HomeMy WebLinkAboutBLD2003-00094 PO Box 2782 Pioneer Architecture
Hailey, ID 83333
Phone: (208) 788-8683
Fax: (208) 788-3438
Memo
To: Kevin Russell From: Phillip DeHennis
Re: BLD03-00094 Date: 29 March 2003
Kevin,
Please cancel our building permit application for the "Mom's House" project
located at 772 Lane de Chantal. We are not planning to continue with the construction of
the house at this time.
We would appreciate a refund of any unused portion of the permit fee based upon
your policies for refunds.
Please give me a call with any questions or if you need any additional
information.
Thanks,
Phillip DeHennis
Cc: Little &Little Construction
'Ft " 3 if,
BUILDING PERMIT APPLION MRLA03 00p074
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD03-00094 Received Date: 2/18/2003
SITE ADDRESS: 772 LANE DE CHANTAL
PORT TOWNSEND, 98368
OWNER: PHILLIP P DE HENNIS PHONE: (208)788-8192
MICHEL MARTEL
109 SHAWNEE LN
HAILEY ID 83333-8522
SUBDIVISION: Block: Lot: T 24
PARCEL NUMBER: 001301029 Section: 30 Township: 30 N Range: 01 W
CONTRACTOR: LITTLE & LITTLE CONSTRUCTION PHONE: (360)385-5606
2009 4TH STREET
PORT TOWNSEND WA 98368
Contractor's License LITTLLC157C5S Expires 2/18/2003
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOli SINGLE FAMILY RESIDENCE
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 977
VALUATION 156,000.00 ADD'L: 273 HEAT TYPE: PRO
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: 861 SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: OSS
WATER SYSTEM: PUD PARCEL TAGS: YES NO
BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA
Exist: Exist: Wetland Erosion
Prop: 2 Prop: 2 Seismic Streams
Total: 2 Total: 2 Flood Way Floodplain
Routing Date: F&W Landslide
2-1f73 C25 Shoreline Aquifer
Forest: Commercial Rural
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $1,307.35 MAM 02/18/03 52949
Plan Check $849.78 MAM 02/18/03 52949
State Building Code $4.50 MAM 02/18/03 52949
Potable Water Application $50.00 MAM 02/18/03 52949
Total: $2,211.63
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, / FEB i 8 2003
Project Description:
Building Type: Project Type: . Frame Type:
X Single Family ) New X Wood
• Garage Attached/Detached = Addition = Steel
Modular i. alteration/Remodel = Concrete
• Commercial = Repair Masonry
• Multi-family/#of Units 1 Demolition Other:
• Industrial
• Other:
Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat:
Choose one:
Existing: 6 Existing: O LI Sewer li Community System 21 Electricity Oil
Proposed: - Proposed: 2 X Individual System 2 Woodstove X Propane
Total: Z Total: Z If not sewer,fill out the following: 1 meat Pump
Li Conventional ii Alternative Ti Other
Permit# SEP S�'PW4`0036
Water Supply: /
I. Private well Two Party Well. Q Public:Name of water system: V
Square Footage: Oar /' For Office Use Only 4
Main Floor / 72 , Consistency Review
2ND Floor Z 7'3 l'7 , Base fee 13°7 c�75
3rd Floor 0 Plan Check fee Wil -7Y-
Htd Basement O State Surcharge fee Ito
Unhtd Basement 0 Subtotal 2 o . =
Garage/Carport S (D/ o.f g`t3. 51 Pot Water Review fee L° i , L 13
41.
Decks 0 ' ' !( 911/Rd Approach fee �.
Commercial 0 c 0 3' 44 TOTAL Z-z- "l . I3
Industrial 0 Receipt# 5-C 1 q'q
Other 0 Cash/Check# 4 07 n[7
Total Valuation: Initials Plnn y-,
„........,—... ..........))
Or j Date ��( tt-'5-
Estimated Co : I 67(X>C�
If within 200' o oreline,
Distance to Bank or Ordinary High Water Mark ft.Bank Height ft.
By signing the application form,the applicant/owner attests that the information provided herein is true and correct to the best of their knowledge. Any material falsehood or any
omission of a material fact made by the applicant/owner with respect to this application packet may result in this permit being null and void.
I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and expenses which may in any way accrue
against Jefferson County as a result of or in consequence of the granting of this permit.
I further agree to provide access and right of entry to Jeff non County and it's employees,representatives or agents for the purpose of application review and any required later inspections.
Access and right of entry to e .p .nes property o tructure shall be requested and shall occur during regular business hours.
Signature: // Date: //-3 °/L p e 3
1 OVER ►
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NOTES
1. ALL ADJACENT LOTS ARE ZONED RR 5:1 RESIDENTIAL.
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2. TOPOGRAPHIC INFORMATION FROM SITE SURVEY PERFORMED BY
NORTHWESTERN TERRITORIES, INC. SEE SHEET C1.0 FOR MORE INFO.
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3. ELEVATIONS ARE BASED ON ASSUMED DATA. BENCHMARK SPIKE SET IN
MADRONA TREE BY N.T.I. BENCHMARK = 700.00'
4. DRIVEWAY IS APPROXIMATELY 220 FEET IN LENGTH FROM EDGE OF LANE de
CHANTAL TO FACE OF GARAGE WITH A 12 FOOT DRIVEABLE WIDT H.
5. SEE SHEET A1.2 FOR GRADING PLAN.
6. SEE STORMWATER PLAN APPROVED BY JEFFERSON COUNTY ON
SEPTEMBER 11, 2002 FOR MORE INFO.
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r 44ILLIP J. DeHENNIS
STATE OF WASHINGTON
�_2s-04
NOTE:
DO NOT SCALE DIMENSIONS
FROM DRAWINGS.
WRITTEN INFORMATION
SUPERCEDES GRAPHIC
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