The URL can be used to link to this page

Home My WebLink About9016 170th Street NE_BLD1603_2026 RESIDENTIAL PERMIT APPLICATION Department of Community& Economic Development y �A O City of Arlington• 18204 59th Ave NE •Arlington,WA 98223 • Phone(360)403-3551 �NG'k 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: 9016 170th Street NE Plat: Gregory Park Lot 65 141 Single-family Q Duplex ❑ Townhouse ❑ Addition ❑i Accessory structure Proposed Area: 1 s' Floor: 1487 2"d Floor: Garage: 402 Total SF: 1889 Describe Proposal (include cross street): Application for single family residence to be located at 9016 170th Street cross street is 91st Ave NE. Valuation: 1poll, +2-1. 177 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 PYn Ilan 6/16LP Page 1 of 3 �`��` °� RESIDENTIAL PERMIT APPLICATION Department of Community& Economic Development City of Arlington• 18204 591h 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) t3 Bath/Shower Combo (4.0) x 1 6 Sink (1.5) x 1 Fv Shower (2.0) x 1 Lavatory (1.0) x 2 ❑ Clothes Washer (4.0) x 91l, Water Closet(2.5) x 2 Dishwasher (1.5) x 1 d Water Heater x 1 Hose Bibb (2.5) x 2 Water Heater Model # Other (list) x 1 AO Smith HPTU-50N Plumbing Section Continued Proposed Water Piping Size: 3/4 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 tN 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: 10 Bryant 9155A30040514! Furnace (80+) Model # AFUE 95% ❑ Heat Pump Model # SEER HSPE 0 AC Unit Model# SEER O! Type II Hood ❑ Commercial Cooking Appliance Hydronic Piping ❑ Boiler 0 Solid-Fuel Appliance ❑1 PV System 0' Fireplace Insert ❑ Outdoor BBQ ❑ Storage Tank 10, Freestanding Stove 21' Gas Piping Q; 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: 6116LP Page 3 of 3 CITY OF ARLINGTON 238 N. OLYMPIC AVE-ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:9016 170th Street NE Permit#:1603 Parcel#:01166900006500 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: STORIES: CONST.TYPE: DWELLING UNITS: OCC GROUP: 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. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Ar' n reported on your sales tax return form and cod f T gt 3101. - Sig atur Print Name Dat eased By Date CONDITIONS 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: $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 / I SETBACKS NOTES: L fRUNT 20' ,BUILDING D/AAW9ONS ARE 77 ME 5' FAar 6F fWNDAAM - — — — — - I REAR 5' •MADING A/AL LOCA W AS"N OW A a ` ° - •gaci O wwwAY lO PUBLIC ROAD • . a I •M r fENLr TO BE INSTALLED PER aTY OIL ARLINV S STANDARD - �L •SILT fENa TO BE INSTALLED OW 170TH ST, NE G� r srDE ar BurLDrNc PAIMU 8 WATE7P •GLWSIRUCAAN EN7RANOLr 70 BE INSTALLED POP aTY Ole 5t00 ARUNGTGW:S STANDARDS B, STORM NO TES: •7EX INSTALLED PRIOR 70 S Al GYEANA'/T. SEMER 5'f'R/YA7F cave RUCAOIN /0. ECT ROGF AN L�y�AQy I •BARE SCES COVERED MIA!#/UCLA f7a0 C DRAINS EASl7AENT 6P ANON&APPROVED W p p •7O1° E PER M99 Y MP 7513 (EFF 12 DP N) 41 4 •ALL OWME RUNOfr LLWNECIED TO 45.00 1 a PRNA7E STMU STUB N89 20,49 W I '-97F MAU BE STABILIZED Pffa? TO BUILDING fERN, BONG S I I mo, ' • FINALIZED j SITE NOTES: • •770MINE f WANG DRAINS AND ' 4118 ROOD DRAINS 70 PERA/ANENT +ORAIEWAY! _ _ _ _ _ ST"DRAINAGE S67M PER TOP 467.O - 11 A0 FA f0'PUBLIC APPROVED PLAT DRAINAGE PLAN 3.0 19.75 OW fRE NN NE CWNTY. TOE 464.0 �u URUTY •AREA 6F D1S7URBANOLc*rNGYUDES 42 GARAGE' am mar DVARE LOr. 1'ROOD OVERHANG I - 80LOING LEGEND: I - OU71/NE o- BLOw off ® NO7OP AfE7EJP Oo �- o 4( RRE HnwANr L 65 0 0, O Q, PRL 0_l TD RESIDENCE •"� A/R YAC TOP 467.0 O LYXUMBIA-1487 GARAGE"LEFT p 3.0 TOE 464.0 = 2,109fSF g = ® CA MY BASIN O afANOYIT EXISANG MANHOLE O cavroUR(rrP) � ,, 10.50 (� WALL 10, WAUIDRNN 1 BLOW EASEA/ENT I S {/♦ 7REE MWO�AL ITOP 467.0 I 24.50 Received 7TOE 464.0 PA AO 12 9r i 5' i �L.._ l- I 1� �� 201�7—_-- - - - - -SBSBL g SL^ALE I'm 20' 45.00 N892049uw LOT 65 - - - -P, ,P�, - - - - - - - - r 6WNER RNI.WED COVTM SITE PLAN (np) ' (�) GREGOR Y PARK LGI HOMES PLAN NO. COL.—1487 LOT AREA = 4,320 SF DATE 712712017 PARCEL # LOT 65 HOUSE= 2,109 SF 1471 I NE 29Hr Place,#101 DRIVEWAY= 416 SF 80,e ,W,,hi,91o,98007 DESIGNED CORE ADDRESS 9016 1707H Sr. 425.885.7877 Fan 425.885.7963 WALKWAYIPAAO = 12 SF PROJECT NUMBER TOTAL= 2,5J7 SF ENGINEERING • PLANNING • SURVEYING DRAWN CAF 13024L-GRG00 • PM BUILDING INSPECTION REPORT— Residential Final Permit No. BLD1603 Address: 9016 170th Street NE Contractor: LGI Owner: LGI Date: 1/17/2018 ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ CORRECTION ❑ OTHER INSPECTION: Final Building ADDRESS NUMBERS: M ACCESS: PLUMBING: ❑ MECHANICAL: SMOKE DETECTION: El CO DETECTION: IA LIFE SAFETY: ❑ DECKS: ❑ HANDRAILS: ❑ PLANTINGS: re WATER: ❑ SEWER: LIGHTING: ❑ FINAL ELECTRICAL: 1% BLOWER DOOR/DUCT CERT: INSULATION CERT:A Date: 1/17/2018 Inspector: - , 1 � � r ` .� 4 l � � a i CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:9016170th Street NE Permit#:1603 Parcel#:01166900006500 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: STORIES: CONST.TYPE: DWELLING UNITS: OCC GROUP: 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. IBC 110/IRC 110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Ar' n i reported on your sales tax return form and cod f r igt 3101. M - Sig atur Print Name Dal eased By Date CONDITIONS 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: S0.00 CALL FOR INSPECTIONS Bt I ILDING(360)403-3417 When eallinQ 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 1603 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 9016 170th Street 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#:01166900006500 LGI HOMES-WASHINGTON LLC LGI HOMES-WASHINGTON LLC 1450 LAKE ROBBINS DR STE 430 9016 170th Street 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@lgihomes.co CONTRACTOR (Labor and ILGIHOHL857M I_LC 0588 Industries Review Date Type Description I Target Date Completed Date Assigned To Status /15/2017 (Residential Dwellin 3/22/2017 kmy Rusko lin Review 3/15/2017 (Residential Dwelling 8/22/2017 lRick Karns IDenied Fees Fee Description I Notes Amount Building Plan Review Feel 345.83.00.00 $1,370.931 � Tota $1 370 9 Notes Date Note 6/1&2U7 _Application needs to he signed KF &i 5i20 i 7 Lot 65-Columbia Uploaded Files Upload File Date File Uploaded B 8/15/2017 4:18:52 PM 1603 Application.pddf Foster,Kristin x 8/1 5/201 7 4:18:52 PM 1603 Site Planpdf Foster, Kristin x 8/15/201117 LGI HOMES-WASHINGTON LLC Search L&I t iy: !! 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,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—07/0212019 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 https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=603508001&LIC=LGI HOHL857MB&SAW= 1/2 8/15/2017 LGI HOMES-WASHINGTON LLC No L%I tax debts are recorded for this contract, ense 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 16.27.200(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. CO Washington State Dept,of Labor&Industries Use of[his site is subject to the laws of the state of Washington. Help t_,s irrtiart��i hops://secure.ini.wa.gov/verify/Detaii.aspx?UBI=603508001&LIC=LGIHOHL857MB&SAW= 2/2 RESIDENTIAL PERMIT APPLICATION Department of Community& Economic Development 4' O' City of Arlington- 18204 59th Ave NE- Arlington,WA 98223 - Phone(360)403-3551 �rNG'i 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: 9016 170th Street NE Plat: Gregory Park Lot 65 Single-family ❑ Duplex ❑ Townhouse ❑I Addition L] Accessory structure Proposed Area: 1" Floor. 1487 2nd Floor: Garage: 402 Total SF: 1889 Describe Proposal (include cross street): Application for single family residence to be located at 9016 170th Street cross street is 91st Ave NE. Valuation: IPI-1; +7-4. 177 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 Ni?l lam 6/16LP Page 1 of 3 ",� ,�• :� t t• i..' � 2 �` o RESIDENTIAL PERMIT APPLICATION s • Department of Community& Economic Development 'f 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) Lf1' Bath/Shower Combo (4.0) x 1 1!6, Sink (1.5) x 1 f� Shower(2.0) x 1 Lavatory (1.0) x 2 ❑ Clothes Washer (4.0) x Water Closet (2.5) x 2 Dishwasher(1.5) x 1 Water Heater x 1 Hose Bibb (2.5) x 2 Water Heater Model # F)h Other(list) x 1 AO Smith HPTU-50N Plumbing Section Continued Proposed Water Piping Size: 3/4 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 •i �`s�` °�' RESIDENTIAL PERMIT APPLICATION ,y Department of Community& Economic Development fit! 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: ® Furnace (80+) Model# Bryant 9155A30040514 AFUE 95% ❑ Heat Pump Model# SEER HSPE ❑ AC Unit Model# SEER 01 Type II Hood ❑ Commercial Cooking Appliance 0 Hydronic Piping ❑ Boiler D Solid-Fuel Appliance Q PV System Fireplace Insert Outdoor BBO Storage Tank Freestanding Stove 0 Gas Piping 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: Print Applicants Name: 6/16LP Page 3 of 3 Date: 04/10/2026 Perm t#: 1603 Permit Date: 08/14/2017 Review Date: 08/15/2017 Perm it 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#: 01166900006500 L GI HOMES -WASHINGTON LLC LGI HOMES -WASHINGTON LLC 1 450 LAKE ROBBINS DR STE 430 9016 170th Street NE T HE WOODLANDS, TX 77380 Zoning: 111 Single Fam iy Residence - DetachedLot: 65Block: Permit#: 1603 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- 01166900006500 9 016 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 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 $1,370.93 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#5160 K ristin Foster $7,422.62 LLC 08/31/2017 LGI Hom cs-Washington Check#5159 K ristin Foster $1,370.93 LLC O ttstanding Balance $0.00 Notes Date Note C reated By: 08/15/2017 Lot 65-Colum ha K ristin Foster 08/15/2017 Application needs to be signed.KF K ristin Foster Uploaded Files Date File Nam e 09/06/2017 2582917-1603 Issued Perm i.pdf 08/15/2017 2529881-1603 Site Plan.pdf 08/15/2017 2529882-1603 Application.pdf