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HomeMy WebLinkAbout8902 170th Street NE_BLD1517_2026 } Y RESIDENTIAL PERMIT APPLICATION Department of Community&Economic Development 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 SUBMITTEDPRIOR. Project Address: 7� <02 � C>7 ( r>1 N� Plat: 0 fA Single-family ❑ Duplex LEI Townhouse Addition ❑ /ccessory structure Proposed Area: 11" Floor: 7&3 2"d Floor: <r967 Garage: �l�j Total SF: Describe Proposal (include cross street): a n 1�; �r) Sty' iZ �!� �/ % l�f;(C( /U If� Valuation: �� Owner: Address: t7 City: ,ek 1 State: 4-14 Zip Code: 79 Phone: Applicant: C�(��/ [-6(10 4ASA A47b "L Address: I/q/;) Alf- P-Y 1#S_t /&City: tit�� State: Zip Code: Phone: - Email: k � �C�/ l"�D 4• �' Contractor: $ L Address: �� �� lU� 0 y 1 `��3 City: r'_> State: _ Zip Code: Phone: 442s_r39�� 07"94— Email: AiL4S0.44 Contact Person: &'IT License Number: ajg 'F Expiration: 6/16LP Page 1 of 3 RESIDENTIAL PERMIT APPLICATION Department of Community& Economic Development y�ir�GSO� 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 ) 4 Sink(1.5) x / Shower(2.0) x ( y[b Lavatory(1.0) x �f Clothes Washer(4.0) x [ Water Closet(2.5) x Dishwasher(1.5) x i _Water Heater x WL Hose Bibb (2.5) x Water Heater Model# Other(list) x Plumbing Section Continued K Proposed Water Piping Size: -�A Proposed DWV Material: T t( 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 Y ° ' RESIDENTIAL PERMIT APPLICATION Department of Community&Economic Development rNGt` 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 Fe ❑ Heat Pump Model# SEER HSPE ❑ AC Unit Model# SEER ❑ Type II Hood Commercial Cooking Appliance ❑ Hydronic Piping ❑ Boiler Solid-Fuel Appliance LJ PV System ❑ Fireplace Insert ❑ Outdoor BBQ ❑ Storage Tank Freestanding Stove Gas Piping ❑ Other Gas Piping Information Not Applicable: [1j '( I Pipe Material i � �� �� Pipe Size: 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: ( � Print Applicants Name: 7a hi1 6/16LP Page 3 of 3 CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:8902 170th Street NE i Permit#: 1517 Parcel#:01166900005800 Valuation:264649.77 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: `/-$ 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/IRC110. SALES TAXNOTICE-Sales tax relating to construction and construction materials in the City of Arlington be reported on your sales tax return form ai c i of rlington#3101. S' nature 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 $2,719.73 6/20/2017 Building Plan Review Fee $1,767.82 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) $168.00 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: $9,837.05 Total Payment: $9,837.05 Balance Due: $0.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon \ \ SETBACKS NOTES. fROK 10' ,BUILDNG D1Mi7V-/ANS ARE rO °4 -- - - _-- SIDE 5' FAX 6FFAUNDAnGW \ REAR 5' ,OWING SHOWN AS DEROV A0711AL LOCAnOYV AIRY VARY t..' • 4 ° •SLORE DRIVEWAY rO PUBLIC ROAD LP.• 4 4 •SYLT fDVQc' TO BE INSTALLED PER 444.57 s a aTY OF ARLINGILW S STANDARD 1+47.3 •SILT fiNcr 70 BE INSTALLED ON 12"WV& GRAD/ENT SIDE Ole BUILDING PAR•CCO&SiTI/CncW EHIRANOF TO BE ^y 170TH ST, 2f00 INSTALLED PER art OF Be EWER ARLING Wt STANDARDS. STORM NOTES. S70RM GYEANOUT. 248 70 49"W •7ES'C INSTALLED PRIG? 70 CONNECT ROOF AND / CONSTRUM-W FOOANG DRAINS •BARE SaLS COW07 Nf7H WOV aR ANOW APPRMV BMP -WSO1L PER #S9& BMP 7513 0 / e 4 =4 - -°� 4 •AU ON-97E NOFT CNiVEM TO O b PR/VA7E S7V RM S1718 -V 0 412 5'PRIVA7E ,S17E MAU BE STABILIZED PRIOR 3EWAX 5MRM 7v BU/LaNG Paw EASEMENT RNAL120 22 Zb'BS9 RNI-WED COV70UR SITE NOTES: MP) •77GYRIN£F007ING DRAINS AND IROGF DRAINS 7v P&mANENT l0.50$ g 20.00 5' r SMR4M DRAINAGE SYSTEM PER APPROVED PLAT DRAINAGE PLAN 4.50 �ARA[ I •AREA OF DIIURBANX INaUDES 1 ROOF MRHANG EHARE LOT. Yy,A� BUILDING M?W aF OUR/NE LEGEND. cnav - BLOW OFF CONNEr W 8 LOT 58 n j 4 WA H RAN O PROPOSO RE ENCE o� p K f7RE HYDRANT KETTLE-2159 G GE LEFT =�I AIR VAC J5.00 i\-Ex/SANG CONTGt/R 013 CA MY BASIN S' ' � � � O LYfWOY/T 4 I ' MANHOLE ~ PAn0 39 SF I � f0'PUBLIC I \�sr, ® 81" WALL 8 u�LITY EAZWEJVT r, I g I MEE RFEUOVAL <, 1 5'BSBL 5'Y9SBL �- 10'BSBL 5.3.48 ' SCALE 1'-20' 4 N8920'49"W LOT 58 PWERry SITE PLAN 4 I GREGOR Y PARK LGI HOMES PLAN NO. KETTLE-2159 LOT AREA = 4,999 Sr DATE 511212017 PARCEL # LOT 58 HOUSE = 1,588 SF 14711 NE 29 h Place,#101 DRIVEWAY= 412 SF eel—,weah6ro—98007 DESIGNED CORE ADDRESS 8902 1707H Sr425.665.7877 Fax 425.6837963 WALKWAY/PAAO = 39 SF `C DESIGN PROJECT NUMBER TCTAL= 2,0.�9 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:8902 170th Street NE Permit#: 1517 Parcel#:01166900005800 Valuation:264649.77 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 14AS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. 1BCl 10/IRC110. SALE'TArNOTICE:Sales tax relating to construction and construction materials in the City of Arlington a reported on your sales tax return form a e i of rlington#3101. S)i9naturc 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 $2,719.73 6/20/2017 Building Plan Review Fee $1,767.82 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) $168.00 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: $9,837.05 Total Payment: $9,837.05 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 ( u -tea 41 Permit Information Date 6/15/2017 Permit Number 1517 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 8902 170th Street NE Valuation 264649.77 Status Applied Permit Issued Permit Expires Square Feet 2577 Type of Construction/Occupancy Load V-B Number of Stories 2 Proposed Use New SFR Assigned To Kristin Foster Property Information Owner Information Parcel#:01166900005800 LGI HOMES-WASHINGTON LLC LGI HOMES-WASHINGTON LLC 1450 LAKE ROBBINS DR STE 430 8902 170th Street 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 'Labor and LGIHOHL857M LLC 10588 Industries Review Date Type Description I Target Date Completed Date I Assigned To Status 3/15/2017 lResidential Dwellin 3/22/2017 Ikmy Rusko In Review 3/15/2017 Residential Dwelling3/22/2017 (Rick Karns In Review Fees Fee Description Notes Amount Building Permit Fee 322.10.00.0 $2.719,7 Building Plan Review Fee 346.83.00.0 $1,767.82 Furnace 322.10,00.00 $25.0 Gas Outlets Base Fee 1 to 5 322.10.00.0 _$10:00 Mechanical Fee Enter Fixture Fee) 322.10.00.0 $25.00 Mechanical Permit Base Fee 322.10.00.00 $25.0 Park-Communi i SF 345.85.00.00 $1.662.00 Plumbing Permit Base Fee 322.10.00.00 $25.0 Plumbing Permit Fee(Enter Fixture Fee) 322.10.00.0 14 @$12 $168.0 Processing/Technology Fee 341.43.00.02 $25.0 State Building Code Surcharge Fee 386.00.01.0 $4.5 Traffic Mitigation 345.85.00.0 $3,355.00 Water Heated 322.10.00.001 i $25.0 Total $9,837.0 Notes Date Note 6/15/2017 Lot 58-Plan 2159-Kettle Uploaded Files Upload File Date File Uploaded B 6/15/2017 3:22:01 PM 1517 Appiic-qtian. df Foster,Kristin x 6/15/2017 3:22:01 PM 1 b1/ Site Nlan.pdt Foster,Kristin x y �` °�' RESIDENTIAL PERMIT APPLICATION 7 � Department of Community&Economic Development �l ,S 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. r Project Address: IV 70,7-- /-0 -j7 - N Plat: 6.7 5 Ors Z fill- Single-family ❑ Duplex ❑ Townhouse ❑ Addition ❑ Iccessory structure Proposed Area: 'Is'Floor: 7�3 2"d Floor: f'9f'o Garage: Total SF: Describe Proposal (include cross street): a^ I�71,`, (�� �, iZ �� �7t/✓ l `� 'L�i t %'Jti. �� Sr ��lk; 'V Ki G- Valuation: �� Owner: Address: �� !Y�(7 t IZq C-4/03 City: l,e,�, �9 State: Zip Code: 7 03 Phone: �f Zs- T 1 07-� Email: / "Ir 41>AW5 �l4//-��s Applicant: C��I /t'y�G 'lQ ' ASAGyL,7b f✓� Address: I/q/7 Air— P(rr/S'C-A707 City: Lx� State: Zip Code: Phone: �� �� - Email: 012A040'k 5 Contractor: 4 — Gv(&s 1,' '� L_L'�— Address: l i l y IUV_ 0 41 r# S j `j03 City: N� State: Zip Code: Phone: Email: { •%jAIL, C.L" Contact Person: License Number: Ud( 16 Expiration: �- &D lSl'1 6/16LP Page 1 of 3 . � ' s ' r RESIDENTIAL PERMIT APPLICATION Department of Community&Economic Development �'t�NGSO 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 [ Sink(1.5) x Shower(2.0) x [yam Lavatory(1.0) x Clothes Washer(4.0) x [o Water Closet(2.5) x f2j--Dishwasher(1.5) x i [�J Water Heater x _Hose Bibb (2.5) x Water Heater Model# Other(list) x - Plumbing Section Continued K Proposed Water Piping Size: Proposed DWV Material: tl 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 I c`SY °'0' RESIDENTIAL PERMIT APPLICATION � Z Department of Community& Economic Development 74, 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: 1 > Furnace (80+) Model# /�-1 (J AFUE �Fo ❑ Heat Pump Model# SEER HSPE �f AC Unit Model# SEER QI Type II Hood Commercial Cooking Appliance Hydronic Piping ❑ Boiler Solid-Fuel Appliance PV System ❑ Fireplace Insert ❑ Outdoor BBQ Storage Tank Freestanding Stove Gas Piping FJ Other Gas Piping Information Not Applicable: ❑, I l' Pipe Material: I Pipe Size: l� Total BTU's of all Appliances: e-V_\ 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: E Date: I Print Applicants Name: 6/16LP Page 3 of 3 I 6/21/2017 t LGI HOMES-WASHINGTON LLC ' Search L&I \-/Iwir:< Ilvip S, y &health Claims&Insurance Yvorkpl�ice Rights Trade-,&Licensing 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 us improve https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=603508001&LIC=LGIH OH L857M B&SAW= 1t2 6/21/2017 LGI HOMES-WASH INGTON LLC No L&I tax debts are recorded for this con..actor license during the previous 6 year period,but so..ce 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. Mshington State Dept.of Labor&Industries.Use of this site is subject to the laws or the state of Nashington. https://secure.I ni.wa.gov/verify/D etai l.aspx?U BI=603508001&LIC=LGI H OH L857M B&SAW= 2/2 Date: 04/09/2026 Permit#: 1517 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#: 01166900005800 L GI HOMES -WASHINGTON LLC LGI HOMES -WASHINGTON LLC 1 450 LAKE ROBBINS DR STE 430 8902 170th Street NE T HE WOODLANDS, TX 77380 Zoning: 111 Single Fam iy Residence - DetachedLot: 5 8Block: Permit#: 1517 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: 264649.77 Square Feet: 2577 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- 01166900005800 8 902 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 09/21/2017 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 $2,719.73 Building Plan Review T able 4-2 $1,767.82 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 4 @$12 $168.00 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 $9,837.05 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 aunt 06/15/2017 LGI Hom cs-Washington Check#4801 K ristin Foster $8,069.23 LLC 06/15/2017 LGI Hom cs-Washington Check#4800 K ristin Foster $1,767.82 O utstanding Balance $0.00 Notes Date Note C reated By: 06/15/2017 Lot 58-Plan 2159-Kettle K ristin Foster Uploaded Files Date File Nam e 07/10/2017 2432445-1517 Issued Perm i.pdf 06/15/2017 2372953-1517 Site Plan.pdf 06/15/2017 2372954-1517 Apnlication.pdf