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Home My WebLink About9014 169th Street NE_BLD1695_2026 RESIDENTIAL PERMIT APPLICATION Department of Community& Economic Development Or 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: 9014 169th Street Street NE Gregory Park Lot 79 . 141 Single-family Q1 Duplex Townhouse C71 Addition Accessory structure Proposed Area: 1st Floor. 1487 211 Floor: Garage: 402 Total SF: 1889 Describe Proposal (include cross street): Application for new single family residence to be located at 9014 169th Street Street NE. Cross street is Valuation: A�hqq V 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 � �iD Ils'IS 6/16LP Page 1 of 3 RESIDENTIAL PERMIT APPLICATION Department of Community& Economic Development S 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"11 Bath/Shower Combo (4.0) x 1 Lh Sink (1.5) x 1 Shower (2.0) x 1 C11 Lavatory (1.0) x 2 ❑ Clothes Washer (4.0) x ( ; Water Closet(2.5) x 2 Dishwasher (1.5) x 1 C�J; Water Heater x 1 Q! Hose Bibb (2.5) x 2 Water Heater Model # ?3l 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 r •? Department of Community & Economic Development �'r 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: 01 Furnace (80+) Model # Bryant 915SA30040514 AFUE 95% ❑ Heat Pump Model # SEER HSPE 01 AC Unit Model# SEER 01 Type II Hood ❑ Commercial Cooking Appliance Hydronic Piping LJj Boiler ❑ Solid-Fuel Appliance ❑ PV System 01 Fireplace Insert ❑ Outdoor BBQ Storage Tank 2' Freestanding Stove 0. Gas Piping U 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: Ule Date: /T f Print Applicants Name: I -J tC C 6/16LP Page 3 of 3 CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:9014 169th Street NE Permit#:1695 Parcel#:01166900007900 Valuation: 191174.89 OWNER APPLICANT CONTRACTOR Name:LGI HOMES-WASHINGTON LLC Name:LG[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_$ 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/IRCI10. ALES T 1X NOTICE:Sales tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form a ode Ci of Arl'tgton#310� Signature Print Name Date Released By Da 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: $8,845.89 Tufnl I'a}nn nl: b8,844;99 liulance Due: ILIIII CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon _ SETBACKS NOTES: 16 TH ST. NE neavT 10� •BUILDING bWMEN-9aVS ARE m 8'NO A9 \, SIDE 5, FALL�FOUNDA7ILW REAR 5 _ • RADING 9YOMN AS DE 6W I �� 5�E °SYLP£"A r 76 PUBLIC ROAD •SYLT FENCE TO BE INSTALLED PER 8'S1�ME/P Q7Y OF ARVNG7LW S STANDARD 1QLALPI'T' BLIC WA 1�P •SIL T FENCE R7 BE INSTALLED LW U WA 0? CAYNEC AY G71'ADIENT SJDE LF BUILDING NT PARacz •CANS7RUCIILIN ENTRANCE TO BE p - ',, 7 '° INSTALLED PER aTY OF " ARL1WG1LW S STANDARDS - N8920'49"W ° " ° ° STORM NOTES: L 45. 0 1 �� •MW INSTALLED PRIG? TO 1 cwsmucncw S CYEANOU. � 2200' •BARE SaLS COWWED N17H MULLYI CONNECT ROOF AND LAP ANONNER APPROIED bMP F0071N0 DRNNS 20.00 BSBL 446 vr ° t •7LPSLYL PER WMOF bMP 751,E D4WEWAY (EFT 12 DEPTH) < \ •ALL 6W97E RUY6FF WVNECIED TO - --- .00' 11.Gb$ T' I f- —— — — PRIYA7ESTaWSAAB TbP 465.5 % 19.75 •.A7F STALL BE STABILIZED PRYLW 3'7 TOE 461.8 I - 425 V I 7D BUILDING PERMIT BEING 10,00' I♦'ALL/VRAIN—� - GARAGE I RNAVZED EAS 'AI£NT 1 I SITE NOTES: `t oo g BUILDING N ~ I '776N INE FOOTING DRAINS AND R06F DRAINS TO PERMANENT co I STORM DRAINAGE S67EM PER po �' LOT 79 8 0 I APPROWD PLAT DRAINAGE PLAN TOP 4 5.5 = p aV ALE W7H 7H£CWNTY. 3'7 TOE 46.1.8 PRGI°OSED RESDENCf I •AREA OF DIWURBANCE/NLYUDES - COLUMBIA-1487 GARAGL�LEFT po I ENDR£LOT. 2,10919r Z I 4010'ROLP OI'RHANG LEGEND. „ I �— BLOW off - 1250 ® WA I&METER ARE HYDRANT PA AO 12 Sr AIR VAC I 2450 I l� CARQ1 BANN 3 TOP 465.5 I I \ O�b' OO vr ( B ouR(TP) MANHOLE. 70E 461.8 500BSB CV -- - - - -, L=== 5 Oo 1 LgsgL—1J L -- - - - ® BLOCK WALL 45.00 TREE REMOVAL N8920'49"W CORNER I OCT I J. �017 I Mp) I SC4LE I'm 20' RNIMM CONMUR� I LOT 79 I � I � SITE PLAN i - 1 I GREGOR Y PARK LG/ HOMES PLAN NO. COL.—1487 LOT AREA = 4,J20 SF DATE 912712017 PARCEL # LOT 79 HOUSE = 2,f09 SF 4711 NE 29h Place,#I01 DRIWWAY= 416 SF eel—.,W.shhgl-98007 DESIGNED CORE ADDRESS 9014 1697H ST. NE C 425.885.7877 Fax 425.885 7963 WALKWAY/PA770 = 12 SF DESIGN PROJECT NUMBER TOTAL= 2,07 SF ENGINEERING • PLANNING • SURVEYING DRAWN CAF 13024L-GRG00 BUILDING INSPECTION REPORT— MECHANICAL Permit No. BLD1695 Address: 9014 169th Street NE Contractor: LGI Owner: LGI Date: 1/17/2018 ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ CORRECTION ❑ OTHER APPLIANCE: Gas Piping GAS PIPING: DRIP LEG: ❑ SHUT-OFF VALVE: ❑ SEISMIC: ❑ PRESSURE TEST: ❑ REGULATOR VENTING: ❑ PIPING SUPPORT: ❑ ACCESS: ❑ % INCH-6 FEET: ❑ MATERIAL: ❑ %-1 INCH-8 FEET: ❑ 1 '/4 OR LARGER-10 FEET: ❑ Date: 1/17/2018 INSPECTOR: -D aV��►, �'.1.�t n- i. , _�ko BUILDING INSPECTION REPORT— PLUMBING Permit No. BLD1695 Address: 9014 168th Street NE Contractor: LGI — Les Nelson 360-420-7334 Owner: LGI Date: 1/16/2018 Gam~ APPROVAL ❑ PARTIAL APPROVAL ❑ CORRECTION ❑ OTHER INSPECTION: Plumbing Rough In MEDICAL GAS: ❑ HANGARS/SUPPORTS: ❑ ROUGH-IN:mil— PROTECTION: ❑ INSULATION: ❑ VENTING: ❑ PRESSURE TEST: ❑ RPBA: ❑ SUMPS/PUMPS: ❑ CLEANOUTS: ❑ DRAIN: ❑ PRV: ❑ MATERIAL: ❑ SIZE: ❑ SHUT-OFF VALVE: ❑ AIRIVACUUM: ❑ Date: 1/16/2018 Inspector: Ryan Miller �. - I CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:9014 169th Street NE Permit#: 1695 Parcel#:01166900007900 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-$ 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. IBC110/IRC1l0. ALES MAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form a c ode C i of Art'igton#310j--�71�� to cL t " 7 Signature Print Name Date Released By Da 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: $0.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,Type or Inspection being requested,and whether you prefer morning or afternoon r" SETBACKS y NOTES.ILDIN DEPAR r 1 Ty F,RONT 20' .BUILDING D/MEN9046 ARE M 8 WA1ER SID£ 5' FACE OF fWNDATI6W REAR 5' •WADING 99ONN AS DEYW �o A07UAL LOCAA6W MAY VARY S+ •SXOPIF DRIVEWAY M PUBLIC ROAD •X r fENOF TO BE/NSTALLS9 PER _- 8';SEKtR a7Y OF ARL/NGTCWS STANDARD UNL S� 'spUBll4 p 8 TH •ZT fENCE* 77 BE INSTALLED X BU LDI 'IIL/TY p WA CANNEC pY PAAD/ENT SJ'DE GIB BUILDING °PARaCZ CO&S7RUC77ON ENIRANX TO BE 9 _ INSTALLED PER Q7Y OF ARLIN07W S STANDARDS N8920'49"W ° ° " ° ° STORM NOTES.- 45. 0 \ •NX INSTALLED PR/A? TO \1 awsmucncw ST M LYEANOU. 1,' 2La0' •BARE SaLS COVERED W7H MULCH CCIYNECT R06F AND OP ANOTHER APPROVfD BMP FOIOANG DRAINS 2000'BSl4L 416 ° •T6IR506L PER NSOAE BMP 75.13 OBIVEWAr Lb 1 (EFT 12 DEP1H) 1 •ALL OWSIIE RUNOFF CANNECMD TO - - - - - - - 11.00$ - - i pp - - - - - PR/VA7FS7WW SW 3.7 TOP 465.5 $ 19.75 •SIIF 9VALL BE STABILIZED PRIOR TOE 461.8 1 v� I TO BUILDING PERM/T BEING 10.00' ALLIVA/N yl 425 GARAGE 1 FINALIZED EA I I kwI SITE NOTES.- •770Y7L/NE FOOANG DRAINS AND I ^ o BUILDING I ROOF DRAINS TO PERMANENT 6I11L/NE I SEMM DRA/NAX SYS01 PiR PROPOSED RESDENI,'E LOT 79 APPROVED PLAT DRAINAGE PLAN FIL TOP 465.5 °j LW E W7H 7HE COUNTY. 3.7 TOE 461.8 AREA OF D/SIUIPB,4NQE INCYUDES CALUMEIIA-141t7 GARAL�LEFT oo I SNARE LOT. � 2,109f9F = 1 1.00'R06F 0WMANG LEGEND: I o- BLOW Off 10.50 I ® WATER METER 4( FIRE HYDRANT PA DO 12 SF A/R VAC 1 2450 13 CATCPI BASIN 1 I 00 M77NG O cYEmour TOP 3.7 TOE 461.465.5.6 C"5.00 B5R 5.00'858L—1 � ICONTOUR(TYP.) O MANHLICE - - -,'- - - � _ L - - - -5Q0 ��L1� L - - - - - r-:-H I BLowWALL 45.00 7R£E REMOVAL N8920'49"w— �eceivea PRQ°ERTY � r CVRN£R I I O C I .1. 1 7�) - I (rfp) 1 I I = I I I X4LE I'm 20' = I RNI-WO CANIWJR---'r I L OT 79 i - I Or) 1 1 SITE PLAN I _ i GREGOR Y PARK LG/ HOMES PLAN NO. COL.-1487 LOT AREA = 4,320 SF DATE 9/27/2017 PARCEL # LOT 79 HOUSE= 2,109 SF 14711 NE 19h Place,p101 ORIVEWAY= 416 S,f C Bellevue,Washington 98007 DESIGNED CORE ADDRESS 9014 1697H Sr NE 425.BB5.7877 Fax 425 885.7963 WALKWAY/PA770 = 12 SF `�oesrcN PROJECT NUMBER TOTAL= 2,537 SF ENGINEERING • PLANNING • SURVEYING DRAWN CAF 13024L-GRG00 _�_ .�_r, .i � .JY,� 1 � ) .•i � 3 j a ,�ti .. Permit Information Date 10/12/2017 Permit Number 1695 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 9014 169th Street NE Valuation 191174.89 Status Applied Permit Issued Permit Expires Square Feet 1889 Type of Construction/Occupancy Load V-13 Number of Stories 1 Proposed Use New SFR Assigned To Kristin Foster Property Owner Parcel Address Legal Owner Phone Zoning 01166900007900 9014 169th Street LGI HOMES-WASHINGTON 111 Single Family Residence- NE LLC Detached Contractors Contractor Name Primary Phone Email Contractor License License# Contact Type ILGI Homes-Washington, 360-353- (Labor and LLC Jake Jabusch ,0588 ake.jabusch@Igihomes.comc�ONTRACTOR (Industries ILGIHOHL857M Review Date Type Description—I Target Date I Completed Date IAssigned To I Status 10/12/2017 (Residential Dwelling 10/19/2017 kmy Rusko 111n Review 10/12/2017 lResidential Dwelling 10/19/2017 1 lKevin Olander 11in Review Fees Fee Description Notes Amount Building Permit Fed 322.10.00 00 $2,140.8 Building Plan Review Fed345.83.00.01 $1,391.5 FurnaA 322.10.00.0 $25.0 Gas Outlets Base Fee 1 to 51 322.10.00.0 $10.0 Mechanical Fee(Enter Fixture Fee)j 322.10.00.0 $25.0 Mechanical Permit Base Feel 322.10.00.0 $25.0 Park-Community S 345.85.00.001 $1,662.0 Plumbing Permit Base Fe 322.10.00.0 $25.0 Plumbing Permit Fee(Enter Fixture Fee)j 322.10.00.0 11 @$12 $132.0 Processing/Technology Fee 341.43.00.02 $25.0 State Building Code Surcharge Fed 386.00.01.0 $4.501 Traffic Mitigation-Cit 345.85.00.021 $3,355.0 Water Heate4 322.10.00.00 $25.0 Total $8.845.8 Uploaded Files Upload File Date File Uploaded B 10/12/2017 12:2/:11 PM 1b9b Appbcation.ptlt foster, Kristin 10/12/2017 12:27:11 PM 1695 Site Plan. f Foster,Kristin RESIDENTIAL PERMIT APPLICATION Department of Community & Economic Development y0 O City of Arlington• 18204 59th Ave NE •Arlington,WA 98223 • Phone(360)403-3551 LAY � 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: 9014 169th Street Street NE Plat: Gregory Park Lot 79 _ Single-family ❑ Duplex Townhouse ❑l Addition ❑ Accessory structure Proposed Area: 111 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 9014 169th Street Street NE. Cross street is 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: 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) "J" Bath/Shower Combo (4.0) x 1 MI 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 ®1 Dishwasher (1.5) x 1 Water Heater x 1 lj Hose Bibb (2.5) x 2 Water Heater Model # el Other (list) x 1 AO Smith H PTU - 50N Plumbing Section Continued Proposed Water Piping Size: 3/411 Proposed DWV Material: A BS 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 Mechanical Section (continue filling out if mechanical equipment is involved) Select proposed appliances: +0l Furnace (80+) Model # Bryant 915SA30040514 AFUE 95% ❑ Heat Pump Model# SEER HSPE ❑ AC Unit Model# SEER ❑j Type II Hood ❑ Commercial Cooking Appliance ❑ Hydronic Piping 0! Boiler ❑ Solid-Fuel Appliance 01 PV System ❑ Fireplace Insert 01 Outdoor BBQ Oj Storage Tank 121 Freestanding Stove W1 Gas Piping II 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: !011( Print Applicants Name: ��kd f, 'l' 6/16LP Page 3 of 3 Date: 04/10/2026 Perm t#: 1695 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#: 01166900007900 L GI HOMES -WASHINGTON LLC LGI HOMES -WASHINGTON LLC 1 450 LAKE ROBBINS DR STE 430 9014 169th Street NE T HE WOODLANDS, TX 77380 Zoning: 111 Single Fam iy Residence - DetachedLot: 79Block: Permit#: 1695 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- 01166900007900 9 014 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 $2,140.84 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 cant 10/24/2017 LGI Hom cs-Washington,, Check#5761 K ristin Foster $7,454.34 LLC 10/24/2017 LGI Hom 6-Washington,, Check#5760 K ristin Foster $1,391.55 LLC O ttstanding Balance $0.00 Uploaded Files Date File Nam e 10/27/2017 2736476-1695 Issued Perm tpdf 10/12/2017 2695369-1695 Site Plan.pdf 10/12/2017 2695370-1695 Apnlication.pdf