HomeMy WebLinkAbout8903 170th Street NE_BLD1515_2026 Y RESIDENTIAL PERMIT APPLICATION
Department of Community&Economic Development
�ll�r 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.c
Project Address: `U3 l S% ��' Plat: &-1 D S
❑ Single-family ❑ Duplex ❑ Townhouse ❑ Addition ❑ /ccessory structure
Proposed Area: l s' Floor: (01)b 2"d Floor: �Z Garage: Total SF:
Describe Proposal (include cross street):
Av
Valuation:
Owner:
Address: I YJD AAh�a2"SE-4 3 City: ,e c 1_ State: 4/4 Zip Code: 7 03
Phone: Email: k7'1�
Applicant: U77 f -"SkbAl2z7b (sue
Address: 1���� Alf— , 'Y l�f S� ���City: k/C47,kIAN/0State: Zip Code:
Phone: Email: l/lil/ I*t 5
Contractor: C / 4 F — �Jf S �� v L��—
Address: �I f �rL 0 `j �`I `la3 City: N State: Zip Code:
Phone: Email:
Contact Person: License Number: LJ!R05_:W6 Expiration:
6/16LP Page 1 of 3
�` °�' RESIDENTIAL PERMIT APPLICATION
Department of Community& Economic Development
W j 1 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
Shower(2.0) x Lavatory(1.0) x 3
C�1 Clothes Washer(4.0) x [�J] Water Closet(2.5) x
[2)—Dishwasher(1.5) x i 4j�--Water Heater x
;UL Hose Bibb (2.5) x Water Heater Model#
Other(list) x
Plumbing Section Continued
Proposed Water Piping Size: � Proposed DWV Material: �s
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 II Hood Commercial Cooking Appliance IJ Hydronic Piping
❑ Boiler QI Solid-Fuel Appliance QI PV System
❑ Fireplace Insert Outdoor BBQ Ij Storage Tank
Freestanding Stove 4Gas Piping ❑ Other
Gas Piping Information
Not Applicable: ❑
Pipe Material: ipe Size: I( Total BTU's of all Appliances:
Distance from Meter to Furthest Appliance: 75-
• 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:
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:8903 170th Street NE Permit#:1515
Parcel#:0 1166900005700 Valuation:283315.50
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 AddressA 1410 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: `I-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/IRC110.
SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City,ofArlington must be reported on your sales tax return form
and C' rlin y/0101. i� l
Sign tune Print Name lhale 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 $2,870.40
6/20/2017 Building Plan Review Fee $1,865.76
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) $180 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: $10,097.66
Total Payment: $10,097.66
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
a SETBACKS
fROVT 20' NOTES.-BUILUNG DNBVSIOVS ARE 70
° I gVIE 5' FA6F OF FOYINDA77OW
REAR 5' .WADING-WOW AS DE96W
ACAW LOCA7/OV MAY VARY
I •SYORE DRIVEWAY 70 PUBLIC ROAD
•St T fDVIX TO BE INSTALLED P&
fb1N9VLD CaVTiX/R ( PROP ERTY C17Y OF ARLINv aV'S STANDARD
° ( ) v CWNER •RLT fEWE 7V BE INSTALLED OYV
5 BSl� J\ (TYP) E T SIDE OF BUILDING
N8920'49"W — — — — — — 'lCTV pry N 70 BE
° —5J 48 — 44R ARL/NG7OV'S STANDARDS.
S.
4 T r"— — — — — — STORM NOTES.•
' (50 FS \ •7£SC INSTALLED PRIX 70
06 C15YNECA W I I CaWROCnOv
•BAR£SOILS COIF V Nf7H MULCH
10'PUBLIC 5'BSBL f--- I--- OR ANOIHDP Af'PROVID BMP
;q) U7TLIlY£ASEUDVT •WSW PDP WMOFBMP 75.13
\ --10'BSK PAW 12 SF I .AU OW-WE NOFF C NN£C7ED TO
fR IIIA7E ST"S7U8
!3' •577E VAIL BE STABILIZED PRIOR
a J5..00 5 I 70 BUILLMNG PERMIT BDNG
LOT 57 I RNAUM
PR0P0ZV RESIDENCE I S/TENOTES.
WATE MILL-2JM GARAGE LEFT ' •791flJN£fW77NG DRAINS AND
[DRA
INS AINS 70 PamANENT
SEI7N 1, F2shave[DRAINAGE 56;EM PER
p g X71/NE GARA6F S °j pp APPROVID PLAT ORA/NAG£PLAN
OV RLE WN 7HE C7UN7Y.
= I •AREA OF DISTURBANCE INaIMS
op ^ 1'R"012RHANG EV77RE LOT.
00 EXISTING CaV7O UR LEGEND.•
5.00 2. I ( T) o- BLOW OI<F 19.O10 ;
g 5 I ® WA7M MEU
11.09 � ` a —4_s �
4B1 5F L — — — — — — 4 f7RE HYDRANT
4 0481 9r 5'PAYVA7E o AIR VAC
\ \ 4 26'. STGYPA/ 0 ® CATai BASIN
,f EA•SEA/ENT
10' 758L O OYEANOUT
428.48 \ Q MANHOLE
" 4 ° N892049"W ° ° a &OX WALL
SIOIPM L7£ANOUT. 4
j 1REE R61/OVAL
CONNECT ROCIF AND
F0077NG DRAINS
12' WA7ER
170TH ST, NE
X&E 1'-?0'
8 SEWR LOT 57
SITE PLAN
'I GREGOR Y PARK
LGI HOMES PLAN NO. MILL-2338
LOT AREA = 4,999 SF DATE 511212017 PARCEL # LOT 57
HOUSE = 1,589 SF 14711 NE 29th Pi,m,#101
DRIVEWAY= 481 SF C a^new••w4,hM,ro 90007 DESIGNED CORE ADDRESS 890J 1707H Sr
425.965.7877 P4a 425.885.7963
WALKWAY/PA770 = 12 SF `�oeslcnL PROJECT NUMBER
TOTAL= 2,082 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:8903 170th Street NE Permit#:1515
Parcel#:01166900005700 Valuation:283315.50
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: `/_B
DWELLING UNITS: 1 OCC GROUP: R-3
BUILDINGS: OCC LOAD:
P R1kIIROVAL
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 TAX NOT CE:Sales tax relating to construction and construction materials in the City of ArlingtoWmustreported on your sales tax return form
and iAvz C'y of rlin �#310L / d 7
Sign ture Print Name ale 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 $2,870A0
6/20/2017 Building Plan Review Fee $1,865.76
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) $180.00
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: $10,097.66
Total Payment: $10,097.66
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
Permit Information
Date 6/15/2017
Permit Number 1515
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 8903 170th Street NE
Valuation 283315.50
Status Applied
Permit Issued
Permit Expires
Square Feet 2718
Type of Construction/Occupancy Load V-B
Number of Stories 2
Proposed Use New SFR
Assigned To Kristin Foster
Property Information Owner Information
Parcel#:01166900005700 LGI HOMES-WASHINGTON LLC
LGI HOMES-WASHINGTON LLC 1450 LAKE ROBBINS DR STE 430
8903 170th Street NE THE WOODLANDS,TX 77380
Contractors
Contractor Name Primary Phone Email Contractor License License#
Contact Type
LGI Homes-Washington.Jake Jabusch 360-353- (Labor and
LLC 0588 jake.jabusch@Igihomes.com CONTRACTOR (Industries i-GIHOHL857M
Review
Date Type Description I Target Date Completed Date 11 Assigned To Status
3/15/2017 Residential Dwellin U22/2017 Nmy Rusko In Review
3/15/2017 lResidential Dwellin 3/22/2017 IRick Karns In Review
Fees
Fee Description Notes Amount
Building Permit Fe 322.10.00.01 $2,870.4
Building Plan Review Fem 345.83.00.Og $1,865.7
Furna 322.10.00.001 $25.0
Gas Outlets Base Fee 1 to 1322.10.00.Og $10.00
Mechanical Fee(Enter Fixture Feel 322.10.00.001 $25.0
Mechanical Permit Base Fe 322.10.00.0 $2.5.0
Park-Community Sq 345.85.00.Oq $1,662.00
Plumbing Permit Base Fe 322.10.00.001 $25.0
Plumbing Permit Fee(Enter Fixture Fee)j 322.10.00.0 15 $12 $180.00
Processing/Technology Fe 341.43.00.0A $25.0
State Building Code Surcharge Fee! 386.00.01.00! $4.5
Traffic Miti ation 345.85.00.04 $3.355.00
Water Heateq 322.10.00.001 $25.00
Tota 510,097.E
Payments
Date Paid By Amount Descri tion I Payment Tye Acce ted B
6/15/2017 ILGI Homes-Washington LLC $1,865.76 Igheck#4797 (Kristin Foster
6/15/2017 ILGI Homes-Washington LLC $8,231.90 lCheck#4798 jKristin Foster
Total $10,097.66 Amount Outstanding:$0.0
Uploaded Files Upload File
Date File Uploaded B
6/15/2017 2:30:16 PM 1515 Application.pdf Foster, Kristin �(
6/16/2017 2:30:16 PM 1616 Site Plan.pdf Foster,Kristin k
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.
Project Address: U3 l �� N'Q— Plat:
la Single-family ❑ Duplex ❑ Townhouse ❑ Addition ❑ /ccessory structure
Proposed Area: 1st Floor: IOOb 2"d Floor: �ZI�Z Garage: Total SF:
Describe Proposal (include cross street):
Valuation:
Owner:
Address: 1�„ f ZY City: Zk , State: Zip Code: T D>
Phone: TZ� TCe i ® � Email: C'r
Applicant: C --71 40� 40 4ASA"72,
Address: Py TTf,�( ity: State: Zip Code:
Phone: ' S ram` - Email. tAr OA *�S G64 e4A,
Contractor: k-pt0 �rr#S L r�S�'�� L Ii L—
Address: IN00 AJC_ 0 Sy3 city: a State: Zip Code:
Phone: Email:
Contact Person: License Number: Z.�[�Aa5l*6 Expiration: oZ
6/16LP Page 1 of 3
�Yp
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 Q Sink(1.5) x I
Shower(2.0) x ( ❑1 Lavatory(1.0) x 3
❑J Clothes Washer(4.0) x Water Closet(2.5) x
►,Dishwasher(1.5) x i }_Water Heater x
— Hose Bibb (2.5) x Water Heater Model#
Other(list) x -A ffO !�W
Plumbing Section Continued
Proposed Water Piping Size: 3-A 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
i
VY 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 II Hood Commercial Cooking Appliance J Hydronic Piping
❑ Boiler Solid-Fuel Appliance PV System
❑ Fireplace Insert Outdoor BBQ QI Storage Tank
Freestanding Stove Gas Piping Other
Gas Piping Information
Not Applicable: ❑
Pipe Material: ( &I ipe Size: ) I( Total BTU's of all Appliances: _ c '
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 r02 f
Print Applicants Name: LAMS
6/16LP Page 3 of 3
6/21/2017 LGI HOMES-WASHINGTON LLC
1
A;; Search L&I
ti-'/,trNlrs ilrli, :fa s��
5a(etu R,HPalth Clairns & InsurancC Trades Y,. _icansin 3
A^ 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 ifs improve
https://secure.ini.wa.gov/verify/Detail.aspx?UBI=603508001&LIC=LGIHOH LB57M B&SAW= 1/2
6/21/2017 LGI HOMES-WASHINGTON LLC
No L&I tax debts are recorded for this cor for license during the previous 6 year period,but sc lebts
may be recorded by other agencies.
LirensP Vinlatinns
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
KIRKI ANn $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&Industi ies.Use of this site is subject to the laws of the slate of Washington.
1 eip us improve
https://secure.ini.wa.gov/verify/Detail.aspx?U BI=603508001&LIC=LGIHOH L857M B&SAW= 20
Date: 04/09/2026
Permit#: 1515
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#: 01166900005700 L GI HOMES -WASHINGTON LLC
LGI HOMES -WASHINGTON LLC 1 450 LAKE ROBBINS DR STE 430
8903 170th Street NE T HE WOODLANDS, TX 77380
Zoning: 111 Single Fam iy Residence -
DetachedLot: 57Block:
Permit#: 1515
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: 283315.50
Square Feet: 2718
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-
01166900005700 8 903 170th Street 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
08/28/2017 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 $2,870.40
Building Plan Review T able 4-2 $1,865.76
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 5 @$12 $180.00
Processing/Technology $25.00
State Surcharge- 1 st DU R esidential- 1 st Unit $4.50
Water Heater(Tank) $25.00
Traffic Mitigation-C/MF Cbm m ecial/MOti-faro iy $3,355.00
Total $10,097.66
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#4798 K ristin Foster $8,231.90
LLC
06/15/2017 LGI Hom cs-Washington
Check#4797 K ristin Foster $1,865.76
LLC
O utstanding Balance $0.00
Uploaded Files
Date File Nam e
07/10/2017 2432437-1515 Issued Perm i.pdf
06/15/2017 2372833-1515 Site Plan.pdf
06/15/2017 2372834-1515 Apnlication.pdf