20060299.pdfS
CITY OF EDMOND
Grease Removal Equipment Application
Business Name: '�(Dy�'S D-C iCIWVGYJS D,teSubmitted: HALA(p
Address: L005 RUJIVI, uite No.:—
, C 01041 Mailing
Business Owner: Address:
Contact Person/Title: -7/9
Days/Hours of0peration:— Am.
Total Number of Meals Served Per Peak Hour (assume all seats filled):
Number of Seats: Dining: Lounge/Bar: LOLBanquet Rooms: — Deck/Patio: 0')s
I "T Health Dept. Permit Capacity
Building occupancy Permit Capacity: —
inventory of Vitchen Equipment and Plumbing Fixtures for this Establishment: (Grills,
burners, ovens, hoods, deep fat fryers, wok station p k tiles sinks, pre -wash sinks,
dishwashers, di po rs' in sinks, floor drains, etc.) :F—PWA
,,I) 0,)y�,j pm 14, 7 j
I
What proportion, if any, of the dishware used is of the disposable type.
How is waste oil/grease hand d, tored, and recycled/disposed? h
Estimate gallons of waste oillgrease produced per month:
if recycled, by which company?
now are vent hoodkcleaned ani$whi;re does the cleaning waste go?
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.
[Rev.Feb.20041
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Grease Trap Sizink Worksheet
Tac ' ilityName: Ro Is
C's SA
Address-. Suite No.:,
A Grease Tr�p 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.
Dish%�ashers 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 Ikad
(75% of Total
Capacity) .
Flow Rate for
a 2-Minute
Drain Period
#1
iffix �j x IT) x 19-= 11D
44�j.i.
+01--4fd al.
,-4g—
x.75= 1.
26ime
+ 2 gpm
#2
X x- X, cd.
+ 231 = sal.
x.75= -gal.
2 �=�-
#3
x x 3e c.i.
+ 231 = Ral.
1-x .7.5 gal.
2= Wal
24
x x x --c.i.
+ 231 = pal.
I x .75 gai. 1
+2= LDm
Grease Trap #1 - Total dr ainage flo s from maximum of 4 fixtures . I
t6l gpm
#1
x I x x = c.i.
+ 231 = 61.
x.75 = aal.
+2= Vul
#2
X x x = c.i.
- 231 = __gal.
x.75 = gal.
#3
x x x c.i.
+ 231 - gal.
x.75 = eal.
+2= 2pm
x x
-231= Pal.
x.75- gal.
+2= epm
Grease Trap #2 - Total drainage flows from maximum of 4 fixtures
gpm
MINIMUM SIZE OF GREASE TRAP(S) REQUIRED
Rpm
Number of Fixtures Connected to a Grease Trap 2 1 3 1 4
Grease Trap Size (in gpm) 11 20./1 25 1 35 1 50
U 'Ize for factors such as high volume dishwashing, high oil/grease content an menu, etc.
ps
...... ...... ...... ......................
............ ........................... (For City use only below tbis line)
Remarks:
fl) V4�
IA-44(s &Irk 5 A Uk -t S-0�- '-1L
IA r%v
16\
i�= V�- I &T
Size Approved: 2,,.Q Date:
gpm Approved by:
[Rev.Feb.20041
TOTAL P-02
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Permit Inspection Details
p�
Permit: BLD20060299
PERMITTRAX
07/17/2006 it 0 Passed Inspection.
y
Total Time:
0
Total Inspections: 1 Total Time:
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6/512009 9:09:47 AM
Page i of I
RECORD OF IN SPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ........... ..........
wall ......................
Pier/Porch .................
Retaining Wall
z
...........
Stab Insulation ..........
0
PLUMBING:
Underground
Rough -in ..............
C 1TI
Rill 0
Commercial Final
0
0
HEATING:
C
3: M
Gas Test
M z
................
,0-4
Gas Piping ............
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Equipment .................
Commercial Final
0
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EXTERIOR SHEATHING
3:
NAILING ..........................
M M
0
FRAMING ........................
0
0 ITI
FIRST FLOOR FRAMING
0)
M 0
INSULATION ...................
Floor Insulation
X
Wall Insulation ...........
>
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Ceiling Insulation
SHEETROCK NAILING
co
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SPECIAL INSPECTION
—04
0
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MISCELLANEOUS ..........
FINAL APPROVAL F(,).R
OCCUPANCY ........... .....
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