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9017 168th Street NE_BLD1709_2026
RESIDENTIAL PERMIT APPLICATION y 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: 9017 168th Street NE Plat: Gregory Park Lot 83 )i Single-family 01 Duplex ❑ Townhouse a Addition QI Accessory structure Proposed Area: 1 s' Floor: 746 2nd Floor: 1088 Garage: 410 Total SF: 2244 Describe Proposal (include cross street): Application for new single family residence to be located at 9017 168th Street NE. Cross street is 91ste. NC— 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 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:LGIHOHL857M6 Expiration: 07/02/2019 R2 1-110-192 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 'rf plumbing is involved) (Check all that apply and indicate the number of fixtures proposed) 61 Bath/Shower Combo (4.0) x 1 6 Sink (1.5) x 1 Crjl Shower(2.0) x 1 Lavatory (1.0) x 3 Q Clothes Washer(4.0) x Cal Water Closet(2.5) x 3 LJII Dishwasher (1.5) x 1J Water Heater x 1 91 Hose Bibb (2.5) x 2 Water Heater Model # Other (lis�) 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: 211 • 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: l Furnace (80+) Model# Bryant 915SA30040514 AFUE 95% ❑ Heat Pump Model# SEER HSPE ❑ AC Unit Model# SEER �I Type II Hood ❑ Commercial Cooking Appliance 0 Hydronic Piping �JI Boiler ❑ Solid-Fuel Appliance Q PV System 01 Fireplace Insert ❑ Outdoor BBO OJ Storage Tank Freestanding Stove Gas Piping Ql 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 S4 Applicant Signature:, ( — Date: _,�6?L Print Applicants Name: (y , c-S CA 6/16LP Page 3 of 3 CITY OF ARLINGTON / 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:9017 168th Street NE Permit#:1709 Parcel#:01166900008300 Valuation:231846.30 OWNER APPLICANT CONTRACTOR Name:LGI HOMES-WASHINGTON LLC Name:LGI Homes-Washington,LLC Name:LGI Homes-Washington,LLC Address: 1450 LAKE ROBBINS DR STE 430 Address: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: `/-$ 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 gt I! QI. �4Ltl 11 - ,/ 117 Signature Print Name Date Released By Date 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 $2,458.04 10/27/2017 Building Plan Review Fee $1,597.73 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) $156.00 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: S9,393.27 Total Payment: $0.00 Balance Due: $9,393.27 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 aVENSOVS ARE 70 £XI577N6'- ---1 I 90f` 5' FAar CF fObNDAAOV +( I C0117OUR(7)P.) I. I REAR 5' •GRADING-WOW AS DEViN I I I ACTUAL LO 4710V,UAY VARY RNI-WrD CaVTOUR I I •-qOPE DRWAY 10 PUBLIC ROAD AROCEPI I � ry •ZT FENX TO BE INSTALLEO PER) I 6MMER a7Y OF ARL/NGTCW S�STANDARD — (7)P.) •9LT fENX 70 BE INSTALLED OW 64AaEVT SJ'DE CF Bu/LaNG N8920'49"W — — — — — PARLL4 45.00 •CWS7 Cfl6W EV7RANLY 7O BE INSTALLED PEP CY7Y a- - — r — — —— ARLING7TW S STANDARDS TOP 462.5 5.00 BSBL 7 TOE 459.8 _ I I I STORM NOTES:•7EX INSTALLED PROP TO . O267R1/C710V $ I •BARE SaLS COVERED Nl7H MULCY/ 10.00'WALLARNN�I I� I I OP ANOINEP APPROVED a/P £ASFA/£NT I 5�'BSBL I •7WSaL PER N50CLF SW 75L 13 (EFT 12-DEP7H) 5GO'am I I •ALL CW97E RUNW C0VA07F0 TO PA7I0 12 SF� I I PRIVATE STM STUB •-97F 9VALL BE STABILIZED PROP TOP 462.5 00� 'g iI I TO BUILaNG PE7WT BONG 7 120 TOE 459.8 I 3500 I =W 15 fINE NO SITE NOTES. PROPOSED REY'DENQ` p •7707LINE fnOANG DRNNS AND $CRAYS-aw WAX RIGHT �d :� ROB DRAINS 70 PEPAIANEVT ST0YPA/ORNNAGF S6MM PEP 1. 'ROD' OVDPHAN� g = APPROVED PLAT DRAINAGE PLAN z�u "'�' ` I QV RLE N17H 7HE CUI#VTY. I I •AREA O<DISAIRSWOF INCLUDES I o, 0 6.SO I DARE LOT. o v (W* I LEGEND: 7 TQP 462.5 = 7.50 E 459.8 B[0w pcT T - - - - - - - - - — 500 - - - _ ® NO7&MEU 22.00' ' 1Q00'UAL/lY rr G( FIRE HYDRANT 20.00'BSBL 420 SF we' AIR VAC aw"AY $ EASEMENT 500'PR/VA fIIl CA7W BARN s7w45.00 ' fA5&]NVT O CYEANOY/T a N8920'49V a O I/ANNOCE • CCL�--? BLOGY( WALL _ _�( ! APEF REMOVAL SE11E1? C1�VNECDOV Receivea I W A 4+00 o N O C T 24 M 7 `g 8.sWR SL^ALE I'm 20 rJ 1'lol S7OPI/CYEANOVT. CWNECT ROW AND 1 4TH ST. NE LOT 83 ftDO11NG DRAINS • p SITE PLAN v pv Y `4 GREGOR Y RA RK LG1 HOMES PLAN NO. GRA YS-1834 LOT AREA = 4,3L2A0S�F DATE 912912017 PARCEL # LOT85 HO/fWL = 1,J69 [ 471I NE 29h Flace#107 DRIVEWAY= 420 5F C 8,11 �e,W-hingl-98007 DESIGNED CORE ADDRESS 9017 IW7H Sr NE 415.BB57077 Fax 425.885.7963 WALKWAYIPA710 = 12 SF ��L'r'r ^' PROJECT NUMBER TOTAL= 1.801 SF ENGINEERING • PLANNING • SURVEYING DRAWN CAF 13024L-GRG00 CITY OF ARLINGTON \ . % 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:9017 168th Street NE Permit#:1709 Parcel#:01166900008300 Valuation:231846.30 OWNER APPLICANT CONTRACTOR Name:LGI HOMES-WASHINGTON LLC Name:LGI Homes-Washington,LLC Name:LGI Homes-Washington,LLC Address: 1450 LAKE ROBBINS DR STE 430 Address: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: `/-13 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. IBC1l0/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 A # I 7 ' Signature Print Name Date Released By Dale 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 $2,458.04 10/27/2017 Building Plan Review Fee $1,597.73 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) $156.00 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: $9,393.27 Total Payment: $0 00 Balance Due: $9,393.27 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. SETBACKS NOTES: R I _ _G TON fRAVT 20 .B//ZUNG D/A/ENSrANS ARE lt7 BUILD NG DEP E T - — �" �� Sl f 5' FADE OrFOUMDAnaN TWR(TYP) 17£AR 5 •G�4ADING WOW AS DE96W A PRO I ACTUAL LacAncw MAY VARY f7N/ ED CLWTOUR / I I •2OWE DRIVEWAY TO PUSUC ROAD •St fENCr TO BE INSTALLED PER DA © I I CMWNER aTY OF ARUNGTaVN F STANDARD — —� AN A! Iz� —— —J (TyP) •SET FEW TO BE INSTALLED ON 6RAD/ENT 570E OF BUILDING UNL S APPROVr 920'49'"W— PARCEL 45.00 •CONS7RV06W ENNANOE TO BE INSTALLED PER CITY 0- -- -- ARL/NGTLW S STANDARDS 7 TOP 462.5 5.00 BSBL STORM NOTES. "�TOE 459.8 i I I •NX INSTALLED PRIOR 7O COVS7Rumv I I $ I •BARE SGYLS COVERED WN MULQV 10.00AWAUIPRAIN I • 010 a�PR WMOF bMP TT5P13 � 5.00 BM (EFT 12•DEPTH) 5.00'BSBL I I •ALL OW97F RUNOFF CGWNECND TO PA770 12_w I PR/VA7F ST"STUB J •.97F_WALL BE STABILIZED PRIOR TOP 462.5 I - I TO BUILDING PERMIT BEING '7 00 TOE 459.8 L moo T o I kw 15�, �NAu�D SITE NOTES.• PROPOSED RES'DENOE p •flOYR/NE FOOnNG DRAINS AND $aAY5--w4 avA6r RIGiYT ROOF DRAINS 70 PERMANENT 1.00'ROLL OVERHAN� li' 1.,369fS ' Q' o I S70RM DRAINAGE S67LV P& = ��$ APPROVED PLAT DRAINAGE PLAN 1 i GdRA Or I UN&F Nl7H NE CWNTY. •AREA OF DISTURBANCE/NOYUDES 6,50 ^ BUILDING \ I EN7/RE LOT. OfJ NE l LEGEND: 7 TOP 462.5 = 7.50 21�� I o- BLOW OYF T E 459.8 _ 5.00'_ _ — — ® NA7ER METER - — — — — — i — — 22.00' 1000'PUBLIC f1RE HYDRANT 20.OI0'BSBL 420 Sr DRIVEWAY $ UN fly AIR VAC EASEMENT N 500'PRIVA tY CATCH BASIN - - - - - — I ST01RM O Q!EANOP/T 45.00 EA O ° a N8970'49l1w • a MANHOLE BLOIL7( WALL f e° n G P° • G a° i ,�, Z 7AEF REMOVAL I OLWNE0 W HA 7ER e�eIveC� WA (a r T 2 4 2017 4+00 014 14 8•�� SL^ALE 1 =20 110`� S1ORM(,YEANOUT. ` CANNECT ROOF AND 1 TH ST. NE LOT 83 FOOnNG DRAINS pmall - SITE PLAN °IPE�N ° GREGOR Y PARK L G1 HOMES PLAN NO. GRA YS-1834 LOT AREA = 4,310 SF DATE 912912017 PARCEL # LOT 85 HOUSE= 069SF 14711 NE 29ffi Pt- IRVe,alol DRIVEWAY= 420 SF Bellevue,W.shmgl.98007 DESIGNED CORE ADDRESS 9017 1687H ST. NE l 425.885.7977 Fax 425.BB5.7963 WALKWAY/I'AAO = 12 SF `��eSrGr' PROJECT NUMBER TOTAL= 1,801 SF ENGINEERING • PLANNING • SURVEYING DRAWN CAF 13024L-GRG00 •+� -' t �. .� ,y _ 3 � ! � .r . � � 1. •• R1 �'n f.h �._ _ -- �...r.......r�► � +!) _ � _ . _ • h Permit Information Date 10/24/2017 Permit Number 1709 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 9017 168th Street NE Valuation 231846.30 Status Applied Permit Issued Permit Expires Square Feet 2244 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 01166900008300 9017 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 I-abor and ILGIHOHL857M LLC 0588 Industries Review Date Type Description I Target Date Completed Date Assigned To I Status 10/25/2017 (Residential Dwelling 11/1/2017 ky Rusko 11in Review 10/25/2017 (Residential Dwelling 1 J11/1/2017 Ke) 111n Review Fees Fee Description Notes Amount Building Permit Feel 322.10.00,001 $2,458,04 Building Plan Review Feel 345.83.00.01 $1,597.73 Furnacel 322.10.00,0 $25.00 Gas Outlets Base Fee 1 to 5 322.10.00.00 $10.00 Mechanical Fee(Enter Fixture Fee)j 322,10.00.00 $25.0 Mechanical Permit Base Fee 322 10 00 00 $2.5 n Park-Community So 345.85 00 0 $1,662.0 Plumbing Permit Base Feel 322.10.00,00 $25.0 Plumbing Pei nit Fee(Eidei Fixlwe Fee)j 322.10.00.00 '13 ?L VI $,156.0 Processing/Technology Feel 341.43.00.0 $25.0 State Building Code Surchar a Feel 386.00.01.0 $4.5 Traffic Mitigation-Cit 345.85.00.02 $3.355.0 Water Heated 322.10.00.00 $25.00 Totaq $9,393.2 Uploaded Files Upload File Date File Uploaded By 10/25/2017 9:42:42 AM 1709 Application.Ddf Foster,Kristin y( 10/25/2017 9:42:42 AM 1709 Site Plan.pdf Foster, Kristin �( RESIDENTIAL PERMIT APPLICATION Department of Community & Economic Development City of Arlington• 18204 591h 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: 9017 168th Street NE Plat: Gregory Park Lot 83 01 Single-family Ell Duplex 01 Townhouse Q Addition l7ti Accessory structure Proposed Area: 1" Floor. 746 2nd Floor: 1088 Garage: 410 Total SF: 2244 Describe Proposal (include cross street): Application for new single family residence to be located at 9017 168th Street NE. Cross street is 91st 4ve Valuation: ' Owner: � - 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 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 t�lr�l'lu� 6/16LP Page 1 of 3 �`- RESIDENTIAL PERMIT APPLICATION p ® Department of Community& Economic Development 1N 10 City of Arlington • 18204 59th Ave NE •Arlington,WA 98223 • Phone(360)403-3551 C�' Plumbing Section (continue filling out if plumbing is involved) (Check all that apply and indicate the number of fixtures proposed) 15 Bath/Shower Combo (4.0) x 1 Sink (1.5) x 1 Clj Shower(2.0) x 1 Lavatory (1.0) x 3 ❑ Clothes Washer (4.0) x Cj Water Closet(2.5) x 3 Dishwasher (1.5) x 1 [✓1; Water Heater x 1 f� Hose Bibb (2.5) x 2 Water Heater Model # 23 Other (lis ) 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 + 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: Z Furnace (80+) Model # Bryant 915SA30040514 AFUE 95% 01 Heat Pump Model# SEER HSPE 01 AC Unit Model# SEER ❑ Type II Hood ❑ Commercial Cooking Appliance ❑ Hydronic Piping 01 Boiler ❑ Solid-Fuel Appliance ❑ PV System Q Fireplace Insert ❑ Outdoor BBQ ❑ Storage Tank I;t Freestanding Stove I❑ 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: • 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: mot-- Date: Print ApplicantsNarne: 6116LP Page 3 of 3 i Date: 04/10/2026 Perm t#: 1709 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#: 01166900008300 L GI HOMES -WASHINGTON LLC LGI HOMES -WASHINGTON LLC 1 450 LAKE ROBBINS DR STE 430 9017 168th Street NE T HE WOODLANDS, TX 77380 Zoning: 111 Single Fam iy Residence - DetachedLot: 83 Block: Permit#: 1709 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: 231846.30 Square Feet: 2244 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- 01166900008300 9 017 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 12/21/2017 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 $2,458.04 Building Plan Review T able 4-2 $1,597.73 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 3 @$12 $156.00 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 $9,393.27 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#5773 K ristin Foster $7,795.54 LLC 11/02/2017 LGI Hom cs-Washington Check#5772 K ristin Foster $1,597.73 LLC O ttstanding Balance $0.00 Uploaded Files Date File Nam e 11/03/2017 2753280-1709 Issued Perm i.pdf 10/25/2017 2727914-1709 Site Plan.pdf 10/25/2017 2727915-1709 Apnlication.pdf