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HomeMy WebLinkAbout127 E Division St_BLD5390_2026 COMMERCIAL PLUMBING APPLICATION Community&Economic Development City of Arlington•18204 59th Ave NE• Arlington,WA 98223• Phone (360) 403-3991 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, midti-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,unless the piping is repaired,altered or replaced. SUBMIT ELECTRONIC FILES AND TWO (2) COPIES OF THE FOLLOWING FOR PLAN REVIEW: ❑ Plumbing plans or drawings. (Minimum plan size is 18"X 24"scale,1/"scale for details.) ❑ Fixture specifications and equipment(cut sheets)with locations. ❑ Location and type of all baclflow 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 salutary and potable water systems. ❑ Riser diagram of waste,vent,and rainwater systems,including sizes. ❑ Medical gas piping riser diagram,type of gas,storage room and size of piping. Type of Permit: ❑ New Installation r7r, Addition/Alteration/Repair ❑ Industrial Property Address: �Z � ll n �3A Prb j Pct Va h of l: i<0J Lot#: Parcel ID No.: U 1 `t7® 0--4 0�eferred Contact: 'ROwner 0 Contractor Project Description: Owner Name: (ir&CA'\ Office No y3 5 (,D 6 01 Email Address: Tto CkVtZO - (,O/V\ Cell No.: 01� Mailing Address: LTVck City: l I ty\ k%n State: SIP" Zip:Pat 3ti�3 N-C- Contractor Name: P 1�� �C�l(Y1�l� Office No.: Li Email Address: Cell No.: L 'S 5 0� Mailing Address: �� L"l✓TJV-P,'C1- 'U�- 0 "1, f119-� State: �� Zip: L&I Contractor License Number: MVAT j q C19 1 6 Expiration Date: REV1.2020 Pagel of3 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/repair piping x $15.00 = BackflowAssenibly x $25.00 = Base Plimibing Fee $25.00 $25.00 Bath Shower Combo x $15.00 = Building Main Waste x $25.00 = ©othes Washer x $15.00 = Dishwasher x $15.00 = DrWdng Fountain x $15.00 = Floor Drains x $15.00 = Grease Interceptor _ x $75.00 = Grease Trap x $25.00 = Hose Bibb x $15.00 = Icemaker Refri erator x $15.00 = Irrigation- per meter x 1 $25.00 = Kitchen Sink&Disposal x $15.00 = Latindry 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 15 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. x $15.00 = Toilets x $15.00 = Urinal x $15.00 = Vacuum Breakers x $25.00 = Water Heater x� $25.00 = Water Heater- TanMess x $25.00 = Permit Fee Table 4-6; Plan Review Fee Processing/Technology Fee $25.00 Total 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 ❑ Fume Hoods ❑ Laboratory Equip. ❑ Pressure Washers ❑ Degreasers ❑ Autoclave/Sterilizers ❑ Cooling Towers ❑ Hot Tub/Spa ❑ Decorative Fountain ❑ Fire Sprinkler ❑ Aquarium ❑ Swimming Pools ❑ Sprinkler w/chemicals ❑ Lawn Irrigation ❑ Well on property ❑ Other:. WASTEWATER DISCHARGE Does the plumbing system currently have a grease ❑ Yes No ❑ Don't Know interceptor? Does the plumbing system currently have an oil/water ❑ Yes [ No ❑ Don't Know separator? Is water used in the business process(washing,rinsing, R�1 Yes ❑ No ❑ Don't Know cooling)? 4� Does your business require a NPDES permit? ❑ Yes ❑ 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. Sign ti Print Name Date FOR STAFF USE ONLY PERMIT# ACCEPTED BY: DATE STAMP REV1.2020 Page 3 of3 i CL J � s llz� ? �1 c c� HOW TO SIZE AN ASHLAND POLYTRAP (Sizing Chart Provided by PDI Guide Lines) Steps Formula Example Determine cubic content of fixture by multiplying A sink 48"long by 24"wide by 12" length x width x depth deep. Cubic Content: 48x24xl2= 13924 cu.in. 2 Determine capacity in gallons 1 Gal.=231 cu.In. Contents in gallons:13,82V231= 69.8 gal. Determine actual drainage load. The fixture is Actual drainage load 69.8 x 0.75= normally filled to about 75%of capacity with 44.9 gal. 3 water. The items being washed displace about 26%of the fixture content,thus actual drainage load=76%of fixture capacity. Determine flow rate and drainage period. In Calculate flow rate for one minute general,good practices dictate a one minute period:44.911 @ 44.9 GMP flow 4 drainage period,however,where conditions rate• permit,a 2 minute drainage period is acceptable. Drainage period Is the actual time required to Calculate flow rate for two minute complotoly drain the fixture. period: 44.912=22.6 GPM Flow rate=Actual Drainage LoadlDreinage Period. Select interceptor from Ashland Polytrap literature For one min.period: 44.9 GPM which corresponds to the flow rate calculated. requires PDI size"60". NOTE: Select next larger size when flow rate falls For two min.period:22.6 GPM between two sizes listed. requires PDI size 1126". Dishwashers: A separate grease interceptor is recommended for each commercial dishwasher. The size of the interceptor is determined by the GPM discharge rate of the dishwasher as specified by the manufacturer. Select proper interceptor of equivalent or higher rate from Ashland Polytrap literature. Multiple Fixtures:Where a single interceptor serves multiple fixtures, Calculate the total capacity of all fixtures; establish the maximum number of fixtures that may be drained simultaneously and apply factor to the total capacity to determine maximum simultaneous capacity. Than proceed with sizing and selection of interceptor using sizing formula provided above_ IT IS INSTALLERS RESPONSIBILITY TO CHECK LOCAL PLUMBING CODES! Ashland Trap Distribution Co. 1-800-541-8004 (F) 419-836-4140 E-mail: Polytraps@ashlandpolytraps.com ASHLAND® Trap Dist. Co. (a dba in the State of Ohio, Fed/D#34-1946817) 800-541-8004 fax 800-326-5531 ASHLAND® PolyTraps Custom & Modified Series Warranty Excludes all standard 4800 Series ASHLAND® Trap Distribution Company of Williston, Ohio offers a 1 year warranty on the molded shell of the unit, gasket, cover, connections, ribbing, and fasteners. Custom & Modified Series PolyTraps® are defined as all APGI, APSI, APLI and any 4800 series modified from the original factory specifications. All Custom & Modified Series will be covered under a limited 1 year warranty, guaranteed to be free from defects in material and workmanship under normal usage from date of purchase by the first end user. ASHLAND® will repair or replace any defective unit. ASHLAND ® Trap Distribution is not responsible for labor charges, installation, or other incidental or consequential costs such as shipping. THIS LIMITED WARRANTY SHALL NOT EXTEND TO LABOR OR INSTALLATION CHARGES FOR UNIT REMOVAL OR REINSTALLATION. THIS LIMITED WARRANTY SHALL NOT EXTEND OR APPLY TO LOSSES RESULTING FROM ANY FLOODING OR ANY INCIDENTAL OR CONSEQUENTIAL DAMAGES, WHETHER STATED IN CONTRACT, TORT, OR OTHERWISE. THERE ARE NO OTHER WARRANTIES OR BENEFITS OTHER THAN THOSE EXPRESSLY STATED HEREIN. ALL OTHER WARRANTIES, EXPRESSED OR IMPLIED, INCLUDING THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR PARTICULAR PURPOSES ARE HEREBY DISCLAIMED AND EXCLUDED. ASHLAND® Trap Dist. Co. accepts no responsibility for defects resulting from or connected with misuse, abuse, improper installation, lack of cleaning, or other causes beyond our control. No verbal extension or modification of the limited warranty shall be effective under any circumstances. Any written extension or modification must be made by an officer of ASHLAND QD Trap Dist. Co. and must expressly so state in clear and unambiguous terms that it is an extension or modification of the limited warranty. All claims and claimants must be able to provide the date of purchase, date of installation and installers contact information. Some states do not allow limitations on how long an implied warranty lasts or disallow exclusions or limitations of incidental or consequential damages, so the above limitations or exclusions may not apply to you. You may also have other rights which may vary from state to state. This limited warranty is not assignable or transferable except with the express written consent and approval of an officer of ASHLAND®Trap Distribution Company. Warranty claims, complaints, comments or inquiries may be directed to our toll free phone number, 1.800.541.8004 or may be forwarded in writing to: ASHLAND®Trap Distribution Company P.O. Box 218 Williston, Ohio 43468 ASHLAND® Trap Dist. Co. (a dba in the State of Ohio, Fed ID#34-1946817) 800.541.8004 fax 800.326.5531 ASHLAND® PolyTraps 4800 series warranty ASHLANUII Trap Distribution Company of Williston, Ohio offers a limited life time warranty on the molded shell of the grease trap.A limited one year warranty of the gasket, cover, connections and fasteners is offered. This warranty does not cover any large or custom modified series grease traps. Please refer to the Large& Custom Modified Series Warranty for the proper warranty information. The 4800 series PolyTraps®are, under a limited warranty, guaranteed to be free from defects in material and workmanship under normal usage from date of purchase by the first end user. Ashland®will repair or replace any defective unit without cost to the purchaser. THIS LIMITED WARRANTY SHALL NOT EXTEND TO LABOR OR INSTALLATION CHARGES FOR UNIT REMOVAL OR REINSTALLATION. THESE LIMITED WARRANTY SHALL NOT EXTEND OR APPLY TO LOSSES RESULTING FROM ANY FLOODING OR ANY INCIDENTAL OR CONSEQUENTIAL DAMAGES, WHETHER STATED IN CONTRACT, TORT, OR OTHERWISE. THERE ARE NO OTHER WARRANTIES OR BENEFITS OTHER THAN THOSE EXPRESSLY STATED HEREIN. ALL OTHER WARRANTIES, EXPRESSED OR IMPLIED, INCLUDING THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR PARTICULAR PURPOSES ARE HEREBY DISCLAIMED AND EXCLUDED. ASHLAND®Trap Dist. Co. accepts no responsibility for defects resulting from or connected with misuse, abuse, improper installation or other causes beyond our control. No verbal extension or modification of the limited warranty shall be effective under any circumstances. Any written extension or modification must be made by an officer of ASHLAND Trap Dist. Co. and must expressly so state in clear and unambiguous terms that it is an extension or modification of the limited warranty. All claims and claimants must be able to prove the date of purchase or the date of installation and installers contact information. Some states do not allow limitations on how long an implied warranty lasts or disallow exclusions or limitations of incidental or consequential damages, so the above limitations or exclusions may not apply to you. You may also have other right which may vary from state to state. This limited warranty is not assignable or transferable except with the express written consent and approval of an officer of ASHLAND 0 Trap Distribution Company. Warranty claims, complaints, comments or inquiries may be directed to our toll free phone number, 1.800.541.8004 or may be forwarded in writing to: ASHLAND®Trap Distribution Company P.O. Box 218 Williston, Ohio 43468 Maintenance Instructions for PolyTrap® 1. Even the best-designed interceptors properly installed will fail if they are not maintained. The precise requirements for maintenance are not possible to define since conditions vary at each installation and depend on the amount of F.O.G. and sediment in the wastewater. 2. A PDI certified interceptor has a rated retention capacity equal to twice its flow rate expressed in pounds. For example a 35 GPM interceptor is rated to retain at least 70 lbs.of grease. A user may determine a cleaning schedule by measuring how much grease has been trapped over a period of time. Grease will weigh about 8 pounds per gallon. 3. The amount of solids entering the grease trap will increase the frequency of cleaning the interceptor. This is another reason to take measures to eliminate solids entering the interceptor as much as possible. If excessive solids are passing into the line,we recommend installing a solids interceptor ahead of the grease trap. 4. Frequency of cleaning helps eliminate most of the odors associated with interceptors and increases its efficiency. 5. When the interceptor is being cleaned,extra attention should be given to make certain that inlet,outlet,and air relief ports are clear of obstructions. If the unit is installed in ground, be sure to fill the unit with water after cleaning. Always take proper care to ensure a safe and healthy environment while cleaning the interceptor. 6. Grease and any other waste matter that has been removed from the interceptor should not be introduced into any drain,sewer,or natural body of water. This waste matter should be placed in proper containers for disposal. Where recovery of grease is desired,it can be handled in a manner suitable to the authorities. Trouble Shooting If the interceptor becomes clogged,remove any debris that may be located at the flow control reducing baffle. If the unit is causing your sink to drain slower than normal it is probably time to pump and clean the interceptor. Made in the U.S.A. ASHLAND®Trap Distribution Company (&0 PO Box 218 UPC Williston,OH 43468 Toll free 800.541.8004 Ph 419.836.2300 Sink Air Intake Vent Stack o rr---+------a \ ®� Stack Vent Sink— sink , 1 1 ❑ �. .=oee I I ❑ F;�] 4 @ 1 j j —Air p i 1� Intake Vented t 1 I per' Vented Flow c B 1 [� waste Control Required Interceptor r ®m-7m I 1 1 I 1 Vented Flow / Control Required j —Interceptor 1 1 rr---- 6 I 1 1 1 Sink 0 �0000c oo qO 0 1 191 9 1 0 Air Intake 0 (Vent) 0 Vented 1 17,,'--" Waste 0 Vented Flow Control Required J Interceptor Dishwasher— D ;-Air Intake0 Pre Rinse Station ! and Food Grinder Vented o ti Flow 0 p Control p Required 11� d Solids Interceptor—," Interceptor Installation This product was tested and rated using an external vented flow controller. Failure to use the vented flow controller provided in accordance with the installation instructions may compromise the performance of the product. 1. Inspect unit for defects and make sure it meets specified requirements. 2. DO NOT INSTALL INTERCEPTOR BACKWARDS. The large baffle is typically the outlet side. Install interceptor as close as possible to the source of fats, oils and grease (FOG) laden water. This minimizes unprotected pipe, and FOG separates best when effluent is relatively hot. 3. Install interceptor sitting on floor, partially recessed or flush-to-floor, making sure there is enough room to allow for easy maintenance of the unit. (Room for cover to be removed 6"). Rule of thumb:with cover removed all wetted surfaces should be visible. 4. INTERCEPTOR MUST BE PLACED ON A FLAT,SOLID SURFACE TO SUPPORT THE BOTTOM When suspending interceptor from floor above, all units must be fully supported on bottom with a flat surface strong enough to support the weight of the unit when full of water/FOG. All units must be independently supported to avoid stress on fittings. 5. On the 4800 series the *Flow control supplied in hardware kit must be installed in the waste line ahead of interceptor. Location should be beyond the last connection of fixture(s) and as close as possible to the underside of the lowest fixture to minimize effects of head pressure. Any locations of the flow control other then this requires manufacturer consultation.The flow control should be installed with the reducing baffle ahead of the vent. The vent should be on the top of the flow control. 6. The inlet and outlet must both be vented to assure no air lock or back pressure. This should be done according to local code. 7. WHEN INSTALLING IN THE GROUND FILL UNIT WITH WATER AND INSTALL LID BEFORE BACK FILLING. It is recommended to use light sand for back fill. Be sure backfill is free of sharp stones and foreign matter to avoid punctures. (DO NOT PUT SAND IN UNIT!) *Flow control on 4800 series only For more details on installation and maintenance go to WWW.PDIONLINE.ORG Heavy-duty aluminum overlays are available for high traffic areas. Call 1.800.541.8004 for more information Revised 5-15-2014 ASHLAND PolyTrapsr Installation Guide: Hydro Mechanical Grease Interceptors 4800 series Before you Start 1. Do not install interceptor backward. 2. Interceptor must be placed on a flat,solid surface to support bottom. 3. Be sure to fill unit with water and install lid before backfilling 4. Always install all ASHLAND®Grease Interceptors according to manufacturer's recommendations,specified requirements and state and or local codes. Overview ASHLAND® PolyTraps®are designed to extract fats, oils, grease (fog)that enters the waste system. The simple Design of the ASHLAND®PolyTraps can greatly reduce costly cleaning and possible damage to a building's plumbing system. *Some dry inlet interceptors use a "flow control device"for peak flow situations.The flow control device minimizes the passage at the inlet of the interceptor by introducing an orifice smaller than the inlet pipe for the effluent to pass through. How it works 1. The *flow control valve (4800 series only) and the internal baffles stabilize the flow of the incoming effluent. 2. As water turbulence is eliminated, grease,oil and other lighter-than-water materials float to the top. 3. As the effluent moves under the baffles, sediment drops to the bottom. (Though some solids may be removed this is not a solids interceptor) r1. 1 l is Restaurants 1 Cafeterias Fast Food i ResortsHospitals Nursing 1-lonte Kitchens Hotels and World Wide Factory Sales and Distribution i ' Plants PH. 419.836.2300 PH. 800.541.8004 Meat Processing Plants Fax. 419.836.4140 Email: poixtr-aps(&ashlandpolylraps.com Industrial we ashlandpolytraps.com ASHLAND°Trap Distribution Residential UP UPC LISTED BY IAPMO c© and many local and state (&,., authorities ASHLAND°and PolyTrap®are RegisteredTrademark Realised 2/2015 •Certified to the exacting standards of PDI. •Listed by other local code authorities and national standards groups such as UPMO and UPC. •PolyTrap®is Superior to metal,fiberglass,or specially treated materials that are promoted as"preventing corrosion". PolyTrap®grease interceptors include a completely integrated surface guaranteed not to corrode,chip,peel or leach. •Leak-proof,seamless constructed tank,manufactured with high- quality material that provides enhanced stiffness in combination with impact resistant properties. •Lightweight,easy to handle and install—yet durable and sturdy to withstand the most rigorous applications of the plumbing industry. •The unique resin used allows for use in applications requiring high temperature continuous service.No comparable material like it. •Smooth,non-stick surface allows for easier and more complete cleaning,Stay's Clean Looking. • Surfaces discourage bacteria build-up. •High value for you—the customer. •Fast Delivery,in stock. •Can be used on floor or in ground flush to floor. •Can be shipped anywhere for very low cost compared to metal competitors. Options and Considerations for ordering •All dimensions are nominal and may vary from table. •4800 Series models include flow control device. •Matte finish on all covers to reduce slipping. DATA ON DIMENSIONS& SPECIFICATIONS • Special HD Diamond Plate cover over-lays are available for pedestrian traffic areas. •All units include removable baffle and internal air-relief. I- A �I - a— -I *Check on code approval status&availability. OUT D IN Model Number 4804 4807 4810 4815 4820 4825 4835 4850 75* Flow Rate G.P.M. 4 7 10 15 20 25 35 50 75 Grease Capacity(lbs.) 8 14 20 30 40 50 70 100 150 Approximate Length(A) 16.25 20 23 23 29 32.5 32.5 37 44.25 Dimensions(inches) Width (B) 10 14.5 14.5 19.5 19.5 19.5 22 25 25 Height (C) 10.25 11.75 13.375 14 14.75 18 19 19 25 Bottom of unit to center of 7 7.50 8.50 9.25 10.50 13 13.5 13.5 19.25 inlet/outlet(D) Nom.Wall Thickness(in.) 3/16 3/16 3/16 3/16 3/16 3/16 3/16 3/16 3/16 Approximate Weight(lbs.) 10 15 18 25 30 35 40 50 72 Standard Inlet/Outlet(in.) 2 2 2 2 2 3 3 3 3 Liquid Holding Capacity(gal) 23 5.6 7.3 12.1 17.6 24.8 30.0 40.5 61.8 *Certification Peiidhi- Call about lag' I capacity Also 1le: Interceptors forsolids, V •• 4`; • Serviceable Bulk Head Fittings available in 2" r, roll Shown in grey to illustrate baffle design. PolyTrap® unique features include: I'D" Ring gaskets on • Scientifically placed,removable baffles. • Flow control device as required. •Complete inlet and outlet connections with standard female threads. • D-ring sealing gasket between cover and tank. •Matching cover with flush mounted bolts in stainless All Units include flow steel. control, • Easy-to-read installation instructions. • Strong and durable, yet light in weight to make handling and installation less demanding. • Products can ship via UPS. t•r< UPC Listed by IAPMO C© and many local and state UP x and ' authorities k{ Poly Trap` - - - - . 0 Grease Interceptor The next generation - . . in grease 1'r - removal technolog. 1 No rust, corrosion, seamless and easy to ship. The PolyTrapf 12'4800 Series product line is - approved by PD1 and listed by IAPMO and UPC.The PolyTrapU is available in a multitude of sizes and varieties for virtually any application ,you require. Restaurants -Cafeterias -Fast Foots Establishments -Hospitals - Nursing Homes - Kitchens -Hotels and Resorts Food Processina Plants - Meat Processing Plants -Industrial Plants -Residential DwCITY OF ARLINGTON 18204 59th Avenue NE,Arlington,WA 98223 INSPECTIONS: 360-403-3417-Permit Center: 360-403-3551 BUILDING PERMIT 127 E DIVISION ST Permit#: 5390 PERMIT EXPIRES 180 DAYS AFTER Parcel#: 00461800702000 DATE OF ISSUANCE. Scope of Work:Installation of grease interceptor Valuation: 1500.00 OWNER APPLICANT CONTRACTOR JZK PROPERTIES LLC Jordan Kurtz Protocol Plumbing&Sewer 127 E DIVISION ST 18707 123rd Ave NE 1624 Grove St. Ste.D2 ARLINGTON,WA 98223 Arlington,WA 98223 Marysville,WA 98270 425-231-9691 425-231-9691 425-743-4940 LIC:602670083 EXP:06/30/2024 LIC:PROTOPS794PG EXP: 10/05/2023 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Protocol Plumbing&Sewer 1624 Grove St. Ste.D2 Marysville,WA 98270 425-743-4940 LIC#: EXP: LIC#:PROTOPS794PG EXP:10/05/2023 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 110/IRC110. 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. 07/18/2023 Applicant Signature Date Building Official Date CONDITIONS Adhere to approved appliance.Approved permit shall be onsite during installation.Call for final inspection. 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 07/20/2023 Processing/Technology $25.00 07/20/2023 Grease Interceptor $75.00 07/20/2023 Plumbing Base $25.00 07/20/2023 Plumbing Commercial Plan Review $51.81 07/20/2023 Credit Card Service $5.30 Total Due: $182.11 Total Payment: $182.11 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 r 1� CITY OF ARLINGTON 18204 59th Avenue NE,Arlington,WA 98223 • INSPECTIONS:360-403-3417-Permit Center:360-403-3551 BUILDING PERMIT 127 E DIVISION ST Permit#: 5390 PERMIT EXPIRES 180 DAYS AFTER Parcel#:00461800702000 DATE OF ISSUANCE. Scope of Work:Installation of grease interceptor Valuation: 1500.00 OWNER APPLICANT CONTRACTOR JZK PROPERTIES LLC Jordan Kurtz Protocol Plumbing&Sewer 127 E DIVISION ST 18707 123rd Ave NE 1624 Grove St. Ste.D2 ARLINGTON,WA 98223 Arlington,WA 98223 Marysville,WA 98270 425-231-9691 425-231-9691 425-743-4940 LIC:602670083 EXP:06/30/2024 LIC:PROTOPS794PG EXP: 10/05/2023 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Protocol Plumbing&Sewer 1624 Grove St. Ste.D2 Marysville,WA 98270 425-743-4940 LIC#: EXP: LIC#:PROTOPS794PG EXP:10/05/2023 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.IBC110/IRC110. 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. B 1v )� orl �Q� 07/18/2023 L&� plicant Signature Date Building Official Date CONDITIONS Adhere to approved appliance.Approved permit shall be onsite during installation.Call for final inspection. 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 07/20/2023 Processing/Technology $25.00 07/20/2023 Grease Interceptor $75.00 07/20/2023 Plumbing Base $25.00 07/20/2023 Plumbing Commercial Plan Review $51.81 07/20/2023 Credit Card Service $5.30 Total Due: $182.11 Total Payment: $182.11 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 Pass/Fail - i - - - - - - --- - - - - - - - - - - - - - - - - - - - - - - --- - - - - - - / ----- - - - - - - - - - - - :: - - - -- - - - - - - - "- --- �` Permit#: 5390 Permit Date: 06/08/23 Permit Type: COMMERCIAL PLUMBING Project Name: The Fountain Applicant Name: Jordan Kurtz Applicant Address: 18707 123rd Ave NE Applicant, City, State, Zip: Arlington,WA 98223 Contact: Jordan Kurtz Phone: 425-231-9691 Email:jordanrengen@yahoo.com Scope of Work: Installation of grease interceptor Valuation: 1500.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 08/29/2023 Permit Expires: 12/05/2023 Form Permit Type: Status: COMPLETE Assigned To: Raelynn Jones Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00461800702000 127 E DIVISION ST LC PROPERTIES 425-231-9691 600 RESTAURANT Contractors Contractor Primary Contact Phone Address Contractor Type License License# Protocol Plumbing& 1624 Grove St. CONSTRUCTION Sewer 425-743-4940 Ste.D2 CONTRACTOR COA 602670083 Protocol Plumbing& 1624 Grove St. CONSTRUCTION Sewer 425-743-4940 Ste.D2 CONTRACTOR L&I PROTOPS794PG Inspections Date Inspection Type Description Scheduled Date Completed Date Inspector Status 11/08/2023 C19.PLUMBING 11/08/2023 BUILDING Approved FINAL Plan Reviews Date Review Type Description Assigned To Review Status 06/08/2023 COMMERCIAL BUILDING Approved PLUMBING Fees Fee Description Notes Amount Processing/Technology $25.00 Grease Interceptor $75.00 Plumbing Base Permit Fee $25.00 Plumbing Commercial Plan Review Table 4-1 $51.81 Credit Card Service $5.30 Total $182.11 Attached Letters Date Letter Description 07/18/2023 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 06/13/2023 XBP Con£ $176.81 146755314 06/13/2023 Kurtz,Jordan 199359914 Brittany Harrell $5.30 Outstanding Balance $0.00 Notes Date Note Created By: 07/20/2023 Emailed applicant permit for signature. Raelynn Jones 07/18/2023 Emailed applicant permit for signature Raelynn Jones 06/08/2023 Emailed contractor for business license Raelynn Jones 06/08/2023 Applicant to provide model# Raelynn Jones Uploaded Files Date File Name 11/08/2023 17437330-20231108 BLD5390 GreaseInterceptorPhoto.pdf 08/29/2023 16689975-20230829 BLD5390 IssuedPermit.pdf 06/08/2023 15695350-20230608 BLD5390 Application.pdf 06/08/2023 15695351-20230608 BLD5390 SitePlan.pdf 06/08/2023 15695352-20230608 BLD5390 Specs.pdf