HomeMy WebLinkAbout9011 170th Street NE_BLD1599_2026 ° RESIDENTIAL PERMIT APPLICATION
Department of Community& Economic Development
! O 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:
9011 170th Street NE Plat: Gregory Park Lot 51
®i Single-family ❑ Duplex ❑ Townhouse Ell Addition OI Accessory structure
Proposed Area: 1 s' Floor: 963 2nd Floor: 1196 Garage: 418 Total SF: 2577
Describe Proposal (include cross street):
Application for single family residence to be located at 9011 170th Street NE cross street is 91st Ave NE.
Valuation: 74
Owner: LGI Homes - Washington LLC
Address:
9028 1689th 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 1689th St NE City:Arlington State: WA Zip Code:98223
Phone: (425) 785-0797 Email:Matt.adams@lgihomes.com
Contractor: LGI Homes - Washington LLC
9028 1689th 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
D� I
6(16LP Page 1 of 3
RESIDENTIAL PERMIT APPLICATION
' Department of Community& Economic Development
t O Clty 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)
Lill Bath/Shower Combo (4.0) x 1 Sink (1.5) x 1
Y1 Shower (2.0) x 1 Lavatory (1.0) x 4
❑I Clothes Washer (4.0) x Water Closet(2.5) x 3
�6; Dishwasher (1.5) x 1 I , Water Heater x 1
14 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)
6116LP 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:
Bryant 9155A30040514 95%
Furnace (80+) Model# AFUE
❑ Heat Pump Model# SEER HSPE
❑ AC Unit Model# SEER
❑ Type II Hood ❑ Commercial Cooking Appliance D. Hydronic Piping
❑ Boiler ❑ Solid-Fuel Appliance PV System
❑ Fireplace Insert ❑ Outdoor BBO Storage Tank
�I Freestanding Stove Gas Piping ❑ Other
Gas Piping Information
Not Applicable: D
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: d Date: r
Print Applicants Name:
6116LP Page 3 of 3
1
CITY OF ARLINGTON
238 N. OLYMPIC AVE-ARLINGTON, WA. 98223
PHONE; (360)403-3551
BUILDING PERMIT _
Address:9011 170th Street NE Permit#:1599
Parcel#:01166900005100 Valuation:264649.77
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: `/-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. IBC110/IRC110.
SALES TAX NOTIC .•Sales tax relating to construction and construction materials in the City of Ar be reported on your sales tax return form
and coc � o lil ■ton#3 I.
S'
(sign;turck Print Name Datc cased 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 $2,719.73
8/31/2017 Building Plan Review Fee $1,767.82
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) $168.00
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: $9,837.05
Total Payment: $9.837 os
Balance Due: sn.no
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
j'R C.1,
- I SETBACIfS NOTES:
FINISHED COV70UR I I fRONT 20' .BUILDING DI&WSYOWS ARE TO
(hp) SJDE 5 FACF OFFOUNDAhav
REAR 5' .MADING SHONN AS D£5YQ'V
- ' 1 A07UAL LOCAnGW YAr VARY
•_qWE DR WWAr 70 PY&IC ROAD
c�,• � I \ , •57LT FFNX 70 BE INSTALLED PER
v CITY OF ARLINGTLW S STANDARD
CORM R I I •MT fENa-7O BE/NSTALIM GW
(M) - I GJRAD/DJVT.9VE OF BUILDING
FARacZ
- — — — — — - L _ 5'Bret — — J L .CINS7RUMV EN7RANX 70 BE
�6B— ——— INSTALLED PER CITr OF
45.00 N8920' "W ARLINGILWS STANDARDS
STORM NOTES.
�EXiANGI r —T - - - - - -
� - - - -� •7MINSTALLM PRIOR 70
G6YTOURI I---5'BSBL TOP 46ZO 3 0 COWS7RUCnGW
TyP) ,BARE SOILS COIERED WIN AIULCII
( I I i TOE 464.'O pR ANOMF APPROWD bWP
$ I •7L 502. PER N5DOF BMP 751,E
PAnO JY SF i _ I+1LL
0 EASEA/ALLITRA/N (&T 12'0-7H)
ALL ONNN RUNOFF C WNECIM TO
5'BSBL = I -XF MAU BE STABILIZED PROP
I TO BUILDINNG PE]PAI/T BONG
RNAL/ZE0
\OOF Olk&HANG '5�o I{ SITE NOTES.•
_ •MRINE FOOnNG DRNNS AND
LOT 51 TOP 467.0 J 0 ROLL DRAINS 7v PERI/ANENT
\ I PRCQ°OSM RESIDENCE - TOE 4C 4.0 S7tA4A/DRAINAGE SYS1E1/PER
\ I KETTLE--2159 GARAGE'LEFT APPROWV PLAT DRAINAGE PLAN
> I -A
REA GIB S7UR%Wac'1NGYUDES
ENnR£LOr.
\I GARAGE-
+ LEGEND:
BUILDING 4.50 Z o- BLOW OI�F
GUIUN£ g $ TOP 46Z 0 3 0 ® WA MR AlM
— —20.017 'n 10.50 � TOE 464.0 4( ARE HYDRANT
5'PR/VA1F 40!S — —— — AIR VAC
S7WM I D Y 10'PUBLIC ® CA7CII BASIN
EASEMENT g nUTY EAZWDHT
n CIFANOUT
D p O
BSBL MANHOLE
— — D 45.00 \ f -_ [ BLOX WALL
" a N8920'49"W 4 a i j� IREE REMOVAL
, r� eceived
slGrtu avr. NAM? AUG 0 9 2017
CAMNECT AND ti
8'WATER Sawa- _ 1211/ I"
4+00 L16119Vmav SALE 1'- 20'
8' LOT 51
170TH T. NE SITE PLAN
- -- �— GREGOR Y PARK
L GI HOMES PLAN NO. KET7LE-2159
LOT AREA = 4,320 5F DATE 712712017 PARCEL # LOT 51
HOUSE = 1,538 SF I471 1 NE 2-Place,#101
DRIb£WAY= 401 Sr 9ellerve,W.shmgf-9e007 DESIGNED CORE ADDRESS 9011 1707H Sr
425.995.7877 Fax 425.895.7963
WALKWAY/PA770 = 39 SF PROJECT NUMBER
TOTAL= 2,028 SF
ENGINEERING PLANNING • SURVEYING DRAWN CAF 130241.-GRGOO
` CITY OF ARLINGTON
238 N. OLYMPIC AVE -ARLINGTON, WA. 98223
` PHONE; (360)403-3551
BUILDING PERMIT
Address:9011 170th Street NE Permit#:1599
Parcel#:01166900005100 Valuation:264649.77
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: `/-$
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/IRC1I0.
ALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Ar t be reported on your sales tax return form
and co d ' o rli ton#3 1.
S t.201'1
17 ignature Print Name 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 $2,719.73
8/31/2017 Building Plan Review Fee $1,767.82
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) $168.00
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: $9,837.05
Total Payment: $9,837.05
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 Inspection being requested,and whether you prefer morning or afternoon
Permit Information
Date 8/14/2017
Permit Number 1599
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 9011 170th Street NE
Valuation 264649.77
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#:01166900005100 LGI HOMES-WASHINGTON LLC
LGI HOMES-WASHINGTON LLC 1450 LAKE ROBBINS DR STE 430
9011 170th 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@fgihomes.co CONTRACTOR (Industries ILGIHOHL857M
Review
Date Type Description I Target Date Completed Date I Assigned To I Status
�5/15/2017 lResidential Dwelling 8/22/2017 Nmy Rusko 11in Review
8/15/2017 IlResidential Dwelling 8/22/2017 IRick Karns 111n Review
Fees
Fee Description Notes Amount
Building Plan Review Feel 345.83.00.0 $1,767.8
Total $1,767.8
Notes
Date Note
8/15/2017 ILot 51-Kettle
Uploaded Files Upload File
Date File Uploaded B
8/15/2017 1:18:43 PM 1599 Site Plan.pdf Foster,Kristin x
8/15/2017 1:18:43 PM 1599 Application.pdf Foster,Kristin x
8/15/2017 LGI HOMES-WASHINGTON LLC
Search L&I
Washington State Departrnent 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
Intemational 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
Help us ;rnprove
https://secure.ini.wa.gov/verify/Detail.aspx?UBI=603508001&LIC=LGIHOHL857MB&SAW= 1/2
8/15/2017 LGI HOMES-WASHINGTON LLC
No L&I tax debts are recorded for this contracts `3nse during the previous 6 year period,but some d(
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.
i,Washington State Dept.of Labor&Industries,Use of this site is subject to the laws of the state of Washington.
Help us impro•fo
hfps://secure.Ini.wa.gov/verify/Detaii.aspx?UBI=603508001&LIC=LGIHOHL857MB&SAW= 2/2
� • u F
° RESIDENTIAL PERMIT APPLICATION
Department of Community & Economic Development
Dt;
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:
9011 170th Street NE Plat: Gregory Park Lot 51
_
66 Single-family ❑1 Duplex ❑ Townhouse 01 Addition ❑ Accessory structure
Proposed Area: 1 s' Floor. 963 2"d Floor: 1196 Garage: 418 Total SF: 2577
Describe Proposal (include cross street):
Application for single family residence to be located at 9011 170th Street NE cross street is 91st Ave NE.
Valuation: l tA'
owner:
LGI Homes - Washington LLC
_
Address:
9028 1689th 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 1689th St NE City:Arlington State: WA Zip Code:98223
Phone: (425) 785-0797 Matt.adams@lgihomes.com
Email:
Contractor: LGI Homes - Washington LLC
9028 1689th 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 q 2017
�lD lrnaa
6/16LP Page 1 of 3
' - # � � �
.+
��• .�! 'l
�`'V °�' RESIDENTIAL PERMIT APPLICATION
'y
Department of Community& Economic Development
�i! 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 1 6 Sink (1.5) x 1
l� Shower (2.0) x 1 F41 Lavatory (1.0) x 4
❑ Clothes Washer (4.0) x Water Closet(2.5) x 3
Dishwasher (1.5) x 1 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
• ' A
y 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:
�1
Bryant 9155A30040514 95%Furnace (80+) Model# AFUE
�! Heat Pump Model# SEER HSPE
LJ AC Unit Model# SEER
❑ Type II Hood Commercial Cooking Appliance ❑ Hydronic Piping
�! Boiler ❑', Solid-Fuel Appliance PV System
Fireplace Insert ❑ Outdoor BBO ❑: Storage Tank
Freestanding Stove lal 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: v i l
Print Applicants Name:
6/16LP Page 3 of 3
.Yr� . ._ . _. _ .
Date: 04/09/2026
Permit#: 1599
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#: 01166900005100 L GI HOMES -WASHINGTON LLC
LGI HOMES -WASHINGTON LLC 1 450 LAKE ROBBINS DR STE 430
9011 170th Street NE T HE WOODLANDS, TX 77380
Zoning: 111 Single Fam iy Residence -
DetachedLot: 51 Block:
Permit#: 1599
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: 264649.77
Square Feet: 2577
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-
01166900005100 9 011 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
09/21/2017 R20.SFR/DUPLEX Approved
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 $1,767.82
Building Penn i T able 4-1 $2,719.73
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 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 $9,837.05
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 aunt
08/31/2017 LGI Hom cs-Washington Check#5144 K ristin Foster $8,069.23
LLC
08/31/2017 LGI Hom cs-Washington
Check#5143 K ristin Foster $1,767.82
LLC
O utstanding Balance $0.00
Notes
Date Note C reated By:
08/15/2017 Lot 5 1-Kettle Kristin Foster
Uploaded Files
Date File Nam e
09/06/2017 2582898-1599 Issued Perm i.pdf
08/15/2017 2529150-1599 Application.pdf
08/15/2017 2529151-1599 Site Plan.pdf