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Home My WebLink About9011 168th Street NE_BLD1708_2026 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: 9011 168th Street NE Plat: Gregory Park Lot 82 _ 141 Single-family ❑ Duplex ❑ Townhouse Addition Accessory structure Proposed Area: 1 s' 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 9011 168th 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 wrl* 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) t3 Bath/Shower Combo (4.0) x 1 Cif± Sink(1.5) x 1 Ji Shower(2.0) x 1 Q+ Lavatory (1.0) x 2 ❑ Clothes Washer (4.0) x ( Water Closet(2.5) x 2 Dishwasher (1.5) x 1 9) Water Heater x 1 Q, Hose Bibb (2.5) x 2 Water Heater Model # F)J 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 �A City of Arlington• 18204 59th Ave NE •Arlington,WA 98223 • Phone(360)403-3551 1,N'C i Mechanical Section (continue filling out if mechanical equipment is involved) Select proposed appliances: 101 Furnace (80+) Model# Bryant 915SA30040514 AFUE 95% Ol Heat Pump Model# SEER HSPE UI AC Unit Model# SEER ❑I Type II Hood 01 Commercial Cooking Appliance ❑ Hydronic Piping L11 Boiler Solid-Fuel Appliance ❑ PV System UI Fireplace Insert Outdoor BBQ ❑ Storage Tank Goa Freestanding Stove LLt� 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: 4 • 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:/M 2 lkc t il' Date: l vl,�31r Print Applicants Name: i CCI6( � t keS4. 6/16LP Page 3 of 3 CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:9011 168th Street NE Permit#:1708 Parcel#:01166900008200 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: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: ] 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. IBC 110/IRC i 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 and coded City of rli loi 3101 n 1 I- - Signature Print Name Date Refused By le 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 $2,140.84 10/27/2017 Building Plan Review Fee $1,391.55 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) $132.00 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: S8,845.89 Total Payment: $0.00 Balance Due: $8,845.89 CAL.,L. 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 I ! NOTES.• - - . _ --I I fRXT 20' °BUILDING DIAIENWOVS ARE 7O 07SANG 90f 5' FA y Or,fWNDAAGW CGW71X/R(m) REAR 5' -OWING S7/0NN AS DEV6W I + A07UAL LWAAaV mAY VARY I I •SLAAE DR"AY TO PUBLIC ROAD fINISi'lED G1AN70UR PROPER Ty -.%T fENI,L� TO BE INSTALLED PER I - CWNER p7Y OF ARUNOXW S STANDARD ------ J L ( )- - -I-- -� _ (7YP.) •SYLTfFNCFM8E INSTALLED OV pPAD10VT 570E O<BUILDING N8920'49"W PAS —— —— 4500 •CavS7RUCAaV ENIRAN6F 70 8E INSTALLED PER C17Y Or r 50D'BSi9L J ——— — — • ARL/NGTGW S STANDARDS TOP 462.5 STORM NOTES. TOE 459.8 .7ESC INSTALLED PR16R TO \ �j 24.50 10.00'WAUARA/N .BARE SaLS COIfRED N17H kULQV $ Ei4SmNT DR ANOAIER Affl?%FD BA/P •TO°SGYL PER NS90F NP 7513 1.00'ROaF'OI9RHAN� I PA AO 12 Sr (LTF 12'DEP7H) 5.00'BSi9L 5.00' •ALL aV97E RUNOFF GLWNEC7ED TO 10.50 PR/VA7E S76 RA/SA/B •97£&YALL BE STABIUAT PRIOR LOT 82 TOP 462.5 TO BUILDING PE77A/IT BONG I RQ°0� TOE 459.8 f7NAUZED I ^ o gCOLUAW-11�� LEF7 SITENOTES.• o� o 109tSF 5 00'ELSBL •AG 17L/NE F007ING DRAINS AND R0CF DRAINS M PERMANENT SM?M DRAINAGE S6MM PER CARAGr �� APPROI0 PLAT DRAINAGE PLAN p aV f7LE N17H 1-HE COUN7Y. co ;� •AREA a-D/S7URBANQ-INQ_UDES 10.00'PUBLIC I BLNLDING °� pp / ENAR£LOT. OU71/NE UAUIY 4.25 I LEGEo-ND:£ASNENT P 4819. BOW GfF it 00 4 ® WA7ER ME ER Srmm p�6 y� ° 0.00'I `I d( RRE HYDRANT £A•S£A/E]VT 2 a �Q B,00 . ,0 AIR VAC ° $ ° N 013 CA TOY BASIN 4-5 0 ' O a.EANOUT " N8920'49"W a ° AIANHGYE EFi BLOW WALL 7REF REMOVAL !S£N£R AZ0flaV ca 8'wA7ER 0 A j S1�RNGrIt 4t00 8'MU SL^ALE 1'=20' H ST, A CaVN£CTT ROalr AND LOT 82 F00ANG DRAINS ti p, o 7 SITE PLAN �° • ` ° ° GREGOR Y PARK LG/ HOMES PLAN NO. COL.—1487 LOT AREA = 4,310 SF DATE 912812017 PARCEL # LOT 82 HOUSE= 2,109 SF 14711 NE 29 h 11-c..I OI ORNEWAy= 416 SF 9ei.n.,W.�hmgf-96007 DESIGNED CORE ADDRESS 9011 1687H Sr NE 425.885.7877 Fax 425.885.7963 WALKWArIPA770 = 12 SF PROJECT NUMBER TOTAL= 2,537 SF ENGINEERING • PLANNING • SURVEYING DRAWN OAF 13024L-GRG00 CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:9011 168th Street NE Permit#:1708 Parcel#:01166900008200 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: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: 1 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/IRC110. 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 and coded City of-Arlialiton.03101. n ' — C/i Signature Print Name Date Released By 1e 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 $2,140.84 10/27/2017 Building Plan Review Fee $1,391.55 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) $132.00 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: $8,845.89 Ibtal Payment: $O Utz Balance Due: S8.845.89 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: Pcrmit Number,Type of Inspection being requested,and whether you prefer morning or afternoon BUI�DING DE A MLNT BACKS NOTES. fROWT 20' .BU/LUNG DIMEIVSUNS ARE TO . SDF 5' FACT OF FOUNDA7JOIN AP P R V � REAR 5' RAGING_%ONW AS DE90V eorroxyI I vACTUAL LOCA77aV MAY VARY •SYGI°E DIR/IEWAY TO PUBLIC ROAD O CHANGES RITE /_WE0LIMUR PROPERTY •SYLT fENX TO BE/NSTALLM PERAPPRG-VE _ TypeCa NER aff O�'ARUNGTONS STANDARD —BtlltBtfdC i((dSP T6f�- — — — —�— — — —(�� — — - •.A'LT ftNac' TO BE INSTALLED GW _ wAO/ENT sDE Ac,BUmum - NB92O'4'9 - Pi4R i 45.00 •C067RUCAOw iN7RANCE TO X _ ———— $ — — FF _ _ _ INSTALLED f ?aTY A�— — ARLINGA2VT STANDARDS 500M& TOP 462.5 7 STORM NOTES.TOE 459.8 IE3C INSTALLED PR/AR lt70.00' WALL/bRA/N OY.WSD1(IC1/O v 24� BARE SaLS COIERED N11H MULQN EASEMENT 6P ANOINER APPROIED BMP •TOPSVVL PER WSDOE BMP 7513 1.010'RODE OIERHAl f - PA AO 12 Sim (EFF 12'DED7H) 5.00'B5Z4L 15.00' •ALL OWSYIE RIINOfr COVNECIED TO 1050 PR/VAIE ST M S7118 •SY7E-WALL BE STARLIAD PR/OVP LOT 82 { 70 BUILDING PERM/T BONG oW PROPOSED REWENI,L� TOP 462.5 .7 f1NAL/ZED TOE 459.8 { to gCOLUM&A71487 GARAGE LENT { S/TENOTES.• a, o 2 f09tSF 500 M& •7J0WRINE f00ANG GRAINS AND Row DRAINS fi PERMANENT S7W ORA/NAX SYS)EM PER GARAGE APPROIED PLAT AMINAX f'LAIV ON FILE NI1H 7HE COUNTY. { BUILDING • •AREA OF LNS7URBANa-INaUDES 10.010'PUBLIC { - NNE o OVARE LOT. UX17Y { 4.25 - _ EASLI/ENT $ � TOP 462.5 � LEGEND: 19.75 ., $ TOE 459.8 '7 o- BLOW OIFF _ '611.00 500 PRISTOR lE 416 SJ� i { � — — — — — - ® WATER ME7ER EASEMENT DR/£WAY 20OO' FIRE HYDRANT ° BSl9L $ NR VAC CATa'/BASIN 0 O aEAVaIT ° 4 4 ° ° ° 1 i N8920 49"W a O MANHOLE BLOW WALL 4 .' 1 • TREE REMOVAL CXNECnGW 8'WA7DP fr<eDe ived WA TrR � SERNOIE orr 9, j. 9017 4t00 � 8'SEXIER Sz�ArE I'm 20' C7l"ly� H ST° E COWNECTROW AND LOT 82 fW 17NG DRNNS SITE PLAN GREGOR Y PARK LGI HOMES PLAN NO. COL.—1487 LOT AREA = 4,J20 SF DATE 912812017 PARCEL # LOT 82 HOUSE= 2,109 SF 14711 NE 291h Place'#701 DRI WHO r= 416 SF Belfev W-hig9E007 DESIGNED CORE ADDRESS 9011 1887H ST. NE eaF 425.885.7877 Fa 425.88SJ963 WALKWAY11PAAO = 12 SF `DESIGN PROJECT NUMBER TOTAL= 2,SJ7 SF ENGINEERING , PLANNING • SURVEYING DRAWN CAF 13O24L-GRGOO A 7 ) e i I J Tbv �� •H'f[rJl e'��rr�r>.1 34 i 1 :rf5r'T�n ; t IOU Permit Information Date 10/24/2017 Permit Number 1708 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 9011 168th 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 01166900008200 9011 168th 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'Jake Jabusch 360-353- ake.jabusch@lgihomes.co CONTRACTOR Labor and ILGIHOHL857MB LLC 0588 Industries Review Date Type Description I Target Date Completed Date Assigned To I Status 10/25/2017 Residential Dwelling 11/1/2017 Nmy Rusko Iln Review 10/25/2017 lResidential Dwelling l l/1/2017 1Kevin Olander In Review Fees Fee Description Notes Amount Building Permit Feel322.10.00.01 $2,140,84 Building Plan Review Fee 345.83 00 00 $1,391 55 Furnacel 322.1 0.00.Oq $25.00 Gas Outlets Base Fee 1 to 51 322.10.00.001 $10.00 Mechanical Fee(Enter Fixture Fee)l 322.10.00.Oq $25.00 Mechanical Permit Base Fee 322.10.00.00 $25.00 Park-Community S 345.85.00.00 $1,662.00 Plumbing Permit Base Feed 322.10.00.001 $25.0 Plumbing Permit Fee(Enter Fixture Feel 322.10.00.00 11 $12 $132.0 Processing/Technology Feel 341.43.00.02j $25.0 State Building Code Surcharge Feel386.00.01.001 $4.50 Traffic Mitigation-Cit 345.85.00.021 $3,355.0 Water Heateq 322.10.00.001 $25.0 Total $8,845.8 Uploaded Files Upload File Date File Uploaded B 10/25/2017 9:31:04 AM 1708 Site Plan.pdf Foster,Kristin x 10/25/2017 9:31:04 AM 1708 Apolication.odf Foster,Kristin X RESIDENTIAL PERMIT APPLICATION Department of Community & Economic Development *A 1 City of Arlington• 18204 59th Ave NE •Arlington,WA 98223 • Phone(360)403-3551 ltNt�� 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: 9011 168th Street NE Plat: Gregory Park Lot 82 01 Single-family ❑ Duplex 0! Townhouse ❑ Addition 01 Accessory structure Proposed Area: 111 Floor. 1487 211 Floor: Garage: 402 Total SF: 1889 Describe Proposal (include cross street): Application for new single family residence to be located at 9011 168th Street NE. Cross street is 91st�. Valuation: 141 I -1 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 6/16LP Page 1 of 3 AO A` °�' RESIDENTIAL PERMIT APPLICATION Department of Community& Economic Development IN 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 [!1 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 1I Water Heater x 1 U Hose Bibb (2.5) x 2 Water Heater Model # Other (list) 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) 6116LP Page 2 of 3 t RESIDENTIAL PERMIT APPLICATION ® Department of Community& Economic Development 0y 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: F�d Furnace (80+) Model# Bryant 915SA30040514 AFUE 95% 01 Heat Pump Model# SEER HSPE 01 AC Unit Model # SEER 01 Type II Hood 01 Commercial Cooking Appliance ❑ Hydronic Piping 01 Boiler Ell Solid-Fuel Appliance ❑ PV System 0' Fireplace Insert 0 Outdoor BBQ ❑ Storage Tank Freestanding Stove 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: 4 • 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 MApplicant Signature: �- Date: lv -3 Y Print Applicants Name: ��Ao ��5�.� 6/16LP Page 3 of 3 Duct Testing Calculator (New Construction) House address or lot #: Q4 P0,rK Conditioned Floor Area: y S7 Duct tester location: ` Pressure tap location: v`n 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 `z (Leakage to Exterior or Total Leakage) �q Air Handler not Present 5 3 CFM25 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: KF? Calculated Volume (cubic feet) Ceiling Hieght (ft) F l I % -9 Calculated Test Standard Tested CFMsoq?a Result (ACH,o) :55.0 ACH50 (CFM,,X �7a-x6O_ �p Q �► l 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 CFMS0: 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 Duct Testing Calculator (New Construction) House address or lot#: -1 Conditioned Floor Area: I VSL( Duct tester location:::=,, A�(_ Pressure tap location: Uy`n Ring (if applicable): Open ❑ 1 ❑ 2 ❑ 3 ❑ At Rough-In or Post Construction Test Method Standard' Calculated Test' Target CFM25 Air Handler Present 5 4 CFM25 per 100 sf of CFA (Leakage to Exterior or Total Leakage) 73 65� Air Handler not Present 3 CFM25 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: JF3 LJ Calculated Volume (cubic feet) Ceiling Hieght (ft) j L/, b7A It Calculated Test Standard Tested CFM50 /073 Result (ACHso) :55.0 ACH50 (CFM50X 10-13 x6o- y. 3 60_conditioned Volume) r r 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) ACHso: Air changes per hour at 50 pascals of pressure Date: 04/10/2026 Perm t#: 1708 Perm it Date: 10/24/2017 Review Date: 10/25/2017 Perm it Type: RESIDENTIAL SINGLE FAMILY Review Type: RESIDENTIAL SINGLE FAMILY Target Date: 11/01/2017 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#: 01166900008200 L GI HOMES -WASHINGTON LLC LGI HOMES -WASHINGTON LLC 1 450 LAKE ROBBINS DR STE 430 9011 168th Street NE T HE WOODLANDS, TX 77380 Zoning: 111 Single Fam iy Residence - DetachedLot: 82Block: Permit#: 1708 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: 191174.89 Square Feet: 1889 Num ber of Stories: 1 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- 01166900008200 9 011 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 I nspection Type D escription S cheduled Date C om Iieted Date I nspector S tatus 12/22/2017 R20.SFR/DUPLEX Com Iieted FINAL Plan Reviews Date R eview Type D escription A ssigned To R eview Status 10/25/2017 RESIDENTIAL SINGLE Site plan m e is all land use regulations. FAMILY 10/25/2017 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 1 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 10/27/2017 Building Perm i Paym acts Date Paid By D escription P aym a►t Type A ccepted By A m cant 11/02/2017 LGI Hom Es-Washington Check#5770 K ristin Foster $7,454.34 LLC 11/02/2017 LGI Hom cs-Washington Check#5769 K ristin Foster $1,391.55 LLC O ttstanding Balance $0.00 Uploaded Files Date File Nam e 11/03/2017 2753276-1708 Issued Perm i.pdf 10/25/2017 2727787-1708 Application.pdf 10/25/2017 2727788-1708 Site Plan.pdf