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HomeMy WebLinkAbout9021 168th Street NE_BLD1710_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: 9021 168th Street NE Plat: Gregory Park Lot 84 �I Single-family ❑ Duplex ❑ Townhouse QI Addition 01 Accessory structure Proposed Area: 1st Floor. 1487 2na Floor: Garage: 402 Total SF: 1889 Describe Proposal (include cross street): Application for new single family residence to be located at 9021 168th Street NE. Cross street is 91st AA,Q. No Valuation: 10I ��`[• 71� 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 P�PV10110 6/16LP Page 1 of 3 RESIDENTIAL PERMIT APPLICATION Department of Community& Economic Development YING > 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) F 1; Bath/Shower Combo (4.0) x 1 C�! Sink(1.5) x 1 d Shower (2.0) x 1 MI Lavatory (1.0) x 2 O Clothes Washer(4.0) x Water Closet(2.5) x 2 Dishwasher (1.5) x 1 �; Water Heater x 1 9I Hose Bibb (2.5) x 2 Water Heater Model # lifll 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 sV RESIDENTIAL PERMIT APPLICATION Department of Community& Economic Development � City of Arlington• 18204 59th Ave NE •Arlington,WA 98223 • Phone(360)403-3551 10 wto Mechanical Section (continue filling out if mechanical equipment is involved) Select proposed appliances: �i Bryant 915SA30040514 95%Furnace (80+) Model# AFUE ❑ Heat Pump Model# SEER HSPE �I AC Unit Model# SEER ❑I Type II Hood ❑ Commercial Cooking Appliance Hydronic Piping 01 Boiler ❑ Solid-Fuel Appliance 0', PV System 01 Fireplace Insert 01 Outdoor BBQ Q', Storage Tank �I Freestanding Stove 01 Gas Piping Ell Other Gas Piping Information Not Applicable: Black Steel Pipe Material: Pipe Size: 1 Total BTU's of all Appliances: 120,000 Distance from Meter to Furthest Appliance: • New gas piping requires a pressure test to hooking to any appliance • Sediment traps (drips) are required on all gas lines • Gas lines are required to be supported/secured every 6 to 8 feet • Proper combustion air and venting required for all appliances • A shut-off is required within 6 feet of all appliances Applicant Signature: Date: a 23_l_ 7 Print Applicants Na ae .��1+�f� 6116LP Page 3 of 3 CITY OF ARLINGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:9021 168th Street NE Permit#: 1710 Parcel#:01166900008400 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: `I-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 Cit o ng #3101. l I 1 �y h —/ A r /1 Signature Print Name Date Released By Dat 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 Process ing/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 Total Payment: $0.00 Balance Due: 58,845.89 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon SETBACKS NOTES: r. I fRGWT 20' �� •BUILLNNG D/MENWOWS ARE M , WE 5' FACE OF FOUNDARGN I REAR 5' •OWING 99ONN AS DE 6W �1-)PRCPfRTY EX/SANO A07VAL LOCA77aV MAY VARY OLWTIR/R(TYP.) •SLO°E DRIVEWAY M PUBLIC ROAD •-%T FENCE TO BE INSTALLED PER CORNER 4 CITY OF ARVNGTOW'S STANDARD — — — — — — J (TYP.) •SYLT FENCE TO BE INSTALLED 0V — — — — — — — — - o?AD/ENr 9DE Ole BUlmNG N8920'49"W _ PAROEL 50.00 �, •OYM/SRR!/CROW ENIRANC£ TO BE — — — — — _ INSrALLED PER CITY OF 5010,BSBL P.4W,12 SF ARVNGIGW S STANDARDS 500' STORM NOTES: 24 50 g •TESL'INSTALLED PR16R M f1Nl9YED G1�NTOUR I 8 N°' CI.WSTRUCROW (�J ^ I •BARE S191LS COVERED NfIN MULCII 1.09,ROIL 0w?HANG _ X ANOIilE7P APPROVED BIIP JI •TOPSUL PER WS96Y bMP T5IJ -500'BSBL f0.50 10 (&T 12',007H) •ALL aV97E RUNOFF COYVNECIED TO I � IN$ LOT 84 � � W ,SY���A srAealzED PRIOR PRL)°OSM RESYDEWLE I ^ . �� G PERA//r BEING COYUAIB/A-1487 GARAGE R/01/T o 2,109fSJr o SITE NOTES: o •776HRINE f0ORNG DRAINS AND ROOF DRAINS TO PERMANENT °j SMRM DRAINAGE SnMV PER GARAGE f APPROVED PLAT DRAINAGE PLAN OW RLE NI1H THE COP/NTY. �� nI BUILDING LINE ` •AREA OF DWURSANOE INCLUDES 425 DNRRE LOT. g �5W,I 19.75 g LEGEND: � 11.00 � i 516 .it. BLOW OFF "DR/VfWAY, ® WATER METER 10.OFAU V C f — 27.00' — — — ° 4 4( RRE HYDRANT EAS£A/EWT NR VAC 0 © CAAW BASIN [�2500 O a-EANOUT ° O MANHOLE N89 20'49"'W 4 �� BLOAY WALL ° _ TREE REMOVAL STt�41/LYEAN T. •��'1 '�♦ OLWNECT ROOY^ 40 COMWflaV F0077NG DRAIN 18'WATDR m .TtOYJ .SCALE 1'=20' B"SfNER �168TH ST. LOT 84 • pop , , o — — SITE PLAN GREGOR Y PARK LG/ HOMES PLAN NO. COL.-1487 HOUSE= 2,109 SF LOT AREA = , SF DATE 912912017 PARCEL # LOT 84 09 1471 I NE 291h Plvice,#107 DRIVEWAY= 516 SF Bellevue,W.,hleg-98007 DESIGNED CORE ADDRESS 9021 16B1H ST. NE 425885.7877 Fax 425.095.7963 WALKWAY/PARO = 12 9- `DESIGN PROJECT NUMBER TOTAL= 2,6.37 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:9021 168th Street NE Permit#: 1710 Parcel#:01166900008400 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: `I-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 1S 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. IBCI10/IRC1I0. 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 CiI 9WR #3101. Signature Print Name Date Released By Dat 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 Processingfrechnology 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 fotai Payment: $0.00 Balance Duc: $8,845.89 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 aliernoon 1 BUILDING DEt#ARi AtNT SETBACKS NOTES.- _. A _ r-ow, ONT 20' •BUILaNG 0/MEIVSYONS ARE TUAPPR E 5 FAOF OF FOUNDAnaVAR 5' •OWING VONN AS& YOyV D TE 9 IBY EXISA ACTUAL LOCAAON MAY VARY . c6wT (7W.) •SLOW£URI"AY 1n PUBLIC ROAO NO CHANOE8 A PROPS ° •&T fFNCE TO BE INSTALLED PER G�4N UNLESS APPRO 8 E a aTY OF ARLING7ONS STANDARD E (np) — — •SYLT fENCE TO BE INSTALLED ON —— —— - 6RADIDVT.SIDE OF BUILDING U920'49V PARaZ 5 ..00 \o •CtWS7RUCncw EN1RANCE TO BE - - -- _ __ 1NSrALLEDPOPC17YAF_ 5.00'BSBL Z12 SJ� ARLINGILWS STANDARDS 5 00' STORM NOTES.• f1NlSYlED CONMUR I 24.50 g •7ESC INSTALLED PR/a? TO (�) $ \1 N •BARE SOILS C04ERED N11H MULO Y 1.A0'ROIAF 01"£iPHANG O4 ANOTHER APPROI�ED BMP 5 00'BSBL 10.50 10 } I •��a2 PER 7H) BMP 151 $ L OT S4 •ALL ONS/7E RUNOF COWNECIFD TO PR/VAT£STOPM SNUB PROROSEO REMDENOLff �� •10 B.WALL BE STA&LIM PR/OR COCUMB/A-1487 WAX RlG)'lT o � � lLD/NG PERM/T BONG RTNAL120 o S ^ O S/TENOTES.- o •776H7L/NE fDOANG DRAINS AND ROOD DRAINS 70 PERMANENT o GARAGE STi�4M DRAINAGE SYSTEI/PIP = APPROI/ED PLAT DRA/NA6F PLAN BUILDING nI\� OU7UNE a •AREA GF SIURBANOL�NCLUDES $425 I SNARE LOr. 500'I 19.75 'w LEGEND,' g 11.00 516S . --- - o- BLOWcff _J DRIIEWAY; _ ® WA7FR MV& 10.00'PUBVC _ —— UAVTY Y✓W' 27.00' �1 Ob a° f7RE HYDRANT EAS£AIENT 1� AIR VAC ° CATZW BASIN - - ° o aEANavr _ 1425 00 ° p _ O MANHOLE a 8 NC1920�49"'W a a / d °° BLOT WALL S1L7RM CLEAN T. , ATEE REMOVAL CONNECTROA� D S�NFRecelveca FOOT/NO ORA/N aWNECAON 8'WATER l J*'oo i =41E 1'=20' pAD n(C7 8'SL'NER V168TH ST. LOT 84 • :: pEn SITE PLAN GREGOR Y RA RK L G/ HOMES PLAN NO. COL.—1487 LOT AREA = 4,666 SF DATE 912.912017 PARCEL # LOT 84 HOUSE= 2,109 SF 14711 NE 291h Place,010 I I 0A)w DRIWWAY= 516 Sr 8e11evue,Wnehm9lon 98007 DESIGNED CORE ADDRESS 9021 1687H Sr NE 425.885.7877 Fax 425.885.7963 WALKWAY/PANO = 12 SF `ESIGN PROJECT NUMBER TOTAL= 1,6.37 SF ENGINEERING • PLANNING - SURVEYING DRAWN CAF 13024L-GRG00 �� ♦.. . � � . fit TrP cr>•►� �rt ti«�dN �. �•. ;, Zvi)#"-AU ?. V A0T-3q{AI a► 10-i'LA I I;: Permit Information Date 10/24/2017 Permit Number 1710 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 9021 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 01166900008400 9021 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 360-353- ake.jabusch@Igihomes.comCONTRACTOR ILabor and LGIHOHL857M LLC0588 Industries Review Date Type Description I Tar et Date Completed Date I Assigned To Status 10/25/2017 (Residential Dwellin 11/1/2017 Amy Rusk o In Review 10/25/2017 Residential Dwelling 11/1/2017 IlKevin Olander 111n Review Fees Fee Description Notes Amount Building Permit Feel 322.10,00.01 $2,140.84 Building Plan Review Fe 345.83.00.001 $1,391.55 Furnacq322.10.00.0 $25.00 Gas Outlets Base Fee 1 to i322.10.00.00 $10.00 Mechanical Fee(Enter Fixture Fee)j 322.10.00.00 $25.00 Mechanical Permit Base Feel 322.10.00.00 $25.00 Park-Community SFJ 345.85.00.00 $1,662.00 Plumbing Permit Base Feel 322.10.00.00 $25.00 Plumbing Permit Fee(Enter Fixture Feel322.10.00.0 11 @$1 $132.00 Processing/Technology Fe 341.43.00.021 $25.00 State Building Code Surohar a Feel 386.00.01.0 $4.50 Traffic Mitigation-CM 345.85.00.02 $3,355.00 Water Heateq 322.10.00.0 $25.00 Total $8,845.8 Uploaded Files Upload File Date File Uploaded B 10/25/2017 9:54:31 AM 1710 Application,odf Foster, Kristin �( 10/25/2017 9:54:31 AM 1710 Site Plan.pdt Foster, Kristin }� RESIDENTIAL PERMIT APPLICATION y Department of Community & Economic Development IN, O 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: 9021 168th Street NE Plat: Gregory Park Lot 84 Lh Single-family ❑ Duplex 01 Townhouse Q Addition I]! Accessory structure Proposed Area: 1" Floor: 1487 2nd Floor: Garage: 402 Total SF: 1889 Describe Proposal (include cross street): Application for new single family residence to be located at 9021 168th Street NE. Cross street is 91st fly) NC- 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 Arlington WA 98223 City: State: Zip Code: Phone: 425-785-0797 Email: matt.adams@lgihomes.com Contractor: LGI Homes - Washington LLC Address: 9028 168th Street NE Arlington WA 98223 City: State: Zip Code: Phone: 425-785-0797 Email: matt.adams@lgihomes.com Contact Person: Matt Adams LGIHOHL857MB 07/02/2019 License Number: Expiration: 6/16LP Page 1 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 Plumbing Section (continue filling out if plumbing is involved) (Check all that apply and indicate the number of fixtures proposed) ta Bath/Shower Combo (4.0) x Sink(1.5) x 1 YjI Shower (2.0) x 1 Mj Lavatory (1.0) x 2 ❑ Clothes Washer (4.0) x Water Closet(2.5) x 2 Dishwasher (1.5) x 1 l Water Heater x 1 Ek Hose Bibb (2.5) x 2 Water Heater Model # E3 Other (list) x AO Smith H PTU - 50N 1 Plumbing Section Continued Proposed Water Piping Size: /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 'NV O' City of Arlington• 18204 59th Ave NE •Arlington,WA 98223 • Phone(360)403-3551 Mechanical Section (continue filling out if mechanical equipment is involved) Select proposed appliances: 101 Furnace (80+) Model# Bryant 915SA30040514 95% AFUE Q! Heat Pump Model# SEER HSPE ❑': AC Unit Model# SEER ❑ Type II Hood Q Commercial Cooking Appliance Q! Hydronic Piping ❑ Boiler ❑ Solid-Fuel Appliance1 PV System ❑ Fireplace Insert ❑ Outdoor BBQ Q! Storage Tank �1 Freestanding Stove Gas Piping Q! 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: 401 • 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 Signatur� Oe / ��,( � Date: _�obo// Print Applicants Na Q -ZKS�-f 6/16LP Page 3 of 3 Permit#: 1710 Permit Date: 10/24/17 Permit Type: RESIDENTIAL SINGLE FAMILY Project Nam e Gregory Park Applicant Nam a LGI Hom 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- 01166900008400 9 021 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 01/02/2018 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 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 ling 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 ant 11/02/2017 LGI Hom Es-Washington Check#5776 K ristin Foster $7,454.34 LLC 11/02/2017 LGI Hom cs-Washington Check#5775 K ristin Foster $1,391.55 LLC O ttstanding Balance $0.00 Uploaded Files Date File Nam e 11/03/2017 2753292-1710 Issued Perm i.pdf 10/25/2017 2727996-1710 Site Plan.pdf 10/25/2017 2727997-1710 Apnlication.pdf