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HomeMy WebLinkAbout16710 SMOKEY POINT BLVD_004105_2026 INSPECTION REPORT ti1N G r Permit No.: Lot #: Q" Q� Address: _r 210 J� P7_ �P)LV Z Contractor: 9 O Owner: oZ 2hle�� INO� Date: A;t--e96 0D ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required fc J N /yY Inspector: Date: PE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ 5truct. Slab ❑ Wood Stove ❑ Rough-in Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT ZN G , — y ?'� Permit No. Lot #:: Address: �� Contractor: T5C1'rI''-c O Owner: ING� Date: 76 PPROVAL ❑ PARTIAL APPROVAL ❑ VrOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. Inspector: Date: TY OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final AMasonry ❑ D(ainage j Insulation Other: � INSPECTION REPORT tiZN G T O Permit No.: � l `rLot#: ¢ Address: ! , 1 a� PTA� Z Contractor: O Owner: ? 9s I N G Date: OVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. Inspector: Date: l TYPE OF INSPECTION REQUEST D ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ asona444��c7IlLeV712 ❑ Drainage ❑ Insulation ther: �� INSPECTION REPORT 4ti1N G 1'O Permit No.: Lot #: Address: /& 7 O Contractor: Owner: �irN Date: 9—/q-00 [ y: PPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. J Inspector: Date: jt.� TYPE OF INSPECTION REQUESTED ❑ Under-floor .gaming ❑ Gas Piping ❑ Footing Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation 0 Other: INSPECTION REPORT ti1N G T Permit No.:4V 4l4�Lot#: Address: A- 7/C'' Z Contractor: Owner: N O Date: �l� PPROVAL ❑ PARTIAL APPROVAL VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. r 1 Ij I V"'_"l Inspector: Date: L ( / TY E OF INSPECTION REQUESTED ❑ Under-floor ❑�'Drywall, Framing ❑ Gas Piping El Footing ^ 7 Nailing ❑ Consultation ❑ Foundations ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT 4yiN c To Permit No.:{ `]' Lot #: Q' Address: /;2 7/ 0 Z Contractor':-,e, Owner: A`Iz12 � IN Date: �� PPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. Inspector: Date: TY OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove Rough-in-- ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: NG INSPECTION REPORT tit 1'� Permit No.: 6e Lot#: 4 Address:/L 7/0 C 9&&RF AZ-M Q" Contractor: Owner: Y25 7&4, -3d!E( IN Date: g—)1-00 hires ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ACORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. Inspector: Date: a TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical �❑r Grid ❑ Struct. Slab ❑ Wood Stove Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT 1N G?' Permit N .. 1G �{l 0-5-S Lot #: 4`ti O o •C Address: j(a-Z/!2 �dwa6ze Z%&- D Contractor: Owner: � •�i��'� �jNCs Date: �'-//-60 APPROVAL ❑ PARTIAL APPROVAL VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. i Inspector: f Date: — TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ onsultation ❑ Foundation ❑ Shear Nailing Groundwork ❑ Mechanical ❑ Grid ❑ ttruct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation 0 Other: INSPECTION REPORT s 1,3LVD 4tiZN G TD Permit No.: Lot#: �- Q" Address: s • Contractor: Owner: SING Date: — —00 ❑ PARTIAL APPROVAL ��, PPROVAL VIO TION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTIO - 24 hour notice req . ed. Inspector: Date: ' TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: MSPECTION REPORT ii Permit No.: / Lot#:Address: /(0 71DContractor: Owner:G� Date: is APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. 9 Inspector: Date: PE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ ❑ Wood Stove Rough-in )E—Qinal❑ Masonry ❑ Drainage Insulation ❑ Other: 3 � J " � 1 VJ ADVANCE TESTING&SERVICE / P.O. Box 1485 • Everett, Washington 98206 • (425)337-4175 • Pager: (425)339-8998 Fax: (425) 337-0208 BACKFLOW PREVENTION ASSEMBLY TEST REPORT PURVEYOR ID# EW� EXISTING REPLACEMENT ❑ NAME OF PREMISE COMM RES_Cl SERVICE ADDRESS % CITY: ZIP: CONTACT PERSON PHONE FAX OWNER/PM MAILING ADDRESS CITY: ZIP: CONTACT PERSON PHONE FAX LOCATION OF ASSEMBLYiP�%CAP //��C1��/L7i1`�/Cl DOWNSTREAM PROCESS 1X RPBA ❑DCVA ❑PVBA ❑DCDA PROP.INSTA: XYES ❑NO DATE INSTA: � iSSEMBLY �/9S' ��0 , e /��i�/ MANUFACTURER MODEL SIZE SERIAL NO. LINE PRESSURE AT TIME OF TEST PSI NO.OF ASSEMBLIES THIS LOCATION Reduced Pressure Assemblies Pressure Vacuum Breaker Double Check Assemblies Air Inlet Check Valve 1st Check 2nd Check Relief Valve Initial Closed Close Opene at Opened at Test DC-Tight( ( Tight psid psid psid RP 7, 4sid DC psid DC psid PRESSURE FOR ONE HOSE METHOD Leaked❑ Leaked❑ Did Not Open❑ Did Not Open❑ Leaked❑ Repairs Cleaned❑ Cleaned❑ Cleaned❑ Cleaned❑ Cleaned❑ Replaced❑ Replaced❑ Replaced❑ Replaced❑ Replaced❑ Part# Test DC Tight❑ DC Tight❑ Opened at Opened at )kfter RP psid psid psid psid Repair DC psid DC psid PRESSURE FOR ONE HOSE METHOD AIR GAP INSPECTION: Required minimum air gap separation provided?YeSN No❑ REMARKS: TESTED BY: CERT NO. DATE:/G 0d 01-21 NATll PRINT NAME: oIG ,own-, TESTED BY GAUGE: ���.C.e CALIBRATION DATE: -��'�� C�' WSP[XYES FIRE SERVICE RESTORED: TIME: ❑AM ❑PM DATE: T/A: ❑YES❑NO METER NO. METER READING REPORT TO: FAX: ASSEMBLY: /11'kAS D ❑ A L D CONFINED SPACE: ❑YES )(NO REPORT RECEIVED BY: SERVICE RESTORED ES [--]NO 72� 4&4M PURVEYOR YELLOW-OFFICE -CUSTOMER r ■ ■ 1. _ - ■ _ ■ — MEN --1 ■ ■ ■ ■ ■ ■ 1 ■ ■ ■ ■ ■ ■ ■ . 1 . ME NO ■ ■ m mHkjrm I m mj% m ro m I L 1 No PL; 1 -JAERU 1 NO IMM, %4iv .-;t MEN 11111,11110 1'7'1 1 'i1,. A ■ 11111 ` ~j No In ■ ■ MINIM � � r17 1 .�■'I Ia L ■A■� ! ! r7 N� 1 1 ■ �- 1'rl 1 ' �F- 1 WE, bpL- ■ dbmbr mmmNdI ii r`- ■ 111 11111111111 No - `& u1 M9 ME — TI.1 E r ■� Mom ■ . . 1 ! ■ ■-' . - — 71 ■ — NINE A MINIM --�■ - a�--1 — ■ T ■ ■ — ■ Tr■ 6 .. 1 ■ m ■ — IEL .Or 7 11111111 IV 1111 1■ W ■1 —■ ■ I' ■ 1■■I 1- IN -i - 7 IF ' Nor' Mom 11111oar— -: 1 ■ ■ "EmIT ` - A ` 111 ■ J ' - mom; ■ ' MINIM mommI• ■ mommom - ■ ■ T ■ mom 1 ■ mommil 1 ■ mommmi J ON 1 " Al . . No `■ 019 I • - -Y - : � . - — ■.1 . . ■ ■ - ■ - r S - -JN ■'1 ■ — -1 ■ No I ■'L — ■ — ■ , - I LEEIrr- i 1 MIX h . IA mmoomm If .! I Mr.. mom1 . . . . 1 . �■ - ADVANCE TESTING&SERVICE P.O. Box 1485 • Everett, Washington 98206 • (425)337-4175 • Pager: (425)339-8998 Fax: (425) 337-0208 BACKFLOW PREVENTION ASSEMBLY TEST REPORT PURVEYOR ID# NEW�� EXISTING❑ REPLACEMENT ❑ NAME OF PREMISE �,(� � + I 11 I _d 7�i'� COM . RES.❑ SERVICE ADDRESS _ CITY: ZIP: CONTACT PERSON 4 �-/ '/�� PHONE/ YYP-,?j?J'0 F ;ZACOV OWNER/PM MAILING ADDRESS CITY: ZIP: CONTACT PERSON PHONE FAX LOCATION OF ASSEMBLY DOWNSTREAM PROCESS �(RPBA ❑D1 CVA ElPVBA ElDCDA PROP.INSTA: �YES ❑NO DATE 1NSTA: A G�SSEMBLY &AJ-_',,a f 9�,�X.1 ,l� Z&z� MANUFACTURER MODEL SIZE SERIAL NO. LINE PRESSURE AT TIME OF TEST PSI NO.OF ASSEMBLIES THIS LOCATION Reduced Pressure Assemblies Pressure Vacuum Breaker Double Check Assemblies Air Inlet Check Valve 1st Check 2nd Check Relief Valve Initial Closed Closed Opened at Opened at Test DC-Tight I Tight K s,? psid psid RP .G psid DC psid DC psid PRESSURE FOR ONE HOSE METHOD Leaked❑ Leaked❑ Did Not Open❑ Did Not Open❑ Leaked❑ Repairs Cleaned❑ Cleaned❑ Cleaned❑ Cleaned❑ Cleaned❑ Replaced❑ Replaced❑ Replaced❑ Replaced❑ Replaced❑ Part# Test DC Tight❑ DC Tight❑ Opened at Opened at ,After RP psid psid psid psid Repair DC psid DC psid PRESSURE FOR ONE HOSE METHOD AIR GAP INSPECTION: Required minimum air gap separation provided?Yes No El TESTED BY: CERT NO)d DATF/Z2� ' SI TV PRINT NAME: Y12 7 TESTED BY GAUGE: �U� CALIBRATION DATE: WSPk ES FIRE SERVICE RESTORED: TIME: ❑AM ❑PM DATE: T/A: ❑YES❑NO i METER NO. METER READING REPORT TO: FAX: ASSEMBLY: PASSE IL AD CONFINED SPACE: ❑YES XNO REPORT RECEIVED BY: SERVICE RESTORED [RYES ❑NO IIITE-PURVEYOR YELLOW-OFFICE PINK-CUSTOMER 1 1 • ' F ■ ■ po 'm isso lo ! -M1 1' r_ m I ME IL rwmmm 0& �.-ftgp& or mmillo '-R ON I 1 oolr r NON IN 0 m � 90 r1 LILS.■.r 7Tlos qq m q rll r9m Miso■ ■ ■ KSRMn ■.L:L:f S.+- . . 1 ■M ` 7i11 77 ■ '+'"!■ �7-■ R J ■ ■ i ■ i■7 ` ■ 1 n 1 ■ w 11I'9 L7. 111fti =PINw1 1o"11911110 MVWM 1 ftdwwr OEM rj ■ � lmm LML T ■ i . momq nom No IN mim roo moor" IN 1 1Lr' V` ■ 17 'T rnNo � "Td - - - ENNI& ■ r l mmo' ' ! r 7' M vl .1 Noill ON 0616 No In 19 A PER _ _ _VW ' ! t'+ rNON:ET !J'1M'L MEN _ �L . � _ �! ' ■ ELM 1 ■ J a ■ I Is�lr � moll, No r A1� M■ �Jti orgao Ir m■ rr 1 ' No r'+ r l r-- I r ' n ' a TI Jll" - rrvrn ■ 1r-- O1■ 1 1 J� ', 1■� '■1 TLIII � F ■ ■ ■ ■ !� Y�"'7 7 A r+i " il JTI 'T 1 1 -d moo rTrill - 1 ml 1 11,%?wL' rp*i ■7 1m ur 7■1 lm 1 ADVANCE TESTING&SERVICE P.O. Box 1485 • Everett, Washington 98206 • (425) 337-4175 • Pager: (425) 339-8998 Fax: (425) 337-0208 BACKFLOW PREVENTION ASSEMBLY TEST REPORT PURVEYOR ID# NEWKEXISTING❑ REPLACEMENT ❑ NAME OF PREMISE � COM M.P( RES.❑ SERVICE ADDRESS CITY: ZIP:C-�. CONTACT PERSON PHONE FA OWNER/PM MAILING ADDRESS _ �Q � CITY: ZIP: CONTACT PERSON '_ l PHONE FAX LOCATION OF ASSEMBLY ���If/V� ����.;iPU fzifn �� az- i06 (D WNSTREAM PROCESS / 'G RPBA ❑DCVA ❑PVBA ❑DCDA PROP.INSTA: ES ❑NO DATE INSTA: Z9� ASSEMBLY /9/ " MANUFACTURER MODEL SIZE SERIAL NO. LINE PRESSURE AT TIME OF TEST Z­2� PSI NO.OF ASSEMBLIES THIS LOCATION Reduced Pressure Assemblies Pressure Vacddm Breaker Double Check Assemblies Air Inlet Check Valve Initial 1st Check 2nd Check Relief Valve Closed Closed Opened at Opened at Test DC.Tight. Tight ippsid psid psid RP_ZS psid DC psid DC psid PRESSURE FOR ONE HOSE METHOD Leaked❑ Leaked❑ Did Not Open❑ Did Not Open❑ Leaked❑ Repairs Cleaned❑ Cleaned❑ Cleaned❑ Cleaned❑ Cleaned❑ Replaced❑ Replaced❑ Replaced❑ Replaced❑ Replaced❑ Part# Test DC Tight❑ DC Tight❑ Opened at Opened at )After RP psid psid psid psid Repair DC psid DC psid PRESSURE FOR ONE HOSE METHOD AIR GAP INSPECTION: Required minimum air gap separation provided ?Yes No❑ REMARKS: TESTED BY: CERT NO. DATE: /Z s ATultra PRINT NAME: —, � TESTED BY GAUGE: az)x -o .CALIBRATION DATE: ����"Z��C� WSPYYES FIRE SERVICE RESTORED: TIME: ❑AM ❑PM DATE: T/A: ❑YES❑NO METER NO. METER READING REPORT TO: FAX: ASSEMBLY: A D AILED CONFINED SPACE: ❑YES NO MA A C',,,O IV REPORT RECEIVED BY: SERVICE RESTORE ES 1-1 NO WHITE-PURVEYOR YELLOW OIFI PINK-CUSTOMER // ti 7� ri� 19 � r ' .o : �x Ir lfR7 • ■ fir■ ti :a • �r '��� � � •� � .. � ■ ■:1 immis I =1 I sc • 1 ■ NO - ■ ■ ■ 7 IYlr■ ■ ■TrJ M r• r•1 1 0 : 1 ■ + • 7 1 NO 1 ■ oo ` W ■ INSi1 ll MI NON 46NY� L. mormlIlImmill ON m mwm MIA Mimi mmw:V oo � 7r1r b�J :6CLE ' mE I it L IN NOR WIM immis ■1�- I:. J C. '9&ti 1. . hru 0 • rTo • - - 04 1 - t ■ o it IN ■L= ■�T iIEIW IN WN w U 17d sm I. Fes•• Er v WIN! =11111mmommom `r MEM OR irLj6ir ij 1 .J 1 INIII! . . It Nor r .I immis NO 0 —J ■ IN rJ•1 — 0 IN 7 ■ r' MEN + no ■ 16" 1 ` • O or0m O! 1 mommomm + F - NO ■ ■ . . . ■ ■ - - - �1ma � � 1 - • b•� �1 ■� mommemi%J �J6 1 Z • �. ■ ■ `J MM1 M W1 ri I I i ■ ` ` ` i 711.l7 momilk.- ■ NON it _ 7 ._f NO WON No IRIN ,I re • ■ -ep wr ■r`1 7 rIr� 81e7 • • Jd .. • ••. I ON OIL • J ■11 ■ I .■ I• Y ■ 1 0 0 ■ ■■1 ■ ■ rl 1■I•r• No S7 rl I IM ■ r1■ so rom, so■ r%r 1 ■ IN '. '� lu moor `•i mileW AM 1 ON IN J =7 mil ■!7il 1' Ni r 1 ■1■ ' ■)( i mo � i ■ oo I ■ _�■ 1■■1 ■ �I ME? A CITY OF FURL I NS-FOhl COh1STRUCT I Ohl PERM I T PERMIT NO. 00-4 1 0S Owner: SMOKEY POINT PROPERTIES 16404 SMKY PT BLVD ARLINGTON 98223 Value of Mork: $65,000.00 Tax ID: 293105-1-017-0004 Phone: 360-659-8551 Describe Mork: TENANT IMPROVEMENT Proposed Use: RESTAURANT Legal Description: Job Address: 16710 SMOKEY POINT BLVD Contractor's Mane Type Address License# DUREN HEWITT LLC GEN 1045 12TH AVE NW DURENHLO16CC BEL-AIRE INC. MEC 2172 DIVISION ST. BELAIHA163LJ BIG CITY PLUMBING PLB 3711 S 253RD PL BIGCIP*017L8 P E R R I T F E E S Equipment and-Fixtures Humber Fee Total Charge PLUMBING FIXTURES 32 $7.00 $224.00 5U BT0TAL... . .. $224.1 } I_ TOTALS Fee Permit Fee $748.75 Fixture $224. 00 Plan Fee $486.69 Plumb Permit $25.00 State fee $4. 50 � SIGNA .� "' f�` TOTAL FEE. . . . . . . . . . . . . . . . . S1,488.94 I HER B R'PIF C AT I H4k�'E READ AND - ACINED T 5 APPLICATION AND PAYMENTS. ... ... . .. .. . . . .. .$0.0 KNOW 'rHF SAME TO BE TRUE AND COR- REC'r AL PROV IONS F L AND TOTAL DUE. .. . .. . .. .. . . . ... $1,488.94 ORD 1AN-ES G , NIN THI . TYPE OF WO ' W I L BE P WVTV WHETHER SP IF E7 I I O`I' DATE RECEIPT # D UI1. ING 0 1,'I L -�� C 1����iN/e�n�j ��M�rir�y�rw � •,tam . :.,r1'i"?•I;, _. .j tr�r.�� �� J�t�: •� �..r�i:•�i.. � t��...�z ,, :+''y ' };� �'�' � �� /� ��� "`? ." `'"'n'.ac.,urr.',y�'Leb. ,Yr�@Asis�;ap� _.�,:u c.•., • , 'y� "• .+wum»nxow,tmergna^>v%!•,nnm-r,,uzv.mnYtaacoNeazvo.a r000w�,YmYnme x,...... 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W 0 0-4 w u H O E—, O U a is P� CA P-' H i E 4 H O n'• 4 b z TO r 1 p cn 3 •4 O 8 �J Q d '-4 cn '" a 00 C1 o a x ) L 0 U 5 G N w 3 4 Z `� w,uu lUw;A:iNta•.v(o'iw)ivzJlstia GnUVd}'W4i„ R?.;it,o,%wL.a.+(a'Oi-0mDY 00)DOOJ1Wl):.,wika.RW:4a•YcowY.(URaHN tuaaNJaU:iw�pblAw>a�(e•iNWVf:L(,i7P'.vuetRJ'T4athlYi;:7u#fwui(eri-. .Au1VWYanTn'aW; jai } a••..t_.�•"v�cy-n✓ ��•sxsw.�^m smams^�'�nt>�"+ �^•c••.�aq 'r- , ���v t° �i:4n•T�•..,•...n�� ''�1 iwo s4• Fr 1 t, t r �s .r. �.•ri' � .� �I JUL-11-2000 15:04_ __ CITY OF NSJL PbJ 360 651 5099 P.01/01 DEPARTMENT OF COMMUNITY 1 Yl'LOPMENT L6LB J U ��`{`DL? U Ln=LiU�)LWL1 U Uc,=�I� 239 N. Olympic, AMIngton, ! ,. 98223 en D Planning HATE BuIldin6E4 J 0En7 ine Phne (2035. 4FA (206) 435-3906 C7\ - c • �� _ _ JUN 19 2000� {1ty OT l''V!4'­Svllie U WE ARE SENDING YOU ❑ Attached ❑ Under separate cover via the following iterns' ❑ Shop drawings is Prints O Plans O SemDles ❑ Specifications ❑ Copy of latter ❑ Change order ❑ COMES DATE NO. peSCRiPTION r - 1 1 THESE ARE TRANSMITTED as checked below: r El For approval to Approved as submitted ❑ Resubmit copies for aporova ❑ For your use ❑ Approved as noted ❑ Submit —copies for distribution ❑ As requested 0 Returned for corrections ❑ Return corrected prints r cview and Comment ❑ --, /� 19 ❑ PRINTS RETURNED AFTER LOAN TO US C FOR BIDS DUE REMARKS—. _ •. _ 1 71 COPY TO r.._.._. n PAPER ..7rvrc�nmPnn�ir..wr SIGNED; TOTAL P.01 Y, ;, I p. l AUTOMAT" • GREASE RECOVERY SYSTEM Ma";W400-A9T '" G�HAr�a to a+�lerwt iouoa sstsaaaaua •i514' �11/4,__- 4.i' rs IT' T t.- .r tr_. saes,.. ", �• �. I OOMTAl�J1,110011 } I OP�.�t, ijNM� I 1 - 1111114010 VIEW BACK VIEW l FEATURES _ I No etrak►©►: to ernpry rnarlualy, The Autos �� � 9vIldaTrenatertealuroautorr>alkallymecarotge X pu"s solOp around On system. .y_ truly automatic self-cleaning cycle. Removes ltldad graaealoits from tank without any ope, 'a+._ assislanca IN�Ef r'W�1 ConstrucMd of corrosion mislont materials suN for lnstedollon in virtually my Ivcatlon. _" IN�EY END Comes corrlpieta wKhh Grease Collection Container and 24 hour 11m Control, �1.. ! tWterlds ,. .. .. -�..,M tt�Qpu9e,004 8tainlear Steer.6rlgitt ftlbh #taGrAoai;_-- —' t t 6 VAC a0 Ws 27t70 Watts It 3 ae'Pe) Maximum InM Flow Rat; "GPM (x. Numbers IWmrnkv Whom&; __ —2 SMlrtenh0 Row, __ 52.5 Pounds Per hour Grease Mtention Cepar ty .,...,40 Pounds `C 0 ION Thurmeco.Im, -Ad reserved • P lentedlPawme Ps - SpeoiUaaliona sut lect to change without nolko 7/991 Thermaco,inc,•oft csrcenswo St.•Asheboro,N.C„27204-254d•Phone(330)6204051 4 1 . 1801E930Z ON Xb: S'AIV30CN! N;15WF 111V nF i1 Id^;�' (';I�L ,•��,r �- •.� � - F p. 2 AM AUTOMATIC • GREASE RECOVERY SYSTEM Modal: W-300-AST INSTALLATION INFORMATION D° READ instruction menuai in• citWedwithsyslem before doing � � mrlVlhinp. `f`Z" klstaal unit saowing!G r Me m 4 mum delUarioes Down. Make tare the helgnt above are 19 3/0 � internal Strainer ACCe6C Cdvef lawtou�+tew,t�ovethestrainttr - .• _ _ -i�- _..-L7 Vow optional Pg-1000400 ��, t Glresso0le pump for raenols tMeko piping vannooftm with rubber"No Hub'connectors, Keep ouliet plpino as olrsight � 00 poss1010.wee only�PIONOISTAW,c i - - - - - instap vent on outlet ptpin8. ,wwv,toro 14• sr n Hie opt�srvar Fit the lank with water before K'cgrw0 te. Ca�eera+ hcµnrT oar,uw� eneroladng the power to rl►r nlolnr rw Nonler, 1. _ _ _ _ _ _ _ _ _ _ _ _ _ _ !� .. ,. Sat Programmable I ime Can- %rotary lot proper operaling 11nwtl, _ DON'T. • • Instal°P"trap on canon connec• Reduce pipe size an outlet piptno. InSfsllaransmV$loorrlplywAltl lion or lank. (Nola, the unit al- atlappticablelocal,slate.and ready has an internwi 9M Imp). national oodea for your area. Job fteegiollttlen, GM*sa and ell seperfllor(s) shall be Therrneoo BIG VIPPER eutonlebe greasolod recovery system as rmnufachxe4 by Tbermsoo, ant:,, Asheboro, North Carolire as noted on plans, ®epaMOt 6poeNlooliMot Furritsli and install _.Thermaoo grQ OfiPPER Model No W-300-AST, bright iin+ah type 304 stainless steel dutOi11al;'n aell-Cfeaning grease and on recovery sogttrdtai(s) for rroor mounted, parlial,y recessed, or netow Hoar Instotlatron, rates at 30 velfon6 Der minute peak flow, 80 pounds of grease capacly and indwi!nq ea an integral part of the urlr, 2 rotating gear hydrophobic w1eel assemblies for avlomatrc greasefoll removal, an intogral fbw control device,Sell-regulating enclosed electric Immersion healer,a vessel vent, an inlegra! yes trap,an Integral programmabis 24 Hour multi-event time control,a field reverslble grease/oil sump outlet pipe, quick release stalniess steel Iid clamps, a gasketted 8Ad fully temnveble 304 Stainless steel lid with aarety swRcll,a hinged lift out alriiner accem, internal stainless steel filter baskets for separation of coarse scuds, a macerator transfer pump controlled by repeat cycle tither,and a rierparele grease and oils collection cuntidnor. Elov^lrlu iiivvnnWy shall be tested to wrnply with perllnent sections of the Standards for S•f„ty ANS'WL 73 ondlor AN$I/UL 1004, Stcimmer ele do motors shall be, equipped with thermal overl000 pfolwjon with autofr Soaliy isoollablo sMtch. Macerator pump motor shadl be equipped with thermat ovorloxd protection with a manually roseltr4ble switch ®1199 Thermaro.ft. •Ail itghts reserved • PatentoValonh Pending • Specihco one k4ect to charge without notice o - Ynerirsco,Inc,•dine Greensbam St,•Allheboro,N,C„Z 72A4-20"-Prone(:fao)e291•4ee t W99 d [R�!Fa/,GOB, Ch >+;'7 ;^i?IiCi171i1 t1��8-nr w� !c iirJ�itt �n_7,_rn,. 1 I I # QTY Description PC HW CW WST GAS BTW Remarks 2 1 Walk-in +78" 1" Indirect cooler blower waste coil note #5,13 11 1 Walk-in +78" 1" Indirect freezer waste blower coil Note#5, 13, 36 24 1 Pot fill faucet +54" 1/2" %2" 27 1 Two +20" 1" Indirect compartment waste sink 28 1 Splash mount +34" 1/2" 1/2" faucet 38 1 Mop sink FLR 1" Direct waste 39 1 Mop sink +48" 1/2" %2" faucet 42 1 1300 pound +79" 1/2" 1" Indirect ice machine waste head note#27 44 1 Ice storage +6" 1" Indirect bin waste 59 1 Tempered Roof 1/2" 3/4" 302,824 Note#1, make-up air 10, 19, system 22 64 1 Pot fill faucet +54" 1/2" V2" 69 1 Pot fill faucet +54" 1/2" 1/2" 70 1 5 pan steamer +48" (2) Note 1/4" #35 91 1 Pre-rinse sink +34" V2" 1/2" 92 1 Disposer Direct waste 93 1 Pre rinse +34" 1/2" 1/2" sprav unit 94 1 Quick drain +32" 1 1/2" Indirect waste 95 1 44"high 1/2" %2" 1/2" 2" Indirect temp waste dishwasher note #32 96 1 Gas fired +18" 1/2" 1/2" 1 1/2" 3/4" 195,000 Note booster #17 heater 101 1 j 3 +28" 11/2" Direct J I compartment waste sink 102 1 Pre-rinse +34" V2" 1/2" spray unit 103 1 Splash mount +34" V2" 1/2" faucet 106 1 Wall mount +34" 1/2" V2" 1 V2" Direct hand sink waste 116 1 Hand sink +28" 1" 117 1 Deck mount +34" %2" 1/2" faucet 123 1 Drop in soda +34" 1/2" 1" Note dispenser w/ #32 ice bin indirect waste 147 1 3 pan steamer +48" (2) 1 1/4" Indirect V4" waste 170 1 Four well +18" %2" 1 1/2" Indirect steam table waste 172 1 Hand sink +18" 1" 173 1 Deck mount +16" %2" 1/2" faucet 192 1 Dipperwell +34" 1/2" W9 Indirect faucet waste 201 1 48" +18" 1" Indirect Drainboard waste 202 1 36"Jockey +18" 1" Indirect box waste 203 1 36" Single speed rail 204 1 Dump sink +28" 1 1/2" Indirect w/blender waste ledge 205 1 Deck mount +24" %2" 1/2" faucet 206 1 Door type +28" 1/2" 1/2" 2" Note glasswasher #32 Indirect waste 207 1 24" +18" 1" Indirect Drainboard waste 208 1 Hand sink +18" 1" Direct waste 209 1 Deck mount +30" 1/2" 1/2" faucet 210 1 Soda +24" 1 %2" Note I I dispensing #32 system � .- ' I t # QTY Description PC HW CW WST GAS BTW Remarks 2 1 Walk-in +78" 1" Indirect cooler blower waste coil note #5,13 11 1 Walk-in +78" 1" Indirect freezer waste blower coil Note #5, 13, 36 24 1 Pot fill faucet +54" 1/2" 1/2" 27 1 Two +20" 1" Indirect compartment waste sink 28 1 Splash mount +34" 1/2" %2" faucet 38 1 Mop sink FLR 1" Direct waste 39 1 Mop sink +48" %2" 1/2" faucet 42 1 1300 pound +79" 1/2" 1" Indirect ice machine waste head note#27 44 1 Ice storage +6" 1" Indirect bin waste 59 1 Tempered Roof 1/2" %9' 302,824 Note#1, make-up air 10, 19, system 22 64 1 Pot fill faucet +54" 1/2" V2" 69 1 Pot fill faucet +54" 1/2" 1/2" 70 1 5 pan steamer +48" (2) Note 1/4" #35 91 1 Pre-rinse sink +34" 1/2" %2" 92 1 Disposer Direct waste 93 1 Pre rinse +34" %2" %2" spray unit 94 1 Quick drain +32" 1 1/2" Indirect waste 95 1 44"high 1/2" %2" 1/2" 2" Indirect temp waste dishwasher note#32 96 1 Gas fired +18" 1/2" %2" 1 1/2" 3/4" 195,000 Note booster #17 heater 101 1 3 1 +28" 11/2" Direct i compartment waste sink 102 1 Pre-rinse +34" %2" 1/2" s ra unit 103 1 Splash mount +34" 1/2" 1/2" faucet 106 1 Wall mount +34" 1/2" %2" 1 V2" Direct hand sink waste 116 1 Hand sink +28" 1" 117 1 Deck mount +34" V2" 1/2" faucet 123 1 Drop in soda +34" 1/2" 1" Note dispenser w/ #32 ice bin indirect waste 147 1 3 pan steamer +48" (2) 1 1/4" Indirect 1/4" waste 170 1 Four well +18" V2" 1 %2" Indirect steam table waste 172 1 Hand sink +18" 1" 173 1 Deck mount +16" 1/2" 1/2" faucet 192 1 Dipperwell +34" 1/2" 1/2" Indirect faucet waste 201 1 48" +18" 1" Indirect Drainboard waste 202 1 36"Jockey +18" 1" Indirect box waste 203 1 36" Single speed rail 204 1 Dump sink +28" 1 1/2" Indirect w/blender waste ledge 205 1 Deck mount +24" V2" W9 faucet 206 1 Door type +28" V2" 1/2" 2" Note glasswasher #32 Indirect _ waste 207 1 24" +18" 1" Indirect Drainboard waste 208 1 Hand sink +18" 1" Direct waste 209 1 Deck mount +30" 1/2" V2" faucet 210 1 Soda +24" 1/2" Note dispensing #32 system . 1 JU_-13-2000 17:10 FW ADMIN CITY IF MSVL 360 651 51e2 F.02 ��e1 rem w rr....�...al.vsr...a�.�.«w. . ...... .... .....x Name: Atiam Clark(Gary Parkinson Architacts) Date: 07/13100 I. Address: 36X(ISM St NE ZU of restaurant gmnkwv Pt li tk pl- Let SA and 88 ESTIMATE FEES ONLY-Need aop&for utility commbtsnt letter — WATER CAPITAL IMPROVEMENTS Residential - #Unit: Commercial-$1.30 Sq ft: 7000 $9,100.00 METER City Installed Size 2 $1.5=00 `� 11.1MU1 Developer Installed Size FRONTAGE Per hoot: $5.50 #Feet Frontage/Rewvery Info: Frontage IengO unknown at this time r 4UL'i'l 17-7a s Sp OTHER Other Info and/or Charges: 2"city inoWl meter&arge is time&material 060 µ w4w Filing Fee TOTAL S10.s M-00 SEWER CAPITAL IMPROVEMENTS Residential- #Unit: Commercial- $2.150 Sq Ft 7000 $15,050.00 SEWER INSPECTION FEE $100.00 per connection #Connections: 1 — $100.00 FRONTAGE Per Foot $9.00 0 Feet _ Frontage/Recovery Info: Frontage length unknown at this time - 1-4 c.4g7-i Pe—Lj OTHER Other Info and/or Charges: TOTAL 315,150.00 FINAL TOTAL $25,760.00 NIP FPO Ftr�� T � ''f ,, I .,. - JUL-13-2000 17:11 PW ADMIN CITY OF MSVL 360 651 5122 P.03 JV-'�W•47 I TY OF Mi. PW 3" 65t 5 M P.02r'W- lt�Q(IESd'FOJt JNFC RW TTON ON IWA7V)xl&VVT7ARY sEWV,R AVAUA LnTAW Cas>•s M / .ODRW Tax I.D.# PlIt 110t 10 At W 4 S& ° Coro or Addtsss r p�a�e coo"Nam I--M—Azom -ffim Fsx -B • of writs QWaur sew AV Wu m Stec RATE v 1 w DrMta saoa Fee i J Mbu. _ `MlAc ! a-a� atK /U l�t�ris Fae S Water 1m S smw ovrmant O i Side s4ww i s r pas S srwer DOTAL 9 Otiher WE tion: P/saieAll brdkabe+�e l�r�.tioA.�►wwrn,ro: C Avmuw,Mwy" PL36"51•S10d Fss3"1-Xfg ANOW 48 onwcwon lobe miswvW you mgy bays#0 loo"ooban iwailed ro,ou lfyow would p�tyrer, *rue wal adl yaw who trig rsa#p►plek-up RXQv:sr FOR aerauc TOTAL P.03 JUL-13-2000 17!09 pW ADM N CITY DF MSUL 360 651 5192 P.01 BO Cakabe Ave.MWyWlle, qw OW)ast-6t0o City e Fm To Rail—City Of Arlington Bldg Dept IF on Anne Miller Fax 360.436.39M Pueew 3 PbcM onto. 07113/00 RM water&Sewer Availability GC: ❑Urlwa ❑ For Rw6sw ❑Pleases Comment Q Pies"Reply ❑Meow Recyels • rA was rks: Sewer and water availabllb/for lot 6A and 6B in ft Smokery Point BuaWww Pads. Adam raked that I fax this information to you. Wailer and saw am balk evallable in 16e St NE. The devel%w will need to apply for a utility comntitrriant►Atw. r. T r y � IP I 07/13/2e'00 10: 36 425-369-1703 DUREN HEWITT LLC PAGE 01 ...%1 .. r..Wr.+wu.wew......—.. „�..r..,....,. DCUIL•h And DiNi lay C:01111Clll� -- -w DEMATMENT OF LABOR. AND INDUSTRIES %RE619TERED AS PROVIDED BY LAW AS CONST CONT GENEML I REQTST. # EXP.',.DATE ccol 'DURENHL016CC 01/i�/2b01 � '44 C ZVX-I)ATg 04/61A99v DUREN'RXWITT LLC 23644 SE ' 137TH ST ISSAQUAH WA 98027 P�.4514oq•f0�?�} . ' Uctach And DiNjA y Corlificotc — w >ICK I FW., 6)1-7 L E) ■ ■ ■ IA111116 ■ ■ ■ ■ ■ mm w ■ MEN ■ ■ ■ ■ ■ ■ ■ IF ME M ■ ` dkm V M■ 1 ■ Ir ■ N 7 1 ■ ■ ■ A 'r ME til MOVE M MEN NO ■ ■ Fm MEME NE immommi� ME 0 ■ f 1 1 ' ' •■ y ' L of = F ■ Flmmllmm E9 rl ■ ■ J mom- ■ 1 Building Dept Project Tracking Form Contractor Name:& address., _ Permit"No." 2J�4 rAC' / 7-a et - 41(95- Date Received: More info required: (/ Information received: Sent-.to:- ' &isent:�: ` , due,back > called. received:` CGomments 7- ?4& hacking :: '� f City of Arlington Building Deb } FIRE. DEPARTMENT CHECKL.I,.T PERMIT # DATE: ((9 62 �J NAME: C&2 l n" l� — f —7 ADDRESS: //2 /�_� C?L V D LEGAL: 7 BUILDING USE: OCCUPANCY CLASSIFICATION: A B E F H 1 1 2 12.1131 4 1 1 1 2 F3 1 1 2 1 1 2 1 3 1 4 1 5 1 6 7 I M R S U 1.1 1.2 2 3 1 3 1 2 3 4 5 -T 2 TYPE OF CONSTRUCTION I II III 1V V F.R. F.R. I ONE-HOUR I N ONE HOUR. N H.T. ONE-HOUR N Item inspected&completed Signature & Date: Site Plan: Approved Denied Access Requirements: Required: Fire lane: Sprinkler system: J ,C�k Alarm system: Knox Box: G,r ?00� AA Fire extinquishers: Hydrant: l t� #of hydrants required: Location of Hydrant: Location of Knox Box: Location of Fire Extinquishers: v�-- Fire Flow requirements: Location of address on building: FIRE DEPT: Date: 11'�'e) Signature Build\form\fdchecklist - -- -- - � I (LITY ARLIPNT'79N � TKMNT �� ��K8[�i>N|TY . ./ELOPA�[�T 238 N. (Diympio' Ar|iugton. V-M98223DATE JOB NO. | � DE F] ��nnh`� ' —_—= � ' .000 (2C�) ��G(�724 FAX (286) 4����K]6 ATTENTION VVE ARE SENDING YOU O Attached O Under separate cover via the following items: � O Shop drawings O Prints O Plans O Samples O Specifications ' O Copy ofletter O Change order O | � COPIES DATE NO. DESCRIPTION / � | THESE ARE TRANSMITTED uo checked below: U For approval O Approved aosubmitted O Resubmit-------_onpieaforapprova| | \ O For your use O Approved amnoted O Submit—copies for distribution OAorequested O Returned for corrections O Retum—--_----corneotedprints � | r review and comment O O FORBIDS DUE 19 -------_ O PRINTS RETURNED AFTER LOAN T0US REMARKS � COPY TO ��u""mm" .^ow RECYCLED PAPER: SIGNED: \ n enclosures are not as noted,kindly notify uaatonce. ( � | • I City of Arlington Building De'--) FIRE DEPARTMENT CHECKLIST PERMIT# / DATE: NAME: ADDRESS: / /1a �1rt��G� r /�L_ VI) LEGAL: BUILDING USE: OCCUPANCY CLASSIFICATION: A B E F H Fl-72 12.1131 4 1 2 = 1 2 1 2 3 4 5 6 7 I M R S U LI 1.2 1 2 1 3 1 F- 3 1 2 3 4 5 1 2 TYPE OF CONSTRUCTION I II III 1V V F.R. F.R. ONE-HOUR N ONE-HOUR N H.T. ONE-HOUR N Item inspected & completed Site Plan: Approved Denied Signature & Date: Access Requirements: Required: Fire lane: Sprinkler system: Alarm system: Knox Box: Fire extinquishers: Hydrant: # of hydrants required: Location of Hydrant: Location of Knox Box: Location of Fire Extinquishers: Fire Flow requirements: Location of address on building: FIRE DEPT: Date: ><gmture Bui Id\fortn%dchecklist Aw ■ - & "Pu0i . : ulnit L- ,.VjW -i 701 1 I'm j- FA I r CUM-4 j'� r �, -Ilan user r i a 4';,♦ t-� r 11�•� �11ri rT'�r — - s� ��; '1ti�j�i � � � �i � -�y n i ■ 2 I' id - - - 1 — I 1T � IrLl 11 I 1 1t) `gym- - - — — ,� el _�1T R To kot&M40 pi 1 11 JOHMMU Ex 4-1 F Lji� mc i ■Tim �1 II V I • ■i1i ' � r ■ - - - CITY OF ARLINGTON CONSTRUCTION PERMIT ❑ COMBINATION BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO.')�)o -, j OWNER , MAIL ADDRESS cilY LI► cJ&ZZ3 PHONE 3'/r/o%CJ PO i�f 0���/��7�E-r' / 72!r J'/r��rG'f/��+�T OR. />tit�/i�j'T...�/ �.,,y CY�L�2 Sv•/7 7� ARCHITECT OR DESIGNER MAIL ADDRESS City LIP PHONE GENERAL CONTRACTOR MAIL ADDRESS fui7gy CITY LIP PHONE LIC NSE F C//l�i✓ TT 0 40'9- /2�/jri�- /+;:v •IFS �TJAAu�?-f, t,4 9=07_7 DuairtjRLo% GGG MLC14ANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP�r PHONE LICENSE/ 3 CLASS OF WORK �Nk W ❑AUDITION ❑ALTERATION ❑ REPAIR ❑DEMOLI TION ❑BUILDING RELOCATION cc CC VALUATION OF WORK zs 3 DESCRIBE WORK H /LFl7/�H2•ac..c.' LUI.r";�r /TCflEN/ / Q/iNQ�`(/2 sq,rr7 - l_/1/19' ,7UJI PROPOSE O USE OF BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- z LLGAL DES(RIPI ION 01 PROPERTY(SHOWN BELOW OR ATTALH l'OUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK � LOT Bt.(x;K � 01 WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT. THE a GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO 2 9 3/o s - I — D l 7 -av0¢- VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR aTAX ID NUMBER FROM PROPERTY TAX STATEMENT LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF z l!0 7L fMoi c7 P�/N ,9r-vrJ , CONSTRUCTION.PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. T SIGNATURE OF CONTRACTOR OR AUTHORIZE GENT DATE L (OB-�UURL55 t �2�i�� ram ... �.� 9�i z z 3 X �- ��• (dG (0171'ICH USE ONLY) i MECHANICAL PLUMBING nM OP FIXTURE FEE z'a PIXTURES NO. TYPE OF EOUIPMENT PER x's PIX'IURES 'OILKI [R CO ND.UNITS- H.P. E A. Li . it" tQ'RIOERAf10N UNITS-H.P.EA vE •Ilt" n BASIN OILERS-H.P.EA. ' id .III"AS FIRED A.C.UNITS-TONNAO9 FA. 1TCHEN SINK&DISPOSAL ORCED AIR SYSTEMS-B.T.U. MEA ISItWASF1ER �ALL 'fERS-B.T.U. M UNDRYTRAY TERS-B.T.U.LOTIt6 WASHER 'CIVECOOL71tS ATER HEATER LOTFtES DRYERS RINAL P IL.ATION FAN KINKING FOUNTAIN ANGE Ii00D COMMERCIAL LOOR DRAIN IR It"OLING UNIT- CPM VACUUM BREAICL'RS OVE OOF DRAINS-RAINLL'ADERS IiCAL PIRPM-ACE A CHIMNEY •INK SERVICE-BAR.Ifl'C. ATER IEEATPR AS PIPING u to S-S).D0,addnl.-S.7S ui mart lblmut be rovldtd SUB TOTAL SUB TOTAL PPRMIT PF3tMIT TOTALPCE TOTAL PEE SIUL YARD SL I BALK STRELI 5L1 BACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE FEE RECEIPT NO. USt /ONI LOT AKtA VACANT SITE FEES VALUATION FEE OYES ❑NO TYPE W CONSI OCCUPANCY GROUP NO.OF DWELLING UNITS PUN CHECKING NG BU'LDING I SILE OI SLUG. NO.Oi STORILS MAX.000.LOAD PLUMBING T IRE SPRINKLERS REQUIRED CITY OF ARLINGTON CONSTRUCTION PERMIT J ❑ COMBINATION BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO.t/f /2O S OWNER MAIL ADDRESS CII l ZIP 93Z 2-7PHONE "'^^^777 ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE 4,,#Ay 28l2 Coe By / . GENERAL CONTRACTOR �� 1�'Ly MAIL ADDRESS Jcw7 - CITY ZIP PHONE LICENSE N 6-4 9S02,7 o14&C,JHL0i6CC MECHANICAL CONTRACTOR r /MAIL ADDRESS t CITY ZIP �� PHONE / LICENSE d // �` // r n PLUMBING CONTRACTOR IL ES ADDR • �� / CITY ZIP PHONE LICENSE IF � 3 CLASS OF WORK OWN[W ❑AUDITION ❑ALTERATION ❑REPAIR ❑DEMOLI PION [:]BUILDING RELOCATION Q VALUATION OF WORK Z f i W DESCRIBE WORK 3 /�J9�''y2•vc..v' Locd�'c`, ,tiTc�E.✓ / Q?.�-Q�c�T� �..7 r' Y�ivq-.�:7 /ins U!�F.c�T.T' M PRUPOSI U USE Of BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- INu f TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- Z LLGAL UESCRIPf ION Of PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK frF �'ir� L*,,, LOI RI.00K U WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE a GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO w 2 9 3/o S - ! - O! -7 _ono¢- VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR TAX ID NUMBER FROM PROPERTY TAX STATEMENT LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF M a�N ��� CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. � l 710 JJMO��f T SIGNATURE OF Co (TRACTOR OR AUTHORIZE GENT DATE V 108 AUURLSS f p/Lz-iyr Yo 2 2 -7 X ��✓. 6 ' vV (OPFICE USE ONLY) PLUMBING ECHANICAL NO. TYPE OP FIXTURE FEB x s FIXTURES NO. TYPE OF EQUIPMENT FEE x's FIXTURES ATER CLOSET OILEI) %IRCOND.UNM—H.P. EA. ul .lit"' ATHTUB EFRIGERATION UNITS—I-I.P.EA. d •lit— AVATORY ASI I BASIN OILERS—H.P.EA. ul •Iit'" 140WER AS FIRED A.C.UNITS—TONNAGEEA. qdp.lit" ITCHEN SINK&DISPOSAL ORCED AIR SYSTEMS—B.T.U. MEA 1SHWASHER ALL HEATERS—B.T.U. M _ UNDRY TRAY NIT HEATERS—B.T.V. M LOTHES WASHER VAPORATIVECOOLERS ATER HEATER 'LOTH ES DRYERS RINAL E NTILATION PAN KINKING FOUNTAIN tANGBHOOD COMMERCLAL LOOR DRAIN IR HANDLING UNIT— CPM ACUUM BREAKERS TOVE OOF DRAINS—RAINLEADERS ETAL FIREPLACE&CHIMNEY INK SERVICB—BAR,ETC. WATER IIEATER AS PIPING *(up to S—$3.00,addnl.=$35 ' ul merx list mut be provided SUB TOTAL SUB TOTAL PERMIT PERMIT TOTALFEE TOTALFEE SIUL YARD SL IBACK I STRLLI SLI BALK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE FEE RECEIPT NO. USF /UNt LOT AREA VACANT SITE ✓ 1 FEES VALUATION FEE Lr ❑YES TYPE OF CONS1 OCCUPANCY UL(P NO.OF DWELLING UNITS PLAN CHECKING NG L E l BUILDING f SIZE 01 BILUL,, NO.01 STURILS MA VCAD r 5 PLUMBING ZEkINKLERSREQUIRED S ❑NO MECHANICAL STATE BLDG.CODE COMMENTS ENERGY CODE SURCHARGE PENALTY U.B.C. SEC.303(+) RECEIVED WATER/SEWER FEES J TOTAL UN 6 min PERMIT VALIDATION WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT h RECEIPT PAID CRN—.—T—BY BUILDING OFFICIAL DATE cc:ASSESSOR,APPLICANT.TREASURER,BLDG. DEPT RECORDS COPY