Zip
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Phone: 3UO Phone: ?J.�p L�
Email: V O_ K IS- .4ET Email:
y Tax Parcel Number: Site Address:
30's
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I understand I am making application for a permit to develop in a designated flood hazard area. The
1 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.
I This application does not create liability on the part of the County or any officer or employee thereof for any
i flood damage that results from relir on thi plication, or any administrative decision made lawfully there
under.
Owners Signature (required , Date:
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Scope work for review: �r`l fl u_r� SI�tS 01F WGT1_Ea% NV-°PS: VQW?.
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! A. Description of Work (complete for all work): Assoc. Permit(s) RD2625-010
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1. Proposed Development Description:
❑ New Residence ❑ New Manufactured home ❑ Bridge/Culvert/Stabilization
❑ Non-Residential ❑ Fill/grade ❑ Bulkhead (new, repair, 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:
j ❑ A KAE ❑ AO ❑ VE FIRM Panel/Map 5301}5G04(POE
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Base Flood Elevation (BFE): 1A
Official Use
3. Habitat Assessment required: ❑ Yes X No, exempt per
If NO, must state what exemption qualifies, if YES attach Habitat Management plan, Biological
Evaluation, or JARPA Application.
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4. Are any other kederal, State, or local permits required? Must attach copies of permits.
❑ Yes No If yes, list type:
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5. Is the proposed development in an identified floodway?
L Yes VNo If yes, a No Rise Certification must be attached.
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i! B. Complete for Historic Structures (must be on historic registry).
i 1. Provide documentation of historic registry from Federal or State.
I 2. Provide a detailed letter requesting a variance.
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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,
j 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.
i 2. Base Flood Elevation at the building site: feet NAVD 88
i 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.
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i The required finish floor height is
D. Complete for Alterations, Additions, or Improvements to Existing Structures:"**
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i 1. What is the estimated market value of the existing structure? $ ZW5 (DF_--Z
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Attached:
Assessor's Parcel Detail Report OR
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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 ] YesJ No (10mt
(.acrid 01A 11 n. ifevlat5
If yes, complete section C above.
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E. Complete for Non-Residential Floodproofed Construction:***
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! 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: >'V /A- Date:
Approved: Denied: A od G
Building Staff Signature: A&W Date:
Approved`UW Denied:
Environmental Health Staff Signature: Date:
it
Approved: Denied:
Comments/Conditions: �Idr V\,nI-� 5 Lw a b'e— 4—. OZ�6 os)C-h6
,
***A final completed FEMA Elevation Certificate must provide prior to final inspection.
Mason County Flood Damage Prevention Ordinance #41-17 & International Building Codes
Patti McLean Parcel Details
' Mason County Assessor 32234-43-90080/2025
411 N 5TH ST Y Active
u 6 BOX J 60 49584 (IIIII IIIII IIIII IIIII IIIII IIII A I III IIIII IIIII IIIII IIIII IIIII IIIII IIII�II
* 3 0 0 0 0 + 4 3 1 3 5 0 3 *
• - •
Parcel Number: Roll Year: Type: Retired: Exempt:
32234-43-90080 2025 Active No No
Assessment Type: Description
Real Property
Primary Owner Primary Situs:
ALLEN FAMILY TRUST 8260 E STATE RT 106 UNION
Legal:
TR 8 OF GOVT LOT 2&T.L. EX LOT: 2 OF SP#163
DOR: Secondary Land Code Map Number
19-Residential-Vacation and Cabin 15 WF
Total Acres Property Class Appraiser Initials
4.67000 TX
Field Sheet
FS 01749:
District: Neighborhood
0350-Tax District 0350 N2 Southshore/106/AREA 5
SubDivision:
Quick Value Summary
Exemption Type/Level:
Frozen Value: Category 125 New Const 125 Market 125 Assessed
Estimated Exemption Amount: 0 Land: 0 304,595 304,595
Non-Senior Amount: 0 Impr: 0 216,660 216,660
Exemption Amount: 0 Perm Crop: 0 0 0
Remaining Taxable Value: 521,255 Total: 0 521,255 521,255
Milo
Appraisal Summary
Type Description Value Roll Adjustment Value
Land ® ® 304,596
Land O ❑X 543,922 + 1 543,922
Economic Adjustment A5 N2(WF)UPDATE FOR 2025 1 171 1 EI 1 (44) % (239,326)
Single Family Residence Building 1 IM IM 0 205,658
Single-family Residence 0 O 96,485 + 96,485
Economic Adjustment A5 N2(WF)UPDATE FOR 2025 1 O 0 1 113 % 1 109,173
Site Improvements ® ® 11,000
Lump Sum Septic System O O 8,5001 + 1 8,500
Lump Sum Community Water Io 0 2,5001 + 1 2,5001
300002 ParcelDetails www.terrascan.com
Parcel Details Printed on 2/3/2025 11:23:09 AM Page 1 of 3
Event Summary
i Date EventType Description status Complete
8/8/2024 Sales Tracking SWD ALLEN RT/ALLEN FT 1 -Standard ❑
3/18/2004 Sales Tracking 1 -Standard E
2/6/1998 Sales Tracking 1 -Standard O
Owner
Name Percent
ALLEN FAMILY TRUST, 100
Address 1: WILLIAM A ALLEN&GINGER GROUT TRUSTEES
Address 2: 9944 SANDPIPER CT NW
City/State: OLYMPIA/WA Owner Code: AFMTR1100
Zip Code: 98502 Associated Owner ID: 463452
Country:
NumberStatement Summary
Statement Roll Year Misc Tax Property
2025-322344390080 2025 28.56 3,655.67 0.00 3,684.23 0.00 3,684.23
2024-322344390080 2024 28.56 3,494.19 0.00 3,522.75 3,523.75 0.00
2023-322344390080 2023 28.56 4,693.05 0.00 4,721.61 4,722.61 0.00
2022-322344390080 2022 28.56 5,068.71 0.00 5,097.27 5,137.27 0.00
2021-322344390080 2021 17.90 5,704.91 0.00 5,722.81 5,722.81 0.00
2020-322344390080 2020 17.90 7,067.51 0.00 7,085.41 7,085.41 0.00
2019-322344390080 2019 17.90 5,507.07 0.00 5,524.97 5,524.97 0.00
2018-322344390080 2018 17.90 6,029.23 0.00 6,047.13 6,047.13 0.00
2017-322344390080 2017 17.90 5,192.97 0.00 5,210.87 5,210.87 0.00
2016-322344390080 2016 17.90 5,210.00 0.00 5,227.90 5,227.90 0.00
2015-322344390080 2015 17.90 5,273.66 0.00 5,291.56 5,291.56 0.00
2014-322344390080 2014 17.90 4,981.54 0.00 4,999.44 4,999.44 0.00
2013-322344390080 2013 17.90 3,845.72 0.00 3,863.62 3,863.62 0.00
2012-322344390080 2012 17.90 4,175.13 0.00 4,193.03 4,193.03 0.00
2011-322344390080 2011 22.90 3,798.99 0.00 3,821.89 3,821.89 0.00
2010-322344390080 2010 22.90 3,506.11 0.00 3,529.01 3,529.01 0.00
2009-322344390080 2009 22.90 3,387.17 0.00 3,410.07 3,410.07 0.00
2008-322344390080 2008 22.90 3,655.12 0.00 3,678.02 3,678.02 0.00
2007-322344390080 2007 19.50 3,741.08 0.00 3,760.58 3,760.58 0.00
2006.322344390080 2006 19.50 3,994.07 0.00 4,013.57 4,013.57 0.00
2005-322344390080 2005 19.50 2,973.25 0.00 2,992.75 2,992.75 0.00
2004-322344390080 2004 19.90 2,578.56 0.00 2,598.46 2,598.46 0.00
2003-322344390080 2003 19.90 2,565.27 0.00 2,585.17 2,585.17 0.00
2002-322344390080 2002 14.90 2,580.29 0.00 2,595.19 2,595.19 0.00
3,684.23
300002 ParcelDetails www.terrascan.com
Parcel Details Printed on 2/3/2025 11:23:09 AM Page 2 of 3
• 1
Parcel
Date Comment User Public Print Priority
4/17/2020 Called TP 3/10/20 full VM,called and 2nd time VM full. Owner didn't want inspection Andrea No No Low
without owner there. No photo of cabin on Back Land
3/30/2022 Changed from A3N1 to A5N2 during 2022 reval for 2023 assessment Russ No No Low
300002 ParcelDetails www.terrascan.com
Parcel Details Printed on 2/3/2025 11:23:09 AM Page 3 of 3
BRADLEY _ work order
AIR COMPANY DATE 02/05/2025
Heating I Ventilation I Air Conditioning TIME 0&30 am-09 30 am
...................
1142 E Johns Prairie Rd. DURATION 8h
Shelton, WA 98584
...............................
(360) 426-1284 TECH(S) John Gillham, Ryan Bell
office@bradleyaircompany.com •................
JOB# 1014207520
.....................................................
PO#
PAYMENT Direct Bill, Due Upon Receipt
CUSTOMER SERVICE LOCATION
Ginger Grout Ginger Grout
8260 E State Route 106 8260 E State Route 106
Union Washington 98592-9779 Union Washington 98592-9779
(360)490-5585 (360)490-5585
Installation of a Daikin ductless heat pump system installed in common area of home. Includes a surge protector, outdoor
pad.. heavy duty Sumo heat pump feet, line hide on exterior refrigeration lines, electrical, permits.
JOB DETAILS
By accepting this estimate, you are acknowledging that you will be available for any needed inspections within 30 days
after the completion of the job which we will schedule for you at your convenience.
KEALY ELECTRIC
NOTES FOR
TECHS Installation of a Daikin ductless heat pump system installed in common area of home. Includes a surge protector, outdoor
pad, heavy duty Sumo heat pump feet, line hide on exterior refrigeration lines, electrical,permits.
COMPLETION
lNOTES
Task Description Done
Upload photo's of job. h
u
New Maintenance Sticker/Date Existing Sticker
Got Parts Quote U
Photo of house address numbers Li
JOB TASKS
Photo of each indoor ductless head
Photo of outside unit showing-bottom of unit is secured; all penetrations are sealed: outdoor linesets
Photo of condensate line(s)from each head —
Photos of all data plates on indoor and outdoor units
Completion notes
u
Description City Rate Total
Residential Installation Labor 16.00 $110.00 $1,760.00
Rate for installing equipment in a residence.
................
Contracted Electrical Labor 1.00 $1,209.00 $1,209.00
Rates to hire electrician to install 240V service up to 30 Amps.
Permits
Mechanical Permit 1.00 $150.00 $150.00
n Qty Rate Total
RSH-50 Surge Protective Device 1.00 $94.45 $94.45
DAIKIN DUCTLESS HEAT PUMP-RXC12AXVJU 1.00 $1,174.36 $1,174.36
RXC12AXVJUMINI-SPLIT HEAT PUMP SINGLE-ZONE OUTDOOR DAIKIN 12K R32
DAIKIN WALL MOUNT HEAD-FTXC12AXVJU 1.00 $480.00 $480.00
...
.........................
E-Lite Plastic Equipment Pad 18x38x3 1.00 $56.18 $56.18
................. _. ...........
SUMO RUBBER SUPPORT, 18" 1.00 $120.00 $120.00
- ......................................... ..........................._..............___ _ ..........................
LS 1/4"X1/2"ALUMINUM WALL LINESET 0.15 $444.80 $66.72
........................................................................................... ............ .........................
LS 3/8"X1/2"ALUMINUM WALL LINESET 0.15 $761.01 $114.15
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DIS-Ductless Installation Supplies
Material required to install 1 ductless unit. 1.00 $300.00 $300.00
Comm Wire-Line Hide-Condensate Line
MASON CO-2300 8.60% $475.14
SUB-TOTAL: TIME&LABOR: EXPENSES: PMTS/DEPS: TOTAL DUE:
$6,000.00 $0.00 $0.00 $0.00 $6,000.00
CUSTOMER MESSAGE PRE-WORK SIGNATURE POST-WORK SIGNATURE
01/27/425 07:12 am
Signed By: 1 Signed By:
SO P-eyYv)),
5)650 . 00