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HomeMy WebLinkAbout17032 89th Avenue NE_BLD1511_2026 '` °. RESIDENTIAL PERMIT APPLICATION Department of Community&Economic Development City of Arlington • 18204 59th Ave NE •Arlington, WA 98223• Phone(360)403-3551 !1;G 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: Q)q rq AV JE 1�f_" Plat: 6-7 0 ' Aaz 3 Single-family Duplex E.1 Townhouse Addition ❑ ccessory structure Proposed Area: 1st Floor: 7-q& 2nd Floor: Garage: Total SF: Describe Proposal (include cross street): Valuation: Owner: L�a �- �+�G. - ��Sttl nJ�T L('0_ Address: �� �2D 1�Y {SL z4V3 City: K % State: Zip Code: 03 Phone: `TZ�---'TI-CO/5-- 071?_ Email: �D�'19C5 �_��/� hitPS. nvo Applicant: U'71 1-6 0 4*K/"720, Address: //q/Q Alf- PYff�Sf Ai03City: k.4X State: Zip Code: Phone: �Zf2� l r� Email: � A44-5 Contractor: C ,vt-E - f�� s ,sC-c� L_t 0-- Address: figt D AJC_ j�yt �I` `%� City: LzLttt�> State: Zip Code: Phone: 44Z5-r3f: S Email: Contact Person: License Number: Expiration: 7- )2 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 if plumbing is involved) (Check all that apply and indicate the number of fixtures proposed) Bath/Shower Combo (4.0) x ( [�k_ Sink(1.5) x f UL—Shower(2.0) x Lavatory(1.0) x 3 Q Clothes Washer(4.0) x [ - Water Closet(2.5) x 3 {Dishwasher (1.5) x l "ater Heater x WL-Hose Bibb (2.5) x Water Heater Model# —Other(list) x OA3 Plumbing Section Continued K Proposed Water Piping Size: s h Proposed DWV Material: �� 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 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 ll 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: ❑ f Pipe Material: I t�S�' (Pipe Size: KTotal BTU's of all Appliances: bad-)Q 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: LIL Date: I ( �— Print Applicants Name: i' l(/ 1"� It'7q �y1 S 6/16LP Page 3 of 3 CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:17032 89th Avenue NE Permit#:1511 Parcel#:01166900003500 Valuation:227287.80 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: 2 CONST.TYPE: `1-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. IBC1l0/IRCI10. SALE.' AX i TICE:Sales tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form an ed 't of gton#310L / A- 6- 046f�:E kt>Av-t-j i/-; - 't. ignature Print Name 1)air 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 $2,426.32 6/20/2017 Building Plan Review Fee $1,577.11 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) $156.00 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: $9,340.93 Total Payment: $9,340.93 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 DIMENSIONS ARE TO PAD SYDE 5' FAIT 6F fWNDAnGW 440.0 REAR 5' •QPADING STIORW AS DfY0 ACTUAL LONNaV MAY VARY •SYOPE DR/W AY rO PUBLIC ROAD 1 •-%T fDVLE 10 BE INSTALLED ffR aTY OF ARLING UV S7 STANDARD —� •,%r fpwr rO BE INSTALLED AN ZwlENT mi LIr BUILDING � PROPERTY PARA2 -- - TOP 446.0 �N& •C WSTRUCn OV GW TRANX Tn BE ---- - -_ - -- - -I 4.0 TOE 442.0 - - — (1Yr� - -� INSmum Pa?GYTYOle N0039'11'E ARLING7tJW'S STANDARDS 45.00 STORM NOTES.• I I •TESC INSTALLM PRIOR TY1 I 10.00'PRIVATE 5.010' •BARE SOYLS COMBED NN MULaI IWALL AND ORA/NACU 85l9L I ` ,�at� SW 7513 EASEMENT I (EFF 12-DEPTH) •ALL OWSTTE RUN01�F Ca NEM R7 PRIVATE STtaw STUB I 500. I •SITE 9VALL BE STABILIZED PRIOR LPNG CON70UR� I`BS19L 500' I R AUZO G PL'7P�t/T 6dEJNG (7r.) I PAn0 12 Sly BSBL� I SITE NOTES.• •776MLINE fW77NG DRN/NS AND Row OImw RT PERMANENT 5.00'l 15.00' STtaem DRAINAX 3Y501 P& 3 APpmo PLAT 09RA/mw FLAN LOT 35 I ,�6F DITURB A(Z CVUVauDES v� g PROPOSED RESIDENCE 1 ROOF 04DPHANG DVnRE LOT. N `L 6RAYS-1834 GARAQF WIT mw I o°jp 1,369.iSF I LEGEND: CVNNECnON Z GARAC,F S rn FINISHED FINISHED 6Y£4NOlfv, I BUILDING o I L�W1YY/R o- Gl~F CGWN£CT RO01�AND 6.50 CUMIN£ R I (m) ® WA 1D?ME11R 43) FOOTING DRAINS i21.00 50 Z 1 o( RRE//Ybwr AIR VAC PROPERTY I .00' on CArov BASIN CORNER, P a , 62J'SF I \I A'FSET(T)P.) DRIWWAY I N I 0 LYEANOUT a 00, IIANHACE 18Laa(wALL 00. — a � ST A� �c�s6o 8'-cf#fR p WATDP SCALE 1'-20' 10.00'PUBIJC m5far UNITY T LOT 35 �\ EN \\ p 12'WATER e SITE PLAN GREGOR Y RA RK LG1 HOMES PLAN NO. GRA YS-1834 LOT AREA = 4,662 SF DATE 511212017 PARCEL # LOT 35 HOUSE= 1,369 SF 11711 NE 29 h Place,q 101 DRIVEWAY= 623 SF C eene�,e,W-W g 98007 DESIGNED CORE ADDRESS 17OJ2 WH AIf WALKWAY ATIO = 50 SF 425.885.7877 Fax 425.685.7963 /p ��oeslcr PROJECT NUMBER TOTAL= 2,042 SF ENGINEERING • PLANNING • SURVEYING DRAWN CAF 13024L-GRG00 CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address: 17032 89th Avenue NE Permit#:1511 Parcel#:01166900003500 Valuation:227287.80 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: 2 CONST.TYPE: V-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. IBC110/IRC110, SALE. AY TILE:Sales tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form I ed ' of gton#3101.ff 17 ignaturc Print Name Datc 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 $2,426 32 6/20/2017 Building Plan Review Fee $1,577,11 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) $156.00 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: $9,340.93 Total Payment: $9,340.93 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 ~l I Permit Information Date 6/15/2017 Permit Number 1511 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 17032 89th Avenue NE Valuation 227287.80 Status Applied Permit Issued Permit Expires Square Feet 2244 Type of Construction/Occupancy Load V-B Number of Stories 2 Proposed Use New SFR Assigned To Kristin Foster Property Information Owner Information Parcel#:01166900003500 LGI HOMES-WASHINGTON LLC LGI HOMES-WASHINGTON LLC 1450 LAKE ROBBINS DR STE 430 17032 89th Avenue NE THE WOODLANDS,TX 77380 Contractors Contractor Name Primary Phone Email Contractor License License# Contact Type LGI Homes-Washington,,lake Jabusch 360-353- ake.jabusch@lgihomes.co CONTRACTOR I-abor and ILGIHOHL857M LLC 0588 Industries Review Date Type Description I Target Date Completed Date Assigned To I Status 3/15/2017 lResidential Dwellin /22/2017 my Rusko 11in Review 3/15/2017 lResidential Dwellin 3/22/2017 JRick Karns lin Review Fees Fee Description Notes Amount Building Permit Fee 322.10.00.00 $2,426 32 Building Plan Review Fee 345.83.00.00 $1.577 11 Furnace 322.10.00.00 $25.0 Gas Outlets Base Fee 1 to f 322.10.00,00 $10.0 Mechanical Fee Enter Fixture Fee) 322.10.00.0 $25.0 Mechanical Permit Base Fee 322.10.00.00 $25.0 Park-Community S 345.85.00.0 $1.662.0 Plumbing Permit Base Fe 322.10.00.Oq $25.0 Plumbing Permit Fee Enter Fixture Fee) 322.10.00 00 13 @$12 $156.0 Processin (Technolo Fe 341.43.00,02 $25.0 State Building Code Surcharge Fee 386.00.01,00 $4.5 Traffic Mitigation 345.85.00,02 $3,355.0 Water Heater 322.10.00.00 $25.00 Tote $9,340.9 Payments Date Paid By Amount Descri tion Payment Type Accepted B 6/15/2017 LGI Homes-Washington LLC $1,577.11 Check#4787 (Kristin Foster 6/15/2017 LGI Homes-Washington LLC $7.763.82 JCheck#4788 jKristin Foster Total $9.340.93 Amount Outstanding:$0.0 Notes Date Note 6/15/2017 Lot 35-The Grays Uploaded Files Upload File Date File Uploaded By I y °�' RESIDENTIAL PERMIT APPLICATION Department of Community& Economic Development �lI G`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: 1 -t-v jq 74 ` L- Plat: 61 D ll �kz �S! F4 Single-family ❑ Duplex ❑ Townhouse [A Addition ❑ /ccessory structure Proposed Area: 1st Floor: 2"d Floor: _/Q�g Garage: tg_ Total SF: Describe Proposal (include cross street): Lu (e) Sr (2 11L9 32, q l 77�-4 Nc Sl Sr Avc: i F_ Valuation: / ' II Owner: L�� �"��� - �� S41 nJ4�zTy L Address: 11 J�Q 1 ��f �l /4 City: ,e 0 State: Zip Code: Phone: Email: l�k7�►" �D�1915 �o_t'L�l� `vr,��. �'� Applicant: UC.7/ ��'y� `�l'/� -4*AL47-b Address: l��/l� i�� `� �� _k City: L l'��✓ State: Zip Code: Phone: ��— �� Contractor: Address: «'T�u ��- �/ `� `j4� City: La State: I/ Zip Code: Phone: �Z�� �� — Email: AyU'=./-4—/kLma�_��l I� Contact Person: /l� . l al-Z�;� License Number: L61 off Expiration: tZ' 2-6 Nn ts« 6/16LP Page 1 of 3 :'c.�j 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) Bath/Shower Combo (4.0) x I [ Sink(1.5) x �A--Shower(2.0) x Lavatory(1.0) x 3 FA Clothes Washer(4.0) x Water Closet(2.5) x 3 �J[---Dishwasher(1.5) x Water Heater x F�L Hose Bibb (2.5) x Water Heater Model# ther (list) x t; Plumbing Section Continued Proposed Water Piping Size: � � Proposed DWV Material: �S Proposed Piping Material: Proposed DWV Size: 1� • 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 Y °�' RESIDENTIAL PERMIT APPLICATION 0 0 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# AFUE � �1 Heat Pump Model# SEER HSPE Qi AC Unit Model# SEER Type ll Hood Commercial Cooking Appliance 1_JJ Hydronic Piping Boiler Solid-Fuel Appliance PV System �l Fireplace Insert Outdoor BBQ Storage Tank Freestanding Stove Gas Piping Fj Other Gas Piping Information Not Applicable: Pipe Material � C�Pipe Size: l� Total BTU's of all Appliances: b-d) Distance from Meter to Furthest Appliance: 2.57 • 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: 2 Date: r,2,/ Print Applicants Name: A AJY 6/16LP Page 3 of 3 6/21/2017 LGI HOMES-WASHINGTON LLC Search L&I .1-Zlsuic< [[clp u% I&1 Sateiy s Health Claims&insurance Vv/orkplacF; Flight." Trades & I_ic(:nsing ASk 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 12101/2016 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 visa improve https://secure.I ni.wa.gov/verify/D etai i.aspx?UBI=603508001&LIC=LGI H OH LB57M B&SAW= 1/2 6/21/2017 LGI HOMES-WASHINGTON LLC No L&1 tax debts are recorded for this con' or license during the previous 6 year period,but s debts may be recorded by other agencies. License Violations Infraction no. ESCAH00464 Satisfied Issue date RCW/WAC 02/17/2017 WAC 296.46B-990 Violation city Violation amount KIRKLAND $500.00 Type of violation ELECTRICAL CITATION Description Serious non-compliance-Serious Violation (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 12/16/2016 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. Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the slate of Washington. Help ass improve https://secure.ini.wa.gov/verify/Detai l.aspx?U BI=603508001&LIC=LGIH OH L857M B&SAW= 2J2 Permit#: 1511 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: 227287.80 Square Feet: 2244 Num ber of Stories: 2 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- 01166900003500 1 7032 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 06/15/2017 RESIDENTIAL SINGLE FAMILY 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 $2,426.32 Building Plan Review T able 4-2 $1,577.11 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 ling Base Perm i Fee $25.00 M echanical Com m mial Perm i T able 4-7;Per Unit 1 3 @$12 $156.00 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 $9,340.93 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 Es-Washington Check#4788 K ristin Foster $7,763.82 LLC 06/15/2017 LGI Hom cs-Washington Check#4787 K ristin Foster S1,577.11 O ttstanding Balance $0.00 Notes Date Note C reated By: 06/15/2017 Lot 35-The Grays K ristin Foster Uploaded Files Date File Nam e 07/10/2017 2432396-1511 Issued Perm i.pdf 06/15/2017 2372403-1511 Site Plan.12-df 06/15/2017 2372404-1511 Apnlication.pdf