HomeMy WebLinkAbout17015 91st Drive NE_BLD1595_2026 ° Al, RESIDENTIAL PERMIT APPLICATION
Department of Community& Economic Development
IN `�. City of Arlington• 18204 59th Ave NE •Arlington,WA 98223 • Phone(360)403-3551
C+'
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:
17015 91st Drive NE Plat: Gregory Park Lot 20
_
Single-family 01 Duplex ❑ Townhouse 0 Addition 0; Accessory structure
Proposed Area: 1" Floor: 963 2nd Floor: 1196 Garage: 418 Total SF: 2577
Describe Proposal (include cross street):
Application for single family residence to be located at 17015 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
"n 1"s
6116LP 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)
Bath/Shower Combo (4.0) x 1 15 Sink (1.5) x 1
[✓� Shower (2.0) x 1 Lavatory (1.0) x 4
0 Clothes Washer (4.0) x [ Water Closet(2.5) x 3
Dishwasher (1.5) x 1 Water Heater x 1
Ql Hose Bibb (2.5) x 2 Water Heater Model #
C] 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)
6061-P 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
t�YG�
Mechanical Section (continue filling out if mechanical equipment is involved)
Select proposed appliances:
�l Furnace (80+) Model# Bryant 9155A30040514 AFUE 95%
❑ Heat Pump Model# SEER HSPE
❑ AC Unit Model# SEER
❑ Type II Hood 0 Commercial Cooking Appliance 0 Hydronic Piping
❑ Boiler D Solid-Fuel Appliance 0. PV System
❑ Fireplace Insert 0 Outdoor BBQ 0! Storage Tank
Freestanding Stove Gas Piping 0 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:
• 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:17015 91st Drive NE Permit#:1595
Parcel#:01166900002000 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: 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. IBC 110/IRC 110.
SALES T X NOTICE:Sales tax relating to construction and construction materials in/th City ofArli t t be r rted on your sales tax return form
and It "ty f rlington#3101
�S" 1'1
si at a Print Name Date el a 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
8/31/2017 Building Permit Fee $2,719.73
8/31/2017 Building Plan Review Fee $1,767.82
8/31/2017 Furnace $25.00
8/31/2017 Gas Outlets Base Fee 1 to 5 $10.00
8/31/2017 Mechanical Fee(Enter Fixture Fee) $25.00
8/31/2017 Mechanical Permit Base Fee $25.00
8/31/2017 Park-Community SF $1,662.00
8/31/2017 Plumbing Permit Base Fee $25.00
8/31/2017 Plumbing Permit Fee(Enter Fixture Fee) $168.00
8/31/2017 Processing/Technology Fee $25.00
8/31/2017 State Building Code Surcharge Fee $4.50
8/31/2017 Traffic Mitigation-City $3,355.00
8/31/2017 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.•
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•SrOPE DRIVEWAY 70 PUBLIC ROAD
•SYL T FENX TO BE INSTALLED PER
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•-W T FEIVOLF 70 BE INSTALLED ON
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PARM
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5'BSBL
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/ I 5' i PRIVA7F S7M SNUB
5' I •,VIE WALL BF STABILIZED Pffa4
�� I M BUILDING PDVT BEING
1'ROq''OVE7PHANC i L OT20 RNALIMV
PRO°09D RiVVIOVar '^� I SITE NOTES:
KETTLE-2159 GARA6F RIGHT p I •776W7LINE fOO77NG DRAINS AND
1,58&SF $ I ROac DRAINS M PERMANENT
I o $ = I S7W DRNNA6r SYS7M PER
g GARAGE I APPROV ED PLAT DRNNAI,E PLAN
= all FILE N17N 7HE COUNTY.
•AREA OF D1S7URBANQF INCLUDES
BUILDING ( ENnRE LOT.
10'PUBLIC I 450 OUXINE
LEGEND:
u77LI7r I 1a50g 41 8 2aoo I 0— BLow aw
EA.SEYENr � J � 5'
1 T a 4,fr-', I- — — — — — — ® WATER A/m
I ORIww r < a a( RRE HYDRANT
$ 20'BS& a .0 AIR VAC
PROPERTY
0 ® CA7a1 BARN
1 S.00 a CORNER(T)P.) O 6LEANOUT
I. d - � O MANHOLE
&Off NAIL
{- 7REE REMOVAL
LL'WNECT R AND c�yQc
R70T/NG A/NS
SEW? G O 9
ccwNEcnav alp 15�15
7t00 T 8'SEW? sL^ALE I'm 20'
1
9-IST DRIVENE LOT20
- - SITE PLAN
GREGOR Y PARK
LGI HOMES PLAN NO. KE77LE-2159
LOT AREA = 4,607 SF DATE 712712017 PARCEL # LOT 20
HOUSE= 1,588 SF
1471 I NE 19rh Flace,/!101
DRIVEWAY= 412 SF Ml—.,W.shingl-98007 DESIGNED CORE ADDRESS 17t71591SURIEAE
425.885.79,7 Fax 425,885.7963
WALKWA YIPA 770 = 39 SF PROJECT NUMBER
TOTAL= 2,0.79 SF
EN PLANNING • SURVEYING DRAWN CAF 13024L-GRG00
CITY OF ARLINGTON
238 N. OLYMPIC AVE -ARLINGTON, WA. 98223
PHONE; (360)403-3551
BUILDING PERMIT
Address:17015 91st Drive NE Permit#:1595
Parcel#:01166900002000 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: 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 RC W 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 IOARCI10.
SALE T X NOTICE:Sales tax relating to construction and construction matR77
th City ofArli t be r rted on your sales tax return form
and "y f dington#3101.
1't
Si at a Print Name Date V,4,-'�elKerBy 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
8/31/2017 Building Permit Fee $2,719.73
8/31/2017 Building Plan Review Fee $1,767.82
8/31/2017 Furnace $25.00
8/31/2017 Gas Outlets Base Fee 1 to 5 $10.00
8/31/2017 Mechanical Fee(Enter Fixture Fee) $25.00
8/31/2017 Mechanical Permit Base Fee $25.00
8/31/2017 Park-Community SF $1,662.00
8/31/2017 Plumbing Permit Base Fee $25.00
8/31/2017 Plumbing Permit Fee(Enter Fixture Fee) $168.00
8/31/2017 Processing/Technology Fee $25.00
8/31/2017 State Building Code Surcharge Fee $4.50
8/31/2017 Traffic Mitigation-City $3,355.00
8/31/2017 Water Heater $25.00
Total Due: $9,837.05
Total Payment: $9.837.05
Balance Due: 50.00
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 8/14/2017
Permit Number 1595
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 17015 91 st Drive 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#:01166900002000 LGI HOMES-WASHINGTON LLC
LGI HOMES-WASHINGTON LLC 1450 LAKE ROBBINS DR STE 430
17015 91st Drive NE THE WOODLANDS,TX 77380
Contractors
Contractor Name Primary Phone Email Contractor License License#
Contact Type
LGI Homes-Washington,Jake Jabusch 0588 0588 3- ake.jabusch@lgihomes.co CONTRACTOR (Labor and ILGIHOHL857M
LLC Jake
Review
Date Type Description I Target Date Completed Date I Assigned To I Status
8/15/2017 Residential Dwelling 8/22/2017 fkmy Rusko 111n Review
8/15/2017 lResidential Dwellin 8/22/2017 1Rick Karns 111n Review
Fees
Fee Descri tion Notes Amount
Building Plan Review Fed 345,83.00 0 $1,767,82
Tota $1,767,82
KIM-
Date Note
8/15/2017 Need Signature on Application,KF
8/15/2017 Lot 20-Kettle
Uploaded Files I Upload File
Date File Uploaded B
8/15/2017 10.31:21 AM '1595 Application.0 Foster, Kristin X
8/15/2017 10 31 21 AM 1.595 Site Plan pdf Foster,Kristin x
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:
17015 91st Drive NE Plat: Gregory Park Lot 20
0i Single-family 01 Duplex Townhouse ❑ Addition D Accessory structure
Proposed Area: 151 Floor. 963 2"d Floor: 1196 _ Garage: 418 Total SF: 2577
Describe Proposal (include cross street):
Application for single family residence to be located at 17015 91st Drive cross street is 91st Ave NE.
Valuation: . "l n
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
"(215gS
6/16LP Page 1 of 3
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RESIDENTIAL PERMIT APPLICATION
Department of Community & Economic Development
Y'A )3 aO City of Arlington• 18204 59th Ave NE •Arlington,WA 98223 • Phone(360)403-3551
LAN(
Plumbing Section (continue filling out if plumbing is involved)
(Check all that apply and indicate the number of fixtures proposed)
t3 Bath/Shower Combo (4.0) x 1 Chi Sink (1.5) x 1
[El Shower (2.0) x 1 a Lavatory (1.0) x 4
LJ! Clothes Washer (4.0) xI Water Closet(2.5) x 3
Dishwasher (1.5) x 1 Water Heater x 1
Hose Bibb (2.5) x 2 Water Heater Model #
Other(list) x 1 AO Smith H PTU-50N
Plumbing Section Continued
Proposed Water Piping Size: 3/411 Proposed DWV Material: AB
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
i
, ; 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# Bryant 9155A30040514 AFUE 95%
❑ Heat Pump Model# SEER HSPE
�l AC Unit Model # SEER
Type II Hood ❑ Commercial Cooking Appliance ❑ Hydronic Piping
❑` Boiler ❑ Solid-Fuel Appliance ❑ PV System
01 Fireplace Insert ❑ Outdoor BBC) ❑ Storage Tank
F0 Freestanding Stove 0 Gas Piping D. Other
Gas Piping Information
Not Applicable: f],
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: / Date:
Print Applicants Name:
6/16LP Page 3 of 3
r
iS
8/15/2017 LGI HOMES-WASHINGTON LLC
y
(Search L&I 5M
"Jai P'J 8,Aft
Washington State Department of
4LJ 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
1 210112 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&1 Tax debts
3 4 iix Us imp ovr_,
https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=603508001&LIC=LGIHOHL857MB&SAW= 1/2
J
8/15/2017 LGI HOMES-WASHINGTON LLC
No L&I tax debts are recorded for this contraci :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 296-46B-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.
J Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the state of Washington.
https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=603508001&LIC=LGI HOHL857MB&SAW= 2/2
Date: 04/09/2026
Permit#: 1595
Perm Date: 08/14/2017
Review Date: 08/15/2017
Perm Type: RESIDENTIAL SINGLE FAMILY
Review Type: RESIDENTIAL SINGLE FAMILY
Target Date: 08/22/2017
Scheduled Time 00:00
Com pleted Date: 08/15/2017
Description: No land use issues.
Review Status:
Assigned To:
Tim eIn: 00:00
Time O it: 00:00
H curs: 0.0
Property Information
Parcel#: 01166900002000 L GI HOMES -WASHINGTON LLC
LGI HOMES -WASHINGTON LLC 1 450 LAKE ROBBINS DR STE 430
17015 91st Drive NE T HE WOODLANDS, TX 77380
Zoning: 111 Single Fam iy Residence -
DetachedLot: 20131ock:
Permit#: 1595
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-
01166900002000 1 7015 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
10/23/2017 R20.SFR/DUPLEX Com lieted
FINAL
Plan Reviews
Date R eview Type D escription A ssigned To R eview Status
08/15/2017 RESIDENTIAL SINGLE No land use issues.
FAMILY
08/15/2017 RESIDENTIAL SINGLE z.Rick Karns
FAMILY
Fees
Fee D escription N otes A m cunt
Building Plan Review T able 4-2 $1,767.82
Building Penn i T able 4-1 $2,719.73
Forced Air Heat f ee per Btu $25.00
Gas Piping/Units E nter#of units $10.00
Mechanical Fee(Enter Fixture Fee) 1 @$25 $25.00
Mechanical Base P erm i Fee $25.00
Park-Com m nity SF S ingle Fam iy $1,662.00
Plum ling 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-SF S ingle Fam iy $3,355.00
Wier Heater(Tank) $25.00
Total $9,837.05
Attached Letters
Date Letter D escription
08/31/2017 Building Perm i
Paym acts
Date Paid By D escription P aym a►t Type A ccepted By A m aunt
08/31/2017 LGI Hom cs-Washington Check#5128 K ristin Foster $8,069.23
LLC
08/31/2017 LGI Hom cs-Washington
Check#5127 K ristin Foster $1,767.82
LLC
O utstanding Balance $0.00
Notes
Date Note C reated By:
08/15/2017 Lot 20-Kettle Kristin Foster
08/15/2017 Need Signature on Application.KF K ristin Foster
Uploaded Files
Date File Nam e
09/06/2017 2582843-1595 Issued Perm i.pdf
08/15/2017 2527769-1595 Site Plan.pdf
08/15/2017 2527770-1595 Application.p f