HomeMy WebLinkAbout16820 SMOKEY POINT BLVD_024905_2026 hnn INSPECTION REPORT
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TPermit No.: G �4��5 Lot#:
Address:Contractor: c �- e_OOwner: �4-W La 44
Date:
❑ APPROVAL MARTIAL 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.
In-
,!"W�GCZ L't iJGtiYlG � � t�v�
.�. �2' --
Inspecto . Date:
,fYPE OF INSkCTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
mechanical rid �7 Struct. Slab
L Wood Stove ❑ Rough-in al
❑ Masonry ❑ Drainage Insulation
❑ Other:
5
INSPECTION REPORT
1 4tiIN G?'� Permit No- , 4 90 S Lot#:
Q Address: 16 8 2 P® Sµt', for-
Contractor:
9`��IN OHO Owner: �1 -ram"JA
Date: -, j
❑ 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.
.c.411�8�
Inspector: Date:/.�
PE OF 1 PECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in (Z- Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
to S7
�rINSPECTION REPORT
I�
0, ,
Permft No.: ' `I g oS Lot #:
Address: tt I y 2—oContractor: i
Owner:Date: I Z.— 3-o 3
❑ APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION ULEORRECTION 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:
*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 A Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
to 551
INSPECTION REPORT
¢titN G TD Permit No.: 410 5 Lot #:
Q' Address:
Contractor:
9s, �O Owner: /e-�-�A►�
4IN�' Date: 17--I 1- 03
❑ APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION P=RRECTION REQUESTED
i
❑-C-o—rrections listed below MUST BE MADE before work can be approved.
❑ Please contact inspector.
❑ Was not able to perform inspection.
❑ ALL 435-0674 FOR RE-INSPECTION - 24 hour notic�d.
Insp ctor: Date:
TYPE OF 116PECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in X Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
INSPECTION REPORT
N G?'O Permit No.: Lot#:
Address: 1 r
Contractor: K A �N� . /D{, /t Li
,SD Owner: `2-o S i 7 de E3
�I N O Date:
g-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.
Inspector: Date: -'�'���
//TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing �Y Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage 2 Insulation
❑ Other:
INSPECTION REPORT 1107
v� Cam'
4l,IN G TD Permit No.: �'� ' ` Lot#:
Q' Address:
Contractor: 'km
'Z <Gt..�►��
Owner:��b L
IN O Date: 'q__q, 3
❑ APPROVAL (4-PARTIAL APPROVAL
❑ VIOLATION WCORRECTION REQUESTED
�1'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.
�- Y � O�/' �or/, r.✓.�,,7t+9- cam!o s �l5 / u rw,1.s��.
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c� ✓ roc-� �YN� �' d Sf��' o r'h-. z" oi7J
Inspector: i 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 ❑ Final
❑ Masonry ❑ Drainage insulation
❑ Other:
INSPECTION REPORT 132
PIVY '
C, . G r Permit No.: Lot#:
Q' O� Address:
s •
Z Contractor: Le e
4 Owner: �2
9`r41 N C'� Date:
❑ APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION 4 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 t c�l�/ ��► 5��c7;'oh
Inspector: - i Date: 7/ —G3
PE OF INSP CTION 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:
0 INSPECTION REPOR' `�aZ
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NG
41,1 7'G Permit No.: `7�I�S Lot#:
Address:
• •� Z Contractor: Z_N4f:)P,
Owner: �lx"�IN l�I�
Date:
❑ APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION �4-CORRECTION REQUESTED
,"S1,Corrections listed below MUST BE MADE before work can be approved.
❑ Please contact inspector.
❑ Was not able to perform inspection.
N,CALL 435-0674 FOR RE-INSPECTION -24 hour notice required.
S L Y -tom 12t-
o t
Inspector: Date: T IZJ
TYPE OF INSPECTION REQUESTED
❑ Under-floor Framing ❑ Gas Piping
❑ Footing ��L, Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage insulation
❑ Other:
Pn\, INSPECTION REPORT
4ti1N G?'O Permit No.: `19 05 Lot#:
Q' Address: / 6 9 2-o SA. /T
Contractor:
4 Owner:
IN C� Date: 7 - X 1-
❑ APPROVAL _PO-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.
cI&Zn 13
Inspector: Date: Z �3
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
0 Other:
r 'I
INSPECTION REPORT
4ti1N G?'O Permit No.: 44 q Lot#:
Q Address: 1 tr 8 Z-O 5Ao'j-- P'T
Contractor: bons.J �4
9s �O Owner: ►-,rw .j A
IN Date: 7 - 221 - o 3
❑ APPROVAL ARTIAL APPROVAL
❑ VIOLATION ❑ ORRECTION 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.f�P
S u vTi� G r uA. A- /
A cM_--3-4 ZL04 iJ L�
Inspector: e Date: -"2.1 —®3
TYPE OF INSPECTION REQUESTED
❑ Under-floor 4-Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
rL- �4 Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
INSPECTION REPORT"
yiN c ro
Permit No.: � v'-� Lot #:
Address:
• • -�
Contractor:
Owner: o20CP- " 71
IN C' Date: 7 'LX .
❑ 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.
EL1=G.7�c 2-n & S l e, xjrl ?it.c art—
Inspector: S Date:
TYPE OF INSPECTION REQUESTED
❑ Under-floor �Framing Gas Piping
❑ Footing /L1 Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
INSPECTION REPORT
411N G?'O Permit No.: (�� Lot#:
Q' Address:
Z Contractor:
OO Owner: t,Ck-7 l�C Cc la1�
I N Date: 11 —
❑ 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.
Inspector: Date:
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
• Foundation ❑ Shear Nailing ❑ Groundwork
Mechanical ti ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
INSPECTION REPORT
i/ i
TDpermit No.: O�Lot#:
Address: 1�eo�CContractor: <� YI
UOwner:G Date:
❑ APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION CORRECTION REQUESTED
*-C-O-rrections 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.
/0 lot
— o✓r �a�rS.
Inspector: Date:
PE OF INSkCTION 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:
INSPECTION REPORT
N N JNG T , T'OPermit No.: Lot#:
Address:Contractor:� Owner: u INO Date:
❑ 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.
ACALL 435-0674 FOR RE-INSPECTION -24 hour notice required.
-70 7-b7C, '
r
Inspector: Date:
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing "A Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ TDrainige ❑ Insulation
❑ Other: A/ �« 1
�'4A INSPECTION REPORT
4N G?'O Permit No.: AA2057 Lot#:
Q' Address:
s •
Contractor:
O Owner: / l
IN I Date:
❑ APPROVAL aOARTIAL 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.
� d2
Inspector: _X:514 - Date:
PE OF IN PECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
X— Mechanical ❑ Grid ❑ Struct. Slab
Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
INSPECTION REPORT
4,DPermit'No.: '�/��5 Lot#:
Address: 1 �. C,Contractor:
Owner: a�-�AiA
Date: y- 2-5 --c3
❑ APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION AK.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.
c J' '0'-a w
Inspector: Date: k ,2-5'62
/fYPE OF INSPECTION REQUESTED
❑ Under-floor AFraming ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
INSPECTION REPORT
Permit No.02 — ( �lelsLot it
Address
Contractor
Owner
Date — �3
Taken By
❑ APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION M, CORRECTION REQUESTED
6iiNCorrections listed below MUST BE MADE before work can be approved.
❑ Please contact inspector.
❑ Was not able to perform inspection.
❑ CALL 435-0724 FOR RE-INSPECTION - 24 hour notice required.
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 Plumb. ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other
INSPECTION REPORT
N G?'O Permit No.: Lot#:
F Address: 00
Z Contractor: o �a
9s, ,SO Owner:
SIN O Date:
❑ APPROVAL ❑ PARTIAL APPROVAL
/VIOLATION ❑ CORRECTION REQUESTED
9 Corrections listed below MUST BE MADE before work can be approved.
❑ Please contact inspector.
❑ Was not able to perform inspection.
❑ C LL 43 - 674 FOR RE-INSPECTION - 34 hour notice required.
IV
ZA
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 ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
G I TY OF AFRL_ I 14C3_rU 4
COPJI -FFtUC-IF I,OIV PERM I T
PEFtM I T IVO_ _ QD2-4C3GD5
Owner: LAM, ANY 15005 HE 20TH ST REDMOND 98052
Value of Work: $180, 000. 00 Tax ID: 004828-000-001-01 Phone: 206-562-1552
Describe Work: REVISED INTERIOR RENOVATION
Proposed Use: RESTAURANT-NIGHTCLUB
Legal Description:
Job Address: 16820 SMOKEY PT BLVD
Contractor's Name Type Address License* ,
BACH'S CONSTRUCTION GEN 12652 SE 26TH PL BACHSC100JS
TOTALS Fee
Permit Fee $1, 534. 50
Plan Fee $1, 764. 68
State fee $4. 50 �
SIGNATURE• 'Z �e
TOTAL FEE. . . . . . . . . . . . . . . . . $3, 303. 68 I HEREBY ERTIFY THAT I HAVE READ
AND EXAMINED THIS APPLICATION AND
PAYMENTS. . . . . . . . . . . . . . . . . . $2, 536. 43 KNOW THE SAME TO BE TRUE AND COR-
RECT ALL PROVISIONS OF LAWS AND
TOTAL DUE. . . . . . . . . . . . . . . . . $767. 25 ORDINANCES GOVE NING THIS TYPE OF
WORK WILL BE C PLIED WITH WHETHER
SP C_ 'WED Hl�R N "NOT.
DATE RECEIPT #
H IL PYNG OFFICI
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' SNOHOMISH ENVIRONMENTAL HEALTH DIVISION
HEALTH 3020 Rucker Avenue, Suite 104
DISTRICT Everett, WA 98201-3900
425.339.5250 FAX: 425.339.5254
Healthy Lifestyles,Healthy Communities
March 24, 2003
RECEIVED
Tony Tien Tran ' MAR Z 6 2003
6600 72"am Drive NE CJry OFgRIINGT01V
Marysville, WA 98270
Subject: Club Katana (previously Hot Shots Restaurant and Lounge), 16820 Smokey Point Blvd.,
Arlington
Dear Mr. And Ms. Tran:
Your revised plans and information have been received; however the plans cannot be approved
as submitted. The following information is needed prior to further plan review.
1. No manufacturers name and model number was submitted for the wok range, the under
counter oven, the fry top, the microwave oven, the refrigerated drawers, the overhead food
warmer, the freezer, the walk-in freezer ant two walk-in refrigerators, the glass chiller, the
beer dispenser and the beverage dispenser, (items #2, #4, #5, #9, #10, #11, #22, #23, #24,
#25, #33, #34, and #35 respectively) on the equipment list. The manufacturer names and
model numbers for each of these pieces of food service equipment must be submitted.
2. Rice is indicated as a menu item. No rice cookers are shown on the equipment list. Submit
the manufacturer name and model number for all rice cookers and any other counter top
equipment such as slicers and mixers.
Please note that prior to opening of the new facility, after the Health District plan review process
is completed and construction is finished, the Health District permit application process must be
completed and a preoperational inspection must be conducted.
Please contact me if you have any questions. My office number is 425.339.5250.
Sincerel
Robert A. Hoppa, R.S.;
Environmental Heal Specialist
RH/sm
cc: City of Arlington Building Department
Everett Office Washington State Liquor Control Board
SNOHOMISH ENVIR. ;AMENTAL HEALTH DIVISION
HEALTH 3020 Rucker Avenue, Suite 104
DISTRICT Everett, WA 98201-3900
- 425.339.5250 FAX: 425.339.5254
Healthy Lifestyles, Healthy Communities
March 6, 2002
Toan T. Nguyen /hA �
7511 South 152" Place #122 R
Tukwila, WA 98188 C/r,® 7 �402
Subject: Hot Shot Restaurant & Lounge, 16820 Smokey Point Boulevard, klift
Dear Sir or Madam:
Your plans have been received; however the plans cannot be approved as submitted. The
following information is needed prior to further plan review.
1. List of equipment noting manufacturer and model numbers for all food service equipment
including the walk-in refrigerator and counter top equipment such as rice cookers and slicers.
2. No designated food preparation sink is shown on the floor plan. Is item#25 on the equipment
schedule a food preparation sink? An indirectly drained food preparation sink with at least
one integral drain board is required.
3. No designated slop/dump sink is shown at the lounge. A slop/dump sink is required.
4. No designated pre-rinse sink with spray arm is shown at the kitchen dishwasher. A two
compartment pre-rinse sink with spray arm is required.
5. No drainboards are indicated for the three-compartment sinks at the lounge. Three-
compartment dishwash sinks must have drainboards at each end.
6. Item#22 on the cook line is listed as a worktable with a sink. Is this a handwash sink?
7. No handwash sink is shown in the work table/food preparation area (item#25) of the kitchen.
An additional handwash sink is required in this area.
8. No designated handwash sink is shown at the lounge. A handwash sink is required.
Depending upon location of the sink, a second handwash sink may be required at the lounge.
9. Submit a revised floor plan, drawn to scale, showing location of all equipment, plumbing
fixtures and the like, that includes the required additional sinks and information. The scale of
the drawing should be 1/4 inch equals 1 foot.
Please note that prior to opening of the new facility, after the Health District plan review process
is completed and construction is finished, the Health District permit application process must be
completed and a preoperational inspection must be conducted.
Please contact me if you have any questions. My office number is 425.339.5250.
Sin X
g-_
Robert A. Hopp
Environmental ealth Specialist
RH/ek
cc: City of Arlington Building Department
Everett office, Washington State Liquor Control Board
Tony Tien Tran, Owner
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Snohomish County, WA A,sP�sor Parcel Data Page 1 of 2
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Date/Time: 1/15/2004 3:37:32 PM If you have questions, comments or suggestions, please Contact Us.
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• Assessor's Property Characteristics Tax Code Area,Neighborhood,use code,parcel size
• Assess_or's Structures) Data Data related to the structures on a parcel
• Assessor's Property Sales Sales recorded since 7/31/1999
• Assessor's Mapping Information Traditional and Interactive maps
General Information
Taxpayer Name ii Address (contact the Treasurer if you have questions)
TRAN MICHAEL KIM 116600 72ND DR NE - - -MARYSVILLE,WA 98270
If the above mailing address is incorrect and you want to make a change, see the information on Name and
Address Changes
Owner Name ii Address (contact the Assessor if you have questions)
TRAN MICHAEL KIM 116600 72ND DR NE - - - MARYSVILLE, WA 98270
Street(Situs)Address (contact the Assessor if you have questions)
16820 SMOKEY POINT BLVD - - -ARLINGTON, WA 98223
Parcel Legal Description
JOHNSON TRACTS BLK 000 D-01 A PTN OF NEIA NEIA DAF-BAAP 25FT S& LOFT W OF NE
COR OF TR 10 AS MEAS PERP TO RESPECTIVE N&E LNS THOF TH S03*32 39E PLW E LN OF
SD TR 10 DIST 169.98FT TAP LY 194.85FT S OF N LN OF SD TR 10 TH S84*09 49W PLW N LN OF
SD TR 225.50FT TH NO3*32 39W PLW E LN OFSD TR 195FT TO N LN OF SD TR 10 TH N84*09 49E
ALG SD N LN 200.51FT TH S49*39 23E 34.65FT TO TPB EXC PTN DEEDED TO SNO CO UNDER
AF NO 9201020212&ANY OTHER PTN LY IN CO OR ST RDS TGW PTN OF 29-31-05 BEING ALSO
A PTN OF TR 10 JOHNSON TRS DAF-CAAP 25FT S& LOFT W OF NE COR OF SD TR 10 WH
MEAS PERP TO RESPECTIVE N &E LNS TH S03*32 39E PLW& 10FT DIST FR SD TR 10 E LN
169.98FT TAP LY 194.85FT S OF N LN OF SD TR 10 SD PT BEING TPB TH S25*21 57W 76.63FT
http://web5.co.snohomish.wa.us/propsys/as.../Prpinq02-PareelData.asp?PN=0048280000100 1/15/2004
Snohomish County, WA,A ---sor Parcel Data , Page 2 of 2
TAP ON CRV TO R WH RAD PT BEARS N20*41 26E 100FT TH NWLY ALG ARC OF SD CRV THRU
C/A OF 22*01 46 DIST 38.45FT TO BEG OF TANG CRV TO L HAVG RAD OF 125FT TH NWLY ALG
ARC OF SD CRV THRU C/A OF 48*33 23 DIST 105.93FT TH N84*09 49E PLW N LN OF SD TR
163.70FT TO TPB PER BLA 95-106162 REC AF NO 9705150045 TGW VAC PTN OF S 1/2 OF 169TH
PL NE PER SNO CO ORD#98-109 REC AFN 9812100080. LESS VAC PTN 169TH PL NE PER DEED
REC AFN 9901060474.
G.o..._to top_of_page
Treasurer's Tax Information
'faxes If you have questions about taxes owing,please contact the Treasurer's office (opens as new
window)
2003 Taxes for this parcel $13,338.49
(Taxes may include Surface Water Management and/or State Forest Fire Patrol fees. LID charges, if any,are not
included.)
To obtain a duplicate tax statement,either download our Tax Statement Request form or call 425-388-3366 to
request it by phone.
Go,to to.p of page
Assessor's Property Data Characteristics and Value Data below are for 2003 tax year.
If you have questions about property characteristics or values,please contact the Assessor's_Off ice
Property Values do not reflect adjustments made due to an exemption,such as a senior or disabled
Values persons exemption.
Reductions for exemptions are made on the property tax bill.
Tax Year 2004 Market Land $478,200 Market Improvement $613,000 Market Total $1,091,200
Go top of- -age
Property Characteristics
Tax Code Area(TCA) 00116 View Taxing Districts for this Parcel (opens as new window)
use Code 539 Other Retail Trade NEC
Size Basis ACRE Size 1.10
Go to top of page
Property Structures
Type Yr.Built Structure Description
Commercial 2000 SUBWAY/ANIMAL CLINIC View Structure Data(opens as new window)
Go totop of page
Property Sales since 7/31/1999
Explanation of Sales Information(opens as new
window)
Transfer Receipt Sales Price Excise Deed Grantor(Seller) Grantee(Buyer) Other
Date Date Number Type Parcels
3/5/2002 3/26/2002 $0 271020 QC TRAN MICHAEL KIM& TRAN MICHAEL No
AMY LAM KIM
Go to top of paV
Property Maps Township/Range/Section/Quarter, links to maps
Neighborhood 5204000 Explanation of Nei hborhood Code(opens as new window)
Township 31 Range 05 Section 29 Quarter NE Find parcel maps for this Township/Range/Section
View MAQ of this parcel (opens as new window)
http://web5.co.snohomish.wa.us/propsys/as.../Prpinq02-ParcelData.asp?PN=0048280000100 1/15/2004
i
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Atemc
Uate: 2/2S/2CC3
Tc: Torn Cooper,A i n Tracy
CC: Kerry Wentz, Fi le
From: Linda Friddle
UE. Uct Shcts/Club FAMna
This permit was issued 4/25/02; they have not done any work and are submitting
revisions to the original permit. If your comments remain the same please state no
additional comments required, if there are new concerns please let us know in memo
form.
Thank you,
Linda Friddle
RECE t'7 9
?,03
�- �j '�
City of Arlington Building _
DATE:
PERMIT it
NAME: jr T
ADDRESS:
•lLF
(j/ OCCUPANCY CLASSIFICATION:
BUILDING USE:
J
B E F II
A
1 2 3 1 2 1 2 3 4 ]511 6 7
1 2 2.1 3 4
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1 3 1 2 3 4 5 1 2
1.1 1.2 2 3
TYPE OF CONSTRUCTION
I
II III 1V V
N ONE-HOUR N H.T. ON&HOUR
F.R. ONE-HOUR N
Item inspected&completed
Signature &Date:
Site Plan: Approved _ Denied
Access Requirements:
Required:
Fire lane: W OIA/4
Sprinkler system:
kA$
Alarm system:
Knox Box: - -
Fire extinquishers: -1y65J—
Hydrant:
required:
# of hydrants -fan— R
Location of Hydrant:
Location of Knox Box: v
Location of Fire Extinquishers: V
de-
Fire Flow requirements: `
Location of address on building:
Date:
FIRE DEPT: Signawre
Build\form\fdchecklist D V-�
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January 28, 2002
�op
TO: Dave Anderson
Building Official 9�/NG'Tp
City of Arlington
n�
Arlington, WA
�z
FR: Jim Tracy
Code Consultant �'�. ' Ak
Michael J. Gale and Associates
Monroe, WA
RE: Hot Shots Restaurant&Night Club
16820 Smokey Pt. Blvd.
Arlington, WA
Job.No. 02-4905
Preliminary Plan Review
A review of the drawings indicates that the building will be 100% sprinklered. A fire
alarm system as well as a public address system will also be installed.
My comment regarding the public address system would be that if a voice alarm system
is used for the fire alarm system, it must be approved for fire alarm use.
If the entertainment is loud music, we might want to consider use of an amplifier cut off
switch to be activated when the fire alarm system operates. This would allow use of the
public address system and or fire alarm signal.
The plan doesn't indicate any information regarding range hood fire protection. We
would need to look at any existing installation and if a new system is installed, we need
plans and specifications.
CITY OF ARLINGTON
Commercial Plan Review
(TODO)
Date: 03-07-03
Owner: Mrs. Amy Lam
Address: 15005-N.E. 20t' Street
Marysville, WA. 98052
Site address: 3310 Smokey Point Drive
Reviewed By: Kerry Wentz
Phone: 360-403-3433
The following items must be included or revised on your submittal before the plan
review process can continue:
The A.D.A. restrooms on the revised plans do not comply with the A.D.A. requirements.
The five-foot turning radios must be provided in a water closet stall as well as the
lavratory area. Please indicate this on your plans.
A one-hour occupancy separation is required between the restaurant and the adjacent
tenant space. Please indicate this on your plans.
The contractor information must be provided prior to issuance of the building permit. /
s.
Please indicate the use of safety glass in all hazardous locations.
All door hardware and plumbing fixtures must comply with A.D.A. requirements. Please
note this on your plans.
If you have any questions, please feel free to contact me at 360-403-3433.
Thank You
Kerry Wentz
�Ifa+��r�rr•� . r+C•tt�MSi,l�7AM#'rrN!4.��'4Yf�L'rtiri4/15+-'�(M�'�,A�..!_R]I
G�1 Y
Date: March 10,2003
• To: Linda Fridde
-y From: Tom Cooper
'�f I N c 0 RE: Hot Shots/Club Katana
Linda,
As long as the items listed by Jim and myself are addressed I am good to go. Will catch the fire
extinguishers at a later date.
Thanks
Tom
IL
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RECEIVED
City of Arlington
FEB 11 2002
• Building Department
CITY OF ARLINGTON
REQUEST FOR REVIEW FORM
PROJECT NAME: Hot Shots
16820 Smokey Point Blvd
Building Permit#02-4905
PROJECT MANAGER: David Anderson, Building Official
DATE OF CIRCULATION: January 29, 2002
RETURN THIS FORM BY: ASAP
TYPE OF PROPOSAL: Restaurant & Nightclub
PROJECT SUMMARY: Tennant improvement to existing Mall space
RESPONDING DEPARTMENTS:
TOM C., FIRE
JIM T., GALE & GALE
KAREN L., PW YVONNE P., PLANNING l,�, , VS . cte u��
SUBMITTAL INFORMATION IS ATTACHED. Please review the information and return
this form and your comments, either on the drawings or in memo form, to the Building
Department. If you have no comments, please return the form with the "No Comments"
box checked.
PLEASE MARK ONE BOX, SIGN, DATE, AND RETURN THIS FORM TO LINDA.
❑ MORE TIME REQUESTED, WILL SUBMIT ON
❑ COMMENTS FOR THIS REVIEW ARE ON ATTACHED DRAWING
❑ COMMENTS FOR THIS REVIEW ARE IN ATTACHED MEMO
/1 NO COMMENTS FOR THIS REVIEW
I spent s reviewing this project., "\-k-- a, �,Az—
ute ours signature
9Fc
F,
January 28, 2002 ✓'9N,08 �F,j
C�ryOc i 200?
TO: Dave Anderson
Building Official TUB,
City of Arlington
Arlington, WA
FR: Jim Tracy
Code Consultant
Michael J. Gale and Associates
Monroe, WA
RE: Hot Shots Restaurant&Night Club
16820 Smokey Pt. Blvd.
Arlington, WA
Job. No. 02-4905
Preliminary Plan Review
A review of the drawings indicates that the building will be 100% sprinklered. A fire
alarm system as well as a public address system will also be installed.
My comment regarding the public address system would be that if a voice alarm system
is used for the fire alarm system, it must be approved for fire alarm use.
If the entertainment is loud music, we might want to consider use of an amplifier cut off
switch to be activated when the fire alarm system operates. This would allow use of the
public address system and or fire alarm signal.
The plan doesn't indicate any information regarding range hood fire protection. We
would need to look at any existing installation and if a new system is installed, we need
plans and specifications.
��
I
I
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City of Arlington Building Dept
PUBLIC WORKS CHECKLIST
PERMIT DATE
LEGAL
Plat I Lot Tax ID#
NAME
ADDRESS \ {�� t1�= f�'; ►✓,
BUILDING USE j/c fa )P t-( A4 l, Ilr;),1 L1 l[/h # of BUILDING UNITS
Existing Required Signature Date
Water Meter
Fire Hydrant
Side Sewer Permit 601 ,c (� �/l�'� �,✓C'G
Monitoring Manhole
Cross-Connection Control 6A l 11►-r tw_., l I ri-C'M
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On site
Water: Off site
On site
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Permit
Water/Sewer Fees
Date received 1- 17 - Q2—
�p,�1 Date Yellow returned
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FR�NG�� ���
G�.� Fl�f®� �� Date Pink returned 1 oC
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PUBLIC WORKS CHECKLIST
PERMIT# DATE
LEGAL CIO
Plat Lot Tax ID#
NAME 11 � �. �_ 1 (- -_
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BUILDING USE V ' -'
#of BUILDING UNITS
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Existing Required Signature Date
Water Meter
Fire Hydrant
-
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Monitoring Manhole
Cross-Connection Control a^-\
Sewer: Off site
On site
Water: Off site
On site
Pretreatment Discharge
Permit
Water/Sewer Fees
Date received
i Date Yellow returned a@— o,2
JAM 17 ZW2 Date Pink returned oc 4
Div.
City of Arlington Building Dept
r -/�/�
PUBLIC WORKS CHECKLIST
PERMIT # I OS DATE
LEGAL '( U -ow -
Plat I LotLam
Tax ID#
NAME S `
ADDRESS l/
BUILDING USE # of BUILDING UNITS
Existing Required Signature Date
Water Meter
Fire Hydrant
Side Sewer Permit
Monitoring Manhole
Cross-Connection Control
Sewer: Off site
On site
Water: Off site
On site
Pretreatment Discharge
Permit
Water/Sewer Fees
Date received
Date Yellow returned
Date Pink returned
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DATE -7
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O Shop drawings O Prints O Plans O Samples O Specifications
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THESE ARE TRANSMITTED an checked below:
O For approval O Approved ansubmitted O Resubmit -copies for approval
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TYPE OF CONSTRUCTION
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Site Plan: Approved Denied
Access Requirements:
Required:
Fire lane: yd
Sprinkler system:� SP��4 s ya-005.
Alarm system:
Knox Box:
Fire extinquishers:
Hydrant:
# of hydrants required:
Location of Hydrant:
Location of Knox Box:
Location of Fire Extinquishers: -n
Fire Flow requirements: ---
Location of address on building:
FIRE DEPT: .�- �� Date:
Signature
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COPIES DATE NO. DESCRIPTION
THESE ARE TRANSMITTED ao checked below:
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LICENSE DETAIL INFOI�MATION Form Page 1 of 2
STATE OF WASHING',roN
DEPARTMENT OF LABOR AND INDUSTRIES _ �O
Specialty Compliance Services Division
P. 0. Box 44000 Olympia, WA 98504-4000
()I:., YOUR I.NQI-jl.RY FOR. is:
LICENSE DETAIL INFORMATION
Current Filter: None
Registration#or License BACHSC1001 JS
Name BACH'S CONSTRUCTION INC
Address 12652 SE 26TH PL
Address
City BELLEVUE
State WA
Zip 98005
Phone Number 4253731188
Effective Date 4/10/2000
Expiration Date 3/18/2004
Registration Status ACTIVE MAR
Type CONSTRUCTION CONL EM 6�R,041011
Entity CORPORATION
Specialty Code GENERAL
Other Specialties
UBI Number 601992211
* *VIEW CROSS REFERENCE FILE FOR THIS LICENSE* * *
* *VIEW PRINCIPAL OWNER(S) FOR THIS LICENSE*
* *VIEW CONTRACTOR BOND/SAVINGS INFORMATION * *
* *CHECK INQUIRY FOR SUMMONS AND COMPLAINTS*
VIEW CONTRACTOR INSURANCE INFORMATION
New inquiry by CITY , NAME , PRINCIPAL OWNER NANW , LICENSE , UBI
NUMBER, check the
L&I Contractor Industrial Insurance Premium Status or return to the L&I Construction
https://wws2.wa.gov/lni/bbip/TF2Fonn.asp?License=BACHSCIOOIJS 3/17/2003
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(-'ompliluice home 1".1ge
https://wws2.wa.gov/lni/bbip/TF2Form.asp?License=BACHSCIOOIJS 3/17/2003
1
FROM : BACH'S CONS FAX NO. Mar. 17 2003 04:06PN P1
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., MASTER LICENSE SERVICE
RI-LGISTRATIONS AND LICENSES
E STATE OF
WASHINGTON
UNIFIED BUSINESS ID #: 601 992 211
BUSINESS IQ Nt DD1
LOCATION: 0001
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SACH'S CONSTRUCTION, INC.
BACH'$ CONSTRUCTION
12852 SE 26TH PL
BELLEVUE WA 98005
2 TAX REGISTRATION
REGISTERF.P TRADE NAIVES:
BACH'S CONSTRUCTION
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A,as been issued the business registrations or liioenses listed-W OF LIOD&NG,BUSINESS&PROFESSION$ONISION, A3OX9034,-OLYWW.WA9850748034 (300)e64.140)
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BACH'S CONSTRUCTION
12652 SE 26TH RL
BELLEVUE Wig 88005
TAX REGISTRATION
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SACH'S CONSTRUCTION
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_ DEPARTW NT OF UCENStNG.3USINE33&PROFESSIONS M ISIQN.
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FROM BACH'S CONS FAX NO. : Mar. 17 2003 04:04PM P1
Bach's Construction Inc.
12652 SE. 26' PL —Bellevue, WA 98005
Tel: (206) 841-7888 - Fax: (425) 378-8298
FAX TRANSMITTAL SHEET
Date: q N_2!,
Pages:�A_ ( Including cover sheet)
From : :Donny Bach
To: r,&"Company :: Bach's construction Inc.
Re:
Fax : 4 1 (425) 378-8288
*- Urgent For Review *_Please Comment *_LPlease Reply
Comments & messages
..rw\ti t(r •n SYI�'iGv � __ .r_.V W.9XOt`. Jr _� �:) _A_l
MASTER LICENSE SERVICE
REGISTRATIONS AND LICENSES a
STATE OF
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FIRR DEPA-RTNWM CHECKL.hTn
PERMIT # �J �-� DATE:
NAME:
ADDRESS: I L e j��11 hit. ���� LEGAL: qeL� -��W -62L /
BUILDING USE: !�- "` l�T.(�f Va li� OCCUPANCY CLASSIFICATION:
A B E F H
1 1 2 2.1 3 1 4 1 1 1 2 3 1 1 2 1 1 2 1 3 1 4 1 5 1 6 1 7
I M R S —1 U
1.1 1 1.2 1 2 1 3 1 1 1 3 1 1 2 1 3 1 4 1 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
Signature & Date:
Site Plan: Approved Denied
Access Requirements:
Required:
Fire lane: �. `LP�i,iCFS 1"//i -5 � '�t/�-✓
Sprinkler system: s�s/oar"
Alarm system:
Knox Box:
Fire extinquishers:
Hydrant:
# of hydrants required:
Location of Hydrant:
Location of Knox Box:Location of Fire Extinquishers: XVLAQ-(- 1/U r>e- �,� G&vC- gfte>4,
Fire Flow requirements:
Location of address on building:
FIRE DEPT: J Date:
Signature
RECEIVED
Build\formldchecklist I
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• Development Services
'�P�r �0 238 N. Olympic •Arlington, WA 98223 PV
N G DATE JOB NO
❑Administration ❑Building ❑Engineering ATTENTION
❑Planning ❑Utilities
TO RE: y� ,
WE ARE SENDING YOU ❑ Attached ❑ Under separate cover via the following items:
I,°Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications
❑ Copy of letter ❑ Change order ❑
COPIES DATE NO. i�' ) �'/G✓l ,A( DESCRIPTION
THESE ARE TRANSMITTED as checked below:
❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval
❑ For your use ❑ Approved as noted ❑ Submit copies for distribution
❑ As requested ❑ Returned for corrections ❑ Return corrected prints
❑ For review and comment ❑
❑ FORBIDS DUE 20 ❑ PRINTS RETURNED AFTER LOAN TO US
REMARKS
t �
COPY TO
SIGNED:
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If enclosures are not as noted,kindly notify nce.
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FIRE DEPARTMENT CHECKLIST
PERMIT # D?,✓-�53US DATE: O� / r/✓
NAME:
ADDRESS: CC �'FMV`jP1• 61 V� LEGAL: g62J OnO
BUILDING USE: QG OCCUPANCY CLASSIFICATION:
A B E F H
17 2 2.1 3 1 4 1 1 1 2 1 3 1 F2 1 1 2 1 3 F-4T5 6 7
I M R S U
1.1 1 1.2 2 1 3 1 1 3 1 1 2 3 4 15 _ 1 2
TYPE OF CONSTRUCTION
I II III 1V V
F.R. F.R. I ONE-HOUR 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:
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:
Signature
BuilMorm\fdchecklist
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Apr, 02 03 05: 16p A EA LU 20E 67-6688 p. 1
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Mutual Industries Inc.
Restaurant Equipment Manufacture&c Mechanical Contractor
9832 17t^.Ave. Seattle, WA,98106
Tel:(206)767-60-17 Fax:(206)767-6689 Email:mutunTind@,Lol.com
aol.com
April 2W,2003 RECEIVED
To: APR 0 S 20
City of Arlington,WA.
Fax: (360)433-3906
Att: David W.Anderson CITY OF ARUNGTON
Regarding: Clab Katana Restaurant
R-rmit#03-5365
Dear Mr. David W. Anderson!
Thank you for your fax informing;ol`the wrong certificate in March 28, 2003; please
accept my apology for the inconvenience.
Enclosed is the WABO certificate of Anh G. Phan, whore going to do the welding on the
_job site: 16821) Smoke Point blvd. Arlington, WA.
T imk you again for your understanding and cooperation in this matter, Please let me
know if you wish anything further.
S ncerely,
Hank Chau (),Mutual Ind. Inc.
D
Apr 02 03 05; 16p Af'" --ER LU 20C '67-6689 p. 2
MUTUAL INDUSTRIES INC. RECEIVED
Restaurant EqulpmAnt Manutacturor
4�z�43 APR 0 3 ZW3_
CITY OF ARUWTON
-------------------
Process(4UAWG Y,,Wm are based on the lollowtng brpntlards: N/WP.:
1 in1UCNRAt wELDN G 4NFFT STSII hu'a
M0.2t.2
V"oStwdadw27,7 WAE0Su*d2r4No.2f-,3 wAEaSbn1++1 ?8, gprtl-lure
U%S4,duG N0.27,19 UDC Srnn0actl N0.27.13 U I.Zk�
AkWAVYS D1.1:2M) ANSUAWS a1.s-9E
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mcNAtva�uy e7�n.o� �,,,
NAME.' �rmbtr
Th..W4....W.1 pup~6r SKI,Two BATED w u+.j f,wel&_rrA.eww_Tlgl qdr+qua mkkl tw mf.,A dINV.: FlRM:
d dK n1.Jxtf)Nam fr,ho rote n.1%1. -a M-4 M.4--ty I••�l..'f�wd ._
relew•.i•1.ii wIN d.{awR`"'�
Rp QQ h "WASH1N1CrTONAgg0CJA1'IONOrMU111 INGOFFICIALS
StIUCtt"I Wet-XSw oe_S mi-alllr0► pf]Box7310+0ympla,WA98507,7310
..�Nua n�• F FN wew+l Phono:Pw)668-O72S
Plat.
�►d•� F,nK tr � N ICERTMI�O WELDER CARD
118" & quad+ ve Ff ::',,
�d Pot Coo •Yes
ANH G. PH"
Expfta:ojoCT03 y PHA 31 0060
3029 1 TrT#i FL SW
LYNN WOOD WA 98037
Tdia card lg Um Property of WAW
238 N Olympic
Arlington,WA 98223 City of Arlington
Phone:360.403.3431
Fax:360.435.3906
FcAix
To: Hank Chau From: Linda Friddle
Fax: 206.767.6689 Date: March 28,2003
Phone: 206.767.6647 Pages: 1
Re: Club Katana-#03-5365 CC:
❑ Urgent ❑ For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle
•Comments:
Dear Hank,
Thank you for sending the copy of Lanh's welding certificate. The one we are looking
for is the WABO certification. Please forward it as soon as possible so we may
continue our review process.
If you have any questions please contact David W. Anderson @ 360.403.3432.
Thank you,
Linda Friddle
Mar 25 03 10. 39a M AF1L INIIUS RIES` INC. 20�--'67-6689 p. 1
03/25/03
Mutual industries Inc.
9332 17th.Ave. SW,
Seattle, WA. 98106
Phone: (206) 767-6647
Fax: (206) 'r67-6689
Cell: (206) 355-5990
To: City of Arlington,WA.
Fax: (360)433-3906
Att: Kerry
Regarding: Club Katana Restaurant
Pcrtnit 4 03-51365
Dear Kerry!
Thank you for your phone call on last Thursday,there is the welding certificate of
"I,anh Nguyen"on the following page, one of our employees should be working on
the job site: 16820 Smoky Point Blvd. Arlington,Wa.
Your help wil I be appreciated, please let us know if you wish us to do anything further.
Sincerely,
J/Z-
�
Hank Chau @ Mutual Ind, Inc.
Or
W 0 rs
00
d�
Mar 25 03 10. 39a Mi" "RL INIiUSTrRIES INC. 20F 67-6688 p. 2
(t' Y?
on Tjenftr
,Wu dent
has satisfactodlp completed the � course
Jan.m =u-01Z) on this 10'L dap,
'phis stndent has met the nmceosorp§5kiil Perfe mom and (General
&f Ike
Ed
ucation requirements and is recommended for emplooment
in this occupation, and therefore merits this
Piplom
uir ,Prog►arlt Manager rttr nirer wr
ttldent lervice tttger irrctnr
Opctmal fur U.S.Depamcet n'Ltibtrr by P VwU(bn urAPR-ut—U.S.F•cq is wkr Pr---n i Maiwcr
r
MUTUAL INDUSTR.ILS INC'.
Restaurant Equipmont manufacturor
C I T1f QF ARL I NGTON
C Q N S T R U C T I O N P E R M I T
PE RM I T NO _ _ QD3-539 1211
Owner: LAM, AMY 15005 HE 20TH ST REDMOND 98052
Value of Work: $1, 000. 00 Tax ID: Phone: 206-562-1552
Describe Work: INSTALL UL300 FIRE SUPPRESSION SYSTEM
Proposed Use: RESTAURANT
Legal Description:
Job Address: 16820 SMOKEY POINT BLVD
Contractor's Name Type Address License#
HOOD a DUCT RT SPR 6100 124TH AVE S RTHOOD*0889L
TOTALS Fee
Permit Fee $137. 00
Plan Fee $122. 30 '
State fee $4. 50
SIGNATURE
TOTAL FEE. . . . . . . . . . . . . . . . . $263. 80 I H EBY CERTI T AV REA
AND AMINED THIS A PLICATION AND
PAYMENTS. . . . . . . . . . . . . . . . . . $0. 00 KNO HE SA E TO BE TRU AND COR-
REC LL P VISION OF WS AND
TOTAL DUE. . . . . . . . . . . . . . . . . $263. 80 ORDIN LACES OVERN G TH TYPE OF
W IL P ED W TH WHETHER
S I I E� O T
DATE RECEIPT # ad�
1
11671
1Aj IYAb OF IC AL
I�
N
0
I-.i ty of HI 1 ill.YW9 Jui 23 + 9;46 P.02
r r�
CITY OF ARLINGTON
CONSTRUCTION G-3,5370
PERMIT
CEfMMINATIOH �] IfLgbblNO LY MECHANICAL mumelNO 0 a1aN PERMIT NO.
7 CITr 1/ II
W U Al C`�. ! I �- ! �S D
-77
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AIL DURESS CITY
OR pE I
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iss I
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to F WORK
NLW El AUUIIION ❑ALTERATION U
REPAIR ❑DEMO 'IION ❑sumo1NG RELOCATION
vALUA o)r woKK
tS4:R1sE WORK
� v►u t � IL i HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLIGA-
T TION AND KNOW THE SAME TO 9E TRUE AND CORRECT All PROVI-
LALU (Ri►[WNUI Nf)/tRT\jN UR AIiALM IU RCO►IT. I SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPEOF WORK
WILL 13E COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE
GRANTING OF A PERMIT DOES NOT PRESUMETO GIVEAUTHORITYTO
iu VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
TAX I(7 NUM PROM PFiOPeTi'TV TAX STA7¢MINT LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF
�- CONSTRUCTION.PERMIT EXPIRES i YEAR FROM DATE OF ISSUANCE.
UCPIATUIII Of COWMACTOR 04ALTIHM211D Ar" Will
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( N OMLY) OCt i
M 1 O rgd �,/IxTUROR
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LAT1[s MAR1us K YAT01 hT'I V R COO L.ALs
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RI L TiLAt1ON FAN.
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1 nt ILt NUA M InmidwPUP _
TOTAL _ ~But)'IUTA _
rmLIIIT /WtMrr
_ rAL ren I AL IIRa
SIUL VARU sk SfRlLI SIIbALK 1 ItIPVJ#Sf AR K ILI�NCIIECk04041114 R ,r 4NECKrEC_T
FEES `,`E , RECEM NO,
USI' /UNI L TiR1 VACANT SIZE ! rJ V
YES ONO rEES - YALUATI FEE
IYIt of CCNSI '(7-u LACY GRVUI No or UwILLINc VNt "PLAN CHECK"a VO
_ NUILDINq
t q1 61 bt. NV,ul Sf UKII.} MAX.OCC,LUAU IN
f LUMNING GON
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YES ❑NO MECHANICAL
CdM��M�� STATI BLDG.CODE
p$R(jY CODE SURC-iARCE
ZLTY U.Q.C.
5lG.30.14)
RT HOOD & DUCT SERWES, INC. LET-OR OF TRANSMITTAL!
6100 12th Avenue South
SEATTLE, WASHINGTON 9810d
'TE JOB NO.
Phone (206) 726-0940
Fax (206) 767-2607 �N.TC�
TO / 1��. I oW -A IIn IT ) RE:
l� n Val, 4q
RECEIVED
MAR 12 2no
WE ARE SENDING YOU ❑ Attached ❑ Under separate cover via ClT_ or 1j74gitems:
TON
`�Shop drawings ❑ Prints � Plans El Samples ❑ Specifications
❑"Copy of letter ❑ Change order ❑
COPIESDATE NO. DESCRIPTION
15 tA a3
THESE ARE TRANSMITTED as checked below:
❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval
❑ For your use ❑ Approved as noted ❑ Submit copies for distribution
❑ As requested ❑ Returned for corrections ❑ Return corrected prints
❑ For review and comment ❑
❑ FORBIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US
REMARKS
(_ea e lit-
COPY TO
SIGNED:
If enclosures are not as noted,kindly notify us at once.
1)Isl'Ar'-'MENT OF L A'13OIZ i\NI) INI)I lti'I'MFI !'-"
t
REGISTERED AS PROVIDED BY LAW AS
CONST CONT SPECIALTY
ij REGIST, ##,. . . EXP. DATE
G{�+; THOOb 088QL 12/01/2003
' EMI DATE,. 11/13/19 92
R. & ;T ;HOOD &DUCT SERVICES INC
6100. 12TH .AVE S
SEATTLE WA 98108-2702
1'n!'i II'110018/I171
......�;.-:•_.:-��.-_--�----ter.---._.�.__._.. -:�........._....._..-.._..�.._.. .._..._._.. __.__....._. __.....�,__a.
Dclach And Disphiv Ccoilicnlc i
t hIO1f ]_ 9 Zoo'
REGISTERED AS PROVIDED BY LAW ASl
CONST CONT SPECIALTY II
REGIST. ## EXP. DATE Please Remove
CCB000 RTHOOD*088QL 12/01/2003 Alld Sign
EFFECTIVE DATE 11/13/1992
Iclentificatit.)n
R & T. HOOD & DUCT SERVICES INC Card Before
6100 12TH AVE S Placing In
SEATTLE WA 98108-2702 Billlc)Icl
Siglulture
Issued by I)EPARTMI-N•I' UI; I,AHOR ANI) INDUS•I RIFS
1 I
M ,
. 1.� OF I,R�INGT�N
C
r
City of _
ArUngton Building
D(
NA11-lE;
ADDRESS: C �('t Y�C� DATE: ✓ l/
BUILDING USE: ` P
LEGAL:
A OCCLTPANCY CLASSIFICATION:
1 2 2.1 3 4 B
E
1 1 F H
2
1'1 1.2 2 3 AlR 3 1 2 1 2 1 3 4 1 5 6 7
1 S U
I TYPE pF CONS 1 2 3 4 5 1-T 2
F.R. II TRUCTION
P.R. ONE.HOLTR
N In 1V v
�e Plan; O�_BpUR N H.T. ONE-HOUR N
Approved
cess Requirements: Denied Item inspected& completed
Signature &Date:
lane: Required;
11der system:
1 system: �tiS f
Box:
;tinquishers:
t:
(rants required; �
ion of g -
Ydrant:
Of Knox Box:
:)f Fire Extinquishers:
requirements:
f address on building:
ISnature
Date: 3
IdTb-nTdcheckjist
� -a
March 17, 2003
TO: Dave Anderson OFFICE COPy
Building Official
City of Arlington
Arlington, WA
FR: Jim Tracy
Code Consultant
Tracy III Enterprizes
Woodinville, WA
RE: Club Katana Restaurant
16820 Smokey Point Blvd.
Arlington, WA
City Job No. 03-5365 and 03-5390
PLAN REVIEW
RANGE HOOD FIRE PROTECTION SYSTEM
We have reviewed the range hood plans and the range hood plans and specifications
submitted by R&T Hood and Duct of Seattle, WA.
The plan is approved subject to test, field inspection and the following:
1. The make-up air supply shall shut down and the exhaust fans shall continue to run
when the fire protection system activates.
2. All electrical outlets under the hood shall shut down when the fire protection
system activates.
3. Insure that the range hood fire protection system is connected to the building fire
alarm system.
4. Provide a completed test form on site at the time of inspection.
For inspection and test contact Jim Tracy at 206-940-9622.
CC Tom Cooper
Arlington Fire Department
0 °� City of Ar"►igton L�CC54 `_�G3
• Development cervices
7 238 N. Olympic •Arlington,WA 98223
DATE / JOB NO.
❑Administration IYlrSullding ❑Engineering ATTENTION
TO
❑Planning ❑Utilities
RE:
�
i�u c
WE ARE SENDING YOU ❑ Attached ❑ Under separate cover via the following items:
❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications
❑ Copy of letter ❑ Change order ❑
COPIES DATE NO. DESCRIPTION
I
i
THESE ARE TRANSMITTED as checked below:
❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval
❑ For your use ❑ Approved as noted ❑ Submit copies for distribution
❑ As requested ❑ Returned for corrections ❑ Return corrected prints
w and comment ❑
❑ FOR BIDS DUE 20 ❑ PRINTS RETURNED AFTER LOAN TO US
REMARKS
COPY TO
SIGNED:
If enclosures are not as noted,kindly noti s t once.
City of Arlington Building D�'
C&k56C?L9
F E D .PAR NT CHECKuSTPERMIT # DATE:
NAME: 0))"& Gl.
ADDRESS: 1, Lo V 11 { YL LEGAL:
BUILDING USE: �-bwlOCCUPANCY CLASSIFICATION:
A B E F H
1 1 2 12.1131 4 1 1 2 1 3 1 1 2 1 12L3 4 1 5 1 6 1 7
I M R S —] U
1.1 1 1.2 F2T3 1 1 3 1 1 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
Signature & Date:
Site Plan: Approved Denied
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:
Signature
Build\fortn\fdchecklist
0212,1/2002 03: 0p4m
iC Cj01 " PAGE 2 OF 2
O�[ E
tyco R E C E I V F
III FAX BULLETIN
( } Syltoma pteme MAR 12 200,
AN 9ul INCO�Fpfn4rQ� ONE COPY ONLY OF THIS FAX BULLETIN HAS BEEN SENT TO THE
ON!SrANtON BTriEEr �r RJCIPAL OF YOUR ORGANIzArION.PLEASE COPY AND DISTRIBUTE
uo uonrrnm N�Prt7�Rl,Yd e���iT1 1 OF ARCING LLAPPROPAIATE PERSONNEL
wN&90 1, .eem
GENERAL BULLETIN NO. 4487
BATE: t=ebruaty 26, 2002
TO: All Ansul Authorized Restaurant System Distributors and OEM's
FROM: Chris Capstran, Market Development Mgr., Pre-Engtheered Systems
SUBJECT: b-102 System Enhancements
Ansul le excited to annoUnce "QRGAT NEWS" regarding R-102 eyetom capablllllee. In an ongoing effort
to of and Imprvvo our products, we ere pleased to offer you 'newly exparxied syslern Coverages.
We trust you will find that, In addition to Increased installation flexibility for a greater variety of applications.
YOU will also be more competitive In the process. Noted below are the new enhancements.
d buet J Duct protection has Increased to 100 perimeter It.
(254 cri) using one 2W nozzle and to
50 hedmelef In. (127 crn)using one 1100 nozzle, The I t 00 Is A new 1-flow nozzle and ordering
Information Will be announced shortly.
i Plenurti� PlertUrn ptolectlon Is Increased to 10 It. lotx3 by 4 It.wide(3 rn x 1.2 rn)using one IN
nozzle on a Single-Bank Plenum or by using two IN nozzles on a"V"Bank Plenum.
• Detection — Each cooking appliance with a continuous cooking surface not exceeding 48 Ili. x
48 Ili. (122 x 122 cm) can be protected by a minimum oI ono detector. Cooklrg nppllancee with
a continuous cooking surface exceeding 48 In.x 48 in can be protected by at least g[ng_d@Iert9r
ERM�lhe
oking gt" Detectors used for cooking appliances must be located within
protected appliance toward the exhaust duct slde of the appliance. The
cated In the air stream of the appliance to enhar r, e system response lime.
Refer to file manual for additional detector limitations.
6 C#a1-RAdldht ChiKbPallor j Coverage has Increased to 24 In, k 36 In. (61 x 91 crr)- or longest
side 36 in./864 total sq. in. (91 crn/5574 crn2) using one IN nozzle located at a freight of 15 to
40 In. (38— 102 cm) above the appliance. Nozzle can be placed anywhere along or within the
perimeter of the char-broiler, aimed at center.
6 Wok—'Coverage Is enhanced to protect a 11 to 24 in. �28—61 cm) diameter wok using a tN
nozzle. Nozzle can be placed anywhere within the perimeter of the wok• aimed al canter. The
nozzle height can range from 30 to 40 In. (76 — 102 cm) above the lop of the wok. Coverage
using the 260 nozzle remains unchanged.
All teals required by Undetwriters Laboratories. Inc.(UL)Standard 300 have been successfully completed
and passed. Former!UL Acc ep�*p c>3,�of the new proles,-lion and coverages xvill occur upon revision of the
'fen< 0 ' IS:(_W1 �ip�ted in the near future.
W C
ShoOld ns regarding This bulletin, please contact your respective U.S. District
M a M qer: or call Ansul Technical Services at (715) 735-7415 or
DATE
NO CHANGES AUTHO D
UNLESS APPROVED THE
i BUILDING INSPECTOR
--- -- —4-
' �
SECTION IV — SYSTEM DESIGN
► UL E 470 ULC CEx747 Page 4-31
7-1-98 REV.4
NOZZLE PLACEMENT REQUIREMENTS(Continued)
Nozzle Application Chart (Continued)
Nozzle Tip
Maximum Hazard Nozzle Nozzle Nozzle Stamping—
Ha�arrt Dimensions Quantity Heights Part NO. Flow No.
.Fryer/Spilt Vat Fryer"" Maximum Size
(with drip board)
21 in. (53 cm)x
14 In. (36 cm)
(Fry Pot must not exceed
15 in, x 14 In.
(38 cm x 36 cm))
High Proximity 1 27—47 in. 419339 230
Medium Proximity 1 20—27 In. 419340 245
Maximum Size
(with drip board)
I 25 3/8 In. (64.4 cm)
x 19 1/2 In. (49.5 cm)
(Fry pot side must not
exceed 19 1/2 In.
(49.5 cm)x 19 In.
(48.2 cm)
High Proximity 1 21 —34 In. 419338 3N
Low Proximity 1 13—16 In. 419342 290
N Maximum Size
(with drip board)
18 In. (45.7 cm)
x 27 5/8 in. (70.2 cm)
M High Proximity 1 25—35 In. 419338 3N
(64.89 cm)
•Range Longest Side i 30—50 in. 419333 1 F
' 28 In. (71 cm) (76—127 cm)
Area—336 sq.In. 40—48 In.
(2168 sq.cm) (102—122 cm)
(With Backshelf)
Longest Side(High Proximity) 1 40—50 In, 419340 245
28 in. (71 cm) (102—127 cm)
Area—672 sq. in.
(4335 sq.cm)
Longest Side
(Medium Proximity) 1 30—40 In. 419341 260
28 In. (71 cm) (76—102 cm)
Area—672 sq. In.
(4335 sq.cm)
Longest Side(Low Proximity) 2 15—20 In. 419342 290
36 in. (91 cm) (38—51 cm)
Area—1008 sq. In.
(6503 sq.cm)
► ' For multiple nozzle protection of single fryers,see detailed Information on Pages 4-12 through 4-14.
I
I
SECTION IV — SYSTEM DESIGN
► UL EX. 3470 ULC CEx747 Page 4-32
7-1-98 REV. 2
NOZZLE PLACEMENT REQUIREMENTS (Continued)
Nozzle Application Chart (Continued)
Nozzle Tip
Maximum Hazard Nozzle Nozzle Nozzle Stamping—
Hazard Dimanslons Quantity Heights Pert No: Flow No.
Griddle Longest Side(High Proximity) 1 30—50 In. 419341 260
48 In. (122 cm) (76—127 cm)
Area—1440 sq. In. (perimeter
(9290 sq.cm) located)
Longest Side(High Proximity) 1 30—50 In. 419342 290
30 In. (76 cm) (76— 127 cm)
Area—720 sq. In. (center located)
(1829 sq.cm)
Longest Side(High Proximity) 1 35—40 in. 419335/417332 1 N/1 NSS
36 In. (91 cm) (89—102 cm)
Area—1080 sq.in. (perimeter located)
(2743 sq.cm)
Longest Side 1 20—30 In. 419342 290
(Medium Proximity) (51 —76 cm)
48 In. (122 cm) (perimeter
Area— 1440 sq. In. located)
(9190 sq.cm)
Longest Side(Low Proximity) 1 10—20 in. 419343 2120
48 In.(122 cm) (25—51 cm)
Area—1440 sq. In. (perimeter
(9290 sq.cm) located)
Chain Broiler* Longest Side—34 in. (86 cm) 2 10—26 In. 419336/417333 1 W/1 WSS
(Overhead Protection) Area—1088 sq. In. (25—66 cm)
(7019 sq.cm)
Chain Broiler Length—43 in. (109 cm) 2 1 —3 In. 419335/417332 1 N/1 NSS
(Horizontal Protection) Width—31 In. (79 cm) (3—8 cm)
Gas-Radiant Char-Broiler Longest Side—24 in. (61 cm) 1 18—40 in. 419340 245
Area—528 sq. In. (46— 102 cm)
(3406 sq.cm)
Longest Side—24 in. (61 cm) 1 26—40 in. 419335/417332 1 N/1 NSS
Area—528 sq.in. (66— 102 cm)
(3406 sq.m)
Electric Char-Broller Longest Side—34 In. (86 cm) 1 20—50 In. 419335/417332 1 N/1 NSS
Area—680 sq. In. (51 —127 cm)
(4388 sq.cm)
Lava-Rock Broiler Longest Side—24 In, (61 cm) 1 18—35 in. 419335/417332 1 N/1 NSS
Area—312 sq. In. (46—89 cm)
(2013 sq. cm)
Natural Charcoal Broiler Longest Side—24 in. (61 cm) 1 18—40 in. 419335/417332 1 N/1 NSS
Area—288 sq. In. (46— 102 cm)
(1858 sq.cm)
Lava-Rock or Natural Longest Side—30 In. (76 cm) 1 14—40 in. 419338 3N
Charcoal Char-Broiler Area—720 sq. In. (36— 102 cm)
(4645 sq. cm)
Minimum chain broiler exhaust opening—12 In.x 12 In.(31 cm x 31 cm),and not less than 6o%oI Internal broiler size.
SECTION IV - SYSTEM DESIGN
► UL EX. 3470 ULC CEx747 Page 4-33
7-1-98 REV. 3
NOZZLE PLACEMENT REQUIREMENTS (Continued)
I Nozzle Application Chart (Continued)
Nozzle Tip
Maximum Hazard Nozzle Nozzle Nozzle Stamping-
Hazard Ilimencinns Quantity Heights Part No. Flout No.
Mesquite Char-Broiler Longest Side-30 in. (76 cm) 1 14-40 in. 419338 3N
Area-720 sq. in. (36-102 cm)
(4645 sq.cm)
I Upright Broiler Length-32.5 In. (82.5 cm) 2 - 419334 1/2N
Width-30 in. (76 cm)
Salamander Length-32.5 In. (82.5 cm) 2 - 419334 1/2N
I Broiler Width-30 In. (76 cm)
Wok 14 In.-30 In. (36-76 cm) 1 35-45 In. 419341 260
Diameter (89-114 cm)
3.75-8.0 In. (9.5-20 cm)
Deep
11 in.-18 In. (28-46 cm) 1 35-40 in. 419335/417332 1 N/1 NSS
Diameter (89-102 cm)
' 3.0-5.0 In. (7.6-13 cm)
Deep
11 In.-24 In. (28-61 cm) 35 In. 419335/417332 1 N/1 NSS
' Diameter (89 cm)
3.0-6.0 In. (8-15.2 cm)
Deep
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INSTRUCTIONS POSTED BY MANUAL RELEASE
:2-A 1-BCK BACK UP PORTABLE FIRE RESTAURANT NAME CLUB MAMA
EXTINGUISHER(54-MAX ABOvE FLOOR LEVEL)LOCATE ALONG PATH OF EGRESS ADDRESS 1682E SMOKEY PT.BLVD.
WITHIN NY TRAVEL DISTANCE CITY ARUNGTON WA. ZIP
FIRE SYSTEM INSTALLED BY
PLENUM NOZZLE MUST BE LOCARED
WITHIN 6.OF END OF PLENUM R&T FLOOD&DUCT SERVICES INC
AND DIVIDING THE LENGTH INTO 6100 12TH SOUTH PHONE G0 rA.OSW
SECTIONS EQUAL TO OR LESS THAN 10' SEATTLE WA.98108 FAX (2os1787-26Q7
CYUNDER HAS MECHANICAL CONTROL HEAD SYSTEM MFG.ANSUL R 102 ACTUAL
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LICENSE DETAIL INFOR,---.iTION Form Page 1 of 2
STATE OF WASHINGTON
DEPARTMENT OF LABOR AND INDUSTRIES
Specialty Compliance Services Division
P. O. Box 44000 Olympia, WA 98504-4000
THE RESULT OF YOUR INQUIRY FOR LICENSE NUMBER SELECTED IS:
LICENSE DETAIL INFORMATION
Current Filter: None
Registration#or License FIRSTDF981 RP
Name FIRST DEFENSE FIRE PROT LLC
Address 19714 FILBERT DR
Address
City BOTHELL
State WA
Zip 98012
Phone Number 4254818511
Effective Date 12/17/2002
Expiration Date 12/17/2004
Registration Status ACTIVE
Type CONSTRUCTION CONTRACTOR
Entity LIMITED LIABILITY COMPANY
Specialty Code FIRE PROTECT SYSTEM
Other Specialties HYDRAULIC INSTALLAION/REPAIR
UBI Number 602250698
* * *VIEW CROSS REFERENCE FILE FOR THIS LICENSE* * *
* * *VIEW PRINCIPAL OWNER(S) FOR THIS LICENSE*
* * *VIEW CONTRACTOR BOND/SAVINGS INFORMATION * *
* * *CHECK INQUIRY FOR SUMMONS AND COMPLAINTS*
* * * VIEW CONTRACTOR INSURANCE INFORMATION
New inquiry by CITY, NAME , PRINCIPAL OWNER NAME , LICENSE , UBI
NUMBER, check the
L&I Contractor Industrial Insurance Premium Status or retL1 -onstruction
https://wws2.wa.gov/lni/bbip/TF2Form.asp?License=FIRSTDF981RP 3/21/2003
City of Arlington Building Dept'
PUBLIC WORKS CHECKLIST
PERMIT # 3 DATE Q3 - OU 0
LEGAL
Plat Lot Tax ID#
NAME el"'b X
ADDRESS
BUILDING USE �-S ICJ lit l��f # of BUILDING UNITS
Existing Required Signature Date
Water Meter
Fire Hydrant
Side Sewer Permit
Monitoring Manhole
Cross-Connection Control
Sewer: Off site
On site
Water: Off site
On site
Pretreatment Discharge
Permit
Water/Sewer Fees
Date received
Date Yellow returned
Date Pink returned
City of Ar° -ngton jQ OO C 4 s G�l� i]�44C,C�
• Developmem jervices
7HG�o 238 N. Olympic -Arlington, WA 98223 DATE /� zz cos No
❑Administration wilding ❑Engineering ATTENTION �r vJ +���U
❑Planning ❑Utilities
TO RE.
gar Lit
� � ►ems �
WE ARE SENDING YOU ❑ Attached ❑ Under separate cover via the following items:
❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications
❑ Copy of letter ❑ Change order 71
COPIES DATE NO. DESCRIPTION
U
THESE ARE TRANSMITTED as checked below:
❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval
❑ For your use ❑ Approved as noted ❑ Submit copies for distribution
❑ As requested ❑ Returned for corrections ❑ Return corrected prints
❑ For review and comment
❑ FORBIDS DUE 20 ❑ PRINTS RETURNED AFTER LOAN TO US
REMARKS
COPY TO �
SIGNED: � a
If enclosures are not as noted,kindly notify s once.
*-�F44—
City Of 1�1'' �gtond1E4T � OO CF 4 D s H@ `W04`TM[L
Development-,ervices
238 N. Olympic�-Arlington,WA 98223 SATE ,og Nc�
❑Administration `►Er uilding ❑Engineering ATTENTION
TO
❑ RE:Planning ❑Utilities
WE ARE SENDING YOU ❑ Attached ❑ Under separate cover via the following items:
❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications
❑ Copy of letter ❑ Change order ❑
COPIES DATE NO. DESCRIPTION
PP
THESE ARE TRANSMITTED as checked below:
❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval
❑ For your use ❑ Approved as noted ❑ Submit copies for distribution
❑ As requested ❑ Returned for corrections ❑ Return corrected prints
For review and comment C
❑ FORBIDS DUE 20 ❑ PRINTS RETURNED AFTER LOAN TO US
REMARKS
COPY TO
SIGNED•
If enclosures are not as noted,kindly notify us at one .
City of Arlington Building De,
FiRF, DEP RTMENT CHEC LiST
PERMIT # 5,"�j q DATE: 3—0 t��O 3
NAME: O" V�
ADDRESS: i (JOG sm -i . D LEGAL:
BUILDING USE: f�S�I OAA,- OCCUPANCY CLASSIFICATION:
A B E F H
1 1 2 12.1131 4 1 1 2 1 3 1 2 1 1 2 1 3 1 4 1 5 6 7
I M R S U
1.1 1 1.2 1 2 1 3 1 1 3 1 1 2 F37415 1 2
TYPE OF CONSTRUCTION
I II III 1V V
F.R. F.R. I ONE-HOUR 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:
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:
Signature
CITY OF ARLINGTON �s�
--�- CONSTRUCTION 9u
• PERMIT D�
Cl COMBINATION ❑ BUILDING ❑ ME SIGN CHANICAL ❑ PLUMBING ��'�
❑ HERMIT NO.
j OWNLR Ppli"Im MAIL ADURLSS CITY 1Ir PIfOPIE
Zc
� . AJA
6
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GENE AL CUN RA( U MAIL ADDRESS City zip PliUNL LIC NSE l
h(LCI•ANICALCONIRACTOR MAIL ADDRESS CITY lip PIIONE LICENSE IT
PLUMBING CONTRACIOR MAIL ADDRESS CITY tip PHONE LICENSE
(n
3 CLASS Of WORK
❑NI.W ❑ADDITION ALTERATION ❑REPAIR ❑UEMULI LION ❑BUILDING RELOCATION
Q VALUAI ION Of WORK
w 1 (i�D,�D.
W ULS'RIDE WORK
I--
m l`RU St U ust of B Lu1Nc
w I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLI -
Z TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
L(.nLDE}('RIPIIUNUI PRUrLRTY s1 NnttowoRnitnul ouR orl SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
J
LUI )ILEX k or WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE
a GRANTING OF PERMIT DOES NOT PRESUMETO GIVE AUTHORITYTO
w - Q ( G1 VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
TAX 10 NUMBER FROM PilopetITY TAX STATEMENT LOCAL LAW REGULATINCONSTRUCTION OFTHE PERFORMANCE OF
C CONSTRUCTION. PE 1T EXPIRES 1 YEAR FROM ATE OF ISSUANCE.
�� SIGNA7URE Or CO RA C AUTHO A EM DATE
v 100 AUURI.S.5, L
t �X
(opilica USQ ONLY)
PLUMBING CCIIANICAL
NO. TYPQ OP PIXTURQ IS i s PIXTURFS NO. TYPQ OP L'OUIPMPNT PUB II's PIXTURII4
ATBR CLOSRi ILU M COND.UNrTS-IT.l`. Pa. r d .11lt•-.
)ATIITUD I.1TR10PAAT10N UNITS,,I1.P.nA_ Istlip.list••
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'LOTIIL'S WAS IIBR AVAPORATIVII Coo IX RS
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RINAL VIN11L&TION PAN 1`
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VACUUM DRRAYLIRS TOVK /
ROOF DRAINS—RASNI ZA6[!R9 lAtrrAL PIRRPLAOA It C111MNQY
INK .IIRVICII-DAR 1711C. AMR IIMTME
AS miN0 ' u l0 5-1).00 sddnl.-1.75 •
6"Bluipment Ilsl mud be petivIjed
SUB TOTAL sun TOTAL
1717tMIT PMMIT
TOTAI.Fill TOTAL PQQ
SIUI.YARD SLIBALK SIRLI.ISETBACK REARYARDSEIBACK PLAN CIILCK NUMBER PLAN CIIECKTEE
FEE RECEIPT NO.
BSI•/U I LOT AREA VACANT SITE
OR (j ❑YES ONO FEES VALUATION FEE
IYPL OF CONS OCCU CY GROUP NO.Of yWELCING UNITS PLAN CHECKING VG
d)[ /�J BUILDING f ,
SI/.1 , NO.UiSTUK14S MAX. � 5 3y J'o
� •
PLUMBING
r IRE SPRINKLERS REQUIRED
❑YES ❑NO MECHANICAL
COMMENTS STATE BLDG.CODE
ENERGY CODE SURCHARGE
`R C C E t�F-® PENALTY U.D.C. —
G SEC.7071+1
Y
WATERISEWER FEES
JAN 15 200Z TOTAL
95 3 • y
CITY OF ARLINGTON PERMIT VALIDATION
WHEN rROrERLY VALIDATED TIN THIS SPACE) THIS IS YOUR PERMIT a RECEIPT
PAID CRII BY
. Ar•,,rr,nn Anr•l IrA"T Tnr AClinrn nl nr. nrnT n11r11liw-,ornrur FIAT(
1
CITY OF ARLINGTON
CONSTRUCTION
PERMI
T
COMBINATION ❑ BUILDING MECHANICAL PLUMBING ❑ SIGN
PERMIT NO.
U1vNL Uh MAIL ADDRESS
'„^ CITY ZIP PH
ANCIIITLCT OR DI-SIGNER 1 MAIL ADDRESS �W / _ 79��
CITY ZIP PH�/ 33
GLNLRAL CONTRACTOR MAIL ADDRESS CITY ZIP G(/
PHONE LICENSE/
MLCIIANICAL CONTRACTOR MAIL ADDRESS CITY ZIP, PHONE LICENSE
III
PLUMOING C TRA
AIL ADDRESS CITY ZIP PHONE LICENSE/ d
71
CLASS OF WORK looe—
Qkl.W Cl AUDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION 0 BUILDING RELOCATION
VALUATION OF WORK
S N-5
U'SCRIBE WORK
PRUPOSI U USE OF BUILDING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
LLGAL ULSCRIPIIUN Of PROPERTY SHOWN OLLOW OR ATTACH FOUR COPIES) TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
Lur BLOCK OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE
�� GRANTING OFA PERMIT DOES NOT PRESUMETO GIVEAUTHORITYTO
L/� - coo_co ' O VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
TAX ID NUMBER LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF
CONSTRUCTION.PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
108AUURISS SIGNATURE NTPACTOROR AUTHORIZED AGENT DATE
X
(OFFICE USE ONLY)
PLUMBING MECHANICAL
NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIP ENT FEE
WATER CLOSEI (TOILED A CONU.UNITS -H.P.EA. \ \
BA I FI I UB KE IGERATION UNITS-H.P. 'A.
i LAVATORY(WASH BASIN) So
S'- EA
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LAUNDRY 1 RAY /� :' U HEATER ='B.T.U. �. M
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SINK (S'KVICE - BAR,ETC.) WATER HEATER
/olv GAS PI'PJNG
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SUB TOTAL f SV#TOTAL f
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TOTAL FEE f TOTAL FEE
SIUL YARU SL IBALK STRLLT SL 1 BACK REAR YARD SETBACK PLAN CHECK NUMBERv PLAN C CK FEE
FEE RECEIPT NO.
USf/UNI LOT AREA VACANT SITE
❑YES ❑NO FEES VALUATION FEE
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f
51/.LUI BLIX.. NO,Of STORIES MAX.000.LOAD BU'LDING
PLUMBING
FIRE SPRINKLERS REQUIRED
❑YES MECHANICAL
COMMENTS STATE BLDG.CODE
P�V�` �� - !�O ENERGY CODE SURCHARGE U.B.C.
/I l(X( (I` PENALTY SEC,303(a)
WATER/SEWER FEES
TOTAL
PERMIT VALIDATION
WHEN PROPERLY VALIDATED [IN THIS SPACE)THIS IS YOUR PERMIT d RECEIPT
PAID CRp BY
':r7^r.'7 'i'1 1'. !ii Rr—i._a: r
CITY OF ARLINGTON
CONSTRUCTION
PERMIT �3 S��
❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO.
OWNNEER , ,, MAIL ADDRESS CITY ZIP PHONE
C �S id,
ARCHITECT OR-DESIGNER MAIL ADDRESS CITY LIP PHONE
aft ��J lJ r%Oa7
GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LIC N� S`E
%
MLCI(ANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE/
�N
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE
CLASS OF WORK
❑NLW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLI FION ❑BUILDING RELOCATION
VALUATION
F WQRY�
f 'O �DLI�
UESLRIErE WORK
7:T-/lS LL//I
PRUPUSk U 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-
LLGAL DESCRIPTION Of PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
LOT- -�Dv _��0 -Cil�9 WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE
BLOCK � OF
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO
VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
TAX ID NUMBER LOCAL.LAWREGULATINGCONSTRUCTIONOF THE PERFORMANCE OF
COKSTRUCTION.PERMIA EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
SIGNATURE OF NTRACTOR O HORIZE N. NT DATE
108 ADURLSS
(OFFICE USE ONLY)
PLUMBING MECHANICAL
NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPME&T FEE
WATER CLOSET (TOILET) AIR COND.UNITS -H.P EA.
BA I III UB REFRIGERATION UNITS -H.P. EA.
LAVATORY (WASH BASIN) BOILERS- H.P.EA
SHOWCR GAS FIRED A.C.UNITS-TONNAGE EA.
KI ICHLN SINK& DISP. FORCED AIR SYSTEMS- B T.0 MEA
UISIiWASIIER WALL HEATERS- B T.0 M
LAUNDRY TRAY UNIT HEATERS- B.T.U. M
CLOT I ILS WASHER EVAPORAT IVE COOLERS
WAIERHEATLR CLOTHES DRYERS
URINAL VENTILATICN FAN
DRINKING FOUNIAIN RANGE FIOOD COMMERCIAL
FLUOR DRAIN AIR HANDLING UNIT- CPM
VACUUM BREAKERS STOVE
ROOF DRAINS - RAINLEADERS I METAL FIREPLACE&CHIMNEY
SINK (SERVICE - BAR,ETC.) WATER HEATER
GAS PIPING
SUB TOTAL $1 SUBTOTAL f
PERMIT $I PERMIT ;
TOTALFEE $1 TOTALFEE f
SIDL YARD SE I BACK STRLLT SLTBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE
FEE RECEIPT NO.
USk /ONk LOT AREA VACANT SITE
FEES VALUATION FEE
❑YES ❑NO
TYPL OF CONSI OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING NG 53
SILL Of BLDG. NO.Of STORIES MAX.OCC.LOAD BU'LDING
PLUMBING
FIRE SPRINKLERS REQUIRED
❑YES ❑NO MECHANICAL
COMM E NTS STATE BLDG.CODE
5ENERGY CODE SURCHARGE
PENALTY U.B.C.
SEC.303(a)
WATER/SEWER FEES
R In,F_IV TOTAL
JUN 2 4 2003 PERMIT VALIDATION
WHEN PROPERLY VALIDATED (IN THIS SPACE)THIS 15 YOUR PERMIT&RECEIPT
PAID CR# BY
BUILDING OFFICIAL DATE
cc: ASSESSOR,APPLICANT,TREASURER, BLDG. DEPT RECORDS COPY
/ CITY OF ARLINGTON
CONSTRUCTION
PERMIT of -5 31a5
❑ COMBINATION ❑ BUILDING dMECHANICAL ❑ PLUMBING ❑ SIGN
PERMIT NO.
OWNER MAIL ADDRESS CITY ZIP PHONE
!a NH G,A�( SCti1R� �Mf'��.N /S0�5i1/F QG _'S &D ,PVD L ,4 9805.2 (.206)56.2
ARCHIIECT UR ULS GNLR MAIL ADDRESS CITY ZIP PHONE --'
D. eve. -TANK DNA/r ��Mc lODR�cS
GLvlR�LCUNfRACTOK MAIL ADDRESS f�Po6)3SS
/� CITY ZIP PHONE UC NSE
,lc�T//L,CO AC OR 7"iVG' 7193 /71;�11G �r�/ _f b4�T(,t J LiR 9 /lI ��6 767 6E4 7 yd7i1 ropoC
AILCIIANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE/
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE
CLASS OF WORK
❑NI.W ❑AUDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION
VALUATION OF WORK
/i1�E�
ULSLRID WURK
2 C JN& - �� 7 K/7"C Ef �✓ /{DO �?
PROPOSE U USE Of BUILDING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
LLGAL UL SCRIP I ION Of PROPLRTY(SHOWN BELOW OR ATTACH FOUR COPIES) TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
LUI BLOCK OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE
GRANTING OF PERMIT DOES NOT PRESUME TO GIVEAUTHORITYTO
VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
TAX ID NUMBER LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF
c lG iVl szl/o CONSTRUCTION.PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
)UB.IUDRI SS
SIGNATURE F CONTRACTOR OR AUTHORIZED AGENT DATE
(OFFICE USE ONLY)
PLUMBING MECHANICAL
NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE
WATER CLOSEI (TOILET) AIR COND.UNITS -II.P.EA.
BAIIIIUB REFRIGERATION UNITS-H.P.EA.
LAVAIURY(WASH BASIN) BOILERS-•H.P.EA
SIfOW'LR GAS FIRED A.G.UNITS-TONNAGE EA.
KI ICIIL'N SINK 6 DISP. FORCED AIR SYSTEMS-B.T.U. MEA
UISHWAS11ER WALL HEATERS-B.T.U. M
LAUNDRY 1 RAY UNI1 HEATERS-B.T.U. M
CLOIIILS WASHER EVAPORAI IVE COOLERS
WA i ER IIEATLR CLOIHES DRYERS
URINAL VENTILATICN FAN
DRINKING FOUNTAIN RANGE HOOD COMMERCIAL
FLUOR DRAIN AIR HANDLING UNIT- CPM
VACUUM BREAKERS STOVE
ROOI DRAINS - RAINLEADLRS METAL FIREPLACE 6 CHIMNEY
SINK (SERVICE - BAR.ETC.) WATER HEATER
GAS PIPING
SUB TOTAL 3 SUBTOTAL $
PERMIT $ PERMIT 3
TOTALFEE S TOTAL FEE f
SIUL YARD SL I BACK STKLLT SL IBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE
FEE RECEIPT NO.
USl'/UNI LUI Akf A VACANT SITE
❑YES ONO FEES VALUATION FEE
IYPL OF CONS OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING VG
SI/.!UI DLUG. NO.Of STORIES MAX.UCC.LOAD 8U'LOING $
PLUMBING
FIRE SPRINKLERS REQUIRED
[:]YES ❑NO MECHANICAL
COMMENTS �. STATE BLDG.CODE
ENERGY CODE SURCHARGE
PENALTY U.B.C.
FEB q i .) zool SEC.303(a)
WATER/SEWER FEES
CITY OF ARLINGTON TOTAL
PERMIT VALIDATION
WHEN PROPERLY VALIDATED (IN THIS SPACE)THIS IS YOUR PERMIT d RECEIPT
PAID CRIS BY
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CITY OF ARLINGTON
CONSTRUCTION
PERMIT
❑ COMBINATION ❑ BUILDING MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO.
OW NL � 03 531a,o
MAIL ADDRESS CITY ZIP PHONE
ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE
VLNLRAL CONTRACTOR ! MAIL ADDRESS C-,I If
CITY ZIP PHONE LICENSE
`� I,.1-a 1r L 1 4711, )G< j 0. �e'�C 3 [� r/� c .�5� �/�C�^
MLCItANICAU NTRACTOR M IL ADDRESS CITY ZIP PHONE LICENSE/ �C
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE/
CLASS OF WORK
❑NL.W ❑AUDITION ®,ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION
VALUATION OF WORK
s �:�:1�= E:✓'
ULSCRIBE WORK
KUPOSI U USL Of BUILDING
! ,r 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
(� (L��� L� l7 ��?7`C%�:I-;.ts-,,I TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
LLGAL ULSCRIP L IUN Of PROP RTY SHOWN BELOW OR ATTACH f OUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
LOI BLOCK OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE
GRANTING OF PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO
VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
TAX ID NUMBER LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF
CONSTRU N.PERMIT EXPIRES I YEAR FROM DATE OF ISSUANCE.
I08•1UUR1S5 SI CONTRA OR OR AUTHORIZED AGENT DATE
i
(OFFICE USE ONLY)
MECHANICAL
PLUMBING
NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE
WATER CLOSE] (TOILLI) AIR COND.UNITS —H.P. EA.
BAIHIUB REFRIGERATION UNITS—H.P.EA.
LAVATURY(WASH BASIN) BOILERS--H.P.EA
SHOWER / GAS FIRED A.C.UNITS—TONNAGE EA. /O
_ KI ICIILN SINK S UISP. FORCED AIR SYSTEMS—B.T.U. MEA
_ WALL HEATERS—B.T.U. M
_ WASHINGTON UNIT HEATERS— B.T.U. M
H ad HEATING&AIR CONDITIONING,INC. EVAPORAI IVE COOLERS
P.O.BOX 3427 CL01 HES DRYERS
Ak SEATTLE,WA 98114-3427 VENTILATION FAN
_ Office:(206)860-3832
Fax:(206)860-3799 RANGE HOOD COMMERCIAL
Cellular:(206)396-5542 AIR HANDLING UNIT— CPM
www.washingtonheating.com STOVE
Sales - Design - Installation - Service METAL FIREPLACE&CHIMNEY
Better even St Tran WATER HEATER
— �$$$Business Sales Engineer GAS PIPING
Bureau- Email: stranCwashingtonheating.com
SUB TOTAL ! SUBTOTAL !
PERMIT 11 PERMIT !
TOTAL FEE I TOTAL FEE !
SIUL YARU SL I BACK STRLLT SL1 BACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE
FEE RECEIPT NO.
U51 /UNI L01 ARLA VACANT SITE
❑ ❑ FEES VALUATION FEE
YES NO
IYPL Of CONS OCCUPANCY GROUP No.OF DWELLING UNITS PLAN CHECKING VG
SIZL 01 BLUG. No.Of STORILS MAX.000.LOAD BUILDING $
PLUMBING
FIRE SPRINKLERS RESIRED
❑YES ❑ MECHANICAL
COMMENTS 9,W0WSTATE BLDG.CODE
ENERGY CODE SURCHARGE
J PENALTY SEC�301(a)
WISTER/SEW ER FEES
F E B 2 0 2003 TOTAL
O�. S3lp PERMIT VALIDATION
"* WHEN PROPERLY VALIDATED MI THIS SPACE)THIS I$YOUR PERMIT d RECEIPT.
PAID CRq BY
-err.P.rr! I.:^P1' .nri--1 i..rn [ , ;� I.rrr nlm h•rr'Rrri�[r[
To
E
CITY OF ARLINGTON
CONSTRUCTION
PERMIT
❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN
PERMIT N0.0�51��
OWNLR MAIL ADDRESS C11 Y TIP PHONE
i - 1 , �t
AKCHITEC70K DESIGNER �M IL ADDRESS CITY 21P PHONE
s ) 5 l�e�e��r„tip �: i t 1�l F t — Z_'~
GENERAL
% CONTRACTOR MAIL ADDRESS CITY ZIP
PHONE LICENSE A
MLUTANICALCUNIKACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE/
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE J
CLASS Ot WORK
D NLW ❑AUDITION ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION
VALUATION OF WORK
DLSCRIBE WOR cIQ�Ne__ ex�i
F KUPUSI U USE Of BUILDING
C-,l r a"-T— I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
LLGAL DLS('KIPIIUN Of PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
Lur BLOCK OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE
GRANTING OF A PERMIT DOES NOT PRESUMETO GIVE AUTHORITYTO
VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
TAX i NUMBER LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF
_ VZ CONSTRUCTION.PERMIT EXPIRES I YEAR FROM DATE OF ISSUANCE.
TUB.\UUKI SS SIGNATURE O�gONTRACTOR no -HORIZEOAGENT DATE
®.-
(OFFICE USE ONLY) I�3
PLUMBING 3 c
NO. TYPE OF FIXTURE .Tv�3, _,c EQUIPMENT FEE
WATER CLOSET (TOILEI) �kC� LI P.EA.
BA I II I UB ��- TS-H.P.EA.
LAVAIURY (WASH BASIN)
SIIOWLR ( j ��1�`� -TONNAGE EA.
KI ICIILN SINK A DISP. - B T.0 MEA
DISHWASIIER M
LAUNURYIRAY M
CLOI IILS WASIIER S
W'A I ER I IEATLR
URINAL
DRINKING FOUNIAIN IAL
I-LUOR DRAIN CPM
VACUUM BREAKERS
KUUI DRAINS•- RAINLLAUERS ti�n�t A CHIMNEY
SINK (SERVICE - BAR,ETC.) WATER HEATER
GAS PIPING
SUB TOTAL 3 SUBTOTAL 3
PERMIT 3 PERMIT 3
TOTALFEE 3 TOTALFEE 3
SIUL YARD SL I BACK STRLLT SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE
FEE RECEIPT NO.
U51 /UNI LOIAREA VACANTSITE
❑YES ❑NO FEES VALUATION FEE
I YI'L Ut CONS I OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING VG Z S g �{}�
n
Si/L Of ULUG. NO.Of STORIES MAX.000.LOAD 8U'LDING S �/ I I CJ o
PLUMBING
FIRE SPRINKLERS REQUIRED
❑YES ❑NO MECHANICAL
COMMENTS STATE BLDG.CODE
ENERGY CODE SURCHARGE
PENALTY SEC.303(a)
R� yq 3
WATER/SEWER FEES
i 0 N TOTAL
PERMIT VAUDATION
OF PR��NG�O WHEN PROPERLY RLY VALIDATED ON THIS SPACE)THIS IS YOUR PERMIT a RECEIPT
PAID CRp BY
P afn:y;t`Fllr;t! PIATF
C I T Y O F A R L I N G T U M
C O N S T R U C T I O N F1E R M I T
FEE RM I T NO. a 02-49 05
Owner: LAM, ANY 15005 HE 20TH ST REDMOND 98052
Value of Work: $180, 000. 00 Tax ID: 48280000100109 Phone: 206 X62-1552
Describe Work: INTERIOR RENOVATION
Proposed Use: RESTAURANT & NIGHT CLUB
Legal Description:
Job Address: 16820 SMOKEY PT BLVD
Contractor's Name Type Address License*
OWN
TOTALS Fee
Permit Fee $1, 534. 50
Plan Fee $997. 43
State fee $4. 50
SIGNATURE:
TOTAL FEE. . . . . . . . . . . . . . . . . $2, 536. 43 I EREBY CER*TO
THAT I HAVE READ
A l EXAMINED APP ICATION AND
PAYMENTS. . . . . . . . . . . . . . . . . . $0.00 K O THE SAMBE T UE AND COR-
RE TALL PROVIS NS LAWS AND
TOTAL DUE. . . . . . . . . . . . . . . . . $2, 536. 43 OR INANCE OVE ING IS TYPE OF
WO KiWIIL CO LIE WITH WHETHER
DATE RECEIPT #6 SEC F O T.
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IFQSNOHOMISH ENVIRONMENTAL HEALTH DIVISION
HEALTH 3020 Rucker Avenue, Suite 104
DISTRICT Vl q C✓ Everett, WA 98201-3900
425.339.5250 FAX: 425.339.5254
Healthy Lifestyles, Healthy Communities
June 10, 2003 RECEIVED
JUN 13 20Q3
Tony Tien Tran
Amy Lam Tran CITY OFpRLII���O
6600 72nd Drive NE N
Marysville, WA. 98270
Subj(t: Club Katana ( eviously named Hot Shots Restaurant and Lounge),
16820 Sm y Point Blvd. Arlington
Dear Mr. And Ms. Tran:
The additional equipment information you submitted has been received; however the plans cannot be
approved as submitted. The following information is needed prior to further plan review.
1. No manufacturers name was submitted for the wok range, the under counter oven, the fry top, the
microwave oven, and the overhead food warmer, (items #2, #4, #5, #9, #22 respectively) on the
equipment list. The manufacturer for each of these pieces of food service equipment must be
submitted.
2. No manufacturers name and model number was submitted for the refrigerated drawers, the freezer,
the glass chiller, the beer dispenser and the beverage dispenser, (items #11, #23, #33, #34, and#35
respectively) on the equipment list. The manufacturer and model numbers for each of these pieces of
food service equipment must be submitted
3. Rice is indicated as a menu item. No rice cookers are shown on the equipment list. Submit the
manufacturer name and model number for all rice cookers and any other counter top equipment such
as slicers and mixers.
Please note that prior to opening of the new facility, after the Health District plan review process is
completed and construction is finished, the Health District permit application process must be completed
and a preoperational inspection must be conducted.
Please contact me if you have any questions. My office number is 425.339.5250.
Sincere ,
Robert A. Hoppa, R. .
Environmental Health Specialist
RH/jp
cc:amity of Arlington Building Department
Everett Office Washington State Liquor Control Board
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City April 16, 2003
Of
Arlington
Mrs. Amy Lam
Development 15005 NE 20" St
Redmond, WA 98052
Services
238 N. Olympic Ave.
Arlington, WA 98223 Re: Club Katana
Sprinkler permit #03-5398
The sprinkler application submitted on March 20, 2003 has
Administration been deemed incomplete. We are returning the application
360.403.3500 submittal documents, also enclosed is a copy of the letter
sent to you on March 25, 2003 requesting required changes
Building and further information.
360.403.3431
Engineering If you have any questions please contact me at (360) 403-
360.403.3500 3437.
Planning
Sincerely,
360.403.3434
Utilities
360.403.3500 Scott Black
Building Inspector
Cc: Dave Anderson, Building Official
Jim Tracy
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y�Y G.;'_ ,G,
City
Of
March 25, 2003
Arlington
Development Mrs. Amy Lam
15005 NE 20`h St
Services Redmond, WA 98052
238 N, O�pnpic Ave,
Arlington, WA 98223
Re: Club Katana
The sprinkler plan is not Approved
The plans submitted by First Defense Fire Protection LLC for the
Administration sprinkler design need to be revised to reflect the following items and
360,403.3500 resubmitted for review:
Building 1. In Washington State, any company offering to contract, design, install,
3G0.403.3431 test, and/or maintain fire sprinkler systems must be licensed by the
Washington State Fire Marshal's Office.
2. Washington State requires that the contractor be licensed as a
Engineering Sprinkler Contractor or the plans must be stamped by a person with a
360.403.3500 Certificate of Competency.
3. The plans need to show the existing water service size, the control
Planning valve layout and the redesign calculations based on a 36psi starting
360.403.3434 pressure.
Utilities
360.403.3500 If there are any questions please contact Jim Tracy at 206-940-9622.
Sincerely,
Scott Black
Building Inspector
Cc: First Defense Fire Protection LLC
19714 Filbert Dr.
Bothell, WA 98012
FROM TRACY III ENTERPRIZES ` PHONE NO. : 425+4898294 Jun. 05 2C,3: 18:36P I P1
I1144*rICU'll IUM Ktt'UK
¢1j.N C?'Q Permit No,: 3'. 5 Lot #: T
`r Address:/ �9daj� i`'r�•«
�s
4 Owner:C.-I&W -v--#'•1,4 IN C'� Date: t.� �,,S'-'
❑ APPROVAL PARTIAL APPROVAL
❑ VIOLATION ❑ CORRECTION REQUESTED
CI 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.
OlrAf Coves/L t.eiDi G . '�ire.A�yG
10
Inspector: Date: -• .
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing CI Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ID Grid C7 Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage O Insulation
RrOther: _4&7z.A7,1!17 . 4O/1/, *457G si-"/�
r ■ � I
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I
C I TY OF ARL- I IVGTOhI
CON S T RUC T I OIV P E R M I T
PERMIT MC3_ a 03-539 4B
Ovner: LAM, ANY 15005 HE 20TH ST REDMOND 98052
Value of Work: $4, 000. 00 Tax ID: Phone: 206-562-1552
Describe Work: RELOCATE SPRINKLER HEADS
Proposed Use: REST/LOUNGE/CLUB
Legal Description:
Job Address: 16820 SMOKEY POINT BLVD
Contractor's Name Type Address License#
1ST DEFENSE FIRE PROT LLC SPR 19714 FILBERT DR FIRSTDF98IRP
TOTALS Fee
Permit Fee $1, 150. 30
Plan Fee $258. 45
State fee $4. 50 SI TURE:
TOTAL FEE. . . . . . . . . . . . . . . . . $1. 413. 25 I E EBY C IF THAT I HAVE READ
AN "AMINED THIS APPLICATION AND
PAYMENTS. . . . . . . . . . . . . . . . . . $6.60 KN W THE S ME TO E TRUE AND COR-
RE T ALL P VISI S F LAWS AND
TOTAL DUE. . . . . . . . . . . . . . . . . $1, 413. Z5 O I ANC
OVE N THIS TYPE OF
W K WILL C LI WITH WHETHER
yr
C FIED O OT.
DATE RECEIPT #
ING I \
94 cj T I-EJL41 -.J"� f-I i L7 y
I m$1 _jr--I "C) I J'-- )t J Ti !WI C-1 ; I
13 C'4F'. ic-:......F:(9. C)94 -T I m"13 C-1
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ATAG
JAU-3940 i)MIG.1111b
May 14, 2003
TO: Dave Anderson
Building Official
City of Arlington
Arlington, WA
FR: Jim Tracy
Code Consultant
Tracy III Enterprizes
Woodinville, WA
RE: Club Katana
16820 Smokey Point Blvd
Arlington, WA
City Job No. 03-5398
PLAN REVIEW
AUTOMATIC SPRINKLER SYSTEM
We have reviewed the plan submitted by First Defense Fire Protection of Bothell, WA
and also did an on site review of the existing Automatic Sprinkler System.
The plan is approved subject to errors and omissions, the information submitted for
review, field inspection and the following:
1. Future plan submittals shall show the pipe sizes of all existing piping.
2. When using NFPA Standards for reference, only one edition year shall be
referenced.
3. Make corrections as necessary to insure that the ceiling insulation is secured at
least one inch above the automatic sprinkler head deflector.
4. Re-locate all upright automatic sprinkler heads that has the sprinkler spray pattern
blocked by wood beams.
5. Insure that the Plexiglas Fins referred to on the plans will not block the automatic
sprinkler system coverage.
6. Call for a cover inspection prior to installation of any hard ceiling.
For inspections, contact Jim Tracy at 206-940-9622.
i �'
• ,
Page 1 of 1
Linda Friddle
From: Jim Tracy[tracyiii averizon.net]
Sent: Monday, May 12, 2003 9:21 AM
To: Dave Anderson
Cc: Linda Friddle
Subject: Update on Club Katana
The Automatic Sprinkler Plans submitted by Lamont of First Defense Fire Protection of Bothell, WA did not
include the calculations or show the area to be calculated. I called Lamont and he said his computer is broke
and that he does not have a computer program to calculate the automatic sprinkler system. He said he would
try to do it by hand. I informed him that he needed to either get a talc program or have some other sprinkler
company do it for him as I am not going to check calculations done by hand.
So for now, we are on hold. Jim Tracy
MgyI2 Fa
C/7), 1?003
5/12/2003
�,
I
1
1
{� ' � �,1
- � ��
_ �
'�
; . .
. � .
April 16, 2003
Mrs. Amy Lam
15005 NE 20t" St
Redmond, WA 98052
Re: Club Katana
Sprinkler permit#03-5398
The sprinkler application submitted on March 20, 2003 has
been deemed incomplete. We are returning the application
submittal documents, also enclosed is a copy of the letter
sent to you on March 25, 2003 requesting required changes
and further information.
If you have any questions please contact me at (360) 403-
3437.
Sincerely,
Scott Black
Building Inspector
Cc: Dave Anderson, Building Official
Jim Tracy
Y o
G f•
jNG,S0
City
Of
March 25, 2003
Arlington
Development Mrs. Amy Lam
15005 NE 20' St
Services Redmond, WA 98052
238 N. O�mpic Ave.
Arlington, WA 98223
Re: Club Katana
The sprinkler plan is not Approved
Administration The plans submitted by First Defense Fire Protection LLC for the
sprinkler design need to be revised to reflect the following items and
360.403.3500 resubmitted for review:
Building 1. In Washington State, any company offering to contract, design, install,
360.403.3431 test, and/or maintain fire sprinkler systems must be licensed by the
Washington State Fire Marshal's Office.
2. Washington State requires that the contractor be licensed as a
Engineering Sprinkler Contractor or the plans must be stamped by a person with a
360.403.3500 Certificate of Competency.
3. The plans need to show the existing water service size, the control
Planning valve layout and the redesign calculations based on a 36psi starting
360.403,3434
pressure.
Utilities
360.403.3500 If there are any questions please contact Jim Tracy at 206-940-9622.
Sincerely,
6I
Scott Black
Building Inspector
Cc: First Defense Fire Protection LLC
19714 Filbert Dr.
Bothell, WA 98012
;,
I
March 24, 2003 - Page 1 of 1
Linda Friddle
From: Jim Tracy[tracyiii@verizon.net]
Sent: Monday, March 24, 2003 9:13 AM
To: gave Anderson
Cc: Linda Friddle; Torn Cooper
Subject: Arlington Club Katana as pr 2003-1
1 notified the State about this.
:March 24, 2003)
TO: Dave Anderson
Building Official
City of Arlington
Arlington, WA
F R: ,liin 1.racy
Code Consultant
`I`RA("Y III EN'I`I: Rl)R1lI:?S
Woodinville, WA.
RE: Club Kataiia
16820 Smokey Point Blvd.
Arlington, WA.
Cite Job No. 03-5398
PLAN REVIEW
AUTOMATIC SPRINKI.E.R SYS"1`I-M
We have reviewed (he plan submitted for review by I*,first 1:)efense.l"':ire 1."rrotection L.L(. of Bothell,
WA
The plan its not approved. �
In Washington State, any company offering to contract to design, install, test, and/or maintain fire
sprinkler systems must be licensed by the Washington State 1 ire :Marshal's Office;.
A review of current license holders in the; State of Washington records does not indicate that this
Company has a valid Sprinkler. Contractor's license or a person with a Cerlifica.te of Competency.
The plan does rich show the; existing water service size, the control valve layout or the. ecessary
redesign calculations based can a 36psi starting water pressure.
If there are any questions, contact Jim Tracy at 206-940-9622.
3/24/2003
G I TY OF ARL I hIGTOhI
COI�IST RUGT I Oh! PE RM I T
PERM I T fV0_ = 03-55�0
Orner: LAM, ANY 15005 HE 20TH ST REDMOND 98052
Value of Work: $2, 400. 00 Tax ID: Phone: 206-562-1552
Describe Work: INSTALL ALARM STROBES/PULL STATIONS
Proposed Use: RESTAURANT
Legal Description:
Job Address: 16820 SMOKEY PT BLVD
Contractor's Name Type Address Licensed
FROULA ALARM SYSTEMS SPR 861 INDUSTRY DRIVE FROULAS122DS
TOTALS Fee
Permit Fee $280. 15
Plan Fee $153. 60
State fee $4. 50
SIGNATURE: l4 l
TOTAL FEE. . . . . . . . . . . . . . . . . $438. 25 I HEREBY RTI Y THAT I HAVE READ
AND XAN ED THIS APPLICATION AND
PAYMENTS. . . . . . . . . . . . . . . . . . $8. 08 KNO THE SAME TO BE TRUE AND COR-
REC VkLL
PROVISIONS OF LAWS AND
TOTAL DUE. . . . . . . . . . . . . . . . . $438. 25 O N LACES GOVERNING HIS TYPE OF
WO ILL CON IE WITH WHETHER
��
DATE�—/O " ' RECEIPT d IJA 5 I IED R T.
B Id NG FFIC AL
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Froula Alarm Systems, Inc. • ' - - ,�
June 24,2003
Snohomish Fire Marshall
RE: Club Katana
16820 Smokey Point Blvd
This is a submittal for a tenant improvement for an A 2.1 occupancy. This submittal is to add smoke detection,pull
stations at the exits and audibility strobes through out. This will connect to an existing sprinkler monitoring system
partially in the tenant space.
Joe Peterson Froula Alarm Systems,Inc 03 -s��Do
RECEIVED
JUN24 .
CITY OF ARLINGTON
861 Industry Drive ♦ Tukwila WA 98188-3411 ♦ Phone: 206-575-1962 ♦ Fax: 206-575-8168
Email: froula(Wroulaalarms.com ♦ Website: www.froulaalarms.com
;�;
ti '�i
1!� I�a,�� �,
i,
Nodel 5207
Fire Control Pane t with Digital
Communicator a r eA Accu-Zone®
i
our All-In-One Answer For Fire Protection.
Y
p
control panel and digital
fuseless local fire evacuation a 1 arm, automatic fire alarm and
e Model 5207 is an all-In-onelications requiring manual fir
mmunicator designed for applications
basic unit offers fire al arm for one to eight zones,
sprinkler supervision. It i s compatible with both two-
�ter flow for optional 5210 eXpansion module.
cpandable to 16 with the op to install and s e"ice, it delivers the features
id four-wire smoke detectors. Compact, easy
to find in fire systems costing much more.
au,d expect toNE
A 1y�1aYC14.1.
eatures programmable smoke verification
and 2 , pre' (�r5_ Imo_
6 Class B(Style A) alarm delay.and cross-zoning can
Class A(Style D). ❑
Eight zones, g Expander zones are minimize false alarms. rm C 2-4
Class B(Style A).zones are generalFour purpose relays Fo
interchangeable using
the Model 71B1 volts at 2.5 amps resistive).
Zone Converter roved digital communicator
BSA),CSFM Listed and Built-in aPP wired priority reporting.
UL, FM,MEA( with UL req
Approved. Flexible programming capabilities
Event Memory.
• i remote annunciator.ncluding upldownloading and use of
Fuseless design reduces service time. ®dia diagnostics facilitate local
24 VDC power supply. Accu-Zone 9
Comp and remote troubleshooting.
compatible with 2-and 4-wire smoke
detectors as well as water ttow and Walk Test.
sounding devices.
• ANSI cadence pattern output.
Four programmable(Style Y)supervised
• signal circuits,including steady,pulse
1 lir=ti
and temporal. ?
5207
Specifications General Purpose Relays: amps TROUBLE(Yellow):ON=Trouble Condition
Electrical: 4 Form C: 24 Volts 2.5
Operating Voltage: 24 VDC
resistive OFF=No Troubles
12p VRMS Q 60 Hz.2A SILENCE(Yellow): ON=1f trouble or alarm
Primary AC: Indication Lights: has been silenced
Accessory Current'. 5A @ 24 VDC AC/DC Power,. MEMORY(Yellow): ON=1f an Alarm is reset
operating Temperature SET MODE(Yellow):ON=lf panel is in test or
Mechanical: D 32eF to 1204E(p4C to 494C) REPORT program mode.
Dimensions: 16"W x 26.4"H x 4"
(40.6cm W x 67cm H x Flashing=Panel reporting 10.2cm D) Indicator Lights: stem running on
11.4 kg.) AC/DC(Green): ON=SY G
Weight: 25 lbs.( AC
Red Flashing=Or'DC power Av
Color: Alarm
Requirements: ON-Supery15ory KNIGHT
Telephone Req ALARM(Red):
Flashing=Fire Alarm
FCC Registration No.: AG6USA-65475-AL- �
Type of Jack:
RJ31X(2 required)
.�
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I -
Model 5207
Fire Control Panel With Digital
Communicator and Acco-Zone®
Optional Accessories
Model 5230 Remote Annundator Model 4180 Status Display Module Model 5530 Downloading Modem
This 4-wire, 16-zone remote annunciator The 4180 provides 16 outputs to give SIA format modem for remote
English-language is easy to operate. Its alarm and trouble conditions by zone. programming the 5207.
fourteen function keys can perform the Two units can be connected to 5541 same operations as the main system annunciate all 16 zones on a 5207 Downloading Software
For
annunciator, including silencing, resetting, control. The 16 outputs can be used to For remote programming the with
and the displaying of alarms, troubles and drive LEDs or a graphic annunciator. an IBM PC or compatible compputeuce r.
alarm memory. The Model 5230 can be (Non-supervised) Requires a modem. The modem
used to program all programmable and softwaree can be purchased as a
options and with the use a access codes Model 7181 Fire Zone Converter package, order part number 5561.
prevent unwanted tampering. Converts Class B zones to Class A and
vice versa. 5260 Printer Interface
Ione Expansion Allows connection of a standard computer
The 5210 adds eight additional Class B Model 5220 Dired Connect Module printer to provide a printed record of the
(Style A) zones to the 5207,enabling use Used for city box and polarity reversing 5207 system activity. (Printer not
of both 2-and 4-wire smoke detectors. direct wire applications. supplied.)
Engineering Specifications
The contractor shall provide a complete electrically supervised fire alarm and communications system.The system shall contain a fire alarm
control/communicator and panel to supervise and operate heat and product of combustion detection devices,alarm signal devices,visual annunciator and an
integral digital communicator to transmit fire alarm and supervisory signals to a•central station.The control/communicator shall be LIL listed or FM approved for
use under NFPA 72 for Central Station,Local Protective,Remote Signaling,and Auxiliary Signaling standards.It shall provide power and control for eight
supervised detection zones,four supervised alarm signal circuits and a dual digital communicator.The control/communicator shall be expandable to sixteen
supervised detection zones and shall be able to communicate to a central station in SIA,SK FSK1,SK 4/2 or Radionics BFSK formats.The
control/communicator shall be model 5207.
There shall be two Class A and six Class B detection zones.They shall accommodate heal detectors,products of combustion detectors,manual pull stations,
sprinkler flow switches and gate valve supervisory switches intermixed as permitted by NFPA 72.Products of combustion may either be 2-or 4-wire and shall be
cross listed by LIL for use on the system.The detection zones shall be programmed to(1)be cross zoned so that two individual zones must sense products of
combustion,(2)automatically reset a detector to verify that products of combustion exist,(3)see a single detector in alarm before the alarm is sounded and a
signal is transmitted to the central station.
There shall be four 1 amp supervised(Style Y)alarm signal circuits.They shall cause the notification appliances to ring steady/pulsing/temporal throughout the
premises until reset or silenced.
The control shall be equipped with lour auxiliary relays that shall be programmed to operate on(1)pre-alarm,(2)tamper alarm,(3)special alarm,(4)fire alarm,
(5)trouble,(6)no-silence,(7)alarm by specific zone(1-16).The relays shall remain energized until the panel is silenced,reset or the trouble condition is
cleared,unless'no-silence"is selected.
The control/communicator shall have an integral annunciator to indicate sequentially zones in trouble and system functions.LEDs shall augment the display to
make clear to an operator the system status.An integral touchpad shall be provided to operate and interrogate the system.Vital operations such as alarm
silencing or reset shall be simple and obvious to an operator.Authorization pass codes may or may not be used.
The control/communicator shall have the capability to supervise two telephone lines,seize the phone line,and send the alarm signal on one or both lines without
the addition of any more equipment.It shall sound a local trouble signal if the telephone service is interrupted for longer than 45 seconds and it shall transmit a
signal indicating the loss of phone line service to the central station over the remaining phone line.A signal shall also be transmitted indicating the restoral of
phone service.The control/communicator shall be able to report the loss of either phone line without regard to which phone line failed initially.If both lines fail,a
local signal shall sound.
The control/communicator shall have the ability to send a test signal to the central station every 24 hours.The test signal shall be able to be transmitted at a
specific time of day or night by setting a program feature within the panel.
The alarm signals transmitted to the central station shall indicate which of the eight zones is in alarm and which zones are in trouble,depending on which format
is used.Restoral from alarm or trouble signals shall also be transmitted by zone.The control/communicator shall be capable of communicating to Silent Knight,
Radionics or Ademco central station receivers.
SILENT
KNIGHT
7550 Meridian Circle, Maple Grove, MN 55369-4927 MADE IN AMERICA
800-446-6444 or in Minnesota 612-493-6435 FORM#350376, Rev. 11/97
FAX: 612-493-6475
World Wide Web: http://www.silentknight.com Copyright 0 1997 Silent Knight
i-� � �
wheelod<
INC.
273 Branchport Avenue
Long Branch,NJ 07740 Thank you for using our products.
(800) 631•-2148(US) INSTALLATION INSTRUCTIONS
(800) 397-5777(CANADA) SERIES NS-MCW MULTI-CANDELA TWO WIRE APPLIANCE
www.wheelockine.com (WALL MOUNT VERSION)
Use this product according to this instruction manual. Please keep this instruction manual for future reference.
GENERAL:
Wheelock's Series NS-MCW Horn Strobe Appliance requires only 2-wires for operation of the horn and strobe appliance. The NS-
MCW provides four selectable candela settings(15,30,75, 110). The NS-MCW is the ideal choice;for applications where the audible
silence, feature is required. The NS-MCW Appliance is UL Listed under Standard 1971 for Signaling Devices for the Hearing
Impaired and UL Standard 464 for Audible Signal Appliances. The NS-MCW is also ULC Listed under Standard CAN/ULC-S526-
M87 for Visual Signaling Appliances and Standard CAN/ULC-S525-99 for Audible Signaling Appliances for Fire Alarm Systems. It
is listed for indoor Alf only and equipped with an NS Mounting Plate(NSMP) that can be mounted to single-gang, double-gang,4"
backbox, 100inm European backbox or SHBB surface backbox (See Mounting Options). This strobe model is Listed for wall
mounting only. The NS-MCW Appliance uses a Xenon llashtube with solid state circuitry enclosed in a rugged Lcxan@ lens to
provide maximum visibility and reliability for effective visible signaling.
The horn portion of the NS-MCW Appliance can be field set to provide either Continuous Horn or Code 3 Horn. The sound output
can be field set for High (HI)or Low(LO)dBA.
The NS-MCW Horn Strobe can also be used with a Sync Module(SM),Dual Sync Module(DSM)or Power Supply(PS-12/24-8 UL
Only)to provide synchronized strobe and synchronized Code 3 signal.
This strobe model is designed for use with either filtered DC (VDC) or unfiltered Full-Wave Rectified (VRMS) input voltage. All
inputs are polarized for compatibility with standard reverse polarity supervision of circuit wiring by a FACP.
NOTE: All CAUTIONS and WARNINGS are identified by the symbol& All warnings are printed in bold capital letters
,_;_\WARNING: THE NS HORN STROBE IS A"FIRE ALARM DEVICE-DO NOT PAINT."
NOTE: All Canadian Installations should be in accordance with the Canadian Standard for the.histallation of Fire Alarm Systems-
CAN/ULC-S524-01 and Canadian Electrical Code, Part 1. Final acceptance is subject to Authorities Having Jurisdiction.
,Al\WARNING: READ THESE INSTRUCTIONS CAREFULLY. FAILURE TO COMPLY WITH ANY OF THE FOLLOWING
INSTRUCTIONS, CAUTIONS AND WARNINGS COULD RESULT IN IMPROPER APPLICATION, INSTALLATION AND/OR
OPERATION OF THESE PRODUCTS IN AN EMERGENCY SITUATION,WHICH COULD RESULT IN PROPERTY DAMAGE AND
SERIOUS INJURY OR DEATH TO YOU AND/OR OTHERS.
SPECIFICATIONS:
__ Table L UL and ULC Ratings
Moel d Regulated Voltage Range Limit Voltage Range Per CAN/ULC-S526-M87 _ Strobe
Voltage Per UL 464 and UL 1971 and CAN/ULC-S525-99 Candela
(VDCNRMS) (VDC/VRMS) (VDC/VRMS) (cd)
NS-24MCW 24 16.0-33.0 20.0-31.0 15/30/75i t l0
Table 2: dBA Sound Out ut or 24VDC Per UL and ULC w
De;aiption Volume Reverberant Per UL 464 Anechoic Per CAN/ULC-S525-99
16.0VDC 24.OVDC 33.OVDC 20.0VDC 24.OVDC 31.0VDC
Low 77 81 83 87 89 91
_Continuous Horn High h 83 87 90 90 92 94
Low 72* 76 79 87 89_ 91
Code 3 Horn t ligh 79 82 86 _ 90 92 94
ULC Directional Characteristics: hated output 92(IBA(Unit set on high vol uune and 24VDC)
-3dBA: 60 degrees left,40 degrees right
-6dBA: 70 degrees left,70 degrees right
NOTES: 1.The Strobe will produce 1 flash per second over the"Regulated Voltage"range. 2.Anechoic dBA is measured on axis in
a non-reflective (free field)test room using fast meter response. For peak dBA(measured with peak meter response), add 5dBA to
anechoic values as shown in Table 2. Reverberant dBA is a minimum UL rating based on sound pressure measurements in a
reverberant test room. 3. This model is UL Listed for indoor use with a temperature range of+32°F to+12°OF(0°C to+49°C)and
maximum humidity of 93%RH t 2%.
NOTE: THE MAXIMUM WIRE IMPEDANCE BETWEEN STROBES SHALL NOT EXCEED 35 OHMS. THE MAXIMUM NUMBER
OR STROBES ON A SINGLE NOTIFICATION APPLIANCE CIRCUIT SHALL NOT EXCEED 47.
Copyright 2002 Wheelock,Inc. All rights reserved.
P83983 F
Sheet 1 of 8
i
WARNING: OPERATING THE NS AUDIBLE APPLIANCES, SET ON "CODE 3 HORN", LOW dBA AT MINIMUM
VOLTAGE (16.OVDC) WILL NOT MEET THE 75dBA MINIMUM UL REVERBERANT SOUND LEVEL REQUIRED FOR
PUBLIC MODE FIRE PROTECTION SERVICE(NOTED BY *1N TABLE 2). THIS SETTING IS ACCEPTABLE ONLY FOR
GENERAL SIGNALING (NON-FIRE ALARM) USE. USE THE "HIGH" dBA SETTING WITH THIS TONE FOR PUBLIC
MODE SERVICE.
WARNING: FOR ULC VERSIONS T 1ESE APPLIANCES WERE TESTED TO THE OPERATING VOLTAGE OF 20.0-31.0
VOLTS FOR 24V MODELS USING FILTERED(DC)OR UNFILTERED FULL-WAVE-RECTI FIED(FWR� APPLY 80%AND
110%OF THESE VOLTAGE VALUES FOR SYSTEM OPERATIONS.
1"WARNING: FOR UL VERSIONS THESE APPLIANCES WERE TESTED TO THE OPERATING VOLTAGE LIMITS OF
16.0-33.0 VOLTS FOR 24V MODELS USING FILTERED(DC)OR UNFILTERED FULL-WAVE-RECTIFIED(FWR). DO NOT
APPLY 80%AND 110%OF THESE VOLTAGE VALUES FOR SYSTEM OPERATION.
WARNING: CHECK THE MINIMUM AND MAXIMUM OUTPUT OF THE POWER SUPPLY AND STANDBY BATTERY
AND SUBTRACT THE VOLTAGE DROP FROM THE CIRCUIT WIRING RESISTANCE TO DETERMINE THE APPPLIED
VOLTAGE TO TH E STROBES.
I WARNING: CANDELA SETTING WILL DETERMINE THE CURRENT DRAW OF THE PRODUCT.
U1.range rating limits are 16.0-33.OVDC;ULC ratings are 20.0-31.OVDC(tested range-20%below 10%above rated voltage range).
Table 3. UL/ULC Current Ratings{AMPS with Hi dBA Seldng(NS
Rated Ave a Current
UL Volta e ULC Voltage 15cd 30cd 75cd I l0ed
16„0V.DC 20.OVDC 0.084 0.134 0.237 0.320
24.OVDC 24.OVDC 0.075 0.098 0.161 0.192
33,.0VDC 31.OVDC 0.071 0.096 0.155 0.174
16.OVRMS 20.OVRMS 0.145 0.190 0.342 0.450
24.OVRMS 24.OVRMS 0.110 0.160 0.243 0.295
33.OVRMS 31.0VRMS 0.122 0.151�Et 0.217 0.254
Rated Peak Current*
Ul Voltage ULC Voltage 15cd 30cd 75cd 110ed
16.OVDC 20.OVDC 0.350 0.420 0.776 1.064
24.OVDC 24.OVDC 0.400 0.450 0381 1.069
33.OVDC 31.OVDC 0.470 0.470 0.786 1.074
16.,OVRMS 20.OVRMS 0.460 0.660 1.340 1.585
24.OVRMS 24.OVRMS 0.540 0.700 1.040 1.244
33.OVRMS 31.OVRMS T0.950 1.080 1.320 1.460
Rated Inrush Current**
UL Volta m ULC Voltage 15ed 30cd 75cd 110ed
16.0-33VDC 20.0-3LOVDC 0.350 0.350 0.350 0.350
16.0-33VRMS 2U.0-31.OVRMS 0.400 0.400 0.4()0 0.400
Table 3A: UL/ULCRated Avers a Current AMPS with Low dBA Settin NS
Rated Avers a Current
Ul.Volta e ULC Volta a 15cd 30od 75cd I l0cd
16.OVDC 20.OVDC 0.082 0.129 0.230 0.302
24.OVDC 24.OVDC 0.061 0.086 0.147 0.183
33.0VDC 31.OVDC 0.054 0.078 0.134 0.169
16.OVRMS 20.OVRMS 0.136 0.188 0.340 0.449
24.OVRMS 24.OVRMS 0.101 0.152 0.236 0.289
33.OVRMS 31.0VRMS I0.111 0.138 0.206 0.243
*The maximum time duration for the peak current is 10 milliseconds.
n ** Inrush current is measured during first 50 milliseconds after power-up.
WARNING: MAKE SURE THAT THE TOTAL AVERAGE CURRENT AND TOTAL PEAK REQUIRED BY ALL APPLIANCES
THAT ARE CONNECTED TO THE SYSTEM'S PRIMARY AND SECONDARY POWER SOURCES, APPLIANCE CIRCUITS, SM,
DSM SYNC MODULES AND PS-12/24-8 POWER SUPPLY DO NOT EXCEED THE POWER SOURCES'RATED CAPACITY OR THE
CURRENT RATINGS OF ANY FUSES ON THE CIRCUITS TO WHICH THESE APPLIANCES ARE WIRED. OVERLOADING
POWER SOURCES OR EXCEEDING FUSE RATINGS COULD RESULT IN LOSS OF POWER AND FAILURE TO ALERT
OCCUPANTS DURING AN EMERGENCY,WHICH COULD RESULT IN PROPERTY DAMAGE AND SERIOUS INJURY OR DEATH
TO YOU AND/OR(OTHERS.
P83983 F
Sheet 2 of 8
When calculating the total average or peak currents: Use Table 3 and 3A to determine the highest value of"Rated Average Current"
for an individual strobe(across the expected operating voltage range of the strobe), or use Table 3 to determine the highest value of
"Rated Peak Current"(whichever is higher)of an individual strobe(across the expected voltage range of the strobe),then multiply the
value by the total number of strobes; be sure to add the currents for any other appliances, including audible signaling appliances,
powered by the same source and include any required safety factors.
If the peak current exceeds the power supplies' inrush capacity,the output voltage provided by the power supplies may drop below the
listed voltage range of the appliances connected to the supply and the voltage may not recover in some types of power supplies. For
example, an auxiliary power supply that lacks filtering at its output stage(either via lack of capacitance and/or lack of battery backup
across the output)may exhibit this characteristic.
CAUTION: Strobes are not designed to be used on coded systems in which the applied voltage is cycled on and off.
LIGHT DISTRIBUTION PER UL 1971 AND CAN/ULC-S526-M87:
Table 4:Horizontal Plane UL 1971
Horizontal 15cd 30cd 75cd 110cd
Angle(in deg.) UL Min. Typ. 15cd UL Min. TyP.30cd UL Min. Tw.75cd UL Min. Tyn. 1 lOcd
0 I5.0 25 30.0 47 75.0 115 110.0 149
5 13.5 24 27.0 48 67.5 115 99.0 153
10 13.5 24 27.0 48 67.5 113 99.0 151
15 13.5 24 27.0 47 67.5 112 99.0 153
20 13.5 22 27.0 47 67.5 110 99.0 146
25 13.5 22 27.0 46 67.5 107 99.0 149
30 11.3 22 22.5 44 56.3 109 82.5 145
35 11.3 1 23 22.5 44 56.3 104 82.5 140
40 11.3 22 22.5 1 44 56.3 104 82.5 135
45 11.3 24 22.5 48 56.3 110 82.5 1 152
50 8.3 23 16.5 44 41.3 104 60.5 142
55 6.8 18 13.5 34 33.8 79 4.9.5 101
60 6.0 17 12.0 34 30.0 82 44.0 104
65 5.3 1 16 10.5 32 26.3 78 38.5 102
70 5.3 15 10.5 31 26.3 75 38.5 95
75 4.5 13 9.0 27 22.5 66 33.0 81
80 4.5 9 9.0 18 22.5 40 33.0 56
85 3.8 4 7.5 9 18.8 22 27.5 31
90 3.8 8 11 7.5 15 18.8 38 27.5 41:::j
Table 4A: Vertical Plane UL 1971
Vertical 15cd 30ed 75cd 110cd
An le(in de .) UL Min. TyP. 15ed UL Min. Tyn.30cd UL Min. Typ.75c� UL Min. T .110cd
0 15.0 23 30.0 49 75.0 116 110.0 155
5 13.5 26 27.0 51 67.5 123 99.0 166
10 13.5 21 27.0 42 67.5 105 99.0 139
15 13.5 19 1 27.0 39 67.5 95 99.0 134
20 13.5 19 27.0 36 67.5 82 99.0 116
25 13.5 17 27.0 34 67.5 83 99.0 114
30 13.5 16 27.0 32 67.5 79 99.0 107
35 9.8 16 19.5 33 48.8 86 71.5 114
40 6.9 13 13.8 27 134.5 61 50.6 84
45 5.1 7 10.2 14 25.5 34 37.4 48
50 4.1 6 8.1 13 20.3 32 29.7 43
55 3.3 6 6.6 13 16.5 31 24.2 42
60 2.7 6 5.4 12 13.5 30 19.8 39
65 2.4 6 4.8 12 12.0 28 17.6 37
70 2.3 1 6 4.5 12 11.3 28 16.5 39
75 2.0 5 3.9 11 9.8 26 14.3 36
80 1.8 5 3.6 10 9.0 25 13.2 33
85 1.8 5 3.6 11 9.0 27 13.2 35
90 1.8 2 3.6 5 9.0 11 13.2 1 16
1'83983 F
Sheet 3 of 8
`_
I
I
TaGle 4B:ULC Li ht Output n Axis Rating5EN1
C.AN/ULC- 15cd Setting 30cd Settin 75cd Settin S52fi-M8T Min. Typ. Min. TMin. Ty>Min.2cd 15.0 T 300 47.0 75.0 115.0 _
-WARNING: THE NS-MCW APPLIANCE MUST BE FIELD SET TO THE DESIRED TONE AND dBA SOUND OUTPUT LEVEL
BEFORE THEY ARE INSTALLED. THIS IS DONE BY PROPERLY INSERTING JUMPER PLUGS IN ACCORDANCE WITH'THESE
INSTRUCTIONS. INCORRECT SETTINGS WILL RESULT IN IMPROPER PERFORMANCE, WHICH COULD RESULT IN
PROPERTY DAMAGE AND SERIOUS INJURY OR DEATH TO YOU AND/OR OTHERS.
LA WARNING: TII{E CANDELA SELECT SWITCH MUST BE FIELD SET TO THE REQUIRED CANDELA INTENSITY BEFORE
INSTALLATION. WHEN CHANGING THE SETTING OF THE CANDELA SELECT SWITCH, MAKE CERTAIN THAT IT
"CLICKS" IN PLACE. AFTER CHANGING THE CANDELA SETTING, THE APPLIANCE MUST BE RETESTED TO VERIFY
PROPER OPERATION (FLASH RATE MUST BE BETWEEN 60-64 FLASHES PER MINUTE,). IMPROPER SETTING OF THE
CANDELA SELECT SWITCH, WHETHER IT IS ON AN INCORRECT SETTING OR IN BETWEEN TWO CANDELA POSITIONS,
MAY RESULT IN DEGRADED OPERATION OR DAMAGE TO THE PRODUCT, WHICH COULD RESULT IN PROPERTY
DAMAGE AND SERIOUS INJURY OR DEATH TO YOU AND/OR OTHERS.
SETTINGS:
NOTE: The Code 3 Horn incorporates the temporal pattern(1/2 second on, 1/2 second off, 1/2 second on, 1/2 second off, 1/2 second
on, 14/2 off and repeat) specified by ANSI/NFPA for standard emergency evacuation signaling. The Code 3 11orn should he used
only for fire evacuation sienalinLy and not for any other purpose
Figure l: Showing Location of Jumper Plug and Candela Selector.
0
@sA Y'•`'A \\ f �.. �' � WARNING �.� ��^ �l
PREVENT ELECTRIC SHOCK.DO NOT REMOVE I`,I I H{8 CQYER.NO USER SERVICEABLE U PAR
TS IN 1
\) .STOP ST8
leo_ 4SwJ�.'N,UGB �J I 1.` < AUD1EIN I +
I _xv' l Lr.. kw-71L
_ LR
r CANDIIA
POINn�'R
B0I'10M VIEW
NOTE: Factory setting is on High dB,Code 3 and 15cd.
Figure 2: Jumper phrg settings for High dB and Code 3. Figure 3: Jumper plug settings for Low dB and Continuous Horn.
_CENTER PIN
IS NOT USED CENTER PIN
IS NOT USED
SHOWN
!��r1- SETT ON rT ],--SETO
SHOWNWN
ON
SET ON II''� , IJ�r CODE 3 SHOWN 11 I CONT HORN
HI dB .1['_ ! SET ON dEl—
I-OW
-
I
Figure 4: Jumper plug settings for Low dB and Code 3. Figure 5: Jumper plug settings for High dB and Continuous Horn.
CENTER PIN
IS NOT USED {TENTER PIN
IS NOT USED
SHOWN SHOWN
SHOWN
SET ON SET ON
�' u
SET ON �-t i �:- CODE3 SHOWN I CONT'HORN"
I� �i) SEC ON-
LC�11t dB � HI dB N 1
I.
No jumper plugs are needed for Continuous Horn and low dB settings.
(Use needle nose pliers to pull and properly set the jumper plugs.) However, it is recommended that the jumper plug be retained in the unit
for future use(if needed) as shown in Figure 3,4 and 5.
NOTE: The NS-MCW must be set for Code 3 horn when used with the sync module.
* Continuous horn operation without sync module.
P83983 F
Sheet 4 of 8
�r
WIRING INFORMATION:
Figure 6. Figure 7.
1) The NS-•1vtCW Appliance has in-out wiring
mom PRECE[)INC3 �� 7 TO NEXT SIGNAL terminals that accepts two#12 to 18 American
APPLIANCE,fAC:P -�_._ OR ENO OF LINE Wire Gauge (AWG) wires at each screw
ORSYNCMODULE ~ RESISTOR(EOLR) terminal. Strip leads 3/8" inches for
_ connection to screw terminals.
2) Break all n7-out wire runs on supervised circuit
When the sync module is used, the audible tone will be the supervision as shown in Figure 7. The polarity
code 3 sound only. Refer to Sync Module installation shown in the wiring diagrams is for the
instruction sheets SM(P83123), DSM(P83177)or PS-12/24-8 operation of the appliances. The polarity is
(P83862)for additional information. reversed by the FACP during supervision.
MOUNTING OPTIONS:
.\CAUTION: The following figures show the maximum number of field wires(conductors) that can enter the backbox used with
each mounting option. If these limits are exceeded,there may be insufficient space in the backbox to accommodate the field wires and
stresses from the wires could damage the product.
Although the limits shown for each mounting option comply with the National Electrical Code(NEC), Wheelock recommends use of
the largest backbox option shown and the use of approved stranded field wires,whenever possible,to provide additional wiring room
for easy installation and minimum stress on the product from wiring.
FLUSH MOUNTING,_ FLUSH OR SURFACE MOUNT
A STD—SINGLE—GANG B 4"sQ.X 1-1/2"DEEP BACKBOX
O BACK13OX OR 100mm X 37.d5mm
Q EUROPEAN BACI<BOX
Q #6-32 X 7/8"
r SCREWS
6 0832 X 719'
�'SCREWS
c m
NS MOUNTING PLATE
(NSMP) / C
NS BEAUTY PLATE(SUPPLIED) NS MOUNTING PLATE
(NSMP)
NS BEAUTY PLATE(SUPPLIED)
MAX!ILA_ NUMBER OF CONDUCTORS A MAXIMIM NMiER( FCOD G ORS
AWG#18 AVVGlkl6
4 4 4 4 q 4 AWG#1nA.mnm
C FLUSH OR SURFACE MOUNTINQ SURFACE MOUNT
DOUBLE-GANG X 2-1/4" D 5"SQ.X 1-9/1(i'DEEP
)%N0
DEEP BACKBOX SHBB BACKBOX
#6-32 X 7/9, #8-32 X 7/6"
SCREWS SCREWS
0 A
NS NS MOUNTING PLATE j(NSMP)
NS IED) NS BEAUTY PLATE(SUPPLIED)
MAXIMUM NUMBER OF CONDUCTORS MAXIMUM N—LAA QER OF CON1)LICTORS
AWG#18 AWG#16 AV"j AWW2 AW-0#18 AWG#16 AWG#L4 8—%VG#M2
4 4 4 4 4 4 4 4
P83983 F
Sheet 5 of 8
i
I
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ALLY POLE NOAII.Y OPPN STATION µ!S ��-va
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w..ca iew eQ�r
CATALOG MM MtS-
q 277+ -1310 6 -1320
FrAN 279• -1310 6 -1320
see RDiR i 270A -t1P0
Me wr
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SINGIS POLE NO1pNLLY OPEN STATIONS
nes
fR wnx AfAAI
r�rb
( 1 �- — An nu 1 GTAL00 1T0mctS1
w►artlw ,
gala= 1 1i1 wAa 277+-1110 6 -1120
L -on VANS mm a 27GA-SPOIO 6 -1120
r�w<
n.D:u
MOTES:
1. TO ENSURE PROPER SOPEITTSlom 0►cmw m710R.Tr
DO NOT twist LMDS t➢mETESR.
DREAR{7t RE RUM ARO CDAIrELT TO rAce LEAD
SEPARATL4T AS SBOYM. ou
. ►ARALln RMAMOLLRO TO SE AS snow ORLY. w� %�-re.nm
•w,rD._ lei TTRYL T1gALIAT1UM 1<1RTRD
2. INSTALL Gl-0EA ROD A►tER MOUR7lROrOM ALL CATALDO "'er POE R.O. RAOIR A.DOOR:
277e ARD 2)9.MODIU. >�ID1R AUM SLTW.
"'r A-FID7-174A S
crr r. a
P-047550-0628
YUASA
YUASA SEALED RECHARGEABLE LEANCID BATTERY
vPo�p�,GI NP12-12 12V 1----------------
2Ah
r\ 9 - CAT 20`CO GULA I INITIAL
(V��iJI j. AT 20'C REGULATION CURRENT
' STANDBY USE 15.00-11.11OV We Limit
CYCLIC USE 14.4-16_IIV S.OA AI-x
RECYCLE CAUTIOA:
•
Pb Pb AV0ID SHORT CIRCUIT.
• DO NOT CHARGE IN A SEALED CONTAINER.
SEALED LEAD BATTERY Dist. by:
MUSDSP BE OFPRLED OR
LY YUASA.INC. READING. PA 16612
oL�IwsEo of rRo1�Lr
NON-SPILLABLE MADE IN TAIWAN
yy ED
�_ � ��a
July 8, 2003
TO: Dave Anderson
Building Official
City of Arlington
Arlington, WA
FR: Jim Tracy
Code Consultant
Tracy III Enterprizes
Woodinville, WA
RE: Club Katana
16820 Smokey Point Blvd.
Arlington, WA
City Job No. 03-5500
PLAN REVIEW
FIRE ALARM SYSTEM
We have reviewed the plans and specifications submitted by Froula Alarm Systems, Inc.
of Tukwila, WA.
The plan is approved subject to field inspection, test and the following:
1. The standard Fire Alarm Sound shall be the "temporal pattern".
2. Insure that the strobes are synchronized
3. The 15/75cd horn/strobe on the north wall shall be replaced with a 110cd
horn/strobe.
4. Insure that there is a power cut off device installed to kill the power to the music
amplifier circuit when the Fire Alarm System operates.
5. The Fire Alarm System electrical wiring shall be inspected and approved by a
State of Washington Electrical Inspector prior to the acceptance test.
For acceptance test contact Jim Tracy at 206-940-9622.
CC Capt. Tom Cooper
Arlington Fire Department
I
;:
.�
Ju 25 20 08: 14a F1 ,la Alarm Sustems Inc 2, 575-9168 P. 1
Froula Alarm
Systems, Inc.
FACSIMILE TRANSMITTAL SHEET
TO: FROM:
Lindi
Ruby Torrey
COMPANY: DATE 06/25/03
Arkigton City I-fill
FAX NUMBER: TOTAL NO. Or PAGES INCLUDING COVER:
360 435-3906 2
PHONE NUMBER: FAX NUMBER:
(206) 575-8168
PHONE NUMBER:
(206) 575-1962
❑URGENT ❑ FOR REVIEW ❑PLEASE COMMENT O PLEASE REPLY ❑ PLEASE RECYCLE
NOTES/COMMENTS:
vtn 9F
l V c4-.iWzcf �;5�61 5
`1 N
861 Industry Drive, Tukwila WA 98188
www.frouloalarms_com / froulo@froulaalarms.com
r j
s-34 11
Jun 25 20 08: 14a F ala Alarm Systems Inc 575-8168 P. 2
SILENT
Ine 7�TY�j� 6207 Battery calculation WorKsheet
K11��ii 1 r l 1 (all currents stated in rnA)
6125103
Instructions;fill in shaded data fields
Device Quantity of Standby mA Alarm mA 7ot. Device Tot. Device
Description Devices Per Device Per Device Standby rnA Alarm
5207 Control Communicator
120 200 12U 2D0—
5207 Programmed Notification Circuits (4 Max) '° 0 45 D
5207 programmed Alarm Relays(4 Max) �<J«J 0 9D
5210 Zane f;xpandar 4Q 40 Q —
5220 Direct Connect Module xC a` �a D
��! °`«
J .JIp2<S .'SY SO 50 D O-- l
5230 Remote Annunciator(7 Max) i �� ;°a 4& 60 120— 0 p_
4100 Status Display Module(2 Max) '. N%,
a �a%i 20 140 0 D
5260 Printer Interface 25 25 D
.: _ 0
Auxilliary Devices(list all) 120 ;�90
�Lf !t` �R '�x�x�'a ��. 'Sici �.���3�'z��>���S° yY�as�3f.t,t'��� r'�iA;;' J�i°`��J<•i��C ,�•ua °^o`��t Z��c�J'�,:,�es Y V
�, • '�(`�, �/,uti.�}}{y(p.�' J • � ��s�`�`x�!ts .,C' �en�. C: ",'J .J „z,.3,i `o .' .:i�... a' `mJiMfi'•.�7, %.% �,� -
V,.,)M.•..Yt '^`VJJp 3•v%, ,j Y bt`.�.`.'tea %� .> e'Jk � ,;.`< 1` C ` .v E��� J .J �p C C >J O D 0
0
��YI�}!� �yp�, t ��%t.+..�• %� a1A;`�if �Kt:. J �, N C• ,,{� �.? D
3S!�.. .iti�"� ..0'�6»'.�' ��L� ,, .a��'xe.%<J'"�t,.,a,.•.J` ;+ '�s `': xv`o`.Pik.`' "J 'xi`a 'Jm# >�F"e�..e�.ai°.'a`�` A J 0
, +c,'�o,{ �.� x�c�}sF3n:
0
i ; 0
,l "i� .:«�«>e.•� .r�,,.,�J',J« �a;xr.,�� ��.�.3�"";. �'�°f�'�`,'£��`> J o#�,.�'��-Q �°H'>3�e�`o`��'�iEr"��,n O
<rv� ,• axa
Jx
Auxilliary Device Totals 0 0 0
Notification Appliances (list all)
bkri2isl ,�, E. rs+ N/A
'; ;,�?,�;' ,., � ' NIA 265
�,}{ .--
N/A mJ a „.. NIA �13
N/A v a Jy 3 N/A_ rJ 6_7
rd oi:^vu• i` ,.Z��` rt Rtiiii5" ) 1 'f ! W� .µ�. —-
�% x NIA x.. %J. NIA 340
•�`y,,... .�, yo�i`�' s%r;', �t � ,� �'dsx' 7>`i:i <W11-i-W119
xJ N/A <J fa N/A
•NIAs3 NIA :L4-
Notification Appliance Totals N/A 1155
Summary Section
Standby Hrs. Requireda4s
Alarm Sounding Minutes , ' c
Total System Standby mA 120
Total System Alarm mA 1445
Total System Standby A/H 2,88
Total System Alarm A/H 0.12
Min,A/H Battery Required 3.00
Recommended A/H Battery 3.60
i
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City of Arlington Building Dept
FIRR DEPARTMENT CHECKLIST
PERMIT # -�) , ( �` j DATE: a ti
NAME:
ADDRESS: P4. LL, LEGAL:
BUILDING USE: ��J\I;� l.a 4- a ,.,-�-
OCCUPANCY CLASSIFICATION:
A B E F H
1 1 2 12.1 3 1 4 1 1 2 3 1 1 2 1 1 2 1 3 1 4 1 5 1 6 7
I M R S U
1.1 1.2 F2 3 1 1 1 3 1 2 3 1 4 5 1 2
TYPE OF CONSTRUCTION
I II III 1V V
F.R. F.R. I ONE-HOUR N ONE-HOUR N H.T. ONE-HOUR N
Item inspected&completed
Signature & Date:
Site Plan: Approved Denied
Access Requirements:
��' uired:
Fire lane: n�;�1
Sprinkler system: I A!
Alarm system:
Knox Box: C7
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: C� 3 ✓C��
Signature '
RECEI JtD
� ail
Builfform\fdchecklist
,r
— • ' ■ Cei ILT a TJ _ Ta i
— I r1 L1 I �I 01
'll I I I I I 1 7� 1 �� I •. 1 1 1 ' � I11
ir
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■ .a n-. w §L- -.l 1
-Lill - r - 11 lie I
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- 1
City of Arlington Building DQ'
FIRE DEPARTMENT C ECKL ST
PERMIT # 0,�) -SS on DATE: f
NAME: 1 �66�"64—
ADDRESS: U 2s,1 O (S M )II� u1_l I V� LEGAL:
BUILDING USE: <+, n-u OCCUPANCY CLASSIFICATION:
A B E F H
1 1 2 2.1]]3j 4 1 2 3 1 2 1 1 2 1 3 4 5 6 7
I M R S U
1.1 5.2 2 3 1 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
Signature & Date:
Site Plan: Approved Denied
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:
Signature
Bui1d\form\fdcheck1ist
r 'smI ' am, i-.pn 'I 1
1 r C. 7 gjim
—
III NA, I IN In
1 IN
I —IN ii ; � I I ■ ' �°�' mil_ 'L.■ ti � ti J
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0 NINE 1 0 IN ON 11"m 0 1 Ih .bpdI IT IN
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L'�,Y C), City of Ai, �igton ' •� [LIE ___0 OCR 4 D s H, �i]044G�d
• Development Services
7o 238 N. Olympic - Arlington, WA 98223 DATE roe No.
❑Administration *uilding n❑E ineerin
g g ATTENTION
❑Planning ❑Utilities
TO
RE
I ,
WE ARE SENDING YOU [1,,Atiached ❑ Under separate cover via the following items:
❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications
❑ Copy of letter ❑ Change order D
COPIES DATE NO. DESCRIPTION
i
THESE ARE TRANSMITTED as checked below:
For approval ❑ Approved as submitted ❑ Resubmit copies for approval
For your use ❑ Approved as noted ❑ Submit copies for distribution
❑ As requested ❑ Returned for corrections ❑ Return corrected prints
For review and comment ❑
❑ FORBIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US
REMARKS
COPY TO -
SIGNED;
If enclosures are not as noted,kindly notNy us at once.
C I Tlf UF= AFL_ 11VGTQtti1
GONST HUCT I ON ICE FtM I T
PE Ft I T h10_ = 03-536 5
Owner: LAM, AMY 15005 HE 20TH ST REDMOND 98052
Value of Work: $12, 000. 00 Tax ID: 4828-000-010-0109 Phone: 206-562-1552
Describe Work: INSTALL ONE TYPE I KITCHEN HOOD
Proposed Use: RESTAURANT
Legal Description:
Job Address: 16820 SMOKEY PT BLVD
Contractor's Name Type Address License#
MUTUAL INDUSTRIES SPR 9832 17TH AVE SW MUTUAII041D5
TOTALS Fee /
Permit Fee $226. 50 j
Mech Permit $24. 00
Plan Fee $242. 23
SIGNAT E:
TOTAL FEE. . . . . . . . . . . . . . . . . $492. 73 I HEREBY CERTIFY THAT I HAVE READ
AND EXAMINED THIS APPLICATION AND
PAYMENTS. . . . . . . . . . . . . . . . . . $0. 00 KNOW THE SAME TO BE TRUE AND COR-
RECT ALL PROVISIONS OF LAWS AND
TOTAL DUE. . . . . . . . . . . . . . . . . $492. 73 ORDINANCES GOVERNING THIS TYPE OF
WORK WILL BE COMPLIED WITH WHETHER
DATE RECEIPT #
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SNOHOMISH ENVIRONMENTAL HEALTH DIVISION
HEALTH 3020 Rucker Avenue, Suite 104
DISTRICT Everett, WA 98201-3900
425.339.5250 FAX: 425.339.5254
Deaf/Hard of Hearing: 425.339.5252 (TTY)
Healthy Lifestyles, Healthy Communities
June 26, 2003
RECEIVED
Tony Tien Tran JUN S U 2W3
Amy Lam Tran
6600 72"Drive NE CITY OF ARLINGTON
Marysville, WA 98270
Subject: Club Katana (previously Hot Shots Restaurant and Lounge), 16820 Smokey Pt Blvd. Arlington
Dear Mr. and Ms. Tran:
Your plans have been reviewed with the Rules and Regulations of the State Board of Health, and with
the policies of the Snohomish Health District. With the addition of the following, the plans are
approved.
1. The Health District operating permit application process must be completed prior to opening for
business.
2. An indirect waste is required for food preparation sinks, mechanical dishwashers, three-compartment
sinks, ice machines, walk-in refrigeration, running water dipper wells, and any equipment in which
food is placed.
3. Food preparation sinks must have at least one integral drainboard.
4. A reduced pressure backflow prevention device is required at the end of the copper water pipe
serving the pop dispensing system prior to the carbonation device. No copper pipe or other
potentially corrosive material is allowed after the reduced pressure backflow prevention device.
5. Although not specifically stated on the equipment list, item #40 (one by the dishwasher and one in
each wait station) and item #43 on the cook line appear to be handwash sinks. If these are not
handwash sinks, then a handwash sink will be required at each of these locations.
6. A horizontal separation of at least 16 inches or a vertical partition 16 inches in height is required
between the handwash sinks and the cocktail stations at the bar.
7. ,A horizontal separation of at least 16 inches or a vertical partition 16 inches in height is required
between the handwash sinks and the prep refrigeration and food preparation areas on the cook line..
8. A horizontal separation of at least 16 inches or a vertical partition 16 inches in height is required
between the food preparation areas and all sinks and sources of contamination.
9. Water heaters must be of sufficient size to provide hot water to dishwasher and/or scullery sinks and
at the same time provide hot water to all handwash sinks.
10. Hot water must be available to all handwash sinks within 15 seconds.
11.Extra wall protection is required on walls behind sinks and food preparation tables. A 16 inch high
backsplash of plastic laminate, fiberglass reinforced plastic or equal is acceptable. Floor to ceiling
protection is required on wall behind dishwashers. Wall protection behind mop sinks must cover the
entire splash zone. Plastic coated hardboard is not acceptable.
12. The floor must be surfaced with a durable, nonabsorbent, easily cleanable material.
13. The ceiling above the food preparation areas must be nonabsorbent, smooth, and easily cleanable.
At
Subject: Club Katana (previously Hot Shots Restaurant and Lounge), 16820 Smokey Pt Blvd. Arlington
June 25, 2003
Page 2
14. All light fixtures in food preparation and storage areas must be provided with covers or shatter proof
bulbs.
15. Plumbing must meet state and local codes.
16.The ventilation system shall be installed and operated to meet applicable building, mechanical, and
fire codes.
A pre-operational inspection is required prior to approval to open for business. At the time of
inspection the construction of the food service establishment must be complete and all equipment must
be in place. Incomplete construction may result in a $143.00 reinspection fee. Contact the Food
Program office a minimum of one week in advance to schedule an appointment. This will ensure
compliance with the Rules and Regulations of the State Board of Health for Food Service Sanitation.
If there are any changes or additions to the approved layout or equipment, the Snohomish Health District
must be notified.
Please contact me if you have any questions. My office number is 425.339.5250.
Sincere
Robe A. Hoppa .S�
Environmental ealth Specialist
RH/sm
Enclosure: Permit application and fee schedule
cc: City of Arlington Building Department
Everett Office Washington State Liquor Control Board
+i
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SNOHOMISH ENVIRONMENTAL HEALTH DIVISION
HEALTH 3020 Rucker Avenue, Suite 104
DISTRICT Everett, WA 98201-3900
425.339.5250 FAX: 425.339.5254
Healthy Lifestyles,Healthy Communities
March 24, 2003
RECEIVED
Tony Tien Tran MAR go M3
Amy Lam Tran
6600 72°d Drive NE C17Y OFARLINGMAI
Marysville, WA 98270
Subject: Club Katana (previously Hot Shots Restaurant and Lounge), 16820 Smokey Point Blvd.,
Arlington
Dear Mr. And Ms. Tran:
Your revised plans and information have been received; however the plans cannot be approved
as submitted. The following information is needed prior to further plan review.
1. No manufacturers name and model number was submitted for the wok range, the under
counter oven, the fry top, the microwave oven, the refrigerated drawers, the overhead food
warmer, the freezer, the walk-in freezer ant two walk-in refrigerators, the glass chiller, the
beer dispenser and the beverage dispenser, (items #2, #4, #5, #9, #10, #11, #22, #23, #24,
#25, #33, #34, and #35 respectively) on the equipment list. The manufacturer names and
model numbers for each of these pieces of food service equipment must be submitted.
2. Rice is indicated as a menu item. No rice cookers are shown on the equipment list. Submit
the manufacturer name and model number for all rice cookers and any other counter top
equipment such as slicers and mixers.
Please note that prior to opening of the new facility, after the Health District plan review process
is completed and construction is finished, the Health District permit application process must be
completed and a preoperational inspection must be conducted.
Please contact me if you have any questions. My office number is 425.339.5250.
Sincere?
Robert A. Hoppa,R.S.�'�
Environmental HealSpecialist
RH/sm
cc: City of Arlington Building Department
Everett Office Washington State Liquor Control Board
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CITY OF ARLINGTON
Commercial Plan Review
(TODO)
Date: 03-07-03
Owner: Mrs. Amy Lam
Address: 159fl3=N-.E-E th Street ��
Marysville, WA:�835�2- M/A�L �(��«�
Site address: 3310 Smokey Point Drive
Reviewed By: Kerry Wentz
Phone: 360-403-3433
The following items must be included or revised on your submittal before the plan
review process can continue:
The A.D.A. restrooms on the revised plans do not comply with the A.D.A. requirements.
The five-foot turning radios must be provided in a water closet stall as well as the
lavratory area. Please indicate this on your plans.
A one-hour occupancy separation is required between the restaurant and the adjacent
tenant space. Please indicate this on your plans. /r
The contractor information must be provided prior to issuance of the building permit. /
b s.
Please indicate the use of safety glass in all hazardous locations.
All door hardware and plumbing fixtures must comply with A.D.A. requirements. Please
note this on your plans.
If you have any questions,please feel free to contact me at 360-403-3433.
Thank You
Kerry Wentz
City of Arlington Building Depr
FIRE pEpAgIMENT CHECKLIST
PERMIT # 0 _�� DATE:
NAME:
ADDRESS: It ��I1' 11 1-`t . 1? I ! LEGAL:
K <-� -
BUILDING USE: � -�r��..L V G( vt,� OCCUPANCY CLASSIFICATION:
A B E F H
1 1 2 2.1 3 4 1 1 2 3 1 1 2 1 1 2 1 3 4 1 5 1 6 1 7
I M R S U
1.1 1.2F 3 1 3 1 2 3 4 1 5 1 2
TYPE OF CONSTRUCTION
I II III 1V V
F.R. F.R. I ONE-HOUR N ONE-HOUR N H.T. ONE-HOUR N
Item inspected&completed
j Signature & Date:
Site Plan: Approved Denied
Access Requirements:
Required:
Fire lane:
Sprinkler system: Sys A"&,
Alarm system:
Knox Box:
Fire extinquishers:
Hydrant:
# of hydrants required:
Location of Hydrant:
Location of Knox Box: //��
Location of Fire Extinquishers: �"/&/LA IC r-c,ti I/o 1136 fsxT ,.v eovc_ ofGPy9_
Fire Flow requirements:
Location of address on building:
FIRE DEPT: f rr Date:
signature
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238N. Olympic °Arlington, WA 98223
LIAdministration 0Building 0Engineering ATTENTION
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VVE ARE SENDING YOU O Attached O Under separate cover via thefollowing items:
L, Shop drawings O Prints O Plans O Samples O Specifications
O Copy ofletter O Change order O
COPIES DATE NO. DESCRIPTION
THESE ARE TRANSMITTED oo checked below: .
'
O For approval O Approved aysubmitted O Resubmit_�-_--_�oomes for approval
O For your use O Approved aonoted O Submit_-------_copies for distribution
O As requested O Returned for corrections O Return-corrected prints
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O For review and comment O
O FORBIDS DUE 20 ________ O PRINTS RETURNED AFTER LOAN TOUS
REMARKS
~.. . TO .
SIGNED: �
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C Flu DEPARTMENT CHECKLIST nn
PERMIT # D 3-53C�� DATE: I / r/✓
NAME: � r✓ 1' 1G( i�C�_.
ADDRESS: C�����I��� IJI V LEGAL: 1t 6L.tJ OCR` "C)l0 610
BUILDING USE: Re OCCUPANCY CLASSIFICATION:
A B E F H
1 2 12.1131 4 1 1 2 1 3 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 1 2
TYPE OF CONSTRUCTION
I II III 1V V
F.R. F.R. I ONE-HOUR 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:
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:
Signature
Build\form\fdchecklist
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Mutual Industries Inc.
Restaurant Equipment Manufacture&Mechanical Contractor
9832 W4.Ave.Seattle,WA.98106
Tel:(206)767-6647 Fax;(206)767-6689 Email:mutualind@,-iol.com
April .2nd,2003 q E DEI V E D
To: APR 0320
City of Arlington,WA.
Fax: (360)43.5-3906
Att: David W.Anderson CITY OF ARLt WON
Regarding: Club Katana Restaurant
N-rmit 0 03-5365
Dear Mr,David W. Anderson!
Thank you for your fax informing;of the wrong certificate in March 28, 2003; please
accept my apology for the inconvenience.
Enclosed is the WABO certificate,-of Anh G. Phan, whom going to do the welding on the
_jc;b site: 16821) Smoke Point bled. Arlington, WA.
T:1ank you ag;;dn for your understanding and cooperation in this matter. Please let me
know if you wish anything further.
5 ncerely,
Hank Chau (),Mutual Ind. Inc.
03015
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Apr 02 03 05: 16p A '-- EA LU 20R, '67-6688 p. 2
MUTUAL rNDUSTRIES INC. R E C E f V E D
Rostaurant Equipment Manufacturer
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Arlington,WA 98223 City of Arlington
Phone:360.403.3431
Fax:360.435.3906
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To: Hank Chau From: Linda Friddle
Fax: 206.767.6689 Date: March 28,2003
Phone: 206.767.6647 Pages: 1
Re: Club Katana-#03-5365 CC:
❑ Urgent ❑ For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle
*Comments:
Dear Hank,
Thank you for sending the copy of Lanh's welding certificate. The one we are looking
for is the WABO certification. Please forward it as soon as possible so we may
continue our review process.
If you have any questions please contact David W. Anderson @ 360.403.3432.
Thank you,
Linda Friddle
Mar 25 03 10s 38a M "IRL INIIUSTRIES' INC. 20 r"'67-6688 p. 1
0:3/25/03
Mutual indu tries Inc.
9832 17th.Ave. SW,
Seattle,WA. 98106
Phone: (206) '767-6647
Fav (206) '767-6689
Cell: (206) 355-5990
To: City of Arlington,WA_
Fxx: (360)43;5-3906
Att: Kerry
Regarding: Club Katana Restaurant
Permit#03-5365
Dear Kerry!
Thank you For your phone call on last Thursday,there is the welding certificate of
"I,anh Nguyen"on the following page, ozie of our employees should be working on
the;job site: 16820 Smoky Point blvd. Arlington, Wa.
Your help wil I be appreciated, please let us know if you wish uy to do anything,further.
Sincerely,
Hank Chau @ Mutual Ind. Inc.
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PERM I T NO_ _ 42)3-539&D
Owner: LAM, ANY 15005 HE 20TH ST REDMOND 98052
Value of Work: $1, 000. 00 Tax ID: Phone: 206-562-1552
Describe Work: INSTALL UL300 FIRE SUPPRESSION SYSTEM
Proposed Use: RESTAURANT
Legal Description:
Job Address: 16820 SMOKEY POINT BLVD
Contractor's Name Type Address License;
HOOD $ DUCT RT SPR 6100 124TH AVE S RTHOOD*0889L
TOTALS Fee
Permit Fee $137. 00
Plan Fee $122. 30 OAP
State fee $4. 5@SIGNATURELTOTAL FEE. . . . . . . . . . . . . . . . . $263. 80 I H EBY CERTI TAV REAAND )Lt
AMINED THIS AV
AND
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RECL P VISION OF WS AND
TOTAL DUE. . . . . . . . . . . . . . . . . $263. 80 ORDICES O ERN G TH TYPE OF
WIk P ED W TH WHETHER
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ILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE
RANTING OF A PERMIT DOES NOT PRESUMETO GIVEAUTHORITYTO
r VIOLATE OR CANCEL THE PROVISIONS Of ANY OTHER STATE OR
TAXIDNUM PROM PROPeaTY TAX STA7110AENT LOCAL LAW REGULATINCCONSTRUCfIONOF THE PERFORMANCE OF
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COMMENTS STATE rLDa CODE
CNIRCY CODE 91JR04ARGE _
PENALTY u.r.c.
SIC.10)(0)
RT HOOD & DUCT SER�I.CES, INC.
6100 12th Avenue South LET76R OF TRANSMITTAL
SEATTLE, WASHINGTON 9810& '
TE Phone (206) 726-0940 Mtn' JOB NO.
Fax (206) 767-2607 A NTION
TO RE:
2?,t
LZ
AR 12 2003
WE ARE SENDING YOU ❑ Attached ❑ Under separate cover via _ ( fpJlpvYjn items:
`ylt;,Shop drawings ❑ Prints X Plans El Samples -: Specifications
❑ Copy of letter ❑ Change order
COPIES DATE NO. DESCRIPTION
n5tr
THESE ARE TRANSMITTED as checked below:
❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval
❑ For your use ❑ Approved as noted ❑ Submit copies for distribution
❑ As requested ❑ Returned for corrections ❑ Return corrected prints
❑ For review and comment ❑
❑ FOR BIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US
REMARKS
COPY TO
SIGNED:
If enclosures are not as noted,kindly notify us at once.
P�IIJWVVO lot-lr� U3,:Il- T9.
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pr
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I)Isl'A ' MEN'l' OI' L,/�113UIt i\NI) INDUS'1'RlF?-'--
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REGISTERED AS PROVIDED BY LAW AS
CONST CONT SPECIALTY
,,; i;� f-REGIST. #,. . . EXP. DATE
C Gj�'<; THOOD*068QL 12/01/2003
FEVE;IDATE, . 11/13/1992
R . & ,T ,HOOD &DUCT SERVICES INC i
6100," 12TH .AVE S
SEATTLE WA 98108-2702
I
Dclach And I)i.ehloy Cotilicnlc i
REGISTERED AS PROVIDED BY LAW ASl
CONST CONT SPECIALTY II
REGIST. ## EXP. DATE I'Ic;tse RcInove.
CCBOCO RTHOOD*088QL 12/01/2003 And Sign
EFFECTIVE DATE 11/13/1992
Iclenlific�Uic)n
R & T HOOD & DUCT SERVICES INC Cai-d Before
6100 12TH AVE S Placing III
SEATTLE WA 98108-2702 131111c)Icl
signature -—..._. ....
Issued by DI PARTNI N'I' OF I,AHOR ANI) INDII';'I'I IFS
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City of Arlington Building D(
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FI
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PERMIT # (�/� DJ�y DATE: J�i
NAME: 0 ; U �C_ L� l (mot n GL -
ADDRESS: J t'I I P. 0)/V l LEGAL:
BUILDING USE: f `,.I b�(� OCCUPANCY CLASSIFICATION:
A B E F H
1 1 2 12.1131 4 1 1 1 2 3 1 1 2 1 1 2 1 3 4 1 5 6 7
I M R S U
1.1 1.2 2 3 1 3 1 1 2 1 3 1 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 Ei
Item inspected&completed
Site Plan: Approved Denied Signature & Date:
Access Requirements:
Required:
Fire lane:
Sprinkler system: �5 �,,���
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: 3 6
'Signature
6
Build\fmm\fdchecklist
March 17, 2003
TO: Dave Anderson OFFICE COPY
Building Official
City of Arlington
Arlington, WA
FR: Jim Tracy
Code Consultant
Tracy III Enterprizes
Woodinville, WA
RE: Club Katana Restaurant
16820 Smokey Point Blvd.
Arlington, WA
City Job No. 03-5365 and 03-5390
PLAN REVIEW
RANGE HOOD FIRE PROTECTION SYSTEM
We have reviewed the range hood plans and the range hood plans and specifications
submitted by R&T Hood and Duct of Seattle, WA.
The plan is approved subject to test, field inspection and the following:
1. The make-up air supply shall shut down and the exhaust fans shall continue to run
when the fire protection system activates.
2. All electrical outlets under the hood shall shut down when the fire protection
system activates.
3. Insure that the range hood fire protection system is connected to the building fire
alarm system.
4. Provide a completed test form on site at the time of inspection.
For inspection and test contact Jim Tracy at 206-940-9622.
CC Tom Cooper
Arlington Fire Department
�q�1� 331110
4D,
City of Ar" ►igton dLE
• Development ocrvices
238 N. Olympic •Arlington, WA 98223 DATE / JOB NO.
❑Administration Et5ullding ❑Engineering ATTENTION
❑Planning ❑Utilities
TO RE:
VVI
WE ARE SENDING YOU ❑ Attached ❑ Under separate cover via the following items:
❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications
❑ Copy of letter ❑ Change order ❑
COPIES DATE NO. DESCRIPTION
THESE ARE TRANSMITTED as checked below:
❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval
❑ For your use ❑ Approved as noted ❑ Submit copies for distribution
❑ As requested ❑ Returned for corrections ❑ Return corrected prints
r r ew and comment ❑
I-E
OR BIDS DUE 20 ❑ PRINTS RETURNED AFTER LOAN TO US
REMARKS
COPY TO
SIGNED:
If enclosures are not as noted, kindly notif s t once.
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City of Arlington Building 1K
p FIRE DEPARTMENT CHEMK ST
PERMIT # (�3�56 DATE:
NAME: "n 6l-
ADDRESS: �-() / LEGAL:
BUILDING USE: AOCCUPANCY CLASSIFICATION:
A B E F H
1 1 2 12.1131 4 1 1 2 1 3 1 1 2 1 1 2 3 4 1 5 1 6 1 7
I M R S U
1.1 1.2 2 3 1 3 1 2 T3 4 5 1 2
TYPE OF CONSTRUCTION
I II III 1V V
F.R. F.R. I ONE-HOUR 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:
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:
Signature
Build\fortn\fdchecklist
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Sysme�'"' n FAX BULLETIN
l ) MAR 12 200,
ONE COPY ONLY OF THIS FAX SUU�TIN HAS SEEN SENT TO THE
AN�llivCo�rpyTCt) ulCIPALOF YOUR ORGANIZATION.PLEASE COPYAND DIST-RI19UTE
GN!B"TON BTT1ElTr �,
uo onnRm NOPP$Rl,K+e4+�, OF ARCING ALL APPROPRIATE PERSONNEL.
w��w.on,W.e�m
GENERAL BULLETIN NO. 4487
BATE; l ebruaty 26, 2002
TO: All Ansul Authorized Restaurant System Distributors and OEM's
FROM: Chris Celpstran, Market Development Mgr., Pre-Engineered Systems
SUBJECT. b-102 System Enhancements
Ansul Is excited to anhoUhoo"41RGAT NEWS" regarding R-1o2 System capab III Iles. Irian ongoing orlon
to enhance and Improvd our products, we are plignsecf to oller you newly expanded syslern coverm9es,
We trust you will find thd1,In addition to Increased Installation flexibility for a greater variety of applications.
you will alvo be More competitive In the process. Noted below are the new enhancements.
A bubt-1 Duct protection has Increased to 100 perimeter In, (254 cm)using one 2W nozzld and to
50 perimetel'In. (127 cm)using one 1100 nozzle. The 1100 Is a new 1-flow nozzle and ordering
r I Information Wlll be announced shortly.
Oltl uh*Plenum protection Is Increased to 10 ft. l6ng by 41t.wide(3 m x 1.2 m)using one 1 N
hozile ch a Single-Bank Plenum or by using two 1 N nozzles on a V'Bank Plenum.
DetACtloh" Each cooking appliance with a continuous cooking surface not exceeding 48 In, x
48 In, (122 x 122 cm) can be protected by a minimum of on*detector. Cooking sppllancea wllh
a continuous cooking surface exceeding 48 In.x 48 in can be protected by at least jpne_d_ete%tot
PItAOJn,AAOJI1,Qigli na-OMe Uetectors used for cooking appliances must be located within
the perimeter of the protected appliance toward the exhaust duct side of the appliance. The
detector should be located In the air stream of the appliance to enhanLp. system response tune.
Refer to the manual for additional detector limitations.
• Qa>t-padlaht CNI'-giollor Coverage has Increased to 24 In. x 36 In. (61 x 91 cm)-or longest
side 36 ltt•/864 tolal sq. in. (91 crn/5574 crn ) using one i N nozzle loc wed at a Freight of 15 to
40 In. (38 — 102 cm)above the appliance. Nozzle can be placed anywhere along or within the
perimeter of the char-troller, aimed at center.
i Wok— Coverage Is enhanced to protect a 11 to 24 in. �28 — 61 cm) diameter wok using a IN
nozsle. Nozzle can be placed anywhein within the perimeter of the wok, aimed at onriter. The
nozzle height can range from 30 to 40 In. (76 — 102 cm) above the top of the wok. Coverage
using the 260 nozzle remains unchanged.
All tests required by Undetwtiters_La_boratories. Inc.(UL)Standard 300 have been successfully canpleted
and passed. Formal UL Acoep Z of the nAw prnietlion and coverages will oc)Cur upon revision of the
� rl�rrQnO 't f ` ip ed in the near future.
Shoals rpARTIn1E U�eslions arcing this bulletin, please contact your respective U.S. District
Willa 66a ger: or call Ansul Technical Services at (715) 735-7415 cr
(800) 862-8 8 .
I AT e 552 BY
NO CHANGES AUTH0 D
UNLESS APPROVE Q THE
�� BUILDING INSPECTOR
TR3MYRAg3 0
3 V R 9
SECTION IV — SYSTEM DESIGN
► UL E 470 ULC CEx747 Page 4-31
7-1-98 REV. 4
NOZZLE PLACEMENT REQUIREMENTS(Continued)
Nozzle Application Chart (Continued)
Nozzle Tip
Maximum Hazard Nozzle Nozzle Nozzle Stamping—
HAzard ntman,ionc Quantity Heights Part No. Flow No.
►Fryer/Spilt Vat Fryer** Maximum Size
(with drip board)
21 in. (53 cm)x
14 in.(36 cm)
(Fry Pot must not exceed
15 in.x 14 In.
(38 cm x 36 cm))
High Proximity 1 27—47 in. 419339 230
I Medium Proximity 1 20—27 In. 419340 245
Maximum Size
(with drip board)
25 3/8 In. (64.4 cm)
x 19 1/2 In. (49.5 cm)
(Fry pot side must not
exceed 19 1/2 In.
(49.5 cm)x 19 In.
(48.2 cm)
High Proximity t 21 —34 In. 419338 3N
Low Proximity 1 13—16 In. 419342 290
Maximum Size
(with drip board)
18 In. (45.7 cm)
x 27 5/8 in. (70.2 cm)
High Proximity 1 25—35 in. 419338 3N
(64-69 cm)
Range Longest Side 1 30—50 in. 419333 1 F
28 In. (71 cm) (76—127 cm)
Area—336 sq. in. 40—48 in.
(2168 sq.cm) (102--122 cm)
(With Backshelf)
Longest Side(High Proximity) 1 40—50 In. 419340 245
28 In.(71 cm) (102—127 cm)
Area—672 sq. in.
(4335 sq.cm)
Longest Side
(Medium Proximity) 1 30—40 In. 419341 260
28 In. (71 cm) (76—102 cm)
Area—672 sq. In.
(4335 sq.cm)
Longest Side(Low Proximity) 2. 15—20 In. 419342 290
36 in. (91 cm) (38—51 cm)
Area—1008 sq.In.
(6503 sq.cm)
►' For multiple nozzle protection of single fryers,see detailed Information on Pages 4-12 through 4-14.
i�
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I
SE
CT IV — SYSTEM DESIGN
► UL EX. 3470 ULC CEx747 Page 4-32
7-1-98 REV. 2
NOZZLE PLACEMENT REQUIREMENTS (Continued)
Nozzle Application Chart (Continued)
Nozzle Tip
Maximum Hazard Nozzle Nozzle Nozzle Stamping—
Hazard Dimensions _Quantity Heights Part No. Flow No.
Griddle Longest Side(High Proximity) 1 30—50 In. 419341 260
48 In. (122 cm) (76—127 cm)
Area—1440 sq.in. (perimeter
(9290 sq.cm) located)
Longest Side(High Proximity) 1 30—50 In. 419342 290
30 In. (76 cm) (76—127 cm)
Area—720 sq. In. (center located)
(1829 sq.cm)
Longest Side(High Proximity) 1 35—40 in. 419335/417332 1 N/1 NSS
36 In. (91 cm) (89—102 cm)
Area—1080 sq.in. (perimeter located)
(2743 sq.cm)
Longest Side 1 20—30 in. 419342 290
(Medium Proximity) (51 —76 cm)
48 In. (122 cm) (perimeter
Area—1440 sq. In. located)
(9190 sq. cm)
Longest Side(Low Proximity) 1 10—20 in. 419343 2120
48 In. (122 cm) (25—51 cm)
Area—1440 sq. In. (perimeter
(9290 sq.cm) located)
Chain Broiler* Longest Side—34 in. (86 cm) 2 10—26 In. 419336/417333 1 W/1 WSS
(Overhead Protection) Area—1088 sq. In. (25—66 cm)
(7019 sq. cm)
Chain Broiler Length—43 In. (109 cm) 2 1 —3 In. 419335/417332 1 N/1 NSS
(Horizontal Protection) Width—31 In. (79 cm) (3—8 cm)
Gas-Radiant Char-Broiler Longest Side—24 in. (61 cm) 1 18—40 in. 419340 245
Area—528 sq.In. (46— 102 cm)
(3406 sq. cm)
Longest Side—24 in. (61 cm) 1 26—40 in, 419335/417332 1 N/1 NSS
Area—528 sq. In. (66—102 cm)
(3406 sq.m)
Electric Char-Broller Longest Side—34 In. (86 cm) 1 20—50 In. 419335/417332 1 N/1 NSS
Area—080 sq. In. (61 —127 om)
(4388 sq.cm)
Lava-Rock Broiler Longest Side—24 in. (61 cm) 1 18—35 In. 419335/417332 1 N/1 NSS
Area—312 sq.in. (46—89 cm)
(2013 sq.cm)
Natural Charcoal Broiler Longest Side—24 In. (61 cm) 1 18—40 in. 419335/417332 1 N/1 NSS
Area—288 sq. In. (46— 102 cm)
(1858 sq.cm)
Lava-Rock or Natural Longest Side—30 in. (76 cm) 1 14—40 In. 419338 3N
Charcoal Char-Broiler Area—720 sq. in. (36—102 cm)
(4645 sq. cm)
Minimum chain broiler exhaust opening—121n.x 12 In.(31 cm x 31 cm),and not less than 60%of Internal broiler size.
i
SECTION IV — SYSTEM DESIGN
► UL EX.3470 ULC CEx747 Page 4-33
7-1-98 REV. 3
NOZZLE PLACEMENT REQUIREMENTS (Continued)
I Nozzle Application Chart (Continued)
Nozzle Tip
Maximum Hazard Nozzle Nozzle Nozzle Stamping—
Hazard Nmansinns Quantity Heights Pat.Nee Few No.
Mesquite Char-Broiler Longest Side—30 in. (76 cm) 1 14—40 in. 419338 3N
Area—720 sq.In. (36—102 cm)
(4645 sq.cm)
I Upright Broiler Length—32.5 In. (82.5 cm) 2 — 419334 1/2N
Width—30 In. (76 cm)
Salamander Length—32.5 In. (82.5 cm) 2 419334 1/2N
Broiler Width—30 in. (76 cm)
Wok 14 In.—30 In. (36—76 cm) 1 35—45 In. 419341 260
Diameter (89—114 cm)
3.75—8.0 in. (9.5—20 cm)
Deep
11 in.—18 In. (28—46 cm) 1 35—40 in. 419335/417332 1 N/1 NSS
Diameter (89—102 cm)
' 3.0—5.0 In. (7.6—13 cm)
Deep
11 In.—24 In. (28—61 cm) 35 in. 419335/417332 1 N/1 NSS
Diameter (89 cm)
I 3.0—6.0 In. (8—15.2 cm)
Deep
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CY CLASSIFICATION:
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M 1 CT ION
YpE OF CO�STgt7 III
2 3 T 1V V
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Y F R• ONE HOUR Signature & Date;
Denied —
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rm system: �
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uiYements:
Five Flow �e building Date:
Location of address°n
l�atuie
FIRE DEPT.-
City of Building Dept
PUBLIC WORKS CHECKLIST
PERMIT # ' `� ' ---% --� DATE
LEGAL
Plat Lot Tax ID#
NAME
ADDRESS
BUILDING USE `�.C ;� l-y L,i r # of BUILDING UNITS
Existing Required Signature Date
Water Meter
Fire Hydrant
Side Sewer Permit
Monitoring Manhole
Cross-Connection Control
Sewer: Off site
On site
Water: Off site
On site
Pretreatment Discharge
Permit
Water/Sewer Fees
Date received —
Date Yellow returned
Date Pink returned /
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PUBLIC WORKS CHECKLIST
PERMIT # 3 --J •_) DATE l
LEGAL
,Plat / Lot Tax ID#
NAME
ADDRESSGl sllW_
BUILDING USE ��- � L-OL( i'��a P # of BUILDING UNITS
Existing Required Signature Date
Water Meter
Fire Hydrant
Side Sewer Permit
Monitoring Manhole Itj
Cross-Connection Control 1—
Sewer: Off site
On site
Water: Off site
On site
Pretreatment Discharge
Permit
Water/Sewer Fees
Date received 3
Date Yellow returned
Date Pink returned _�C)` 13
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