HomeMy WebLinkAbout9005 168th Street NE_BLD1707_2026 �`��` °� RESIDENTIAL PERMIT APPLICATION
Department of Community& Economic Development
jNG'' City of Arlington• 18204 59th Ave NE •Arlington,WA 98223 • Phone(360)403-3551
l
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:
9005 168th Street NE Plat: Gregory Park Lot 81
-
III Single-family ❑ Duplex El Townhouse 01 Addition Ql Accessory structure
Proposed Area: 1 st Floor. 963 2"d Floor: 1196 Garage: 418 Total SF: 2577
Describe Proposal (include cross street):
Application for new single family residence to be located at 9005 168th Street NE. Cross street is 91st /Q Ne✓
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
t7 no1
6/16LP Page 1 of 3
RESIDENTIAL PERMIT APPLICATION
Department of Community& Economic Development
��11N O 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)
61 Bath/Shower Combo (4.0) x A MI Sink (1.5) x 1
91 Shower (2.0) x 1 U Lavatory 0.0) x 4
01 Clothes Washer (4.0) x [4 Water Closet(2.5) x 3
�6; Dishwasher (1.5) x 1 9i Water Heater x 1
Q; Hose Bibb (2.5) x 2 Water Heater Model #
�! Other (list) x 1 AO Smith H PTU - 50N
Plumbing Section Continued
Proposed Water Piping Size: 3/411 Proposed DWV Material: 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
Department of Community& Economic Development
�C N �Ov City of Arlington• 18204 59th Ave NE •Arlington,WA 98223 • Phone(360)403-3551
,1G
Mechanical Section (continue filling out if mechanical equipment is involved)
Select proposed appliances:
Bryant 915SA30040514 95%
Furnace (80+) Model# AFUE
❑ Heat Pump Model# SEER HSPE
❑ AC Unit Model# SEER
❑ Type II Hood Commercial Cooking Appliance 01 Hydronic Piping
❑ Boiler Solid-Fuel Appliance 0; PV System
01 Fireplace Insert 01 Outdoor BBQ 0 Storage Tank
nl Freestanding Stove 41 Gas Piping ❑; Other
Gas Piping Information
Not Applicable: 0]
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: b . Date: /0L 3
Print Applicants Name: , I 11 a�lG I
6/16LP Page 3 of 3
CITY OF ARLINGTON
238 N. OLYMPIC AVE -ARLINGTON, WA. 98223
PHONE; (360)403-3551
BUILDING PERMIT
Address:9005 168th Street NE Permit#:1707
Parcel#:01166900008100 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:9028 168th Street NE Address: l 1410 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-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/IRC110.
SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington mus be reported on your sales tax return form
and coded Cit on.0 101.
Signature Print Name Date Released By loatc
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
10/27/2017 Building Permit Fee $2,759 38
10/27/2017 Building Plan Review Fee $1,793.60
10/27/2017 Furnace $25.00
10/27/2017 Gas Outlets Base Fee 1 to 5 $10 00
10/27/2017 Mechanical Fee(Enter Fixture Fee) $25.00
10/27/2017 Mechanical Permit Base Fee $25.00
10/27/2017 Park-Community SF $1,662 00
10/27/2017 Plumbing Permit Base Fee $25.00
10/27/2017 Plumbing Permit Fee(Enter Fixture Fee) $168.00
10/27/2017 Processing/Technology Fee $25.00
10/27/2017 State Building Code Surcharge Fee $4 50
10/27/2017 Traffic Mitigation-City $3,355.00
10/27/2017 Water Heater $25.00
Total Due: $9,902.48
Total Payment: $0.00
Balance Due: $9,902.48
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.•
I { fRLWT 20' •BUILDING DIM/EN.96WS ARE 70
MSANO SYDE 5' FACE OF FOUNDAACW
�MYTOUR(TYR) REAR 5' •p7AD/NG 9YONN AS DE 6W
\ RN/51/ED CCWItN/R I A07UAL LOCAAGW MIAY VARY
(\ I I •.2WE UR(VFNAY M PUBLIC ROAD
•&T fENCT TO BE INSTALLED PER
a7Y OF ARLINGM S STANDARD
- - - - - -- - - - - - -J L - - - - •%TfENa' 70BE/NSTALLLOON
N89 20'49"W N8920'49"W, — CRADIEHT WE OF BUILDING
PAR22
1.50 45..00 •LLWS)RUCXVV EN7RANX M BE
' _ _ INSTALLED PER aTY OF
5.00'BSgL�— —5 00'g,� -- F — ARLINGTGW S STANDARDS
STORM NOTES:
•7EX INSTALLED PRIOR 70
PA770 39 9r - i CANS7RU0AN
•BARE SaLS COVERED N/A/M/UL0/
\ {- 500 BSi9L I ai ANOIH&APPROI�fD 9M/P
6.59 -" - \ $V, •TOPS6W PER Nx00E BM/P 7513
J5.00
LOT 81 •ALLONSI NOfF CGWN£= TO
I' — 1.00'ROOF OVERHANG PR/VA7F STIARM/STUB
PROPOSED RES'DENClr
�, •27F-WALL BE STABILIZED PRICIR
KETR£--21� I,L�AR R/GNI "Ig s RN��BUILDING PERUIT BEING SITE NOTES.-
Z Ii GARAGE r,°jj { •776HRINE F00ANG DRAINS AND
\ I og p R0r DRAINS TO PERMANENT
GZ I STi�RM/ORA/NAI,E SYS7EW PE?
OU7Z/NE I APPROVED PLAT DRAINAGE PLAN
4.50 ON RILE N17H )HE=NTY.
•AREA OF D/S7URBANCE INCLUDES
0.150 g g 2000 SNARE LOT.
��- IV
\ D5�Sr 10.00,PUBUCI LEGEND:
d-° 7 ., URUTY o- Bcow Gl'F
_ i-
L EASEA/E7VT — ® WA MR AlE7fR
T 5.LX1'PR/VAIE 4( RRE HYDRANT
L4 20.00' 4 ST6RU
BSBL EASEMIE7VT AIR VAC
CA7W BASYN
1 O CYEANQUT
\ SZKY aF4NOUT. 44�
s InVAAMT ROCS AND Sg�5„ a - ,- O MANHOLE
�e fOOANG DRAINS ¢0.5" / , „ ? ' ® 1 BLOW WALL
N89' 49 W j� 7RE-REM/OVAL
7.88
WAIER
SERVICE 8'WA7FR Receivea
+ _ccNNEcnav``_ In f ,f 24 2017
8'Svw'1 ST"1'=20' upo vi
° ° 1 ST. N
LOT 81
e
° A SITE PLAN
GREGOR Y RA RK
LG/ HOMES PLAN NO. KETTLE-2159
LOT AREA = 4,JJO SF DATE 912812017 PARCEL # LOT 81
HOUSE= 1,58 SF 1,1711 NE21.11.c,#101
DRIVEWAY= 568 SF C 801. ,w":n1"gro 98007 DESIGNED CORE ADDRESS M1687H Sr NE
425.895.7877 Fax 425.885,7963
WALKWA YIN 770 = 39 SF ` DES/GN PROJECT NUMBER
TOTAL= 2,195 SF
ENGINEERING PLANNING • SURVEYING DRAWN CAF 13024L-GRG00
r
BUILDING INSPECTION REPORT— STORM DRAINAGE
Permit No. BLD1707
Address: 9005 168th Street NE
Contractor: LGI — Les Nelson 360-420-8334
Owner: LGI
Date: 1/16/2018
i� APPROVAL ❑ PARTIAL APPROVAL
❑ CORRECTION ❑ OTHER
I
APPLIANCE: STORM DRAINAGE
45 DEGREE OFFSET: ❑ Dye/: ❑
APPROVED MATERIAL: ❑ EMBEDMENT: ❑
INSULATION: ❑ DOMESTIC: ❑
PRESSURE TEST: ❑ CLEANOUTS: ❑
PIPE SLEEVES: ❑ ACCESS: ❑
CONNECTIONS: SLOPE: ❑
TRAPS/PRIMERS/SEPARATORS SIZE (4" min): ❑
1
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:9005 168th Street NE Permit#:1707
Parcel#:01166900008 100 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:9028 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: `/-B
DWELLING UNITS: 1 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 RC W 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/IRC110.
SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington mus be reported on your sales tax return form
and coded City to 101.
fort 7 � Zr L�
Signature Print Name Date Released By0ale
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
10/27/2017 Building Permit Fee $2,759.38
10/27/2017 Building Plan Review Fee $1,793.60
10/27/2017 Furnace $25.00
10/27/2017 Gas Outlets Base Fee 1 to 5 $10.00
10/27/2017 Mechanical Fee(Enter Fixture Fee) $25.00
10/27/2017 Mechanical Permit Base Fee $25 00
10/27/2017 Park-Community SF $1,662 00
10/27/2017 Plumbing Permit Base Fee $25.00
10/27/2017 Plumbing Permit Fee(Enter Fixture Fee) $168.00
10/27/2017 Processing/Technology Fee $25 00
10/27/2017 State Building Code Surcharge Fee $4 50
10/27/2017 Traffic Mitigation-City $3,355.00
10/27/2017 Water Heater $25.00
Total Due: $9,902.48
Total Payment: $0.00
Balance Due: $9,902.48
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
I '
I SETB,4Cff,S NOTES:
C V OF . OAT- Y - r 2o' .BUILDING DIMEN&06 ARE 70
BUILDING DE ENT EXIS I �'5' FACE arF01INDAnAN
ow ow(IYP.) REAR 5' •WADING 9YONN AS DESJ'AV
APPR _ 17
I I ACTUAL LOCANOV MAY VARY
f1Nl lED CAN7OUR .SLA°E DRIVEWAY M PUBLIC ROAD
(mil I I
ATE __ I I •SJ'LT fE7VLY TO BE INSTALLED PER
aTY OF ARUNGTOW S STANDARD
—-N # ()R -ED— — —— — ^- J L — — — — —' — •.%T fEHIX 70 BE INSTALLED GIN
UNLESS Pf LTq#r �"W I i E N89 0'49"W WAD/aT SIDE OF BUILDING
tSUIL PARaCZ
5.00 •CO&S7RUCn0)V EN7RANCr 70 BE
INSTALLED PER CITY OF
5 00'BSJ9L�— 5 L0'dSBL r —- — — ARLING76NS STANDARDS`
I— STORM NOTES:
,NX INSTALLED PRICIP 70
I PAnO 39 '. \ I Calf RUCnAN
•BARE S6kS COWRED N17H MULLYI
•� f"5�'BSBL I I OR ANO170?APPROVED BMP
00• •ACPSOIL PER N50AE BMP T5.13
I,I A Oil I (&T 12'DEP7H)
L OT SZ •ALL CW-97E RUNOFF CGYYNECIED TO
PRA°OSED RESL7ENGL" RDA`OVERHANG PR/VA7E STAPM S1UB
KET71E--2159 GARAGE RIGHT TO' SLD BE STABILIZED PRIOR
TO BUILDING PERMIT BONG
II 1,58819r g RNALIIED
o I g p SITE NOTES.-
Ii `g GARAGE r°jj •M71INE FOOnNG DRAINS AND
R06F DRAINS 70 PERPMANENT
BUILDING Z I ST M DRAINAGE SYS7Eal P&
0117ZINE I APPROVFD PLAT DRA/NA6F PLAN
f 50 I OW f1LE W7H 7H£COUNTY.
•AREA OF D/S7UR6AXF INCLUDES
10.50 g g 2000 I ENnRE LOT.
568 4 I f0.00'PUBLIC LEGEND:
°• DRIVEWAY° UTILITY o- BLOW OFT
• • • L_A.SEMENT _
a ° 5.GIO'PR%VA AT FIRE HYDRANT
• 20. ' SZ BSBL MEVT I AIR VAC
44 ° 1 ® CA TOY BANN
_ O GLEANOV/T
S70RM l,LEANOU 4, �5.00 MANHOLE
& CGWNECT ROAD AND Sg' : t O
f00ANG DRAINS ��¢0 57 s ° ° ® BLOW WALL
7.78920'49
WA �1 7REE REMOVAL
IEIR 88 I 4(�
sLRNC£ 8' WATER Received
' — CaVNECnav`
OCT 2 4 2017
G - 8'S£Nfl?, SCACE I'm 20' (�(n
• 1 ST. N \ L OT S1
SITE PLAN
4 ° 4 GREGOR Y RARK
LG/ HOMES PLAN NO. KE7TLE-2159
LOT AREA = 4,330 SF DATE 912812017 PARCEL # LOT 81
HOUSE= 1,588 SF 6j& 14711 NE 291h Plvm,#I01
DRIVEWAY= 568 SF C 9ellevve,W-hl9m-90007 DESIGNED CORE ADDRESS 9005 1687H ST. N£
425.88S. 7 Fax 425.985.7963
WALKWAY/PA7/0 = 39 SF �� esr�n' PROJECT NUMBER
TOTAL= 2,195 SF
ENGINEERING • PLANNING • SURVEYING DRAWN CAF 13024L-GRGOO
L2 T'r'
iitmwnAk OnowAF664.
F D"
Permit Information
Date 10/24/2017
Permit Number 1707
Project Name Gregory Park
Applicant Name LGI Homes-Washington, LLC
Applicant Address 9028 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 9005 168th 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
01166900008100 9005 168th 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 0588 3- ake.jabusch@lgihomes comCONTRACTOR IIndus and LGIHOHL857M
LLC 0588 Industries
Review
Date Type Description I Target Date I Completed Date Assigned To Status
10/24/2017 lResidential Dwelling 10/31/2017 my Rusko In Review
10/24/2017 lResidential Dwelling 10/31/2017 1 lKevin Olander Illn Review
Fees
Fee Description Notes Amount
Building Permit Fee 322.10.00.0 $2,759.3
Building Plan Review Fee 345.83.00.0 $1,793.6
Furnace 322.10.00.Oq $25.0
Gas Outlets Base Fee 1 to 5 322.10.00.001 $10.0
Mechanical Fee(Enter Fixture Fee)j 322.10.00.00 $25.0
Mechanical Permit Base Fee 322,10.00.00 $25.00
Park-Communit SF 345.85.00.00 $1,662.0
Plumbing Permit Base Fee 322.10.00.001 $25.00
Plumbing Permit Fee Enter Fixture Fee 322.10.00.00 140 $12 $168.00
Process In /Tech nology Fee 341.43.O0.02 $25.00
State Building Code Surcharge Feel 386.00.01.00 $4.50
Traffic Mitigation-Cit 345-85.00.021 $3,355.00
Water Heateq 322.10.00.001 $25.00
Totaq S9.902.481
Notes
Date Note
10/24/2017 Lot 81 -Kettle
Uploaded Files I Upload File
Date File U loaded B
10/24/2017 3:36:22 PM 1707 Apalication.odf Foster,Kristin
10/24/2017 3:36:22 PM 17 77 Site Plan.cdf Foster,Kristin
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:
9005 168th Street NE Plat: Gregory Park Lot 81
0! Single-family ❑ Duplex ❑ Townhouse ❑I Addition Accessory structure
Proposed Area: 1 st 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 9005 168th Street NE. Cross street is 91st AW N�
Valuation: qq(���
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
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
vAr no
6/16LP Page 1 of 3
r .. . ,!-
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 [6 Sink (1.5) x 1
L�l Shower(2.0) x 1 Lavatory (1.0) x 4
❑ Clothes Washer (4.0) x Water Closet(2.5) x 3
p� Dishwasher (1.5) x 1 Water Heater x 1
Ql Hose Bibb (2.5) x 2 Water Heater Model #
fa Other(list) x 1 AO Smith HPTU - 50N
� WAP
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
Department of Community& Economic Development
City of Arlington• 18204 59th Ave NE •Arlington,WA 98223 • Phone(360)403-3551
y�lJNT
Mechanical Section (continue filling out if mechanical equipment is involved)
Select proposed appliances:
�I Furnace (80+) Model# Bryant 915SA30040514 AFUE 95%
❑ Heat Pump Model# SEER HSPE
❑ AC Unit Model# SEER
❑ Type II Hood Ol Commercial Cooking Appliance Q Hydronic Piping
❑ Boiler ❑I Solid-Fuel Appliance Q, PV System
a Fireplace Insert Ql Outdoor BBQ ❑I Storage Tank
�I Freestanding Stove ; Gas Piping 0! Other
Gas Piping Information
Not Applicable: EIl
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: 3&
r
Print Applicants Name: 11 014110 •Z
6/16LP Page 3 of 3
Duct Testing Calculator (New Construction)
House address or lot#: GC,1 Q�.K (,�t -� j aoUs
Conditioned Floor Area: a /
Duct tester location: `
Pressure tap location: v`A
Ring (if applicable): Open ❑ 1 ❑ 2 ❑ 3 ❑
At Rough-in or Post Construction
Test Method Standard' Calculated Test'
Target CFM25
Air Handler Present <_4 CFM25 per 100 sf of CFA 9
(Leakage to Exterior or Total Leakage) O
Air Handler not Present :5 3 CFM2s per 100 sf of CFA
(Leakage to Exterior or Total Leakage)
1. Test CFM25 must be equal to or less than the calculated target.
Air Leakage testing Calculator (Blower Door Test)
Conditioned Floor Area: I Calculated Volume (cubic feet)
Ceiling Hieght (ft) 11 l L 7 a -t
Calculated Test
Standard Tested CFMs0 ' a3 Result (ACHs(,)
_<5.O ACH50 (CFMsox 1d�3 i ?�i�(9=?�!��D= ( (f�7 0�= t•�0 ��--0
60=conditioned Volume)
Glossary
Rough-In: After installation of the complete air distribution system but before installation of insulation and sheet
rock. Allows for access to all duct seams and connections for re-evaluation of seal integrity if standard is not met in
intitial test.
Post Construction: At or near final inspection, The home must be complete enough to pressurize the home to 25
Pa.
Total Leakage: Aggregation of the entire systems duct leakage in a duct test.
Leakage to Exterior: Aggregation of all duct system leaks to the exterior of the CFA in a duct test.
Pascal(pa): Unit of pressure
CFA: Conditioned floor area in square feet
CFM25: Cubic feet per minute of air leakage at 25 pascals of pressure
CFM50: Cubic feet per minute of air leakage at 50 pascals of pressure
Conditioned Volume: Volume of conditioned space (CFA X ceiling hieght)
ACH50: Air changes per hour at 50 pascals of pressure
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Date: 04/10/2026
Perm t#: 1707
Perm it Date: 10/24/2017
Review Date: 10/24/2017
Perm it Type: RESIDENTIAL SINGLE FAMILY
Review Type: RESIDENTIAL SINGLE FAMILY
Target Date: 10/31/2017
Scheduled Time 00:00
Com pleted Date: 10/27/2017
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#: 01166900008100 L GI HOMES -WASHINGTON LLC
LGI HOMES -WASHINGTON LLC 1 450 LAKE ROBBINS DR STE 430
9005 168th Street NE T HE WOODLANDS, TX 77380
Zoning: 111 Single Fam iy Residence -
DetachedLot: 81 Block:
Permit#: 1707
Permit Date: 10/24/17
Permit Type: RESIDENTIAL SINGLE FAMILY
Project Nam e Gregory Park
Applicant Nam a LGI Horn cs -Washington, LLC
Applicant Address: 9028 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: 11/03/2017
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-
01166900008100 9 005 168th 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 [ nspection Type D escription S cheduled Date C om lieted Date I nspector S tatus
01/16/2018 R 18. Storm Drainage-Inspection 01/16/2018 0 1/16/2018 A pproved
STORM W XER by Ryan M Aler
FINAL
12/22/2017 R20.SFR/DUPLEX BUILDING C om lieted
FINAL
Plan Reviews
Date Review Type D escription A ssigned To R eview Status
10/24/2017 RESIDENTIAL SINGLE Site plan m wts all land use regulations.
FAMILY
10/24/2017 RESIDENTIAL SINGLE BUILDING
FAMILY
Fees
Fee D escription N otes A m aunt
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 uity SF S ingle Fam iy $1,662.00
Plum ling Base Perm i Fee $25.00
Mechanical Comm ecial Perm i T able 4-7;Per Unit 1 40@$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
Water Heater(Tank) $25.00
Total $9,902.48
Attached Letters
Date Letter D escription
10/27/2017 Building Perm i
Paym nits
Date Paid By D escription P aym dit Type A ccepted By A m amt
11/02/2017 LGI Hom cs-Washington
Check#5767 K ristin Foster $8,108.88
11/02/2017 LGI Hom cs-Washington Check#5766 K ristin Foster $1,793.60
LLC
O itstanding Balance $0.00
Notes
Date Note C reated By:
10/24/2017 Lot 81-Kettle Kristin Foster
Uploaded Files
Date File Nam e
11/03/2017 2753267-1707 Issued Penn i.pdf
10/24/2017 2726368-1707 Site Plan.pdf
10/24/2017 2726369-1707 Application.pdf