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HomeMy WebLinkAbout16925 91st Drive NE_BLD1591_2026 w 04"'S' 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: 16925 91st Drive NE Plat: Gregory Park Lot 16 _ ®I Single-family ❑I Duplex 0 Townhouse 01 Addition ❑, Accessory structure Proposed Area: 1 s' Floor: 1487 2nd Floor: Garage: 402 Total SF: 1889 Describe Proposal (include cross street): Application for single family residence to be located at 16925 91st Drive cross street is 91st Ave NE. Valuation: I( 1, Qa• l?J Owner: LGI Homes - Washington LLC Address: 9028 168th St NE City: State: Zip Code:Arlington WA 98223 Phone: (425) 785-0797 Email: Matt.adams@lgihomes.com Applicant: LGI Homes - Washington LLC Address: 9028 168th St NE City: Arlington State: WA Zip Code:98223 _ Phone: (425) 785-0797 Email:Matt.adams@lgihomes.com Contractor: LGI Homes - Washington LLC 9028 168th 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 © S 20P F-�I1�1�1I 6/16LP Page 1 of 3 RESIDENTIAL PERMIT APPLICATION Department of Community & Economic Development 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) L) Bath/Shower Combo (4.0) x 1 CAI Sink (1.5) x 1 [�! Shower(2.0) x 1 Lavatory (1.0) x 2 ❑ Clothes Washer (4.0) x Water Closet(2.5) x 2 Dishwasher (1.5) x 1 [ Water Heater x 1 0 Hose Bibb (2.5) x 2 Water Heater Model # ®' Other (list) ���tl�j x 1 AO Smith H PTU-50N Plumbing Section Continued Proposed Water Piping Size: 3/411 Proposed DWV Material: ABS Proposed Piping Material: PEX 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 Y��IN 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: FielI Furnace (80+) Model# Bryant 9155A30040514 AFUE 95% 01 Heat Pump Model# SEER HSPE 01 AC Unit Model# SEER Di Type II Hood ❑ Commercial Cooking Appliance D Hydronic Piping ❑ Boiler 0 Solid-Fuel Appliance 0 PV System 0i Fireplace Insert 0 Outdoor BBQ 1.1 Storage Tank Freestanding Stove 0 Gas Piping Di Other Gas Piping Information Not Applicable: ❑I Black steel 120,000 Pipe Material: Pipe Size: 1" Total BTU's of all Appliances: Distance from Meter to Furthest Appliance: 40' • 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 i CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:16925 91st Drive NE Permit#:1591 Parcel#:0 1 16690000 1600 Valuation: 187421.13 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: 1 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. IBC 110/IRC 110. ALE TAX TICE:Sales tax relating to construction and construction materials in the City o n st be reported on your sales tax return form an c e hl of ArIi gton#3101. 1 AAA:�., Aq- S nature Print Name Date a eased 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 $2,109.12 9/1/2017 Building Plan Review Fee $1,370.93 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) $132.00 9/1/2017 Processing/Technology Fee $25.00 9/1/2017 State Building Code Surcharge Fee $4.50 9/1/2017 Traffic Mitigation-City $3,355.00 9/1/2017 Water Heater $25.00 Total Due: $8,793.55 Total Payment: $8,793.55 Balance Duc: $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 SETBACKS NOTES 91ST A VE NE fROWT 20 •BUILDING DID M-76WS ARE 70 —— APOf'174TY——— —<G — — —1— — — — — — — SYDE 5 FALLS OF FOUNDADGW "ey1 it SQG�IiALK ,, REAR 10 -LWADING_%OINV AS DE96W ACTUAL LOCAAOW MAY VARY ' EAS>96HT ,SrG°E DVP/VFWAY TO PUBLIC ROAD - — - •SE T fENiX TO BE INSTALLED PER ° CITY OF ARUNGTZW S STANDARD 45.00 •St fEN6F TO BE INSTALLED ON - G)PAD/OVT SUE LIB BUILDING N00:39'11'E — — — — , FARM 476 •CaVS7RUCAOIN OVTRANCE TO BE 474 N INSTALLED POP CITY OF 10'PUBLIC ARLING70VT STANDARDS UALITY x ►'�� 20'BS& STORM NOTES. EAMMENT 19 PAW 12 9r' — NISHED..R EX INSTALLED PR16 P 70 - - - - - �� r - ---- I _ 5'8S19L -24.50 r—— — — ���COWED Nrn/MULA'/ a?ANOTHER APPROVED BMP I ram- $ 5'Bsa9l •7ORSOX PER M51961E 8V T5.13 Jr' I •� 6N97E Ofr CI%VNECIED TO 5'. PAYVA1F S7t�WM S1U8 la 50 �. I •27F VALL BE STARUZED PRIOR 70 1 3 LOT 16 g 3 1 NAU20 G PE1PA�vT E1E7NG PRAA05E0 RESTDO a- o, d I EX/SANG S/TENOTES• axGfllB/A-14B7 GARAGE RIGHT "� � CGWTOUR •AGi'/IUNE fOOANG DRAINS AND 2109fSF p SV ROLL DRAINS TO PERMANENT g I (7)Pl S7WM ARAINAGE SYSTEM POP APPROVED PLAT DRAINAGE'PLAN PROOF OVERHANG I I GARAGEAREA OF I GW ALEMIA/ 1HE COUNTY BUILDING-� SNARE LO STURBANX/NGYUDES' OUTLINE i LEGEND: 4 d— BLOW LY•F 5 11.00 Id Id g 19.75 I ® NTER METOP 10'PUBLIC — — L—————— 4( RRE HYDRANT 417 9r . , UAUTY I DIR/bt N 10 � NR VAC EASLl1ENT g 20'BSBL .: ° 4?2' 002 CA TOR 84,9N — O a'FANOV/T 45.00 — —� O MANHOif ° a N00:39'11'EPi ® BLOW WALL Q eQ s7RER REaIOVAL f- * WATERPIP 4 --kaw8'WATER mu - AUG pStI 17 �.... CXACCnaN n 5t00 'SICALE 1'=20' A()1 ul - Ste"GATCOIWECr AM LOT 16 FOONNG DRAINS 91ST DRIVE NE SITE PLAN GREGOR Y PARK L G1 HOMES PLAN NO. COL.—1487 LOT AREA = 4,607 SF DATE 7/27/2017 PARCEL # LOT 16 HOUSE= 2,109 5F 471 NE 29 h Ploce J 101 DRIVEWAY= 417 SF eeneme,W shi gt,,98007 DESIGNED CORE ADDRESS 16925 91ST LIVIEW 425.885.7877 Fax 425.885.7963 WALKWAYIPAAO = 12 Sr ��Oe"tr' PROJECT NUMBER TOTAL= 2,538 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:16925 91st Drive NE Permit#:1591 Parcel#:0 1 16690000 1600 Valuation: 187421.13 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: I 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. IBC110/IRC110. .AARQ tax relating to construction and construction materials in the City 0 n ► st be reported on your sales tax return form Maof ArI'tgton#3101. S Print Name Date c eased 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 $2,109.12 9/1/2017 Building Plan Review Fee $1,370.93 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) $132.00 9/1/2017 Processing/Technology Fee $25.00 9/1/2017 State Building Code Surcharge Fee $4.50 9/1/2017 Traffic Mitigation-City $3,355.00 9/1/2017 Water Heater $25.00 Total Due: $8,793.55 Total Payment: $8,793.55 Balance Due: $0.00 CALL FOR INSPECTIONS BURAINC(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 8/14/2017 Permit Number 1591 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 16925 91 st Drive NE Valuation 187421.13 Status Applied Permit Issued Permit Expires Square Feet 1889 Type of Construction/Occupancy Load V-B Number of Stories 1 Proposed Use New SFR Assigned To Kristin Foster Property Information Owner Information Parcel#:01166900001600 LGI HOMES-WASHINGTON LLC LGI HOMES-WASHINGTON LLC 1450 LAKE ROBBINS DR STE 430 16925 91st Drive NE THE WOODLANDS.TX 77380 Contractors Contractor Name Primary Phone Email Contractor License License# Contact Type ILGI Homes-Washington, lake Jabusch 360-353- ake.jabusch@Igihomes.comCONTRACTOR (Labor and I_GIHOHL857M LLCD588 (Industries Review Date Type Description I Target Date Completed Date Assigned To Status 8J14/2017 (Residential Dwelling 8/21/2017 fkmy Rusko Iln Review B/14/2017 Residential Dwelling 8/21/2017 IlRick Karns 111n Review Fees Fee I Description Notes Amount Building Plan Review Feel 345.83.00.01 1 $1,370.93 Total $1,370.9 Notes Date Note 8/14/2017 Lot 16-Columbia Uploaded Files Upload File Date File Uploaded By 8/15/2017 8:50:52 AM 1591 Site Plan.pdf Foster,Kristin )( 8/15/2017 8:50:51 AM 1591 Application.0 Foster. Kristin X 8/15/2017 LGI HOMES-WASHINGTON LLC Search L&I %•Z rn<L- Ilvlli 1 yr &He"ath Claims&iu:>ur�ir;r_ �Yr,rrvzs�l�.�cc: i iahts a cs . L,cansiri� 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 1 2/0 112 01 7 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 u<i iaipr ove https:Hsecure.Ini.wa.gov/verify/Detaii.aspx?UBI=603508001&LIC=LGIHOHL857MB&SAW= 1/2 8/15/2017 LGI HOMES-WASHINGTON LLC 1 No¢.8<I tax debts are recorded for this contract ,ense during the previous 6 year period,but some t may be recorded by other agencies. License Violations Infraction no. ESCAH00464 Satisfied Issue date RCW/WAC 02/17/2017 WAC 296-466-990 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. J Washington State Dept,of Labor&Industries.Use of this site is subject to the laws of the stale of Washington. Help ,us improve https://secure.ini.wa.gov/verify/Detail.aspx?UBI=603508001&LIC=LGIHOHL857MB&SAW= 2/2 ,�. I I LIN 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: 16925 91st Drive NE Plat: Gregory Park Lot 16 ®I Single-family ❑I Duplex ❑ Townhouse ❑I Addition ( Accessory structure Proposed Area: Is' Floor. 1487 2nd Floor: Garage: 402 _ Total SF: 1889 Describe Proposal (include cross street): Application for single family residence to be located at 16925 91st Drive cross street is 91st Ave NE. Valuation: 10 1, "• 177 owner: LGI Homes - Washington LLC Address: 9028 168th 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 168th St NE City:Arlington State: WA Zip Code:98223 Phone: (425) 785-0797 Email:Matt.adams@lgihomes.com Contractor: LGI Homes - Washington LLC 9028 168th 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 9� ,.,- �! :, +; RESIDENTIAL PERMIT APPLICATION y Department of Community & Economic Development City of Arlington• 18204 59th Ave NE • Arlington,WA 98223 • Phone(360)403-3551 r y 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 [!j Sink(1.5) x 1 d Shower (2.0) x 1 Lavatory (1.0) x 2 ❑ Clothes Washer (4.0) x Water Closet(2.5) x 2 Dishwasher (1.5) x 1 Water Heater x 1 l� Hose Bibb (2.5) x 2 Water Heater Model # Other (list) -4 U6 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 Y. RESIDENTIAL PERMIT APPLICATION ,Y } Department of Community& Economic Development 4' Or 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: 14 Furnace (80+) Model# Bryant 9155A30040514 AFUE 95% 01 Heat Pump Model# SEER HSPE 01 AC Unit Model# SEER U Type II Hood ❑ Commercial Cooking Appliance 0 Hydronic Piping Ol Boiler 01 Solid-Fuel Appliance ❑ PV System ❑ Fireplace Insert 01 Outdoor BBQ ❑ Storage Tank �i Freestanding Stove ®i Gas Piping ❑ Other Gas Piping Information Not Applicable: ❑ 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 r / I G Applicant Signature. Date: a Print Applicants Name: ��` -►� S 6/16LP Page 3 of 3 �Y Permit#: 1591 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: 187421.13 Square Feet: 1889 Num ber of Stories: 1 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- 01166900001600 1 6925 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 in amt Building Plan Review T able 4-2 $1,370.93 Building Perm i T able 4-1 $2,109.12 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 Park-Com in nity SF S ingle Fam iy $1,662.00 Plum ling Base Perm i Fee $25.00 M echanical Com in ecial Perm i T able 4-7;Per Unit 1 1 @$12 $132.00 Processing/Technology $25.00 Traffic Mitigation-SF S ingle Fam iy $3,355.00 Water Heater(Tank) $25.00 State Surcharge- 1st DU R esidential-1st Unit $4.50 Total $8,793.55 Attached Letters Date Letter D escription 09/01/2017 Building Permt Paym nits Date Paid By D escription P aym art Type A ccepted By A in cunt 08/31/2017 LGI Hom es-Washington Check#5112 K ristin Foster $7,422.62 LLC 08/31/2017 LGI Hom es-Washington Check#5111 K ristin Foster $1,370.93 LLC O itstanding Balance $0.00 Notes Date Note C reated By: 08/14/2017 Lot 16-Colum ba K ristin Foster Uploaded Files Date File Nam e 09/06/2017 2582815-1591 Issued Perm i.pdf 08/15/2017 2527364-1591 Application.pdf 08/15/2017 2527068-1591 Site Plan.pdf 08/15/2017 2527067-1591 Apnlication.pdf Date: 04/09/2026 Permit#: 1591 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#: 01166900001600 L GI HOMES -WASHINGTON LLC LGI HOMES -WASHINGTON LLC 1 450 LAKE ROBBINS DR STE 430 16925 91st Drive NE T HE WOODLANDS, TX 77380 Zoning: 111 Single Fam iy Residence - DetachedLot: 16Block: