HomeMy WebLinkAbout8905 171st Street NE_BLD1510_2026 Y RESIDENTIAL PERMIT APPLICATION
Department of Community&Economic Development
�iI�,GtO 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: 0 J r i%F +=.r ,1 Plat: &I 4tIGOL41 33
Single-family [J Duplex LJ Townhouse IJ Addition ❑ ccessory structure
Proposed Area: lst Floor: 00(o 2nd Floor: 3,2- Garage: 3tZ) Total SF: !
Describe Proposal (include cross street):
Valuation:
Owner:
Address: City: 4�G State: Zip Code: 7 03
Phone: `T Z�-���� C) Email 4D'qyIIS E l A
Applicant: Lt7 f 141 fl� 4/''lsAA,,47b�l
Address: if�fl� /U� Id`f�� �y�City: State: Zip Code:
Phone: Email: l_iftA(>40
Contractor: L—
Address: ���� �� !�`�`' ' I `j�� City: a State: 1 Zip Code:
Phone: Email:
Contact Person: License Number:lGl�64G8s-444a Expiration: 2
6/16LP Page 1 of 3
'` °�' RESIDENTIAL PERMIT APPLICATION
Department of Community& Economic Development
'Pl j,YGtO 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)
ICI Bath/Shower Combo (4.0) x l Sink(1.5) x 1
G—Shower(2.0) x ( Lavatory(1.0) x
�A Clothes Washer(4.0) x eater Closet(2.5) x 3
[--Dishwasher(1.5) x Water Heater x
WL Hose Bibb (2.5) x Water Heater Model#
V"ther(list) x
Plumbing Section Continued
Proposed Water Piping Size: � � Proposed DWV Material: �s
t(
Proposed Piping Material: 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
RESIDENTIAL PERMIT APPLICATION
® Department of Community& Economic Development
�il G10' 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# � AFUE
❑ Heat Pump Model# SEER HSPE
❑ AC Unit Model# SEER
❑ Type II Hood Commercial Cooking Appliance ❑ Hydronic Piping
❑ Boiler Solid-Fuel Appliance ID PV System
❑ Fireplace Insert Outdoor BBQ ❑ Storage Tank
Freestanding Stove lul�,_Gas Piping ❑ Other
Gas Piping Information
Not Applicable: �1
Pipe Material: )�� �� l!✓ Pipe Size: I Total BTU's of all Appliances:
Distance from Meter to Furthest Appliance: `7
• 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: �-
I
Print Applicants Name: 7�
6/16LP Page 3 of 3
CITY OF ARLINGTON
238 N. OLYMPIC AVE -ARLINGTON, WA. 98223
\ ` PHONE; (360)403-3551
BUILDING PERMIT
Address:8905 171 st Street NE Permit#:1510
Parcel#:01166900003200 Valuation:283315.50
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:Kirikland,WA 98033 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: V-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. IBCI10/IRC110.
SALES AY 1 E:Sales tax relating to construction and construction materials in the City of Arlington must be eported on your sales tax return form
and rG E1 o rli on#3101. ;
Sign Ere Print Name Date Released 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
6/20/2017 Building Permit Fee $2,870.40
6/20/2017 Building Plan Review Fee $1,865.76
6/20/2017 Gas Outlets Base Fee 1 to 5 $10.00
6/20/2017 Mechanical Fee(Enter Fixture Fee) $50.00
6/20/2017 Mechanical Permit Base Fee $25.00
6/20/2017 Park-Community SF $1,662.00
6/2 012 0 1 7 Plumbing Permit Base Fee $25.00
6/20/2017 Plumbing Permit Fee(Enter Fixture Fee) $180.00
6/20/2017 Processing/Technology Fee $25.00
6/20/2017 State Building Code Surcharge Fee $4.50
6/20/2017 Traffic Mitigation $3,355.00
6/20/2017 Water Heater $25.00
Total Due: $10,097.66
Total Payment: $10,097.66
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
SETBACKS NOTES:
I fRONr 20 •BUILDING D/A/0576WS ARE 717
9DE 5' FACE OF fWNDANaV
I REAR 5' .6RADING 9VONN AS 006W
— — ——N003911 E R7P 445,0 J 0 AC7UAL LOCAnaV AIR Y VARY
7.7.61 TOE 4420 •SYOPE DR/IfWAY 70 PUBUC ROAD
' •m r fDvLr 70 BE INSTALLED A&
N892049'W I - GirY OIL ARUNGIzwsS STANDARD
96.00 \ \ R 105.00 •57L r fFjvcr ro 8E INSTALLED aV
A=18071' 6RAD/ENT 570E Ole BUILDING
I \ \ L=33.15 FARM
I \ •C0WS7RUC7%W EN7RANCE TO BE
N6 152'5.3£ INSTALLED PER GYrY OF
ARUNGr01V S STANDARDS
I PA n0 12 SFSTORM NOTES.
I L ZQl •WC INSTALLED PR16 P 719
I I I Lq is, Z1 444—f05.00 ,C NSMUC770V
QR SED RE570DVCE BARE SOILS CMRS7 NfN MULOY
A711L 2 GARAGE RIGY T A-113620' OR ANO7NER APPR%fp B1IP
L=21.27 •WSOIL PiR MS W BAIP 7513
141
(EFF 12 9E)°7H)
N50 47 42"W ' FAISNED CaVTOUR •ALL aV5/7E RUNGI'F CUIVNEM 7V
20.90 �n 9�t' 446 _ (m) PR/VA7E ST6RV S718
WATER 3 •571E SWIALL BE STA81OZED PRIOR
SpPy UFF CP BUILDING NOTE- SPLASH BLOar 76 BUILDING Paw
800 011VAF ROOF 001WSPOUIS RNAU20
TOWARD 'TRACT A'NE7ZA SITENOTES.-
FOOR I ti9 NOS. DAYL/GYIT ,90LA9Y BLOW ROOD
do FOOANC DRAINS Nl1H 9 SF ROCK PAD. DORNSpOU75 TOWARD 7RAcr A'
f4�� I
OR VfWAY �MER CGWNECn6W NE7IANDS PER APPROUW
\ � MWICAL /REPA'P7'GW f1�INTH nIE GYTY.
R=75.00 I \ STURAI CLEANOUT
i A=5126'53' I 'DO NOT CONNECT R=105.00 DA way rFoowo DRAINS IIIiH
L=67.35 ROOF&FOL? 6=714717' ROI'.YC PAD.
DRAINS+ L=131.56 'AREA oI,OYS7URB 6r I#auaS
5. PR/VA7F\\
� ENnRE LOT.
N8920'49""W f ISTORAI
30.14 h E�I SEAIENr PROPD? r\� — LEGEND.
— — , � Blow OFF
SB (lYP) Ill WA1ER AAM
II VAC— — — f7RE HYDRANT
fNPU°lE1PTY CORNL7l �r 00' N0039'11 E ' AIR
i 1'Off ET(Trn) 1
1o.ao PUBLIC
76.OJ 1 0 ® CA7W BA57N
I I - UnUTY I o a£ANair
(o fASQIENT I O MANHOLE
--r
I- -- --�_— J BLOa(WAU
7REE RLWOVAL
14
I -�snNc
y XACE I'- 40'
CONTOUR
LI LOT 33
CaV70UR SITE PLAN
MR)
I GREGOR Y RA RK
LGI HOMES PLAN NO. MILL-2338
[AHOUSE
OT AREA = 10,811 SF DATE 511 212017 PARCEL # LOT,u
= 1,589 SF 1471I-I-PI.-.101
RIIEWAY= 459 SF a"11"—,W.,Wq "99007 DESIGNED CORE ADDRESS 8905 171ST Sr.425.885.7877 Fax 425.885.7963
ALKWAY/PA770 = 12 SF `�OESiGN PROJECT NUMBER
TOTAL= 2,060 SF
ENGINEERING • PLANNING • SURVEYING DRAWN CAF 13024L-GRG00
CITY OF ARLINGTON
238 N. OLYMPIC AVE - ARLINGTON, WA. 98223
PHONE; (360)403-3551
BUILDING PERMIT
Address:8905 171st Street NE Permit#: 1510
Parcel#:01166900003200 Valuation:283315.50
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:Kirikland,WA 98033 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. IBC 110/IRC 1 I0.
ALE AXC O ICE:Sales tax relating to construction and construction materials in the City of Arlington must be ported on your sales tax return form
and c G'"ty o \rlii on#3101.
Acq. S ( I
signkt6rc Print Name Date Released 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
6/20/2017 Building Permit Fee $2,870.40
6/20/2017 Building Plan Review Fee $1,865.76
6/20/2017 Gas Outlets Base Fee 1 to 5 $10.00
6/20/2017 Mechanical Fee(Enter Fixture Fee) $50.00
6/20/2017 Mechanical Permit Base Fee $25.00
6/20/2017 Park-Community SF $1,662.00
6/20/2017 Plumbing Permit Base Fee $25.00
6/20/2017 Plumbing Permit Fee(Enter Fixture Fee) $180.00
6/20/2017 Processing/Technology Fee $25.00
6/20/2017 State Building Code Surcharge Fee $4.50
6/20/2017 Traffic Mitigation $3,355.00
6/20/2017 Water Heater $25.00
Total Due: $10,097.66
Total Payment: $10,097.66
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
1
Permit Information
Date 6/15/2017
Permit Number 1510
Project Name Gregory Park
Applicant Name LGI Homes-Washington,LLC
Applicant Address 11410 NE 124th Street,Ste#103
City,State,Zip Kirikland,WA 98033
Contact Matt Adams
Phone 425-785-0797
Email matt adams@lgihomes.com
Permit Type Single Family Residence
Site Address 8905 171 st Street NE
Valuation 284000.00
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 Information Owner Information
Parcel#:01166900003200 LGI HOMES-WASHINGTON LLC
LGI HOMES-WASHINGTON LLC 1450 LAKE ROBBINS DR STE 430
8905 171st Street NE THE WOODLANDS,TX 77380
Contractors
Contractor Name Primary Phone Email Contractor License License#
Contact Type
ILGI Homes-Washington,,Jake I-abor and
ILLC Jake Jabusch �588 ake.jabusch@Igihomes.co CONTRACTOR Industries I-GIHOHL857M
Review
Date Type Descri lion Target Date Completed Date Assigned To Status
3/15/2017 Residential Dwellin 3/22/2017 Rick Karns In Review
3/15/2017 Residential Dwelling /22/2017 PNmy Rusko 11n Review
Fees
Fee Description Notes Amount
Building Permit Feel 322,10.00.00 $2,870,4
Building Plan Review Feel 345.83.00.0 $1.865.7
Gas Outlets Base Fee 1 to 51 322.10.00-Oq $10.0
Mechanical Fee(Enter Fixture Fee) 322.10.00 0 2 @$2 $50.0
Mechanical Permit Base Fee 322.10.00.0 $25.0
Park-Community S 345.85.00.0 $1,662.0
Plumbing Permit Base Fee 322.10 00.0 $25 0
Plumbing Pernnt Fee(Enter Fixture Fee) 322.10.00.0 15 $12 $180.0
Processing/Technology Fee 341.43.00.0, $25.0
State Building Code Surcharge Feel 386.00.01.0 $4.5
Traffic Mitigation 345.85.00.021 $3,355.0
Water Heated 322.10.00.00l $25.0
Tots $10,097.-6
Payments
Date Paid By Amount Description I Payment Type Acce ted B
6/15/2017 ILGI Homes-Washington LLC $1,865.71 12heck#4781 Kristin Foster
6/15/2017 1-6I Homes-Washington LLC $8,231.9 heck#4782 [Kristin Foster
Total $10,097.661 Amount Outstanding:$0.0
Notes
Date Note
6/15/2017 Lot 33-The Mill
Uploaded Files Upload File
Date File Uploaded B
6/15/2017 11:03:24 AM 1510 Application.pdf Foster, Kristin x
6/15/2017 11:03:24 AM 1510 Site Plan.ndf Foster.Kristin x
6/21/2017 LGI HOMES-WASHINGTON LLC
�1
Search L&I
safety,& iealth Claims &Insurance lrades&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—07/02/2019
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 Help us improve
https://secure.I ni.wa.gov/verify/Detai I.aspx?UBI=60350BW1&LIC=LGI H OH LB57M B&SAW= 1/2
6/21/2017 LGI HOMES-WASHINGTON LLC
No L&I tax debts are recorded for this cor `or license during the previous 6 year period,but sir iebts
may be recorded by other agencies.
License Violations
Infraction no.
ESCAH00464 Satisfied
Iccuo date RCW/WAC
02/17/2017 WAC 296-466-990
Violation city Violation amount
KIRKLANn $500.00
Type of violation
ELECTRICAL CITATION
Description
Serious noncompliance-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.
Workplace safety and health
No inspections during the previous 6 year period.
'J Washington State Dept.of Labor 3 Industries.Use of this site is subject to the laws of the stale of Washington.
Help us m1prove
https://secure.Ini.wa.gov/verify/Detail.aspx?U BI=603508001&LIC=LGIH OH L857M B&SAW=
RESIDENTIAL PERMIT APPLICATION
Department of Community& Economic Development
'P I O` City of Arlington • 18204 59th Ave NE •Arlington, WA 98223 • Phone(360)403-3551 INC;,
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 B////EE SUBMITTED PRIOR.
Project Address: t m;'_ Plat: 6;_14tGoPjZ 33
Single-family ❑ Duplex ❑ Townhouse CAI Addition ❑ /ccessory structure
Proposed Area: 1 st Floor: OD(o 2n1 Floor: /3 3,,2- Garage: 3&Z) Total SF:
Describe Proposal (include cross street):
Valuation: ��-;5. �
Owner: �r/a ����, - 'V4 S4,
Address: rl(� ��('�{_ t /0 City: State: Zip Code: 7 03
Phone: `TZS �� � Email:
Applicant: U-71 1411 G -AA'�N7A,47b„1
Address: 11g1D /Uf- PY rf S� /03 City: �AX'" State: Zip Code: Q�D
Phone: qg-< ��� 7-r Email: vylk1-,AD4n @C41 /&1,9 C
Contractor: 6, C—
Address: llq/. u IUrL 041 Sf`jd3 City: a State: Zip Code:
Phone: Email: / 'I'.�j Aim"a rp_ 4l wa�-ty 5 L0_jg
Contact Person:Qd= A2 License Number:LGrI "f S-14M Expiration: 2-
6/16LP Page 7 of 3
�►p 151t�
- r ��
• ,,;.
RESIDENTIAL PERMIT APPLICATION
Department of Community& Economic Development
�t: City of Arlington • 18204 59th Ave NE•Arlington, WA 98223 • Phone(360)403-3551
1
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 l Sink(1.5) x 1
@---Shower(2.0) x ( Lavatory(1.0) x
❑ Clothes Washer(4.0) x rWater Closet(2.5) x 3
Dishwasher(1.5) x i CWater Heater x
Hose Bibb (2.5) x Water Heater Model#
r
ther(list) x ITL
Plumbing Section Continued
K
Proposed Water Piping Size: Proposed DWV Material: � S
t(
Proposed Piping Material. 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
:.
w.
r:
Y 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:
-- �
Furnace(80+) Model# AFUE
U Heat Pump Model# SEER HSPE
❑ AC Unit Model# SEER
IJl Type ll Hood IJI Commercial Cooking Appliance IJ Hydronic Piping
QI Boiler U Solid-Fuel Appliance PV System
1 Fireplace Insert �J Outdoor BBQ ❑ Storage Tank
Freestanding Stove [ Gas Piping ❑ Other
Gas Piping Information
Not Applicable: ❑
Pipe Material: Toev ipe Size: l� Total BTU's of all Appliances: J %�
Distance from Meter to Furthest Appliance: 7r
• 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: tel
Print Applicants Name:
Q ka -iz1S
6/16LP Page 3 of 3
Date: 04/09/2026
Permit#: 1510
Perm Date: 06/15/2017
Review Date: 06/15/2017
Perm Type: RESIDENTIAL SINGLE FAMILY
Review Type: RESIDENTIAL SINGLE FAMILY
Target Date: 06/22/2017
Scheduled Time 00:00
Com pleted Date: 06/15/2017
Description: Site plan m xts land use regulations.
Review Status:
Assigned To:
Tim eln: 00:00
Time O it: 00:00
H curs: 0.0
Property Information
Parcel#: 01166900003200 L GI HOMES -WASHINGTON LLC
LGI HOMES -WASHINGTON LLC 1 450 LAKE ROBBINS DR STE 430
8905 171st Street NE T HE WOODLANDS, TX 77380
Zoning: 111 Single Fam iy Residence -
DetachedLot: 3 3Block:
Permit#: 1510
Permit Date: 06/15/17
Permit Type: RESIDENTIAL SINGLE FAMILY
Project Nam e Gregory Park
Applicant Nam a LGI Hom cs -Washington, LLC
Applicant Address: 11410 NE 124th Street, Ste #103
Applicant, City, State, Zip: Kirikland,WA98033
Contact: Matt Adam s
Phone: 425-785-0797
Em al: m at.adam s@lgihom cs.com
Scope of Work: New SFR
Valuation: 283315.50
Square Feet: 2718
Num ber of Stories: 2
Construction Type:
O xupancy G ioup:
ID Code:
Permit Issued: 07/05/2017
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-
01166900003200 8 905 171 st 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 lieted Date I nspector S tatus
08/16/2017 R20.SFR/DUPLEX Com lieted
FINAL
Plan Reviews
Date R eview Type D escription A ssigned To R eview Status
06/15/2017 RESIDENTIAL SINGLE z.Rick Karns
FAMILY
06/15/2017 RESIDENTIAL SINGLE Site plan m e is land use regulations.
FAMILY
Fees
Fee D escription N otes A m cunt
Building Perm i T able 4-1 $2,870.40
Building Plan Review T able 4-2 $1,865.76
Gas Piping/Units E nter#of units $10.00
Mechanical Fee(Enter Fixture Fee) 2 @$25 $50.00
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 1 5 @$12 $180.00
Processing/Technology $25.00
State Surcharge-1st DU R esidential-1st Unit $4.50
Wier Heater(Tank) $25.00
Park-Com m uity SF S ingle Fam iy $1,662.00
Traffic Mitigation-C/MF Om m ecial/Multi-fam iy $3,355.00
Total $10,097.66
Attached Letters
Date Letter D escription
06/20/2017 Building Permt
Paym acts
Date Paid By D escription P aym art Type A ccepted By A m cant
06/15/2017 LGI Hom es-Wa hingt n Check#4782 K ristin Foster $8,231.90
LLC
06/15/2017 LGI Hom es-Wa hingt n Check#4781 K ristin Foster $1,865.76
LLC
O itstanding Balance $0.00
Notes
Date Note C reated By:
06/15/2017 Lot 33-Plan 2338-M ill K ristin Foster
Uploaded Files
Date File Nam e
07/10/2017 2432390-1510 Issued Perm i.pdf
06/15/2017 2371243-1510 Site Plan.pdf
06/15/2017 2371244-1510 Application.pdf