20060007.pdfDATE RECEIVEC,�/
PERMIT EXPIRES
PERMIT
CITY OF EDMONDS
NUMBER 17100(e _0(y,
CONSTRUCTION PERMIT APPLICATION
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REQUIRED DEDICATION
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NAME
METERSIZE NO OF FIXTURES PUY REQUIRED
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REMARKS
OWNERICONTRACTOR RESPONSIBLE FOS EROSION CONTROLADRAINAGE IF
CITY ZIP JTELEP"ONE
NAME
ENGINEERING REVIEW 0 BY
DATE
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Description
FEE Descript ion FEE
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Check
State Surcharge
HEAT SOURCE LOT SLOPE% VESTED DATE
Plan
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Building Permit
City Surcharge
PLAN CHECK NO:
05- 31' 13
Plumbing
Base Fee
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THIS PERMITAUTHORUNESONLY THE WORK NOTED. THIS PERMIT COVERSWORK TO
mechanical
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BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
2 0 MAIN (CURBS. SIDEWALKS, DRIVEWAYS, MARQUEES. ETC�) WILL REQUIRE
, so
EPARATE PERMISSION.
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PERMIT APPLICATION: SEE IECDC 19.00,005(A)(5)
Engr. Re
Recording Fee
eco'dt,,,n,
PERMIT LIMNE SEE ECDC 1100�005(AK6)
SEE BACK OF PINK PERMIT FDA MORE INFORMATION
Eng, inspection
RE
Plan DIRK. Deposit
ON BEHALF OF HIS ON HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS
Review
!Feo
Receipt 9
Race
N INTEREST, AGREE TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHING N, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND
Fire
ALL CLAIMS FOR DAMAG 5 OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
Fire inspection
Total Amt, Due
I&S -
I;APPLICANT.
FROM THE I SUANCE OF THIS PERMIt ISSUANCE OF THIS P AMM $HALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OFAN. _11 . -
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE k6VISM.-
. . . . . .
Landscape Insp.
Receipt #
APPLICATION APPROVAL
I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
OR THE DULY AUTHORIZED AGENT OF
CALL
T11s aPPI-ne- Fee a pndan usn' s,, a, d,V
GIVEN is CORRECT, AND THAT I AM THE OWNER,
THE OWNER, I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONST -
rU,d1g Offilal 11 h,WAII D.Iney and Fees ad, rant a nd
FOR INSPECTION
TION; AND IN DOING THE WORK AUTHORIZE. THEREBY, NO PERSON WILL BE EMPLOYIE'D
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S COMPENS=NCE AND RCW le�27.
(425)
OFqSKAIURE
SIGNAT E(OWNEAOR G Nn: Ill SIG"ETV
771-0220
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RELEASED BY
------
EXT. 1333
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U�OROCCUPYA BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HA BEEN MADE AND APPROVAL OR A CERTI-
ORIGINAL - FILE - YELLOW - INSPECTOR
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 I IBC110 / IRC1110.
PINK -OWNCR - GOLD , ASSESSOR
PRESS HARD - YOU
ARE MAKING 4 COPIES
6105
CITY OF EDMONDS
Grease Removal Equipment Application.
Business Name: —Date Submitted: 4k4 �0
Address:- t7- 1 '7 A 1,AA-1 0 �T Suite No.:
Business Owner: RA-, V- FA,�P�f Mailing Address: III-k% 'i&T- 4-,, W . .........
4EL-L-a'
Contact Person/Title: Phone: 42-c- q:1-1
Days/Hours of Operation: 4- Pan- S �— q-b�� - �57
Total Number of Meals Served Per Peak Hour (assume all seats filled):
Number of Seats: Dining: 14 5 Lounge/Bar: — Banquet Rooms: _ DecklPatio:
Building Occupancy Permit Capacity: Health Dept. Permit Capacity_
Inventory of Kitchen Equipment and Plumbing Fixtures for this Establishment: (Grills,
burners, ovens, hoods, deep fat fryers, wok stations, soup kettles, sinks, pre -wash sinks,
dishwashers, disposers, mop sinks, floor drains, etc.) -c -I U-it-, ep, -',
J.,
t 'e-0, - TV%.,f-p S'j -e. 0
What proportion, if any, of the dishware used is of the disposable type?
How is waste oil/grease handled, stored, and recycled/disposed?
L,� 44U- &r- yw� kt— -I Col. fi-L-1 Ace 01— Pj
64 S+4iL�,A d -L�
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Estimate gallons of waste oil/grease produced per month:
If recycled, by which company? 0 1A -
How are vent hoods cleaned and where does the cleaning waste go?
eQX'Q--- - ..
Contact the Pretreatment Technician at 425-672-5755 to discuss the type and
size of equipment you must install, and then complete the appropriate
accompanying worksheetfor either a Grease Interceptor or a Grease Trap.
M
Grease Trap Sizing Worksheet
Facility Name:
Address: 57t5;4 OAA-11,�' S 1- Suite No.:
• A Grease Trap plumbing permit is required ($165.00 fee). Contact the Pretreatment
Technician (425-672-5755) if you have any questions and also to get signature approval on
this form.
• Dishwashers are not allowed to be connected to a Grease Trap.
• Food disposers are not allowed in a facility served by a Grease Trap and must be disabled or
removed. Solids must be screened out and placed in the solid waste container.
Fixture Capacity in Cubic
Inches
(L x W x.D..x,no. of sinks)
Fixture Capacity
in Gallons
(Cu. In. + 231)
Drainage Load
(75% ofTotal
Capaci!Y)
Flow Rate for
a 2-Minute
Drain Period
LI
x g )03a =!%14- c.i.
231 = Lal--
x .75 = �2 gal.
+ 2 = 17--EMm
X ' I c.i.
231 = gal.
x.75 = gal.
+2= -2-Mm
13
A x X. ci
231 = al.
x.75 = gal.
+2= _gpm
Atd
X X c:i:
231 = gal.
x.75 = gal.
- 2
Grease Trap #1 - Total drainage flows from maximum of 4 fixtures
d4� —9p-
#1
x x x = c.i.
231 = _gal.
I x.75= gal.
+2= __gpm
#2
x x x = c.i.
231 = —salj
x —.75= gal.
_±_2 =
#3
pGrease
x x X = c.i.
+ 231 = gal.
x.75 = al.
_L
+ 2 = m
#4
x x x = c-i.
x x
231 = gal.
x.75 = gal
2= m
Trapx#2 -Total drainage flows from maximum of 4 fixtures
gpm
I MINIMUM SIZE OF GREASE TRAP(S) REQUIRED —
14-,5- gpm
Number of Fixtures Connected to a Grease Trap I A:;, 2 3 4
Grease Trap Size (in gpm) , I ( 20') 1 -- -- 5t)
Upsize for factors such as high volume dishwashing, high oil/grease content on menu, etc.
---------------------------------------- (For City use only below this line) -----------------------------------------------
Remarks:
Size Approved: 2.0 gpm Approved by: Je�, t-:, _ Date: M
qqvtrej�tment'fechnician
FINAL ROJECT APPROVAL FORM
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: .............. _---YRETREATMENT Pl, ANT DATE
PROJEC
SITE ADDRESS
PERMIT # 10 — 000 �ADB#______-------DATE INSPECTED —a "11
DESCRIPTION OF WORK TO BE INSPECTED 6rQq.-.
A field inspection was conducted to'determine compliance with approved plans. Final approval
denotes that there are no objections from the above signed Department to the release. of
PERFORMANCE BONDS and the granting of:
4J.-GRANT FINAL PROJECT APPRO I VAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
0 Copy of CONDITIONS given to owner/contractor by inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
0 Copy ofCORRECTION NOTICE given to owner/contractor by inpector
I
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Signature
L�.\Trmp\BuiL[)ING�FORMS\I'RErREATMrNTAPPROVAL.DOCl/4/2005
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Permit Inspection Details
Permit: BL020060007
PERMITTRAX
Id noTirial
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03/2912006 SNOOK 20 APPROVED
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Total Time: 20
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03/27/2006 Lein 20 APPROVED
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Total Time: 20
Total Inspections: 2
Total Time: 40
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Page I of I
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACK$ .....................
FOUNDATION:
Footing ......................
wall
Pier/Porch
Retaining Wall ...........
Stab Insulation ..........
PLUMBING:
Underground .............
Rough -In ...................
Commercial Final
HEATING:
Gas Test ....................
Gas Piping ................
Equipment
Commercial Final
EXTERIOR SHEATHING
NAILING ..........................
FRAMING ._ ....................
FIRST FLOOR FRAMING
INSULATION ...........
Floor Insulation
Wall Insulation
Ceiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
yw�
OCCUPANCY ................
S