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HomeMy WebLinkAbout9005 170th Street NE_BLD1600_2026 ` °�' 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: 9005 170th Street NE Plat: Gregory Park Lot 52 0 Single-family ❑ Duplex ❑ Townhouse ❑I Addition 01 Accessory structure Proposed Area: 161 Floor: 1006 2nd Floor: 1332 Garage: 380 Total SF: 2718 Describe Proposal (include cross street): Application for single family residence to be located at 9005 170th Street cross street is 91st Ave NE. Valuation: 2 •'S;D owner: LGI Homes - Washington LLC Address: 9028 168th St NE City: Arlington State: Zip Code: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 0 9 2017 6/16LP Page 1 of 3 � Y °'` RESIDENTIAL PERMIT APPLICATION ® Department of Community & Economic Development �l N ,J City of Arlington• 18204 59th Ave NE •Arlington, WA 98223 • Phone(360)403-3551 J Plumbing Section (continue filling out if plumbing is involved) (Check all that apply and indicate the number of fixtures proposed) t5 Bath/Shower Combo (4.0) x 1 L61 Sink (1.5) x 1 Shower (2.0) x 1 M! Lavatory (1.0) x 5 ❑ Clothes Washer (4.0) x Water Closet(2.5) x 3 Dishwasher (1.5) x 1 [ Water Heater x 1 f� Hose Bibb (2.5) x 2 Water Heater Model # ®i 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 M 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: �4 Furnace (80+) Model# Bryant 9155A30040514 AFUE 95% ❑ Heat Pump Model# SEER HSPE ❑ AC Unit Model# SEER �i Type II Hood ❑ Commercial Cooking Appliance 1�1' Hydronic Piping Q' Boiler ❑ Solid-Fuel Appliance Ol PV System ❑ Fireplace Insert ❑ Outdoor BBO ❑' Storage Tank Freestanding Stove 011 Gas Piping 1:11 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 Nam M_J 6/16LP Page 3 of 3 CITY OF ARLINGTON 238 N. OLYMPIC AVE-ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:9005 170th Street NE Permit#:1600 Parcel#: Valuation:283315.50 OWNER APPLICANT CONTRACTOR Name: Name:LGI Homes-Washington,LLC Name:LGI Homes-Washington,LLC Address: Address:9028 168th Street NE Address: 11410 NE 124th Street,Ste#103 City,State Zip:, 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 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. IBC1I0/IRC110. SAILESNAX NOTICE:Sales tax relating to construction and construction materials in the City of A t4wreported on your sales tax return form and q e C'y f rlin n#3101. Signa ue Print Name [late y 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 8131/2017 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 Pa%meat: S 10,007 66 Balance Due: 50.00 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 I I I I I SETBACKS NOTES.• I I I SVIF Maw 20' •8UMUNO FA CIO FOUN D/MOV AOWfARE 70 REAR 5' •MADVNG 9YONN AS DE51'6Kl I (irnj COV7WR Acn/AL LOCAncw mAr�ARr / •SYCWE ORl4FW'AY 70 PUBLIC ROAD •SILT fENar TO BE INSTALLED PER I I I I I CITY GF ARUNGMV S�STANDARD •SILT fENCE TO BE INSTALLM OW I 61PADIENT SIDE Gig BUILDING -- --- - J L BSBL - - _ J L _ _ - •PGLryv�SnPucnavEN1RANl,L� TOBE 920'49"W INSTALLED PER CITY OF {, 45.00 ARLING_ TCW'S STANDARDS —————— - _ _ STORM NOTES.• — IT ——— - EX/SRNG� PR0_ _P&TY •=INSTALLED PR/A4 R7 5'BSM COWtoURI I CMVZR COWS1RUC770W TOP 460.01 (TYPJ (Type •BARE SOILS MIMED W7H MULOV 3.1 I $ ( 6R ANOINMP APPRObfD 6�1/P TOE 456.9 I I I •MIRSVIL PER ME LIMP T513 PA710 12 9r I I •� OWSI�NOW CDVNE07M TO �0'WAL.1 WN �.BM I PR/VA7E STO➢PI/S7UB EASEMENT I I •97F MALL BE STABILIZED PROP ° TO BUILUNG PERMIT BEING 5 017 5 I RNAL120 LOT 52 1'I RO(.W OVERHANG S/TENOTES. PR6POSED RE.9DENl£ �� I •n67/IL/NE F007ING DRAINS AND MILL 133E GARAGt,E£FT ROB DRAINS 76 PERMANENT 1589fSF ^ I ST6WM DRAINAGE S67N POP R I APPROVED PLAT ORN/NA6F PLAN TOP 460.0 \ :'� 3.1 p p OW ALE N7H THE COUNTY. TOE 456.9 $ g p I •AREA 6F DIVURLIANLIE INCLUDES :W GARAGE = I DVARE LOT. I ^ per. BUILDINBUILDING I LEGEND: 5 00 2.00 o- BLOW OFF Z 19.010 I 5'PRIVATF ® WAIOP ME7& TOP 460.0 $ - - 5' I S70YPA/ f1RE HYIJIPANT _ —0 TOE 458.0 - 11.010 _ — °° I L EASEMOYT 10'PULIL/C - - -- 48149r — - AIR VAC 1/AL/TY£A DR'"y 2¢, g � ® CA MY BASIN a O CLEANOPIT 2 SBt °° _ O MAIVHLKE AL ° 45.�I0 ► -- � � etocrr WALL ° ° N8920'49"W a — Smw a wour. wA1ER AUG 0 9 20V CGWNEC ND S'RW' , -WADER L'CWNECnCW +�trJ FOORNG DRAINS SC41E 1'=20' 41-00 8"&W LOT 52 1 or r. NE SITE PLAN - GREGOR Y PARK LGI HOMES PLAN NO. MILL-23JB LOT AREA = 4,320 SF DATE 712712017 PARCEL # LOT 52 HOUSE = 1,589 SF 471 1 NE 29 h Plvice,#/01 DRIVEWAY= 481 SF eeilerye,wns6m9fw 98007 DESIGNED CORE ADDRESS 9005 1707H Sr 425.885.7877 Fax 425.885.7963 WALKWAY/pARO = 12 SF PROJECT NUMBER TOTAL- 2,082 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:9005170th Street NE Permit#:1600 Parcel#: Valuation:283315.50 OWNER APPLICANT CONTRACTOR Name: Name:LGI Homes-Washington,LLC Name:LGI Homes-Washington,LLC Address: Address:9028 168th Street NE Address: 11410 NE 124th Street,Ste#103 City,State Zip:, 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-B 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. SALESIFAX NOTICE:Sales tax relating to construction and construction materials in the City of iZz— gignakre t�reponed on your sales tax return form an097e rlin n#3101. il(Aa s .�1.2a1"1 Print Name 1 ate a y 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 Total Payment: $10,097,66 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 lnspection being requested,and whether you prefer morning or afternoon Permit Information Date 8/14/2017 Permit Number 1600 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 9005 170th Street NE Valuation 283315.50 Status Applied Permit Issued Permit Expires Square Feet 2718 Type of Construction/Occupancy Load V-13 Number of Stories 2 Proposed Use New SFR Assigned To Kristin Foster Property Information Owner Information Parcel* 9005 170th Street NE Contractors Contractor Name Primary Phone Email Contractor Type License License# Contact ILGI Homes-Washington,lake Jabusch 360-353- ake.jabusch@Igihomes.com'ONTRACTOR (Labor and LGIHOHL857M LLC 0588 (Industries Review Date Type Description I Target Date Completed Date I Assigned To Status 8/15/2017 (Residential Dwellin 3/22/2017 Nmy Rusko pn Review 8/15/2017 Residential Dwellin 3/22/2017 Rick Karns In Review Fees Fee Description Notes Amount Building Plan Review Fed 345.83.00.0 $1,865.7 Totaq $1,865.76 Notes Date Note 8/15/2017 Lot 52-MITI 8/15/2017 Address and Paroel#is not registered with the Assessor's office. Uploaded Files Upload File Date File Uploaded B 8/15/2017 1:57:56 PM 1600 Application.pdf Foster, Kristin x 8/15/2017 1:57:56 PM 1600 Site Plan.odf Foster, Kristin x 8/15/2017 LGI HOMES-WASHINGTON LLC Search L&I Washington State Npartment of kJ 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 https:Hsecure.Ini.wa.gov/verify/Detaii.aspx?UBI=603508001&LIC=LGIHOHLB57MB&SAW= 1/2 8/15/2017 LGI HOMES-WASHINGTON LLC No R:&l tax debts are recorded for this contract during the previous 6 year period,but some e 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&Industnes.Use of this Site is subject to the laws of the state of Washington. https:Hsecure.ini.wa.gov/verify/Detaii.aspx?UBI=603508001&LIC=LGIHOHL857MB&SAW= 2/2 � 1� 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: 9005 170th Street NE Plat: Gregory Park Lot 52 Wi Single-family ❑I Duplex ❑ Townhouse ❑ Addition FJ Accessory structure Proposed Area: 1 s' Floor. 1006 2"d Floor: 1332 Garage: 380 Total SF: 2718 Describe Proposal (include cross street): Application for single family residence to be located at 9005 170th Street cross street is 91st Ave NE. Valuation: 2lS•ls;D Owner: LGI Homes - Washington LLC Address: 9028 168th St NE City: Arlington State: Zip Code: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 Ian tw 6116LP Page 1 of 3 � �• � .��r t► ' 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) t3 Bath/Shower Combo (4.0) x 1 Sink(1.5) x 1 [6 Shower (2.0) x 1 [j; Lavatory (1.0) x 5 ❑ Clothes Washer(4.0) x C1 Water Closet(2.5) x 3 �61 Dishwasher (1.5) x 1 l�J Water Heater x 1 l� 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 RESIDENTIAL PERMIT APPLICATION •yr 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: Bryant9155A30040514 95%Furnace (80+) Model# AFUE ❑ Heat Pump Model# SEER HSPE ❑ AC Unit Model# SEER u Type II Hood ❑ Commercial Cooking Appliance U Hydronic Piping Boiler ❑ Solid-Fuel Appliance PV System ❑ Fireplace Insert Outdoor BBQ Storage Tank Freestanding Stove 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: �,l� Print Applicants Nam '�'� �! 6/16LP Page 3 of 3 Date: 04/10/2026 Perm t#: 1600 Permit 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 eln: 00:00 Time O it: 00:00 H curs: 0.0 Property Information Parcel#: 9005 170th Street NE , Zoning: I I I Single Fam iy Residence - DetachedLot: 52131ock: Permit#: 1600 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: 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 9005 170th Street NE 111 Single Fam iy Residence-Detached Contractors Contractor P rim ay Contact P hone A ddress C ontractor Type L icense License# LGI HOMES- 12951 BELRED CONSTRUCTION Labor d LGIHOHL857MB WASHINGTON LLC RD#150 CONTRACTOR Industri anes Inspections Date I nspection Type D escription S cheduled Date C om Oeted Date I nspector S tatus 09/21/2017 R20.SFR/DUPLEX Corn Iieted 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 in cunt Building Plan Review T able 4-2 $1,865.76 Building Perm 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 in nity SF S ingle Fam iy $1,662.00 Plum ling Base Perm i Fee $25.00 Mechanical Com in ecial 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 Water 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 dit Type A ccepted By A in amt 08/31/2017 LGI Hom cs-Washington Check#5148 K ristin Foster $8,231.90 LLC 08/31/2017 LGI Hom cs-WashinLLC gton Check#5147 K ristin Foster $1,865.76 O itstanding Balance $0.00 Notes Date Note C reated By: 08/15/2017 Address and Parcel#is not registered with the Assessor's office. K ristin Foster 08/15/2017 Lot 52-MAI Kristin Foster Uploaded Files Date File Nam e 09/06/2017 2582906-1600 Issued Perm i.pdf 08/15/2017 2529371-1600 Site Plan.pdf 08/15/2017 2529372-1600 Application.pdf