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Home My WebLink About8907 169th Street NE_BLD1691_2026 04 (;,�'to 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: 8907 169th Street NE Plat: Gregory Park Lot 74 _ 01 Single-family ❑ Duplex ❑ Townhouse Qi Addition Accessory structure Proposed Area: Is' Floor: 1487 2nd Floor: Garage: 402 Total SF: 1889 Describe Proposal (include cross street): Application for new single family residence to be located at 8907 169th Street NE. Cross street is 91st,0_f, NG Valuation: 6"l 1`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: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:LGIHOHL857M6 Expiration: 07/02/2019 R2101 6/16LP Page 1 of 3 RESIDENTIAL PERMIT APPLICATION Department of Community & Economic Development 4' O City of Arlington• 18204 59th Ave NE •Arlington,WA 98223 • Phone(360)403-3551 Plumbing Section (continue filling out H plumbing is involved) (Check all that apply and indicate the number of fixtures proposed) t3 Bath/Shower Combo (4.0) x 1 Mj Sink (1.5) x 1 Fv1; Shower (2.0) x 1 U Lavatory (1.0) x 2 ❑ Clothes Washer (4.0) x [ Water Closet(2.5) x 2 J61 Dishwasher (1.5) x 1 [6 Water Heater x 1 ll Hose Bibb (2.5) x 2 Water Heater Model # �JI Other(list) x 1 AO Smith H PlU - 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 ,rN 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: �l Furnace (80+) Model# Bryant 915SA30040514 AFUE 95% ❑ Heat Pump Model# SEER HSPE ❑ AC Unit Model# SEER ❑ Type II Hood ❑ Commercial Cooking Appliance LI, Hydronic Piping ❑ Boiler ❑ Solid-Fuel Appliance ❑ PV System ❑ Fireplace Insert ❑ Outdoor BBC) Storage Tank Freestanding Stove ® Gas Piping ❑ Other Gas Piping Information Not Applicable: FlI 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: WDate: (0//,//7 Print Applicants Nam : 6/16LP Page 3 of 3 CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:8907 169th Street NE Permit#: 1691 Parcel#:01166900007400 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 Fa17111y Residence CODE YEAR: 2015 STORIES: 1 CONST.TYPE: `/_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/IRCI 10. 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 f odc Cit ofArli gton#3101_ Of ET C J-Ao ht v z7 Signature Print Name Date Released By Dak 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: 50.00 CALL FOR INSPECTIONS BUILDING(360)403-34I7 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 I I I I NOTES: FRwr 20 .BUILDING DIMENSYaff ARE 70 SYDE 5 FACE of FOUNDAAAN REAR 5' •6RAD/NG SY/ONN AS Df YGW I A90,0a7Y I I ACTUAL LOCAnav MAY vARr I I RNIMM C611M/R CMER I •SZOrF OVPIV£WAr M PUBLIC ROAD •.%T fENCf TO BE INSTALLED PER - -- - — J L - - -( � ( ) J L -- - _ - - CITY OFARLINGXKN STANDARD 1V89 2O'49 nW •_%T FENOL- 70 BE INSTALLED OW Gi4AD/ENT 90f OF*BU/LDYNG 4500 PARM — — — — I n •COWSAPUCAOW EN7RANX 70 BE - - � f- -- -- - - 501D'BSI9LJI $ - - - - - - INsrALLEDPERaTro- �EXISTING I -- I--500'Big( ARLINGXW S STANDARDS CONTOUR(nP.) \ I \ I f STORM NO TES: I 1 I 5. 24 Sp 07' •7M INSTALLED PRIOR TO PA A0 12 SFCOWS7RUCAOY g 500'BSRL— BARE SOILS COWRED N17H kULa/ OP ANO7H&APPROVED BA/P 5.D0'I 4 •WSW PER #WOO 8MP T513 (EFT 11'DEPA) I 10.50 100'ROO OVERHANG •ALL aV.97E RUVW CONNECTED TO LOT 74 1T,W As cc sr&120 PRiaP PROPOSED RESIDSVac TO BUILDING PE]WT BEING C010WA-1487 GARAGE"R168T RAIALIAD 2109tSF g DO S/TE NOTES.••77 Y RINE FOOnNG DRAINS AND o ROOF DRAINS M PERMANENT = GAIPAGE S7o41/DRAINAGE ER SYSIEV P APPROVFD PLAT DRAINAGE PLAN ON ALE WH 7HE COUNTY. BUILDING •AREA a'DISTURBANa r INGYUDES 10.00'PUB4/C I 1 4 25 OUTLINE SNARE LOT. UALITY I $ — — —EASEMENT J 11 ae$ 19.75 500 LEGEND,• 5.00'PRl7AIE 415 S �� ,— — — — — o- BLOW OFF STORM I DR/VEW4 Y 22.'t�0' 8 ® WA7t7P AlE1FJP EASEMENT 20.00'BM N 4( ARE HYDRANT NR 04C ® CA7Cl/BARN N8 :? '49 O aEANavr n` a 45.00 s AIANHOYf ° a O ' d �►� BLGILY( wALL WA 7� 7RE1�REMOVAL SnPr1c� . WA 7b? SEVER ccwNEcnGw STo4Nl aEANOUr �— CGWNECT ROa'"AND 8 fW77NG DRNNs 169TH ST,tiNE SC41f I'm 20' LOT 74 - SITE PLAN GREGOR Y PARK LG/ HOMES PLAN NO. COL.—1487 LOT AREA = , SF DATE 912812017 PARCEL # LOT 74 HOUSE = 2,109 109 SF 1471 I NE 291h Plvice,q 701 DRIVEWAY= 415 SF 0,11..ve,W-hi,gro 98007 DESIGNED CORE ADDRESS 8907 1691-H ST. NE 425.885.7877 Fa 425A85.7963 WALKWAY/PAAO = 12 SF `DESIGN PROJECT NUMBER TOTAL= 2,5J6 SF ENGINEERING PLANNING • SURVEYING DRAWN CAF 13O24L-GRGOO BUILDING INSPECTION REPORT— MECHANICAL Permit No. BLD1691 Address: 8907 169th Street NE Contractor: LGI Owner: LGI Date: 1/17/2018 0 APPROVAL ❑ PARTIAL APPROVAL ❑ CORRECTION ❑ OTHER APPLIANCE: Gas Piping m doh GAS PIPING: 13 DRIP LEG: ❑ SHUT-OFF VALVE: ❑ SEISMIC: ❑ PRESSURE TEST: ❑ REGULATOR VENTING: ❑ PIPING SUPPORT: ACCESS: ❑ '/2 INCH-6 FEET: ❑ MATERIAL: ❑ %-1 INCH-8 FEET: ❑ 1 '/.OR LARGER-10 FEET: ❑ Date: 1/17/2018 INSPECTOR: r _ �, I � . t � � , ��,,I ,1!. BUILDING INSPECTION REPORT - Residential Permit No. BLD1691 Address: 8907 169th Street NE Contractor: LGI Owner: LGI Date: 1/17/2018 ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ CORRECTION ❑ OTHER INSPECTION: RESIDENTIAL FRAMING PLANS: ❑ ANCHORS/HD'S: ig LANDINGS: HEADERS/BEAMS:J% STAIR PROFILE: ❑ �� ROUGH L&I: WALL BRACING: FIRE BLOCKING: BLOCKING: [Q ACCESS: FASTENERS:; TREATED WOOD: FRAMING: ❑ VENTS: 90 PLATES: ❑ POSITIVE CONNECTIONS: ID Date: 1/17/2018 Inspector: CITY OF ARLINGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:8907 169th Street NE Permit#: 1691 Parcel#:01166900007400 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-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. IBC1I0/IRC1I0. 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 n od t 8 1,n 0 Signature Print Name Date Released By D. e 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: $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 C. FATEAQ7 �. SETBACKS li 1�,.I.r _ `s afRONT 20' BUILDING D/MENVOIVS ARE 70 ING D A T ENT FFIC I&YDE 5' FACT 6FFOUNDAAON REAR 5' •Of4ADING MONN AS DE96W P F� E � Ty I ACTUAL Lorwav MAY VARY •sxopr DRR/VEWAY TO PUBLIC ROAD AT - ( B QED a"' � � J L - - - - - •SrLT FEME TO BE INSTALLED PER pTY�ARUNGTLW S STANDARD NGES A ORIZ �0. •STLT FEHOL' A9 BE INSTALLED OW GRADVDHTSTLIE O F BUILDING I GINS CTOR 45.00 _ _ _ ` sc�y UCnOW ENTRANCE TO BE — 5�•BSBL - - --- - INSTALLED PER C17Y OF I -- Qp'gam( ARUNGTOW S STANDARDS R ) STORM NOTES: }� 24.50 I 500' •7EX INSTALLED PRIOR TO PA AO 12 Sf I Cafffflucflav 5 00B99L— BARE SOILS COVERED N11H MULQV $ I AR ANOTHER APPROVED BMP 500'I 4 •wsaL PER NSDOF BMP a..1.3 I f0.50 / 1.00'ROL1� OVERHANG •AV OWS/12-DE R Gc'F cavNECIED TO L OT 74 PRIVATE S7M STUB PRGi°OSED RE9'DENOL� •ME MALL BE STAMTI IAD PRIOIR l I TO BU/LUNG PERMIT BONG \ ;�' CLYUMB/A-1487 GARAQ�R/AYT ,W RNAL12ED 2,f09tSF $ oo $ o� SITE NOTES: o ' '� •AO)YRINE FOOANG DRAINS AND ` o R06F DRAINS 70 PERMANENT I = STORM DRA/NA6F S67&PER I WAX APPROVED PLAT DRAINAGE PLAN i ON FILE NITH A/E CWNTY. BUILDINGS -AREA OFD/STURBANiX INMIDES 10.00'PURL/C I } 425 OUTLINE SNARE LOT. — — —EASEMfNr 11.008 g 19.75 500 LEGEND: 5.00'PR/VALE 415 —— - �� — — — — — o- BLOW OFF STCiRM DRIVEWAY 2?�/ $ ® WA1FR A/E7fJP EASEMENT 20.00'LPL ti � f1RE HYIIIPANT AIR VAC — - - - — — — — 093 CAT01I BASIN o° N8 :20'49"6f� O GYEANOUT . 4 45.00 4 4 a A O MANHOLE d \ 4 d ® &OIX WALL a WATER TREE REMOVAL SEI4NLE • \ �� 1 tReceivec SENfR . 2+00 CANNECAOW sra4M aEAIVOtI _ (1 T ?_ ► 0aff'CT ROIL"AND 8 QQ? FOOMO DRAINS SCAM 1'=20' 169TH ST,�NE LOT 74 SITE PLAN / - GREGOR Y RA RK LG/ HOMES PLAN NO. COL.-1487 LOT AREA = 4 J20 SF DATE 912812017 PARCEL # LOT 74 HOUSE = 2,109 SF 471 1 NE 291h Place,k 101 DRIVEWAY= 415 SF Behar we,hingloe 98007 DESIGNED CORE ADDRESS 89071697H ST. NE 425.095,7877 Fan 425.9957963 WAIMAY/PAAO = 12 SF ��DESIGN PROJECT NUMBER TOTAL= 2106 SF ENGINEERING PLANNING • SURVEYING DRAWN CAF 13024L-GRG00 �r � 7•r , - - - s 1I Permit Information Date 10/12/2017 Permit Number 1691 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 8907 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 01166900007400 8907 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,fake Jabusch 360-353- ake.jabusch@Igihomes comCONTRACTOR (Labor and LGIHOHL857M LLC Jake Industries Review Date Type Description I Target Date I Completed Date I Assigned To I Status 10/12/2017 Residential Dwelling 10/19/2017 1 Fm-y Rusko 111n Review 10/12/2017 Residential Dwelling Kevin Olander 111n Review Fees Fee Description Notes Amount Building Permit Fee 322.10.00.01 $2,140.84 Building Plan Review Feel 345.83.00.Oq $1,391.55 Furna2d 322.10.00.Oq $25.0 Gas Outlets Base Fee 1 to 322.10.00.001 $10.0 Mechanical Fee(Enter Fixture Fee)I 322.10.00.09 $25.0 Mechanical Permit Base Fed 322.10.00.0 $25.0 Park-Community S 345.85.00.Oq $1,662.0 Plumbing Permit Base Fe 322.10.00.Og $25.00 Plumbing Permit Fee Enter Fixture Fee)j 322.10.00.0 11 @$12 0132.00 Processin lrechnolo Fe 341.43.00.021 $25.00 State Building Code Surcharge Fed 386.00.01.0q $4.5 Traffic Mitigation-Ci 345.85.09.02 $3,355,0 Water Heateq 322.10.00.001 $25.00 Totall $8.845.8 Notes Date Note 10/12/2017 Lot 74-Columbia Uploaded Files Upload File Date File Uploaded B 10/12/201710:14:32 AM 1691 Site Plan.pdf Foster, Kristin x 10/12/2017 10:14:32 AM 1691 Ap Ip iCationodf Foster,Kristin RESIDENTIAL PERMIT APPLICATION • s y 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 BYTWO(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: 8907 169th Street NE Plat: Gregory Park Lot 74 a Single-family 01 Duplex 01 Townhouse ❑ Addition 0 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 8907 169th Street NE. Cross street is 91st 0-f NG Valuation: 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: Zip Code: WA 98223 _ . Phone: 425-785-0797 Email:matt.adams@lgihomes.com Contractor: LGI Homes - Washington LLC Address: City: State: Zip Code: 9028 168th Street NE Arlington WA 98223 Phone: 425-785-0797 Email: matt.adams@lgihomes.com Contact Person: Matt Adams License Number:LGIHOHL857MB Expiration: 07/02/2019 F.W 101 6/16LP Page 1 of 3 � ._ .� � �= �; •��, :�• �;a� 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) Bath/Shower Combo (4.0) x 1 C5I Sink (1.5) x 1 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 Ek Water Heater x 1 l� Hose Bibb (2.5) x 2 Water Heater Model # ek 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: PEXProposed DWV Size: 2 11 • 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 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# Bryant 915SA30040514 AFUE 95% �l Heat Pump Model# SEER HSPE ❑ AC Unit Model# SEER D Type II Hood 0 Commercial Cooking Appliance Q! Hydronic Piping Q Boiler 0' Solid-Fuel Appliance ' PV System ❑ Fireplace Insert 01 Outdoor BBO 0,, Storage Tank 10; Freestanding Stove ®i Gas Piping ❑ Other Gas Piping Information Not Applicable: Q-i 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: 10//,//7 Print Applicants Nam : ~Tu-�kak 6/16LP Page 3 of 3 T T � � � � � � � 7 �T� TT� � � � � _ i �T � � Permit#: 1691 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- 01166900007400 8 907 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 03/07/2018 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#5747 K ristin Foster $7,454.34 LLC 10/24/2017 LGI Hom cs-Washington Check#5746 K ristin Foster $1,391.55 LLC O ttstanding Balance $0.00 Notes Date Note C reated By: 10/12/2017 Lot 74-Colum Ha K ristin Foster Uploaded Files Date File Nam e 10/27/2017 2736498-1691 Issued Perm i.pdf 10/12/2017 2694594-1691 Application.pdf 10/12/2017 2694595-1691 Site Plan.pdf Permit#: 1691 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- 01166900007400 8 907 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 03/07/2018 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#5747 K ristin Foster $7,454.34 LLC 10/24/2017 LGI Hom cs-Washington Check#5746 K ristin Foster $1,391.55 LLC O ttstanding Balance $0.00 Notes Date Note C reated By: 10/12/2017 Lot 74-Colum Ha K ristin Foster Uploaded Files Date File Nam e 10/27/2017 2736498-1691 Issued Perm i.pdf 10/12/2017 2694594-1691 Application.pdf 10/12/2017 2694595-1691 Site Plan.pdf