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Home My WebLink About9004 168th Street NE_BLD1711_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: 9004 168th Street NE Plat: Gregory Park Lot 1 _ _ 01 Single-family al Duplex ❑ Townhouse dl Addition DI Accessory structure Proposed Area: 1 s' Floor: 1006 2nd Floor: 1332 Garage: 380 Total SF: 2718 Describe Proposal (include cross street): Application for new single family residence to be located at 9004 168th Street NE. Cross street is 91st ��N� 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 V14A� 6/16LP Page 1 of 3 j`��` °�' 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 if plumbing is involved) (Check all that apply and indicate the number of fixtures proposed) Bath/Shower Combo (4.0) x 1 Cfi Sink (1.5) x 1 [✓j; Shower (2.0) x 1 Lavatory (1.0) x 5 0! Clothes Washer (4.0) x Water Closet(2.5) x 3 �61 Dishwasher (1.5) x 1 (_✓f; Water Heater x 1 Q; 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: 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 °F RESIDENTIAL PERMIT APPLICATION Department of Community& Economic Development �i JN 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: �I Furnace (80+) Model# Bryant 915SA30040514 AFUE 95% �I Heat Pump Model # SEER HSPE 01 AC Unit Model# SEER ❑ Type II Hood ❑ Commercial Cooking Appliance Q, Hydronic Piping ❑ Boiler QI Solid-Fuel Appliance 01 PV System ❑ Fireplace Insert Q. Outdoor BBQ QI Storage Tank Freestanding Stove 14 Gas Piping Q! Other Gas Piping Information Not Applicable: Q, 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 CITY OF ARLINGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:9004 168th Street NE Permit#:1711 Parcel#:0 1166900000 100 Valuation:289008.30 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 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 C' 4'n rf#3101. Signature Print Name Date Released By to 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 $2,910.05 10/27/2017 Building Plan Review Fee $1,891.53 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) $180.00 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: $10,163.08 Total Payment: $0.00 Balance Due: $10,163.08 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.- 8'WATER fRO➢VT 20' •BU/LOWNG DIMDV26WS ARE 70 SEND? Xf 5' FADE'Ole FOUNDA77av sTrw air. 168TH ST• E 1 CLWNE nav REAR 5' •6RADING STIONN AS DEY6W GY,WNECT R D ACTUAL LOCA776W M/AY VARY FDOANG DRAINS 4,100 0'4 8,SEIIE/P --qOff LR"AY 70 PUBLIC ROAD N89 WAS �PROYRTY •SYL T fE ff 70 BE INSTALLED PER SERN( CG�4NER aTY OF ARVNGTOW S STANDARD 21.B •STL T fENOE 70 BE INSTALLED OW _ QPAL7 mr SIDE cF BU/LLHNG \ v d L10 `3.27 • 9 p PARCE 99 51 4 •OLWS7RUCIIOW ENTRANLY TO BE .00 ° 4 ° a INSTALLED POP ary OF ARLINGTAW'S STANDARDS / - ° STORM NOTES.- / - - - - — \ •TESL INSTALLED PR16W TO \ / 20.00'' 01GWS7RUCAGW / 26.00' 5.00'PRIVATE •BARE SaLS CO b RED KITH MIUtQV / i BSBLL i _r SMRM LL a?ANOTHE]P APPRme BM/P P 1 Sly EASEAENT •XIR501L PER MSDOIE bMP T513 11.00 — DRIWWAY tic 00'PUBVc — — — (EFT 12'DEP7H) / L •ALL ANSJIE RUNU'T CY,WNECIED TO / - - - UTILITY PRVA7E STORY STUB 500 19.010 I EAZWENT .,917E 9VALL BE STABILIZED PRIOYP 2.010 1 TO BUILDING PLW#r BONG 1.OD'ROCF GARA GE I FINALIZED SITE NOTES.- OVERHANG fiUnD1N0 I RNI-WED CON70MY •DGi'IIUNE f0011NG DRAINS AND 0117LINE g 1 (T)P) ROOD DRAINS 7D PERM/ANENT ENSRNG �' I �CGiYTOUR(TYP) S717RM DRAINAGE SY57LV PER LOT 1 APPRObFD PLAT DRAINAGE PLAN ON ALE IN7H 7HE CWNTY. p PRGY'OSED RES�DENGE I •AREA OF D67URBANCE INaUDES _ MILL 33B GARAGE'LEFT o OV11RE LOT. 1,S89fSF � I 35.00 LEGEND: I I a0 o- BLOW OFT r I I I ® WATE?MIM 500'B L 5.00'BSBL I 4( Rff HYDRANT PA 12 . AIR VAC � I I o I @ ® CA Toy BAsN 0 \ \ X i o f O C1 mNour O MANHOLE WALL TREE REMOVAL Received (IF1 24 ?01 jI SCALE 1'=20'1500 BSBL —J --�. 45.00 LOT 1 N8970'05NW SITE PLAN GREGOR Y PARK LGI HOMES PLAN NO. MILL-2338 LOT AREA = 5,,777 SF DATE 912912017 PARCEL # LOT 1 HOUSE= 1,589 SF 1471 I NE 29Hr Place.1J 107 DRIVFWAY= 481 SF Bellevue,W.shMBra°98007 DESIGNED CORE ADDRESS 90OI 1687H Sr NE 415.BB5.7B77 Faa 475.BB5J963 WALKWAY/PA770 = 12 SF ��oesrvn PROJECT NUMBER TOTAL= 2,082 SF ENGINEERING • PLANNING • SURVEYING DRAWN CAF 130241--GRG00 CITY OF ARLINGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:9004 168th Street NE Permit#:1711 Parcel#:0 1166900000 100 Valuation:289008.30 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: ] 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 l0/IRCl10. 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 It #3101. 1 Signature Print Name Date Released By Ifate 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 $2,910.05 10/27/2017 Building Plan Review Fee $1,891.53 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) $180.00 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: $10,163.08 Total Payment: $0.00 Balance Due: 510,163.08 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,Type of Inspeetiuit being requested,and whether you prefer morning or afternoon r ETeAc{fs NOTES.- BU DEPP€ NT B it7, -,, POW 20' .BUILDING DIMEN26YVS ARE 70 9L .990E 5' FALL'OF FOVNDA AOv OLWNECT D 168 ST, E;;;,E^npy REAR 5' •MAD1NG WONN AS DI Y6W A07UAL L0477Ov MAY VARY 4t00 8, �Y sz TF a M BE INSALLM PER NO ES A XM WATER MaOLRTY MY OF ARLINGM&STANDARD SSA D B Ftq ya` CORNER •M r fENCr 70 BE INSTALLM Ov BU I L I _ - — �_ NAUDVr.AD£OIL BUILDING � PyA1R�Q1�ZD�� 7f t7�7p /�[ 7yf Oc 41 51 n ° •p • &ZSIRUC770v C/I//�ANa TO B �'=125.00 a 4 4 a INSTALLED P&a7Y OF L ARLINV W'S STANDARDS STORM NO MS.- •7ffC INSTALLED PRIOR 7O \ \/ 20.00' CWSRRUC770v 26.0'0' 5..00 PR/VA 1E •BARE SOYLS L10bERED NI1H MULaI B.SBL L J S70IRM LL OR ANOTHER APPR0 W BMP 1� 1 EAMY5NT •7WS0k PER NWOF SVP 7513 1.00 c t o lR��Y r10.0D'PUB/JC —— Ij — (&F 12-DEP7H) / � L U77U7Y I -ALL 6W97E RUNG T CLWNE07EV TO 5.G1'I 19.00 EASE Off m �PR/VA1EU BE S STUB - ME AYALL BE TAB/UED PRO? 2.00 70 BUILLJVNG PERM/T BEING 1.00 RGO` GARAI� RNAU20 I 01207PHANG 7 SITENOTES-- g\ BUILDING I RNMW0 CAv70UR •776WRINE f007ING MAINS AND k, a/7LlNE S /I (1YP) ROAD DRAINS 70 PE1 PMANENT EVSANG S7L1RM DRAINAGE SYSMV PER LOT.1 I l___,_6wToU?(m..) APPRObED PLAT DRAINAGE"OV PLAN p ^ A .SED RESIDENCE I • RRR PRTO Or S7URBANlX INaUDES _ MILL-,FJM GARACF LEfT o I EN17RE LOT. �I 1,589fSF' � I 3500 LEGEND: �, I ty I � 0— BLOW OfF 1 ® WADER MEU C'-500' L SL 00'BSs?\v,1 1 4( RRE HYDRANT PAAO 12 AIR VAC 003 CA7W 84.57N X o O aENOVT I \I I = O MANHOLE o I n BLOB( WALL yl V-Y 1REE REMOVAL — Received \I OCT 24 2017 Q I g l Soo,eset I SVLE 1'=20' 1 p L "- - -�- J LOT1-- 45.00 - � i e� N8970 05"'W � SITE PLAN GREGOR Y RA RK LGI HOMES PLAN NO. MILL-2338 LOT AREA = 5,,777 SF DATE 912912017 PARCEL # LOT 1 HOUSE= 1,589 SF 14711 NE 29M Place,#101 DRIWWAY= 481 SF C Bellev°a,washm9ro°98007 DESIGNED CORE ADDRESS 9004 1887H Sr NE 425.BB5.7877 Fax 425.BB5.7963 WALKWArIPA770 = 12 SF E�oesrcN PROJECT NUMBER TOTAL= 2082 SF ENGINEERING • PLANNING • SURVEYING DRAWN CAF f3024L-GRG00 %0711111'j� ( Of 'A 1*JT -k'i*A Permit Information Date 10/24/2017 Permit Number 1711 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 9004 168th Street NE Valuation 289008.30 Status Applied Permit Issued Permit Expires Square Feet 2718 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 01166900000100 9004 168th Street LGI HOMES-WASHINGTON 111 Single Family Residence- NE LLC Detached Contractors Contractor Name Primary Phone Email Contractor License License# Contact Type LGI Homes-Washington,,Jake Jabusch 360-353- ake.jabusch@Igihomes.comCONTRACTOR Labor and ILGIHOHL857ME LLC588 Industries Review Date Type Description I Tar et JDate Completed Date I Assigned To Status '10/25/2017 (Residential Dwelling l l/l/2017 Nmy Rusko lin Review 10/25/2017 (Residential Dwelling 11/1/2017 lKevin Olander Iln Review Fees Fee Description Notes Amount Building Permit Fee 322.10.00.0 $2,910.0 Building Plan Review Fee 345.83.00.00 $1.891.53 Fumace 322.10.00.00 $25,00 Gas Outlets Base Fee 1 to 5 322.10.00.0 $10.00 Mechanical Fee(Enter Fixture Fee) 322.10.00.0 $25.00 Mechanical Permit Base Fee 322.10.00.0 $25.00 Park-Community SFJ 345.85-00.01 $1.662.00 Plumbing Permit Base Fe 322,10.00.Oq $25.00 Plumbing Permit Fee(Enter Fixture Fee)j 322.10.00.0 15 @$12 $180.00 Processing/Technology Fee 341.43.00.02 $25.00 State Building Code Surcharge Fe 386.00,01.0 $4.5 Traffic Mitigation-Ci 345.85.00.02 $3,355.00 Water Heate 322-10.00.00 $25.00 Total $10,163.0 Uploaded Filar ( Upload File Date File Uploaded B. 10/25/2017 10:21:56 AM 1711 Site Plan.pdf Foster,Kristin 10/25/2017 10:21:56 AM 1711 Application.pdf Foster,Kristin �( RESIDENTIAL PERMIT APPLICATION Department of Community& Economic Development City of Arlington• 18204 59th Ave NE •Arlington,WA 98223 • Phone(360)403-3551 1IN 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: 9004 168th Street NE Plat: Gregory Park Lot 1 _ Cll Single-family ❑ Duplex ❑ Townhouse DI Addition Accessory structure Proposed Area: 1 s' Floor. 1006 2nd Floor: 1332 Garage: 380 Total SF: 2718 Describe Proposal (include cross street): Application for new single family residence to be located at 9004 168th Street NE. Cross street is 91st ��NG Valuation: ! V �� 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 � � i.�" � �,�Y I RESIDENTIAL PERMIT APPLICATION rr Department of Community& Economic Development 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 Sink (1.5) x 1 [6 Shower(2.0) x 1 Lavatory (1.0) x 5 a! Clothes Washer (4.0) x I Water Closet(2.5) x 3 el Dishwasher(1.5) x 1 Q; Water Heater x 1 Q Hose Bibb (2.5) x 2 Water Heater Model # �J! 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 Y� 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 915SA30040514 AFUE 95% ❑ Heat Pump Model # SEER HSPE ❑ AC Unit Model# SEER ❑' Type II Hood ❑ Commercial Cooking Appliance Hydronic Piping Ql Boiler ❑ Solid-Fuel Appliance PV System 01 Fireplace Insert ❑ Outdoor BBQ ❑1 Storage Tank 14 Freestanding Stove 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: 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: A/ R,4474 Date: Print Applicants Name: 6/16LP Page 3 of 3 i Date: 04/10/2026 Permit#: 1711 Perm it Date: 10/24/2017 Review Date: 10/25/2017 Perm it Type: RESIDENTIAL SINGLE FAMILY Review Type: RESIDENTIAL SINGLE FAMILY Target Date: 11/01/2017 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#: 01166900000100 L GI HOMES -WASHINGTON LLC LGI HOMES -WASHINGTON LLC 1 450 LAKE ROBBINS DR STE 430 9004 168th Street NE T HE WOODLANDS, TX 77380 Zoning: 111 Single Fam iy Residence - DetachedLot: 1 Block: Permit#: 1711 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: 289008.30 Square Feet: 2718 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- 01166900000100 9 004 168th 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 01/11/2018 R20.SFR/DUPLEX ComOeted FINAL Plan Reviews Date R eview Type D escription A ssigned To R eview Status 10/25/2017 RESIDENTIAL SINGLE Site plan m e is all land use regulations. FAMILY 10/25/2017 RESIDENTIAL SINGLE BUILDING FAMILY Fees Fee D escription N otes A m cunt Building Perm i T able 4-1 $2,910.05 Building Plan Review T able 4-2 $1,891.53 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 5 @$12 $180.00 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 $10,163.08 Attached Letters Date Letter D escription 10/27/2017 Building Perm i Paym arts Date Paid By D escription P aym a►t Type A ccepted By A m aunt 11/02/2017 LGI Hom cs-Washington Check#5705 K ristin Foster $8,271.55 LLC 11/02/2017 LGI Hom cs-Washington Check#5704 K ristin Foster $1,891.53 LLC O utstanding Balance $0.00 Uploaded Files Date File Nam e 11/03/2017 2753296-1711 Issued Perm i.pdf 10/25/2017 2728142-1711 Application.pdf 10/25/2017 2728143-1711 Site Plan.pdf