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HomeMy WebLinkAbout9009 169th Street NE_BLD1657_2026 RESIDENTIAL PERMIT APPLICATION o Department of Community&Economic Development City of Arlington • 18204 59th Ave NE •Arlington,WA 98223 • Phone (360)403-3551 IN 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: q005 I0TM _STnai_ �� p� Plat: 2 �-�0I'7--A Single-family ❑ Duplex ❑ Townhouse ❑ Addition Accessory structure Proposed Area: 1 n Floor: tea 2nd Floor: Garage: ) Total SF: Describe Proposal (include cross street): p Valuation: 7tA ���i•�� Owner: L�►� t-tOra�� _ W �nI�,T�r,l �—� Address: (I4(.O ME, 12AT" Srr4`�1a3 City: l W 6. +Q'b State:_ Zip Code: Phone: •� . � 1 Email: Applicant: lwJn� Address: City: State: Zip Code: Phone: Email: Contractor: CIE fI�IF� Address: City: State: Zip Code: Phone: s . �1 Email: �t6l!�bdA_f ,S, Contact Person: //"(�['I� ti�a'(/L( S License Number: L.Q CA Lxs}MAExpiration: • 9 Received 6116LP Page 1 of 3 ��Yo RESIDENTIAL PERMIT APPLICATION Department of Community& Economic Development ��l j�G`OZ 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 f Sink(1.5) x I f Shower(2.0) x Lavatory(1.0) x [� Clothes Washer(4.0) x 14'-- Water Closet(2.5) x Dishwasher(1.5) x i Water Heater x r l Hose Bibb (2.5) x Water Heater Model# Other(list) x 5D IJ Plumbing Section Continued Proposed Water Piping Size: 144 Proposed DWV Material. Proposed Piping Material: Proposed DWV Size: 7 • 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 TY O RESIDENTIAL PERMIT APPLICATION 9 0 Department of Community& Economic Development City of Arlington • 18204 59th Ave NE•Arlington, WA 98223 • Phone 360 403-3551 IN(L; ( ) Mechanical Section (continue filling out if mechanical equipment is involved) Select proposed appliances: Furnace (80+) Model# ' 1� 7(�i AFUE ❑ Heat Pump Model# SEER HSPE ❑ AC Unit Model# SEER ❑ Type II Hood Commercial Cooking Appliance L-) Hydronic Piping ❑ Boiler Solid-Fuel Appliance PV System ❑ Fireplace Insert LA Outdoor BBQ Storage Tank Freestanding Stove I Gas Piping ❑ Other Gas Piping Information Not Applicable: Pipe Material: 5;�i Pipe Size: Total BTU's of all Appliances: 1 Z0, 'c900 Distance from Meter to Furthest Appliance: LtQ t • 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 o all appliances Applicant Signature: Date: Print Applicants Name: fiAA,- rN w�S 6/16LP Page 3 of 3 A A iA ' TERRA ASSOCIATES, Inc. Consultants in Geotechnical Engineering,Geology and Environmental Earth Sciences FOOTING EXCAVATION OBSERVATION REPORT DATE FOOTINGS OBSERVED: 11-15-17 PROJECT NO.: T-5753-5 PROJECT NAME: Stonebrook PROJECT LOCATION: Arlington,WA CONTRACTOR: LGI Homes REPRESENTATIVE: Les DESCRIPTION COVERED BY THIS REPORT: Foundation for lot 69 FOOTING EXCAVATION FIELD CONDITIONS NOTED Approximately 6" deep Exposed at the bottom of the excavation we observed dense brown silty sand with gravel. Soils appear firm and compact. NOTES: Soil conditions observed are consistent with those expected and are suitable for support of foundations designed for an allowable bearing capacity of 2,500 pounds per square foot(psf). Our representative has observed only the footing excavations listed above.The results of this observation are only valid for a period of 48 hours. If any change in the subgrade occurs,we should be promptly notified.Any loosened soils observed in foundation areas due to construction activity or rainfall should be removed prior to concrete placement. K a ce i� 51 V IU01/1 COPY TO: SIGNATURE Kacey Simon TERRA ASSOCIATES REPRESENTATIVE 12220 - 113th Avenue NE, Suite 130, Kirkland, Washington, 98034 ♦Telephone No. (425) 821-7777 CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 _- PHONE; (360)403-3551 BUILDING PERMIT Address:9009 169th Street NE Permit#:1657 Parcel#:01166900006900 Valuation:269962.41 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:11410 NE 124th Street,Ste#103 Address: 11410 NE 124th Street,Ste#103 City,State Zip:THE WOODLANDS,TX 77380 City,State Zip:Kirkland,WA 98034 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: I OCC GROUP: R-3 BUILDINGS: I 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. S S TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form an,,Pc5tyoQA gton 3101. l -a Cjell 101017 J / i nature Print Name Date Released B Date l 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 9/28/2017 Building Permit Fee $2,759.38 9/28/2017 Building Plan Review Fee $1,793.60 9/28/2017 Furnace $25.00 9/28/2017 Gas Outlets Base Fee 1 to 5 $10.00 9/28/2017 Mechanical Fee(Enter Fixture Fee) $25.00 9/28/2017 Mechanical Permit Base Fee $25.00 9/28/2017 Park-Community SF $1,662.00 9/28/2017 Plumbing Permit Base Fee $25.00 9/28/2017 Plumbing Permit Fee(Enter Fixture Fee) $168.00 9/28/2017 Processing/Technology Fee $25.00 9/28/2017 State Building Code Surcharge Fee $4.50 9/28/2017 Traffic Mitigation-City $3,355.00 9/28/2017 Water Heater $25.00 Total Due: $9,902.48 Total Payment: SO 00 Balance Due: 59.902.4S 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. �T 20' •BUILDING DAIA�7Ygays ARE TO I I FAIT OF fWNDAAAN f7NlS71ED GYW1t71UR ! REAR 5' •6RADINO SIIONV AS DE 6W (IYP.) I ACTUAL LOCAnOW MAY VARY I PROPERTY •610FIF DAYWNAY M PUBLIC ROAD I MN ER � i •SILT fENar TD BE INSTALLED PER ` CITY OF ARUNOXINS7 STANDARD - - - - - - J - - - - - J — - - •SJ'LTFEHOE70BE/NSTALLMON N8970'49"W Gi4ADIEHT SIDE OF BUILDING PAROLZ l , 45.00 � I�., •C0VS7RUCncw EN7RANCr TO BE — — — — — — — — — — INSTALLED PER CITY OF r 5'BSBL-rl F — — — — — — ARLIN07 F STANDARDS I I i \ STORM NOTES: \ 18 EXlSANG� •TESL INSTALLED PR16R TO I I OLIN70UR(TYP) \ C067RUCnOw •BARE SLYLS COVERED W7JI MULCII 5'B PAnO ST\� 10'WALL/hIPA/N OPANOnIER Af'PROVfD E01/P I~ + .M.SAaL PER #WaE SW 7513 1 I 5'BSBL I 1 (EFT 12'DEPTH) L •ALL OW,77E RUNOFF COWNE07M TO AWVAIE Sra?M SNUB A00 •27F-WALL BE STABILIZED PRILYP o LOT 69 M BUILDING AD WT BONG PROPOSED RESAVIICE I TOP 465.5 f1N411ZED I o KETRE-2159 G4RAGL�LEFT TOE 461.8 I 3. S/TENOTES: �,= 1,58&9r •X)YR/NE FOOAWG DRAINS AND 1'ROOF OVERHANGI g o I ` R06F DRAINS 70 PERMANENT g GARAGE co 1 S1t�4A/DRAINAGE S6MM P& o I APPROVED PLAT DRAINAGE BUILDING = I AN FILE W7H 7HE CUINTY. 10'PUBLIC I g 0117LINE •AREA OF DIS7URBANGLc*INGlUDES unUTY DVW LOT. EAS611I0VT I 4.50 5 00 I TOP 465.5 LEGEND.- — —— — — J 20010 g f0.50 TOE 461.8 3.7 0— BLOW OFF 5'PRNA7E 39 SF" — r — — — — — — ® WATER AIE7DP S1ARM DRIWW Y 22� I 4( ARE HYDRANT EASOkWr 20'BSBL .0� AIR VAC • •_Is_ 0 ® CATai BASYN ° ^ N89 0'49"W O GYEANOUT a a ° 45.00 a , ., O MANHOLE CEII=1_7 &OX WALL e 6•� a FANI IT ; ? TREE REMOVAL CUYNEC RW D 169 ST. `ENE a'wATER _ r-Received WE 4-k SD iF.P 14 .7,011 8-SENff XNE I'm 20' o s�ER N G1�VNEcnav LOT 69 °37 EIE SITE PLAN — ° GREGOR Y PARK LGl HOMES PLAN NO. KE77LE-2159 LOT AREA = 4,320 SF DATE 812312017 PARCEL # LOT 69 HOUSE= 1,588 SF aE 1471 I NE 29Hr Vlace,#I01 ORIVEWAY= 394 5F eeue. wushi,gf n 98007 DESIGNED CORE ADDRESS 9WY 1697H ST. NE 425.BB5.7877 Fax 425.BH5.7963 Y/WALKWApAn0 = 39 SF ��"ESiIGN PROJECT NUMBER TOTAL= 2,021 SF ENGINEERING • PLANNING • SURVEYING DRAWN CAF 13024L-GRG00 Permit Information Date 9/15/2017 Permit Number 1657 Project Name Gregory Park Applicant Name LGI Homes-Washington,LLC Applicant Address 11410 NE 124th Street,Ste#103 City, State,Zip Kirkland,WA 98034 Contact Matt Adams Phone 425-785-0797 Email matt.adams@lgihomes.com Permit Type Single Family Residence Site Address 9009 169th Street NE Valuation 269962.41 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#:01166900006900 LGI HOMES-WASHINGTON LLC LGI HOMES-WASHINGTON LLC 1450 LAKE ROBBINS DR STE 430 9009 169th Street NE THE WOODLANDS,TX 77380 Contractors Contractor Name Primary Phone Email Contractor License License# Contact Type LGI Homes-Washington, 360-353- Labor and LLC Jake Jabusch 0588 ake.jabusch@Igihomes.co CONTRACTOR (Industries L_GIHOHL857M Review Date Type -Description I Target Date Completed Date I Assigned To I Status 13/15/2017 Residential Dwelling 9/22/2017 my Rusko lin Review 3/15/2017 Residential Dwelling 9/22/2017 Rick Karns Iln Review Fees Fee Description Notes Amount Building Permit Feel 322.10.00,01 $2,759.3 Building Plan Review Fe 345.83.00.Oq $1,793.6 Furna 322.10.00.Oq $25.0 Gas Cutlets Base Fee 1 to 322.10.00.09 $10.0 Mechanical Fee Enter Fixture Fee 322.10-00.09 $25.0 Mechanical Permit Base Fe 322.1 0.00.Oq $25.0 Park-Community S 345.85.00.Oq $1.662.0 Plumbing Permit Base Fel 322.1 0.00.Oq $25.0 Plumbing Permit Fee(Enter Fixture Fee) 322.10.00.0 14 @$12 $168.0 Processin lrechnolo Fe 341.43.00.02 $25.0 State Building Code Surcharge Fe 386.00.01.001 $4.5 Traffic Mitigation-City 345.85.00.02 $3.355.0 Water Heater 322 10.00.001 $25.0 Total $9.902.4 Notes Date Note 9/15/2017 Kettle-Lot 69 Uploaded Files Upload File Date File Uploaded B 9/15/2017 2:01:46 PM 1657 Application.0f Foster,Kristin x 9/15/2017 2:01:46 PM 1f57 Site Plan.Pdf Foster,Kristin x TERRA ASSOCIATES, Inc. Consultants in Geotechnical Engineering,Geology and Environmental Earth Sciences FOOTING EXCAVATION OBSERVATION REPORT DATE FOOTINGS OBSERVED: 11-15-17 PROJECT NO.: T-5753-5 PROJECT NAME: Stonebrook PROJECT LOCATION: Arlington,WA CONTRACTOR: LGI Homes REPRESENTATIVE: Les DESCRIPTION COVERED BY THIS REPORT: Foundation for lot 69 FOOTING EXCAVATION FIELD CONDITIONS NOTED Approximately 6" deep Exposed at the bottom of the excavation we observed dense brown silty sand with gravel. Soils appear firm and compact. NOTES: Soil conditions observed are consistent with those expected and are suitable for support of foundations designed for an allowable bearing capacity of 2,500 pounds per square foot(psf). Our representative has observed only the footing excavations listed above.The results of this observation are only valid for a period of 48 hours. If any change in the subgrade occurs,we should be promptly notified.Any loosened soils observed in foundation areas due to construction activity or rainfall should be removed prior to concrete placement. Kaceu `SI VvovA' COPY TO: SIGNATURE Kacey Simon TERRA ASSOCIATES REPRESENTATIVE �j h I00� 12220 - 113th Avenue NE, Suite 130, Kirkland, Washington, 98034 ♦Telephone No. (425) 821-7777 �'� • s'� � . •, � CITY OF ARLINGTON 238 N. OLYMPIC AVE-ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:9009169th Street NE Permit#:1657 Parcel#:01166900006900 Valuation:269962.41 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 AddressA 1410 NE 124th Street,Ste#103 Address: 11410 NE 124th Street,Ste#103 City,State Zip:THE WOODLANDS,TX 77380 City,State Zip:Kirkland,WA 98034 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: I OCC GROUP: R-3 BUILDINGS: I 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/IRCI10. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form an c C'ty=Agion 3101, i nature Print Name Date Released Il_ 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 9/28/2017 Building Permit Fee $2,759.38 9/28/2017 Building Plan Review Fee $1,793.60 9/28/2017 Furnace $25.00 9/28/2017 Gas Outlets Base Fee 1 to 5 $10.00 9/28/2017 Mechanical Fee(Enter Fixture Fee) $25.00 9/28/2017 Mechanical Permit Base Fee $25.00 9/28/2017 Park-Community SF $1,662.00 9/28/2017 Plumbing Permit Base Fee $25.00 9/28/2017 Plumbing Permit Fee(Enter Fixture Fee) $168.00 9/28/2017 Processing/Technology Fee $25.00 9/28/2017 State Building Code Surcharge Fee $4.50 9/28/2017 Traffic Mitigation-City $3,355.00 9/28/2017 Water Heater $25.00 Total Due: $9,902.48 Tout Payment: $0.00 Balance Due: 59,902.48 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 c`tY RESIDENTIAL PERMIT APPLICATION a 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: qL90q 1074 _f�� N­ V_ r�� Plat: Z 667 Single-family U Duplex U Townhouse U Addition U Accessory structure Proposed Area: 1st Floor: 5 G,13 2"d Floor: Garage: / Total SF: Describe Proposal (include cross street): Valuation: l�tlr"I* "I�7i•`c� Owner: L�1 Aot ke,, Address: 1�4L� Il,; �Z�{`�` �-t'` �4s City: VczW A,t> State: ( Zip Code: 4 Phone: 07c;•� Email: l Applicant: k GWLL.F:�_ Address: City: State: Zip Code: Phone: Email: Contractor: GJiFi A�r.��i Address: City: State: Zip Code: Phone: Email: _A��k;)lkact�C� �Zi(-�a�-�S•. � orti Contact Person: 11 4-1" _ kDA-W 5 License Number: Ila( U(_ S-TtAgExpiration: 1 Received SEP 14 N17 6/16LP Page 1 of 3 1 •� • � . , J 1• t s ,� . -� . . I..1 . ,.� .. � .r �.._ ,; , . � ... , ,' � �,,J•� .If . Y 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 A Sink(1.5) x ' Shower(2.0) x , Q Lavatory(1.0) x Q Clothes Washer(4.0) x [ Water Closet(2.5) x Dishwasher(1.5) x I Water Heater x Hose Bibb (2.5) x Water Heater Model# Other(list) x �V(� ED Plumbing Section Continued Proposed Water Piping Size: 9/ It Proposed DWV Material: Proposed Piping Material: �`� 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 � z Department of Community& Economic Development �lt�GCO 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: Vi Furnace (80+) Model# Q?�r_TjUl3 53j46 AFUE —LZr — Ij Heat Pump Model# SEER HSPE AC Unit Model# SEER Type Il Hood U! Commercial Cooking Appliance ❑ Hydronic Piping Boiler U! Solid-Fuel Appliance ❑ PV System Fireplace Insert [A Outdoor BBQ Storage Tank Freestanding Stove 18 Gas Piping ❑ Other Gas Piping Information Not Applicable: Ui Pipe Material: Pipe Size: �( Total BTU's of all Appliances: Z©� (9,00 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 o all appliances 7 Applicant Signature: �/ C Date: —6 Print Applicants Name: 6/16LP Page 3 of 3 Date: 04/10/2026 Perm t#: 1657 Permit Date: 09/15/2017 Review Date: 09/15/2017 Perm it Type: RESIDENTIAL SINGLE FAMILY Review Type: RESIDENTIAL SINGLE FAMILY Target Date: 09/22/2017 Scheduled Time 00:00 Com pleted Date: 09/15/2017 Description: Site plan m xts setback requirem mts. Review Status: Assigned To: Tim eIn: 00:00 Time O it: 00:00 H curs: 0.0 Property Information Parcel#: 01166900006900 L GI HOMES -WASHINGTON LLC LGI HOMES -WASHINGTON LLC 1 450 LAKE ROBBINS DR STE 430 9009 169th Street NE T HE WOODLANDS, TX 77380 Zoning: 111 Single Fam iy Residence - DetachedLot: 69Block: Permit#: 1657 Permit Date: 09/15/17 Permit Type: RESIDENTIAL SINGLE FAMILY Project Nam e Gregory Park Applicant Nam a LGI Horn cs -Washington, LLC Applicant Address: 11410 NE 124th Street, Ste #103 Applicant, City, State, Zip: Kirkland,WA98034 Contact: Matt Adam s Phone: 425-785-0797 Em al: m at.adam s@lgihom cs.com Scope of Work: New SFR Valuation: 269962.41 Square Feet: 2577 Num ber of Stories: 2 Construction Type: O xupancy G ioup: ID Code: Permit Issued: 10/11/2017 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- 01166900006900 9 009 169th Street 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 Iieted Date I nspector S tatus 11/14/2017 R20.SFR/DUPLEX 02/21/2018 A pproved FINAL Plan Reviews Date R eview Type D escription A ssigned To R eview Status RESIDENTIAL SINGLE 09/15/2017 FAMILY Site plan m e is setback requirem sits. 09/15/2017 RESIDENTIAL SINGLE z.Rick Karns FAMILY Fees Fee D escription N otes A m amt Building Perm i T able 4-1 $2,759.38 Building Plan Review T able 4-2 $1,793.60 Forced Air Heat f ee per Btu $25.00 Gas Piping/Units E nter#of units $10.00 Mechanical Fee(Enter Fixture Fee) $25.00 Mechanical Base P erm i Fee $25.00 Park-Com m nity SF S ingle Fam iy $1,662.00 Plum hng 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 $9,902.48 Attached Letters Date Letter D escription 09/28/2017 Building Perm i Paym acts Date Paid By D escription P aym a►t Type A ccepted By A m aunt 10/02/2017 LGI Hom e; c heck#5581 L auna Black $1,793.60 10/02/2017 LGI Hom e; c heck#5582 L auna Black $8,108.88 O itstanding Balance $0.00 Notes Date Note C reated By: 09/15/2017 Kettle-Lot 69 Kristin Foster Uploaded Files Date File Nam e 11/20/2017 2788763-1657 Footing Excavation Report.pdf 10/11/2017 2692559-1657 Issued Perm i.pdf 09/15/2017 2608650-1657 Site Plan.pdf 09/15/2017 2608651-1657 Application.pdf