HomeMy WebLinkAbout9018 171st Street NE_BLD1440_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: �l.I�
5�65 � � � �� 51;�R�i� �I.�� Plat: � �- -�U�? � 1� `T T
Single-family ❑ Duplex ❑ Townhouse ❑ Addition ❑ Accessory structure
Proposed Area: 1" Floor: Ol 2"d Floor: Garage: Total SF:
Describe Proposal (include cross street):
'— I- AJ r Q �� Tz) ,561- 6,c �
Valuation:
Owner: L67� �0,CE5 (/JA541414T-D� L L`
Address: r'(qJD /\�E l y`f r4 5 /03 City: L,?Jdk-tst> State: Zip Coder
Phone: ��/�' � 0 7_19�_ Email: WA M, "+KA-5(D _ LU 44w-F-S, e-am,
Applicant: 1_�E_�> W A,5 4 tv 6V--1 n) L(_ t
Address: I 0 kyZ V� ajr gtO3 City: ZLl!�xj1) State: �A Zip Code:
Phone: 4) r 7 � 0_,�97 7— Email: lMAIT-Ac AW5 (k— �U(/-�r �S. e4ok'
Contractor. ��/ 4aA.F_5 — GJ4 5 tN ryZnTz)r� lJ,C
Address: �l'141y A)F �U3City: ��LrWkAjD State: �/Jk Zip Code: /�
Phone: �l`� '����(��"OI�" - - -- Email: t/lf��►? '* ��7�41z S
Contact Person: 5 License Number: Expiration: 03 /
6/16LP Page 1 of 3
's1 ° RESIDENTIAL PERMIT APPLICATION
Department of Community & Economic Development
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)
q Bath/Shower Combo (4.0) x / C Sink (1.5) x r
Shower (2.0) x / Lavatory (1.0) x
❑ Clothes Washer (4.0) x [�Y—Water Closet(2.5) x
Dishwasher (1.5) x / [,-J� Water Heater x I
Yl- Hose Bibb (2.5) x a— Water Heater Model #
f� Other (list) x
Plumbing Section Continued
Proposed Water Piping Size: 5k Proposed DWV Material:
Proposed Piping Material: po�C Proposed DWV Size: 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
,y .y
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# t6V 3 D o f/%AFUE o
❑ Heat Pump Model# SEER HSPE
❑, AC Unit Model# SEER
❑ Type II Hood ❑ Commercial Cooking Appliance ❑ Hydronic Piping
Boiler Solid-Fuel Appliance ❑I PV System
❑ Fireplace Insert ❑ Outdoor BBQ ❑i Storage Tank
Freestanding Stove Gas Piping 01 Other
Gas Piping Information
Not Applicable: ❑
Pipe Material:ge� L4AUJ Pipe Size: Total BTU's of all Appliances:
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: '4 1 aZvl
Print Applicants Name:
6/16LP Page 3 of 3
i
CITY OF ARLINGTON
238 N. OLYMPIC AVE-ARLINGTON, WA. 98223
42 PHONE; (360)403-3551
BUILDING PERMIT
Address:9018 171st Street NE Permit#:1440
Parcel#: Valuation:283315.00
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: 2 CONST.TYPE: V-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. IBC 110/IRC 110.
SALES TAX NOTICE:Sales tax relating to construction and construction materials in the ty o nust b re ed on your sales tax return form
an c d y o Arl' ton#3101.
5- —1
Sig ature Print 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 $2,870.40
5/10/2017 Building Plan Review Fee $1,865 76
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) $180.00
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: $10,097.66
Total Payment: $1,865.76
Balance Due: $8,231.90
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
° d _ SETBACKS NOTES.'
fRONT 20' ,BUILDING D/MEN.906 ARE M
12^'WATER °� ' REAR 5' .OWING 9YOMW AS DESIGN
16+0b 71S T. NE ACTUAL LOCAnOW MAY VARY
17f •SLOf DRIVEWAY TO PUBLIC ROAD
•mi T FENOLr TO BE INSTALLED PER
R OYTY OF RLINGTOINS STANDARD
S&W CL£ANOUT. WATER 5'PRIVATE •SILT FENCE TO BE INSTALLED OW
CAVNECT ROOF AND 6RAD/ENT SIDE O F BUILDING
f TING DRAINS SERN� STA4M PAROLZ
£Asimar •C WSTRUC7JON ENTRANOF TO BE
r INSTALLED PER OTY OIL
ARLINGTO'V:S STANDARDS
45,00 _ STORM NOTES.•
2 49 y 2 •7£5'C INSTALLED PRIOR TO
1�U�Il 11L11Y - - CONSTRUCAON
EASEMENT 26' •BARE SOILS COVERED N1TH W 01
it l OR ANOTHER APPR00 BI/P
TOP 464.3 20'BSRL •TORSOYL PER M50O F BMP T5.13
2.6 461. 481 -V (£FF 12-DEPTH)
TOE 7
6 — DRIVEWAY •ALL OWSITF RUNOFF COYNECTM TO
$ 11.00 - - - PRIVATE STOi"Mi l STUB
•SITE 9VALL B£STABILIZED PRIOR
I `. I �ITaY TO BUILDING PERMIT BEING
SENE19.00 I RNAL/Z£D
5'BSBL i 200 I SITENOTES.-
10' WALL/bRA/N�I GARAGE BUILDING •170YVAE FOOANG DRAINS AND
EASEMENT I 1 pU7LN£ R00 DRAINS TO PERMANENT
S1'RRM DRAINAGE SYSTEM PER
o _j APPROVED PLAT DRAINAGE PLAN
p ^ I OW RLE W91 )Ni*COUNTY.
LOT 47 o I .AREA OF DISTURBANCE INCLUDES
O o PROPGIV9 RESIDENCE J h ENARE LOT.
= i MILL-038 GARAGE RIGHT Z
PROOF OVERHANG I 1,589f ST I LEGEND.-
C- BLOW aT
° .35.- I ® WATER METER
4'(MAX)ECO-BLOCK I I I nNI.A'1ED OYAVTi UR FIRE HYDRANT
RETAINING WALL (TIP) Apo 121 SF I I AIR VAC
$ I I I --15'BSBL& ® ® CATCH BASIN
TOP 464.3 ! / I EX/S11NG COW70UR
O OLEANOUT
6 TOE 461.7 I I I (TYR) O MANHOLE
51'BSBL BLOCK WALL
45.00 468 �� TREE REMOVAL
N8920'49'!Y_',
I I I
SCALE 1'= 20'
j I \ LOT 47
i I
SITE PLAN
GREGOR Y PARK
LGI HOMES PLAN NO. MILL-2338
LKNA)'11PA
4,320 SF DATE 411912017 PARCEL # LOT 47
1,589 5F g7„NE 29h PI°re,g101
481 SF C�E ll,&—,WasFingtm 90007 DESIGNED CORE ADDRESS 901E 171ST ST.
azs.eas�en Fox gzs.eas.wea
12 SF `�DESIGI� PROJECT NUMBER
2,OB2 SF
ENGINEERING • PLANNING • SURVEYING DRAWN CAF 13024E-GRGOO
CITY OF ARLINGTON
238 N. OLYMPIC AVE -ARLINGTON, WA. 98223
PHONE; (360)403-3551
BUILDING PERMIT
Address:9018171st Street NE Permit#:1440
Parcel#: Valuation:283315.00
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: 2 CONST.TYPE: V-$
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/IRC110.
SALES TAX NOTICE:Sales tax relating to construction and construction materials in the tY o ngto
an d o Ar/lj ton#3101.
Sig ature
Print Name Date
Released
By ySDwate
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 $2,870.40
5/10/2017 Building Plan Review Fee $1,865.76
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) $180.00
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: $10,097.66
Total Payment: $1,865.76
1;al;mvc Dur: $8,231.90
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
I ,
Permit Information
Date 4/21/2017
Permit Number 1440
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 9018 171st Street NE
Valuation 283315.00
Status Applied
Permit Issued
Permit Expires
Square Feet 2718
Type of Construction/Occupancy Load V-B
Number of Stories 2
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
9018 171st Street NE THE WOODLANDS,TX 77380
Contractors
Contractor Name Primary Phone Email Contractor Type License License#
Contact
LGI Homes-Washington,lake Jabusch 360-353- ake.jabusch@lgihomes.co CONTRACTOR (Labor and ILGIHOHL857M LLC )588 Industries
Review
Date Type Description Ta et Date Completed Date I Assigned To Status
4/21/2017 lResidential Dwellin 4/28/2017 JRIck Karns In Review
Fees
Fee Description Notes Amount
Buildin Plan Review Fee 3,45.83,00.001 $1,865.7
Total $1,865.76
Payments
Date Paid By Amount I Description I Payment Type I Acre ted B
4/21/2017 ILGI Homes-Washington,LLC $1.865.7 Plan Review Pheck#4457 jKristin Foster
Totaq $1,865.7q Amount Outstanding:$0.0
Uploaded Files I Upload File
Date File Uploaded B
4/21/2017 3:08:19 PM 1440 Site Plan.pdf Foster, Kristin
4/21/2017 3:08:19 PM 1440 Application. df Foster. Kristin x
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:
1�4--Furnace (80+) Model# �ZAA,( %6S4 739WO AFUE 5�o
❑ Heat Pump Model # '��77 SEER HSPE
U AC Unit Model# SEER
❑ Type II Hood ❑ Commercial Cooking Appliance ❑ Hydronic Piping
❑ Boiler ❑ Solid-Fuel Appliance ❑ PV System
Fireplace Insert ❑ Outdoor BBO ❑ Storage Tank
Ea Freestanding Stove Gas Piping ❑ Other
Gas Piping Information
Not Applicable: ❑
Pipe Material: Pipe Size: �r Total BTU's of all Appliances:
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: 44 Zf 13
Print Applicants Name:
6/16LP Page 3 of 3
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 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: �i
�6.� T /lx- Plat: �1 g -ro►? '? T
Single-family ❑ Duplex ❑ Townhouse ❑ Addition ❑ Accessory structure
Proposed Area: 15`Floor: f� D(o 2nd Floor: Garage: 30b Total SF:�
Describe Proposal (include cross street):
o
Valuation: g �«
Owner: L671 40tE5
Address: ()-f T�i 4�/03 City: L;Z U k-ND State: Zip Code: ?bog
Phone: �fl��' �- 0 -(I Email: WfA'� l�)�►,v��C� _ �6�� 5 Ca►pt
Applicant: E 5 LL�'4 S d] tv LIT8 n) L �.
Address: 1(4f(O &�Z 1)-y City: JE(LI 4 W7 State: Zip Code: / D�
Phone: `f) �� U � Email: wl/�'f��I Awt� <iD_ G°*�
Contractor: Lc f 6,oke5
Address: k)E ),q �� (y3Cit
y: l �jD State: ( J r Zip Code:
Phone: Email: ;I?�1�� �7� rk°z�s &X
Contact Person: License Number: Expiration:
6/16LP
Page 1 of 3
RESIDENTIAL PERMIT APPLICATION
® ` Department of Community & Economic Development
City of Arlington• 18204 59th Ave NE •Arlington,WA 98223 • Phone(360)403-3551
Plumbing Section (continue filling out 9 plumbing is involved)
(Check all that apply and indicate the number of fixtures proposed)
Bath/Shower Combo (4.0) x I l Sink (1.5) x r
Shower (2.0) x _ Lavatory (1.0) x
Clothes Washer (4.0) x 1�31—Water Closet (2.5) x
n Dishwasher (1.5) x / Water Heater x I
7� Hose Bibb (2.5) x Water Heater Model #
Other (list) x /
�0 514t-
Plumbing Section Continued
Proposed Water Piping Size: t� Proposed DWV Material:
Proposed Piping Material: _ Proposed DWV Size:
4
• 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
Permit#1440
Address Payment Info
Address 9018 171 st Street NE Receipt# 1206565
City Arlington Date 4/21/2017
State WA Paid By LGI Homes-Washington,LLC
Zip 98223 Description Plan Review
Payment Type Check#4457
Accepted By Kristin Foster
Fees Paid
Fee Fee Description Factor Total Fee AmountAmount Paid
Building Plan Review Fee 345.83.00.00 0 1,865.76 1,865.76
Total Payment:1,865.76
Permit#: 1440
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: 283315.00
Square Feet: 2718
Num ber of Stories: 2
Construction Type:
O xupancy G ioup:
ID Code:
Permit Issued: 05/10/2017
Permit Expires:
Form Permit Type:
Status: LASERFICHE
Assigned To: Kristin Foster
Property
Parcel# Address L egal Description O wrier Nam e Ovner Phone Zoning
LGI HOMES-
9018 171 st Street NE WASHINGTON Residence
Single Dam iy
-Detached
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 Ileted Date I nspector S tatus
06/20/2017 R20.SFR/DUPLEX Com Iieted
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 in cunt
Building Plan Review T able 4-2 $1,865.76
Building Perm i T able 4-1 $2,870.40
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
Park-Com in nity MF Muti-fam iy $1,662.00
Plum ling Base Perm i Fee $25.00
Mechanical Com in ecial Perm i T able 4-7;Per Unit 1 5 @$12 $180.00
Processing/Technology $25.00
State Surcharge- 1st DU R esidential- 1st Unit $4.50
Traffic Mitigation-C/MF Cbm m mial/Multi-fam iy $3,355.00
Water Heater(Tank) $25.00
Total $10,097.66
Attached Letters
Date Letter D escription
05/10/2017 Building Perm i
Paym arts
Date Paid By D escription P aym art Type A ccepted By A in amt
04/21/2017 LGI Hom cs-Washington,, Plan Review C heck#4457 K ristin Foster $1,865.76
LLC
05/10/2017 LGI Hom cs-Washington,, Building Perm i C heck#4458 K ristin Foster $8,231.90
LLC
O itstanding Balance $0.00
Uploaded Files
Date File Nam e
05/10/2017 2277504-1440 Issued Perm i.pdf
04/21/2017 2235068-1440 Application.pdf
04/21/2017 2235069-1440 Site Plan.pdf
Permit#: 1440
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: 283315.00
Square Feet: 2718
Num ber of Stories: 2
Construction Type:
O xupancy G ioup:
ID Code:
Permit Issued: 05/10/2017
Permit Expires:
Form Permit Type:
Status: LASERFICHE
Assigned To: Kristin Foster
Property
Parcel# Address L egal Description O wrier Nam e Ovner Phone Zoning
LGI HOMES-
9018 171 st Street NE WASHINGTON Residence
Single Dam iy
-Detached
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 Ileted Date I nspector S tatus
06/20/2017 R20.SFR/DUPLEX Com Iieted
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 in cunt
Building Plan Review T able 4-2 $1,865.76
Building Perm i T able 4-1 $2,870.40
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
Park-Com in nity MF Muti-fam iy $1,662.00
Plum ling Base Perm i Fee $25.00
Mechanical Com in ecial Perm i T able 4-7;Per Unit 1 5 @$12 $180.00
Processing/Technology $25.00
State Surcharge- 1st DU R esidential- 1st Unit $4.50
Traffic Mitigation-C/MF Cbm m mial/Multi-fam iy $3,355.00
Water Heater(Tank) $25.00
Total $10,097.66
Attached Letters
Date Letter D escription
05/10/2017 Building Perm i
Paym arts
Date Paid By D escription P aym art Type A ccepted By A in amt
04/21/2017 LGI Hom cs-Washington,, Plan Review C heck#4457 K ristin Foster $1,865.76
LLC
05/10/2017 LGI Hom cs-Washington,, Building Perm i C heck#4458 K ristin Foster $8,231.90
LLC
O itstanding Balance $0.00
Uploaded Files
Date File Nam e
05/10/2017 2277504-1440 Issued Perm i.pdf
04/21/2017 2235068-1440 Application.pdf
04/21/2017 2235069-1440 Site Plan.pdf