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Home My WebLink About9008 169th Street NE_BLD1694_2026 RESIDENTIAL PERMIT APPLICATION Department of Community & Economic Development yet, 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: 9008 169th Street NE Plat: Gregory Park- Lot 78 01 Single-family ❑ Duplex (IJ Townhouse 01 Addition Di Accessory structure Proposed Area: 151 Floor: 1006 2"d Floor: 1332 Garage: 380 Total SF: 2718 Describe Proposal (include cross street): Application for new single family residence to be located at 9008 16th Street NE. Cross street is 91st Valuation: _7,4 i 00>4?7. 2mC,> Owner: LGI Homes- Washington LLC Address: 11410 NE 124th St. STE 103 City: Kirkland State:WA Zip Code:98034 Phone: 360-353-0588 Email: jake.jabusch@lgihomes.com Applicant: LGI Homes- Washington LLC Address: 11410 NE 124th St STE 103 City: Kirkland State: WA Zip Code:98034 _ . Phone: 360-353-0588 Email:jake.jabusch@lgihomes.com Contractor: LGI Homes- Washington LLC Address: 11410 NE 124th St. STE 103 City:Kirkland State:WA Zip Code:98034 Phone: 360-353-0588 Email:jake.jabusch@lgihomes.com Contact Person:jake Jabusch License Number:LGIHOHL857MB Expiration: 7/3/2018 PP ItAq 6/16LP Page 1 of 3 aric" '�` ° 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) 6 Bath/Shower Combo (4.0) x 1 [6 Sink (1.5) x 1 [!61 Shower(2.0) x 1 Lavatory (1.0) x 5 0 Clothes Washer (4.0) x Water Closet(2.5) x 3 FJ Dishwasher (1.5) x 1 a Water Heater x 1 Q Hose Bibb (2.5) x 2 Water Heater Model # �I Other (list) x 1 AO Smith HPTU-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) 6/161-P Page 2 of 3 RESIDENTIAL PERMIT APPLICATION Department of Community & Economic Development ��ir ,SOS Cfty 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: 141 Furnace (80+) Model# Bryant 915SA3004OS14 AFUE 95% 01 Heat Pump Model# SEER HSPE ❑ AC Unit Model# SEER 01 Type II Hood 0 Commercial Cooking Appliance D Hydronic Piping ❑ Boiler ❑ Solid-Fuel Appliance 01 PV System 01 Fireplace Insert 0 Outdoor BBQ 01 Storage Tank 140 Freestanding Stove 0! Gas Piping 0, Other Gas Piping Information Not Applicable: FJ 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 Signatures Date: Print Applicants Name: �--� 6/16LP Page 3 of 3 i CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 \ , PHONE; (360)403-3551 BUILDING PERMIT Address:9008 169th Street NE Permit#: 1694 Parcel#:01166900007800 Valuation:289008.30 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: 2 CONST.TYPE: `/-g 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. 1BC110/IRC110. SALES TAX NOTICE:Sales tau relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form it cc ed 'ity 'Arlin n#3101�. - Signature Print Name Date Released By l5ate 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 $2,910.05 10/24/2017 Building Plan Review Fee $1,891.53 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) $180.00 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: $10,163.08 Iiiud P;nmcnt: $Ill,lI UX W11:111cc Due: S0.1111 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 SETBACKS NOTES. 1 9TH ST, N fROwr 20' .BUILDING DMNS70WS ARE 70 8'WA1fR NX 5' FAar O<fOIUNDAAOW REAR 5' •LWAD1NG 9YONN AS DE96W 4* % AC7UAL LOCAAAN UAY VARY •SZwE DIR/VEIIAY 7D PUBLIC ROAD •SILT fENQE 70 BE INSTALLED PER 8'SEVER a7Y 6F ARUNGXV9 STANDARD 10.00'PUBU ZHU 4 500,PR1VA7E •_%T fENX 70 BE INSTALLED 0W UAUTY COVAE070Y NA7E7P Sr" LWAD1EHT 570E OF BUILDING EAssigvT SLwwar EASLW19VT PARaEZ •G1507RVC770W ENIRANar 70 BE INSTALLED PER 017Y 6F a 6 H ARUNGW9 STANDARDS d N8920 49 W ° STORM NOTES. 00 •7EX INSTALLED PR/a? 7D C1WWSNUC77ON I ,BARE SYYLS C%fRED WIH MULOY i } 04 ANOW?APPROVED 6WP S7M aEANOUT. g 70 20 00'BM L PER I .W50 W97QE&F 75L 13 COYNECT ROOD AND N (ffF 12•DIEP7H) FOIOANG DRAINS 481 Sr- - •ALL 6NSY7E R61KIFF LIOWNEC7ED TO -- - - -- ay"AY 11.00 - - - - - - PR/Vi17EsTaymSW $ TOP 465.5 3.7 ,• 7E-WALL BE STAB/UZED PR/04 5..Od' cd TOE 461.8 TO BUILDING PDWT BONG 19.gp Z00 100 10.00'WAUIWA/N FINALIZED GARAGE I EASO/ENT SITENOTES.• 1'00'R06F OV£RHANf \�y7ZINE BUILDING 176HRINE f007ING DRAINS AND ,�u RW DRAINS TO PERA/ANENT 0 S7t�Pl/DRAINAGE SY57E7/PER APPROVED PLAT DRAINAGE PLAN TOP 465.5 OV RLE N17H 7HE COUNTY. o PROPOSED REST�GE - = I TOE 461.8 3'7 •AA F S7UR8M6T INCLUDES I mlu-2338 cm ix 1?16 IT ! 1,586bt9r - LEGEND: oI r 50�' it mw oFi 0— BLOW Off I ( ! - 100' ® WA7DP A/E7DP 4( RRE HYDRANT I -XI_X_ ! $ I PA NO 12 9'� ��.BSBL .0 AIR VAC ! I I 003 CA701 BASIN ! r 5IV'80L 11 O CLEANOUT - TOP 465.5 3.7 O — — BSA —TOE 461-8— _+ A/ANHGYE 45.00 ,. 7REE REMOVAL N_8970'49"W - � - - - - - ��P�:PREI�a - - -- � � PhGi°ERTY - - - CND - O C T 1. 1 2.017 msmG SC4LE 1'=20' CaVrOUR(IMP.) I LOT 78 fINl90 CLW70UR { _ ('fp) I SITE PLAN GREGOR Y PARK LGI HOMES PLAN NO. MILL-23M LOT AREA = 4,320 SF DATE 9127IM17 PARCEL # LOT 78 HOUSE= 1,589 SF 14711 NE2-Plo,#111 DRIVEWAY= 481 SF 8,11e.,e•W,,h1^gim 98007 DESIGNED CORE ADDRESS 9008 1697H ST. NE 425.885.7877 Fox 425.885.7963 WALKWAY/PAAO = 12 SF PROJECT NUMBER TOTAL- 2,082 SF ENGINEERING PLANNING • SURVEYING DRAWN CAF 13024L-GRG00 CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 ` PHONE; (360)403-3551 BUILDING PERMIT Address:9008 169th Street NE Permit#:1694 Parcel#:01166900007800 Valuation:289008.30 OWNER APPLICANT CONTRACTOR Name:LGI HOMES-WASHINGTON LLC Name:LGI Homes-Washington,LLC Name:LGI Homes-Washington,LLC Address: 1450 LAKE ROBBINS DR STE 130 Address:9026 168th Strect 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: 2 CONST.TYPE: `I-13 DWELLING UNITS: I OCC GROUP: R-3 BUILDINGS: OCC LOAD: PERMIT APPROVAL 1 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/IRCl10. SALES TAX NOTIC:F.:Sales tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form m c ed ity 'Arlin n#3101. Signature Print Name Date Released By to 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 $2,910.05 10/24/2017 Building Plan Review Fee $1,891.53 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) $180.00 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: $10,163.08 Total Payment: $10,163.08 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 BACKS NOTES. P ROVEJCX H ST. N MXT 10' •BURUNG DIMENZWS ARE 70 8'WA7B? '7DE 5' FACT OF FOUNDA&W REAR 5' .OPADING NONN AS D�'GW 17 t A07UAL LOCAnOW MAY VARY •SL64vE DVPIYEWAY 70 PUBLJC ROAD -- •sILT fENac, 77 BE INSTALLED P£R N AN E8 AUTHO 17 i8'ZN& aTY OF ARUNGTCW S STANDARD 5.00'PRIVATE •-%r fENCT 70 BE INSTALLED CWB D1 G IBC WATER Sr" � Gi4ADIDVT SIDE 6FBUILDING STRNL� EAzvovT 1 ,AR aucn6W ENIRAN(.L� T�7 BE 'v ° ° •• t i r • ,• INSTALLED P&CITY 6F 4 4 A N892049"W, A 4 - ARLINGTLW'S STANDARD,£ STORM NOTES. 4 00 •7ESC INSTALLED PRICK M f a COVSTRucn6W J BARE SOILS COIERED N17H MULLII OR ANOTH&APPROWD W ST"CYEANOU g " } �8.0 20.DO'&& •7CWSOIL PER N500E BMP 7513 -I CONNECT ROLF AND N (ffF 12'DEPTH) FGIOnNG LURA/NS !81 SF _ - I •ALL ON97E RUNW CiOWNECTED TO DRIVEWAY 1100 — — — — —— — PR/VAX STI,YPM SW - -. $ TOP 465.5 3 7 ,27E SyALL BE STASKIM PR16R q� J o� TOE 46158 TO BUILDING PSFMIT BONG I 19 Too 5.W I_ 10.010'WALL/DRNN f1NALlZED GARAac' — }` EAZWDVT SITE NOTES.- �00 'ROOF OVERHANf BUILDING-� I •716YIIUNE FOOnNG DRAINS AND IX/IUNE :W ROLF DRNNS TO P MANENT ,�u $ o I S7W DRAINAGE SM7&PER I ^ o $ APPROVED PLAT DRNNA6r PLAN o� TOP 465.5 LW ALE W7H 7HE CWNTY. o PRE 5ED RESI�, = I TOE 46; 3'7 •AREA LO SIURBANQT INaUDES I = MILL-23M Gr4RA6E R1QYT 1,582t9r LEGEND: ' 35 A0 Jn ii o�lr- o- BLOW OPT - 50�' x 4(. ' ----- - 00 ® WAT£RMV& -- - f7RE HYDRANT ti — — a: — PA 12 sF —�— � AIR VAC $ I 5 00'Bs& — I I 013 CATCH BASIN 800'8SYL I I � � TOP 465.5 0 CYEANOUT TOE 461.8 J.7 O MANHOLE &OXWALL 45 O0 � �� key n?EE REMOVAL N897049"W - - -- - -1 �f'R0�'ERTY - - - - -- - - RecePlde'd EXISANG � SL^AL£I'm 20' �/ 2(1(!'I� CYaMTOY/R(TYP.) 11� ' LOT 78 RNI-W69 CAVRX/R (T'.) SITE PLAN GREGOR Y PARK LGI HOMES PLAN NO. MILL-2338 LOT AREA = 4,J20 SF DATE 912712017 PARCEL # LOT 78 HOUSE= 1,589 SF 1471 I NE 291h Place,#707 DRIVEWAY= 481 54F Bellevue,W-hmg—98007 DESIGNED CORE ADDRESS 901018 1697H ST. NE 425.885.7877 Fa<425.885.7963 WALKWAY/PAAO = 12 SF PROJECT NUMBER TOTAL= 2,082 SF ENGINEERING • PLANNING • SURVEYING DRAWN CAF 13024L-GRGOO e Yti 37�� J; r i Permit Information Date 10/12/2017 Permit Number 1694 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 9008 169th Street NE Valuation 289008.30 Status Applied Permit Issued Permit Expires Square Feet 2718 Type of Construction/Occupancy Load V-B Number of Stories 2 Proposed Use New SFR Assigned To Kristin Foster Property Owner Parcel Address Legal Owner Phone Zoning 01166900007800 9008 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, ,360-353- Labor and ILLC Jake Jabusch 0588 jake.jabusch@lgihomes.co CONTRACTOR (industries I-GIHOHL857M Review Date Type Descri tion I Target Date Completed Date Assigned To Status 10/12/2017 lResidential Dwelling 10/19/2017 Nmy Rusko 11n Review 10/12/2017 lResidential Dwelling 10/19/2017 Kevin Olander lin Review Fees Fee Description Notes Amount Building Permit Fee 322.10 00.01 $2,910.0 Building Plan Review Fee 345.83.00.Oq $1,891.5 Furnace 322.10.00.Oq $25.00 Gas Outlets Base Fee 1 to 5 322.10.00.001 $10.00 Mechanical Fee Enter Fixture Fee 322.12.00.0 $25.00 Mechanical Permit Base Fee 322.10.00.001 $25.00 Park-Community SF 345.85.00.Oq $1,662.00 Plumbing Permit Base Fee 322.10.00.001 $25.00 Plumbing Permit Fee Enter Fixture Fee 322.10.00.001 15 @$12 $180.0 Processin /Technolo Fee 341.43.00.021 $25.0 State Building Code Surcharge Fe 386.00.01.0 $4.5 Traffic Mitigation-Cityl 345.85.00.02 $3,355.00 Water Heated 322.10.00.001 $25.0 Total $10,163.0 Uploaded Files Upload File Date File Uploaded B 10/12/2017 10.48:27AM 1694 Site Pian.pdf Foster,Kristin X 10/12/2017 10:48:27 AM 1694 Application.pdf Foster,Kristin x 4�4�. 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 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: 9008 169th Street NE Plat: Gregory Park- Lot 78 01 Single-family ❑ Duplex Ll Townhouse D Addition 0] Accessory structure Proposed Area: 1" Floor: 1006 2nd Floor: 1332 Garage: 380 Total SF: 2718 Describe Proposal (include cross street): Application for new single family residence to be located at 9008 16th Street NE. Cross street is 91st Valuation: _�� • 2�� Owner: LGI Homes- Washington LLC Address: 11410 NE 124th St. STE 103 City: Kirkland State:WA Zip Code:98034 _ Phone: 360-353-0588 Email: jake.jabusch@lgihomes.com Applicant: LGI Homes- Washington LLC Address: 11410 NE 124th St STE 103 City: Kirkland State: WA Zip Code:98034 _ . Phone: 360-353-0588 Email:jake.jabusch@lgihomes.com _ Contractor: LGI Homes- Washington LLC Address: 11410 NE 124th St. STE 103 City:Kirkland State:WA Zip Code:98034 Phone: 360-353-0588 Email:jake.jabusch@lgihomes.com Contact Person:Jake Jabusch License Number:LGIHOHL857MB Expiration: 7/3/2018 PA71tAq 6/16LP Page 1 of 3 RESIDENTIAL PERMIT APPLICATION Department of Community & Economic Development O City of Arlington• 18204 59th Ave NE •Arlington,WA 98223 • Phone(360)403-3551 11ti'C:� Plumbing Section (continue filling out if plumbing is involved) (Check all that apply and indicate the number of fixtures proposed) C1 Bath/Shower Combo (4.0) x 1 Sink (1.5) x 1 F�31 Shower (2.0) x 1 Lavatory (1.0) x 5 ❑ Clothes Washer (4.0) x 9i Water Closet(2.5) x 3 E3 Dishwasher (1.5) x 1 fJ:. Water Heater x 1 14 Hose Bibb (2.5) x 2 Water Heater Model # F11 Other (list) x 1 AO Smith HPTU-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) 6/16LP Page 2 of 3 i 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: �i Furnace (80+) Model# Bryant 915SA30040S14 AFUE 95% ❑ Heat Pump Model# SEER HSPE ❑1 AC Unit Model# SEER ❑ Type ll Hood ❑1 Commercial Cooking Appliance ❑ Hydronic Piping ❑ Boiler ❑ Solid-Fuel Appliance ❑ PV System ❑ Fireplace Insert ❑! Outdoor BBQ Ol Storage Tank �i 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: _ 5 • 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 Signatures Date: (l r �J t-- Print Applicants Name: 6116LP Page 3 of 3 Date: 04/10/2026 Perm t#: 1694 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#: 01166900007800 L GI HOMES -WASHINGTON LLC LGI HOMES -WASHINGTON LLC 1 450 LAKE ROBBINS DR STE 430 9008 169th Street NE T HE WOODLANDS, TX 77380 Zoning: 111 Single Fam iy Residence - DetachedLot: 78Block: Permit#: 1694 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: 289008.30 Square Feet: 2718 Num ber of Stories: 2 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- 01166900007800 9 008 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 12/08/2017 R20.SFR/DUPLEX Com Iieted 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 $2,910.05 Building Plan Review T able 4-2 $1,891.53 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 1 5 @$12 $180.00 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 $10,163.08 Attached Letters Date Letter D escription 10/24/2017 Building Perm i Paym arts Date Paid By D escription P aym a►t Type A ccepted By A m aunt 10/24/2017 LGI Hom cs-Washington Check#5758 K ristin Foster $8,271.55 LLC 10/24/2017 LGI Horn 6-Washington,, Check#5702 K ristin Foster $1,891.53 LLC O utstanding Balance $0.00 Uploaded Files Date File Nam e O1/09/2018 2938046-1694 Issued Perm i.pdf 10/12/2017 2694779-1694 Application.pdf 10/12/2017 2694780-1694 Site Plan.pdf