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Home My WebLink About9028 168TH ST NE_BLD1277_2026 F1 D--] (U N�? 5Eu> �3m�a N�0u NA OOi 20D rn �zc: rn O Z o o� ti0D 20 X ,m OZ a z0 -110 rn °Dy rn o OU) rn)ozD @�cjz A �o N NN �1 m V� � H rn®=-0 D O 0 0 p-0 r I =i 2� N Ul I I A 3O6a ENTR000 I I �DmU' d I I r 0 m A r im rn DA N d n u, r m � rn = z o � 444 , 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 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: l(�1 G' �� Plat: v EKSingle-family L7; Duplex Ell Townhouse ❑; Addition Accessory structure Proposed Area: 1 st Floor: I q`�,3^ 2nd Floor: Garage: Total SF: 0(103 Describe Proposal (include cross street): 514. Valuation: Owner: Z-67-M rla S - GJa�S�tin ��-G Address: ft 0 AIF 041* -T�. STZ /D3 City: State: Zip Code: Phone: 3&0- .�c'i 3- 0588 Email: , IGLk�2 1 LkitJ64 @ A korxQ� CA+�_ -a Applicant: �,CT� .5 G✓�tS�i��' — Lk-C-- Address: «'MHO NE Of*S� STD 163 City: 9ItrK-10-4 State: W/q— Zip Code: Phone: D�3s3-OS'�3$ Email: Imo•;I�aJt,�i �l�l ApAts C� Contractor: �. �►x' f1�mCS- 0o_.SkLtt ,CSC Address: 1141V 1VF194'_h0- SrE 10 City: &y,1 XAJ State: WA Zip Code: Phone: ' D-3S3''-OS8$ Email , lA 1 1t'►Je'k f- kmes•er*L_ Contact Person: �Jw - �c-� License Number:L6_X#y#L85?/1J8 Expiration: 713 4617 6/16LP Page 1 of 3 h�-N 4P �`''` °�' RESIDENTIAL PERMIT APPLICATION q Department of Community& Economic Development p City of Arlington • 18204 59th Ave NE •Arlington, WA 98223 • Phone (360)403-3551 l�i1i G1 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 Sink (1.5) x [�Shower (2.0) x Lavatory (1.0) x ❑ Clothes Washer(4.0) x Water Closet (2.5) x Q Dishwasher (1.5) x Water Heater x Hose Bibb (2.5) x Water Heater Model# Other(list) x Plumbing Section Continued Proposed Water Piping Size: NA- Proposed DWV Material: Proposed Piping Material: �Pt�x _ Proposed DWV Size: � • 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 Y .0� /100(1::1 RESIDENTIAL PERMIT APPLICATION Department of Community& Economic Development City of Arlington • 18204 59th Ave NE •Arlington, WA 98223 • Phone (360)403-3551 LNG Mechanical Section (continue filling out if mechanical equipment is involved) Select proposed appliances: Furnace (80+) Model# BY��N�"9i�S/1�3�>c,��DS/'I AFUE lie-11112V 0 Heat Pump Model# SEER HSPE [Dr* AC Unit Model# FYyxiZt 123AM4 SEER 0 Type II Hood I; Commercial Cooking Appliance ❑ Hydronic Piping ❑ Boiler 0 Solid-Fuel Appliance ❑ PV System 01 Fireplace Insert 0 Outdoor BBQ ❑ Storage Tank FY Freestanding Stove I]+ Gas Piping ❑ Other Gas Piping Information Not Applicable: ❑ e/ Pipe Material: 5144, SS�edPipe Size: Total BTU's of all Appliances: x Distance from Meter to Furthest Appliance: C • 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. 94k Date: Vsh pp 9 Print Applicants Name: s 6/16LP Page 3 of 3 CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:9028 168th Street NE Permit#:1277 Parcel#: Valuation:242809.75 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:11410 NE 124th Street,Ste#103 Address: 11410 NE 124th Street,Ste#103 City,State Zip:THE WOODLANDS,TX 77380 City,State Zip:Kirkland,WA 98034 City,State Zip:Kirkland,WA 98034 Phone: Phone:360-353-0588 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: 1 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. IBC110/IRC110. SALESTAX NOTICE:Sales tax relating to construction and construction materials in the Ci f#rlrngto ust be reported on your sales tax return form ded i of Ar ngton#3101. Signature Print Name Date Released By Date CONDITIONS See red lined drawings. 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 4/6/2017 A/C Unit $25.00 4/6/2017 Building Permit Fee $2,545.27 4/6/2017 Building Plan Review Fee $1,654.43 4/6/2017 Furnace $25.00 4/6/2017 Gas Outlets Base Fee 1 to 5 $10.00 4/6/2017 Mechanical Permit Base Fee $25.00 4/6/2017 Park-Community SF $1,662.00 4/6/2017 Plumbing Permit Base Fee $25.00 4/6/2017 Plumbing Permit Fee(Enter Fixture Fee) $120.00 4/6/2017 Processing/Technology Fee $25.00 4/6/2017 Processing/Technology Fee $25.00 4/6/2017 State Building Code Surcharge Fee $4.50 4/6/2017 Traffic Mitigation $3,355.00 4/6/2017 Water Heater $25.00 Total Due: $9,526.20 Total Payment: $0.00 Balance Due: 59,526.20 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 Inspection Information Inspection Date 6/2/2017 Type SFR Requested By Contact Info Scheduled Date Completion Date Description Status Approved Assigned To Hours 0 Notes Property Information Parcel# LGI HOMES-WASHINGTON LLC LGI HOMES-WASHINGTON LLC 1450 LAKE ROBBINS DR STE 430 028 168th Street NE THE WOODLANDS TX 77380 111 Single Family Residence-Detached Inspection Date Employee Pass/Fail Note Items Final 7/25/2017 Kevin Pass Olander Rough 6/14/2017 Kevin Pass Secure drain @ entry bath sink.KO.6/14/17 Plumbing Olander Drainage 6/1/2017 Kevin Pass Olander Drywall Footings 5/26/2017 Rick Karns Pass Foundation 5/26/2017 Rick Karns Pass Framing 6/20/2017 Kevin Fail Missing truss bracing @ drop clg Olander Gas Piping 6/19/2017 Kevin Pass Olander Insulation 6/23/2017 Pass Kevin Olander Mechanical 7/25/2017 Kevin Pass Olander Setbacks Shear Wall 6/13/2017 Kevin Pass Missing nailing @ front window bottom left.6/12/17 KO. Olander Underfloor 6/2/2017 Kevin Pass Rim joist on south east corner and east side will require A-35 connectors Olander Idue to over nailing.6/2/17 KO. Permit Details Date 1/6/2017 Permit Number 1277 Project Name Gregory Park Applicant Name LGI Homes-Washington,LLC Applicant Address 11410 NE 124th Street,Ste#103 City, State,Zip Kirkland,WA 98034 Contact Jake Jabusch Phone 360-353-0588 Email jake.jabusch@lgihomes.com Permit Type Single Family Residence Site Address 9028 168th Street NE Valuation 242809.75 Status Completed Permit Issued 4/20/2017 Permit Expires Square Feet 2403 Type of Construction/Occupancy Load Number of Stories 1 Proposed Use New SFR Assigned To Kristin Foster Contractors Contractor Name Primary Phone Email Contractor License License# Contact I I Type LGI Homes- Jake 360-353- jake.jabusch@lgihomes.com CONTRACTOR Labor and LGIHOHL857MB Washington,LLC Jabusch 10588 Industries Property Information Owner Information Parcel#: LGI HOMES-WASHINGTON LLC LGI HOMES-WASHINGTON LLC 1450 LAKE ROBBINS DR STE 430 9028 168th Street NE THE WOODLANDS,TX 77380 CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 42 PHONE; (360)403-3551 BUILDING PERMIT Address:9028 168th Street NE 'Permit#:1277 Parcel#: Valuation:242809.75 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:11410 NE 124th Street,Ste#103 Address: 11410 NE 124th Street,Ste#103 City,State Zip:THE WOODLANDS,TX 77380 City,State Zip:Kirkland,WA 98034 City,State Zip:Kirkland,WA 98034 Phone: Phone:360-353-0588 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: 1 CONST.TYPE: `7-$ 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 IO/IRCI10. ULMT X NOTI E:Sales tax relating to construction and construction materials in the Ci�iustrted on your sales tax return form ded i of Ar Ington#3101. Signature Print Name Date Released By Date CONDITIONS See red lined drawings. 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 4/6/2017 A/C Unit $25.00 4/6/2017 Building Permit Fee $2,545.27 4/6/2017 Building Plan Review Fee $1,654.43 4/6/2017 Furnace $25.00 4/6/2017 Gas Outlets Base Fee 1 to 5 $10.00 4/6/2017 Mechanical Permit Base Fee $25.00 4/6/2017 Park-Community SF $1,662.00 4/6/2017 Plumbing Permit Base Fee $25.00 4/6/2017 Plumbing Permit Fee(Enter Fixture Fee) $120.00 4/6/2017 Processingfrechnology Fee $25.00 4/6/2017 Processing/Technology Fee $25.00 4/6/2017 State Building Code Surcharge Fee $4.50 4/6/2017 Traffic Mitigation $3,355.00 4/6/2017 Water Heater $25.00 Total Due: $9,526.20 Total Payment: 50.00 Balance Due: 59,526.20 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 1/6/2017 Permit Number 1277 Project Name Gregory Park Applicant Name LGI Homes-Washington,LLC Applicant Address 11410 NE 124th Street,Ste#103 City, State,Zip Kirkland,WA 98034 Contact Jake Jabucsh Phone 360-353-0588 Email jake.jabusch@lgihomes.com Permit Type Single Family Residence Site Address 9028 168th Street NE Valuation 242809.75 Status Ready to Issue Permit Issued Permit Expires Square Feet 2403 Type of Construction/Occupancy Load Number of Stories 1 Proposed Use New SFR Assigned To Kristin Foster Property Information Owner Information Parcel#: LGI HOMES-WASHINGTON LLC LGI HOMES-WASHINGTON LLC 1450 LAKE ROBBINS DR STE 430 9028 168th Street NE THE WOODLANDS,TX 77380 Contractors Contractor Name Primary Phone Email Contractor License License# Contact Type ILGI Homes-Washington,Jake Jabucch '360-353- Labor and LLC Jake lake.jabusch@lgihomes.co CONTRACTOR Industries I-GIHOHL857M Review Date Type Description —Target Date Completed Date I Assigned To Status 1/6/2017 lResidential Dwelling approved with red lines 1/20/2017 3/22/2017 lRick Karns romplete Fees Fee Description Notes Amount A/C Uniq 322.10.00.0 $250 Building Permit Fee 322.10.00.0 Valuation 243000 $2,545.27 Building Plan Review Fee 345.83.00.0 $1,654.4 FUrnace 322.10.00.0 $25.0 Gas Outlets Base Fee 1 to 5 322.10.00.0 $10.0 Mechanical Permit Base Fee 322.10.00.0 $25.00 Park-Community SF 345.85.00.0 $1,662.00 Plumbing Permit Base Fe 322.10.00-01 $25.0 Plumbing Permit Fee(Enter Fixture Fee) 322.10.00.00 $120.0 Processingffechnology Fe 341.43.00 0 $25.0 Processing/Technology Fee 341.43.00,02 $25.0 State Building Code Surcharge Fe 386.00,01.00 $4.5 Traffic Mitigation 345.85.00.02 $3.355.00 Water Heater 322.10-00-00 $25.0 Total $9,526.2 Notes Date Note 1/26/2017 Conditional Use Permit PLN-32 Final Plat PLN-265 Design Review PLN-294 Civil PWD-481 Demo BLD-816 Uploaded Files Upload File Date File Uploaded B 2/27/2017 8:44:25 AM 1277 ADARampDetail-GregoryPark.pdf Foster,Kristin x 1/6/2017 3:36:44 PM 1277 Application.odf Foster,Kristin x WOOKA 2?J�,��•�kS Ave •�s • Permit Information Date 1/612017 Permit Number 1277 Project Name Gregory Park Applicant Name LGI Homes-Washington,LLC Applicant Address 11410 NE 124th Street,Ste#103 City,State,Zip Kirkland,WA 98034 Contact Jake Jabucsh Phone 360-353-0588 Email jake.jabusch@lgihomes.com Permit Type Single Family Residence Site Address 9028 168th Street NE Valuation 0.00 Status Applied Permit Issued Permit Expires Square Feet 2403 Type of Construction/Occupancy Load Number of Stories 1 Proposed Use New SFR Assigned To Kristin Foster Property Information Owner Information Parcel#: 9028 168th Street NE 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 LGIHOHL857M LLC 0588 Industries Review Date Type Description I Target Date I Completed Date I Assigned To I Status 1/6/2017 IlResidential Dwelling 1/20/2017 Kevin Olander 111n Review Fees Fee Description Notes Amount Processin rrechnolo Feel 341.43.00.02 $25.00 I Total $25.Aq Uploaded Files Upload File' Date File Uolo;!O B 1/6/2017 136A4 PM 11277 Application.pdf IFoster,Kristin 3/31/2017 LGI HOMES-WASHINGTON LLC t Search L&I \-X 1 od, H"11) ��fely &(1e71t1� Claims& Insur,anee Vkrkplacre Rights Trades Licensing 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, 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—07/02/2017 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 Savinos ................ 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 improve hftps://secure.ini.wa.gov/verify/Detail.aspx?UBI=603508001&LIC=LGIHOH L857M B&SAW= 1/2 3/31/2017 LGI HOMES-WASHINGTON LLC No L&I tax debts are recorded for this cor :or license during the previous 6 year period, but a debts may be recorded by other agencies. License Violations Infraction no. ESCAH00464 Satisfied Issue date RCW/WAC 02/17/2017 WAC:296 1tit3-99U 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 KI RKLAND $500.00 Type of violation CONSTRUCTION INFRACTION Description Advertising,offering to do work,submitting a bid or performing work when the contractors registration is suspended or revoked. Workers' comp No active workers'comp accounts during the previous 6 year period. Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. O Washington State Dept,of Labor&Industries.Use of this site is subject to the lows of the state of Washington. Help us mitpr(-)ve h"://secure.ini.wa.gov/verify/Detail.aspx?U BI=603508001&LIC=LGIH OH L857M B&SAW= 212 Y RES 3ENTIAL PERMIT' IPPLICATION Department of Community& Economic Development City of Arlington • 18204 59th Ave NE •Arlington, WA 98223 • Phone (360)403-3551 JNGl THIS APPLICATION IS TO BE USED WHEN APPLYING FOR A NEW SINGLE-FAMILY, DUPLEX, TOWNHOUSE, ADDITION, DECK,OR ACCESSORY STRUCTURES. THIS APPLICATION MUST BE ACCOMPANIED BY TWO(2)SETS OF CONSTRUCTION DRAWINGS AND TWO(2)SETS OF STRUCTURAL CALCULATIONS. THE APPLICATION MUST ALSO INCLUDE THE PLUMBING SUBMITTAL AND THE MECHANICAL SUBMITTAL FORMS. THE ZONING VERIFICATION MAY BE SUBMITTED PRIOR. Project Address: �� //z Plat: lam' '?A44< Single-family 0 Duplex Townhouse Addition _ Accessory structure Proposed Area: 1 st Floor: I q 2nd Floor: _ Garage: Total SF: 0 'mo Describe Proposal (include cross street): o�8 ,l(ofad s-ass -s ql�t- love, At E Valuation: Owner: 1-.G � — G &Sk_i LJ-6 Address: 119,1 D NL 041A �, M-F- /08 city: State: ��` Zip Code: Phone: 3(,oD- 353— 058$ Email ►_Ia •� %�u�fcet@.1�i hv*ts, c&, Applicant: �T�' f�Ds G✓2S�i��'*rx, ,C( Address: % NF «f -v-. STD 10 City: 9014td State: WA Zip Code: SD Phone: PO-5S3—OS Email: • j�c.Ewdc.��q) ADe- � Contractor: �. CT— ' t�rh.t s— k4uskiLlul" JU,L, Address: 1144D 41F1A^4_ S-M /93 City: k✓y1&A1 State: WA Zip Code: !� Phone: Email �j, 16► -ye'ke��i jionc.2a.C3 _ Contact Person: VA14C Q49-4&& License NumberIG-37MU57/0 Expiration. 73 A/7 Received JAN 0 4 2017 PAO 12-11 6/16LP Page 1 of 3 i '. .. Y - h t3�"(e. RE&JENTIAL PERMIT .APPLICATION Department of Community& Economic Development ��GAO 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 Sink (1.5) x Shower (2.0) x I Lavatory (1.0) x ,l ❑ Clothes Washer(4.0) x f }' Water Closet (2.5) x ,J r Dishwasher (1.5) x Water Heater x C Hose Bibb (2.5) x Water Heater Model# [Other (list) x ., % C� .Sm l c.( ..—E6 JV Plumbing Section Continued Proposed Water Piping Size: Proposed DWV Material: - 7T 3S Proposed Piping Material: Pt- Proposed DWV Size: • 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 Y RE&JENTIAL PERMIT _'IPPLICATION 9 0 Department of Community& Economic Development � l �lI G,SO 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# BY��wf gl5SA3vo4D�/$ AFUE ❑� Heat Pump Model# SEER HSPE Dr' AC Unit Model# FYV^4Zt 103/)rl),4 0„?-9�C SEER L; Type II Hood LJ Commercial Cooking Appliance ET Hydronic Piping Ol Boiler ❑ Solid-Fuel Appliance Q PV System Q1 Fireplace Insert El, Outdoor BBQ Q! Storage Tank Freestanding Stove [ Gas Piping ❑ Other Gas Piping Information Not Applicable: ❑ it Pipe Material: ' Pipe Size: Total BTU's of all Appliances: Distance from Meter to Furthest Appliance: ,JO A • 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: '4 Date: Vsh&l Print Applicants Name: sc 6/16LP Page 3 of 3 t � . Permit#1277 Address Payment Info Address 9028 168th Street NE Receipt# 1206553 City Arlington Date 4/21/2017 State WA Paid By LGI Homes-Washington,LLC Zip 98223 Description Building Permit Payment Type Check#4367 Accepted By Kristin Foster Fees Paid Fee Fee Description Factor Total Fee Amount Amount Paid A/C Unit 322.10.00.00 0 25.00 25.00 Building Permit Fee 322.10.00.00 0 2,545.27 2,545.27 Building Plan Review Fee 345.83.00.00 0 1,654.43 1,654.43 Furnace 322.10.00.00 0 25.00 25.00 Gas Outlets Base Fee 1 to 5 322.10.00.00 0 10.00 10.00 Mechanical Permit Base Fee 322.10.00.00 0 25.00 25.00 Park-Community SF 345.85.00.00 0 1,662.00 1,662.00 Plumbing Permit Base Fee 322.10.00.00 0 25.00 25.00 Plumbing Permit Fee(Enter Fixture Fee) 322.10.00.00 10 120.00 120.00 Processing/Technology Fee 341.43.00.02 0 25.00 25.00 Processing/Technology Fee 341.43.00.02 0 25.00 25.00 State Building Code Surcharge Fee 386.00.01.00 0 4.50 4.50 Traffic Mitigation 345.85.00.02 0 3,355.00 3,355.00 Water Heater 322.10.00.00 0 25.00 25.00 Total Payment:9,526.20 Date: 04/03/2026 Permit#: 1277 Perm t Date: 01/06/2017 Review Date: 01/06/2017 Perm Type: RESIDENTIAL SINGLE FAMILY Review Type: RESIDENTIAL SINGLE FAMILY Target Date: 01/20/2017 Scheduled Time 00:00 Com pleted Date: 03/22/2017 Description: approved with red lines Review Status: Assigned To: z.Rick Karns Tim eIn: 00:00 Time O it: 00:00 H curs: 0.0 Property Information Parcel#: LGI HOMES-WASHINGTON LLC LGI HOMES-WASHINGTON LLC 1 450 LAKE ROBBINS DR STE 430 9028 168th Street NE T HE WOODLANDS, TX 77380 Zoning: 111 Single Fam iy Residence - DetachedLot: 6Block: Permit#: 1277 Permit Date: 01/06/17 Permit Type: RESIDENTIAL SINGLE FAMILY Project Nam e Gregory Park Applicant Nam a LGI Horn cs -Washington, LLC Applicant Address: 11410 NE 124th Street, Ste #103 Applicant, City, State, Zip: Kirkland, WA98034 Contact: Jake Jabusch Phone: 360-353-0588 Em al:jake.jabusch@lgihom cs.com Scope of Work: New SFR Valuation: 242809.75 Square Feet: 2403 Num ber of Stories: 1 Construction Type: O xupancy G ioup: ID Code: Permit Issued: 04/20/2017 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- 9028 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 Ileted Date I nspector S tatus 06/02/2017 R20.SFR/DUPLEX Approved FINAL Plan Reviews Date R eview Type D escription A ssigned To R eview Status O1/06/2017 RESIDENTIAL SINGLE approved with red lines z Rick Karns FAMILY Fees Fee D escription N otes A m aunt Processing/Technology $25.00 Park-Com m nity SF S ingle Fam iy $1,662.00 Traffic Mitigation-C/MF Cbm m ecial/MOti-faro iy $3,355.00 Air Cond.Unit Btu/h<100>; $25.00 Btu/hp>500 Building Perm i T able 4-1 V aluation 243000 $2,545.27 Building Plan Review T able 4-2 $1,654.43 Forced Air Heat f ce per Btu $25.00 Gas Piping/Units E nter#of units $10.00 Mechanical Base P erm i Fee $25.00 Plum ling Base Perm i Fee $25.00 Mechanical Comm ecial Perm i T able 4-7;Per Unit $120.00 Processing/Technology $25.00 State Surcharge- 1st DU R esidential-1st Unit $4.50 Water Heater(Tank) $25.00 Total $9,526.20 Attached Letters Date Letter D escription 04/06/2017 Building Perm i Paym acts Date Paid By D escription P aym a►t Type A ccepted By A m wnt 04/21/2017 LGI Hom cs-Washington,, Building Perm i C heck#4367 K ristin Foster $9,526.20 LLC O itstanding Balance $0.00 Notes Date Note C reated By: Unable to do a sewer final on this lot at this tim e7/28/2017.The six inch cleanout will be 07/28/2017 located in the driveway when this house is no longer used as the sales office and a driveway is Jay Lem le poured.JL O1/26/2017 Conditional Use Perm i PLN-32 Final Plat PLN-265 Design Review PLN-294 Civil PWD-481 Kristin Foster Dem oBLD-816 Uploaded Files Date File Nam e 04/21/2017 2234542-1277 Issued Perm i.pdf 02/27/2017 2124261-1277 ADARam etail-GregoryPark.pdf O1/06/2017 2038861-1277 Application.pdf