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Home My WebLink About8925 169th Street NE_BLD1688_2026 RESIDENTIAL PERMIT APPLICATION 'y ? Department of Community& Economic Development City of Arlington• 18204 59th Ave NE •Arlington,WA 98223 - Phone(360)403-3551 ENV 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: 8925 169th Street NE Plat: Gregory Park Lot 71 _ 14f Single-family ❑ Duplex 0? Townhouse ❑ Addition Accessory structure Proposed Area: 1 s1 Floor: 1487 2"d Floor: Garage: 402 Total SF: 1889 Describe Proposal (include cross street): Application for new single family residence to be located at 8925 169th Street NE. Cross street is 91st D�(. Valuation: �� .1 I4 •`TJ`I Owner: LGI Homes - Washington LLC Address: 9028 168th Street NE City: Arlington State: WA Zip Code:98223 Phone: 425-785-0797 Email: matt.adams@Igihomes.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: State: Zip Code:Arlington WA 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 Y 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) 61 Bath/Shower Combo (4.0) x 1 CAI Sink (1.5) x 1 [e) Shower (2.0) x 1 C-1 Lavatory (1.0) x 2 ❑I Clothes Washer (4.0) x I4 Water Closet(2.5) x 2 91i Dishwasher (1.5) x 1 Water Heater x 1 Lei Hose Bibb (2.5) x 2 Water Heater Model # Other (list) x 1 AO Smith HPTU - 50N Plumbing Section Continued Proposed Water Piping Size: 3/4 Proposed DWV Material: AB 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 � City of Arlington• 18204 59th Ave NE •Arlington,WA 98223 • Phone(360)403-3551 �jV Mechanical Section (continue filling out if mechanical equipment is involved) Select proposed appliances: 14 Bryant 915SA30040514 95% Furnace (80+) Model # AFUE Ell Heat Pump Model # SEER HSPE Q AC Unit Model# SEER ❑ Type II Hood ❑ Commercial Cooking Appliance ❑ Hydronic Piping ❑ Boiler ❑ Solid-Fuel Appliance ❑ PV System QI Fireplace Insert ❑ Outdoor BBO ❑ Storage Tank 121 Freestanding Stove 0, Gas Piping ❑ Other Gas Piping Information Not Applicable: 01 Black Steel Pipe Material: Pipe Size: 1" Total BTU's of all Appliances: 120,000 Distance from Meter to Furthest Appliance: 4 • 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 91 Applicant Signature: Date: 16/0-7 Print Applicants Nam .� --►a � _ 6/16LP Page 3 of 3 CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:8925 169th Street NE Permit#: 1688 Parcel#:01166900007100 Valuation: 191174,89 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:9026 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: 1 CONST.TYPE: `I-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. IBC1 l0/IRC1I0. SALE: 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 c ed dy of Ar ngt #3101 M LLC--4ffjA Sig ire Print Name Date Released By D tc 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 10/24/2017 Building Permit Fee $2,140.84 10/24/2017 Building Plan Review Fee $1,391.55 10/24/2017 Furnace $25.00 10/24/2017 Gas Outlets Base Fee 1 to 5 $10.00 10/24/2017 Mechanical Fee(Enter Fixture Fee) $25.00 10/24/2017 Mechanical Permit Base Fee $25.00 10/24/2017 Park-Community SF $1,662.00 10/24/2017 Plumbing Permit Base Fee $25.00 10/24/2017 Plumbing Permit Fee(Enter Fixture Fee) $132.00 10/24/2017 Processing/Technology Fee $25.00 10/24/2017 State Building Code Surcharge Fee $4.50 10/24/2017 Traffic Mitigation-City $3,355.00 10/24/2017 Water Heater $25.00 Total Due: $8,845.89 Total Payment: $8.845.89 Balance Due: S0.00 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 f1NISIIED CaVXlbR I - I l SETBACIfS NOTE S.• (�) I - I FRONT 20' .BUILDING DIMENS60 ARE 7O = I SIDE 5' FACE OF FOUNDAXW IloI I - I REAR 5' •Gi4ADING SIIONN AS DE96W \ ACTUAL LWAALW MAY VARY •SZQ°E DRIVEWAY TO PUBLIC ROAD EXISANG I I CWNZR - I •SILT FENCE 70 BE INSTALLED PER CLaW70UR(T)P.) (7YP) _ � aff OIL ARLINGTa S STANDARD — = - - - - L- - - -- - -- L- ----- . •StT FENCE 70 BE'INSTALLED OW N8920'49"W 644DIOVT SIDE OF BUILDING _ PARI25Z 45.00 _ �� •CaVS)RUCncW EN7RANCE 70 BE - - - - - - -I $ �-- - - - —T1 r- - -- - - INSTALLED PER CITY OF 5.00 BSBL J TOP 7.8 ARLINGTLW S STANDARDS 5.010 B519L 500'B 45 J $ I TOE 454.0 'B STORM INSTALLED PR/AR TO OOOOOOII' 24.50 _I sf L 10 co'WAuARA/N COWS7RUC77QN •BAR£SLYLS COWRED N17H MUtQV EAS�VENT Q?AN07HER APPROVED BMP PA1/0 12 SF •TOWSOIL PER NSDOLF BMP 7513 i 1.00'ROOF OVFRHANG I 10.50 a Do, •ALLQNS✓/T RRNIFF CONN07ED TO PR/VA7E Slt W SNUB LOT 71 I •SI7E SMALL BE STABILIZED PRIOR R TOP 457.8 TO BUILDING PERMIT BONG aW PROPO RESIDENCE I TOE 454.0 3 B F7NAL/ZED I p CQCUMB/A-1, 7 GARAGE'LEFT SITENOTES: 2,109t&r g I •7/WRINE F0077NO DRAINS AND ROOF DRAINS 7D PERMANENT S70RM DRAINAGE SYS0f PER BUILUNG \� ^.°� I APPROVED PLAT DRAINAGE'FLAN QN R ZE N17H 7HE CUINTY. a o •AREA OF DIVUR&NCE INCLUDES Z ENDRE LOT. GARAGE 4.25 I 19.y5 $ $ � TOE 454.TOP 45Z8 0'3 Et LEGEND:S.G�' cd 1100 _ o- BLOW OFF -\Q00'PUBLIC s 415 500'PR/VA7E —- IDWA7ER MFU "W Sr, �EAS�UOYT Qb� DRIY 20�' M T 4( RRE HYDRANT ° � AIR VAC \ °° ° ® CAT YI BASIN N9" O GYEANOI/T 8920'4 4 45.00 ° O MANHOLE • ° ° ° a 4 d°° \ d 4 ® &OIyi( WALL _ d / 4 L 7REE REMOVAL Sr6RV /XEANOUT. 8"WA7EP OLWNECT ROOF AND WATER t00 FOODNG DRAINS SERyGE {�1n I" r:K � SL^ALE 1'=20' CGWNE w 169TH . NE LOT 71 p SITE PLAN a- °� a 4 ° ° GREGOR Y PARK LG/ HOMES PLAN NO. COL.—1487 LOT AREA = 4,320 SF DATE 912812017 PARCEL # LOT 71 HOUSE= 2,109 SF 14711-1%Place,111111 DRIVEWAY= 415 SF Belle—,Washmgfon 98007 DESIGNED CORE ADDRESS 8925 1697H ST. NE 425,885.7877 Fax 425.885.7963 WALKWAY/PA770 = 12 SF PROJECT NUMBER TOTAL= 2 536 SF ENGINEERING PLANNING • SURVEYING DRAWN CAF 13024L-GRG00 BUILDING INSPECTION REPORT— MECHANICAL (RESIDENTIAL) Permit No. BLD1688 Address: 8925 169th Street NE Contractor: LGI — Les Nelson 360-420-8334 Owner: LGI Date: 1/16/2018 APPROVAL ❑ PARTIAL APPROVAL 1 ❑ CORRECTION ❑ OTHER APPLIANCE: CO DETECTOR: ❑ HEAT PUMP/AC UNIT: ❑ GAS PIPING: 7- DISCONNECT: ❑ DRIP LEG:cam- SEISMIC: ❑ VENTING:IJZ- 3" PAD: ❑ ACCESS:r7- INSULATION/PROTECTION: ❑ SHUT-OFF VALVE: ❑ DUCTS: L&I: Date: 1/16/2018 Inspector: Ryan Miller i ti � BUILDING INSPECTION REPORT - Residential Permit No. BLD1688 Address: 8925 169th Street NE Contractor: LGI — Les Nelson 360-420-8334 Owner: LGI Date: 1/16/2018 c0 APPROVAL ❑ PARTIAL APPROVAL ❑ CORRECTION ❑ OTHER INSPECTION: RESIDENTIAL FRAMING PLANS:- ANCHORS/HD'S: ❑ LANDINGS: ❑ HEADERS/BEAMS: ❑ STAIR PROFILE: ❑ ROUGH L&I: ❑ WINDOWSILL HEIGHT: ❑ FIRE BLOCKING: ❑ BLOCKING: J4 ACCESS: ❑ FASTENERS: TREATED WOOD: ❑ FRAMING: �4— VENTS: ❑ PLATES: ❑ POSITIVE CONNECTIONS: ❑ Date: 1/16/2018 Inspector: Ryan Miller CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:8925 169th Street NE Permit#:1688 Parcel#:01166900007100 Valuation: 191174.89 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:9026 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: 1 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. IBCI IO/IRC1l0. 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 c ed ity of Ar ngt #3101 W �gCirct�-c lvl�7`! .� Sig re Print Name Date Released By D tc 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 10/24/2017 Building Permit Fee $2,140.84 10/24/2017 Building Plan Review Fee $1,391.55 10/24/2017 Furnace $25.00 10/24/2017 Gas Outlets Base Fee 1 to 5 $10.00 10/24/2017 Mechanical Fee(Enter Fixture Fee) $25.00 10/24/2017 Mechanical Permit Base Fee $25.00 10/24/2017 Park-Community SF $1,662.00 10/24/2017 Plumbing Permit Base Fee $25.00 10/24/2017 Plumbing Permit Fee(Enter Fixture Fee) $132.00 10/24/2017 Processing/Technology Fee $25.00 10/24/2017 State Building Code Surcharge Fee $4.50 10/24/2017 Traffic Mitigation-City $3,355.00 10/24/2017 Water Heater $25.00 Total Due: S8,845.89 Total Payment: $8,845,89 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 G SETBACKS NOTES.- BUILDING D P T fRmr 20' .BUMUNG DIMiN.A'LWS ARE 70 FF1 1 5' fAl.1�OF FIX/NDAACN APP I REAR 5' •GW4ADING 9YOW AS DE96W ACTUAL LWANall AIAY VARY ATE PRq9ER7r I \ •SCOPE Dfiyw l'A r 70 PUBIC ROAD CT GE O — — •L77Y OF AR TO BE INSTALLED PER PQ aWNE]P (TYP.f \ pTY OF ARVNGIZW S STANDARD UNLESS APPRO BY THE — — — — ————— •SLT fENX 70 BE INSTALLED ON N89 049"W Q?ADIENT.SYDE OF WILDING 45 00 PARCEL •LLWS7RUC7lGW&7WANX 70 BE -- - - -- � S r - - - - — INSTALLMPffC17YOr 5.00 BSi9L TOP 457.8 ARLINGXV9 STANDARDS _ �--5.00'B519L 5 00'Bm-`� TOE 454.0 3'8 STORM NOTES: •7ESC INSTALLED PRIOR TO 2450 � —10.00' WALL/bRA/N CaVS7RUC77aV S EASL;IIENT •BARE SOILS COWRED N17H MIULLH PA AO 12 SF OR ANOAIER AAWOb0 aVP w •TOPSOIL PER WMOF 8MP T513 1.00'ROOF OWWHANG I f0.5000, •A�GWSI 12-�[/NG1FF CGWNECIED TO PR/VAIE S7MM S7UB g LOT 71 •27E.95'ALL BE SrA&LI20 PP/OR TOP 457.8 70 BUILDING PDWIT BIONG cW PROPOSED RES70ENC£ 3.8 oo CLYUM81A-1487 GARAGE LEFT I TOE 454.0 RNAL12ED o 2,1091-SF g I SITE NOTES: •776HRINE f007ING DRAINS AND _ ROw DRAINS 70 PERA/ANENT p STM DRAINAGE SYSTEM PER OUIDIN co �°jj I ADMlI D RA ORNNAOF PLAN Q, o ( ON RLE NI1H THE COUNTY. o •AREA OF DIS7URRWX X20ES _ ! SHARE LOT. GARAGE 4.25 I TOP 45Z B — — — — 5� / 19.75 - g td g 11 TOE 45 4.0 3 8 LEGEND: BLOW OFFJ0.00'Pl/BVC ' d ------ - ® WAffRM/EM? �615 SJr 500 PR/VAIE EASEiI T Y g 2 DR/l'£W.4Y I 4( ARE HYDRANT 2000' I EA&MIWT AIR VAC v: ® CAr Yl BASIN N89 20 49° O GYEANOUT ° a 45.00 ° O MANHOLE BLOWY WALL 7REE REMOVAL y I Sr"aFANOUT. B'WATER Re,c;r ved GLWNECT ROOF AND WA TER f 00 FAOANG DRNNS SE]PNGL� [1�.� � � 2(�17� 8° SCALE 1'=20' Iry c1GwNEc)7av .169M, T NE LOT 71 SITE PLAN • e 4 l de a GREGOR Y PARK LGl HOMES PLAN NO. COL.—1487 LOT AREA = 4,320 SF DATE 912812017 PARCEL # LOT 71 HOUSE= 2,109 SF I471 I NE 29M Vloce,#l0I DRIIEWAY= 415 SF Bellevee,W-hing-98007 DESIGNED CORE ADDRESS 8925 1697H ST. NE 425.BB5.7877 F-425B857963 WALKWAY/PAAO = 12 Sr ��-LsICN PROJECT NUMBER TOTAL= 2,536 SF ENGINEERING PLANNING • SURVEYING DRAWN CAF 13024L-GRGOO t v. an"k-l-of" cm p�T�3��4�IKL1U8 Permit Information Date 10/12/2017 Permit Number 1688 Project Name Gregory Park Applicant Name LGI Homes-Washington,LLC Applicant Address 9026 168th Street NE City,State,Zip Arlington,WA 98223 Contact Matt Adams Phone 425-785-0797 Email matt.adams@igihomes.com Permit Type Single Family Residence Site Address 8925 169th Street NE Valuation 191174.89 Status Applied Permit Issued Permit Expires Square Feet 1889 Type of Construction/Occupancy Load V-B Number of Stories 1 Proposed Use New SFR Assigned To Kristin Foster Property Owner Parcel Address Legal Owner Phone Zoning 01166900007100 8925 169th 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.lake Jabusch .360-353- �ake.jabusch@lgihomes.co CONTRACTOR I-abor and LGIHOHL857M LLC 0588 Industries Review Date Type Description I Target Date Completed Date Assigned To Status 10/12/2017 lResidential Dwelling 10/19/2017 fkmy Rusk o In Review 10/12/2017 IlResidential Dwelling 10/19/2017 1 lKevin Olander 111n Review Fees Fee Description I Notes I Amount Building Permit Fed 322.10.00.0 $2,140.841 Building Plan Review Fed345.83.00.0 $1.391.55 Furnasm 322.10.00.Og $25.0 Gas Outlets Base Fee 1 to 51 322.10.00.00 $10.0 Mechanical Fee(Enter Fixture Fee)j 322 10.00.Oq $25.0 Mechanical Permit Base Feel 322.10.00.Oq $25.0 Park-Community S 345.85.00.Oq $1,662.0 Plumbing Permit Base Fe 322.10.00.Oq $25.0 Plumbing Permit Fee(Enter Fixture Fee)j 322.10.00.0 11 @$12 $132.0 Processing/Technology Fed341.43.00.02 $25.00 State Building Code Surcharge Fem 386.00.01.0q $4.50 Traffic Mitigation-Ci 345.85.00.021 $3,355.0 Water Heateg 322.10.00.0 $25.00 Tota $8,845.8 Notes Date Note 10/12/2017 Lot 71 -Columbia Uploaded Files I Upload File Date File Uploaded B 10/12/2017 9:27:39 AM 1688 Appiication.pdf Foster,Kristin x 10/12/2017 9:27:39 AM 1688 Site Plan.pdf Foster,Kristin x RESIDENTIAL PERMIT APPLICATION `y ? Department of Community& Economic Development �i! 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: 8925 169th Street NE Plat: Gregory Park Lot 71 41 Single-family ❑ Duplex Townhouse Addition Q1 Accessory structure Proposed Area: 15' Floor. 1487 2"d Floor: Garage: 402 Total SF: 1889 Describe Proposal (include cross street): Application for new single family residence to be located at 8925 169th Street NE. Cross street is 91st Valuation: To f� I4 •`fJ- I 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 wo t�* 6/16LP Page 1 of 3 r '. �� ., r �� RESIDENTIAL PERMIT APPLICATION ® Department of Community & Economic Development y .> �f 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 Sink (1.5) x 1 I� Shower (2.0) x 1 Lavatory (1.0) x 2 ❑ Clothes Washer (4.0) x Water Closet(2.5) x 2 Dishwasher (1.5) x 1 l� Water Heater x 1 l� Hose Bibb (2.5) x 2 Water Heater Model # F6i Other (list) x 1 AO Smith H PTU - 50N Plumbing Section Continued Proposed Water Piping Size: 3/4 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) 6l16LP Page 2 of 3 i RESIDENTIAL PERMIT APPLICATION Department of Community& Economic Development �' Or City of Arlington• 18204 59th Ave NE•Arlington, WA 98223 • Phone(360)403-3551 l-, iVC Mechanical Section (continue filling out if mechanical equipment is involved) Select proposed appliances: ®i Furnace (80+) Model# Bryant 915SA30040514 AFUE 95% �1 Heat Pump Model# SEER HSPE ❑ AC Unit Model# SEER 01 Type II Hood ❑ Commercial Cooking Appliance Hydronic Piping ❑ Boiler ❑ Solid-Fuel Appliance PV System Fireplace Insert ❑' Outdoor BBQ Di Storage Tank 12' 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: 401 • 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: 4t- ` Date: 161A'/ Print Applicants Nam - 6/16LP Page 3 of 3 Date: 04/10/2026 Perm t#: 1688 Permit Date: 10/12/2017 Review Date: 10/12/2017 Perm it Type: RESIDENTIAL SINGLE FAMILY Review Type: RESIDENTIAL SINGLE FAMILY Target Date: 10/19/2017 Scheduled Time 00:00 Com pleted Date: 10/13/2017 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#: 01166900007100 L GI HOMES -WASHINGTON LLC LGI HOMES -WASHINGTON LLC 1 450 LAKE ROBBINS DR STE 430 8925 169th Street NE T HE WOODLANDS, TX 77380 Zoning: 111 Single Fam iy Residence - DetachedLot: 71 Block: Permit#: 1688 Permit Date: 10/12/17 Permit Type: RESIDENTIAL SINGLE FAMILY Project Nam e Gregory Park Applicant Nam a LGI Horn cs -Washington, LLC Applicant Address: 9026 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: 191174.89 Square Feet: 1889 Num ber of Stories: 1 Construction Type: O xupancy G ioup: ID Code: Permit Issued: 10/27/2017 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- 01166900007100 8 925 169th 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 11/30/2017 R20.SFR/DUPLEX ComOeted FINAL Plan Reviews Date R eview Type D escription A ssigned To R eview Status 10/12/2017 RESIDENTIAL SINGLE Site plan m e is all land use regulations. FAMILY 10/12/2017 RESIDENTIAL SINGLE BUILDING FAMILY Fees Fee D escription N otes A m cunt Building Perm i T able 4-1 $2,140.84 Building Plan Review T able 4-2 $1,391.55 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 I 1 @$12 $132.00 Processing/Technology $25.00 Traffic Mitigation-SF S ingle Fam iy $3,355.00 Water Heater(Tank) $25.00 State Surcharge- 1st DU R esidential- 1st Unit $4.50 Total $8,845.89 Attached Letters Date Letter D escription 10/24/2017 Building Perm i Paym acts Date Paid By D escription P aym a►t Type A ccepted By A m ant 10/24/2017 LGI Hom cs-Washington,, Check#5738 K ristin Foster $7,454.34 LLC 10/24/2017 LGI Hom 6-Washington,, Check#5737 K ristin Foster $1,391.55 LLC O ttstanding Balance $0.00 Notes Date Note C reated By: 10/12/2017 Lot 71 -Colum Ha K ristin Foster Uploaded Files Date File Nam e 10/27/2017 2736502-1688 Issued Perm i.pdf 10/12/2017 2694282-1688 Site Plan.pdf 10/12/2017 2694283-1688 Apnlication.pdf