HomeMy WebLinkAbout8920 170th Street NE_BLD1552_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: Plat:
Single-family Duplex Of Townhouse Ch Addition 01 Accessory structure
Proposed Area: 1st Floor: �j 3 2"d Floor: Garage: cg Total SF:, '
Describe Proposal (include cross street):
Valuation:
Owner:
Address: INIQ / I_ IZZ1rr( psi— ]§QX City: LZc A,021, State: Zip Code:121 0 32
Phone: �1� - ����() -�' - Email 48ncn Am4uS P 1�Q&XA9-S- Cow
Applicant: Sx'mc
Address: City: State: Zip Code:
Phone: Email:
Contractor: _5k, (—
Address: City: State: Zip Code:
Phone: Email:
MAn,"C_
Contact Person: ASL'X�k& License Number: Expiration:
6/16LP Page 1 of 3
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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 I 4 -Sink(1.5) x
La Shower(2.0) xj Lavatory(1.0) x
Glothes-Washer(4.0) x D'Water Closet(2.5) x
Dishwasher(1.5) x ( ( '-Water Heater x
Hose Bibb (2.5) x Water Heater Model#
E Other(list) x
Plumbing Section Continued
Proposed Water Piping Size: 34 l� Proposed DWV Material: S
Proposed Piping Material: Proposed DWV Size: cP
• 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)
6116LP Page 2 of 3
RESIDENTIAL PERMIT APPLICATION
� 2
Department of Community&Economic Development
'l151 j�CyC� 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:
14 Furnace(80+) Model#
QI Heat Pump Model# STEER HSPE
Ell AC Unit Model# SEER
Ql Type II Hood 0! Commercial Cooking Appliance ❑ Hydronic Piping
01 Boiler QI Solid-Fuel Appliance Q( PV System
Q Fireplace Insert QI Outdoor BBQ Ql Storage Tank
QI Freestanding Stove ❑ Gas Piping ❑ Other
Gas Piping Information
Not Applicable: ❑
Pipe Material:'�T Pipe Size: Total BTU's of all Appliances:
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: � l
9 Date:
Print Applicants Name: A'Ci� �Wtf'
6/16LP Page 3 of 3
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— — TOE 450.0 I OR WAY S7CA4A/ Row DRAINS RJ PEIPAIANENT
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It I BUILDING--_ I o- BLOW O F
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TOP 45 1.9 I = LOT 61
9
PROPOSED RES/DOVar o I A- AIR VAC
TOE 450.0 KE771E--2159 GARAGE LEFT = ® CAMP BASIN
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OVER i I I SITE PLAN
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O I I GREGOR Y R .ARK
LG/ HOMES PLAN NO. KETTLE-2159
LOrAREA = 4,J20 SF DATE 511212017 PARCEL # LOT 61
HOUSE= 1,588 14711 NE 29*Plx°,#101
DRIb£WAY= 452 SF C MI.—,W.Oft—98007 DESIGNED CORE ADDRESS 8920 1707H Sr.
425.885.7677 Fax 425.865J963
WALKWAYIPAAO = 39 SF PROJECT NUMBER
TOTAL= 2,079 SF
ENGINEERING PLANNING • SURVEYING DRAWN CAF 13024L-GRGOO
a .
CITY OF ARLINGTON
238 N. OLYMPIC AVE-ARLINGTON, WA. 98223
PHONE; (360)403-3551
BUILDING PERMIT
Address:8920 170th Street NE Permit#:1552
Parcel#:0 1166900006 100 Valuation:264649.77
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: `/-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. IBC1101IRC110.
SALES TAX N0T1(&-_Sakes tax relating to construction and construction materials in the f Arl' ton must be reported on your sales tax return form
and co d Cit o A g N3101.
i Siinaturb Print Name ate Rel ed 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 $2,719.73
7/27/2017 Building Plan Review Fee $1,767.82
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 SF $1,662.00
7/27/2017 Plumbing Permit Base Fee $25.00
7/27/2017 Plumbing Permit Fee(Enter Fixture Fee) $168.00
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: $9,837.05
Total Payment: 59,837.05
Balance Doc: 50.00
CALL FOR INSPECTIONS
RI II1 DING(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
•
r�
Permit Information
Date 7/17/2017
Permit Number 1552
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 8920 170th Street NE
Valuation 264649.77
Status Applied
Permit Issued
Permit Expires
Square Feet 2577
Type of Construction/Occupancy Load V-B
Number of Stories 2
Proposed Use SFR
Assigned To Kristin Foster
Property Information Owner Information
Parcel#:01166900006100 LGI HOMES-WASHINGTON LLC
LGI HOMES-WASHINGTON LLC 1450 LAKE ROBBINS DR STE 430
8920 170th Street NE THE WOODLANDS,TX 77380
Contractors
Contractor Name Primary Phone Email Contractor License License#
Contact Type
LGI Homes-Washington,Jake Jabusch 360-353- ake.jabusch@Igihomes.co ONTRACTOR Labor and LGIHOHL857M
LLC 6588 nndustries
Review
Date Type Description I Target Date Completed Date IAssigned To Status
/17/2017 esidential Dwelling 7/24/2017 [Amy Rusko Pn Review
7/17/2017 lResidential Dwelling /24/2017 Rick Karns lin Review
Fees
Fee Description Notes Amount
Building Permit Fee 322.10,00.01 $2,719.7
Building Plan Review Fee 345.83.00.Oq $1,767 82
Furnace 322.10.00.0 $25.00
Gas Outlets Base Fee 1 to 5 322.10.00.Oq 1 to 5 Outlets $10.0
Mechanical Fee Enter Fixture Fee 322.10.00.0 1 @$2 $25.0
Mechanical Permit Base Fee 322.10.00.Oq $25.0
Park-Community SQ 345,85.00.Oq $1,662.00
Plumbing Permit Base Fee 322.10.00.0 $25.0
Plumbing Permit Fee(Enter Fixture Fee) 322.10.00.0 14 $12 $168.0
Processing/Technology Fee 341.43.00.021 $25.0
State Building Code Surcharge Fee 386.00.01.01 $4.5
Traffic Mitigation 345.85.00.02 $3,355.0
Water Heated 322.10.00.Oq $25.0
Totaq $9,837.0
Payments
Date Paid By Amount -Description- Payment Type - Accepted ted B
7/17/2017 ILGI Homes-Washington LLC $1 757.82j 3heck#4943
7/17/2017 ILGI Homes-Washington LLC $8,069.2 heck#4942 Kristin Foster
Total $9,837.051 Amount Outstanding:$0.0
Notes
Date Note
7/17/2017 Lot 61-Kettle
Uploaded Files Upload File 1
Date File Uploaded B
7/17/2017 10:45:33 AM 1552 Site Plan.pdf Foster, Kristin x
7/17/2017 10:45:33 AM 1552 Application.pdf Foster, Kristin x
Y °� RESIDENTIAL PERMIT APPLICATION
Department of Community& Economic Development
�i INC�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: � l ZO Plat:6, l3
Single-family 01 Duplex Townhouse ❑ Addition ❑ Accessory structure
Proposed Area: 1 st Floor:3 2nd Floor: Garage: Total SF:
Describe Proposal (include cross street): /
Valuation:
Owner: _L6I [ �� _ '�Sf�sAJ,&7WA Lt—e
Address: It & /ZZf rr( !�il j03 City: LZW"N State: Zip Code:
Phone: L4A,5_-7'05—~ o--V9 7V Email: Akq-� ApZ 141AA 94,r Co
Applicant: S&I"er
Address: City: State: Zip Code:
Phone: Email:
Contractor: SA4,x i—
Address: City: State: Zip Code:
Phone: Email:
M&%� kDk&
Contact Person: License Number: Expiration: ZA
97 ISSZ
6/16LP Page 1 of 3
RESIDENTIAL PERMIT APPLICATION
Department of Community&Economic Development
►LING�p" 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)
L Bath/Shower Combo (4.0) x -Sink(1.5) x
[f Shower(2.0) x f-f'i Lavatory(1.0) x
Q�-6toth m Va-steer(4.0) x l Water Closet(2.5) x
Dishwasher(1.5) x I.'}'' Water Heater x
CQ Hose Bibb (2.5) x Water Heater Model#
fj Other(list) x
Plumbing Section Continued
Proposed Water Piping Size: l� Proposed DWV Material: � S
Proposed Piping Material: �Fjh 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)
a
6/16LP Page 2 of 3
�!��VY RESIDENTIAL PERMIT APPLICATION
Department of Community&Economic Development
�i-IN 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# �/
Ql Heat Pump Model# SEER HSPE
Q AC Unit Model# SEER
Q Type II Hood ❑ Commercial Cooking Appliance QI Hydronic Piping
❑1 Boiler QI Solid-Fuel Appliance Ql PV System
Q! Fireplace Insert QI Outdoor BBQ 01 Storage Tank
Freestanding Stove ❑ Gas Piping Qj Other
Gas Piping Information
Not Applicable: ❑
Pipe Material: Pipe Size: Total BTU's of all Appliances: ®Da
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: r Date:
Print Applicants Name:
6/16LP Page 3 of 3
Permit#: 1552
Permit Date: 07/17/17
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: 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: 264649.77
Square Feet: 2577
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-
01166900006100 8 920 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 Com 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 $2,719.73
Building Plan Review T able 4-2 $1,767.82
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 SF S ingle Fam iy $1,662.00
Plum ling Base Perm i Fee $25.00
M echanical Com m ecial Perm i T able 4-7;Per Unit 1 4@$12 $168.00
Processing/Technology $25.00
Traffic Mitigation-C/MF Cbm m ecial/Multi-faro iy $3,355.00
Water Heater(Tank) $25.00
State Surcharge- 1 st DU R esidential- 1 st Unit $4.50
Total $9,837.05
Attached Letters
Date Letter D escription
07/27/2017 Building Perm i
Paym acts
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 $8,069.23
LLC
07/17/2017 LGI Hom cs-Washington
Check#4943 $1,767.82
O itstanding Balance $0.00
Notes
Date Note C reated By:
07/17/2017 Lot 61-Kettle Kristin Foster
Uploaded Files
Date File Nam e
07/17/2017 2450419-1552 Application.pdf
07/17/2017 2450420-1552 Site Plan.pdf