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Home My WebLink About8913 169TH STREET NE_BLD1960_2026 RESIDENTIAL PERMIT APPLICATION Department of Community& Economic Development JM1T City of Arlington• 18204 59th Ave NE• Arlington,WA 98223 • Phone(360)403-3551 L �;t 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: 8913 169th Street NE Plat: Gregory Park Lot 73 41 Single-family Q Duplex a! Townhouse ❑! Addition EJ! Accessory structure Proposed Area: 151 Floor: 1487 2nd Floor: Garage: 402 Total SF: 1889 Describe Proposal (include cross street): Application for new single family residence to be located at 8913 169th Street NE. Cross street is 91st . Valuation: ._ R Owner: 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 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 6/16LP Page 1 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 1 Mj Sink (1.5) x 1 Shower(2.0) x 1 MI Lavatory (1.0) x 2 ❑ Clothes Washer (4.0) x Cif Water Closet(2.5) x 2 Dishwasher (1.5) x 1 Zj Water Heater x 1 l� Hose Bibb (2.5) x 2 Water Heater Model # � Other (list) x 1 AO Smith H PTU - 50N Plumbing Section Continued Proposed Water Piping Size: 3/411 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 �Ai�N O 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: 66 Bryant 915SA30040514 i Furnace (80+) Model# AFUE 95% 01 Heat Pump Model# SEER HSPE ❑ AC Unit Model# SEER ❑1 Type II Hood 0! Commercial Cooking Appliance Q Hydronic Piping Ol Boiler ❑ Solid-Fuel Appliance PV System �1 Fireplace Insert ❑ Outdoor BBQ Storage Tank �1 Freestanding Stove 01 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: • 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: Print Applicants Name: (� V�� % z,�,_ 6/16LP Page 3 of 3 CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:8913 169th Street NE Permit th 1690 Parcel#:01166900007300 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: 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. IBC I 10/IRC 110. LES'TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form oded i of Arlin on#3101. �•�CC .T�w,,� I S7 r � / ,�. Signature Print Name bate 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 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: S&845.89 Balance Due: SSO.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 . a I i i SETBACKS NOTES: As I I EXISIINC ( OWT 20' •fUlZDING D/I/ENS MS ARE M N FACE OF FOUNDAflaV I I \ f G1pWT0UR(AR) ` REAR 5' •WADING A5►OMN AS DESJpV I �(` PRG�°ERTY I ACTUAL LOCAAM MAY VARY •&OFIF DRIVEWAY M PUBLIC ROAD I MIWiD MOW CORMER I f -K T FfNX TO BE INSTALLED PER - - --- - J L— �(mi) —(- L'--- - - - •KTFR6FTOBE INSTALLED GW N8920'49"W 6RADIB S10E 6F BUILDING MIM — — —— —— ► 45.DO I [SRj7 •LLWSIRUCAGW ENIRAN.L� TO BE —, rINSTALLED PERarYor $ 5.00'BSBL 5.00 BSBL � OP 450.0 0ARUNOTWF STANDARD.£SOO' IOE 44ZO STORM NOTES, 2f.50 5.00'LWL •7M INSTALLED PR/GYP 70 CANS7RUC71M 1.00'RG04.OVfRI/AN IPA AO 12 Sr •BARE SaLS COVERED Nl7H M/ULOV - GYP ANONER APPROVED BMP ► I •TGI°SOIL PER MOM BMP 7513 I 12 / I f0.50 , 10.00 WALL/bRA/N 'A�AN9�UNGY:F CNN( C1ED TO PR/VAIF SraW STUB -LOT 73 I EASSIIAMT •97E MALL BE STABILIZED PRIM z�u PR D REMENCE I MBUILDING PERII/T BEING p $G1aLUM&A-1487 GARAGE LEFT TOP 450.0 fl'VALIZED l o o�Opi 2 0 f09fSF $ 3. SITE NOTES: TOE 447.D •AGMUNE F00ANG DRNNS AND ROAT DRAINS M PERMANENT = $ S7WM DRAINAGE SYM7EW PER MAX � o ( APPRObFO PLAT DRA/NAG£PLAAI BUILDING o OW AZE NIA/ ME COMYTY. OU7IINE •AREA OF LISIURBANff INGYUDES I �. _ I �''\ 10.00'PUBLIC 425 ENARE LOT. TOP 450.0 UAL/TY 19.75 47.0$ $\ - 3.0 LEGEND. EAZM&T J _ '411.00 - I TOE 4 • BLOW GY F 5.00'PR/VA7£ 22..011. 415 SF - � �� — — ® WA7ER ME7DP S7ZRV ° DRVs7tf'A�Y - d( ME HYDRANT \£AS&OVT ° 20.00'BSBL - AIR VAC - - - d° 1 () ® CATOV BASYN N89201 9"W ' O GYEANOUT 45.00 ° o ° ° MANHOLE d ° U-FLET-T! BLOCK WALL ° d S7i v azw, ME REMOVAL ONNECT ROAD AND + X' F00ANG DRAINS 18'WA7ER g WA7D? moo _ 'Z cvEc7�y sERr1c� 1 SVLE 1'=20' HIV ioo 169T)ST, NE `,� LOT 73 SITE PLAN GREGOR Y PARK L G1 HOMES PLAN NO. COL.-1487 LOT AREA = 4,J20 SF DATE 912812017 PARCEL # LOT 73 HOUSE= 2,109 SF 471 I NE 291h Place H IOI DRIVEWAY= 415 SF Bellevue,W.shmgfo 98007 DESIGNED CORE ADDRESS 8913 1697H Sr NE 425.885.7877 Fax 425.885.7963 WALKWAY/PAAO = 12 SF DESIGN PROJECT NUMBER TOTAL= 2,536 SF ENGINEERING PLANNING • SURVEYING DRAWN CAF 13024L-GRG00 s BUILDING INSPECTION REPORT— MECHANICAL (RESIDENTIAL) Permit No. BLD1690 Address: 8913 169th Street NE Contractor: LGI — Les Nelson 360-420-8334 Owner: LGI Date: 1/16/2018 APPROVAL ❑ PARTIAL APPROVAL ❑I CORRECTION ❑ OTHER I APPLIANCE: CO DETECTOR: ❑ HEAT PUMP/AC UNIT: ❑ ` GAS PIPING:(D DISCONNECT: ❑ DRIP LEG: SEISMIC: ❑ VENTING:jA--- 3" PAD: ❑ ACCESS: ❑ INSULATION/PROTECTION: ❑ SHUT-OFF VALVE: ❑ DUCTS: L&I: Date: 1/16/2018 Inspector: Ryan Miller BUILDING INSPECTION REPORT - Residential Permit No. BLD1690 Address: 8913 169th Street NE Contractor: LGI — Les Nelson 360-420-8334 Owner: LGI Date: 1/16/2018 j -Gy1 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: ❑ ACCESS: ❑ FASTENERS: ❑ TREATED WOOD: ❑ FRAMING:,-,,�V � VENTS: ❑ PLATES: ❑ POSITIVE CONNECTIONS: ❑ Date: 1/16/2018 Inspector: Ryan Miller CITY OF ARLINGTON 4 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 4 PHONE; (360) 403-3551 BUILDING PERMIT Address:8913169th Street NE Permit#• 1690 Parcel#:01166900007300 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-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/IRC1l0. t.E. TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form id odcd 'i of Arlin on#3101. V;a I o-y / Signature Print Name Nte Released By Do 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 I utal 1'ac11cnt: $8,845.89 Balance Dtie: $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 1 OF AV -j . i ( f CffS NOTES: U ILDING DqP t' ENT �'I I 20� •BUILOWG 01MENSYONS ARE R7 EX/SA C C FAX OF fWNDA77L V AP P RO E �Ly,W R(7YPJ + ' REAR 5' •6RADING S YONN AS LJIES 6W AVUAL LOCAAGV MAY VARY PRORERTY •SYORE DRIWWA Y 70 PUBLIC ROAO ATE .III.! 1l CWNER = •9rLT fENLE 70 BE INSTALLED PER ORIZSt� — ( � L— — — -- — qTY Ole'ARL/NGTLW S'STANDARD APPROV D �V' '49 - — - •SYLT fENLE TO BE INSTALLED GV GRADIENT S VE OF BUILDING PARCEL __ •CON57RUC77GV EN7RAVa- 70 BE 500 8 519L INSTALLM POP aTY OF 1 I —500'}� g TOP 450.0 3 0 ARLINGTLW S STANDARDS TOE 447 0 STORM NOTES. 5.00 I �4.50 j 500'0% •7ESL INSTALLED PRIG? 7O 1.00'ROLL OV£RHAV� g I I PA DO 12 SF .BARE SLYLSS LOWRED W7H MIXOV G?ANOflV&APP?OVW BMP - L I •TLW504L PER NSDGE BMP T513 00,1050 / 100' WALLIVRA/N •� E OM97 N 10. LYFCDVNEC70 TO PRIVATE ST"SW LOT 73 I� EASW NT ,WFMALL BESTAB/LI711D PROR' ,N PROPOSED RESYDEHCE ( TO BUILDVNG fERAI/T EIONG O' CaUMB/A-1487 GARAX LEFT f7NAL/ZED TOP 450.0 2,10919r 3 0 SITE NOTES.• I TOE 447.0 •I76WL/NE f0OANG DRAINS AND Roar DRAINS 7D PERMANENT = o I S7G?M DRAINAGE SWEV PER 64RAW o APPROVED PLAT DRAINAGE fLAN GV ALE N17H THE CWNTY. GUT1/NE = •AREA OF DIVURBWT INWIDES 10.00'PUBLIC 4.25 I ENARE LOT. TOP 450.0 UALITY J 19.75 g g = 3.0 LEGEND: TO 447.0 —EAMMENT -A11611.00 � — — o- BLOW GfF— �.:_ am 500'PR/YA1E 22..00' 415 S f - — — — - ® WATER METED STG�iI/ ORlV£WAf Y EASEMENT ` < 20.010'B` 4( RRE HYDRANT AIR VAC E3 CA Tai BUN ° N8920 9 W O CLEANOUT • d d 45.00 a O = -- l' MANHOLE 'T FFFT &OIff WALL S76RV afANOUT 7RE£REMOVAL CWNECT R"AND .0"\ f0017NO DRAINS 8'WA MR ReC@IVGd -Vm77 WA ILM �a? I,CIAVNEc77OY 8'SFNER P�f711�10 scALE 1•=20' 169TH ST. NE LOT 73 a SITE PLAN 1, GREGOR Y RARK LGI HOMES PLAN NO. COL.-1487 rDRI AREA = 4,320 SF DATE 912812017 PARCEL # LOT 73 USE= 2,,109 SF 1471 I NE 298,Flace,#107 VEWAY= 415 SF Bellevue,Washington 98007 DESIGNED CORE ADDRESS 8913 1897H ST. NE 425,885.7877 Fax 425.885.7963 KWAY/PANO = 12 SF DESIGN PROJECT NUMBER AL= 2,5J6 SF ENGINEERING PLANNING • SURVEYING DRAWN CAF 13024L-GRG00 v 0 �� t'� Permit Information Date 10/12/2017 Permit Number 1690 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@lgihomes.com Permit Type Single Family Residence Site Address 8913 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 Parcel Address Legal Owner Owner Phone Zoning 01166900007300 8913 169TH STREET NE LGI HOMES-WASHINGTON LLC Contractors Contractor Name Primary Phone Email Contractor License License# Contact Type LGI Homes-Washington,Jake Jabusch 0588 3- lake.jabusch@lgihomes.co CONTRACTOR Indus and I-GIHOHL857M (LLC 0588 (Industries Review Date Type Description I Target Date I Completed Date I Assigned To Status 10/12/2017 lResidential Dwelling 10/19/2017 1 [Amy Rusko 11n Review 10/12/2017 lResidential Dwelling 10/19/2017 1 IlKevin Olander 11in Review Fees Fee I Description I Notes Amount Building Permit Feel 322 10.00.Oq $2.140.84 Building Plan Review Feel 345.83.00.ON $1,391.5 Furnac. 322 10 00 0 $25 0_ Gas Outlets Base Fee 1 to q322.10.00.Oq $10.0 Mechanical Fee(Enter Fixture Fee 322.10.00.001 $25.0 Mechanical Permit Base Fe 322.10.00.01 $25.0 Park-Communi SQ 345.85.00.0 $1,662.00 Plumbing Permit Base Fe 322.10.00.01 $25.00 Plumbing Permit Fee(Enter Fixture Fee)j 322.10.00.0 11 @$12 $132.0 Processing/Technology Fem 341.43.00.021 $25.00 State Building Code Surcharge Fe4 386.00.01.0q $4.5 Traffic Mitigation-Cit 345.85.00.02 $3,355.0 Water Heated 322.10.00.001 $25.0 Total $8,845.8 Notes Date Note 10/12/2017 Lot 73-Columbia Uploaded Files Upload File Date File Uploaded B 10/12/2017 9:54:39 AM 1690 Site Plan.odf Foster,Kristin 10/12/2017 9:54:39 AM 1690 Aoolication.odf Foster,Kristin RESIDENTIAL PERMIT APPLICATION Department of Community& Economic Development City of Arlington• 18204 59th Ave NE •Arlington,WA 98223 • Phone(360)403-3551 I 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: 8913 169th Street NE Plat: Gregory Park Lot 73 WlI Single-family ❑ Duplex 0l Townhouse ❑ Addition Accessory structure Proposed Area: 1" Floor. 1487 2nd Floor: Garage: 402 Total SF: 1889 Describe Proposal (include cross street): Application for new single family residence to be located at 8913 169th Street NE. Cross street is 91st . Valuation: I��'. M 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: State: Zip Code:Arlington WA 98223 Phone: 425-785-0797 Email:matt.adams@lgihomes.com Contractor: LGI Homes - Washington LLC Address: 9028 168th Street NE City:Arlington State: Zip Code: WA 98223 _ . Phone: 425-785-0797 Email: matt.adams@lgihomes.com Contact Person: Matt Adams License Number:LGIHOHL857MB Expiration: 07/02/2019 "71A 6116LP Page 1 of 3 �- �• e :� F RESIDENTIAL PERMIT APPLICATION ® Department of Community & Economic Development City of Arlington• 18204 59th Ave NE •Arlington,WA 98223 • Phone(360)403-3551 ING 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 [�l Sink (1.5) x 1 I� Shower (2.0) x 1 [El Lavatory (1.0) x 2 ❑! Clothes Washer (4.0) x Water Closet(2.5) x 2 E3 Dishwasher (1.5) x 1 Water Heater x 1 Qi Hose Bibb (2.5) x 2 Water Heater Model # 911 Other (list) x 1 AO Smith H PTU - 50N Plumbing Section Continued Proposed Water Piping Size: 3/411 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) 6116LP Page 2 of 3 X 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: F!el Furnace (80+) Model# Bryant 915SA30040514 AFUE 95% ❑ Heat Pump Model# SEER HSPE ❑ AC Unit Model# SEER ❑' Type II Hood 0 Commercial Cooking Appliance Hydronic Piping ❑ Boiler ❑I Solid-Fuel Appliance PV System ❑ Fireplace Insert D1 Outdoor BBQ ❑ Storage Tank Freestanding Stove ®I 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: Date: Print Applicants Name: t� qk+h,% 6/16LP Page 3 of 3 Date: 04/10/2026 Perm t#: 1690 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#: 01166900007300 L GI HOMES -WASHINGTON LLC LGI HOMES -WASHINGTON LLC 1 450 LAKE ROBBINS DR STE 430 8913 169TH STREET NE T HE WOODLANDS, TX 77380 Zoning: Lot: 73Block: Permit#: 1690 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- 01166900007300 8 913 169TH STREET NE WASHINGTON 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 02/28/2018 B UILDING C omlieted 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 State Surcharge- 1 st DU R esidential- 1 st Unit $4.50 Traffic Mitigation-SF S ingle Fam iy $3,355.00 Wier Heater(Tank) $25.00 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#5744 K ristin Foster $7,454.34 LLC 10/24/2017 LGI Hom 6-Washington,, Check#5743 K ristin Foster $1,391.55 LLC O ttstanding Balance $0.00 Notes Date Note C reated By: 10/12/2017 Lot 73-Colum Ha K ristin Foster Uploaded Files Date File Nam e 10/27/2017 2736500-1690 Issued Perm i.pdf 10/12/2017 2694438-1690 Application.pdf 10/12/2017 2694439-1690 Site Plan.pdf