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Home My WebLink About17026 89th AVENUE NE_BLD1512_2026 RESIDENTIAL PERMIT APPLICATION Department of Community&Economic Development �'ll�rG`O 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: a-G - /A U Al _ Plat: 0PL( Aaz tZj[ Single-family Duplex Townhouse Addition ❑ /ccessory structure Proposed Area: ls' Floor: �_ 2nd Floor: Garage: Total SF: Describe Proposal (include cross street): C 'C� e �V*iyc IQ 0- Valuation: / 4W414) Owner: LI 1r l Address: 11ZQ li fY SL /03 City: ,�f�6 % State:4 Zip Code: Phone: ziZ� 7Uj ® 71 Email *PAn2 t-Iel4'Les. e�o Applicant: L61 40XE -AJ4s bey47b C� 'L Address: �g111) Aff- P-Yr' SR /O City: kAfkAk/0State: Zip Code: Phone: ��- --C'7 Email: *ATTAIAt 5 0 L41A14,�c- 2- c Contractor: 4-fO WL��' — ( 5 tl�C17-0L— Address: ��'C�� 1�`?' �'I '�U� City: a State: Zip Code: Phone: e4,2 — Email: Contact Person: License Number:4.1�JJL4US (Expiration: y 6/16LP Page 1 of 3 Y RESIDENTIAL PERMIT APPLICATION Department of Community& Economic Development N O' 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 Sink(1.5) x 1 l Shower(2.0) x I Lavatory(1.0) x [� Clothes Washer(4.0) x ( Water Closet(2.5) x Z [J--Dishwasher(1.5) x i I�J—Water Heater x ll_ Hose Bibb (2.5) x Water Heater Model# Other(list) x Plumbing Section Continued w Proposed Water Piping Size: � � Proposed DWV Material: �S t( Proposed Piping Material: Proposed DWV Size: • 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 l�YG'S Mechanical Section (continue filling out if mechanical equipment is involved) Select proposed appliances: at Furnace(80+) Model# `yob AFUE ❑ Heat Pump Model# SEER HSPE ❑ AC Unit Model# SEER ❑ Type II Hood L� Commercial Cooking Appliance LJ Hydronic Piping ❑ Boiler1. Solid-Fuel Appliance FJ1 PV System ❑ Fireplace Insert U Outdoor BBQ Q Storage Tank Freestanding Stove Gas Piping ❑ Other Gas Piping Information Not Applicable: ❑ I (ICI(. l� Pipe Material: ipe Size: Total BTU's of all Appliances: Q� Distance from Meter to Furthest Appliance: 2:T' • 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 t Applicant Signature: Date: �- 1 Print Applicants Name: 6/16LP Page 3 of 3 CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:17026 89th Avenue NE Permit#: 1512 Parcel#:01166900003600 Valuation: 187421.13 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 98033 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: I CONST.TYPE: `I-B DWELLING UNITS: I 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. SALE 'rjfX NOTILgales tax relating to construction and construction materials in the City otIArlington must be reported on your sales tax return form and c c Ci f rli on#3101. tijnaLpre Print Name o ate I Released By Date CONDITIONS Adhere to approved plans. 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 6/20/2017 Building Permit Fee $2,log. 12 6/20/2017 Building Plan Review Fee $1,370.93 6/20/2017 Furnace $25.00 6/20/2017 Gas Outlets Base Fee 1 to 5 $10.00 6/20/2017 Mechanical Fee(Enter Fixture Fee) $25.00 6/20/2017 Mechanical Permit Base Fee $25 00 6/20/2017 Park-Community SF $1,662.00 6/20/2017 Plumbing Permit Base Fee $25.00 6/20/2017 Plumbing Permit Fee(Enter Fixture Fee) $132.00 6/20/2017 Processing/Technology Fee $25.00 6/20/2017 State Building Code Surcharge Fee $4.50 6/20/2017 Traffic Mitigation $3,355.00 6/20/2017 Water Heater $25.00 Total Due: $8,793.55 Total Payment: $8,793.55 Balance Due: $0.00 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 SETBACKS NOTES. fROWT 20' .BUILDING D/MENSIGWS ARE 7CJ NDE 5' FACE OF fWNDAAAN REAR 5' •WAO/NG S YONN AS DE96YV \ U ACTUAL IOCA77aV MAY VARY •g6PE DRNEWAY ICJ PUBLIC ROAD : o •SYL T FENLT 70 BE/NSTALLm P& aTY OF ARLING7CW S STANDARD f0.00'PR/VA1F ` •SYLT fpwr TO BE/NSTALLM AN - ---- --- --_ WALL AND DRNVAGE o; pPAO/ENT SyOE Or BUILD/NG �EASEMENT PRQ°E1ZZL'_— PARQE TOP 446.0 -- _ -ZORN£R .CON57RUC77CW ENIRAMX TO BE -- - -4-0 �442.0 _ L__ —�� — — LTYPU ---_ - INSTALLEDPERa7YOF N00;39'11'E ARL/NVP S STANDARDS. 43..DO STORM NOTES: I •7ESC INSTALLED PRIOR 7CJ } COWS7RUC77OV500} f12V70VR D -BARE SX S C01fREV Nl7H MULOY , B� I I (T ) �ANOW?APPROIoW BA/P •XPSaL PiR NSDOIE BA/P 7513 50b I 24.50 500'�I PA AO 12 r (EFF 12-DiP7H) BSBL I •ALL 6YV97E RUNOFF CLWNEC7E0 70 I g I PRIVATE SrbRV SIVB 5.00 I I •-97E 9YALL BE STABILIZED PRIOR —BS& I EXlS11NG COWJOY/R NON G P&MIT BEING LOT 36 1050 I (np) S/TENOTES.• PROPOSED RESIDENCE I •nQVIL/N£FOOANG DRAINS AND g COL.-1487 GARAIE RIGHT — 1.00(ROOF 0 ERHANG ROOD DVPA/NS 7D PERMANENT 2,109t-V 3 I S7i714A/DRA/NAX SY57EM PER APPROiw PLAT DRA/NA6E PLAN p <r o I GW ALE N11H 7HE OYX/N7Y. BUILDING a I •AREA OF DISTURBANCE INCLUDES' I OURIN£ = I EV77RE LOT. GARAQ� g `g I Sr6RV CWWOUT LEGEND.• CUNNECT ROOD AND 9-- BLOW OFF 4.00 FOOANG DRAINS ® WA7&A/E7& 4.25 I 4( RRE HYDRANT 1611.00 N/R VAC SENER i � I L5 ® CArov BASYN CCWNEC7OW ORI AY 2000 \\ ° . BSm O OYEANGY/T PROPERTY O MANHOLE CORNER, I' �� N ® BLGIQY WALL OFFSET(TYP r WATER y+ 7REF ASWOVAL \.71CRwa 10.00,PUBLIC 5A0'PRIVATE UlVrr LOVPN/NAX EASEMENT EASEMENT STALE 1'-20' 112t00 1 R=75.00 LOT 36 _ N00 3911E 6417124" 12 WA L-14.87 - � SITE PLAN GREGOR Y PARK LG/ HOMES PLAN NO. COL.-1487 LOT AREA = 4,327 SF DATE 511212017 PARCEL # LOT 36 HOUSE= 2,109 SF 1471 I NE 291h Plam,N 101 DR11EWAY= 416 SF B•Ik—,WushMgro 96007 DESIGNED CORE ,ADDRESS 17026 897H AW 425.885.7877 Fax 425.985.7963 WALKWAY/PAAO = 12 SF PROJECT NUMBER TOTAL= 2,537 Sr ENGINEERING , PLANNING • SURVEYING DRAWN CAF 13024L-GR000 CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:17026 89th Avenue NE Permit#:1512 Parcel#:01166900003600 Valuation: 187421.13 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 98033 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: I CONST.TYPE: ` -13 DWELLING UNITS: I 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 T.YX N 7' E: 'ales tax relating to construction and construction materials in the City O l in n must be reported on your sales tax return form and c e Ci f rli on#3101. Af aa� 41)JOU (�- rt,�,, ign re Print Name [ate R leased By Date CONDITIONS Adhere to approved plans. 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 6/20/2017 Building Permit Fee $2,109.12 6/20/2017 Building Plan Review Fee $1,370.93 6/20/2017 Furnace $25.00 6/20/2017 Gas Outlets Base Fee 1 to 5 $10.00 6/20/2017 Mechanical Fee(Enter Fixture Fee) $25 00 6/20/2017 Mechanical Permit Base Fee $25.00 6/20/2017 Park-Community SF $1,662.00 6/20/2017 Plumbing Permit Base Fee $25.00 6/20/2017 Plumbing Permit Fee(Enter Fixture Fee) $132.00 6/20/2017 ProcessingfTechnology Fee $25.00 6/20/2017 State Building Code Surcharge Fee $4.50 6/20/2017 Traffic Mitigation $3,355.00 6/20/2017 Water Heater $25.00 Total Due: $8,793.55 Total Payment: $8,793.55 Balance Due: $0.00 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 V &v- 0=m-o Permit Information Date 6/15/2017 Permit Number 1512 Project Name Gregory Park Applicant Name LGI Homes-Washington,LLC Applicant Address 11410 NE 124th Street,Ste#103 City, State,Zip Kirkland,WA 98033 Contact Matt Adams Phone 425-785-0797 Email matt.adams@lgihomes.com Permit Type Single Family Residence Site Address 17026 89th Avenue NE Valuation 187421.13 Status Applied Permit Issued Permit Expires Square Feet 1889 Type of Constriction/Occupancy Load V-B Number of Stories 1 Proposed Use New SFR Assigned To Kristin Foster Property Information Owner Information Parcel#:01166900003600 LGI HOMES-WASHINGTON LLC LGI HOMES-WASHINGTON LLC 1450 LAKE ROBBINS DR STE 430 17026 89th AVENUE NE THE WOODLANDS,TX 77380 Contractors Contractor Name Primary Phone Email Contractor License License# Contact Type LGI Homes-Washington. Jake Jabusch 360-353- ake.jabusch@lgihomes.co CONTRACTOR ILabor and LGIHOHL857M LLC 0588 Industries Review Date Type Description I Target Date Completed Da—t-e-7 Assigned To Status /15/2017 lResidential Dwellino 6/22/2017 Nmy Rusko In Review 5/15/2017 lResidential Dwellino 5/22/2017 lRick Karns Illn Review Fees Fee Description Notes Amount Building Permit Fed322.10M.01 $2,109.12 Building Plan Review Fe 345.83.00.Oq $1.370.9 Furnasm 322.10.00.001 $25.0 Gas Outlets Base Fee 1 to M 322.10.00.0 $10A Mechanical Fee(Enter Fixture Fee)j 322.10.00.Oq $25.00 Mechanical Permit Base Fed 322.10.00.Oq $25.00 Park-CommunIty S 345.85.00.0 $1,662.0' Plumbing Permit Base Feel 322.10.00.00I $25.00 Plumbing Permit Fee(Enter Fixture Fee)j 322.10.00.0 11 @$12 $132.00 Processing/Technology Fe 341.43.00.02 $25.00 State Building Code Surcharge Feel 386.00.01.0 $4.50 Traffic Mitigation Mitigationi 345.85M 02 $3,355.00 Water Heateq 322.10 00.001 1 $25.00 Total $8,793.5 Payments Date Paid By Amount I Description I Payment Tyke Acce ted B 6/15/2017 [LGI Homes-Washington LLC 1 $7,422.621 Pheck#4791 1(ristin Foster Total $7.422.621 Amount Outstanding:$1,370.93 Notes Date Note 6/15/2017 Lot 36-Plan 1487-Columbia Uploaded Files I Upload File Date File Uploaded By 77777 ME �`�'` °P RESIDENTIAL PERMIT APPLICATION Department of Community&Economic Development �lI�.G,sO 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: A�V� N Plat: ' 0g , Z t Single-family ❑ Duplex Townhouse ❑ Addition ❑ /ccessory structure Proposed Area: 1st Floor: IkT— 2nd Floor: Garage: �aZ Total SF: Describe Proposal (include cross street): n Valuation: Owner: L! l4mi,4;) - 'V4, S4'J L-("_- Address: 11 YZ D A-it �Lql" t-4/0 city: 14 c State: Zip Code: T O� Phone: `TZ� TCe Email: Applicant: U-7 I 40140 -A C`AA47-0,1 6- Address: /Uf- PY rlf'�C_ City: State: Zip Code: Phone: r Email: *ATr.A1>6ft5 GCS/ /� s�• ��'`� Contractor: 4L— Address: VI (7 AJE 1;y� S ` 03 City: N State: Zip Code: Phone: Z��` 3�� d Email: &Ibl-d-P6k !Sco _J l 5 Contact Person: j License Number:&%ZJ14(4�'Wkxpiration: y 6/16LP 1 J�� Page 1 of 3 • •+.t �. •��.`I cY;Juw RESIDENTIAL PERMIT APPLICATION Department of Community& Economic Development �ll 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) C Bath/Shower Combo (4.0) x Sink(1.5) x ( — Shower(2.0) x I Lavatory(1.0) x QI Clothes Washer(4.0) x [ Water Closet(2.5) x Z__ 141--Dishwasher(1.5) x i IA—Water Heater x I Hose Bibb (2.5) x Water Heater Model# Other(list) xA (T g� 3 Plumbing Section Continued Proposed Water Piping Size: Proposed DWV Material: 4 /,5 i Proposed Piping Material: 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 i RESIDENTIAL PERMIT APPLICATION Department of Community& Economic Development �PltNG�O 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# AFUE ❑ Heat Pump Model# SEER HSPE ❑ AC Unit Model# SEER ❑ Type II Hood Q Commercial Cooking Appliance ❑ Hydronic Piping IJ Boiler E� Solid-Fuel Appliance ❑ PV System ❑ Fireplace Insert 1:1_, ,"I�Outdoor BBQ ❑ Storage Tank Freestanding Stove jl Gas Piping ❑ Other Gas Piping Information Not Applicable: ❑ I Pipe Material: I ( ,� l ipe Size: I� 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: 1 Print Applicants Name: PrT_ UAWS 6116LP Page 3 of 3 I 6/21/2017 LGI HOMES-WASHINGTON LLC Searrh L&I Sarety&riealth Cairns&Insurance YP/orkhlaoe Rights Trades&Urc�nsmy Washington State Department of " Labor & Industries LGI HOMES-WASHINGTON LLC Owner or tradesperson 11410 NE 124 St Ste 103 LGI HOME GROUP LLC KIRKLAND,WA 98034 206-445-5326 Principals KING County LGI HOME GROUP LLC, PARTNER/MEMBER LIPAR, ERIC THOMAS, MANAGER RSC CORPORATION,AGENT WA UBI No. Business type 603 508 001 Limited Liability Company License Verify the contractor's active registration/license/certification(depending on trade)and any past violations. Construction Contractor Active. Meets current requirements. License specialties GENERAL License no. LGIHOHL857MB Effective—expiration 07/02/2015—07/02/2019 Bond International Fidelity Ins Co $12,000.00 Bond account no. 0657415 Received by L&I Effective date 07/02/2015 06/08/2015 Expiration date Until Canceled Insurance AMTRUST INTERNATIONAL UNDERWRI $5,000,000.00 Policy no. PAL127181500 Received by L&I Effective date 12/15/2016 12/01/2016 Expiration date 12/01/2017 Insurance history Savings ............... No savings accounts during the previous 6 year period. Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. L&I Tax debts Help us improve hftps://secure.I ni.wa.gov/verify/D etai i.aspx?UBI=603508001&LIC=LGI H OH LB57M B&SAW= 112 6/21/2017 LGI HOMES-WASHINGTON LLC No L&I tax debts are recorded for this cor -tor license during the previous 6 year period,but! debts may be recorded by other agencies. License Violations Infraction no. ESCAH00464 Satisfied Issue date RCW/WAC 02/17/2017 WAC 296.46E-990 Violation city Violation amount KIRKLAND $500.00 Typo of violation ELECTRICAL CITATION Description SPrinus non-r:nmplianr.P-SPrinim Vinlatinn (i.e.Installing a shortened rod/pipe grounding electrode,improper splicing of conductors in conduits/raceways or concealed within walls or installing a fake equipment grounding conductor or other non conforming installation.) Infraction no. NDALS00763 Satisfied Issue date RCW/WAC 12116/2016 18.27.200(1)(b)RCW Violation city Violation amount KIRKLAND $500.00 Type of violation CONSTRUCTION INFRACTION Description Advertising,offering to do work,submitting a bid or performing work when the contractors registration is suspended or revoked. Workers' comp No active workers'comp accounts during the previous 6 year period. Workplace safety and health No inspections during the previous 6 year period. 9 Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the state of'Nashington. i~itrri�a rah�rrtf3re�tvr� https://secure.I ni.wa.gov/verify/Detai i.aspx?U BI=603508001&LIC=LGI H OH L657M B&SAW= 2/2 Date: 04/09/2026 Permit#: 1512 Perm Date: 06/15/2017 Review Date: 06/15/2017 Perm Type: RESIDENTIAL SINGLE FAMILY Review Type: RESIDENTIAL SINGLE FAMILY Target Date: 06/22/2017 Scheduled Time 00:00 Com pleted Date: 06/15/2017 Description: Site plan m xts land use regulations. Review Status: Assigned To: Tim eln: 00:00 Time O it: 00:00 H curs: 0.0 Property Information Parcel#: 01166900003600 L GI HOMES -WASHINGTON LLC LGI HOMES -WASHINGTON LLC 1 450 LAKE ROBBINS DR STE 430 17026 89th AVENUE NE T HE WOODLANDS, TX 77380 Zoning: 111 Single Fam iy Residence - DetachedLot: 3 6B lock: Permit#: 1512 Permit Date: 06/15/17 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,WA98033 Contact: Matt Adam s Phone: 425-785-0797 Em al: m at.adam s@lgihom cs.com Scope of Work: New SFR Valuation: 187421.13 Square Feet: 1889 Num ber of Stories: 1 Construction Type: O xupancy G ioup: ID Code: Permit Issued: 07/05/2017 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- 01166900003600 1 7026 89th AVENUE 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 Iieted Date I nspector S tatus 08/16/2017 R20.SFR/DUPLEX Com Iieted FINAL Plan Reviews Date R eview Type D escription A ssigned To R eview Status RESIDENTIAL SINGLE 06/15/2017 FAMILY Site plan m its land use regulations. 06/15/2017 RESIDENTIAL SINGLE z.Rick Karns FAMILY Fees Fee D escription N otes A m cunt Building Perm i T able 4-1 $2,109.12 Building Plan Review T able 4-2 $1,370.93 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 m nity SF S ingle Fam iy $1,662.00 Plum hng Base Perm i Fee $25.00 M echanical Com m mial Perm i T able 4-7;Per Unit I 1 @$12 $132.00 Processing/Technology $25.00 State Surcharge- 1 st DU R esidential- 1 st Unit $4.50 Traffic Mitigation-C/MF Orn m ecial/Multi-fam iy $3,355.00 Wier Heater(Tank) $25.00 Total $8,793.55 Attached Letters Date Letter D escription 06/20/2017 Building Perm i Paym acts Date Paid By D escription P aym a►t Type A ccepted By A m cant 06/15/2017 LGI Hom cs-Washington Check#4791 K ristin Foster $7,422.62 LLC 06/15/2017 LGI Hom cs-Washington Check#4790 K ristin Foster $1,370.93 LLC O ttstanding Balance $0.00 Notes Date Note C reated By: 06/15/2017 Lot 36-Plan 1487-Colum ha K ristin Foster Uploaded Files Date File Nam e 07/10/2017 2432416-1512 Issued Perm i.pdf 06/15/2017 2372640-1512 Application.pdf 06/15/2017 2372641-1512 Site Plan.pdf Permit#: 1512 Permit Date: 06/15/17 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,WA98033 Contact: Matt Adam s Phone: 425-785-0797 Em al: m at.adam s@lgihom cs.com Scope of Work: New SFR Valuation: 187421.13 Square Feet: 1889 Num ber of Stories: 1 Construction Type: O xupancy G ioup: ID Code: Permit Issued: 07/05/2017 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- 01166900003600 1 7026 89th AVENUE 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 Iieted Date I nspector S tatus 08/16/2017 R20.SFR/DUPLEX Com Iieted FINAL Plan Reviews Date R eview Type D escription A ssigned To R eview Status RESIDENTIAL SINGLE 06/15/2017 FAMILY Site plan m its land use regulations. 06/15/2017 RESIDENTIAL SINGLE z.Rick Karns FAMILY Fees Fee D escription N otes A m cunt Building Perm i T able 4-1 $2,109.12 Building Plan Review T able 4-2 $1,370.93 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 m nity SF S ingle Fam iy $1,662.00 Plum hng Base Perm i Fee $25.00 M echanical Com m mial Perm i T able 4-7;Per Unit I 1 @$12 $132.00 Processing/Technology $25.00 State Surcharge- 1 st DU R esidential- 1 st Unit $4.50 Traffic Mitigation-C/MF Orn m ecial/Multi-fam iy $3,355.00 Wier Heater(Tank) $25.00 Total $8,793.55 Attached Letters Date Letter D escription 06/20/2017 Building Perm i Paym acts Date Paid By D escription P aym a►t Type A ccepted By A m cant 06/15/2017 LGI Hom cs-Washington Check#4791 K ristin Foster $7,422.62 LLC 06/15/2017 LGI Hom cs-Washington Check#4790 K ristin Foster $1,370.93 LLC O ttstanding Balance $0.00 Notes Date Note C reated By: 06/15/2017 Lot 36-Plan 1487-Colum ha K ristin Foster Uploaded Files Date File Nam e 07/10/2017 2432416-1512 Issued Perm i.pdf 06/15/2017 2372640-1512 Application.pdf 06/15/2017 2372641-1512 Site Plan.pdf