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Home My WebLink About16904 89th Avenue NE_BLD1706_2026 RESIDENTIAL PERMIT APPLICATION T Department of Community& Economic Development City of Arlington• 18204 59th Ave NE - Arlington,WA 98223 - Phone(360)403-3551 N 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: 16904 89th Avenue NE Plat: Gregory Park Lot 39 _ 0,1 Single-family ❑ Duplex ❑ Townhouse QI Addition D Accessory structure Proposed Area: 151 Floor: 963 2nd Floor: 1196 Garage: 418 Total SF: 2577 Describe Proposal (include cross street): Application for new single family residence to be located at 16904 89th Ave NE. Cross street is SYej 1J&- Valuation: 21Q 1_LZ."f l owner: LGI Homes - Washington LLC Address: 9028 168th Street 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 Street 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 Street 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: 07/02/2019 6/16LP Page 1 of 3 AY RESIDENTIAL PERMIT APPLICATION Department of Community& Economic Development IN O City of Arlington• 18204 59th Ave NE •Arlington,WA 98223 • Phone(360)403-3551 Plumbing Section (continue filling out 9 plumbing is involved) (Check all that apply and indicate the number of fixtures proposed) 61 Bath/Shower Combo (4.0) x MI Sink (1.5) x 1 [�b Shower(2.0) x 1 C1i Lavatory (1.0) x 4 ❑I Clothes Washer (4.0) x Water Closet(2.5) x 3 �!)l Dishwasher(1.5) x 1 Water Heater x 1 QI Hose Bibb (2.5) x 2 Water Heater Model # LIl Other (list) x 1 AO Smith H PTU - 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 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 Furnace (80+) Model# Bryant 915SA30040514 AFUE 95% ❑ Heat Pump Model# SEER HSPE ❑ AC Unit Model# SEER ❑ Type II Hood ❑� Commercial Cooking Appliance Hydronic Piping ❑ Boiler 01 Solid-Fuel Appliance ❑.I PV System ❑ Fireplace Insert Ell Outdoor BBQ ❑i Storage Tank Freestanding Stove 01 Gas Piping I 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 AApplicant Signature: // Date: Print Applicants Name: e�T., 1 i,CJ c�c Received P� I�t7e 6116LP Page 3 of 3 CITY OF ARLINGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address: 16904 89th Avenue NE Permit#:1706 Parcel#:01166900003900 Valuation:269962 41 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: `/-B DWELLING UNITS: 1 OCC GROUP: R-3 BUILDINGS: OCC LOAD: PERMIT APPROVAL 1 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 IOARC110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form and coded Ci _!�A�I#3 101. 1 Signature Print Name Date Released By Kate 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 10/27/2017 Building Permit Fee $2,759.38 10/27/2017 Building Plan Review Fee $1,793 60 10/27/2017 Furnace $25.00 10/27/2017 Gas Outlets Base Fee 1 to 5 $10.00 10/27/2017 Mechanical Fee(Enter Fixture Fee) $25.00 10/27/2017 Mechanical Permit Base Fee $25 00 10/27/2017 Park-Community SF $1,662 00 10/27/2017 Plumbing Permit Base Fee $25.00 10/27/2017 Plumbing Permit Fee(Enter Fixture Fee) $168.00 10/27/2017 Processing/Technology Fee $25.00 10/27/2017 State Building Code Surcharge Fee $4.50 10/27/2017 Traffic Mitigation-City $3,355 00 10/27/2017 Water Heater $25 00 Total Due: $9,902.48 IOtal Paymcnt: SO.00 Balance Due: S9,902.48 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 SETBACKS NOTES: �O QO DO PROPER_�11��0 V T 5' •BUILDING OVAAEN51aAlS ARE m FACE D G YONVA S NER REAR 5' •WADING ST/0NN AS DE.91pV ( P) N00;39'11E — — —� ' •qR DRIW AAY 70 PU&ICYROAD 45.00 •SILT fFHOE TO BE INSTALLED PER — — _ — — — — CITY OIL ARLINGXW'S STANDARD •SILT fFNIX 70 BE INSTALLED ON 0401DVT STDE OF BU/LUNG SctiwP MUcnav EN7RANar 7O BE I fINIStIED INSTALLED Pff arY ac, ARLINGXV9 STANDARDS O 0 I PA AO 39 SF 500' I I cavow (rrp) STORM NOTES. O r BSBC EtS& I •COVSMUC� PRIOR TO p 5j00 •BARE SaLS COVERED IW7H IIULaI 35.00 I •7a°SOIL PER LOR AN07HDF 0 SW T513 LOT 39 ,ob,Roa- (&T 12'L P7H) PROPOSED RES PENCr 04RHANG •ALL 6W.97E RUNOT COVA65CMD TO 3 g KEME--2159 PRIVATE S7a411 S7(18 GARAGE RIGHT g 3 I •ST7E_WALL BE STABILIZED PRIaP p v d. g 1,588t�f g 70 BUILDING PE]WT BEING p \ IJ o o I EX/SANG RNAL/ZED FAQ` rn I�COVTOUR SITENOTES: •AGJIRINE fOOANG DRAINS AND = i R06F DRAINS TO PERMANENT Gr/11bVE ST"DRAINAGE Samw PER APPROVED PLOT DRAINAW PLAN p 10,50 g 41 8 20,00 I aV ALE M17H 7HE COUNTY. — — — — — — •AREA a-w7URBAma-INaUDES ENARE LOT. Z7 T.: g p DRIIe£WAY LEGEND: s7a4M aEANorrr. o- BLOW afF 20.00 -f° _ CONNECT ROOF AND ® NO7ER ME7& BSBL fW77NO DRAINS 4( fRE HYDRANT to 010'PUBLIC O UALITY AIR VAC p 1 EASiWEN a 4 G A 6• CA701 BARN R=125.00 O aEANOuT d=2124'38" £AS��IIT O MANHOLE L=46.71 ® BLOOV WALL WA0? 88TH A VE NE N;1=; • ;\ ,AA 7RE1�REMOVAL i Si]PNl.1� SEWR CCNN,LfrC11GW I c e i v e d Vol OCT 24 2017 / Sr"I'm 20' A121 l" LOT 39 SITE PLAN 'j GREGOR Y PARK LGI HOMES PLAN NO. KET7LE-2159 LOT AREA = 4,466 SF DATE 912812017 PARCEL # LOT 39 HOUSE= 1,588 SF 1471 I NE 291h Place,#101 DRIVEWAY= 437 Sr 9eliev Wahl gt,^98007 DESIGNED CORE ADDRESS 16"897H AIE ME 425.885.7077 Fax 425.985.7963 WALKWAYIPAAO = 39 SF `�U=SIGN PROJECT NUMBER TOTAL= 2,064 SF ENGINEERING • PLANNING • SURVEYING DRAWN CAF 130241--GRG00 74 CITY OF ARLINGTON /) 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:16904 89th Avenue NE Permit#: 1706 Parcel#:01166900003900 Valuation:269962.41 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. 1BC110/IRC110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form and coded Cil #3101. v A Signature Print Name Date Released By Kate 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 10/27/2017 Building Permit Fee $2,759 38 10/27/2017 Building Plan Review Fee $1,793.60 10/27/2017 Furnace $25.00 10/27/2017 Gas Outlets Base Fee 1 to 5 $10 00 10/27/2017 Mechanical Fee(Enter Fixture Fee) $25.00 10/27/2017 Mechanical Permit Base Fee $25.00 10/27/2017 Park-Community SF $1,662 00 10/27/2017 Plumbing Permit Base Fee $25.00 10/27/2017 Plumbing Permit Fee(Enter Fixture Fee) $168.00 10/27/2017 Processing/Technology Fee $25.00 10/27/2017 State Building Code Surcharge Fee $4.50 10/27/2017 Traffic Mitigation-City $3,355.00 10/27/2017 Water Heater $25.00 Total Due: $9,902.48 Total Payment: $0.00 Balance Due: $9.902.48 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 �` ACTUAL LO A7laV MAY VARY ' I• N ErlmofS OoNT 10' NOTES. 1L D RT T •BUILDING DIMEN510WS ARE 70 D, SYff 5' FA ar ar fWNDAAOW REAR 5' •6RADING-WOW AS XY6W D ( ) NOO:39'11'E — — —� ' '\ .SXORE LJff"AY 70 PUBLIC ROAD 0 \ 45.00 \ •m T fEmy 70 BE INSTALLED PER NO C N - - - - Q7Y OF ARUNV W S STANDARD UNLES R HE I •arfENCr TO BE INSTALLED OW BU f L _ S 00' p aou.A'DE ar BUILDING B I I PARL£c •CONSIRUCAOV EN1RAN6E TO BE INSTALLED PER aTY ar 0 I I I G��R (Iyp,) ARUNGTCW:S STANDARDS PA AO 39 SF 500' STORM NOTES: O I 5.00' ma I •TESL INSTALLED PRIOR TO Q i BSBL I COWSIRUCALW .00o5J00 BARE SaLS C0WRED N1A1 MULLW J5..00 I a?ANOAIE]P APPR010 BMP y LOT 39 '70P"L PER #WX BMP 75IJ �DENCE - 1.Ob'ROOT- (&T 12'Li°AI) PROPOSED RE KETTLE-3V 6 0 RHANG •ALL ONVE RUNG F C WNECIEO TO 3 g PR/VAIE S7 WM STUB o� GARAGE R/GHT S I •97E SHALL BE SM&UZ£D AWO? p :r 1,58Bt g I TO BUILDING P&MIT BONG o o I EX/S77NG RNAL120 GARAGE , �, 1�C6WTOUR SITENOTES: 0 BUILUINC = 1 (np) •11Q'1111NE f00ANG DRAINS AND OUTUNE ROLL DRAINS 10 PmANENT 4.50 I SIOYPM ORNNNA6r S6XV P& APPROVED PLOT DRN/NAOE PLAN 10.50 g g 10.00 1 OW FILE NIIH 7HE=N7Y. \ — - - - •AREA OF DISIU WXT INCLUDES 1 I SNARE LOT. W 9 Q. L DR/WWAY '� LEGEND: smimm afANOUT. *- BLOW OfF Q 20,00' r" ` CONNECT ROOF AND ® WATER MM BSBL F007ING DRAINS 4( f7RE H)DRANT f0.00'PULIL/C , O UAUTY ° AIR VAC \ Q EASiAIEN ml CA u CA7W BASN e R=125.00 O afANOUT d=2124 J8" S7ORV O MANHOLE L=46.71 EASLA/ENT rL-L _ &OX WALL wA1ER 88TH A VE NE ". SE]PN(.E ' , ATEE REMOVAL mw c CAOV. Received a+°° �i WPC �Z� OCT 2 4 2017 1 / SVLE 1'=20, ?jl2' `m - -- 4- LOT 39 C SITE PLAN s GREGOR Y PARK LGI HOMES PLAN NO. KET7LE-2159 LOT AREA = 4,466 5 6[SF DATE 912812017 PARCEL # LOT J9 HOUSE= 1,58 14711 W29fh 11.,,#101 DRIWWAY= 4J7 SF 9e9evue,W,,biwim 98007 DESIGNED CORE ADDRESS 16M 891H AID AE 425.895.7877 Far 425.985-7963 WALKWAYIPAAO = 39 SF s' v PROJECT NUMBER TOTAL= 2064 SF ENGINEERING PLANNING • SURVEYING DRAWN CA 13O24L—GRGOO � I 10 Permit Information Date 10/24/2017 Permit Number 1706 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 16904 89th Avenue NE Valuation 269962 41 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 Owner Parcel Address Legal Owner Phone Zoning 01166900003900 16904 89th Avenue LGI HOMES-WASHINGTON 111 Single Family Residence- NE LLC Detached Contractors Contractor Name Primary Phone Email Contractor License License# Contact Type LGI Homes-Washington, 360-353 Labor and LLC Jake Jabusch 0588 ake.jabusch@Igihomes.comCONTRACTOR Industries LGIHOHL857MB Review Date Type -Description I Target Date Completed Date Assigned To Status 10/24/2017 Residential Dwelling 10/31/2017 my Rusko In Review 10/24/2017 Residential Dwelling 10/31/2017 1 In Review Fees Fee Description Notes Amount Building Permit Fed322.10.00.0 $2,759.3 Building Plan Review Fee 345.83.00.00 $1,793.6 Furnace 322.10.00.001 $25.0 Gas Outlets Base Fee 1 to 5 322.10.00.00 $10.0 Mechanical Fee(Enter Fixture Fee) 322.10.00.00 $25.0 Mechanical Permit Base Fee 322.10.00.00 $25.0 Park-Community S 345.85.00.00 $1,6620 Plumbing Permit Base Feel322.10.00 00 $25.0 Plumbing Permit Fee Enter Fixture Fee) 322.10.00.00 14 @$12 $168.0 Processing/Technology Fee 341.43.00.02 $25.0 State Building Code Surcharge Fee 386.00.01.00 $4.5 Traffic Mitiqation-City 345.85.00.02 $3,355 00 Water Heater 322.10.00.00 $25.00 Totall $9,902.4 Uploaded Files Upload File Date File Uploaded B 10/24/2017 3:18:59 PM 1706 Site Plan.odf Foster,Kristin x 10/24/2017 3:18:59 PM 1706 Application.odf Foster,Kristin X �y RESIDENTIAL PERMIT APPLICATION Department of Community& Economic Development City of Arlington• 18204 59th Ave NE •Arlington,WA 98223 • Phone(360)403-3551 1 1`_ TG 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: 16904 89th Avenue NE Plat: Gregory Park Lot 39 _ ❑ Single-family ❑ Duplex ❑ Townhouse ❑ 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 new single family residence to be located at 16904 89th Ave NE. Cross street is 116WU S+Ye..��-- ter✓. Valuation: '" owner: LGI Homes - Washington LLC _ Address: 9028 168th Street NE City: State: Zip Code:Arlington WA 98223 Phone: 425-785-0797 Email: matt.adams@lgihomes.com Applicant: LGI Homes - Washington LLC Address: 9028 168th Street 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 Street 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: 07/02/2019 6/16LP Page 1 of 3 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 lIYG'� Plumbing Section (continue filling out if plumbing is involved) (Check all that apply and indicate the number of fixtures proposed) l! Bath/Shower Combo (4.0) x Sink (1.5) x 1 ( i Shower (2.0) x Lavatory (1.0) x 4 ❑ Clothes Washer (4.0) x Water Closet(2.5) x 3 Dishwasher (1.5) x 1 Qi 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: AB 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 RESIDENTIAL PERMIT APPLICATION r Department of Community& Economic Development City of Arlington• 18204 59th Ave NE •Arlington,WA 98223 • Phone(360)403-3551 �tNGt Mechanical Section (continue filling out if mechanical equipment is involved) Select proposed appliances: FAI Furnace (80+) Model # Bryant 915SA30040514 AFUE 95% 0! Heat Pump Model# SEER HSPE ❑ AC Unit Model# SEER ❑I Type II Hood QI Commercial Cooking Appliance Ell Hydronic Piping OJ Boiler ❑ Solid-Fuel Appliance 0! PV System ❑ Fireplace Insert 0' Outdoor BBQ ❑ Storage Tank �i Freestanding Stove Lai 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: �d oZ3 Print Applicants Name: �� c�+JVJ da Received 11 — 6/16LP Page 3 of 3 Date: 04/10/2026 Perm t#: 1706 Perm it Date: 10/24/2017 Review Date: 10/24/2017 Perm it Type: RESIDENTIAL SINGLE FAMILY Review Type: RESIDENTIAL SINGLE FAMILY Target Date: 10/31/2017 Scheduled Time 00:00 Com pleted Date: 10/27/2017 Description: Site plan m xts all land use regulations. Review Status: Assigned To: Tim eln: 00:00 Time O it: 00:00 H curs: 0.0 Property Information Parcel#: 01166900003900 L GI HOMES -WASHINGTON LLC LGI HOMES -WASHINGTON LLC 1 450 LAKE ROBBINS DR STE 430 16904 89th Avenue NE T HE WOODLANDS, TX 77380 Zoning: 111 Single Fam iy Residence - DetachedLot: 3 9B lock: Permit#: 1706 Permit Date: 10/24/17 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: 269962.41 Square Feet: 2577 Num ber of Stories: 2 Construction Type: O xupancy G ioup: ID Code: Permit Issued: 11/03/2017 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- 01166900003900 1 6904 89th Avenue 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 12/08/2017 R20.SFR/DUPLEX Com Iieted FINAL Plan Reviews Date R eview Type D escription A ssigned To R eview Status 10/24/2017 RESIDENTIAL SINGLE Site plan m e is all land use regulations. FAMILY 10/24/2017 RESIDENTIAL SINGLE BUILDING FAMILY Fees Fee D escription N otes A m cunt Building Perm i T able 4-1 $2,759.38 Building Plan Review T able 4-2 $1,793.60 Forced Air Heat f ee per Btu $25.00 Gas Piping/Units E nter#of units $10.00 Mechanical Fee(Enter Fixture Fee) $25.00 Mechanical Base P erm i Fee $25.00 Park-Com m nity SF S ingle Fam iy $1,662.00 Plum hng 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 $9,902.48 Attached Letters Date Letter D escription 10/27/2017 Building Perm i Paym acts Date Paid By D escription P aym a►t Type A ccepted By A m aunt 11/02/2017 LGI Hom cs-Washington Check#5735 K ristin Foster $8,108.88 LLC 11/02/2017 LGI Hom cs-Washington Check#5734 K ristin Foster $1,793.60 LLC O utstanding Balance $0.00 Notes Date Note C reated By: 10/25/2017 Lot 39-Kettle Kristin Foster Uploaded Files Date File Nam e 11/03/2017 2753264-1706 Issued Perm i.pdf 10/24/2017 2726318-1706 Application.pdf 10/24/2017 2726319-1706 Site Plan.pdf