HomeMy WebLinkAbout9023 170th Street NE_BLD1597_2026 �`��` °� RESIDENTIAL PERMIT APPLICATION
Department of Community& Economic Development
- 4, '
F" v 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:
9023 170th Street NE Plat: Gregory Park Lot 49
.
14,1 Single-family ❑ Duplex 01 Townhouse ❑I Addition D 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 9023 170th Street, cross street is 91st Ave NE.
Valuation: �D�i,�S�.(c)
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: City: State: Zip Code:9028 168th St NE Arlington WA 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
M) ICAI
6/16LP Page 1 of 3
RESIDENTIAL PERMIT APPLICATION
Department of Community & Economic Development
��tlN 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)
6 Bath/Shower Combo (4.0) x 2 M, Sink (1.5) x 1
di Shower (2.0) x 1 gi Lavatory (1.0) x 5
fOl Clothes Washer (4.0) x Water Closet(2.5) x 3
(OJ Dishwasher (1.5) x 1 Water Heater x 1
C�! Hose Bibb (2.5) x 2 Water Heater Model #
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: 211
• 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`�Y °�' RESIDENTIAL PERMIT APPLICATION
.Y
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:
Gal Furnace (80+) Model# Bryant 9155A30040514 AFUE 95%
D. Heat Pump Model# SEER HSPE
0 AC Unit Model# SEER
0 Type II Hood D Commercial Cooking Appliance ❑ Hydronic Piping
❑ Boiler 0 Solid-Fuel Appliance ❑ PV System
01 Fireplace Insert 0 Outdoor BBO ❑ Storage Tank
Freestanding Stove 01 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: q'i�l
Print Applicants Name: V V "
606LP Page 3 of 3
CITY OF ARLINGTON
238 N. OLYMPIC AVE -ARLINGTON, WA. 98223
PHONE; (360)403-3551
BUILDING PERMIT
Address:9023 170th Street NE Permit#:1597
Parcel#:01166900004900 Valuation:303353.10
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-$
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. IBCI 10/IRC110.
SALES TAX N TI E:Sales tax relating to construction and construction materials in lh City of n orted on your sales tax return form
and c d i in #3101.
I •LVI
S gnat re Print Name to Released 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/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: 51 i 1,371.3
Balance Due: 50.1)1)
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
i
'I SETBACKS NOTES.-
I fRaVT 20' .BUILDING D/AAENZINS ARE M
SVE" 5' FACF 0f'FOY/NDAnON
I FINISHED LLiV7t7Y/R REAR 5' •6RAD/NG SYIIONV AS DES'GYV
I (�� ACTUAL LOCANOV A/AY VARY
I •&DOE OIRWNXrTOPI&ICROAD
EXISTING •SYLT fENI.E INSTALLED PER TO BE
PRGY'ERTY I I �y R GY7Y OIL ARUNGT S STANDARD
OW
4Q Nj
( � ° •SrL r FENCE TOBE INSTALLEDAN
(7W..) Q?AUDVTSYDE AF BUILUNG
L 5'BS9L j •C1GWslRuc 70V EN7RANCE 70 BE
4 1NSTALUD PER LY7Y OF
N8920'49V ARUNGW9 STANDARDS
50.00 STORM NOTES.
— — — \ —WAS g •7EX INSTALLED PRIG? 70
0267RUCncw
5'BS% SL]PNCF •BARE SGYLS COWRPED WIN A/ULLYl
g � ,� 61?AN07NM APPROVED bMP
PA n0 12 9r �' '70156k PER M5D01E SNIP 7513
(&-F 11'aT1-H)
f •ALL 0W.77E RUNOFF CNNEUM TO
- I ZE PR/0A7F Sr6RV STUB
,75 00 `10 •97E SY/ALL BE STAKI&D PROR
/ LOT 49 TO BUILDING PDWT BEING
RNAUIED
1 ROW 0VfRHANG PROPOSED RESJ'L71 W6F Q S/TENOTES.
I PALIX--2514 GARAGE LEFT
1,679*S r ,W •776Yl7UNE fW77NG DRNAS AND
o R06F DRAINS 70 PERMANENT
S70YPA/DRAINAGE SYSMY PER
S APPROVED PLAT DRAINAGE PLAN
GARAGE ^ o CN FILE N7H 7HE CWNT
Z •AREA OF D/S71/RB4NGE INCLUDES
i BUILDING ENTIRE LOT.
�l OYMIN£ LEGEND:
5, 24.00 &ow OfF
�t1! ® WA7ER AEUg 11.00
ORII£fi' Y 4( RRE HYDRANT
- - - - - J — -- - a .0 A/RVAC A
�i
CTGYI BASYN
A,
20'&-R .�J .00 O GYEANOuT
10,Pu UC D�9R�� O MOH"
UnVTY EA ENT, ° -- l-: BLOW WALL
25.00
d :, d N8920'49W ° e 7REF REMOVAL
ST" afAAW T
0010T/4W MD
�B'NAffR 460MORaV
SL"1'=20' D I�'1
5+00
B'mw LOT 49
170T ST. NE
SITE PLAN
- - — — GREGOR Y PARK
LGI HOMES PLAN NO. PALIX-2514
LOT AREA = 4,866[SF DATE 712712017 PARCEL # LOT 49
HOUSE = 1,679 SF 14711 NE 29h Place,#101
DRIVEWAY= 571 Sc 9eli—v washmgron 98007 DESIGNED CORE ADDRESS 9023 1707H ST.
425.085.7877 Fax 425.985.7963
WALKWAYIPAW = 12 SF ��DESIGN PROJECT NUMBER
TOTAL= 2,262 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:9023 170th Street NE Permit#:1597
Parcel#:01166900004900 Valuation:303353.10
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: V-$
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. IBCI IO/IRC110.
SALES AX N T1 E•Sales tax relating to construction and construction materials in Ih City of AIn e orted on your sales tax return form
and c d it in #3101.
S gnat re Print Namc bate Rcleascd 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/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: $0.00
CALL FOR INSPECTIONS
BUILDING(360)403-3417
When calling for an inspection please leave the following information:
Permil Number,Type of Inspection being requested,and whether you prefer mounhig ur afteruuun
t
Permit Information
Date 8/1 412 0 1 7
Permit Number 1597
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 9023 170th Street NE
Valuation 303353.10
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#:01166900004900 LGI HOMES-WASHINGTON LLC
LGI HOMES-WASHINGTON LLC 1450 LAKE ROBBINS DR STE 430
9023 170th Street NE THE WOODLANDS,TX 77380
Contractors
Contractor Name Primary Phone Email Contractor License License#
Contact Type
LLCHomes-Washington,lake Jabusch 0588 3- ake.jabusch@lgihomes.co CONTRACTOR IIndusLabo and I-GIHOHLB57M
I_LC �568 Ilndustries
Review
Date Type Description I Target Date I Completed Date Assigned To Status
8✓15/2017 Residential Dwelling 8/22/2017 4my Rusko In Review
�B/15/2017 Residential Dwellin 8/22/2017 lRick Karns In Review
Fees
Fee Description Notes Amount
Building Plan Review Feel 345.83.00.01 1 S1,968.8
Total $1,968.851
Notes
Date Note
8/15/2017 Lot 49-Palix
Uploaded Files Upload File 71
Date File Uploaded By
8/15/2017 12:50:13 PM 1597 Site Plan.pdf Foster,Kristin x
8/15/2017 12.50 13 PM 1597 Apolication.0 Foster,Kristin x
8/15/1�017 LGI HOMES-WASHINGTON LLC
Search L&I
He,3ith C,1,.3irns<';. Ins
uranca nl:ar Place€?i�,ri;; Ide3
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
206-445-5326
Principals KING County
LGI HOME GROUP LLC,PARTNERIMEMBER
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
1 2101/2 01 7
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://secure.Ini.wa.gov/verify/Detail.aspx?UBI=603508001&LIC=LGI HOHL857MB&SAW= 1/2
8/15/2017 LGI HOMES-WASHINGTON LLC
NbL&I tax debts are recorded for this contract / 'ense during the previous 6 year period,but some c
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 RCWM/AC
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 subject to the laws of the slate of Washington.
4e'ip uf,; inl} vov e
https://secure-ini.wa.gov/verify/Detaii.aspx?UBI=603508001&LIC=LGIHOHL857MB&SAW= 2/2
r�
,., -
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:
9023 170th Street NE Plat: Gregory Park Lot 49
_
LJI Single-family ❑ Duplex ❑ Townhouse ❑ 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 9023 170th Street, cross street is 91st Ave NE.
Valuation:
owner: LGI Homes - Washington LLC
9028 168th St NE Arlington WA 98223
Address: City: State: Zip Code:
Phone: (425) 785-0797 Email: Matt.adams@lgihomes.com
Applicant: LGI Homes - Washington LLC
9028 168th St NE Arlington WA 98223
Address: City: .. State: Zip Code:
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
VA2 11:A1
6/16LP Page 1 of 3
�, �, � r�
. J ' i
�glv�`, °�' RESIDENTIAL PERMIT APPLICATION
Department of Community& Economic Development
't•' 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)
U! Bath/Shower Combo (4.0) x 2 1!1I Sink(1.5) x 1
9i Shower(2.0) x 1 Lavatory (1.0) x 5
❑ Clothes Washer (4.0) x Water Closet(2.5) x 3
Egli Dishwasher (1.5) x 1 Water Heater x 1
Q Hose Bibb (2.5) x 2 Water Heater Model #
Other (list) x 1 AO Smith HPTU-50N
Plumbing Section Continued
Proposed Water Piping Size: /4 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
��C j SOZ 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:
®1 Furnace (80+) Model# Bryant 9155A30040514 AFUE 95%
❑! Heat Pump Model# SEER HSPE
❑ AC Unit Model# SEER
❑ Type II Hood Commercial Cooking Appliance U' Hydronic Piping
�! Boiler ❑ Solid-Fuel Appliance ❑1 Pv System
❑ Fireplace Insert ❑' Outdoor BBO ❑ 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:
• 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: J r
6/16LP Page 3 of 3
Date: 04/09/2026
Permit#: 1597
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#: 01166900004900 L GI HOMES -WASHINGTON LLC
LGI HOMES -WASHINGTON LLC 1 450 LAKE ROBBINS DR STE 430
9023 170th Street NE T HE WOODLANDS, TX 77380
Zoning: 111 Single Fam iy Residence -
DetachedLot: 49Block:
Permit#: 1597
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: 303353.10
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-
01166900004900 9 023 170th 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
10/04/2017 R20.SFR/DUPLEX Com 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 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#5136 K ristin Foster $8,402.50
LLC
08/31/2017 LGI Hom cs-Washington
Check#5135 K ristin Foster $1,968.85
LLC
O utstanding Balance $0.00
Notes
Date Note C reated By:
08/15/2017 Lot 49-Palix Kristin Foster
Uploaded Files
Date File Nam e
09/06/2017 2582890-1597 Issued Perm i.pdf
08/15/2017 2528990-1597 Application.pdf
08/15/2017 2528991-1597 Site Plan.pdf