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Home My WebLink About16710 Smokey Point Blvd_BLD5488_2026 HIO � t 12 -6 z . . w 3 s, s keL'f' I 3 I 'S / t61e. 2 b Lid Continued Equipment List 15 - c 131,t. A Dut Tr Ps L . ao l vk 16 aC�a- i ff&210Y ALPi'C 17 H.o .O� C Cq d f ai Y�2 / 18 Iz i(� rl/�� Gvti P S�� S - N _ 19 17w+- 5� -Wk3YSe r� 3 6 3 /V7CK� -�°�z�I } � 20 c oY14cf-l'q il o✓6iLS V'�UCcvA cV-� 'Z-/A3 21 ��1✓ec, 1�,� sLle4 vU-Mr\ cv�Gi� 22 sf;e".eY/ e,,,A 6rP —�{- 23 24 �e- Alkk"V—ey rn.a'yLi -40"IV C. 26 3 co Co0�t s i'rL -- n/sT 27- - _ 'wl 28 s i w' 29 30 -_ __--____i_- -_____._ 31 - - - - - - --- - ----- 32 -------- --- - 33 -- --- -------!------- 34 35 ' 36 37 38 - -- --------- ---- -------- _ __-__. 39 - --- -- ------- -- -- ----- _;_- _ _-- -- - _ _-_ -- --- ----- --- 40 Environmental Health Division 3020 Rucker Avenue, Suite 104 0 Everett, WA 98201-3900 0 fax: 425.339.5254 0 tel: 425.339.5250 SNOHOMISH COUNTY 449► HEALTH DEPARTMENT Equipment List Facility name: List all food service equipment, including make and model numbers. Examples include, but are not limited to refrigerators, sinks, stoves, ovens, steam tables, blenders, ice machines, ventilation hoods, and all countertop appliances. If make and model number cannot be found, a picture of the equipment is required. The item numbers on this list must be the same as the item numbers for the equipment on the floor plan. Equipment must be commercial grade and meet American National Standards Institutes (ANSI) standards (NSF, ETL Sanitation or UL EPH listed). "Commercial", "Professional", and "Business" labels do not meet this requirement. Sample Equipment List # On floor plan Kind of equipment Make Model # 1 2 Door upright refrigerator True T-49-HC 2 Ice machine Manitowoc IYTO300A 3 Rice cooker Avantco RW92 4 3-compartment dish wash sink (with 2 Advanced Tabco FC-3-2030-20RL drainboards) 1 � 2 r 7 �.90 ay J H&+� CS — a c rc� �jYo, y R(�te A* 6(,t'F--7�-, 11 7Ywe � t�n 7Yue T►' - rf 12 T✓Kf ✓e ►Jyrat,0h TYuf. t&'LA T� 16 Extra space is provided on the next page if needed. P COMMERCIAL PLUMBING APPLICATION Community&Economic Development City of Arlington •18204 59th Ave NE•Arlington,WA 98223• Phone (360) 403-3551 WHEN is a PLUMBING PERMIT REQUIRED? The City of Arlington requires a plumbing permit before a plumbing system or fixture is installed, altered, or remodeled. This includes commercial, tenant improvements, multi-family buildings, roof drains, and overflows, medical gas systems, commercial kitchens, grease traps and interceptors, sumps and cross connection backflow devices. The City of Arlington does not require a permit to stop leaks or clear stoppages,tuiless the piping is repaired,altered or replaced. SUBMIT ELECTRONIC FILES AND TWO (2) COPIES OF THE FOLLOWING FOR PLAN REVIEW: ❑ Plumbing plans or drawings. (Mininnum plan size is 18"X 24"scale,1/"scale for details.) ❑ Fixture specifications and equipment(cut sheets)with locations. ❑ Location and type of all backflow assemblies for each fixture. IN ADDITION TO ABOVE,SUBMIT TWO(2) COPIES OF THE FOLLOWING,IF APPLICABLE TO YOUR PROJECT: ❑ Calculations for Grease Interceptor. ❑ Pipe size and location of sanitary and potable water systems. ❑ Riser diagram of waste,vent,and rain water systems,including sizes. ❑ Medical gas piping riser diagram,type of gas,storage room and size of piping. Type of Permit: ❑ New Installation ❑ Addition/Alteration/Repair ❑ Industrial 16710 smokey point blvd SE Arlington 1 1500 Property Address: 98223 —J Project Valuation: Lot#: Parcel ID No.: Preferred Contact: O Owner O Contractor Project Description: add on sink Owner Name: yuju hua Office No.: Email Address: jenniferyujuhua@gmail.com Cell No.: Mailing Address: 14705 manor way City: lynnwood State: wa Zip: 98087 Contractor Name: Joe Garrick Office No.: 360-321-4424 Email Address: joegarrick@gmail.com Cell No.: Mailing Address: 9324 sr 525 City: C linton State: wa Zip: 98236 L&.I Contractor License Number: GARRIP023P6 Expiration Date: 06-21-24 REV1.2020 Pagel of 3 PLUMBING PERMIT FEES(per fixture Commercial plumbing permits are required to submit line drawings.A plan review fee of 65% per Table 4-6 for plumbing permits will be assessed at time of submittal.Includes two(2)inspections with permit. Type of Fixture No.of Fixtures Cost per Fixture Subtotal Additional Plan Review fees x $75.00 = Alteration re pair piping x $15.00 = BackflowAssenibly x $25.00 = Base Plumbing Fee $25.00 $25.00 Bath Shower Combo x $15.00 = Building Main Waste x $25.00 = Clothes Washer x $15.00 = Dishwasher x $15.00 = Drirkng Fountain X 1 $15.00 = Floor Drains x $15.00 = Grease Interceptor x $75.00 = Grease Trap x $25.00 = Hose Bibb x $15.00 = Iceniaker Refri erator x $15.00 = Irrigation- per meter x $25.00 = Kitchen Sink&Disposal x $15.00 = Laundry Tray x $15.00 = Lavatory x $15.00 = Med Gas Pi in <- 5 inlets outlets x $60.00 = Med Gas Piping> 5 inlets/outlets(plus:5 5 x $5.00 = inlets outlets Miscellaneous- regulated by plumbing x $15.00 = code,not otherwise specified Pretreatment Interceptor x $15.00 = Re-inspection Fee all x $75.00 = Roof Drains x $15.00 = Shower(only) x $15.00 = Sink bar,service,etc. 1 x $ 15.00 = 15 Toilets x $15.00 = Urinal x $15.00 = Vacuum Breakers x $25.00 = Water Heater x $25.00 LT- Permit Water Heater- Tankless x $25.00 Fee Table 4-6; Plan Review Fee Processing/Technology Fee $25.00 Total 40 REV1.2020 Page 2 of PROPOSED BUILDING USE ❑ New Restaurant ❑ Automotive Based ❑ Addition/Alteration ❑ Office ❑ Machine Shop ❑ Industrial ❑ Medical ❑ Other: CROSS CONNECTION Please check all appliances that are proposed or permanently connected to the water supply. ❑ Ice Machine ❑ Dialysis Equip. ❑ Airwashers ❑ Coffee Urn/Espresso ❑ Hydrotherapy Equip. ❑ Steam Generators ❑ Carbonated Bev. ❑ Dental Equip. ❑ Dye Vats ❑ Ftune Hoods ❑ Laboratory Equip. ❑ Pressure Washers ❑ Degreasers ❑ Autoclave/Sterilizers ❑ Cooling Towers ❑ Hot Tub/Spa ❑ Decorative Fountain ❑ Fire Sprinkler ❑ Aquarium ❑ SwiInImiIlg Pools ❑ Sprinkler w/chemicals ❑ Lawn Irrigation ❑ Well on property ❑ Other: WASTEWATER DISCHARGE Does the phunbing system currently have a grease yes ❑ No ❑ Don't Know interceptor? Does the phunbing system currently have an oil/water Yes ❑ No ❑ Don't Know separator? Is water used in the business process(washing,rinsing, ❑ Yes ❑ No ❑ Don't Know cooling)? Does your business require a NPDES pennit? ❑ Yes C] No ❑ Don't Know I hereby certify that the above information is correct and that the construction on,and the occupancy and the use of the above-described property will be in accordance with the laws,rules and regulation of the State of Washington. es,satl ,asaamassoo s.om yuju hua 07-20-2023 hmal ��crju SiglIdItUlC'26049b[a501tl1a1029c51fi� Print Name Date FOR STAFF USE ONLY PERMIT# ACCEPTED BY: DATE STAMP REV1.2020 Page 3 of �l0 SiA 5V U N N YY4 l7 i 0 T40 too to r CITY OF ARLINGTOI BUILDING DEPARTMENT APPROVED QAYE BY O �� NO CHANGES AUTHORIZED UNLESS APPROVED BY THE BUILDING INSPECTOR �r 9 #28 hand washingsink-.� Under Cintas, is the sink need tq be add on for washing - i.rgetables . 'q jp - Iv- r- Y - � d iS M r I i r 114 I ,r l y , • r I � l � I w v �I �I A I L I� f 0 v r T c — N � m � 7 m � n � a °o� m 3 2 a o N_a a a c » mm OZ co� Q = a N 7C Cm —m�' a 7 a �•8 S � °Q � � �g � 3 55F� Q Q 3 a< cn � 7S m � ti � Z = CD cc C n m < m FRI� g3 c --"4 qv, 3 - m S � -C Jb O7� S� amix g ,D m m gm N am 3c a m nm 3 o 3 n go �b> W m m m s �^r 70 m �� m m o m a Ec,�3 0. IL D m m m m w� W� m — 3 CITY OF ARLINGTON • 18204 59th Avenue NE,Arlington,WA 98223 INSPECTIONS: 360-403-3417-Permit Center: 360-403-3551 BUILDING PERMIT 16710 SMOKEY POINT BLVD Permit#: 5488 PERMIT EXPIRES 180 DAYS AFTER Parcel#: 31052900101700 DATE OF ISSUANCE. Scope of Work: Installation of 2 compartment sink Valuation: 1500.00 OWNER APPLICANT CONTRACTOR SO JAE EUN&JUM SOOK Jennifer Hua SILVANA PLUMBING 6620 NE 130TH LANE 14705 Manor Way PO Box 160 KIRKLAND,WA 98034 Lynnwood,WA 98087 Silvana,WA 98287,WA 98287 3606528500 LIC:SILVAPL792MK EXP:07/09/2025 LIC:602711823 EXP:03/31/2024 LIC:CARR*TP231LT EXP:03/17/2024 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: COMMERCIAL PLUMBING CODE YEAR: 2018 STORIES: CONST.TYPE: DWELLING UNITS: OCC GROUP: BUILDINGS: OCC LOAD: PERMIT APPROVAL The issuance or granting of this permit shall not be construed to be a permit for,or approval of,any violation of this Code or any other ordinance or order of the City,of any state or federal law, or of any order,proclamation,guidance advice or decision of the Governor of this State.To the extent the issuance or granting of this permit is interpreted to allow construction activity during any period of time when such construction is prohibited or restricted by any state or federal law,or order,proclamation,guidance advice or decision of the Governor of this State,this permit shall not authorize such work and shall not be valid.The building official is authorized to prevent occupancy or use of a structure where in violation of this Code,any other City ordinances of this jurisdiction or any other ordinance or executive order of the City,or of any state or federal law,or of any order,proclamation, guidance advice or decision of the Governor.The building official is authorized to suspend or revoke this permit if it is determined to be issued in error or on the basis of incorrect,inaccurate or incomplete information,or in violation of any City ordinance,regulation or order,state or federal law,or any order,proclamation,guidance or decision of the Governor. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY;NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED.IBC 101IRC110. SALES TAX NOTICE.: Sales tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form and coded City of Arlington#3101. 08/17/2023 Applicant Signature Date Building Official Date CONDITIONS SIGNED PERMIT SHALL BE ONSITE FOR INSPECTION.CALL FOR INSPECTIONS. THIS PERMIT AUTHORIZES ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY.ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS, SIDEWALKS,DRIVEWAYS, MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION. PERMIT FEES Date Description Fee Amount 08/17/2023 Processing/Technology $25.00 08/17/2023 Plumbing Base $25.00 08/17/2023 Sink(bar,service,etc.) $30.00 08/17/2023 Plumbing Commercial Plan Review $51.81 08/17/2023 Inspection $75.00 08/17/2023 Credit Card Service $6.20 Total Due: $213.01 Total Payment: $213.01 Balance Due: $0.00 CALL FOR INSPECTIONS Call by 3:30 pm for next day inspection,allow 48 hours for Fire Inspections When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether-you-prefer morning or afternoon INSPECTION INFORMATION I Pass/Fail Y CITY OF ARLINGTON 18204 59th Avenue NE,Arlington,WA 98223 INSPECTIONS: 360-403-3417-Permit Center: 360-403-3551 BUILDING PERMIT 16710 SMOKEY POINT BLVD Permit#: 5488 PERMIT EXPIRES 180 DAYS AFTER Parcel#:31052900101700 DATE OF ISSUANCE. Scope of Work:Installation of 2 compartment sink Valuation: 1500.00 OWNER APPLICANT CONTRACTOR SO JAE EUN&JUM SOOK Jennifer Hua SILVANA PLUMBING 6620 NE 130TH LANE 14705 Manor Way PO Box 160 KIRKLAND,WA 98034 Lynnwood,WA 98087 Silvana,WA 98287,WA 98287 3606528500 LTC:SILVAPL792MK EXP:07/09/2025 LIC:602711823 EXP:03/31/2024 LTC:CARR*TP23 I LT EXP:03/17/2024 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: COMMERCIAL PLUMBING CODE YEAR: 2018 STORIES: CONST.TYPE: DWELLING UNITS: OCC GROUP: BUILDINGS: OCC LOAD: PERMIT APPROVAL The issuance or granting of this permit shall not be construed to be a permit for,or approval of,any violation of this Code or any other ordinance or order of the City,of any state or federal law,or of any order,proclamation,guidance advice or decision of the Governor of this State.To the extent the issuance or granting of this permit is interpreted to allow construction activity during any period of time when such construction is prohibited or restricted by any state or federal law,or order,proclamation,guidance advice or decision of the Governor of this State,this permit shall not authorize such work and shall not be valid.The building official is authorized to prevent occupancy or use of a structure where in violation of this Code,any other City ordinances of this jurisdiction or any other ordinance or executive order of the City,or of any state or federal law,or of any order,proclamation, guidance advice or decision of the Governor.The building official is authorized to suspend or revoke this permit if it is determined to be issued in error or on the basis of incorrect,inaccurate or incomplete information,or in violation of any City ordinance,regulation or order,state or federal law,or any order,proclamation,guidance or decision of the Governor. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY;NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED.IBC l 0/IRCI 10. SALES TAX NOTICE: Sales tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form and coded City of Arlington#3101. Q/, 6Wz-1 j � .0 08/17/2023 Applicant Signature Date Building Official Date CONDITIONS SIGNED PERMIT SHALL BE ONSITE FOR INSPECTION.CALL FOR INSPECTIONS. THIS PERMIT AUTHORIZES ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE (A7* Q SNOHOMISH ioo COUNTY HEALTH DEPARTMENT July 21, 2023 Yuju Hua Project: New Food Service Establishment Subject: Taste of China Address: 16710 Smokey Point Blvd SE, Arlington, WA 98223 Dear Yuju: After reviewing your plans with the Rules and Regulations of the State Board of Health, and with the policies of the Snohomish County Health Department, your plans for Taste of China have been approved. The approval was based upon the plans, menu, and food flows submitted 06/30/2023, 07/11/2023, 07/14/2023, 07/17/2023, 07/19/2023, and 07/20/2023. Any changes to the plans, menu, and food flows without preapproval from the Health Department will void this approval. A preoperational inspection is required prior to operating permit issuance and 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 and in proper operating condition. Incomplete construction or equipment operation will result in a $205.00 re-inspection fee. Contact the Food Program office a minimum of one week in advance to schedule an appointment for the preoperational inspection. Please review the following requirements and conditions of operation before scheduling: 1. Scope of project: Opening a new Food Service Establishment in an existing space. 2. No food storage or preparation is allowed in the establishment prior to the preoperational inspection and approval to open for business. 3. If deficiencies are observed with your operation that may cause an unnecessary risk to public health, you may be required to comply with corrective actions by a given due date, regardless of any approval previously given. This includes, but is not limited to, substitutions or additions to refrigeration, limiting your menu, or modifying your food handling processes. 4. Food handling practices, standard procedures and food safety knowledge will be assessed during subsequent routine inspections. It is the business owner's responsibility to ensure compliance of all food workers and food handling procedures with the provisions of WAC 246-215 and the policies of The Snohomish County Health Department. 5. Special food processing methods as defined by the Washington State Retail Food Code (WAC 246- 215.03535) are not permitted at this time. Changes to methods of food handling that fall under these special processes will require prior review and approval of a HACCP plan with Snohomish County Health Department. 6. Refrigerated, Ready-To-Eat, Time/Temperature Control for Safety Food ingredient or a portion of a refrigerated, Ready-To-Eat, Time/Temperature Control for Safety Food that is combined with additional ingredients or portions of Food must retain the date marking of the earliest-prepared or first-prepared ingredient. Refrigerated, Ready-To-Eat, Time/Temperature Control for Safety Food prepared and held in a Food Establishment for more than twenty-four hours must be clearly marked to indicate the date or day by which the Food must be consumed on the premises, sold, or discarded when held at a temperature of 41IF (5°C) or less for a maximum of seven days. The day of preparation must be counted as day one. 7. Two food preparation sinks are indicated on the floor plan. Each sink must be designated for either raw meat or produce preparation. Replacement or removal of either food preparation sink will require prior approval from the Snohomish County Health Department. 3020 Rucker Avenue, Suite 104 0 Everett, WA 98201-3900 0 tel: 425.339.5250 0 fax: 425.339.5254 8. Three-compartment sinks must have rounded corners and integral drainboards at both ends. The drainboards of the three-compartment sink must be sloped to the basins. The basins of the three- compartment sink must be large enough to fit the largest item needing to be washed. 9. The ceiling above all areas of food preparation, food handling, and dishwashing areas must be non- perforated, non-absorbent, smooth, and easily cleanable. This includes server stations and front counter areas where open foods are handled. Light bulbs must be shielded, coated, or otherwise shatter-resistant in areas where there is exposed food, clean equipment, utensils, and linens, or unwrapped single-service and single-use articles. 10. All food service equipment, both new and used, must be listed by the National Sanitation Foundation (NSF) or equivalent for its intended use. 11. Indirect plumbing (1-inch minimum air gap) must be provided on all food prep sinks, mechanical dishwashers, ice machines, soda dispensers, espresso machines, beer tap trays, steam tables, dipper wells, and walk-in refrigeration. 12. Plumbing must meet state and local codes. 13. The ventilation system shall be installed and operated to meet applicable building, mechanical, and fire codes. After you have passed your preoperational inspection, the annual operating permit application and all fees must be received by Snohomish County Health Department prior to opening for business. This facility will be classified as a high risk food establishment with 51-150 seats. Your application for a food service establishment permit from the Snohomish County Health Department may be approved during pre-operational inspection. However, it is the responsibility of the food service establishment operator/owner to obtain all necessary permits and approvals from all applicable agencies. Operating the establishment without required permits or approvals may subject the operator/owner to legal action by the appropriate agencies. If the establishment is opened without the Snohomish County Health Department permit issuance, it may be subject to closure and a double permit fee may be charged. Changes or additions to the approved plans or equipment require pre-approval from the Snohomish County Health Department prior to implementation of the changes. A copy of the Snohomish County Health Department Appeals procedure is available upon request. An administrative appeal must be initiated with 21 days from the date of this letter. Please contact me if you have any questions. Sincerely, 7 J-4 Keith Smith Environmental Health Specialist Food Establishment Plan Review 3020 Rucker Avenue, Suite 104 0 Everett, WA 98201-3900 0 tel: 425.339.5250 0 fax: 425.339.5254 425.339.3561 Keith.Smith(a)co.snohomish.wa.us Enclosure: Preoperational Inspection Checklist, Fee Schedule, Washington State Retail Food Code cc: City of Arlington Building Department 3020 Rucker Avenue, Suite 104 ■ Everett, WA 98201-3900 ■ tel: 425.339.5250 ■ fax: 425.339.5254 _ � :.••�..- r fir: r � i �� _ rr fir► �� = AIL Flit 31 Nop :It��- _ _ `��o�r- _ a' •� _. . �J WO 41M. -_ �l a NOW1. _ � 71�:.�_�.• _I �t ' 1 1 i .r Z_ r s R ) � l - I J � r • • I i r• 4 lei j ,fir COOKING WITH CARE fwM wA1Gpi in _ \ r—. KEEP OUT w Of THE '" 1 � 1 OANCEN 14 ZONE, " LOOS to 4, tl►.pub � 1 ti r 0 a ti 5 Permit#: 5488 Permit Date: 07/20/23 Permit Type: COMMERCIAL PLUMBING Project Name: Taste of China Applicant Name: Jennifer Hua Applicant Address: 14705 Manor Way Applicant, City, State, Zip: Lynnwood, WA 98087 Contact: Jennifer Hua Phone: Email:jenniferyujuhua@gmail.com Scope of Work: Installation of 2 compartment sink Valuation: 1500.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 08/18/2023 Permit Expires: 02/14/2024 Form Permit Type: COMMERCIAL PLUMBING Status: COMPLETE Assigned To: Raelynn Jones Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 31052900101700 16710 SMOKEY POINT SO JAE EUN& 230 COMMERCIAL BLVD JUM SOOK /SERVICES Contractors Contractor Primary Contact Phone Address Contractor Type License License# SILVANA PLUMBING TIM CARR 3606528500 PO Box 160 CONSTRUCTION LABOR& SILVAPL792MK CONTRACTOR INDUSTRIES SILVANA PLUMBING TIM CARR 3606528500 PO Box 160 CONSTRUCTION COA Business602711823 CONTRACTOR License SILVANA PLUMBING TIM CARR 3606528500 PO Box 160 CONSTRUCTION LABOR&CARR*TP231LT CONTRACTOR INDUSTRIES Inspections Date Inspection Type Description Scheduled Date Completed Date Inspector Status 09/08/2023 C19.PLUMBING 09/08/2023 SafeBuilt Approved FINAL Plan Reviews Date Review Type Description Assigned To Review Status 07/20/2023 COMMERCIAL BUILDING Approved PLUMBING Fees Fee Description Notes Amount Processing/Technology $25.00 Plumbing Base Permit Fee $25.00 Sink(bar,service,etc.) $30.00 Plumbing Commercial Plan Review Table 4-1 $51.81 Inspection $75.00 Credit Card Service $6.20 Total $213.01 Attached Letters Date Letter Description 08/17/2023 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 08/12/2023 XBP Conf: $206.81 151460928 08/12/2023 Yuju Hua 151460928 Kristin Foster $6.20 Outstanding Balance $0.00 Notes Date Note Created By: 08/18/2023 Silvana Plumbing is now the contractor. Kristin Foster 08/18/2023 Emailed the permit for signature. Kristin Foster 07/20/2023 Emailed applicant for contractor contact information. Raelynn Jones Uploaded Files Date File Name 10/16/2023 17198146-20230809 BLD5488 Appr2vedPlans.pdf 08/18/2023 16566271-20230818 BLD5488 IssuedPermit.pdf I HIO >� S � t 12 -6 z . . w 13 s, s keL'f' I 3 I 'S / t61e. 2 b Lid Continued Equipment List 15 - c 131,t. A Dut Tr Ps L . ao l vk 16 aC�a- i ff&210Y ALPi'C 17 H.o .O� C Cq d f ai Y�2 / 18 Iz i(� rl/�� Gvti P S�� S - N _ 19 17w+- 5� -Wk3YSe r� 3 6 3 /V7CK� -�°�z�I } � 20 c oY14cf-l'q il o✓6iLS V'�UCcvA cV-� 'Z-/A3 21 ��1✓ec, 1�,� sLle4 vU-Mr\ cv�Gi� 22 sf;e".eY/ e,,,A 6rP —�{- 23 24 �e- Alkk"V—ey rn.a'yLi -40"IV C. 26 3 co Co0�t s i'rL -- n/sT 27- - _ 'wl 28 s i w' 29 30 -_ __--____i_- -_____._ 31 - - - - - - --- - ----- 32 -------- --- - 33 -- --- -------!------- 34 35 ' 36 37 38 - -- --------- ---- -------- _ __-__. 39 - --- -- ------- -- -- ----- _;_- _ _-- -- - _ _-_ -- --- ----- --- 40 Environmental Health Division 3020 Rucker Avenue, Suite 104 0 Everett, WA 98201-3900 0 fax: 425.339.5254 0 tel: 425.339.5250 SNOHOMISH COUNTY 449► HEALTH DEPARTMENT Equipment List Facility name: List all food service equipment, including make and model numbers. Examples include, but are not limited to refrigerators, sinks, stoves, ovens, steam tables, blenders, ice machines, ventilation hoods, and all countertop appliances. If make and model number cannot be found, a picture of the equipment is required. The item numbers on this list must be the same as the item numbers for the equipment on the floor plan. Equipment must be commercial grade and meet American National Standards Institutes (ANSI) standards (NSF, ETL Sanitation or UL EPH listed). "Commercial", "Professional", and "Business" labels do not meet this requirement. Sample Equipment List # On floor plan Kind of equipment Make Model # 1 2 Door upright refrigerator True T-49-HC 2 Ice machine Manitowoc IYTO300A 3 Rice cooker Avantco RW92 4 3-compartment dish wash sink (with 2 Advanced Tabco FC-3-2030-20RL drainboards) 1 � 2 r 7 �.90 ay J H&+� CS — a c rc� �jYo, y R(�te A* 6(,t'F--7�-, 11 7Ywe � t�n 7Yue T►' - rf 12 T✓Kf ✓e ►Jyrat,0h TYuf. t&'LA T� 16 Extra space is provided on the next page if needed.