20060024.pdfDATE RECEIVED
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PERMIT EXPIRES
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CITY OF EDMONDS
PERMIT
NUMBER
CONSTRUCTION PERMIT APPLICATION
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L BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
2 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WIL L REQUIRE
SEPARATE PERMISSION.
Grading
PERMIT APPLICATION: SEE ECDC 1100.005W(5)
A. PERMIT LIMIT SEE ECDC 19,00.005(A)(6)
Engr. Review
Recording Fee
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Engr. Inspection
Plan Chk. Deposit
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HISRS, ASSIGNS AND SUCCESSORS
IN INTERESt AGREES TO INDEMNIFY, DEF NO AND HOLD HARMLESS THE CITY OF
Fire Review
Receipt 0
2 EDMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGE OF WHATEVER NATURE� ARISING DIRECTLY OR INDIRECTLY
=1 FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
Fire Inspection
Total Amt. Due
DEEMED 70 MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION..
Landscape Insp.
Receipt It
App ION APPROVAL
]HERE Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
CALL
T Pp,�I�St� I A p.,. � nW.,gI0 Ly F.
THEOWNER IA REE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC�
FOR INSPECTION
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TION;ANDIN ING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BEE MPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
42 .,�PPdW
WORKMEN'S CO:::��URANCE AND RCW 18:27.
(425)
OFFICIALS SIGNATURE
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I1AT11IONED
771-0220
19/a '.1 )11
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RELaSEDBY DAIIE
44,q
EXT. 1333
ATTENTION if
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI-
ORIGINAL FILE - YELLOW -INSPECTOR
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 I ISC110 / IRC`110�
PINK -OWNER - GOLD - ASSESSOR
6105 PRESS HARD - YOU ARE MAKING 4 COPIES
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DMONDS
CITY OF E
Grease Removal Equipment Application
Business Name: Edmonds Yacht Club DateSubmitted: 1/9/06
Address:— 458 Admiral Way Suite No. -
Business Owner:POrt of Edmonds Mailing Address: 336 Admiral Way
Edmonds, WA 0020
Contact Person/Title: Bob Yeager, Maintenance Mgr. Phone: 425 774-0549
Days/Hours of Operation: 8:00 a.m. — 5:00 p.m.
Total Number of Meals Served Per Peak Hour (assume all seats filled):
NumberofSeats: Dining: 50 Lounge/Bar: BanquetRooms: X Deck/Patio:—
Building Occupancy Permit Capacity: 175 Health Dept. Permit Capacity 175
Inventory of Vitchen Equipment and Plumbing Fixtures for this Establishment: (Grills,
e- s
burners, ovens, hoods, deep fat fryers, wok stations, soup kettles, sinks, pr wash sink ,
dishwashers, disposers, mop sinks, floor drains, etc.) one grill, four burners, one oven;,
one hood, one pre wash sink, one sink, one dishwasher, one mop sink
What proportion, if any, of the dishware used is of the disposable type? none
How is waste oil/grease handled, stored, and recycled/disposed? garbage
Estimate gallons of waste oil/grease produced per mouth: n/a
If recycled, by which company?
How are vent hoods cleaned and where does the cleaning waste go? n/a
Contact the Pretreatment Technician at 425-672-5755 to discuss the type and
size of equipment you must install, and theft complete tile appropriate
accompanying worksheetfor either a Grease Interceptor or a Grease Trap.
[Rev. Feb. 20041
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Grease Trap Sizing Worksheet
Facility Name: Q CIA
Address: �Sc �A Q.-/ Suite No.:
A Grease Trap plumbing permit is required ($165.00 fee). Contact the Pretreatment
Technician (425-672-5755) ifyou 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.
Inches
LxWx D x no. of sinks)
Capacity in Cubic'.....
Fixture Capacity
in Gallons
(Cu. In.- 231)
Drainage Load
(75% of Total
Capacity)
-Flow —Rate for
a 2-Minute
Drain Per iod
#1
§Fixture
X X c
gal--
x .75 5'Z gal.
- 2 = LLUgpm
#2
X X X c.i.
-231 Lal.
x .75 gal.
- 2 = gpm
3
x X x c.i.
231=--gal.
x.75= gal.
+2=_gpm
#4
c'.
c
X X i.
x
x
231 —gal.
I x .75 gal.-
2= gpm
-
Grease Trap #1 - Total drainage flows from maximum of 4 fixtures
J-1, &(—. gpM
#1
x x x = c.i.
+ 231 g 1.
x .75 = gal.
m
#2
x X X = c.i.
+ 231 gal.
x.75 = al.
2= m
#3
x X x = c.i.
231 = —gal.
x.75 = gal.
+ 2 gpM
#4
x x x = .
-. 231 = —gal.
x .75 = _ gal.
2=_gpm
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Grease Trap #2 -Total drainage flows from maximum of 4 fixtures
gpm
MINIMUM SIZE OF GREASE TRAP(S) REQUIRED
go -
Number of Fixtures Connected to a Grease Tral
�20 )1 25 1 35 56
Grease Trap Size (in gpm)
Upsize for factors such as high volume dishwashing, high oil/grease content on menu, etc.
- - -- - --------- - - - - -- - - - - -------- (For City use only below this
Remarks: MDL ' T�q Cd-A ik0V
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Size Approved: RO gpm Approved by: I&A dL,_ Date:
VFreireatment iecninclan
[Rev.Feb.20041
TO: Theresk
DATE:
MEMOTO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: '��A PRETREATMENT PLANT DATE
PROJECT 11tA4 club
SITEADDRESS A&ItA")"L� tt-)�q
PERMIT ADB#__-------�DATE INSPECTED
DESCRIPTION OF WORK TO BE INSPECTED 1A -84"
_TL 1AS4ft0A,'V.b0% 11-4
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:
GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
0 Copy of CONDITIONS given to owner/contractor by inspector
I
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
0 Copy ofCORRECTION NOTICE given to owner/contractor by inpector
2.
3.
RE-TNSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Signature
LATEM NBUILDINGFORMSTRUREATM ENTAPPROVAL. DOC 114/2005
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Permit Inspection Details
Permit: BLD20060024
PERMITTRA)�
in
01/3012006 SN60K IS'APPROVED
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Total Time: Is
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01 /30/2006 SNOOK 20 APPROVED
y
Total Time: 20
Total Inspections:
2 Total Time: 35
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5/28/2009 11:28:01 AM
Page I of I
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Wall Insulation
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Ceiling Insulation
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SHEETROCK NAILING
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SPECIAL INSPECTION
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MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
x