HomeMy WebLinkAboutBLD93-0213 - BLD Letters / Memos - 3/1/1993 Permit No.BLD 3- O
MASON COUNTY
BUILDING PERMIT APPLICATION
PLEASE PRINT
#1 Owner/I, r; Phone# ;' ' 6
Site Address ✓l/ 2)i) tau., /a /
City S GigJL St c ®. Zippy
Directions to Job Site L\ ^R pc'c 44
0 '4'
�"; r• r\
Owner Mailing Address 13/ Os L -
- .�e- �c St Zip _
Lien/Title Holder „�� ,� r/g /
Address /J/9 /7/J fl/C' ,
City S .P St- tu)'. J,. Zip
#2 Contractor Name As 4r ov& Contractor Reg#
Address o L� .1 Expiration date / /-
City St Zip Phone
#3 If septic is located on project site, include records .
I Connect to Septic? Public Water Supply Well
(If residential, proof of potable water may be required)
#4 Parcel No.
�Z
Legal Description .5/ / F r Ev >,
#5 Building Square Footage: (existing/proposed)
1st Fl t ' 2nd Fl / 3rd Fl / Loft /
Basement / Deck / #bedrooms #bathrooms
Garage / Carport / (Circle: Attached or Detached?)
Other sq ft_
}
#6 Use of building Describe work .: .
#7 Type of Job: New Add Alt Repair Demolition
Woodstove Re-Roof Bulkhead Other
#8 MOBILE HOME INFORMATION
Model Year ,; Make Model 5
Length ^ a ' Widths= Serial No. t.,
#Bedrooms #Bathrooms Type of Heat Ta: "'.,<,.
#9 ; Any water on or adjacent to property: saltwater lake
'j 'river pond wetland seasonal runoff
other
Show following on the site plan
Lot Dimensions Flood Zones
Existing Structures Fences
Structure Setbacks Driveways
Water Lines Shorelines
Drainage Plan Topography
Septic Systems Wells
Proposed Improvements Easements
Name of Flanking Street Scale:
Name of Fronting Street Date:
APPLICANT TO DRAW SITE PLAN BELOW
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
Plumbincr Fixtures ($3 each) Fee
. Fee
No. Toilets _.Vent Systems X 6.00
Bath Basins Vent Fans X 6.00
Bath Tubs No. Boilers/Compressors
HP .00
Showers
Hot Water Htr
_Laundry Washer
Sinks No. Air Handling Unit _Q
Floor Drains ^ cfm.
; Laundry Basins
Dishwasher No. Fire Protection System
__Disposal
Urinals
Other
Permit Basic Fee 15 . 00 No. Other
TOTAL PLUMBING $
Gas Outlets X 6 . 00
Woodstove, Pellet 25 .00
Mechanical Fixtures Other
No. Fuel Types
Furn BTU
.00 Permit Basic Fee 15 .00
TOTAL MECHANICAL $ 2 (. )O
Heat Pumps . 00
NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK
IS COMMENCED
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR
I CERTIFY THAT I AM EXEMPT LAW WOM THE REQUIREMENTS OF AWARE TRE IN THE STATE OF WASHINGTON AND I AM AWARE OF THE
CONTRACTORS FTHE REGISTRATION RCW REQUIREMENTS 18.27 , AND AM HI ORDINANCE REQUIREMENTS REGULATING THE WORK FOR WHICH
OF THE MASON COUNTY ORDINANCE LK FOR WEAN THE PERMIT IS ISSUED AND ALL WORK •DONE WILL BE IN
THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE
CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING
WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT.
DEPARTMENT. /
X OWNER Ceh^^'� DATE
DATE � ;� `��, n �. _
Return permit to: Department of General Services
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
.....................:::::::....
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•:::::FOR
•::...OFFICIAL�... ..:�::::: .-::.. ........Accepted . .................. ...........:....... -:-,�v:<;`:�:?;:...}?:�.....:
..::::. . R..:::E2�FI��•ATE...Z.F..::...............:..�:::..............::::.......:.:.::::::..........:::.:::::.......,::::::.,......:..:::v.::::..........................:... ::.. -::.:::.::.::...........................
DEPENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond Hold
Approval
Planning:
Environmental Health:
Building Plan Review:
Occupancy Group:
{Fire Marshal:
`Other:
'ISpecial Conditions: FEES
II Ilsite Inspection I II
II II
I II IlBuilding Permit i II
II IlViolation Fee I II
II i
II it IlViolation Investigation Fee I II
rl II II— I
II Plan Check
II - II I I it
it II IIPlumbing Fee
I HI
II . I II
�I II IlMechanical Fee I II
I I I
II IlWoodstove Fee I II
II I
'' II IlBuilding State Fee
O II
`,Building Valuation: I
- II R M ni r
T0TAL FEE
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APPRAISAL DESCRIPTION
OSTENSIBLE OWNER OF RECORD
The subject property is owned by Minerva Beach LLC, a limited liability corporation. Minerva
Beach LLC is composed of Jim Roberts, Mariella Adams-Roberts, Dale McLellan, Margaret
Tuttle, and Robert and Linda Linderman. The property was purchased by Minerva Beach LLC 0. The on July 14, 1997 from Minerva Beach Equities
usellerfor financed ed at08.5 percent,ulterest the
only, for were
5
$700,000 cash at closing, with the balance owner,
years. The purchase included personal property i dere�0st ir100t0he P operty.the erty A opyof the
represented a partnership buyout of a 95 percent
Warranty Deed and Purchase and Sale Agreement are located in Exhibit III of the addendum.
The Mason County Assessor's Office indicates that the taxpayer is also Minerva Beach LLC.
LOCATION OF SUBJECT PROPERTY
The subject property is located on the Olympic Peninsula, fronting Highway 101 in the Potlatch
area of unincorporated Mason County, Washington. Potlatch is a small community business
area situated on Highway 101 on the west side the north side of the Potlatch tlf Hood Canal about 14 ach State Park,es north of and
city
of Shelton. The subject property is located o
north of the Skokomish Indian Reservation, with rural residential uses on adjoining sites.all Potlatch is located about 1 mile north of the subject Peninsula and there and includes several s�s a wide va�r sty of
al uses.
Highway 101 runs the length of the Olympic
recreational uses related to Hood Canal and the Olympicresort areas along Highway 10 located in the area.
There are also several state parks and a numberof
The subject property is divided by Highway 101, with the east 3.74 acres fronting Hood Canal,
and the west 12.81 acres located west of Highway 101. The east portion of the property has
no-bank waterfront with an excellent view of Hood Canal. The property address is North
21110 Highway 101,Shelton, Mason County, Washington.
PRESENT USE
The subject site includes 16.55 acres contained in two adjoining parcels which on the are divided by
east ide of
Highway 101. The smaller parcel is a mostly rectangular shaped site locate
Highway 101 with approximately 310 feet of no-bank water 21 mobile home ontage on pads, 14 RV sites,d Canal containing and a
3.74 acres. This portion of the property includes P
three-bedroom two bathroom house. The larger parcel is a mostly rectangular shaped parcel
located on the west side of Highway 101 containing 12.81 acres. The western portion of the
property has a City of Tacoma power line easement which separates
western
office/check-in and RV area from most of the mobile home pads and tent sites.
COLUMBIA VALUATION GROUP '-SFY Time Valley Coeur de
1 Seattle Tacoma SPo ie 1
'��
Cd MI?13600 M�INERVA . CH L.L.C. AT KATHY GILMORE1319 DEXTER AVE N STE 130
SEATTLE, WA 981093546
1 RP 42226 31 00026 S1/2 TR 2 IN LOT 3 E OF HY & TAX 792 EX 51645, 615 T
2, 495 T
2 RP 42226 32 00024 W OF R/W TR
_ F N1/2 TR 2 OF GOVT LOT 3 7511
3 RP 42226 32 00025 S1/2 TR 2 IN LOT 3 W OF R/W EX & R/W 751139, 300 T
Inquiry Type VL Select Line #. 00 -or- Sea
rch forEOJ Parcel
HELP key Allowed
END OF DATA -MD 7 for
SCHEDU -A
(continued)
Commitment No:30399 Page 12
Legal Description
PARCEL 1 :
THE SOUTH HALF OF INDIAN LOT 2, GOVERNMENT LOT 3, SECTION 26, TOWNSHIP
22 NORTH, RANGE 4 WEST, W.M. , IN MASON COUNTY, WASHINGTON; EXCEPTING
THEREFROM, THE NORTH 15F THEREFROM, THE RIGHT-OF
E THE
FEET,
� -WAY OR AL0NG
STATE
NORTH LINE THEREOF; ALSO EXCEPTING
HIGHWAY 101 .
TOGETHER WITH ALL TIDELANDS AS CONVEYED BY STATE OF WASHINGTON BY DEED
DATED MAY 7, 1929, TO AND ABUTTING RECORDED
A VOLUME
O SAID PROPERTY AND LYING
F PAGE
LYING
BETWEEN
FRONT OF, ADJACENT T
THE NORTH LINE EXTENDED NORTH 86° 34' 37" EAST AND THE SOUTH LINE
EXTENDED NORTH 80 38' 00" EAST.
PARCEL 2 : NT LOT ALL THAT PORTION OF THE NORTH RANGEF4IWESATN,, WM.T ?, INOMASON COUNTY,
SECTION 26, TOWNSHIP 22 NORTH,
WASHINGTON, PARTICULARLY DESCRIBED AS FOLLOWS:
924 FEET
BEGINNING AT A POINT ON THE WEST LINE OF SAID INDIAN LOT 2, ALONG
SOUTH OF THE WEST QUARTER CORNER OF SAID SECTION 26; THENCE SOUTH,
THE
THE WEST LINE OF SAID INDIAN LOT 2 , 65. 52 FEET, MORE OR LESS,
SOUTHWEST CORNER OF SAID NORTH HALF FINDIAN
NO LOT
TH H2;THENINDIANTLOTH 92,
41' 15" EAST, ALONG THE SOUTH LINE OF SAID
1530 FEET, MORE OR LESS, TO THE WESTERLY RIGHT-OF-WAY LINE
EG OF
U.S. ROUTE
101 (OLYMPIC HIGHWAY) ; THENCE NORTH 10° 25' 00" WEST, 4 ID
RIGHT-OF-WAY LINE 66.20 FEET, MORE ORLESS, TO E STOTA P9INT3 NOR
T' 89°4 3'
23" EAST OF THE POINT OF BEGINNING;
HL
WE
1514 . 57 FEET, MORE OR LESS, TO THE POINT OF BEGINNING.
SITUATE IN MASON COUNTY, WASHINGTON.
PARCEL NOS . 42226-31-00024, 42226-31-00025 AND 42226-31-00026 .
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MINE MOBILE VILLAGE & RV RESORT ON HOOD CANAL
N. 21110 HIGHWAY 101 , SHELTON, WA 98584
(206) 877-5145
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MIB� MOBILE VILLAGE & RV RESORT ON HOOD CANAL
N. 21110 HIGHWAY 101 , SHELTON, WA 98584
(206) 877-5145
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M ACH MOBILE VILLAGE & RV RESORT ON HOOD CANAL
N. 21110 HIGHWAY 101 , SHELTON, WA 98584
(206) 877-5145
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Mr Ech MOBILE VILLAGE & RV RESORT ON HOOD CANAL
jjjJ N. 21110 HIGHWAY 101, SHELTON, WA 98584
(206) 877-5145
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MINERVA
BEACH MOBILE VILLAGE & RV RESORT ON HOOD CANAL
N. 21110 HIGHWAY 101 , SHELTON, WA 98584
(206) 877-5145
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