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Home My WebLink About17014 89th Avenue NE_BLD1514_2026 Y 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. 1 Project Address:JIB 1 T« (f - Plat: UA 3q lij Single-family f� l Duplex IJ Townhouse Addition ❑ /ccessory structure Proposed Area: 111 Floor: to 2"d Floor: `�3� Garage: 2_:;002Z> Total SF:"2 _f_ I Describe Proposal (include cross street): St Valuation: Owner: LL61/ 4mi,4� - A/A S n1UT�� n Address: D 1��(' SL-410j City: State: Zip Code: 7 O� Phone: Email.- Applicant: U-71 40140 -�ASf-t ^147 D Address: 1 1qlZ) tk� City: State: Zip Code: Q� Phone: Email: 69-L41 1474,�c-S'• C Contractor: 6,1 5 �( CityAddress: L(Aa>_State: Zip Code: Phone: Email:/ •/�'D AIL4a(�_��I dg:nrS Contact Person: License Number:Ua1Q4gA*S Expiration: Z 6/16LP Page 1 of 3 RESIDENTIAL PERMIT APPLICATION Department of Community& Economic Development lNGSO� 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 Z a. Sink(1.5) x I Shower(2.0) x ( [4_ Lavatory(1.0) x Clothes Washer(4.0) x U Water Closet(2.5) x 3 [—Dishwasher(1.5) x i Water Heater x W—Hose Bibb (2.5) x Water Heater Model# I Other(list) x l ( /lJ Plumbing Section Continued K Proposed Water Piping Size: Proposed DWV Material: Proposed Piping Material: Yi`►— 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 y t? Department of Community& Economic Development IN'A 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# i/�4 l AFUE U Heat Pump Model# SEER HSPE L1I AC Unit Model# SEER ❑ Type ll Hood Commercial Cooking Appliance FJ Hydronic Piping ❑ Boiler Solid-Fuel Appliance J PV System ❑ Fireplace Insert Q] Outdoor BBQ ❑ Storage Tank Freestanding Stove 4KGas Piping ❑I Other Gas Piping Information Not Applicable: ❑ II Pipe Material: 5(ACV ipe Size: I I Total BTU's of all Appliances: 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: Date: PP i U(��I'� k�A-lus ( l 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:17014 84h Aveoue NE Permit#•1514 Parcel#:01166900003400 Valuation:303353.10 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-$ 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. IBCI 10/IRC1l0. SALES-rAX NO 1 f:Sales t��latine to construction and construction materials in the City of Arlington must be reported on your sales tax return form and c d it A mgton# %'fure Print Numc 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 $3,029.00 6/20/2017 Building Plan Review Fee $1,968.85 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) $192.00 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: $10,371.35 Total Payment: $10,371.35 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 ROIERTY j P /- /2 4'� FROINBAC28 NOTES. i •BUIL0/NG D1MBV_YLWS ARE 719 SYDE 5' FACE OIL FOUNDAAGYV .50 REAR 5' .6RAOING SHOW AS"6W ° I ACTUAL LOCA710W MAY VARY B� N803819E •sZOR'E DRIWWAY 7D PUBUC ROAD 64.90_ — •SILT fDVX 7O BE INSTALLED PER Q'TY OF ARUNG7ONS STANDARD •S1L r fox TO BE INSTALLED AN A?AO/ENT sw of BUILDING EXISTING GLNIOUR I — — '— — — — — PARCEZ (np) •CaVS7RUCl7aV DWRANIE TO BE RNIS�IED C WMVR — — — — — — — — — — — — — — INSTALLED PER aTY Of'( ) yI 10.00'PRIVAE WALL AND ARUNGra S STANDARDS. DRNNAX£ASFA/£IVT STORM NOTES. �N / •7ESC INSTALLED PRIOR TO C0WS7RU0AV •BARE SOVLS COIfRM IWTH MULOY a?ANOTHER APPRO;W BMP l •TOPSOIL PER M500£RIF 751.J LOT34 - - - - - - - - - - - - -J (EFF12•aEP7H) p ^ •ALL OW577E RUNacF COWNECUI TD Z PROP02'D RESIDENCE PRIVAX S7WM S7U8 PAU. 14 GARAGE RIGHT — — — — — — — — — •.17E.951ALL BE STAB/UZED PRIOR �\ 1, i9#SF NOO 9971'E —� 7O BUILDING PEWIT BEING I 162.61 I RNAL120 1 I SITENOTES.• •779YRINE fW77NG DRAINS AND PA110 !2 SF Row ORA/NS lO PD?mANEWr '2J.83'-- S7ORAl DRAINAGE S67EM PER 35� I 6.00 � APPROI�p PLAT DRAINAGE PLAN ` $ BUILDING — — - OW RILE WN THE COUNTY. OW7UNE I 1.DO'ROOF Ol�D4HANG •AREA Ole D/S7UR6ANLF INCLUDES }} GARA g I — — — — —-— — — — — EWARE LOT. • 0 E— LEGEND.- 5.00 /-7.67 I 5..00'658L �— BLOW OFF f0.00'PUBLIC BSi4L �, 11 6.00' \ ® WAIElw'AIfEIE]P ,P a' 2785 7711UTY EAZWBIT I - a( RR£HwRANr N6, = •f12�1f'AY IN wSfRNCEI � AIR VAC a g d • ` — — — ® CA MY BASIN N8920 49"W WALKWAY , o 9` 4 . 96.OQ crFANarr MANHOLE CDVNEC� 116.34 s rs BLarar wALL 25.00'SEMf]P AND � N8920'49"W � � � 7REF P"OVAL INAU EAS949Vr 4 �` PRO DEWY Cp?NEIl \\� i'acf 3ET(IYP.) o, LOT 34 SITE PLAN SCALE 1•=•JO' GREGOR Y PARK LG/ HOMES PLAN NO. MILL-2338 LOT AREA = 11,740 SF DATE 511212017 PARCEL # LOT,J4 HOUSE= 1„J69 SF 14711- -Pla .1111 DRIWWAY= 2,785 SF C 2 ce, Bellewe,WashfZa 98007 DESIGNED CORE ADDRESS 17014 897H A 425.BB5.7B77 Fax 425.BB5.7963 WALKWAY/pA770 = 82 SF `�oesrcN PROJECT NUMBER TOTAL= 4,736 SF ENGINEERING PLANNING • SURVEYING DRAWN CAF 130241--GRG00 - ' CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:17014 89th Avenue NE Permit#:1514 Parcel#:01166900003400 Valuation:303353.10 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: `/-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. IBC110/IRCI10. SALES TAX NO '1 f:Sales taxl1dating to construction and construction materials in the City of Arlington must be reported on your sales tax return form and c d it A mgton# %nfurc Prinl ame Date Released By Date CONDITIONS Adhere to approved plans. THIS PERMIT AUTHORIZE 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 $3,029.00 6/20/2017 Building Plan Review Fee $1,968.85 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) $192.00 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: $10,371.35 Total Payment: $10,371.35 Balance Due: y11.00 CALL FOR INSPECTIONS BUILDING(3611)403-34 1? 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 1514 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 17014 89th Avenue NE Valuation 303353.10 Status Applied Permit Issued Permit Expires Square Feet 2894 Type of Construction/Occupancy Load V-B Number of Stories 2 Proposed Use New SFR Assigned To Kristin Foster Property Information Owner Information Parcel#:01166900003400 LGI HOMES-WASHINGTON LLC LGI HOMES-WASHINGTON LLC 1450 LAKE ROBBINS DR STE 430 17014 89th Avenue NE THE WOODLANDS,TX 77380 Contractors Contractor Name Primary Phone Email Contractor License License# Contact Type LGI Homes-Washington, lake Jabusch 3688 ake.jabusch@lgihomes.co CONTRACTOR Labor and ILGIHOHL857M LLCD588 Industries Review Date Type Description I Target Date Completed Date T Assigned To I Status /15/2017 Residential Dwellin /22/2017 4mv Rusko 111n Review 5/15/2017 (Residential Dwellin 3/22/2017 JlRick Karns In Review Fees Fee Description Notes Amount Building Permit FeO322,10.00.0 $3,029.0 Building Plan-Review_Fe 345.83.00.Og $1.968.8 Furna2m322.10.00.Oq $25.0 Gas Outlets Base Fee 1 to N322.10.00.Og $10.0 Mechanical Fee(Enter Fixture Fee 322.10.00.Oq $25.0 Mechanical Permit Base Fe 322.10.00.Oq $25.0 Park-Communi SQ 345.85.00.Oq $1,662.00 Plumbing Permit Base Fem 322.10.00.00 $25.00 Plumbing Permit Fee(Enter Fixture Fee) 322.10.00.0 16 $12 $192.0 Processin lfechnolo Fe 341.43.00.04 $25.0 State Building Code Surcharge Fe 386.00.01.Oq $4.5 Traffic Miti atio 345.85.00.0 $3,355.0 Water Heatel 322.10.00.001 $25.00 Totaq $10,371351 Payments Date Paid By mount n Pa ment Type Accepted 6/15/2017 ILGI Homes-Washington LLC $1,968.85 Igheck#4784 Kristin Foster 6/15/2017 ILGI Homes-Washington LLC $8,40Z50 ICheck#4785 Kristin Foster Total $10,371.35 Amou .Qutstandln :$00 Uploaded Files Upload File_}' Date File Uploaded B 6/15/2017 2:19:34 PM 1514 Application.pdf Foster, Kristin �{ 6/15/2017 2:19:34 PM 1514 Site Plan.pdf Foster, Kristin �( MINK RESIDENTIAL PERMIT APPLICATION Department of Community& Economic Development �Pl,YGsO 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: r 7-0 i yE- A) c Plat: &7g15G0 L �kz 3q [a Single-family ❑ Duplex ❑ Townhouse ❑ Addition ❑ /ccessory structure Proposed Area: 1'It Floor: 107 2nd Floor: `�J� Garage: 3*02Z> Total SF:6;2&f i Describe Proposal (include cross street): Valuation: 3,5-.3 Owner: LL �� - � Stf✓►nJ� � n Address: 11 t(7 1 t lZq'�St-4/0 City: ,ek 1 State: Zip Code: T 03 Phone: Email: Applicant: U771 /40#10 -"sAA,,47b Address: 1/g/D /ff- Pyre ,5r-AW City: Lz' State: Zip Code: Phone: Email: _O QA0A0, 5 & 64 _�14A9 9. CIO Contractor: t✓ �rf�S 1,t S� O a f,Li C-- Address: INI (7 l�j� j�`� S ` d-3 City: a State: Zip Code: Phone: 442s-r70S� Email- Contact Person: 2 License Number:U216644q'' _S Expiration: Z 6/16LP Page 1 of 3 F Y 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) Q1 Bath/Shower Combo (4.0) x Z [& Sink(1.5) x - Shower (2.0) x (A_ Lavatory(1.0) x I� Clothes Washer(4.0) x Q Water Closet(2.5) x 3 Dishwasher(1.5) x Water Heater x [A— Hose Bibb (2.5) x Water Heater Model# �J- Other(list) x Plumbing Section Continued Proposed Water Piping Size: � ` Proposed DWV Material: �S 1( Proposed Piping Material: S �i`►— Proposed DWV Size: C9- • 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 Department of Community&Economic Development rQlx�GtO' 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: [A f=urnace(80+) Model# AFUE Heat Pump Model# SEER HSPE AC Unit Model# SEER �1 Type II Hood U. Commercial Cooking Appliance Q Hydronic Piping �I Boiler Lk Solid-Fuel Appliance ❑ PV System Fireplace Insert Outdoor BBQ ❑ Storage Tank Freestanding Stove "Gas Piping ❑ Other Gas Piping Information Not Applicable: ❑ Pipe Material: I � , I ipe Size: I( Total BTU's of all Appliances: ' Distance from Meter to Furthest Appliance: 7 • 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:— 4A M)h �-- Print Applicants Name: 6/16LP Page 3 of 3 6/21/2017 LGI HOMES-WASHINGTON LLC Search L&I rkplsr;P Rights Trades i_icensing AWashington 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 Principals 206-445-5326 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 https://secure.Ini.wa.gov/verify/Detai i.aspx?UBI=603508001&LIC=LGIHOH L857M B&SAW= 1/2 6/21/2017 LGI HOMES-WASHINGTON LLC No L&I tax debts are recorded for this cc :tor license during the previous 6 year period,but F debts may be recorded by other agencies. License Violations Infraction no. ESCAH00464 Satisfied Issue date RCW/WAC 02/17/2017 WAC 296-4613-990 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 onnfnrming inctallatinn.) 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. Q,Washington State Dept.of Labor&IndUSllieS.Use of this site is subject to the laws of[he slate of Washington. ;iel@)us trriprove https://secure.Ini.wa.gov/verify/Detail.aspx?U BI=603508001&LIC=LGIH OH L857M B&SAW= 2 2 Date: 04/09/2026 Permit#: 1514 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#: 01166900003400 L GI HOMES -WASHINGTON LLC LGI HOMES -WASHINGTON LLC 1 450 LAKE ROBBINS DR STE 430 17014 89th Avenue NE T HE WOODLANDS, TX 77380 Zoning: 111 Single Fam iy Residence - DetachedLot: 34Block: Permit#: 1514 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: 303353.10 Square Feet: 2894 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- 01166900003400 1 7014 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 11/09/2017 C omlieted 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 $3,029.00 Building Plan Review T able 4-2 $1,968.85 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 1 6@$12 $192.00 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 $10,371.35 Attached Letters Date Letter D escription 06/20/2017 Building Perm i Paym arts Date Paid By D escription P aym a►t Type A ccepted By A m aunt 06/15/2017 LGI Hom cs-Washington Check#4785 K ristin Foster $8,402.50 LLC 06/15/2017 LGI Hom cs-Washington Check#4784 K ristin Foster $1,968.85 LLC O utstanding Balance $0.00 Uploaded Files Date File Nam e 07/10/2017 2432433-1514 Issued Perm i.pdf 06/15/2017 2372801-1514 Site Plan.pdf 06/15/2017 2372802-1514 Apnlication.pdf