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HomeMy WebLinkAbout8921 170th Street NE_BLD1548_2026 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: � P � �f Single-family ❑ Duplex Townhouse ❑ Addition d Accessory structure Proposed Area: 1st Floor: 2"d Floor: Garage: %`k) Total SF: Describe Proposal (include cross street): Valuation: 'yy, 00-0 Owner: ��11l 1-� �S Ll u 41&'1Ue) tz'ecf Address: City: State: Zip Code: Phone: Email: GLwrr Att>.+ S r� L ,( Applicant: Address: City: State: Zip Code: Phone: Email: Contractor: Address: City: State: Zip Code: Phone: N Email: // Contact Person: /v(�Z'!" License Number:L4l t f Expiration: 6/16LP Page 1 of 3 c,`AY °� RESIDENTIAL PERMIT APPLICATION Department of Community&Economic Development /QlI'YG�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) C Bath/Shower Combo (4.0) x Sink(1.5) x I ' Shower(2.0) x Lavatory(1.0) x —9�:�Washer(4.0) x ( Water Closet(2.5) x Dishwasher(1.5) x Water Heater x loll Hose Bibb (2.5) x Water Heater Model# ( Other(list) x Plumbing Section Continued Proposed Water Piping Size: �6e( " Proposed DWV Material: �r( Proposed Piping Material: 7k>4` 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 RESIDENTIAL PERMIT APPLICATION 'Y Z Department of Community& Economic Development �ZtNG 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# ( ✓Mi/'t' K-5 y 6 4Y AFUE :5 ❑ Heat Pump Model# SEER HSPE ❑ AC Unit Model# SEER ❑ Type II Hood Commercial Cooking Appliance Hydronic Piping ❑ Boiler Solid-Fuel Appliance ❑ PV System ❑ Fireplace Insert QI Outdoor BBQ 0 Storage Tank Freestanding Stove 01 Gas Piping L); Other Gas Piping Information Not Applicable: ❑ Lc Pipe Material: b ? Pipe Size Total BTU's of all Appliances: Distance from Meter to Furthest Appliance: 1%r • 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: dij 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:8921 170th Street NE Permit#:1548 Parcel#:01166900005400 Valuation:303353.10 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:114 10 NE 124th Street,Ste#103 Address: 11410 NE 124th Street,Ste#103 City,State Zip:KIRKLAND,WA 98033 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 M EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Single Family Residence CODE YEAR: 2015 STORIES: 2 CONST.TYPE: V-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. IBC110/IRC110. SA LESJrAX NOTICE:Sales tax relating to construction and construction materials in the(C' of�1r1' lon must be re rted on your sales tax return form an o ed ty of lin t#3101. ,ti, 7'-Y-17 Signa ire Print Name 15ale cl scd 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 7/27/2017 Building Permit Fee $3,029.00 7/27/2017 Building Plan Review Fee $1,968.85 7/27/2017 Furnace $25.00 7/27/2017 Gas Outlets Base Fee 1 to 5 $10.00 7/27/2017 Mechanical Fee(Enter Fixture Fee) $25.00 7/27/2017 Mechanical Permit Base Fee $25.00 7/27/2017 Park-Community MF $1,662.00 7/27/2017 Plumbing Permit Base Fee $25.00 7/27/2017 Plumbing Permit Fee(Enter Fixture Fee) $192.00 7/27/2017 Processing/Technology Fee $25.00 7/27/2017 State Building Code Surcharge Fee $4.50 7/27/2017 Traffic Mitigation $3,355.00 7/27/2017 Water Heater $25.00 Total Due: $10,371.35 lutal Payment: Slo,371 z [Balance Due: 50.00 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 I I SETBACKS NOTES.• FRONT 20' .BUILDING OAOEN96WS ARE 70 SIDE 5' FACT OF FOUNDAAOW REAR 5' •6RADING 9IONN AS DES 6W ACTUAL LOICAAOW mAr VARY •SLOPE DR/VFWA r 70 PUBLIC ROAD •_X T fDVGE TO BE INSTALLED P& N/S�AED GLW7LIUR I PROa' ry aTY oF ARL/NGra S STANDARD (TYP.) •S/L T fam 70 BE INSTALLED OW I I— —- — 4 ARr sDE aF BuroN5'BSR MCE2L • — J — —— — — - •aavS7RUCncw EN7RANai m BE N8920 49 V INSTALLED PD?aTY OF 45.00- ARL/NGTa S STANDARDS STORM NOTES.• ZT;j� 452.s •7F5c/NSmumPRIwro 450.0 I 5'BSA i 8 i �SOILS COVERED N17H MULCH f0'WALL/bRA/N a?ANOTHER APPROV0 SW EWA IAENT I I \ -XPSaL POP #WX OW T5.13 \ 5'80%--j I (&T 12'0O°1H) PA NO 12_W •ALL OWSJ E RUNOFF CONNECTED TO EX/SANG I I PRIVATE S7WM STUB •SITE 9YALL BE STAB/UZED fR16R cavr uR 5' 35.00 5 I TO 8uLDING Paw BEING (7YP) LOT 54 I AW&I m PRC 050 RE910E]ff I SITENOTES.• 9 TOP 452.9 PA IX--1514 GARAGE RILWT I •776YN71INE fW77NG DRAINS AND XIEE 450.0 1,679fSF PROOF OIERHANG Roar,DRAINS 7D PEIPVANENT I Sra?M DRAINAGE SYMW PM BUILDING g APPROVE D Pm r DRAINAGE Pus OW RLE IMAI THE COUNTY. GY/IUNE g oW I •AREA OF 0/SIURBANCE INCLUDES o GARAGE o ,Z SNARE LOT. 14O I LEGEND: 24AO BLOW OFF TOP 452.9 10'PUBLIC ® WAN7?AEW? — .9 ME�� 11 g 452 9r'4 I UAUTY EASEMENT d( ARE H?vRANT 5' - - - - - - T, ©R R AIR VAC 70'BSBC 2�- I ® CAIt I BASIN N O a£ANOUT ? O MANHOLE 45. 0-1-f-F-FT'i SLOW WAu 5 PR VA7E 1 N8970'49"W ° 8 A7EE R&OVAL EA.SELENT s 4 W y� s7wm a£ANAUT. Q%KCT ROOF AND I 8'WAW? FOVflNG LYPA/NS 34 COWNE0011 SC41E I'- 20' I 8"ZNERLOT54 70 SITE PLAN GREGOR Y PARK LGI HOMES PLAN NO. PALIX-2514 LOT AREA = 4„320 SF DATE 511212017 PARCEL # LOT 54 HOUSE= 1,679 SF 14711 NE 291h Place,N 101 DRIVEWAY= 452 SF Ew� eeilewe,W-hMgt-96007 DESIGNED CORE ADDRESS 8921 1707H Sr425.BB5.7B77 Fax 425.8857963 WALKWAY/PAPO = 12 SF PROJECT NUMBER TOTAL= 2,143 SFENGINEERING PLANNING • SURVEYING DRAWN CAF 13024L-GRG00 CITY OF ARLINGTON -ARLINGTON, WA. 98223 238 N. OLYMPIC AVE PHONE; (360)403-3551 BUILDING PERMIT Address:8921 170th Street NE Permit#:1548 Parcel#:01166900005400 Valuation:303353.10 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:114 10 NE 124th Street,Ste#103 Address: 11410 NE 124th Street,Ste#103 City,State Zip:KIRKLAND,WA 98033 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-$ 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. IBC1I0/IRC110. SALES 'AX NOT CE:Sales tax relating to construction and construction materials in the ' of Arti ton must be tted on your sales tax return form an o W its of din t#3101. 7-2�'-I 7 Signa re Print Name ate etc By Date CONDITIONS Adhere to approved plans. THIS PERMIT AUTHORIZE 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 Bate Description Fee Amount 7/27/2017 Building Permit Fee $3,029.00 7/27/2017 Building Plan Review Fee $1,968.85 7/27/2017 Furnace $25.00 7/27/2017 Gas Outlets Base Fee 1 to 5 $10.00 7/27/2017 Mechanical Fee(Enter Fixture Fee) $25 00 7/27/2017 Mechanical Permit Base Fee $25.00 7/27/2017 Park-Community MF $1,662.00 7/27/2017 Plumbing Permit Base Fee $25.00 7/27/2017 Plumbing Permit Fee(Enter Fixture Fee) $192.00 7/27/2017 Processing/Technology Fee $25.00 7/27/2017 State Building Code Surcharge Fee $4.50 7/27/2017 Traffic Mitigation $3,355.00 7/27/2017 Water Heater $25.00 Total Due: $10,371.35 Total Payment: $10,371.35 Balance Duc: S0.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling;for an inspection please leave the following information: Permit Numhcr,'1')pe of Inspection being requested,and whetheryou prefer morning or afternoon i1 Permit Information Date 7/17/2017 Permit Number 1548 Project Name Gregory Park Applicant Name LGI Homes-Washington,LLC Applicant Address 11410 NE 124th Street,Ste#103 City,State,Zip Kirkland,WA 98033 Contact Matt Adams Phone 425-785-0797 Email matt.adams@lgihomes.com Permit Type Single Family Residence Site Address 8921 170th Street NE Valuation 303353.10 Status Applied Permit Issued Permit Expires Square Feet 2894 Type of Construction/Occupancy Load V-B Number of Stories 2 Proposed Use SFR Assigned To Kristin Foster Property Information Owner Information Parcel#:01166900005400 LGI HOMES-WASHINGTON LLC LGI HOMES-WASHINGTON LLC 1450 LAKE ROBBINS DR STE 430 8921 170th Street NE KIRKLAND,WA 98033 Contractors Contractor Name Primary Phone Email Contractor License License# Contact Type ILGI Homes-Washington, 360-353- Labor and ILLC Jake Jabusch 0588 ake.jabusch@Igihomes.co CONTRACTOR Industries ILGIHOHL857M Review Date Type Description I Target Date I Completed Date I Assigned To I Status 7/17/2017 Residential Dwelling 7/24/2017 ,my Rusko lin Review 7/17/2017 Residential Dwelling 7/24/2017 lRick Karns lin Review Fees Fee Description Notes Amount Building Permit Fee 322.10.00.0 $3,029.0 Building Plan Review Fee 345.83.00.001 $1,968.8 Furnace 322.10.00.00 $25.0 Gas Outlets Base Foe 1 to 5 322.10.00.001 1 to 5 Outlets $10.0 Mechanical Fee Enter Fixture Fee) 322.10.00.0 1 @$2 $25.0 Mechanical Permit Base Feel 322.10.00.0 $25.0 Park-Community MF 345.85.00.0 $1,662.0 Plumbing Permit Base Fee 322.10,00.0 $25.00 Plumbing Permit Fee Enter Fixture Fee) 322.10.00.0 16 @$12 $192.0 Processing/I echnology Fee 341.43.00.02 $25.0 State Building Code Surcha a Fee 386.00.01.00 $4.501 Traffic Mitigation 345.85.00.02 $3,355.0 Water Heateq 322.10.00.00 $25.0 Total $10,371.3 Payments Date Paid By Amount Description Payment Type Accepted B 7/17/2017 ILGI Horses-Washington LLC $1,968.8 heck#4943 Kristin Foster 7/17/2017 ILGI Homes-Washington LLC $8.402.5 [Check#4942 IKristin Foster Total $10,371.3q Amount Outstanding:$0.0 Notes Date Note 111112011 Lot 54-Palix Uploaded Files Upload File Date File Uploaded B 7/17/2017 9:27:19 AM 1548 Awlication.odf Foster, Kristin 7/17/2017 9:27:19 AM 1548 Site Plan.odf Foster.Kristin ( RESIDENTIAL PERMIT APPLICATION 0 Department of Community& Economic Development ING`O� 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: r12JPlat: ['► -� (�f Single-family f]J Duplex DJ Townhouse ❑ Addition Accessory structure Proposed Area: 1st Floor: 2nd Floor: Garage: Total SF: Describe Proposal (include cross street): I 8y 4 Valuation: ?� ;,yy, 000 Owner: 1A 1,64AF �G � Address: City: State: Zip Code: Phone: 0 —t Email: 94A-9 D�4�,f� Applicant: Address: City: State: Zip Code: Phone: Email: Contractor: Address: City: State: Zip Code: Phone: Email: Contact Person: Aqq 411L License Number: �Expiration: q((q VAI? 1C* 6/16LP Page 7 of 3 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 l Sink (1.5) x l !� Shower(2.0) x ( Lavatory (1.0) x -Clothes Washer(4.0) x Water Closet(2.5) x [ Dishwasher(1.5) x Water Heater x l f '1 Hose Bibb (2.5) x Water Heater Model# Other(list) x 1 -ruJP Plumbing Section Continued Proposed Water Piping Size: �f`f { Proposed DWV Material: �� 99 i( Proposed Piping Material: �t� - Proposed DWV Size: C� • 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) t 6116LP Page 2 of 3 �``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 :F:1 ❑ Heat Pump Model# SEER HSPE ❑ AC Unit Model# SEER ❑ Type II Hood ❑ Commercial Cooking Appliance D Hydronic Piping ❑ Boiler ❑ Solid-Fuel Appliance L; PV System ❑ Fireplace Insert ❑ Outdoor BBQ OJ Storage Tank Freestanding Stove ❑ Gas Piping I]' Other Gas Piping Information Not Applicable: Ej Pipe Material: Pipe Size: Total BTU's of all Appliances: alz> Distance from Meter to Furthest Appliance: I®r • 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: #kJ" Date: - Print Applicants Name: AV4- kDA74,j,5 6/16LP Page 3 of 3 I Permit#: 1548 Permit Date: 07/17/17 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: 303353.10 Square Feet: 2894 Num ber of Stories: 2 Construction Type: O xupancy G ioup: ID Code: Permit Issued: 08/07/2017 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- 01166900005400 8 921 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 09/12/2017 R20.SFR/DUPLEX 12/07/2017 C om Iieted FINAL Plan Reviews Date R eview Type D escription A ssigned To R eview Status 07/17/2017 RESIDENTIAL SINGLE FAMILY 07/17/2017 RESIDENTIAL SINGLE z.Rick Karns FAMILY Fees Fee D escription N otes A m cunt Building Perm i T able 4-1 $3,029.00 Building Plan Review T able 4-2 $1,968.85 Forced Air Heat f ee per Btu $25.00 Gas Piping/Units E nter#of units 1 to 5 Outlets $10.00 Mechanical Fee(Enter Fixture Fee) 1 @$25 $25.00 Mechanical Base P erm i Fee $25.00 Park-Com m nity MF Multi-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 1 6 @$12 $192.00 Processing/Technology $25.00 State Surcharge- 1 st DU R esidential- 1 st Unit $4.50 Traffic Mitigation-C/MF Ont m ecial/Multi-fam iy $3,355.00 Wier Heater(Tank) $25.00 Total $10,371.35 Attached Letters Date Letter D escription 07/27/2017 Building Perm i Paym arts Date Paid By D escription P aym a►t Type A ccepted By A m aunt 07/17/2017 LGI Hom cs-Washington Check#4942 K ristin Foster $8,402.50 LLC 07/17/2017 LGI Hom cs-Washington Check#4943 K ristin Foster $1,968.85 O utstanding Balance $0.00 Notes Date Note C reated By: 07/17/2017 Lot 54-Palix Kristin Foster Uploaded Files Date File Nam e 08/07/2017 2508053-1548 Issued Perm i.pdf 07/17/2017 2449865-1548 Site Plan.pdf 07/17/2017 2449866-1548 Apnlication.pdf