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