HomeMy WebLinkAbout17020 89th Avenue NE_BLD1513_2026 Y RESIDENTIAL PERMIT APPLICATION
' Department of Community&Economic Development
'Y
'Pll,v 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�Z0 �� �I= /y Plat: � 0,r 3�
Single-family ❑ Duplex L !1 Townhouse ❑ Addition ❑ ccessory structure
Proposed Area: 1st Floor: 2nd Floor: 2 Garage: Total SF: /7 73
Describe Proposal (include cross street): gt
Valuation:
Owner: LL dM�
Address: � J D A-& �ZY_V'SL-4/03 City: Z1e _ State: Zip Code: 9 3-f
Phone: TU
' -- ® Email:
Applicant: U-71 401110 'i/✓`.lSAG z71>,! Cb:!—
Address: 11g1_Q Aft I�'`f f S� /O�City: kAlOk'410State: Zip Code:
Phone: 2�� �� r Email: Aak4,��p. C
Contractor: C
Address: _/1 q/_0 AR_ ��'� 1 `j(1� City: Ljsp> State: Zip Code:
Phone: Z — �� — Email &0=- l� .a(?_��,�datir 5,
Contact Person: License Number: L6) !'M&Diration: Z 1
6/16LP Page 7 of 3
RESIDENTIAL PERMIT APPLICATION
0 Department of Community& Economic Development
�l �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)
4 — Bath/Shower Combo (4.0) x l U.Sink(1.5) x r
[3, Shower(2.0) x I Lavatory(1.0) x
Ej Clothes Washer(4.0) x Water Closet(2.5) x
(2t--Dishwasher (1.5) x IWater Heater x
Hose Bibb (2.5) x Water Heater Model#
� Other(list) x
l Stu�T �r u ; o
Plumbing Section Continued
Proposed Water Piping Size: SA Proposed DWV Material: �5
f(
Proposed Piping Material: ` �iy— 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
lI NG~
Mechanical Section (continue filling out if mechanical equipment is involved)
Select proposed appliances:
Furnace(80+) Model# y AFUE
❑ Heat Pump Model# SEER HSPE
❑ AC Unit Model# SEER
❑ Type II Hood Commercial Cooking Appliance U 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 j
Pipe Material: l)i&f Pipe Size: 1 I( Total BTU's of all Appliances: IV229Q
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: I
, 1
Print Applicants Name: iY1,4�('� A-�1S
6/16LP Page 3 of 3
CITY OF ARLINGTON
f
% 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223
PHONE; (360) 403-3551
BUILDING PERMIT
Address:17020 89th Avenue NE Permit#:1513
Parcel#:01166900003700 Valuation:201461.85
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:Kirikland,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-$
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.
SALEJrAX N :Sales tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form
an o ed i rlin #3101.
111'A�kl')4 AkL -
ig ture Print Name Date `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 $2,220.14
6/20/2017 Building Plan Review Fee $1,443.09
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 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: $8,975.73
Total Payment: $0.00
Balance Due: $8,975.73
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.•
i _ --- -FRA'VT 10' .BUILDING&VENSIGYVS ARE 70
4.0,,
It(J446.0 L — 1 - --- - - - - WE 5' FACE OFFOUNDAAOW
TC 42,0 N00:39'l>'E IPEAIP 5 •6RAD/NG SHONN AS"6W
ACTUAL LOCA77aV MAY VARY
45.00 •SLLWE DRIVEWAY M PUBVC ROAD
•-%T fDVQF TO BE/NSTALLM PW
PROPS-RTY a7Y of ARLlwra S STANDARD
5' 10'AWVA7F I CORNER •SILT fE WE TO BE INSTALLED ON
11.. I 858L WALL AND DRAINAGE I I Ow.) GrQAD/ENT 90E 6F BUxom
EASDVENT I I PARCII
•CaVS7RUC7lOW DVIRANOF TO BE
442— 0 ,I I g I INSTALLED PER a7Y ar
' LOT 37 I I EXISnNG CON70UR ARVNG7i7NS STANDARDS
B PA AO 12 SF STORM NOTES.•
RNLSH® I MR) •7ESC INSTALLED PRIOR TO
r I CLWTOUR 5' I GYAVs7RUcnOW
s BA•BARE sacs c0r£Ra7 MIAV A/ULai
10 t\ ` ( BSBL aT ANON&APPROVW BI/P
30.00 •W301L PER NSDOIE BAAP 75.13
PROP02D R£SJODVCE (&F 12'X-N)
C}FRE55-162J •ALL aV97F RUNOI'F CaVNECW TO
s3 GARAGE R16HT g 3 I PR/VAIF SIY,14A/S1UB
1,265tSF .', I •S17E 9VALL BE STABILIZED PRIOR
o p I 7v BU/LD/NG PERA#r BONG
GA WE RNAL120
Z I ! BUILDING I SITE NOTES:
UUIUNE _ •77OWYNE TWANG DRNNS AND
Ln — I'ROOF OVDPHANG Row omis 70 PERAIANDVT
I 200 r`l -- I STORM DRNNAGE SWEV PER
10 11.50 18 r'' G�WNECAGW— — — APPROloW PLAT DRAINAGE PLAN
GIN TILE N17H ALE O1AUN7Y.
./Q5 •AREA X DISTURBANCE INGZUDEs
' ' - DRl{'E Nf4 DVARE LOT.
20
g S 22'° 4 LEGEND:
BLOW OFF
45.00 � ® WA 7&Aix
N0039'11"E s 4( FARE HYDRANT
A- NRVAC
s 4 ° 4 s ° ® CA MY YA57N
WA7DP O GY£ANOur
SEfl NGE 8'SEN£R O MANHOLE
10 160 N0039'11"E 192.00 n—FFT-T-T, moaY WALL
41 88TH A VE NE 7RrF RED°VAc
12 WA IER
- SCAIE 1'-20'
)6R ANOUt
OY.IVNECT ROOF AND LOT 37
FOOTING LNTNNS
---- SITE PLAN
I GREGOR Y RA RK
LG/ HOMES PLAN NO. CYP.—1623
LOT AREA = 4,J20 SF
HOUSE= 1,265 SF DATE 5/12/2017 PARCELLOT 37
14711 NE 29ih Place,#101
DRIVEWAY= 405 SF Belk ue,WaddnB 98007 DESIGNED CORE ADDRESS 17020 WH AW
425.BB5.7877 Fax 425.BB5.7963
WALKWAY/PAAO = 12 SF `�oes�GN PROJECT NUMBER
TOTAL= 1,682 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:17020 89th Avenue NE Permit#:1513
Parcel#:0 1 166900003 700 Valuation:201461.85
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:Kirikland,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: 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 l I O/IRC l IO.
SALE' rAX NO" CE:Sales tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form
an •o ed 'i rlin #3101.
-
.ig lure Print Name LM c 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 $2,220.14
6/20/2017 Building Plan Review Fee $1,443.09
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 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: $8,975.73
Total Payment: $0.00
Balance Duc: 58,975.73
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
Permit Information
Date 6/15/2017
Permit Number 1513
Project Name Gregory Park
Applicant Name LGI Homes-Washington,LLC
Applicant Address 11410 NE 124th Street,Ste#103
City,State,Zip Kirikland,WA 98033
Contact Matt Adams
Phone 425-785-0797
Email matt.adams@lgihomes.com
Permit Type Single Family Residence
Site Address 17020 89th Avenue NE
Valuation 201461.85
Status Applied
Permit Issued
Permit Expires
Square Feet 1993
Type of Construction/Occupancy Load V-B
Number of Stories 2
Proposed Use New SFR
Assigned To Kristin Foster
Property Information Owner Information
Parcel#:01166900003700 LGI HOMES-WASHINGTON LLC
LGI HOMES-WASHINGTON LLC 1450 LAKE ROBBINS DR STE 430
17020 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 (Labor and ILGIHOHL857M
LLC 0588 (Industries
Review
Date Type Description I TargetbjLe_J Completed Date Assigned To Status
5/15/2017 lResidential Dwellin 3/22/2017 4mv Rusk o In Review
3/15/2017 lResidential Dwelling 3/22/2017 JRick Karns 111n Review
Fees
Fee Description Notes Amount
Building Permit Fee 322.10,00,001 $2,220 14
Building Plan Review Fee 345.83.00.00 $1.443.0
Furnace322.10.00.0 $25.0
Gas Outlets Base Fee 1 to 322.10.00.0 $10.0
Mechanical Fee(Enter Fixture Feel322.10.00.Oq $25.00
Mechanical Permit Base hee 322.10.Uu.0 $25.0U
Park-Community S 345-85.0&01 $1,662.0
Plumbing Permit Fee Enter Fixture Fee) 322.10.00.0 13 @$12_ $156.00
Processin fTechn logy Fee 341-43.00.02 $25.00
State Building Code Surcharge Fee 386.00.01 00 $4.50
Traffic Mitigation 345.85.00.02 $3.355.00
Water Heater 322 10.00 00 $25.00
Total $8,97.57
Notes
Date Note
6/15/2017 Lot 37-Plan 1623-Cypress
Uploaded Files ' Upload File J
Date File Uploaded B
6/15/2017 1:49:22 PM 1513 Site Plan.pdf Foster,Kristin x
6/15/2017 1:49:22 PM 1513 Application.odf Foster, Kristin x
RESIDENTIAL PERMIT APPLICATION
y r Department of Community&Economic Development
'pl��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: �T- �A- W e- Plat: &ngf400 AazV4-.j:�
U[ Single-family ❑ Duplex U Townhouse ❑ Addition ❑ /ccessory structure
Proposed Area: 1s'Floor: /� 2"d Floor: 0 Garage: Total SF: /773
Describe Proposal (include cross street):
Valuation:
Owner:
Address: 1] ((� 1 Z�( f f /0 City: �'� State: Zip Code: 7 O>
Phone: q Email: _y444�-'+P �_A
Applicant: L67 -A -Sd 1"7-0, �C-
Address: 11g17 Alt city: State: Zip Code:
Phone: Email: —WATVA04k 5 6,7 01 Aui g 9.
Contractor: C t�1610 - 6AJ L Q__
Address: IN/-0 I�� f�'� �3 city: a State: Zip Code: 0 v�
Phone: Zs� �� �} - Email: mill./4 1ALM.aro _/,(►l tfa�S.
Contact Person: NA-IT License Number: 1-6i �M&piration: 1
Received
6/16LP Page 1 of 3
Y RESIDENTIAL PERMIT APPLICATION
0 Department of Community& Economic Development
�lll .G 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 l (-_Sink(1.5) x '
( Shower(2.0) x I Lavatory(1.0) x
Clothes Washer(4.0) x Water Closet(2.5) x
(ZI--Dishwasher(1.5) x �1Nater Heater x
14— Hose Bibb (2.5) x Water Heater Model#
- Other(list) x wu
Plumbing Section Continued
K f
Proposed Water Piping Size: Proposed DWV Material:
Proposed Piping Material: Proposed DWV Size: C
• 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
4
RESIDENTIAL PERMIT APPLICATION
Department of Community&Economic Development
�it�GSO 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# ��ky AFUE , _ F�
❑ Heat Pump Model# SEER HSPE
❑ AC Unit Model# SEER
❑ Type II Hood U Commercial Cooking Appliance ❑ Hydronic Piping
❑ Boiler Solid-Fuel Appliance ❑ PV System
❑ Fireplace Insert ❑ Outdoor BBQ ❑ Storage Tank
Freestanding Stove 4KGas Piping f Other
Gas Piping Information
Not Applicable: ❑I f
Pipe Material: I ��U-� Pipe 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: I
'n I
Print Applicants Name:
6116LP Page 3 of 3
6/21/2017 LGI HOMES-WASHINGTON LLC
(Search L&I
Safety Claims h Insurance Udorl<Place Rights Trades & i_icensiny
Washington State Department of
kjLabor & 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 irnpr�ve
hftps://secure.ini.wa.gov/verify/Detai l.aspx?UBI=603508001&LIC=LGI H OH L857M B&SAW= 1/2
6/21/2017 LGI HOMES-WASHINGTON LLC
No L&I tax debts are recorded for this co Aor 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 oonduotor 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
KI RKLAND $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.
J Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the state of Washington.
Help fps irilprowo
hfps://secure.I ni.wa.gov/verify/D etai I.aspx?U BI=603508001&LIC=LGI H OH L857M B&SAW= 2/2
Date: 04/09/2026
Permit#: 1513
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#: 01166900003700 L GI HOMES -WASHINGTON LLC
LGI HOMES -WASHINGTON LLC 1 450 LAKE ROBBINS DR STE 430
17020 89th Avenue NE T HE WOODLANDS, TX 77380
Zoning: 111 Single Fam iy Residence -
DetachedLot: 3 7B lock:
Permit#: 1513
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: Kirikland,WA98033
Contact: Matt Adam s
Phone: 425-785-0797
Em al: m at.adam s@lgihom cs.com
Scope of Work: New SFR
Valuation: 201461.85
Square Feet: 1993
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-
01166900003700 1 7020 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
08/22/2017 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 $2,220.14
Building Plan Review T able 4-2 $1,443.09
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 enn i Fee $25.00
Park-Com m nity SF S ingle Fam iy $1,662.00
M echanical Com m ecial Perm i T able 4-7;Per Unit 1 3 @$12 $156.00
Processing/Technology $25.00
State Surcharge- 1st DU R esidential- 1st Unit $4.50
Traffic Mitigation-C/MF Cbm m ecial/Multi-faro iy $3,355.00
Water Heater(Tank) $25.00
Total $8,975.73
Attached Letters
Date Letter D escription
06/20/2017 Building Permt
Paym acts
Date Paid By D escription P aym art Type A cccptcd By A m cant
08/07/2017 LGI Hom e;-Washington, Check#8975.73 K ristin Foster $8,975.73
LL
O ttstanding Balance $0.00
Notes
Date Note C reated By:
06/15/2017 Lot 37-Plan 1623-Cypress K ristin Foster
Uploaded Files
Date File Nam e
07/10/2017 2432422-1513 Issued Perm i.pdf
06/15/2017 2372715-1513 Application.pdf
06/15/2017 2372716-1513 Site Plan.pdf