HomeMy WebLinkAbout17003 91st Drive NE_BLD1593_2026 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:
17003 91st Drive NE Plat: Gregory Park Lot 18
®1 Single-family ❑ Duplex ❑ Townhouse 0 Addition 0 Accessory structure
Proposed Area: 1" Floor: 1076 2nd Floor: 1438 Garage: 380 Total SF: 2894
Describe Proposal (include cross street):
Application for single family residence to be located at 17003 91st Drive, cross street is 91st Ave NE.
Valuation: ` ����•�l7
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
Address:
9028 168th St NE City:Arlington State:WA Zip Code:98223
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
Q� 2'1sRESIDENTIAL PERMIT APPLICATION
Department of Community& Economic Development
City of Arlington• 18204 59th Ave NE•Arlington,WA 98223 • Phone(360)403-3551
IN
Plumbing 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 2 [5 Sink(1.5) x 1
[61 Shower(2.0) x 1 ( Lavatory (1.0) x 5
❑ Clothes Washer (4.0) x Water Closet(2.5) x 3
Dishwasher (1.5) x 1 Zi Water Heater x 1
4 Hose Bibb (2.5) x 2 Water Heater Model #
9)l 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
y >
Department of Community& Economic Development
�' OV 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%
�Jl Heat Pump Model# SEER HSPE
QI AC Unit Model# SEER
LJl Type II Hood ❑ Commercial Cooking Appliance D1 Hydronic Piping
U Boiler U Solid-Fuel Appliance D PV System
Fireplace Insert ❑ Outdoor BBO 0 Storage Tank
Freestanding Stove I Gas Piping ❑! Other
Gas Piping Information
Not Applicable: Di
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: L>A
6/16LP Page 3 of 3
CITY OF ARLINGTON
238 N. OLYMPIC AVE-ARLINGTON, WA. 98223
PHONE; (360)403-3551
BUILDING PERMIT
Address:17003 91st Drive NE Permit#:1593
Parcel#:01166900001800 Valuation:303353.00
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: `7-$
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.TAdX NOTICE:Sales tax relating to construction and construction materials in the City of ' ton must be reported on your sales tax return form
and c i y of lington#3101.
Q�.31.2D1'1
Sign ture Print Name Da a ty lKeleased 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 $3,029.00
8/31/2017 Building Plan Review Fee $1,968.85
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) $192.00
8/31/2017 Processing(rechnology 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: $10,371.35
Total Payment: $10,371.35
Balance Due: S0.00
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
ty �,
v
SETBACKS NOTES.
91ST A VE NE FRONT 20' ,
BurcaNc aMOVSrays ARE lt7
PfiM-- - - - - - - -- - - - - - - - - - - - - - ME 5' FAC£GFfWNDAnaV
am i 1'PUS REAR 20' -MADING-WOW AS MVQV
aw 1� SIpEN'�4CK\
EASEMENT �� A07LIAL L04MV mAY VARY
- •SLA°E DRIIE 1AY 70 PUBLIC ROAO
- - •SILT fENX 70 BE INSTALLED PER
° ° •Sy� STANDARD OF ARLINGTW�fEN6r 7D BE/NSTALLM aV
Q?ADIENT S7OE a<BUILDING
476 .Ca M06Yll ENIMET R7 BE
474 INSTALLED POP CITY a<
10'PUBLIC 20'BSBL ARL/NG7aNS STANDARDS
U77LITY 4 I f7NI-WED CtW70UR STORM NOTES:
— EA WT III� ( ) I7NRrn�sirc Ma? 70r — — — — — •BARE SOILS COWRED Wn/MULQY
PA770 12 SFI I GYP ANO7MOP APPROKV bWP
5' 5'BSi4L •l V506L POP NWCF 8MP 7513
15, i I •� GWSJ�NOFT CL NEVED TO
J5.00 IIEXIS77NO
CONAXIR PRIYAT SAW STUB
LOT18 I (�) •S'1E 9VAU BE STABILIZED fWaP
TO BUILDING PUNT BONG
=3 PRCI°OSED REYOLNCE ,� I RNALM
I ^ PAUX-2514 GARAGE RIGHT
10 S/TENOTE
1,679.tSF g p I S.
•NOYMINE F 07ING DRAINS AND
I 8 I ROa"DRAINS TO PMANENT
Z MAX I SAM DRNNAQr OP sysmI P
P ROOF 0b£RHANG APPRMED PLAT DRAINAGE PLAN
BUILDING I all f7LE W7H M C10UN7Y.
OUIUNE I •AREA ar DIVURMIX INCEUM
DV77RE LOT.
5'PRNA1£ LEGEND:
/ gZ20',BM
2�100 I Slam o- BLOW OfF
_ _ _ _ — J 5 L
.010L _ EAs�I/ENr ® wAl£IP Al£lERSTaPA1 GY£walr. i 471 SF — - - « RRE HYDRANT
CGWNECT ROOF AND . AIR VAC
FA'J71NG ORA/NS gDA�I�IfAY 26'
10'PUBUC H 4 ,, fIIl CA70Y/SUN
IIW7'r PROPERTY--a& NT I - .00°� - Ca4NOP(7YP) O LYEANGY/T
O MANHOLE
• N00J971 "E 0
6~° ' ME R&OVAL
WA7OP SEMER
snPWX c1GNwEDnav
6'wA7DP
�'6 U J ZU1
+00 Sr.ALE 1'= 20' I��
B'SENER
- -- 91ST DR/I/t.N ,,�,
LOT18
SITE PLAN
GREGOR Y PARK
LGI HOMES PLAN NO. PALIX-2514
LOT AREA = 4,607 SF DATE 712712017 PARCEL # LOr 1B
HOUSE= 1,679 SF 1471INE291,Place,#101
ORIWWAY= 471 Sr 9efleme,wash1n91aa 98007 DESIGNED CORE ADDRESS IAW 91T LRW AE
425.885.7977 Fax 425.985.7963
WALKWAY/PA770 = 12 SF ` DES/GN PROJECT NUMBER
TOTAL= 2,162 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:17003 91st Drive NE Permit#:1593
Parcel#:01166900001800 Valuation:303353.00
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. IBC110/IRC110.
SALES.TArX NOTICE:Sales tax relating to construction and construction materials in the City o=must d on your sales tax return form
and e i of lington#3101.
15 lb.31.2011
Sign ture Print Name Da eleasedBy 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 $3,029.00
8/31/2017 Building Plan Review Fee $1,968.85
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) $192.00
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: $10,371.35
Total Payment: $10,371.35
Balance Due: 50.00
CAL POR INSPECTIONS
BUILDING(360)403-3417
When calling for an inspection please leave the following information:
Permit dumber.Type of Inspection being requested,and whether you prefer morning or afternoon
Permit Information
Date 8/14/2017
Permit Number 1593
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 17003 91st Drive NE
Valuation 303353.00
Status Applied
Permit Issued
Permit Expires
Square Feet 2894
Type of Construction/Occupancy Load V-B
Number of Stories 2
Proposed Use New SFR
Assigned To Kristin Foster
Property Information Owner Information
Parcel#:01166900001800 LGI HOMES-WASHINGTON LLC
LGI HOMES-WASHINGTON LLC 1450 LAKE ROBBINS DR STE 430
17003 91st Drive NE THE WOODLANDS,TX 77380
Contractors
Contractor Name Primary Phone Email Contractor License License#
Contact Type
LGI Homes-Washington,fake Jabusch 360-353- jake.jabusch@lgihomes.co CONTRACTOR I-abor and ILGIHOHL857M
LLC 0588 Industries
Review
Date Type Description I Target Date Completed Date I Assigned To Status
3/15/2017 lResidential Dwelling 8;/22/2017 Nmy Rusko Iln Review
3/15/2017 lResidential Dwelling 8/22/2017 lRick Karns In Review
Fees
Fee Description. Notes Amount
Building Plan Review Feed 345.83.00 01 1 $1 968.851
Total $1 968 8
Notes
Date Note
8/15/2017 Lot 18-Palix
Uploaded Files Upload
Date File Uploaded By _
8/15/2017 9:47:53 AM 1593 Site Plan.ndf Foster, Kristin x
8/15/2017 9:47:53 AM 1593 Apalication.pddf Foster, Kristin w
8/15/2017 LGI HOMES-WASHINGTON LLC
Search L&I
3�.ilet Healo-i
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
hftps://secure.ini.wa.gov/verify/Detail.aspx?UBI=603508001&LIC=LGI HOHL857MB&SAW= 1/2
8/15/2017 LGI HOMES-WASHINGTON LLC
f
No&&I tax debts are recorded for this contract 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 RCWANAC
12116/2016 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 stale of Washington.
Help ads impeov(:;
https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=603508001&LIC=LGIHOHL857MB&SAW= 2/2
e
_ J
RESIDENTIAL PERMIT APPLICATION
Department,y ,r 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:
17003 91st Drive NE Plat: Gregory Park Lot 18
_
® Single-family ❑ Duplex ❑ Townhouse ❑l Addition ❑ Accessory structure
Proposed Area: 1 s' Floor. 1076 2nd Floor: 1438 Garage: 380 Total SF: 2894
Describe Proposal (include cross street):
Application for single family residence to be located at 17003 91st Drive, cross street is 91st Ave NE.
Valuation: % , �?7•�l7
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
Address:
9028 168th St NE City:Arlington State:WA Zip Code:98223
_ _
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
� lSFt�
6/16LP Page 1 of 3
., .
�'`1. 7' . �t.�
•� • s a�
com
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 I plumbing is involved)
(Check all that apply and indicate the number of fixtures proposed)
t3 Bath/Shower Combo (4.0) x 2 Sink (1.5) x 1
[6 Shower(2.0) x 1 Lavatory (1.0) x 5
❑ Clothes Washer (4.0) x Water Closet(2.5) x 3
Dishwasher(1.5) x 1 91 Water Heater x 1
Hose Bibb (2.5) x 2 Water Heater Model #
R3 Other (list) x 1 AO Smith H PTU-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
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%
1�1 Furnace (80+) Model# AFUE
❑ Heat Pump Model # SEER HSPE
�! AC Unit Model# SEER
❑ Type II Hood Q Commercial Cooking Appliance ❑ Hydronic Piping
0 Boiler Solid-Fuel Appliance ❑ PV System
Ol Fireplace Insert ❑ Outdoor BBQ ❑ Storage Tank
101 Freestanding Stove Gas Piping Qi 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: A
NVI�t_
Print Applicants Name:
6/16LP Page 3 of 3
Date: 04/09/2026
Permit#: 1593
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#: 01166900001800 L GI HOMES -WASHINGTON LLC
LGI HOMES -WASHINGTON LLC 1 450 LAKE ROBBINS DR STE 430
17003 91st Drive NE T HE WOODLANDS, TX 77380
Zoning: 111 Single Fam iy Residence -
DetachedLot: 18Block:
Permit#: 1593
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: 303353.00
Square Feet: 2894
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-
01166900001800 1 7003 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
10/26/2017 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 $1,968.85
Building Penn i T able 4-1 $3,029.00
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 6 @$12 $192.00
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 $10,371.35
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 aunt
08/31/2017 LGI Hom cs-Washington Check#5120 K ristin Foster $8,402.50
LLC
08/31/2017 LGI Hom cs-Washington
Check#5119 K ristin Foster $1,968.85
LLC
O utstanding Balance $0.00
Notes
Date Note C reated By:
08/15/2017 Lot 18-Palix Kristin Foster
Uploaded Files
Date File Nam e
09/06/2017 2582832-1593 Issued Perm i.pdf
08/15/2017 2527471-1593 Application.pdf
08/15/2017 2527472-1593 Site Plan.pdf