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Home My WebLink About9020 169th Street NE_BLD1696_2026 RESIDENTIAL PERMIT APPLICATION Department of Community& Economic Development �lrN SO' 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: 9020 169th Street NE Plat: Gregory Park Lot 80 V31 Single-family ❑ Duplex ❑I Townhouse 1�11 Addition DI Accessory structure Proposed Area: 1" Floor: 963 2nd Floor: 1196 Garage: 418 Total SF: 2577 Describe Proposal (include cross street): Application for new single family residence to be located at 9020 169th Street NE. Cross street is 91st,DIr 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: State: Zip Code:Arlington WA 98223 _ . Phone: 425-785-0797 Email: matt.adams@lgihomes.com Contractor: LGI Homes - Washington LLC 9028 168th Street NE Arlington WA 98223 Address: City: State: Zip Code: Phone: 425-785-0797 Email: matt.adams@lgihomes.com Contact Person: Matt Adams License Number:LGIHOHL857MB Expiration: 07/02/2019 0 711AW 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) KJ1 Bath/Shower Combo (4.0) x MI Sink (1.5) x 1 16 Shower (2.0) x 1 Cal Lavatory (1.0) x 4 Ul Clothes Washer (4.0) x MIS Water Closet(2.5) x 3 91; Dishwasher (1.5) x 1 ZI Water Heater x 1 M1 Hose Bibb (2.5) x 2 Water Heater Model # E3 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 RESIDENTIAL PERMIT APPLICATION `y ? 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: FA1 Furnace (80+) Model# Bryant 915SA30040514 AFUE 95% ❑1 Heat Pump Model# SEER HSPE ❑ AC Unit Model# SEER LJ Type II Hood Commercial Cooking Appliance D1 Hydronic Piping 01 Boiler ❑ Solid-Fuel Appliance al PV System 01 Fireplace Insert ❑1 Outdoor BBQ Storage Tank 21 Freestanding Stove Di Gas Piping 01 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: 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 Signature: Date: Print Applicants Name: 6/16LP Page 3 of 3 � r . CITY OF ARLINGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:9020 169th Street NE Permit#:1696 Parcel#:01166900008000 Valuation:269962.41 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,WA 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: `/-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. IBC110/IRC1l0. S LE TA .NOTICE:Sales tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form a4i c ed o Arlingtoi #3101. Signature Print Name Date Released By atc 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 $2,759.38 10/24/2017 Building Plan Review Fee $1,793.60 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) $168 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: $9,902.48 focal["I)nwnt: $9.902.48 Balancr Due: 50.00 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 SETBACKS NOTES. FRONT 20' •BUILDING BYMEN-96WS ARE TO SYDE 5' FACE OF FOUNDAAON 8"WA7ER 169TH ST. WE REAR 5' 4PADING 9YONN AS D£SrG1{/ co A07VAL LOCAAOW MAY VARY 5tO 7 SPORE LUR/;f VAY R7 PUBLIC ROAD -I— •-%T FENCE TO BE INSTALLED PER 8"SEW aTY OF ARLINGTOW S STANDARD 10.00'P UC •a T fENCE TO BE INSTALLED ON UAU COWNECA STGWM LLEANOUT. PAARLM T SrDE OF BUILDING EASEM COVNECT ROOD AND •CaVSAPUCAOW EN7RANCE 70 BE ° J o FOOANG DRAINS INSTALLED PER CITY Ole v - - ARLING76W:1 STANDARDS N8920'49"W° e ° 4 STORM NO TES: ° �` •7ESC INSTALLED PRIOR 70 25.40 ,p 90o a C067RUC77aW •BAR£SOILS COVERED W7H MULCH $ o o 6 R AN07H R APPROVED 8MP 25.VO' 20.IV 0 0� -XPSOIL PER W517OF BMP T513 a SBL , 1 'f o (&T 12-DEP7H) •ALL 6WS17E RUNOFF CONNEC70 TO a ' PR/VAT£ST"37UB VA - - - - .9TF 9YALL BE STABILIZED PRIOR 20.00 $ $10.415 \ -44 70 FINALIZED BUILDING PERMIT BEING GARAGE 1.00'ROOF 1 4,50 4 SITE NOTES. OVERHANG I \ •770Y&INE FOOANG DRAINS AND BUILDING-� ROOF DRAINS 70 PERMANENT OUTLINE O STORM DRAINAGE SYSTEM PER o !� APPROVED PLAT DRA/NA6F PLAN LOT 80 OV FILE W7H PIE COUNTY. •"� `O PRApOSED RESJDENCE o H •AREA OF DIS7URBANar INGYUDES _ KEFU-2159 GAR416F R/GAIT o SNARE LOT. 0 � � '� �� LEGEND: o- BLOW OFF m00 ® WA7ER MFU I 10.00 \ 4( RRE HYDRANT f I AIR VAC 5.00'8Sl9L $ EWSANG PA AO 39 Sr ® CA7W BASIN CONTOUR(TYP.) S O GYfMaIT WA ER O MANHOLE S.Do'BSBL - 44NLE CI=i=LL-i-1 BLOX WALL 50.00 APES REMOVAL N8920'49"W� PROPERTY mNER RAIISn'£D CGW70UR ° SL^ALE 1•= 20' �4210(a LOT 80 SITE PLAN GREGOR Y PARK LG/ HOMES PLAN NO. KETTLE-2159 LOT AREA = 4,666 SF DATE 912712017 PARCEL # LOT 80 HOUSE= 1,588 5 14711 NE 291h Place,11,11 DR/V£WAY= 472 SF 301—e,W.shmgl-98007 DESIGNED CORE ADDRESS 9020 1697H ST. NE 425.885,7977 Fax 425.805 7963 WALKWAYIPAAO = 39 Sf- `DESIGN PROJECT NUMBER TOTAL= 2,099 SF ENGINEERING PLANNING • SURVEYING DRAWN CAF 13024L-GRG00 NOTICE TO PERMITEE AND/OR OWNER ❑ PARTIAL APPROVAL ❑ DO NOT OCCUPY ❑ CORRECTIONS REQUIRED PERMIT LOT NUMBER ( (�; # JOB ADDRESS ❑ NO PERMIT—STOP WORK—OBTAIN PERMIT AND MAKE WORK COMPLY WITH CURRENT BUILDING/PLANNING CODES. ❑ CONSTRUCTION IS NOT IN ACCORDANCE WITH APPROVED PLANS AND PERMIT—STOP WORK. MAKE EXISTING WORK COMPLY WITH APPROVED PLANS AND PERMIT OR REMOVE IT. ❑ STOP WORK—UNTIL AUTHORIZED TO CONTINUE BY INSPECTOR. ❑ CORRECTIONS LISTED BELOW MUST BE MADE BEFORE WORK CAN BE APPROVED. ❑ WORK NOT READY FOR INSPECTION-$50 REINSPECTION FEE(PER IBC) MUST BE PAID BEFORE NEXT INSPECTION. ❑ CONTACT INSPECTOR ❑ RECALL FOR INSPECTION y l THE ACTIONS OR CORRECTIONS INDICATED ABOVEARE RQUIRED WITHIN DAYS OR PENALTIES IMPOSED BY LAW MAYBE APPLIED, FOR INSPECTIONS CALL: 360.403-3417 For questions or to talk to an Inspector,call: 360-403-3551 {J, t"' 'S�'� I I ) / ❑BUILDING DEPT Inspector Date ❑PLANNING DEPT CITY OF ARLINGTON NOTICE TO PERMITEE AND/OR OWNER ❑ PARTIAL APPROVAL ❑ DO NOT OCCUPY ❑ CORRECTIONS REQUIRED PERMIT LOT DATE: NUMBER # JOB ADDRESS ❑ NO PERMIT—STOP WORK—OBTAIN PERMIT AND MAKE WORK COMPLY WITH CURRENT BUILDING/PLANNING CODES. ❑ CONSTRUCTION IS NOT IN ACCORDANCE WITH APPROVED PLANS AND PERMIT—STOP WORK. MAKE EXISTING WORK COMPLY WITH APPROVED PLANS AND PERMIT OR REMOVE IT. ❑ STOP WORK—UNTIL AUTHORIZED TO CONTINUE BY INSPECTOR. ❑ CORRECTIONS LISTED BELOW MUST BE MADE BEFORE WORK CAN BE APPROVED. ❑ WORK NOT READY FOR INSPECTION-$50 REINSPECTION FEE(PER IBC) MUST BE PAID BEFORE NEXT INSPECTION. ❑ CONTACT INSPECTOR \❑ RECALL FOR INSPECTION THEACTIONS OR CORRECTIONS INDICATED ABOVE ARE RQUIRED WITHIN DAYS OR PENALTIES IMPOSED BY LAW MAY BE APPLIED. FOR INSPECTIONS CALL: 360-403-3417 For questions or to talk to an Inspector,call: 360-403-3551 ❑BUILDING DEPT Inspector Date ❑PLANNING DEPT CITY OF ARLINGTON { I+ .. ■ I _ � ■ ■ BUILDING INSPECTION REPORT— MECHANICAL Permit No. BLD1696 Address: 9020 169th Street NE Contractor: LGI Owner: LGI Date: 1/17/2018 ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ CORRECTION ❑ OTHER APPLIANCE: Gas Piping A/lo GAS PIPING: ❑ DRIP LEG: ❑ SHUT-OFF VALVE: ❑ SEISMIC: ❑ PRESSURE TEST: ❑ REGULATOR VENTING: ❑ PIPING SUPPORT: ❑ ACCESS: ❑ % INCH—6 FEET: ❑ MATERIAL: ❑ %- 1 INCH—8 FEET: ❑ 1 '/a OR LARGER—10 FEET: ❑ Date: 1/17/2018 INSPECTOR: 7 . CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:9020 169th Street NE Permit#:1696 Parcel#:01166900008000 Valuation:269962.41 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,WA 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: `/_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. IBCI 10/IRC110. S. LE. TA,'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 ed A=:AL- VG�kSt �� 1 Signature Print Name Date Released By atc 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 $2,759.38 10/24/2017 Building Plan Review Fee $1,793.60 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) $168.00 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: $9,902.48 Tidal Payment. $9,902.48 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 SETBACKS NOTES: fROVT 20' ,BUILDING D/MENRWS ARE 70 SrVE 5' FAX O<FOUNDAl1GW B WAT£R 169TH ST, E REAR 5' ,LWADING WONN AS 006W - ACTUAL LOCA7IOV MAY VARY St ,SYOPIF DVPIb£WAY 70 PUBLIC ROAD •Z T FENCE TO BE INSTALLED PER 8'SFNfiP OYTY OF ARL/NG76 S STANDARD f0.00'P UC •_%T fENCr 70 BE INSTALLED OV GKADIEHT SYDE OF BUILDING UAU CGNNECA S70ft aiANOIUT. PAS EASEME! COWNECT ROOF AND •COWS7RUCALW ENIRANO F TO BE o p ' o o �+1 • FOOhNG D➢NNS INSTALLED PER CITY OF ARUNGlDV4 F STANDARDS ILI N89 20'49"W d ° , \ STORM NOTES.- 25. •TESL'INSTALLED PR/OP 70 CONSIRUCAGW r' o_ •BARE SaLS COWRED Nl1N MULO'I $ o o OP ANOTHER APPROb£D BIIP ,n 5VO' 20.001 70PS6k PER 01500E BW T513 - - H — , s < o (EFT 12'DEP7H) — 472 •ALL GWS/1£RUNOFF CONNE07£D TO DglWNAY — — - ° PR/VAX S7W STUB 71 10L •44 SITE SHALL BE STABILIZED f34IOR 20.00 g 10 70 BUILDING PERMIT BEING 1 GARAGE FINALIZED 1.00'ROOD 1 450 e , SITE NOTES: OWRARAW I \ •770YZINE F007ING DRAINS AND BUILDING ROO<DRAINS 76 PERMANENT ��aW OURIN£ ST"DRNNA6F SYSTEM PER T APPRWD PLAT DRAINAGE FLAN $ LOT 80 2 H D1S7UR ON RLE NI7H THE CaINTY. o Q, g PROPOSED IPESJDENCf o _ -AREA OIL- BANLI�INCLUDES KETTLE--2159 GARAW R10yr SNARE LOT. 1,5& ^ S LEGEND: o- BLOW OFF 35.00 ® NO7ER ME7ER ' I « ARE HYDRANT r 5.00'80L PA AO 39 9r *_ A/R VAC g I E'X/STING fIIl CATW BANN O0117WR(TYP.) S O OfANOUT WA ER S.00'B519L O MANHOLE &g p NOLr T1 I F1 BLOW WALL 50.00 i ,/ TREE REMOVAL N8920'49"W ITY O G RA°ERTY BUILDIN EPPR(TmP) a 0C'I, AP F RAKpWED CCW70UP S�"1'=20' /� �) ° �Y �! LOT 80 NO CH AU ORIZED I S/TE PLAN UNLESS OV D BY THE BUILDIN I SPECTOR - GREGOR Y RA RK L G/ HOMES PLAN NO. KET7LE-2159 LOT AREA = 4,666 SF DATE 912712017 PARCEL # LOT 80 HOUSE= 1,588 SF 14711 NE291h Pl.,,N101 DRIVEWAY= 472 SF 6e11evue,W.,hi,gt,,98007 DESIGNED CORE ADDRESS 9020 1697H Sr NE 425.885.7B77 FaR 415 885.7963 WALKWAY/pA770 = 39 SF ��DfSIGN PROJECT NUMBER TOTAL= 2099 SF ENGINEERING PLANNING • SURVEYING DRAWN CAF 13024L-GRGOO 1 ,ter �. ..;� �. '+Y�; �� 7.1•.� y�l`;:»�l•�1 �V1��Lt�B Permit Information Date 10/12/2017 Permit Number 1696 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 9020 169th Street NE Valuation 269962.41 Status Applied Permit Issued Permit Expires Square Feet 2577 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 01166900008000 9020 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,Jake Jabusch 360-353- lake.jabusch@lgihomes.co CONTRACTOR (Labor and ILGIHOHL857M LLC 0588 Industries Review Date Type Descri tion I Target Date Completed Date Assigned To Status 10/12/2017 IlResidential Dwelling 10/19/2017 Nmy Rusko ]In Review 10/12/2017 lResidential Dwelling 10/19/2017 1 lKevin Olander In Review Fees Fee Description Notes Amount BuIldIng Permit Fee 322.10.00.00 $2,159.ib Building Plan Review Fee 345-83.00.00 $1,793.60 Furnace 322.10.00.00 $25.00 Gas Outlets Base Fee 1 to 5 322.10.00.00 $10.0 Mechanical Fee(Enter Fixture Fee) 32210.00 0 $25.0 Mechanical Permit Base Fee 322.10.00.00 $25.0 Park-Community S 345.85.00.001 $1.662.0 Plumbing Permit Base Feel 322.1&00.0q. $25.0 Plumbing Permit Fee(Enter Fixture Fee) 322.10.00.0 14 @$12 $168.0 Processing/Technology Processingrrechnology Fee 341.43.00.02 $25.0 State Building Code Surcharge Fee 386.00,01.00 $4.5 Traffic Mitigation-City 345.85.00.02 $3.355.00. Water Hcator 322.10.00.00 $25.00 Totaq $9.902.4 Notes Date Note 10/12/2017 Lot 80-Kettle Uploaded Files Upload File Date File Uploaded B 10/12/2017 1:17:02 PM 1696 Site Plan.adf Foster,Kristin x 10/12/2017 1:17:02 PM 1696 Application.pdf Foster,Kristin x RESIDENTIAL PERMIT APPLICATION Department of Community & Economic Development 1N City of Arlington• 18204 59th Ave NE •Arlington,WA 98223 • Phone(360)403-3551(r� 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: 9020 169th Street NE Gregory Park Lot 80 III Single-family ❑ Duplex 0J Townhouse ❑ Addition Cl; Accessory structure Proposed Area: 1 s' Floor: 963 2nd Floor: 1196 Garage: 418 Total SF: 2577 Describe Proposal (include cross street): Application for new single family residence to be located at 9020 169th Street NE. Cross street is 91st, 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 W7 IlAte 6/16LP Page 1 of 3 Ztr �` 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) t3 Bath/Shower Combo (4.0) x Sink (1.5) x 1 91 Shower (2.0) x Lavatory (1.0) x 4 01 Clothes Washer (4.0) x C Water Closet (2.5) x 3 Dishwasher (1.5) x 1 01 Water Heater x 1 141 Hose Bibb (2.5) x 2 Water Heater Model # ek Other (list)`h x 1 AO Smith HPTU - 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 I RESIDENTIAL PERMIT APPLICATION r Department of Community & Economic Development O City of Arlington• 18204 59th Ave NE•Arlington,WA 98223 • Phone(360)403-3551 t NT G Mechanical Section (continue filling out if mechanical equipment is involved) Select proposed appliances: lid Bryant 915SA30040514 95% Furnace (80+) Model# AFUE ❑ Heat Pump Model# SEER HSPE ❑ AC Unit Model# SEER ❑ Type II Hood D Commercial Cooking Appliance ❑ Hydronic Piping ❑ Boiler ❑ Solid-Fuel Appliance ❑ PV System 01 Fireplace Insert 01 Outdoor BBQ ❑ Storage Tank I 12.i 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: 35' • 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: t of 11 Print Applicants Name: 6/16LP Page 3 of 3 Date: 04/10/2026 Perm t#: 1696 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 eIn: 00:00 Time O it: 00:00 H curs: 0.0 Property Information Parcel#: 01166900008000 L GI HOMES -WASHINGTON LLC LGI HOMES -WASHINGTON LLC 1 450 LAKE ROBBINS DR STE 430 9020 169th Street NE T HE WOODLANDS, WA77380 Zoning: 111 Single Fam iy Residence - DetachedLot: 80131ock: Permit#: 1696 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: 269962.41 Square Feet: 2577 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- 01166900008000 9 020 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 03/07/2018 B UILDING C om 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 $2,759.38 Building Plan Review T able 4-2 $1,793.60 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 4 @$12 $168.00 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 $9,902.48 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 aunt 10/24/2017 LGI Hom cs-Washington,, Check#5764 K ristin Foster $8,108.88 LLC 10/24/2017 LGI Hom 6-Washington,, Check#5763 K ristin Foster $1,793.60 LLC O utstanding Balance $0.00 Notes Date Note C reated By: 10/12/2017 Lot 80-Kettle Kristin Foster Uploaded Files Date File Nam e 10/27/2017 2736453-1696 Issued Perm i.pdf 10/12/2017 2695696-1696 Application.pdf 10/12/2017 2695697-1696 Site Plan.pdf