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HomeMy WebLinkAbout17021 91st Drive NE_BLD1596_2026 °� RESIDENTIAL PERMIT APPLICATION Department of Community & Economic Development ��l jNG40� 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: 17021 91st Drive NE Plat: Gregory Park Lot 21 _ ®, Single-family 01 Duplex 0 Townhouse ❑! Addition 0! Accessory structure Proposed Area: 15' Floor: 1006 2nd Floor: 1332 Garage: 380 Total SF: 2718 Describe Proposal (include cross street): Application for single family residence to be located at 17021 91st Drive cross street is 91st Ave NE. Valuation: 7� �f�lS S. C_�(D 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 NI?nq(a 6/16LP Page 1 of 3 RESIDENTIAL PERMIT APPLICATION Department of Community & Economic Development IN �O' City of Arlington• 18204 59th Ave NE •Arlington,WA 98223 • Phone(360)403-3551 G' 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 Chi Sink (1.5) x 1 [✓� Shower (2.0) x 1 Lavatory (1.0) x 5 Q Clothes Washer (4.0) x 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 HPlU-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 RESIDENTIAL PERMIT APPLICATION Department of Community& Economic Development 'SIN ,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: 14 Furnace (80+) Model# Bryant 9155A30040514 AFUE 95% 011 Heat Pump Model# SEER HSPE 01 AC Unit Model# SEER Q Type II Hood ❑ Commercial Cooking Appliance ❑ Hydronic Piping 01 Boiler ❑ Solid-Fuel Appliance ❑ PV System Q Fireplace Insert ❑ Outdoor BBQ ❑ Storage Tank Freestanding Stove Gas Piping ❑ Other Gas Piping Information Not Applicable: 01 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 Date: Print Applicants Na "'�x _t 6116LP Page 3 of 3 CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 42 PHONE; (360) 403-3551 BUILDING PERMIT Address:17021 91st Drive NE Permit It:1596 Parcel#:0 1166900002 100 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: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: `/-$ 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. SALESX.WX NOTICE. Sales tax relating to construction and construction materials in the City ofA t be reported on your sales tax return form and c i f rlin h#3101. r AfAal— S Si the Print Name to elcased By Date. CONDITIONS Adhere to approved plans. THIS PERMIT AUTHORIZE 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 $2,870.40 8/31/2017 Building Plan Review Fee $1,865.76 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) $180.00 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: $10,097.66 Total Payment: 10,09T66 Balance Due: SO.OU CALL FOR INSPECTIONS Ill IIDING(360)4113-3417 When calling for an inspection please leave the following Information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon -3 It`a" q%-i j - J ` 91STA VE NE SETBACIfS NOTES. _ - • -- . _-m----fir-- --a>-- - - - _ FROWT 20' •BUILDING DIMENSrGWS ARE M 1'PUBLIC .9'DE 5' FACT CIF FCU/NDA776v Eggg�'O1 A9VDD� 1' SVD94ur- REAR 20' •GJ?ADYNG 9yDNN AS DESJpV ACTUAL 104270W MAY VARY •SXORE DRIVEWAY 70 PUBLIC ROAO •SYLT FfN6F TO B£INSTALLED PER 45.00 � ° CITY OF ARUNGICW S'STANDARD - •SYLT FENCE TO BE/NSTALLiD GW _N0039'11'"E QPAD1DVT S7DE Cis BUILDING PARM 16 - 47 •CLWSIRU00N&NANX 70 BE k ! 10'PUBL/C /NSTALLm POP I,YTY Or 11PITY 20'BM EINISI'lED ) ARUNGMV:9 STANDARD.£ EA2VENT l ^ STORM NOTES: •TESL^INSTALLED PR/614 70 c0ws7Ru07cw •BARE S6VLS COWRE0 *7H MULDY 5'BSW9L --I PA770 12 SF 5'B. 614 ANO7HER APPROVED BMP •7LWSCYL PER NWX E�1/P T513 EX/SANG (EFT 12'D£P7H) 5, 15 i I COVTOl IR ALL 0V S✓1T RU S1U�NECTEO TO 1'ROOD'O�ERHANG L-OT 21 I ( ) -S7E MAU BE STARL12M PRa? TO¢� C1°OSED RESJ'DD X ^ _� I RN&I&O G PD7A//T BEING PR MILL-23M GARAGE'LEFT d p ^ p SITE NOTES.- 1,5Nf9r o I •776WUNE fVOW DRAINS AND o F1 I R0C1F DRAINS TO PERMANENT g GARAGE" 4 = I SAXM DRAINAGE"SYS7EU PDP _ BUILDING I APPROVED PLAT DRAINAGE PLAN 0117LINE ON ALE W7H 7HE C19UNTY. •AREA CF DIVURSWiT INCLUDES 200 I DV77RE LOT. 19.w 5 00 g I LEGEND: as , I �- BLOW O F f0'PUBLIC 4B1 SF V 11.AO i 5 - - - - - ® WATER METER UnU7Y BRIWWAY 5 PRIVATE STORM rt RRE HYDRANT a g EASElIENT .0� AIR VAC CA7W BA,9'N PROP&TY ° 45.D ' ca?NER(TP) O LY£ANOY/T Y a ° N00;39'11 IF o° Q MANHOLE ® BLOa( WALL .�� /�} 7REE REMOVAL SIC14M(.Yfi4NOUT. WATER awArCT Row AND SLRN 8'WA7DP fOO7NG DRAINS SE WIR ccwNEcncw 1 7+00 8" SYALE I'- 20' 91ST DRIVENE LOT 21 SITE PLAN 9 v GREGOR Y RARK LGI HOMES PLAN NO. MILL-2338 LOT AREA = 4,607 SF DATE 712712017 PARCEL # LOT 21 HOUSE= 1,589 SF 14711 NE 2911i Pl.,.,q 101 DRIVEWAY= 481 SF Bel—.,W.shingf-98007 DESIGNED CORE ADDRESS 1/'W 917D1911flif 425.885.7877 Fox 425 885.7963 WALKWAY = 12 SF /LIESIGN PROJECT NUMBER TOTAL= 2,082 SF EN7GINNEEERING PLANNING • SURVEYING DRAWN CAF 13024L-GRG00 CITY OF AR 238 N. OLYMPIC AVE -ARLINGTON,WA. 98223 • PHONE; (360)403-3551 BUILDING PERMIT Permit#:1596 Address:1702191st Drive NE Valuation:283315.50 Parcel#:0 1166900002 100 APPLICANT CONTRACTOR OWNER Name:LGI Homes-Washington,LLC Name:LGI HOMES-WASHINGTON LLC Name:LGI Homes-Washington,LLC Address: 11410 NE 124th Street,Ste#103 Address: 1450 LAKE ROBBINS DR STE 430 City,State Zip: :Arlington,8th Street W city,State Zip:Kirkland,WA 98034 Phone:360-353-0588 City,State Zip:THE WOODLANDS,TX 77380 P„one t425�785 0797 WA 98223 Phone: PLUMBING CONTRACTOR MECHANICAL CONTRACTOR Name: Name: Address: Address: City,State,Zip: City,State,Zip: Phone: EXP: EXP: Phone: LIC#: LIC#: JOB DESCRIPTION CODE YEAR: 2015 PERMIT TYPE: Single Family Residence CONST.TYPE: V-B STORIES: 2 OCC GROUP: R-3 DWELLING UNITS: 1 OCC LOAD: BUILDINGS: PERMIT APPROVAL I AGREE TO COMPLY WITH CITY AND OYED IN V OLAT ON OIRIZED ''1'HE LABOR CODEtucTi WORKMEN'STHE STN AND IN ATE OI_ASHINGTON RELATING TO THEREBY;NO PERSON WILL BE CM WORKMEN'S COMPENSATION INSURANCE AND RC W 18.27. THIS APPLICATION IS NOT A PERMIT UNTIL SIG NED BY THE BUILDING OFFICIAL OR HIS/HTION HAS BEENMADI ALL rAND EES APPROVAL OR 11 IS UNLAWFUL TO CERTIFICATE OF USE OCCUPY A HAS BEEN DING OR STRUCTURE I 0 IRC 1 p TIL A FINAL INSPECTION A be reported on your sales tax return form *LE N T :Sales tax relating to construction and construction materials in the City of A ' t p and c i f lin #3101. S eleased By Date `' Print Name to Sign ure CONDITIONS Adhere to approved plans. ON P THIS PERMIT AUTHORIZS ONLYD THE OMAIN(CU NOTED.THIS PERMIT COVERS RBS,SIDEWALKS, RIVEWAYS,MOARQURK OEES,BE DONE LLRREQUIRE SIVATE EPARATE PERMISSION. CONSTRUCTION ON THE PUB PERMIT FEES Fee Amount Description $2,870.40 Date $1,865.76 8/31/2017 Building Permit Fee Building Plan Review Fee $25.00 8/31/2017 $10.00 8/31/2017 Furnace Gas Outlets Base Fee 1 to 5 $25.00 8/31/2017 $25.00 8/31/2017 Mechanical Fee(Enter Fixture Fee) Mechanical Permit Base Fee $1,662.00 8/31/2017 Park-Community SF $25.00 8/31/2017 $180.00 8/31/2017 Plumbing Permit Base Fee Plumbing Permit Fee(Enter Fixture Fee) $25.00 8/31/2017 $4.50 8/31/2017 Processing/Technology Fee 8/31/2017 State Building Code Surcharge Fee $3,355.00 Traffic Mitigation-City $25.00 8/31/2017 8/31/2017 Water Heater Total Due: $10,097.66 Total Payment: g IQO9Z66 CALL FOR INSPECTIONS Balance DIIeC su.nu BI111,DING(360)403.3417 Permit Numhcr"'bell calling for an inspection please leave the following information: ,"Type of Inspection being requested,and whelher You prefer morning or afternoon d +1 Permit Information Date 8/1 412 0 1 7 Permit Number 1596 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 17021 91 st Drive 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#:01166900002100 LGI HOMES-WASHINGTON LLC LGI HOMES-WASHINGTON LLC 1450 LAKE ROBBINS DR STE 430 17021 91st Drive NE THE WOODLANDS,TX 77380 Contractors Contractor Name Primary Phone Email Contractor License License# Contact Type LGI Homes-Washington,.Jake Jabusch 360-353- ake.jabusch@Igihomes.co CONTRACTOR I-abor and ILGIHOHL857M LLC �588 Ilndustries Review Date Type Description ITarget Date Completed Date Assigned To Status 13/15/2017 lResidential Dwelling 8/22/2017 kmy Rusko Illn Review 8/15/2017 lResidential Dwelling 8/22/2017 flick Karns Illn Review Fees Fee Description Notes Amount Building Plan Review Fed 345.83.00.0 $1,865.7 Total $1.865.7 Notes Date Note 8/15/2017 Lot 21 -Mill Uploaded Files Upload File Date File Uploaded B 8/15/2017 11:03:46 AM 1596 Application.pdf Foster. Kristin x 8/15/2017 11:03:46 AM 1596 Site Plan.pdf Foster,Kristin )( 8/15/2017, LGI HOMES-WASHINGTON LLC I Search L&I Claim- R, t�f(Dri<pi�are 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 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 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 irnprov�q https://secure.ini.wa.gov/verify/Detail.aspx?UBI=603508001&LIC=LGIHOHL857MB&SAW= 1/2 8/15/2017 LGI HOMES-WASHINGTON LLC No LSitax debts are recorded for this contractc lnse during the previous 6 year period,but some di!-, may be recorded by other agencies. License Violations Infraction no. ESCAH00464 Satisfied Issue date RCW/WAC 02/17/2017 WAC 29646B-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. Help as irnp ove hfps://secure.Ini.wa.gov/verify/Detaii.aspx?UBI=603508001&LIC=LGIHOHL857MB&SAW= 2/2 1 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 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: 17021 91st Drive NE Plat: Gregory Park Lot 21 _ C✓ii Single-family ❑ Duplex ❑ Townhouse 01 Addition ❑ Accessory structure Proposed Area: 1 s` Floor. 1006 2nd Floor: 1332 Garage: 380 Total SF: 2718 Describe Proposal (include cross street): Application for single family residence to be located at 17021 91st Drive cross street is 91st Ave NE. Valuation: ZV2, 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 r Nt?nq(v 6/16LP Page 1 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 Plumbing Section (continue filling out if plumbing is involved) (Check all that apply and indicate the number of fixtures proposed) U; Bath/Shower Combo (4.0) x 1 Sink (1.5) x 1 Fbji Shower(2.0) x 1 d, Lavatory 0.0) x 5 ❑ Clothes Washer (4.0) x [?i! Water Closet(2.5) x 3 E3 Dishwasher(1.5) x 1 Water Heater x 1 1 Hose Bibb (2.5) x 2 Water Heater Model # R3 Other (list) x 1 AO Smith HPTU-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 IV RESIDENTIAL PERMIT APPLICATION y a• Department of Community & Economic Development O`1 N City of Arlington• 18204 59th Ave NE • Arlington,WA 98223 • Phone(360)403-3551 l G'� Mechanical Section (continue filling out if mechanical equipment is involved) Select proposed appliances: 1011 Furnace (80+) Model# Bryant 9155A30040514 AFUE 95% ❑ Heat Pump Model# SEER HSPE ❑ AC Unit Model# SEER ❑ Type II Hood ❑ Commercial Cooking Appliance ❑ Hydronic Piping ❑ Boiler D Solid-Fuel Appliance ❑ PV System ❑ Fireplace Insert ❑ Outdoor BBO ❑ Storage Tank Freestanding Stove 10 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 Applicant Signature - Date: Print Applicants Na � 6/16LP Page 3 of 3 `rAl CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:17021 91st Drive NE Permit#:1596 Parcel#:01166900002100 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: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-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. SALES hC N T CE:Sales tax relating to construction and construction materials iLthcCity ofA ' t be reported on your sales tax return form andA2,�rfin1. Sign ure Print Name 5bat c eleased 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 $2,870.40 8/31/2017 Building Plan Review Fee $1,865.76 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) $180.00 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: $10,097.66 Date: 04/09/2026 Permit#: 1596 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#: 01166900002100 L GI HOMES -WASHINGTON LLC LGI HOMES -WASHINGTON LLC 1 450 LAKE ROBBINS DR STE 430 17021 91st Drive NE T HE WOODLANDS, TX 77380 Zoning: 111 Single Fam iy Residence - DetachedLot: 21 Block: Permit#: 1596 Permit Date: 08/14/17 Permit Type: RESIDENTIAL SINGLE FAMILY Project Nam e Gregory Park Applicant Nam a LGI Hom 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: 283315.50 Square Feet: 2718 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- 01166900002100 1 7021 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 $1,865.76 Building Penn i T able 4-1 $2,870.40 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 5 @$12 $180.00 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 $10,097.66 Attached Letters Date Letter D escription 08/31/2017 Building Perm i Paym arts Date Paid By D escription P aym a►t Type A ccepted By A m cant 08/31/2017 LGI Hom cs-Washington Check#5132 K ristin Foster $8,231.90 LLC 08/31/2017 LGI Hom cs-Washington Check#5131 K ristin Foster $1,865.76 LLC O ttstanding Balance $0.00 Notes Date Note C reated By: 08/15/2017 Lot 21 -Mil Kristin Foster Uploaded Files Date File Nam e 09/06/2017 2582881-1596 Issued Perm i.pdf 08/15/2017 2528012-1596 Site Plan.pdf 08/15/2017 2528013-1596 Apnlication.pdf