HomeMy WebLinkAbout17009 91st Drive NE_BLD1594_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:
17009 91st Drive NE Plat: Gregory Park Lot_19
_
141 Single-family 01 Duplex ❑J Townhouse ❑ Addition Di Accessory structure
Proposed Area: s' Floor. 1487 2nd Floor: Garage: 402 Total SF: 1889
1
Describe Proposal (include cross street):
Application for single family residence to be located at 17009 91st Drive cross street is 91st Ave NE.
Valuation:
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@igihomes.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
PV IC44
6/16LP 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)
6 Bath/Shower Combo (4.0) x 1 Sink (1.5) x 1
6 Shower (2.0) x 1 Lavatory (1.0) x 2
❑ Clothes Washer (4.0) x ( Water Closet(2.5) x 2
P� Dishwasher (1.5) x 1 [4 Water Heater x 1
Hose Bibb (2.5) x 2 Water Heater Model #
Ki Other(list) x 1 AO Smith H PlU-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
jN 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:
Bryant 9155A30040514 95%
Furnace (80+) Model # AFUE
❑ Heat Pump Model# SEER HSPE
❑ AC Unit Model # SEER
❑ Type II Hood LJ Commercial Cooking Appliance O1 Hydronic Piping
❑ Boiler 01 Solid-Fuel Appliance ❑l PV System
❑ Fireplace Insert 0' Outdoor BBQ ❑ Storage Tank
Freestanding Stove Gas Piping Ql 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
UApplicant Signature: Date:
Print Applicants Name
6/16LP Page 3 of 3
CITY OF ARLINGTON
i 238 N. OLYMPIC AVE-ARLINGTON, WA. 98223
PHONE; (360)403-3551
BUILDING PERMIT
Address:17009 91st Drive NE Permit#:1594
Parcel#:01166900001900 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: 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.
SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City ofArli be reported on your sales tax return form
and co i ingt #3101.
h rt%7--,1.2on
What arc Print Name I Date 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
8/31/2017 Building Permit Fee $2,109.12
8/31/2017 Building Plan Review Fee $1,370.93
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) $132.00
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: $8,793.55
Total Payment: $8,793.55
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
SE78ACKS NOTES:
91ST A VE NE FROWT 20' ,BUILDING DIAAENSYOws ARE m
�, ,�;T SYDE 5' FOIE GtFFOIUNDAAGW
1' S WNUX REAR 20' .6 PAbVNG-WONN AS AE 6W
am ACTUAL LOCAAOW AIAr vARr
•616PE Offi WA r 7v PUbvJC ROAD
-" -� •SYL T fFNLE TO BE INSTALLED PER
45.00 afr OF ARLINGTANS STANDARD
•%T fENLE 10 BE INSTALLED OW
- - - v N00 39'11 NE - 476 - -- GAALlDV T SIDE Ole BUILDING
474 •COWSAPUCAOIN EN1RANX TO BE
INSTALLED RDR aTY OIL
10'PUBLIC 20'B519L RNA ARLINGTGW S STANDARDS
— F�AST I ITY PA AO 12 SF I STORM NOTES:
1 •7M INSTALLED PRIOR M
5' - - I- ————— — COWSIRUCAOIN
24.50 I I •BARE 56YLS COVERED WIN AIULX
5,BSBL / g X AN01HE?APPRO; D BMP
I w I 15 •&T 12 0017H) 60MP T513
D7SANG
- : 50 I C6117OUR •ALL OWSYIE RUNOW CANNECIFO TO
PROOIF OVMHANG 10 I Mp) •27F-WALL BE STAXI ED PRIG?
LOT 19 ;� I AO RN&IAV G PERAA/T BEING
qgs PRCWOSED RESJ'DlENar
G1aVNIA-107 GARAGE LEFT SITENOTES.-
I p Z lOgf SF p I •AG11L/NE FOOANG DRAINS AND
^ I Row DRAINS m PERMANENT
57ORM DRAINAGE SY57Z M PER
I GARAGE15'PR/�A1E APPROVED PLAT DRAINAGE PLAN
av ALE NN 7HE COUY7
BL/lLDING SXRY •AREA OF DISIZIMNCE INaUD£S
AURINE I EASDIIAENT DNARE LOT.
oK.?5 I swm Q:EANO1/T. LEGEND:
I 1975 8 $ CONNECT R06F AND o- BLOW aT
FOOM6,ORNNS ® WAIER A/E1DP
10'PUBLIC , ° 416 S� —— — \— — 4( R1RE HYDRANT
UALITr 1,4
°DR/I )k4Y
EASEAAENr ,, 2�l B.SBL � .�" A/R VAC
� 0 ® CAT(,fN BASYN
i -PRalYRTY irP) - _ O GYEANOUT
45�— 0 + CA4NER
O MANHaf
° ® &Oar WALL
1REF REMOVAL
WAW?
SRNGE o v NA
• 2
0 9�/?017
0 SEMEJP to SVIE 1'-20' 4171w
B• camcmv
915 /VE"JGE LOT 19
SITE PLAN
° - a GREGOR Y PARK
LG/ HOMES PLAN NO. COL.—1487
LOT AREA = 4,607 SF DATE 712712017 PARCEL # LOT 19
HOUSE= 2,109 SF 14111 NE 29 M1 Place,i1II I
DRIVEWAY= 416 SF gel.-,W-hiZt-98007 DESIGNED CORE ADDRESS 17bit<9 91ST LIVIE W
425.805.7877 Fax 425.885.7963
WALKWAY/P'AAO = 12 SF ��DESIGN PROJECT NUMBER
TOTAL= 2,537 SF
ENGINEERING PLANNING • SURVEYING DRAWN OAF 13024E-GRG00
° CITY OF ARLINGTON
238 N. OLYMPIC AVE -ARLINGTON, WA. 98223
` PHONE; (360)403-3551
BUILDING PERMIT
Address:17009 91st Drive NE Permit#:1594
Parcel#:01166900001900 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: `I-$
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.
SALES TAX NOTICE.-Sales tax relating to construction and construction materials in the City ofArli rjj��onyour sales tax return form
and co 4it "i4ngt #3101.
l2 r r r �.�1.Zon
�ijnattke Print Name t Date 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
8/31/2017 Building Permit Fee $2,109.12
8/31/2017 Building Plan Review Fee $1,370.93
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) $132 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: $8,793.55
ltalancc Due: 50.110
CALL FOR INSPECTIONS
BUILDING(360)403-3417
When calling for an inspection plegse leave the followlag information.
Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon
I&V V',4L,
Permit Information
Date 8/14/2017
Permit Number 1594
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 17009 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#:01166900001900 LGI HOMES-WASHINGTON LLC
LGI HOMES-WASHINGTON LLC 1450 LAKE ROBBINS DR STE 430
17009 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
LLC0588 Industries
Review
Date Type Description I Target Date Completed Date Assigned To Status
/15/2017 Residential Dwelling 8/22/2017 [Amy Rusko 111n Review
3/15/2017 lResidential Dwelling 8/22/2017 Rick Karns 111n Review
Fees
Fee Description Notes Amount
Building Plan Review Feel 345.83.00.0 $1,370.9
Totall $1,370.9
Notes
Date Note
8/15/2017 Lot 19-Columbia
Uploaded Flies Upload File
Date File Uploaded B
8/15/2017 10:05:42 AM 1594 Application.odf Foster,Kristin ?(
8/15/2017 10:05:42 AM 1594 Site Pian.pdf Foster,Kristin x
8/15/2017 LGI HOMES-WASHINGTON LLC
Search L&I
saie(y .9� <�l!h ��:,'ialrns In.s r�rc� LYgt!tlxla� H'tights r i-ades 6 Lict:usuul
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
i eip us improvef
https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=603508001&LIC=LGIHOHL857MB&SAW= 1/2
R/15/2017 LGI HOMES-WASHINGTON LLC
kZ;, &I tax debts are recorded for this contrac' during the previous 6 year period,but some f
may be recorded by other agencies.
License Violations
Infraction no.
ESCAH00464 Satisfied
Issue date RCW/WAC
0 2/1 712 01 7 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 RCWMAC
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 si,ibject to the laws of the state of Washington.
Help us irylprove
https:/tsecure.Ini.wa.gov/verify/Detail.aspx?UBI=603508001&LIC=LGIHOHL857MB&SAW= 2/2
II • �1 � •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 BYTWO(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:
17009 91st Drive NE Plat: Gregory Park Lot 19
0' Single-family ❑! Duplex O, Townhouse ❑ Addition ❑ Accessory structure
Proposed Area: 111 Floor. 1487 2nd Floor: Garage: 402 Total SF: 1889
Describe Proposal (include cross street):
Application for single family residence to be located at 17009 91st Drive cross street is 91st Ave NE.
Valuation: 10-1. g2_1.12,7
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
Received
AUG 0 9 2017
P17 IcAq
6/16LP Page 1 of 3
..�
. �
.� � ., ••�
. , t. ,
RESIDENTIAL PERMIT APPLICATION
} Department of Community & Economic Development
�i JNG�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�l Bath/Shower Combo (4.0) x 1 Sink (1.5) x 1
(� Shower (2.0) x 1 Lavatory (1.0) x 2
❑I Clothes Washer (4.0) x Water Closet(2.5) x 2
p� Dishwasher (1.5) x 1 Water Heater x 1
Hose Bibb (2.5) x 2 Water Heater Model #
EJ Other (list) x 1 AO Smith HPTU-50N
Plumbing Section Continued
Proposed Water Piping Size: 3/411 Proposed DWV Material: B
I
Proposed Piping Material: 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
J ��
T
IV, RESIDENTIAL PERMIT APPLICATION
A 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:
�i
Bryant9155A30040514 95%Furnace (80+) Model# AFUE
Heat Pump Model# SEER HSPE
❑ AC Unit Model# SEER
0' Type II Hood ❑ Commercial Cooking Appliance Hydronic Piping
U! Boiler ❑ Solid-Fuel Appliance ❑I PV System
❑ Fireplace Insert ❑ Outdoor BBO ❑I Storage Tank
Freestanding Stove 01 Gas Piping ❑i Other
Gas Piping Information
Not Applicable: �I
Black steel
Pipe Material: _ Pipe Size: 1" Total BTU's of all Appliances: 120,000
Distance from Meter to Furthest Appliance: 401
• 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: —A Date: L q r
Print Applicants Name, 7;4&
'
6/16LP Page 3 of 3
Date: 04/09/2026
Permit#: 1594
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 eln: 00:00
Time O it: 00:00
H curs: 0.0
Property Information
Parcel#: 01166900001900 L GI HOMES -WASHINGTON LLC
LGI HOMES -WASHINGTON LLC 1 450 LAKE ROBBINS DR STE 430
17009 91st Drive NE T HE WOODLANDS, TX 77380
Zoning: 111 Single Fam iy Residence -
DetachedLot: 19Block:
Permit#: 1594
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-
01166900001900 1 7009 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 $1,370.93
Building Penn i T able 4-1 $2,109.12
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 I 1 @$12 $132.00
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 $8,793.55
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 cant
08/31/2017 LGI Hom cs-Washington Check#5124 K ristin Foster $7,422.62
LLC
08/31/2017 LGI Hom cs-Washington
Check#5123 K ristin Foster $1,370.93
LLC
O ttstanding Balance $0.00
Notes
Date Note C reated By:
08/15/2017 Lot 19-Colum ha K ristin Foster
Uploaded Files
Date File Nam e
09/06/2017 2582837-1594 Issued Perm i.pdf
08/15/2017 2527606-1594 Site Plan.pdf
08/15/2017 2527607-1594 Apnlication.pdf