HomeMy WebLinkAbout9006 171ST STREET NE_BLD1438_2026 RESIDENTIAL PERMIT APPLICATION
Department of Community & Economic Development
City of Arlington• 18204 59th Ave NE •Arlington,WA 98223 • Phone(360)403-3551
THIS APPLICATION IS TO BE USED WHEN APPLYING FOR A NEW SINGLE-FAMILY, DUPLEX, TOWNHOUSE,
ADDITION, DECK,OR ACCESSORY STRUCTURES. THIS APPLICATION MUST BE ACCOMPANIED BYTWO(2)SETS
OF CONSTRUCTION DRAWINGS AND TWO(2)SETS OF STRUCTURAL CALCULATIONS. THE APPLICATION MUST
ALSO INCLUDE THE PLUMBING SUBMITTAL AND THE MECHANICAL SUBMITTAL FORMS. THE ZONING
VERIFICATION MAY BE SUBMITTED PRIOR.
Project Address: r O��o sr �'� cry Platt
Single-family 0 Duplex ❑, Townhouse ❑ Addition ❑ Accessory structure
Proposed Area: 1" Floor: lq$�— 2nd Floor: Garage: Total SF:
Describe Proposal (include cross street):
Valuation!(
Owner: Z-6- �W-4e_>
Address: 1l ql o z% City: / AcIJ State: Zip Code: t�v3
Phone: 1 Email: ►�itq-rT �A cS �L� yv�-�F�• �'r�,
Applicant: A
Address: NID / )f �ar City: State: Zip Code: cl
Phone: Email: S CU,LL,��/7,�,,,�5•�U�,
Contractor: �r✓-►� �(,�,�� — �f�( IL1��,1�� �����
Address: 0 ��D3 City: 1 State: QA Zip Code:
Phone: �{_: D _ Email: VkAiT_ k S (�t, L 4//4g445. cam.
Contact Person:�/j.�'j'f- 4J2.4:�Py 5 License Number:u Expiration: /03 � --
606LP Page 1 of 3
°� RESIDENTIAL PERMIT APPLICATION
Department of Community & Economic Development
�i1 t0 City of Arlington• 18204 59th Ave NE •Arlington,WA 98223 • Phone(360)403-3551
Plumbing Section (continue filling out if plumbing is involved)
(Check all that apply and indicate the number of fixtures proposed)
�—Bath/Shower Combo (4.0) x I �4, -Sink (1.5) x
41--Shower (2.0) x ' ( Lavatory (1.0) x
❑ Clothes Washer (4.0) x Water Closet(2.5) x
-Dishwasher (1.5) x (-Water Heater x
C Hose Bibb (2.5) x Water Heater Model #
( Other (list) x
Plumbing Section Continued
Proposed Water Piping Size: 3 k Proposed DWV Material:
Proposed Piping Material: �,�.�_ Proposed DWV Size: ,72 `r
• All hose bibs required to be equipped with Atmospheric Vacuum Breakers per ASSE 1019
• All water supplies at 80psi or greater shall have Pressure Reducing Valves (PRV)
6/16LP Page 2 of 3
RESIDENTIAL PERMIT APPLICATION
Department of Community & Economic Development
City of Arlington• 18204 59th Ave NE •Arlington,WA 98223 • Phone(360)403-3551
Mechanical Section (continue filling out if mechanical equipment is involved)
Select proposed appliances:
- Furnace (80+) Model# ?��fr3,0c� AFUE
❑ Heat Pump Model# SEER HSPE
Q AC Unit Model# SEER
DI Type II Hood ❑ Commercial Cooking Appliance ❑I Hydronic Piping
❑' Boiler ❑ Solid-Fuel Appliance 01 PV System
L1' Fireplace Insert ❑ Outdoor BBO ❑I Storage Tank
LJ Freestanding Stove ❑ Gas Piping ❑l Other
Gas Piping Information
Not Applicable:' ❑
Pipe Material: Pipe Size: �t Total BTU's of all Appliances: ��i 0Oy
Distance from Meter to Furthest Appliance:
• New gas piping requires a pressure test to hooking to any appliance
• Sediment traps (drips) are required on all gas lines
• Gas lines are required to be supported/secured every 6 to 8 feet
• Proper combustion air and venting required for all appliances
• A shut-off is required within 6 feet of all appliances
Applicant Signature: Date:
Print Applicants Name: . V1 ;4
6116LP Page 3 of 3
i
Inspection Information
Inspection Date: 06/20/2017
Type: SFR
Requested By:
Contact Info:
Scheduled Date:
Schedule Time: 00:00
Completion Date:
Description:
Status: Completed
Assigned To:
Hours: 0.0
Property Information ■
Parcel#: 01166900004500 LGI HOMES-WASHINGTON LLC
LGI HOMES-WASHINGTON LLC 1450 LAKE ROBBINS DR STE 430
9006 171ST STREET NE THE WOODLANDS, TX 77380
Zoning: Lot: 45Block:
Inspection Items _
Setbacks
Footings 06/20/2017 BUILDING Pass
Foundation 06/27/2017 BUILDING Pass Missing rebar in wall. repaired 6/28/17 KO.
Underfloor 07/11/2017 BUILDING Pass
Drainage 06/30/2017 BUILDING Pass
Shear Wall 07/25/2017 BUILDING Pass
Framing 08/03/2017 BUILDING Pass
Gas Piping 07/31/2017 BUILDING Pass
Mechanical 08/01/2017 BUILDING Pass
Rough Plumbing 08/01/2017 BUILDING Pass
Drywall
Final 10/03/2017 BUILDING Pass
Insulation 08/08/2017 BUILDING Pass
Permit Details:
Permit#: 1438
Permit Date: 04/21/17
Permit Type:
Project Name: Gregory Park
Company/Applicant Name: LGI Homes -Washington, LLC
Company/Applicant Address: 11410 NE 124th Street, Ste #103
City, State, Zip: Kirkland, WA 98034
Contact: Matt Adams
Phone: 425-785-0797
Email: matt.adams@lgihomes.com
Permit Type: Single Family Residence
Valuation: 187421.00
Square Feet: 1889
Number of Stories: 1
Type of Construction:
Occupancy Type:
Scope of Work: New SFR
CIC/Opportunity Zone:
Permit Issued: 05/10/2017
Permit Expires:
DNU:
Status: COMPLETE
Assigned To: Kristin Foster
--~° CITY OF ARLINGTON
238 N. OLYMPIC AVE -ARLINGTON, WA. 98223
PHONE; (360)403-3551
BUILDING PERMIT _
Address:9006 171st Street NE Permit#:1438
Parcel#: Valuation: 187421.00
OWNER APPLICANT CONTRACTOR
Name:LGI HOMES-WASHINGTON LLC Name:LGI Homes-Washington,LLC Name:LGI Homes-Washington,LLC
Address: 1450 LAKE ROBBINS DR STE 430 Address:11410 NE 124th Street,Ste#103 Address: 11410 NE 124th Street,Ste#103
City,State Zip:THE WOODLANDS,TX 77380 City,State Zip:Kirkland,WA 98034 City,State Zip:Kirkland,WA 98034
Phone: Phone:425-785-0797 Phone:360-353-0588
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name: Name:
Address: Address:
City,State,Zip: City,State,Zip:
Phone: Phone:
LIC#: EXP: LIC#: EXP:
JOB DESCRIPTION
PERMIT TYPE: Single Family Residence CODE YEAR: 2015
STORIES: 1 CONST.TYPE: `I-13
DWELLING UNITS: 1 OCC GROUP: R-3
BUILDINGS: OCC LOAD:
PERMIT APPROVAL
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED
THEREBY;NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27.
THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID.
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC 110/IRC 110.
SALF. T X N 7' E:Sales tax relating to construction and construction materials in the Ci ofAtiia on must be reported on your sales tax return form
and co i f ingt #3101.
c 11i1'uo �S —(U—/
ign ure FWnt Name Date Released By Date
CONDITIONS
Adhere to Approved Plans. Additional requirements: The Quick-Joint fittings (that were included as part of
the plat's pressure test)were removed/cut off from tail pieces. These were to be the domestic plumbing
point of connection.New ones will need to be supplied and re-installed by plumber/developer at time of
service line connection. Call the Public Works Department at 360-403-3526 for connection inspection.
THIS PERMIT AUTHORIZS ONLY THE WORK NOTED,THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY
CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION.
PERMIT FEES
Date Description Fee Amount
5/10/2017 Building Permit Fee $2,109 12
5/10/2017 Building Plan Review Fee $1,370.93
5/10/2017 Furnace $25.00
5/10/2017 Gas Outlets Base Fee 1 to 5 $10.00
5/10/2017 Mechanical Fee(Enter Fixture Fee) $25.00
5/10/2017 Mechanical Permit Base Fee $25.00
5/10/2017 Park-Community MF $1,662.00
5/10/2017 Plumbing Permit Base Fee $25.00
5/10/2017 Plumbing Permit Fee(Enter Fixture Fee) $132.00
5/10/2017 Processing[Technology Fee $25.00
5/10/2017 State Building Code Surcharge Fee $4.50
5/10/2017 Traffic Mitigation $3,355.00
5/10/2017 Water Heater $25.00
Total Due: $8,793.55
Total Payment: $1,370.93
Balance Due: $7,422.62
CALL FOR INSPECTIONS
BUILDING(360)403-3417
When calling for an inspection please leave the following information:
Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon
�- - -- 1--- -_" - - - SETBACKS NOTES.
fRONT 20' •BUILDING DIMENYO1NS ARE 70
12' WATER S/DE 5' FACE Or F UNDA770V
REAR 5' •GRAD/NC S YONN AS DES0
17 ST ST. NE 16*00 .SLOPE DRIVEWAY rO PUBLIC ROAD
•SIL T FENLY TO BE INSTALLED PER
h 8'SEVER 11 OTY OF ARLINGTOW;S STANDARD
•SIL T fmac, TO BE INSTALLED OW
WAIER Q4AO/ENT SIDE OY-BUILDING
SL-RKZ PAROL-L
CONS7RUC7?OYV EN7RANX TO BE
INSTALLED PER OrY OF
5.00 J 4 ARLINGTOW S STANDARDS
CAS£AI£IVT STORM NOTES:
\ N89 0'49 •7ESC INSTALLED PRlOY4 7O
415 SF - — CGWSIRLICAON
DRIVEWAY" } •BARE SOYLS COVFRED W7H MULQV
10' , �??' 4° GYP ANOTHER APPROVED bMP
BIJC ')71 20'BSBL ° S ANq�/r •JOPSOYL PER M500lE BAIP 1513
EASEMENT [OWN CT ROOF AND (EFF 12 DEPIH)
- — _4 y — •ALL 0WS/7E RUNOff COINNECTED TO
FIN/SHED CLWTlX/R 11.00 0 $ PR/YA1£STG14V S1UB
(TYPJ ca p 19.75 •S77E SHALL BE STABILIZED PRIOR
5'BSBL I l 4 25`* I � TO BUILDING PERMIT BEING
GARAGE FINALIZED
SITENOTES.-
I I SENER •ApY91NE FOOANG DRAINS AND
I COWNEC770N ROOF DRAINS JO P£RMANENr
W ^ I STORM DRAINAGE SY57FM PER
APPROVED PLAT DRAINAGE PLAN
LOT 45 o l OW FILE Nf7H III£CWNTY.
PROP05 D RESIDENG{E Z I 'ARFA OF EiYnR 0 IS7UIPBANLL�lNQ!UDES
" QOYUMB/A-1487 GARAGL"LE 11
2,109fSF % I LEGEND:
10.50 5'0% 0-- &OW OFF
® WA7ER ME7ER
PAAO 12 SF PROOF OVERHANG 4( FIRE HYDRANT
I
I p ( AIR VAC
EX/SIJNG C000YR I i ® CATai BASIN
(m) I - I s , I Bur rNc o amour
n/NE O MANHOLE
- - -- - - - J �sBSBL
45.00 1REE RIMOVAL
N8920'49W N �� `
PROPERTY r
QORNE_R
(p) I I
SCALE I'm 20'
LOT 45
SITE PLAN
GREGOR Y RA RK
LG/ HOMES PLAN NO. COL.-1487
LOT AREA = 4,320 SF DATE 411912017 PARCEL # LOT 45
HOUSE= 2,109 SF NE 29M Place,t 101
DR/V/WA r I��/n0£WAY= 415 SF CoE a q71I,Wa9,19t�98007 DESIGNED CORE ADDRESS 9006 171SJ ST.
/ = 12 JF 425.885.7877 Fas 425.985.7963
WALK
WA PROJECT NUMBER
TOTAL= 2,536 SF
ENGINEERING • PLANNING • SURVEYING DRAWN CAF 13O24L-GRGOO
CITY OF ARLINGTON
238 N. OLYMPIC AVE -ARLINGTON, WA. 98223
PHONE; (360) 403-3551
BUILDING PERMIT
Address:9006 171st Street NE Permit#:1438
Parcel#: Valuation:187421.00
OWNER APPLICANT CONTRACTOR
Name:LGI HOMES-WASHINGTON LLC Name:LGI Homes-Washington,LLC Name:LGI Homes-Washington,LLC
Address: 1450 LAKE ROBBINS DR STE 430 Address:11410 NE 124th Street,Ste#103 Address: 11410 NE 124th Street,Ste#103
City,State Zip:THE WOODLANDS,TX 77380 City,State Zip:Kirkland,WA 98034 City,State Zip:Kirkland,WA 98034
Phone: Phone:425-785-0797 Phone:360-353-0588
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name: Name:
Address: Address:
City,State,Zip: City,State,Zip:
Phone: Phone:
LIC#: EXP: LIC#: EXP:
JOB DESCRIPTION
PERMIT TYPE: Single Family Residence CODE YEAR: 2015
STORIES: 1 CONST.TYPE: `/-B
DWELLING UNITS: 1 OCC GROUP: R-3
BUILDINGS: OCC LOAD:
PERMIT APPROVAL
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED
THEREBY;NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27.
THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID.
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC110/IRC1I0.
SALES T X NOT E:Sales tax relating to construction and construction materials in the Ci of Air,' on must be reported on your sales tax return form
and co Ci f ingt #3101.
n4,rt0 �S -tc)--%
ign urc not Name Date Released By Date
CONDITIONS
Adhere to Approved Plans. Additional requirements: The Quick-Joint fittings(that were included as part of
the plat's pressure test)were removed/cut off from tail pieces. These were to be the domestic plumbing
point of connection.New ones will need to be supplied and re-installed by plumber/developer at time of
service line connection. Call the Public Works Department at 360-403-3526 for connection inspection.
THIS PERMIT AUTHORIZS ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY
CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION.
PERMIT FEES
Date Description Fee Amount
5/10/2017 Building Permit Fee $2,109.12
5/10/2017 Building Plan Review Fee $1,370.93
5/10/2017 Furnace $25.00
5/10/2017 Gas Outlets Base Fee 1 to 5 $10.00
5/10/2017 Mechanical Fee(Enter Fixture Fee) $25.00
5/10/2017 Mechanical Permit Base Fee $25.00
5/10/2017 Park-Community MF $1,662.00
5/10/2017 Plumbing Permit Base Fee $25.00
5/10/2017 Plumbing Permit Fee(Enter Fixture Fee) $132.00
5/10/2017 Processing/Technology Fee $25.00
5/10/2017 State Building Code Surcharge Fee $4.50
5/10/2017 Traffic Mitigation $3,355.00
5/10/2017 Water Heater $25.00
Total Due: 58,793.55
Total Payment: $1,370.93
Balance Due: $7,422.62
CALL FOR INSPECTIONS
BI ILDIN(.(360)403-341 7
When calling for an inspection please leave the following information:
Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon
` l
Permit Information
Date 4/21/2017
Permit Number 1438
Project Name Gregory Park
Applicant Name LGI Homes-Washington,LLC
Applicant Address 11410 NE 124th Street,Ste#103
City,State,Zip Kirkland,WA 98034
Contact Matt Adams
Phone 425-785-0797
Email matt.adams@lgihomes.com
Permit Type Single Family Residence
Site Address 9006 171 st Street NE
Valuation 187421.00
Status Applied
Permit Issued
Permit Expires
Square Feet 1889
Type of Construction/Occupancy Load V-B
Number of Stories 1
Proposed Use New SFR
Assigned To Kristin Foster
Property Information Owner Information
Parcel#: LGI HOMES-WASHINGTON LLC
LGI HOMES-WASHINGTON LLC 1450 LAKE ROBBINS DR STE 430
9006 171 ST STREET NE THE WOODLANDS,TX 77380
Contractors
Contractor Name Primary Phone Email Contractor License License#
Contact Type
ILGI Homes-Washington,Jake Jabusch 360-353- ake.jabusch@lgihomes.co '3ONTRACTOR I-abor and LGIHOHLB57M
LLC 0588 Industries
Review
Date Type Description I TargetDate Com leted Date I Assigned To I Status
4/21/2017 Ifiesidential Dwellin 4/28/2017 Rick Karns lin Review
Fees
Fee I Description I Notes Amount
Building Plan Review Fe 345.83.00.00 $1.370.9
Total $1,370.93I
Payments
Date Paid By Amount I Description I Payment Type I Accepted B
4/21/2017 ILGI Homes-Washington. LLC I $1,370.93PIan Review heck#4451 jKristin Foster
Totaq $1,370.9" Amount Outstanding.$0.0
Uploaded Files I Upload File
Date File Uploaded B
4/21/2017 2:21 A2 PM 1438 AP lication.pdf Foster. Kristin x
4/21/2017 2:21:41 PM 1438 Site Plan.pddf Foster, Kristin x
1_o,,rl
"y ° RESIDENTIAL PERMIT APPLICATION
'Y ?
Department of Community & Economic Development
City of Arlington• 18204 59th Ave NE •Arlington,WA 98223 • Phone(360)403-3551
THIS APPLICATION IS TO BE USED WHEN APPLYING FOR A NEW SINGLE-FAMILY, DUPLEX, TOWNHOUSE,
ADDITION, DECK,OR ACCESSORY STRUCTURES. THIS APPLICATION MUST BE ACCOMPANIED BY TWO(2)SETS
OF CONSTRUCTION DRAWINGS AND TWO(2)SETS OF STRUCTURAL CALCULATIONS. THE APPLICATION MUST
ALSO INCLUDE THE PLUMBING SUBMITTAL AND THE MECHANICAL SUBMITTAL FORMS. THE ZONING
VERIFICATION MAY BE SUBMITTED PRIOR.
Project Address: �(�Uri s r S't- Cif Plat: C le&W-4
Single-family 01 Duplex ❑ Townhouse ❑ Addition ❑ Accessory structure
Proposed Area: 1 s1 Floor: /q 9�- 2nd Floor: Garage: Z{y� Total SF: ( g J
Describe Proposal (include cross street):
�'r �i C ID �- /�F�J S�N� �^t'►u-r �r t G (- s 5 r
ValuatioA\ /M- , cl� . I
Owner: Z-6-7I' H-brv�5 - (A)k5( rAuL�,T a/3 LL
Address: I/Yy /R_- /,drO 5r-"�(03 City: t<. A+v�> State: Zip Code: t303
Phone: q1 Email: V/kATr krAy S
Applicant:
Address:lK(C) T City: / � _ State: Q4 Zip Code: _
Phone: � - �' Email:
Contractor: �G,I K,�,�,�sj - WAJ S( /Vr/�7:�/\J
Address:tft(0 City:�bt W AA,)Z) State: Zip Code: �iO3�f
Phone: z- ?�_ - �-?-5-, D7 Email: � 5 (_'o,
Contact Person: 5 License Number: Expiration: D �03 (,—
6/16LP Page 1 of 3
RESIDENTIAL PERMIT APPLICATION
Department of Community & Economic Development
O' City of Arlington• 18204 59th Ave NE •Arlington, WA 98223 • Phone(360)403-3551
Plumbing Section (continue filling out 'rf plumbing is involved)
(Check all that apply and indicate the number of fixtures proposed)
4, Bath/Shower Combo (4.0) x I I'-Sink (1.5) x /
W�_Shower (2.0) x ' L?j,_ Lavatory (1.0) x
r�
( Clothes Washer (4.0) x Water Closet(2.5) x
- Dishwasher (1.5) x [91-_-_Water Heater x
Hose Bibb (2.5) x Water Heater Model #
Other (list) x
Plumbing Section Continued
Proposed Water Piping Size: 3 k Proposed DWV Material:
Proposed Piping Material: Proposed DWV Size: `f
• All hose bibs required to be equipped with Atmospheric Vacuum Breakers per ASSE 1019
• All water supplies at 80psi or greater shall have Pressure Reducing Valves (PRV)
6/16LP Page 2 of 3
RESIDENTIAL PERMIT APPLICATION
A Department of Community & Economic Development
City of Arlington• 18204 59th Ave NE • Arlington,WA 98223 • Phone(360)403-3551
Mechanical Section (continue filling out if mechanical equipment is involved)
Select proposed appliances:
1�;-- Furnace (80+) Model # 5 / Nr ?5��4-30ct AFUE
LJ Heat Pump Model# SEER HSPE
❑ AC Unit Model# SEER
Q Type II Hood ❑ Commercial Cooking Appliance ❑ Hydronic Piping
❑' Boiler Solid-Fuel Appliance PV System
Fireplace Insert ❑ Outdoor BBQ ❑ Storage Tank
❑ Freestanding Stove ❑ Gas Piping ❑' Other
Gas Piping Information
Not Applicable:' ❑
Pipe Material: S ' Pipe Size: Total BTU's of all Appliances: )-o i 000
Distance from Meter to Furthest Appliance:
• New gas piping requires a pressure test to hooking to any appliance
• Sediment traps (drips) are required on all gas lines
• Gas lines are required to be supported/secured every 6 to 8 feet
• Proper combustion air and venting required for all appliances
• A shut-off is required within 6 feet of all appliances
tk_
Applicant Signature: 4Date:
Print Applicants Name:
6/16LP Page 3 of 3
Permit#1438
Address Payment Info
Address 9006 171 ST STREET NE Receipt# 1206563
City ARLINGTON Date 4/21/2017
State WA Paid By LGI Homes-Washington,LLC
Zip 98223 Description Plan Review
Payment Type Check#4451
Accepted By Kristin Foster
Fees Paid
Fee Fee Description Factor
Total Fee Amount
Amount Paid
Building Plan Review Fee 345.83.00.00 0 1,370.93 1,370.93
Total Payment:1,370.93
Permit#: 1438
Permit Date: 04/21/17
Permit Type: RESIDENTIAL SINGLE FAMILY
Project Nam e Gregory Park
Applicant Nam a LGI Horn cs -Washington, LLC
Applicant Address: 11410 NE 124th Street, Ste #103
Applicant, City, State, Zip: Kirkland,WA98034
Contact: Matt Adam s
Phone: 425-785-0797
Em al: m at.adam s@lgihom cs.com
Scope of Work: New SFR
Valuation: 187421.00
Square Feet: 1889
Num ber of Stories: 1
Construction Type:
O xupancy G ioup:
ID Code:
Permit Issued: 05/10/2017
Permit Expires:
Form Permit Type:
Status: LASERFICHE
Assigned To:
Property
Parcel# Address L egal Description O wrier Nam e Ovner Phone Zoning
LGI HOMES-
01166900004500 9 006 171 ST STREET NE WASHINGTON
LLC
Contractors
Contractor P rim ay Contact P hone A ddress C ontractor Type L icense License#
LGI HOMES- 12951 BELRED CONSTRUCTION Labor and LGIHOHL857MB
WASHINGTON LLC RD#150 CONTRACTOR Industries
Inspections
Date I nspection Type D escription S cheduled Date C om lieted Date I nspector S tatus
06/20/2017 R20.SFR/DUPLEX Com Oeted
FINAL
Plan Reviews
Date R eview Type D escription A ssigned To R eview Status
04/21/2017 RESIDENTIAL SINGLE z.Rick Karns
FAMILY
Fees
Fee D escription N otes A m cunt
Building Plan Review T able 4-2 $1,370.93
Building Perm i T able 4-1 $2,109.12
Forced Air Heat f ee per Btu $25.00
Gas Piping/Units E nter#of units $10.00
Mechanical Fee(Enter Fixture Fee) $25.00
Mechanical Base P erm i Fee $25.00
Plum ling Base Perm i Fee $25.00
Mechanical Com m ecial Perm i T able 4-7;Per Unit 1 1 @$12 $132.00
Processing/Technology $25.00
State Surcharge- 1st DU R esidential-1st Unit $4.50
Water Heater(Tank) $25.00
Park-Com m nity MF Miki-fam iy $1,662.00
Traffic Mitigation-C/MF Cbm m ecial/Multi-fam iy $3,355.00
Total $8,793.55
Attached Letters
Date Letter D escription
05/09/2017 Building Perm i
Paym sits
Date Paid By D escription P aym art Type A ccepted By A m amt
04/21/2017 LGI Hom cs-Washington,, Plan Review C heck#4451 K ristin Foster $1,370.93
LLC
05/10/2017 LGI Hom cs-Washington,, Building Perm i C heck#4452 K ristin Foster $7,422.62
LLC
O itstanding Balance $0.00
Notes
Date Note C reated By:
05/09/2017 Plan 1487-Colum lia K ristin Foster
Uploaded Files
Date File Nam e
05/10/2017 2277507-1438 Issued Perm i.pdf
04/21/2017 2234957-1438 Application.pdf
04/21/2017 2234956-1438 Site Plan.pdf