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16919 91st Drive NE_BLD1590_2026
RESIDENTIAL PERMIT APPLICATION Department of Community& Economic Development �A�l1r ,�Or 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 BYTWO(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: 16919 91st Drive NE Plat: Gregory Park Lot 15 V31 Single-family D] Duplex D Townhouse D Addition DJ Accessory structure Proposed Area: 1" Floor: 963 2nd Floor: 1196 Garage: Total SF: 2577 Describe Proposal (include cross street): Application for single family residence to be located at 16919 91st Drive cross street is 91st Ave NE. Valuation: � . W —1 l Owner: LGI Homes - Washington LLC Address: 9028 1689th St NE City: Arlington State:WA Zip Code:98223 _ Phone: (425) 785-0797 Email: Matt.adams@lgihomes.com Applicant: LGI Homes - Washington LLC Address: 9028 1689th St NE City:Arlington State: WA Zip Code:98223 Phone: (425) 785-0797 Email:Matt.adams@lgihomes.com Contractor: LGI Homes - Washington LLC 9028 1689th St NE Address:_ City: State: Zip Code: Phone: (425) 785-0797 Email: Matt.adams@lgihomes.com Contact Person: Matt Adams License Number:LGIHOHL857MB Expiration: 07/03/2019 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) I Bath/Shower Combo (4.0) x 1 C Sink (1.5) x 1 d; Shower(2.0) x 1 Lavatory (1.0) x 4 ❑ Clothes Washer (4.0) x 4I Water Closet(2.5) x 3 FJi Dishwasher(1.5) x 1 Water Heater x 1 fl Hose Bibb (2.5) x 2 Water Heater Model # FJ, Other(list) x 1 AO Smith HPTU-50N Plumbing Section Continued Proposed Water Piping Size: 3/411 Proposed DWV Material: ABS Proposed Piping Material: PEX Proposed DWV Size: 2" • 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 dA' RESIDENTIAL PERMIT APPLICATION Department of Community& Economic Development ,SO 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: �I Furnace (80+) Model# Bryant 9155A30040514 AFUE 95% ❑ Heat Pump Model# SEER HSPE ❑ AC Unit Model# SEER ❑ Type II Hood 01 Commercial Cooking Appliance 0 Hydronic Piping ❑ Boiler 01 Solid-Fuel Appliance Q PV System ❑ Fireplace Insert ❑i Outdoor BBQ U1 Storage Tank 14 Freestanding Stove 0, Gas Piping El Other Gas Piping Information Not Applicable: 0 Black steel Pipe Material: , Pipe Size: 1" Total BTU's of all Appliances: 120,000 Distance from Meter to Furthest Appliance: 5 • 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: dle �`� Date: ` pp 9 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:16919 91st Drive NE Permit#:1590 Parcel#:01166900001500 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:9028 168th Street NE Address: 11410 NE 124th Street,Ste#103 City,State Zip:THE WOODLANDS,TX 77380 City,State Zip:Arlington,WA 98223 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-$ 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 o o m t be reported on your sales tax return form and cod ty o din on#31 I. ignatu c V Print Name r Date c 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 9/1/2017 Building Permit Fee $2,719.73 9/1/2017 Building Plan Review Fee $1,767.85 9/1/2017 Gas Outlets Base Fee 1 to 5 $10.00 9/1/2017 Mechanical Fee(Enter Fixture Fee) $50.00 9/1/2017 Mechanical Permit Base Fee $25.00 9/1/2017 Park-Community SF $1,662.00 9/1/2017 Plumbing Permit Base Fee $25.00 9/1/2017 Plumbing Permit Fee(Enter Fixture Fee) $168.00 9/1/2017 Processing/Technology Fee $25.00 9/1/2017 State Building Code Surcharge Fee $4.50 9/1/2017 Traffic Mitigation $3,355.00 9/1/2017 Water Heater $25.00 Total Due: $9,837.08 Total Payment: $9,837.08 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 i1 yFs�' SETBACKS NOTES.• 91ST A VE NE FROwr 20' r BU/LUNG DNff,,9aVS ARE 70 n,--- - - - - - - - - - - - - - - - - SLOE 5 FACTOFfWNDAPON PROP& - REAR 20' •WADING 99ONN AS DIE96w ACTUAL LOCAALW AM VARY LI'F3L�T(1rP. - •SXWE DAYWWAY 70 PUBLIC ROAD - - •SYLT FENCE 70 BE INSTALLED PER a7Y OF ARL/NG7OW S�STANDARD a " •SILT FENCE 70 BE INSTALLED OW -_N00;3911 E 6RADIDVr SDE OF BI/ILD/NG —478 — - — — 45.00 - PAR02 I •COWRI/CAOw EN7RANIX 70 BE INSTALLED PER aTY OIL ARL/NGWT STANDARDS 10'PUBLIC BSBL 1'PUBLIC STORM NOTES. U77LITY ,A'DIEWALK ^ — .> INSTALLED PA'/L14 AO _EASEAAEIVT- r -- -- -EASE7AENT g r - - - - - - . .BARE UCA 010147PED MIA/A/ULI,YI FNIMM CON70UR pq AN07NER APPRO10 W I -�-s'BSl4L I I (Ap) •70WL PER #W6f BMP 7513 PA770 39_w I I (EFF 12-90-7H) E17SANG 'ALL aV27E RUNOFF COWNECIED 70 5'8S�91-� I OLWIOVR� PRNA7E ST"S7118 1\ 5" I 5' I (TYP) •SIIE JWALL BE STABILIZED Pffa? 3 'BOO NAUZED 76 G POP r BEING °t I LOT 15 d, I� � I SITE NOTES: PRO POSED RES VENI"Lr ^�o •Aa/n/NE FDOANG DRAINS AND N p KEI7LE--2159 GARAGE LEFT ni o R06F DRAINS TO PERMANEWT ( � 1,588±sr I STta41/DRNNAX SYS7E1/PER = = OW ALE W7H COUNTY PLAN g GARAGE 1'ROOD OI�tMANG •AREA X DYSAIRBANIX INOL'UDES I g BUILDING I EWARE LOT. I i" (X/IUNE I I LEGEND. 4 3o BLOW OFF MOO 8 �" la50 5, I /A�t. ® WA7&A/M - -- 10'PUBL1c L'=-- -- - - 4( ARE HYDRANT UALITY 412 h ' 5'PAYVA7E EASf,I/ENT �IP/t�llA Y ?0•BS) / S70RM r A/R VAC 22 >c g EAS�IAENT ® CA7W BASYN ti O OYEANour 45.00 O MAN WE ° N00:39"11"E° - BLOa( WALL d e° e �"',-Ma=9917Y 1REE REMOVAL d ,sfou NECAAY OLI (7)P.) Re Ce i V 8" A WATER /lUG p S 2 STRN(�' Sr"1'=20' 1510 � r S7O15iU aEAwour. i LOT 15 n��icr RW DYNSANO 1ST OR/VE NE SITE PLAN- - - - GREGOR Y PARK LGI HOMES PLAN NO. KE77Z-E-2159 LOT AREA = 4,607 SF DATE 712712017 PARCEL # LOT 15 HOUSE= 1,588 SF I471 I NE 191h Place,#101 DRIWHAY= 411 SF Mlev ,W.=hi^glo 98007 DESIGNED CORE ADDRESS 101991STDVlFAE 425.885.7877 Fan 425.985.7963 WALKWAY11PAAO = 39 SF `DESIGN PROJECT NUMBER TOTAL- 2,039 SF ENGINEERING • PLANNING • SURVEYING DRAWN CAF 13024L-GRG00 CITY OF ARLINGTON 238 N. OLYMPIC AVE-ARLINGTON, WA. 98223 42 PHONE; (360)403-3551 BUILDING PERMIT Address:16919 91st Drive NE Permit#:1590 Parcel#:01166900001500 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:9028 168th Street NE Address: 11410 NE 124th Street,Ste#103 City,State Zip:THE WOODLANDS,TX 77380 City,State Zip:Arlington,WA 98223 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-$ 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. IBC 110/IRC 110. !Tigna't4e TICE:Sales tax relating to construction and construction materials in the City o log m t be reported on your sales tax return form y o rlin on#31 1. .�t. � Print Name Date c 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 9/1/2017 Building Permit Fee $2,719.73 9/1/2017 Building Plan Review Fee $1,767.85 9/1/2017 Gas Outlets Base Fee 1 to 5 $10.00 9/1/2017 Mechanical Fee(Enter Fixture Fee) $50.00 9/1/2017 Mechanical Permit Base Fee $25.00 9/1/2017 Park-Community SF $1,662.00 9/1/2017 Plumbing Permit Base Fee $25.00 9/1/2017 Plumbing Permit Fee(Enter Fixture Fee) $168.00 9/1/2017 Processing/Technology Fee $25.00 9/1/2017 State Building Code Surcharge Fee $4.50 9/1/2017 Traffic Mitigation $3,355.00 9/1/2017 Water Heater $25.00 Total Due: $9,837.08 Total Payment: $9,837.08 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 •., { r Permit Information Date 8/14/2017 Permit Number 1590 Project Name Gregory Park Applicant Name LGI Homes-Washington,LLC Applicant Address 9028 168th Street NE City,State,Zip Arlington,WA 98223 Contact Matt Adams Phone 425-785-0797 Email matt.adams@lgihomes.com Permit Type Single Family Residence Site Address 16919 91st Drive NE Valuation 264649.77 Status Applied Permit Issued Permit Expires Square Feet 2577 Type of Construction/Occupancy Load VB/R3 Number of Stories 2 Proposed Use New SFR Assigned To Kristin Foster Property Information Owner Information Parcel#:01166900001500 LGI HOMES-WASHINGTON LLC LGI HOMES-WASHINGTON LLC 1450 LAKE ROBBINS DR STE 430 16919 91st Drive NE THE WOODLANDS,TX 77380 Contractors Contractor Name Primary Phone Email Contractor License License# Contact Type ILGI Homes-Washington,Jake Jabusch 0588 3- lake.jabusch@lgihomes.corriCONTRACTOR (Industries Labor and p588 (LLC ( ILGIHOHL857M Review Date Type Description I Target Date Completed Date Assigned To Status 114/2017 Residential Dwelling 8/21/2017 kmy Rusko 11n Review 8/14/2017 Residential Dwelling 3/21/2017 lRick Karns 111n Review Fees Fee Description Notes Amount Building Plan Review Feel 345.83.00.0 $1,767.82 Total $1,767.821 Notes Date Note 8/14/2017 Lot 15-Kettle Uploaded Files Upload File Date File Uploaded B 8/14/2017 4:34:44 PM 1590 Application.pdf Foster,Kristin x 8/14/2017 4:34:44 PM 1590 Site Plan.pdf Foster,Kristin x 8/15/2017 LGI HOMES-WASHINGTON LLC Search L&I 1 ilU t2 huh�x tt.tip 11}LRi >atety E Heaiih Oa ms&Jnsm-ancr urk.I ac;e G irjhts "rrr„es . E_ir;r,r,sir,g 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—07/0212019 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. L8d Tax debts https://secure.Ini.wa.gov/verify/Detaii.aspx?UBI=603508001&LIC=LGIHOHL857MB&SAW= 1/2 8/15/2017 LGI HOMES-WASHINGTON LLC vQ L&I tax debts are recorded for this contract ;tense during the previous 6 year period,but some i 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. Public Works Strikes and Debarments Verify the contractor is eligible to perform work on public works projects. Contractor Strikes No strikes have been issued against this contractor. Contractors not allowed to bid No debarments have been issued against this contractor. 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 state of Washington. https:Hsecure.ini.wa.gov/verify/Detail.aspx?UBI=603508001&LIC=LGI HOHL857MB&SAW= 212 RESIDENTIAL PERMIT APPLICATION 'y ? 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 BYTWO(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: 16919 91st Drive NE Plat: Gregory Park Lot 15 _ 141 Single-family ❑ Duplex Q Townhouse Qj Addition Q Accessory structure Proposed Area: 15' Floor. 963 2"d Floor: 1196 Garage: 7/c Total SF: 2577 Describe Proposal (include cross street): Application for single family residence to be located at 16919 91st Drive cross street is 91st Ave NE. Valuation: Owner: LGI Homes - Washington LLC Address: 9028 1689th St NE City: Arlington State:WA Zip Code:98223 Phone: (425) 785-0797 Email: Matt.adams@lgihomes.com Applicant: LGI Homes - Washington LLC Address: 9028 1689th St NE City:Arlington State: WA Zip Code:98223 Phone: (425) 785-0797 Email:Matt.adams@lgihomes.com Contractor: LGI Homes - Washington LLC 9028 1689th St NE Address: City: State: Zip Code: Phone: (425) 785-0797 Email: Matt.adams@lgihomes.com Contact Person: Matt Adams License Number:LGIHOHL857MB Expiration: 07/03/2019 Received AUG 08 2017 VAf7 III) 6116LP Page 1 of 3 �. i' �P � i 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 1 Sink(1.5) x 1 l� Shower (2.0) x 1 Lavatory (1.0) x 4 U. Clothes Washer (4.0) x M Water Closet(2.5) x 3 j Dishwasher (1.5) x 1 f�J, Water Heater x 1 Cf; Hose Bibb (2.5) x 2 Water Heater Model # ®' Other(list) x 1 AO Smith HPTU-50N Plumbing Section Continued Proposed Water Piping Size: 3/411 Proposed DWV Material: ABS Proposed Piping Material: PEX Proposed DWV Size: 2" • 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 r 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: ®i Furnace (80+) Model# Bryant 9155A30040514 AFUE 95% ❑ Heat Pump Model# SEER HSPE ❑ AC Unit Model# SEER ❑ Type Il Hood 0. Commercial Cooking Appliance 01 Hydronic Piping ❑ Boiler ❑; Solid-Fuel Appliance PV System Q� Fireplace Insert 0. Outdoor BBo Q, Storage Tank Freestanding Stove Gas Piping Ui Other Gas Piping Information Not Applicable: (7 Black steel Pipe Material: Pipe Size: 1" Total BTU's of all Appliances: 120,000 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: _. c f-t� - � Date: Nt7_ l Print Applicants Name: ' [ ►c j ,�f. +' 6/16LP Page 3 of 3 r Date: 04/09/2026 Permit#: 1590 Perm Date: 08/14/2017 Review Date: 08/14/2017 Perm Type: RESIDENTIAL SINGLE FAMILY Review Type: RESIDENTIAL SINGLE FAMILY Target Date: 08/21/2017 Scheduled Time 00:00 Com pleted Date: 08/15/2017 Description: No land use issues. Review Status: Assigned To: Tim eln: 00:00 Time O it: 00:00 H curs: 0.0 Property Information Parcel#: 01166900001500 L GI HOMES -WASHINGTON LLC LGI HOMES -WASHINGTON LLC 1 450 LAKE ROBBINS DR STE 430 16919 91st Drive NE T HE WOODLANDS, TX 77380 Zoning: 111 Single Fam iy Residence - DetachedLot: 15Block: Permit#: 1590 Permit Date: 08/14/17 Permit Type: RESIDENTIAL SINGLE FAMILY Project Nam e Gregory Park Applicant Nam a LGI Horn cs -Washington, LLC Applicant Address: 9028 168th Street NE Applicant, City, State, Zip: Arlington,WA98223 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: 09/05/2017 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- 01166900001500 1 6919 91st Drive 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 lieted Date I nspector S tatus 10/26/2017 R20.SFR/DUPLEX Com lieted FINAL Plan Reviews Date R eview Type D escription A ssigned To R eview Status 08/14/2017 RESIDENTIAL SINGLE No land use issues. FAMILY 08/14/2017 RESIDENTIAL SINGLE z.Rick Karns FAMILY Fees Fee D escription N otes A m cunt Building Plan Review T able 4-2 $1,767.85 Building Perm i T able 4-1 $2,719.73 Gas Piping/Units E nter#of units $10.00 Mechanical Fee(Enter Fixture Fee) 2 @$25 $50.00 Mechanical Base P erm i Fee $25.00 Plum ling Base Perm i Fee $25.00 Mechanical Comm ecial Perm i T able 4-7;Per Unit 1 4 @$12 $168.00 Waer Heater(Tank) $25.00 Park-Com m nity SF S ingle Fam iy $1,662.00 Traffic Mitigation-C/MF Cbm m ecial/Multi-fam iy $3,355.00 Processing/Technology $25.00 State Surcharge- 1st DU R esidential-1st Unit $4.50 Total $9,837.08 Attached Letters Date Letter D escription 08/31/2017 Building Permt Paym nits Date Paid By D escription P aym art Type A ccepted By A m cant 08/31/2017 LGI Hom es-Wa hingt n Check#5107 K ristin Foster $1,767.85 LLC 08/31/2017 LGI Hom es-W a hingt n Check#5108 K ristin Foster $8,069.23 LLC O itstanding Balance $0.00 Notes Date Note C reated By: 08/14/2017 Lot 15-Kettle Kristin Foster Uploaded Files Date File Nam e 09/06/2017 2582812-1590 Issued Perm i.pdf 08/15/2017 2527361-1590 Application.pdf 08/14/2017 2525473-1590 Site Plan.pdf