2008, 05-13 Permit App: 08001259 ResidenceProject Number: 08001259 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/13/2008 Page 1 of 3
Project Information:
Permit Use: SFR - ON SEWER
Setbacks: Front 15 Left: 8 Right: 15 Rear:
Site Information:
Plat Key: 001258 Name: HOLL ACRES ADD
Contact: FOLYER, MINDY L
Address: 21630 E GILBERT AVE
C - S - Z: OTIS ORCHARDS, WA 99027-9241
Phone: (208) 290-3685
Group Name:
Project Name:
District: Nort
Parcel Number: 35121.6248 Block:
SiteAddress: 7128 E CARLISLE AVE
Location:: CSV
Lot:
Owner: Name: FOLYER, MINDY L
Address: 21630 E GILBERT AVE
OTIS ORCHARDS, WA 99027-9241
Zoning: 14-2 SF Res Suburban District
Water District: 002 ORCHARD AVENUE
Hold: ❑
Area: 13,961 Sq Ft Width: 145 Depth: 170 Right Of Way (ft): 40
Nbr of Bldgs: 3 Nbr of Dwellings: 1
Review Information:
Review
Building Plan Review
Released By
Driveway/Approach
Originally Released: 4/25/2008 By: tmelbourn
Released By:
Landuse/Zoning/HE Conditions
Released By:
Residential driveway must be paved with approved hard surface material.
Originally Released: 4/17/2008 By: tschmidt
Sewer Review
Released By:
Permits:
Operator: JD Printed By: jmm
Print Date: 5/13/2008
Project Number: 08001259
Inv: /
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/13/2008 Page 2 of 3
Contractor: OWNER
Item Description
APPROACH -CONST IN ROW
Contractor: OWNER
Building Height 18.6
Approach
Firm: OWNER
Phone: (000) 000-0000
Units Unit Desc
1 NUMBER OF
Permit Total Fees:
Building Permit
Fee Amount
$50.00
$50.00
Firm: OWNER
Phone: (000) 000-0000
Building Characteristics
Description Grp TS Notes
1&2 FAMILY R-3 VB
BASEMENT F R-3 VB
DECK OPEN R-3 VB
GARAGE U-1 VB
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Contractor: OWNER
Item Description
DUCT SYSTEMS
HEAT PUMP OR A/C 0-3 TONS
AIR CONDITIONER:4-15 TONS
VENTILATING FANS
CLOTHES DRYER
RANGE
This Application:
Total Project:
Sq Ft Valuation Sq Ft Valuation
1,626 $154,453.74 1,626 $154,453.74
1,626 $32,520.00 1,626 $32,520.00
384 $5,760.00 384 $5,760.00
506 $9,614.00 506 59,614.00
Totals: 4,142 $202,347.74 4,142 $202,347.74
Units Unit Desc
I SELECT
I SELECT
I SELECT
Permit Total Fees:
Mechanical Permit
Fee Amount
$1,570.55
$4.50
$628.22
$2,203.27
Firm: OWNER
Phone: (000) 000-0000
Units Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Operator: JD Printed By: jmm
Permit Total Fees:
Print Date:
Fee Amount
$10.00
$12.00
$20.00
$10.00
$10.00
$10.00
$72.00
5/13/2008
Project Number: 08001259 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/13/2008
Contractor: OWNER
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
WATER HEATER - ELECTRIC
FLOOR DRAINS
Plumbing Permit
Page 3 of 3
Firm: OWNER
Phone: (000)
Units Unit Desc
3 NUMBER OF
5 NUMBER OF
2 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
2 NUMBER OF
1 NUMBER OF
Permit Total Fees:
000-0000
Fee Amount
$18.00
$30.00
$12.00
$12.00
$6.00
$6.00
$6.00
$12.00
$6.00
$108.00
Notes:
Residential driveway must be paved with approved hard surface material.
Title Notice must be filed before final building approval. Please consult with Tavis before final
approval.
Payment Summary:
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$50.00
$2,203.27
$72.00
$108.00
Invoice Amount
$50.00
$2,203.27
$72.00
$108.00
Amount Paid
$0.00
$0.00
$0.00
$0.00
Amount Owing
550.00
$2,203.27
$72.00
$108.00
$2,433.27 $2,433.27
$0.00 $2,433.27
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: JD Printed By: jmm Print Date: 5/13/2008
Sitikane
.#Walley
Community Development
Residential Construction
Permit Application
Pemtit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevalley.org
9
PERMIT NUMBER: l Z
PERMIT FEE:
lANew Construction
❑ Addition/Remodel ❑ Deck
ccessory Bldg
❑ Other:
SITE ADDRESS: Parcel # 35121.6248 Carlisle Ave
nfa& E
ASSESSORS PARCEL NO:
35121.6248
LEGAL DESCRIPTION: NI/2 Sect. I2,T-25, R-43
Building Owner:
Contractor:
Name: Mindy Folyer
Name: self
Address: 2163QE. Gilbert Ave
Address:
City: Otis Orchards State: WA Zip: 99027
City: State: Zip:
Phone: (509)928-9331 hm Fax:
(208)290-3685 cell (509)928-
9331
Phone: Fax:
Contractor Lic No: Exp Date:
DEC OV. PATIO Q. FTG:
.286' 3 S
City Business Lic. No:
Contact Person
CONSTRUCTION TYPE:
Stick Frame
HEATS
Electric Forced Air
Name: Mindy Folyer
Phone: (208)290-3685
Describe the scope of work in detail:
Cost of Project: $ 160,000
Single family dwelling, 1 story with full basement ,2 car attached garage, detached storage building
Proposed Use: Residence
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK 18'6'
DIMENSIONS: 36x57' 80
# OF STORIES: 1
TOTAL HABITABLE SPACE:
3364
MAIN FLOOR TO SQ.
FTTG::/G 2.6N/A
werFINISHED
2Nu FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
N/A
IMPERVIOUS SURFACE
AREA: N/A
BASEM�NT
SQ. FTG: 1682 Z L
GARAGE SQ. FTG:
506 O K
DEC OV. PATIO Q. FTG:
.286' 3 S
30% SLOPES ON
PROPERTY: N/A
# OF BEDROOMS: 4
CONSTRUCTION TYPE:
Stick Frame
HEATS
Electric Forced Air
SEWER OR SEPTIC?
Sewer
The permitee verifies, acknowledges and agrees by their signature that 1) If this permit is for construction of or on a dwelling, the
dwelling is/vill be served by potable water. 2) Ownership of this City of Spokane Valley Permit inure to the property owner. 3) The
signatory is the property owner or has permission to represent the property owner in this transaction. 4) All construction is to be done
in hill compliance with the City of Spokane Valley Development Code. Referenced codes are available for review at the City of
Spokane Valley Permit Center. 5) This City of Spokane Valley Permit is not a permit or approval for any violation of federal, state or
local laws, codes or ordinances. 6) Plans or additional information may be required to be submitted, and subsequently approved before
this application can be . • • �'� �; Cr i'J ED n�
sPOICANE VA1 LEY
kAPR 2N8
PERMIT CENTER
SIGNATURE:
Method of Payment:
0 Cash
Bankcard #:
Authorized Signature:
Effective 10-28-07
0 Check
❑ Mastercard
Expires:
DATE: 5
❑ VISA
V1N#:
rC 7
Community Development
Mechanical Permit Application
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX (509)688-0037
www.suokanevalley.org
SITE ADDRESS:
❑ Commercial
PERMIT NUMBER:
PERMIT FEE:
Residential
Parcel 1135121.6248 on Carlisle
Building Owner
Name: Mindy Folycr
Phone(509)928-9331 hm or
(208)290-3685 cell .
Fax: (509)928-9331
Address: 21630 E. Gilbert Ave
City: Otis Orchards
State: WA
Zip: 99027
Contractor Self
Name:
Phone:
Fax:
Address:
City:
State:
Zip:
License No:
City Business Lie:
Contact
Name:
Phone:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
18
17
18
19
20
21
22
23
24
25
28
27
DESCRIPTION OF WORK
# OF UNI
FUEL BURNING APPLIANCE
FUEL BURNING APPLIANCE
Equal to or less than 100,000
X
512.00
More than 100,000
X
515.00
UNLISTED APPLIANCE (Additional Fee)
UNLISTED APPLIANCE (Additional Fee)
Equal to or less than 400,000
X
550.00
More than 400,000
X
5100.00
USED APPLIANCE (WSEC min. AFUE rating)
Equal to or less than 400,000
x
550.00
USED APPLIANCE (WSEC min. AFUE rating)
BOILER/REFRIGERATION
BOILER/REFRIGERATION
BOILER/REFRIGERATION
More than 400,000
X
5100.00
1 - 100M BTU
X
512.00
101 - 500M BTU
X
520.00
501 - 1,000M BTU
X
525.00
BOILER/REFRIGERATION
BOILER/REFRIGERATION
1,001 - 1,750M BTU
X
535.00
More than 1,750M BTU
x
560.00
GAS LOG, GAS INSERT, GAS FIREPLACE
RANGE
DRYER
X
510.00
1
X
510.00
10.00
1
X
510.00
10.00
FUEL BURNING WATER HEATER
x
510.00
MISC. FUEL BURNING APPLIANCE
GAS PIPING (eadi outlet)
DUCT SYSTEMS
X
510.00
X
51.00
1
X
510.00
10.00
VENTILATING FANS
X
510.00
10.00
AIR HANDLER (DOES NOT include ducting)
AIR HANDLER (DOES NOT include ducting)
EVAPORATIVE COOLERS
TYPE I HOOD
Equal to or less than 10,000 CFM
X
512.00
Greater than 10,000 CFM
x
515.00
x
510.00
x
550.00
TYPE II HOOD
X
510.00
HEAT PUMP/AIR CONDITIONER
0-3 TON
X_
$12.00 .
12.00
AIR CONDITIONER
AIR CONDITIONER
4-15 TON
X
520.00
20.00
15-30 TON
X
525.00
28
29
3D
31
AIR CONDITIONER
30-50 TON
x
535.00
AIR CONDITIONER
More than 50 TON
X
560.00
LPG STORAGE TANK
X
510.00
WOOD OR PELLET STOVE/INSERT
x
510.00
32
33
34
35
WOOD STOVE - FREE STANDING
REPAIR 8 ADDITIONS
X
525.00
X
515.00
VENTILATION SYSTEMS
x
512.00
VENTILATION MECHANICAL EXHAUST
x
512.00
36
37
INCINERATOR - RESIDENCE
X
$19.00
INCINERATOR - COMMERCIAL
x
522.00
METHOD OF PAYMENT:
❑CASH ❑ CHECK ❑ VISA ❑ MC
CARD
AUTHORIZED SIGNATURE:
EXPIRES:
VIN:
SUBTOTAL
72.00
PROCESSING FEE
535.00
TOTAL PERMIT FEE DUE:
107.00
Permit Center
QTMjk ` ,lewe 11703 E Sprague Ave, Suite B-3
.PV��ley
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development wwwsmokanevallev.org
Plumbing Permit Application
SITE ADDRESS: Parcel # 35121.6248
❑ Commercial
PERMIT NUMBER:
PERMIT FEE: '
Residential
Building Owner
Name: Mindy Folyer
Phone: (509)928-9331 hm or
(208)290-3685 cell
Fax: (509)928-9331
Address: 21630 E. Gilbert Ave
City Otis Orchards
State: WA
Zip: 99027
Contractor Self
Name:
Phone:
Fax:
Address:
City.
State:
Zip:
License No:
City Business Lic:
Contact
Name:
Phone:
1
2
3
4
5
DESCRIPTION OF WORK
TOILETS
# OF UNITS X COST
TOTAL AMOUNT
WATER CLOSET, BIDETS
3
X
58.00
18.00
URINALS
TUBS
0
X
56.00
2
X
58.00
12
•
SHOWERS (PER TRAP)
SINKS
BATH, STALL, ONSITE BUILT
2
X
56.00
12
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
5
X
56.00
30
6
DISHWASHER
1
X
56.00
6
7
8
9
CLOTHES WASHER
1
X
56.00
6
GARBAGE DISPOSAL
WATER SOFTENER
X
56.00
6
X
56.00
10
11
ELECTRIC WATER HEATER
NOTE: IF GAS, SEE MECHANICAL
2
X
58.00
12
FLOOR DRAINS
AREA, CASE, COIL, TRENCH,
CONDENSATE
1
X
56.00
6
12
13
14
15
ROOF DRAINS/OVERFLOW DRAINS
FOUNTAINS, DRINKING
X
$6.00
X
56.00
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
SEWAGE EJECTOR
NSTALIATION, ALTERATION, REPAIR,
REVERSALS
X
$6.00
GRINDER, SUMP PUMP
X
56.00
16
WATER USING DEVICE
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP
COOLER
X
58.00
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, TANKS,
BOILERS
X
56.00
18
19
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
58.00
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
58.00
20
MISCELLANEOUS PLUMBING FIXTURE
X
58.00
21
PRIVATE SEWAGE DISPOSAUSYS
x
520.00
22
INDUSTRIAL WASTE INTERCEPTOR
X
515.00
METHOD OF PAYMENT:
DCASH D CHECK D VISA DMC
Card#
AUTHORIZED SIGNATURE:
EXPIRES:
SUBTOTAL
108.00
PROCESSING FEE
535.00
TOTAL PERMIT FEE DUE:
PffrrtivP (lrtnher 72 7087
*noltan
to#Valley
PERMIT CENTER
11703 E. Sprague Ave., Suite B-3
Spokane Valley, WA 99206
509-688-0036; Fax 509-688-0037
www.spokanevallev.org
Affidavit in Lieu of General Contractor Registration
State of Washington
County of Spokane
in L.-6Iq£2
(Print name as igned)
, state as follows:
I. I have made application for a building permit from the City of Spokane Valley, Washington.
2. I understand that state law requires that all building construction contractors be registered with the
State of Washington. The exceptions to this requirement are stated under RCW 18.27.090, a copy of
which is printed on the reverse side of this affidavit.
3. I understand that prior to issuance of a building permit for work that is to be done by any contractor,
the City of Spokane Valley must verify either that the contractor is registered by the State of
Washington, or that one of the exemptions stated under RCW 18.27.090 applies.
4. In order to provide verification to the City of Spokane Valley of my compliance with this requirement, I
hereby attest that after reading the exemptions from the registration requirement of RCW 18.27.090, I
consider the work authorized under this building permit to be exempt under No. , and will
therefore, not be performed by a registered contractor.
I understand that I may be waiving certain rights that I might otherwise have under state law in any
decision to engage an unregistered contractor to perform construction work.
t
APPL CANT'S SIGNATURE
Signed and sworn to before me this
Day of ftQR,II , 20a.
��PYv�11 Da L Oc.&i'
No ary's Name (P '
NOTARY PUBLIC in and for the State of
Washington, residing ateJ(>5" crf�2County
My Commission expires: BG'Q AIL
October 15, 2007 Page 1 of 2
P:\Community Development\Forms\Building Forms
Revised Code of Washington
18.27.090 Exemptions. The registration provisions of this chapter do not apply to:
1) An authorized representative of the United States
government, the state of Washington, or any
incorporated city, town, county, township, irrigation
district, reclamation district, or other municipal or
political corporation or subdivision of this state;
2) Officers of a court when they are acting within the scope
of their office;
3) Public utilities operating under the regulations of the
utilities and transportation commission in construction,
maintenance, or development work incidental to their
own business;
4) Any construction, repair, or operation incidental to the
discovering or producing of petroleum or gas, or the
drilling, testing, abandoning, or other operation of any
petroleum or gas well or any surface or underground
mine or mineral deposit when performed by an owner
or lessee;
5) The sale or installation of any finished products,
materials, or articles of merchandise that are not actually
fabricated into and do not become a permanent fixed
part of a structure;
6) Any construction, alteration, improvement, or repair of
personal property performed by the registered or legal
owner, or by a mobile/manufactured home retail dealer
or manufacturer licensed under chapter 46.70 RCW who
shall warranty service and repairs under chapter 46.70
RCW;
7) Any construction, alteration, improvement, or repair
carried on within the limits and boundaries of any site or
reservation under the legal jurisdiction of the federal
government;
8) Any person who only furnished materials, supplies, or
equipment without fabricating them into, or consuming
them in the performance of, the work of the contractor;
9) Any work or operation on one undertaking or project by
one or more contracts, the aggregate contract price of
which for labor and materials and all other items is less
than five hundred dollars, such work or operations being
considered as of a casual, minor, or inconsequential
nature. The exemption prescribed in this subsection does
not apply in any instance wherein the work or
construction is only a part of a larger or major operation,
whether undertaken by the same or a different
contractor, or in which a division of the operation is
made into contracts of amounts less than five hundred
dollars for the purpose of evasion of this chapter or
otherwise. The exemption prescribed in this subsection
does not apply to a person who advertises or puts out
any sign or card or other device which might indicate to
the public that he or she is a contractor, or that he or she
is qualified to engage in the business of contractor;
10) Any construction or operation incidental to the
construction and repair of irrigation and drainage ditches
of regularly constituted irrigation districts or reclamation
districts; or to farming, dairying, agriculture, viticulture,
horticulture, or stock or poultry raising; or to clearing or
other work upon land in rural districts for fire prevention
purposes; except when any of the above work is
performed by a registered contractor;
11) An owner who contracts for a project with a registered
contractor, except that this exemption shall not deprive
the owner of the protections of this chapter against
registered and unregistered contractors. The exemption
prescribed in this subsection does not apply to a person
who performs the activities of a contractor for the
purpose of leasing or selling improved property he or
she has owned for less than twelve months;
12) Any person working on his or her own property, whether
occupied by him or her or not, and any person working
on his or her personal residence, whether owned by him
or her or not but this exemption shall not apply to any
person otherwise covered by this chapter who constructs
an improvement on his or her own property with the
intention and for the purpose of selling the improved
property;
13) Owners of commercial properties who use their own
employees to do maintenance, repair, and alteration
work in or upon their own properties;
14) A licensed architect or civil or professional engineer
acting solely in his or her professional capacity, an
electrician licensed under the laws of the state of
Washington, or a plumber licensed under the laws of the
state of Washington or licensed by a political
subdivision of the state of Washington while operating
within the boundaries of such political subdivision. The
exemption provided in this subsection is applicable only
when the licensee is operating within the scope of his or
her license;
15) Any person who engages in the activities herein
regulated as an employee of a registered contractor with
wages as his or her sole compensation or as an employee
with wages as his or her sole compensation;
16) Contractors on highway projects who have been
prequalified as required by RCW 47.28.070, with the
department of transportation to perform highway
construction, reconstruction, or maintenance work;
17) A mobile/manufactured home dealer or manufacturer
who subcontracts the installation, set-up, or repair work
to actively registered contractors. This exemption only
applies to the installation, set-up, or repair of the
mobile/manufactured homes that were manufactured or
sold by the mobile/manufactured home dealer or
manufacturer;
18) An entity who holds a valid electrical contractor's
license under chapter 19.28 RCW that employs a
certified journeyman electrician, a certified residential
specialty electrician, or an electrical trainee meeting the
requirements of 4apterf,19.28 RCW to perform
plumbing work)1that)is{incidentally, directly, and
immediately, appropriatsto alike -in-kind replacement
of a household applianceror rather small household
utilizationegmpmentghat riigutteslimited electric power
and limited waste and/or water connections. An
electricaljtraipee must becsuper'ised`by a certified
electriciantwhile!perfomit g.plumbing work.
•
_ rE
October 15, 2007 Page 2 of 2
PACommunity Development\Forms\Building Forms
20
South Edge of Asphalt of Carlisle Ave
PLANNING DEPT. 'PROVED
DATE:3I0`d
10
D
20
1"=20'
— — •
(41
-\51
55.00•
15.00'
16-
11.50'
5.00'
4
1
8
— -�
8.00'
9-1,3C
;,I
81
32' x 42' Detached Garage
q435.3 f z1 above Seg. Itve. (
x
1-
0
z
TJ —13
c)
Parcel # : 35121.6248
Partial Legal: N1/2 Sect. 12. T-25, R-43
Folver/Wacenske Residence
E. Carlisle Ave
Millwood, WA