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Permit D09-095 - PIZZA HUT - WALL AND FINISHES
PIZZA HUT 14638 TUKWILA INTERNATIONAL BL D09 -095 Cityif Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us Parcel No.: 0040000902 Permit Number: D09 -095 Address: 14638 TUKWILA INTERNATIONAL BL TUKW Issue Date: 09/02/2009 Suite No: Permit Expires On: 03/01/2010 Tenant: Name: PIZZA HUT Address: 14638 TUKWILA INTERNATIONAL BL , TUKWILA WA Owner: Name: POLETTI DAVE Address: 1200 WESTLAKE AVE N #1001 , SEATTLE WA 98109 Phone: DEVELOPMENT PERMIT Contact Person: Name: CHUCK HENDERSON Address: 12121 HARBOUR REACH DR, STE 200 , MUKILTEO WA 98275 Phone: 206 423 -0594 Contractor: Name: EMERALD CITY PIZZA LLC Address: 12121 HARBOUR REACH DR #200 , MUKILTEO WA 98275 Phone: 425- 493 -8077 Contractor License No: EMERACP971DM DESCRIPTION OF WORK: CONSTRUCT NEW METAL -STUD WALL INCLUDING FRP FINISHES Value of Construction: Type of Fire Protection: Type of Construction: doc: IBC -10/06 $3,000.00 * *continued on next page ** Expiration Date: 03/14/2011 Fees Collected: $232.53 International Building Code Edition: 2006 Occupancy per IBC: 0004 D09 -095 Printed: 09 -02 -2009 Public Works Activities: Channelization / Striping: N Curb Cut / Access / Sidewalk / CSS: N City oillTukwnla Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 -431 -3665 Web site: http: / /www.ci.tukwila.wa.us Fire Loop Hydrant: N Number: 0 Size (Inches): 0 Flood Control Zone: Hauling: N Start Time: End Time: Land Altering: Volumes: Cut 0 c.y. Fill 0 c.y. Landscape Irrigation: Moving Oversize Load: Start Time: End Time: Sanitary Side Sewer: Sewer Main Extension: Private: Public: Storm Drainage: Street Use: Profit: N Non - Profit: N Water Main Extension: Private: Public: Water Meter: N Permit Center Authorized Signature: I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the p��ance of work. I am authorized to sign and obtain this development permit. Signature: doc: IBC -10/06 L 4 JJLTJ Date: r G -- o Permit Number: D09 -095 Issue Date: 09/02/2009 Permit Expires On: 03/01/2010 Date: Print Name: v P 5e) ) This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. D09 -095 Printed: 09 -02 -2009 1: ** *BUILDING DEPARTMENT CONDITIONS * ** • City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us PERMIT CONDITIONS Parcel No.: 0040000902 Permit Number: D09 -095 Address: 14638 TUICWILA INTERNATIONAL BL TUKW Status: ISSUED Suite No: Applied Date: 06/05/2009 Tenant: PIZZA HUT Issue Date: 09/02/2009 2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the Building Official. 3: All mechanical work shall be inspected and approved under a separate permit issued by the City of 'Tukwila Permit Center (206/431- 3670). 4: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to start of any construction. These documents shall be maintained and made available until final inspection approval is granted. 5: Partition walls that are tied to the ceiling and all partitions greater than 6 feet in height shall be laterally braced to the building structure. 6: New suspended ceiling grid and light fixture installations shall meet the non - building structures seismic design requirements of ASCE 7. 7: All construction shall be done in conformance with the approved plans and the requirements of the International Building Code or International Residential Code, International Mechanical Code, Washington State Energy Code. 8: Remove all demolition rubble and loose miscellaneous material from lot or parcel of ground, properly cap the sanitary sewer connections, and properly fill or otherwise protect all basements, cellars, septic tanks, wells, and other excavations. Final inspection approval will be determined by the building inspector based on satisfactory completion of this requirement. 9: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the Cityof Tukwila Permit Center. 10: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building Department (206- 431 - 3670). 11: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the building code or of any other ordinances of the City of Tukwila. Permits presuming to give authority to violate or cancel the provisions of the code or other ordinances of the City of Tukwila shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the Building Official from requiring the correction of errors in the construction documents and other data. 12: ** *FIRE DEPARTMENT CONDITIONS * ** 13: The attached set of building plans have been reviewed by the Fire Prevention Bureau and are acceptable with the following concerns: 14: The total number of fire extinguishers required for an ordinary hazard occupancy with Class A fire hazards is calculated at one extinguisher for each 1,500 sq. ft. of area. The extinguisher(s) should be of the "All Purpose" (2A, 20B:C) dry chemical type. Travel distance to any fire extinguisher must be 75' or less. (IFC 906.3) (NFPA 10, 3 -2.1) doc: Cond -10/06 D09 -095 Printed: 09 -02 -2009 ® • City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us 15: Portable fire extinguishers, not housed in cabinets, shall be installed on the hangers or brackets supplied. Hangers or brackets shall be securely anchored to the mounting surface in accordance with the manufacturer's installation instructions. Portable fire extinguishers having a gross weight not exceeding 40 pounds (18 kg) shall be installed so that its top is not more than 5 feet (1524 mm) above the floor. Hand -held portable fire extinguishers having a gross weight exceeding 40 pounds (18 kg) shall be installed so that its top is not more than 3.5 feet (1067 mm) above the floor. The clearance between the floor and the bottom of the installed hand -held extinguishers shall not be less than 4 inches (102 mm). (IFC 906.7 and IFC 906.9) 16: Fire extinguishers shall not be obstructed or obscured from view. In rooms or areas in which visual obstruction cannot be completely avoided, means shall be provided to indicate the locations of the extinguishers. (IFC 906.6) 17: Extinguishers shall be located in conspicuous locations where they will be readily accessible and immediately available for use. These locations shall be along normal paths of travel, unless the fire code official determines that the hazard posed indicates the need for placement away from normal paths of travel. (IFC 906.5) 18: Fire extinguishers require monthly and yearly inspections. They must have a tag or label securely attached that indicates the month and year that the inspection was performed and shall identify the company or person performing the service. Every six years stored pressure extinguishers shall be emptied and subjected to the applicable recharge procedures. If the required monthly and yearly inspections of the fire extinguisher(s) are not accomplished or the inspection tag is not completed, a reputable fire extinguisher service company will be required to conduct these required surveys. (NFPA 10, 4 -3, 4 -4) 19: Egress doors shall be readily openable from the egress side without the use of a key or special knowledge or effort. (IFC 1008.1.8.3 subsection 2.2) 20: Dead bolts are not allowed on auxiliary exit doors unless the dead bolt is automatically retracted when the door handle is engaged from inside the tenant space. (IFC Chapter 10) 21: Door handles, pulls, latches, locks and other operating devices on doors required to be accessible by Chapter 11 of the International Building Code shall not require tight grasping, tight pinching or twisting of the wrist to operate. (IFC 1008.1.8.1) 22: Exit hardware and marking shall meet the requirements of the International Fire Code. (IFC Chapter 10) 23: Gates serving the means of egress system shall comply with the requirements of the International Fire Code. Gates used as a component in a means of egress shall conform to the applicable requirements for doors. (IFC 1008.2) 24: Aisles leading to required exits shall be provided from all portions of the building and the required width of the aisles shall be unobstructed. (IFC 1013.4) 25: Maintain automatic fire detector coverage per N.F.P.A. 72. Addition/relocation of walls, closets or partitions may require relocating and/or adding automatic fire detectors. 26: Maintain square foot coverage of detectors per manufacturer's specifications in all areas including: closets, elevator shafts, top of stairwells, etc. (NFPA 72- 5.5.2.1) 27: Maintain fire alarm system audible /visual notification. Addition/relocation of walls or partitions may require relocation and/or addition of audible /visual notification devices. (City Ordinance #2051) 28: All new fire alarm systems or modifications to existing systems shall have the written approval of The Tukwila Fire Prevention Bureau. No work shall commence until a fire department permit has been obtained. (City Ordinance #2051) (IFC 104.2) 29: An electrical permit from the City of Tukwila Building Department Permit Center (206 - 431 -3670) is required for this doc: Cond -10/06 D09 -095 Printed: 09 -02 -2009 project. City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us 30: The maximum flame spread class of finish materials used on interior walls and ceilings shall not exceed that set forth in Table No. 803.5 of the International Building Code. 31: Contact The Tukwila Fire Prevention Bureau to witness all required inspections and tests. (City Ordinances #2050 and #2051) 32: Any overlooked hazardous condition and/or violation of the adopted Fire or Building Codes does not imply approval of such condition or violation. 33: These plans were reviewed by Inspector 511. If you have any questions, please call Tukwila Fire Prevention Bureau at (206)575 -4407. doc: Cond -10/06 * *continued on next page ** D09 -095 Printed: 09 -02 -2009 • S City of Tukwila The granting of this permit does not presume to give authority to violate or cancel the provision of any other work construction or the performance of work. Department of Community Development 6300 Southcenter Boulevard, Suite 4 100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and this work will be complied with, whether specified herein or not. Signature: Print Name: auz14-431matim-ab-_____ doc: Cond -10/06 D09 -095 Date: - 2003 ordinances governing or local laws regulating Printed: 09 -02 -2009 SITE LOCATION King Co Assessor's Tax No.: Site Address: 3C2) K- “1 LPP 1 KTETZJAP' 1 D N s L Suite Number: Floor: Tenant Name: FIZZ AN \L Property Owners Name: Mailing Address: CONTACT PERSON - who do we contact . when your permit is ready to be issued Name: C- MUG>G. 1PN 12.sON Mailing Address: IV V 1-wv.4900E- 1''-'1 1'' P — )- 4tb �cf2sc�1 � ) ff't z-At -O Ll"N r 0,-ry E -Mail Address: CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us Company Name: Mailing Address: Applications and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mail or by fax. * *Please Print ** GENERAL CONTRACTOR.INFORMATIO (Contractor Information for Mechanical (pg 4)', for Plumbing and Gas Piping (pg 5) �.Q '4 ''�'� -� 2-C- I Zi Z 1 14 R12 -13OU C-N p- Contact Person: CIAUC) 171CY25.01■ E -Mail Address: `JIsIYl E- P S N5c) \re_ Contractor Registration Number: 9791 .P it Company Name: N Contact Person: E -Mail Address: ENGINEER OF RECORD must j bk wet stamped by Building Permit No. Mechanical Permit Plumb Public Works Projec (For office use only) City City Day Telephone: Fax Number: Expiration Date: 0 0 1 -10o0- O`1 New Tenant: ❑ Yes 4.No State Zip Day Telephone: '101? - -D5 —o55c 4 env �1 ere() apt 6 162-1S City State Zip Fax Number: 4Z5 493 U399 UV-1 o WIN BzI State Zip 2-0 6—q-23--051 4- -)4- 2-o∎0 ARCHITECT OF RECORD - All plans must be wet stamped by Archtittc f'Reeor Mailing Address: City Day Telephone: FaxNumber: State Zip Company Name: iNt Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: H:\Applications\Forms- Applications On Line\2009 Applications \1 -2009 - Permit Application.doc Revised: 1 -2009 Page 1 of 6 bh State Zip BUILDING PERMIT INFORMATION 206 -431 -3690 Valuation of Project (contractor's bid price): $ ;IQC) Scope of Work (please provide detailed information): j (21JCT KSJ•S (IJc ,Up\ G f �ltslsl� Will there be new rack storage? ❑ Yes 1 Floor 2 Floor 3 Floor Floors . thru Basement Accessory Structure* Attached Garage Detached Garage Attached Carport Detached Carport Covered Deck Uncovered Deck Interior Remodel Addition to Existing Structure Type of Construction per Type of Occupancy per IBC PLANNING DIVISION: Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) *For an Accessory dwelling, provide the following: Lot Area (sq ft): Floor area of principal dwelling: Floor area of accessory dwelling: *Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence. Number of Parking Stalls Provided: Standard: Compact: Handicap: Will there be a change in use? ❑ Yes ❑ No If "yes ", explain: _FIRE PROTECTION /HAZARDOUS MATERIALS: Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes No If "yes', attach list of materials and storage locations on a separate 8 -1/2 "x 11" paper including quantities and Material Safety Data Sheets. SEPTIC SYSTEM ❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. Sprinklers rEr Automatic Fire Alarm H:Wpplications\Forms- Applications On Line\2009 Applications \1-2009 - Permit Application. doc Revised: 1 -2009 bh Provide. All Building Areas in Square Footage Below Existing Building Valuation: $ 0.. No If yes, a separate permit and plan submittal will be required. ❑ None ❑ Other (specify) Page 2 of 6 PERMIT APPLICATION NOTES - Applicable to all permits in this application Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. Building and Mechanical Permit The Building Official may grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition): Plumbing Permit The Building Official may grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested in writing and justifiable cause demonstrated. Section 103.4.3 Uniform Plumbing Code (current edition). I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OW OR AUTHORIZED AGENT `t , E)12-Pi CJ )� V' T/ZR / �LC.- c Signature: T. i� Date: 6— 15 ZO( Print Name: CAA VCS t l o t, Day Telephone: 7-3b- 4-2'5- O S9 4- Mailing Address: ( L17) kkj2p U r--- (z-e4Nc 9,4.. . m0 ti I -ft) w. 16 City State Zip Date Application Accepted: aelos(oc■ H:\Applications\Porms- Applications On Line \2009 Applications \I-2009 - Permit Application.doc Revised: 1 -2009 bh Date Application Expires: 12�oS��1 Staff Initials: Page 6 of 6 Fixture Type: Qty Fixture Type: Bidet Q Fixture Type: " lothes washer, domestic Qty Fixture Type: Dental unit, cuspidor Qty Bathtub or combination bath/shower Dishwasher, domestic, with independent drain Drinking f ntain or water co er (per head) Fo. ' -waste grinder, corn -rcial Floor Drain Shower, single head trap Lavat Wash ntain Receptor, indirect waste Sinks Ur' als Water Clo Building sewer and each trailer park sewer Each grease trap (connected to not more than 4 fixtures - <750 gallon capacity) Rain water system — per drain (inside building) ater heater and/or vent Industrial was reatment interceptor, incl 'ng trap and vent, except . kitchen type grease interce. 'rs Grease interceptor for commercial kitchen ( >75 gallon capacity) Repair or alteration of water piping and/or water treatment equipment Repair or alteration o drainage or vent piping Medical gas piping system serving 1 -5 inlets /outlets for a specific gas Each additional me cal gas inlets /outlets eater than 5 Backflow protective device other than atmospheric -type vacuum breakers 2 inch (51 mm) diameter or smaller Backflow protective device other than atmospheric -type vacuum breakers over 2 inch (51 mm) diameter Each lawn sprinkler system on any one meter including backflow protection devices Atmosp is -type vacuum breakers not included in lawn sprinkler backflow protections (1 -5) Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections over 5 Gas piping outlets PLUMBING AND GAS PIPING PERMIT INFORMATION - 206-431-3670 PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: Mailing Address: city Contact Person: Day Telephone: E -Mail Address: Fax Number: Contractor Registrati • Number: Expiratio • ate: State Z ip Valuation of Project (contracto bid price): $ 3 Dn0 Scope of Work (please provide det.' ed information): -& ' Tfz.VG KEW 1L 'TUh 1,\14›.14� Z. 0 � Z —► ,�� 1^k 0<r " 0 V' C-go -- -G -'1"1 ot-4 Building Use (per Int'l Building Code): Occupancy (per Int'l Building Code): Utility Purveyor: Water: Sewer: Indicate type of plumbing fixtures and /or gas pipin utlets ing installed and the quantity below: H:\Applications\Forms- Applications On- Line\2009 Applications \1 -2009 Permit Application.doc Revised: 1 -2009 bh Page 5 of 6 Receipt No.: R09 -01382 Payee: CHUCK HENDERSON Payment Credit Crd VISA - Authorization No. 05535B ACCOUNT ITEM LIST: Description doc: Receiot - 06 BUILDING - NONRES STATE BUILDING SURCHARGE City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http://www.ci.tukwila.wa.us RECEIPT Parcel No.: 0040000902 Permit Number: D09 -095 Address: 14638 TUKWILA INTERNATIONAL BL TUKW Status: APPROVED Suite No: Applied Date: 06/05/2009 Applicant: PIZZA HUT Issue Date: Initials: WER Payment Date: 09/02/2009 02:57 PM User ID: 1655 Balance: $0.00 TRANSACTION LIST: Type Method Descriptio Amount 142.70 Account Code Current Pmts 000/322.100 138.20 640.237.114 4.50 Total: $142.70 0 Payment Amount: $142.70 PAYMET ECEIV Printed: 09 -02 -2009 RECEIPT NO: R09 -00842 Initials: JEM Payee: EMERALD CITY PIZZA, LLC SET TRANSACTIONS: Set Member D09 -095 M09 -064 TOTAL: ACCOUNT ITEM LIST: Description PLAN CHECK - NONRES Cif! of Tukwila, Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: //www.ci.tukwila.wa.us SET RECEIPT SET ID: S000001223 SET NAME: PIZZA HUT Amount 89.83 60.66 89.83 000/345.830 TOTAL: • Payment Date: 06/05/2009 User ID: 1165 Total Payment: 150.49 TRANSACTION LIST: Type Method Description Amount Payment • Check 2261 150.49 TOTAL: 150.49 Account Code Current Pmts 150.49 150.49 PAYMENT RECEIVED Project ° /2Z4 y2/7 of Inspection: / /n/AZ, Address: /5/G 3aS 72T%3 Date Called: Special Instructions: 4 .36 - 3 3 --r9 / Date Wanted: a. Requester: Phone No: @2 ate- 923- or5 99 (OPE ION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Approved per applicable codes. Corrections required prior to approval. COMMENTS: e tor: INSPECTION RECORD Retain a copy with permit (4 14, k / ; RECUR ceipt No.: (Date: 06= 65-5 PERMIT NO. Date: 2 0 7 . $60.00 REINSPECTION FE Prior to inspection, fee must be paid at 6300 Southcenter B d., Sule 100. Call to schedule reinspection. Projec . , � - �- T ype of Inspection: - 5 USpe..._ �' ' C j» Address: Date Called: i Special Instructions: Date Wanted: a.m. /4 -.-5--- o f • p .m Requester: Phone No: i/o - 64 -30SY Ov 1-d qS INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION le-- „? 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-3 7 roved per applicable codes. D Corrections required prior to approval. COMMENTS: $60 pai J Receiptr o.: REINSPECTION EE REQUI • ED. Prior to inspection, fee ust be t 6300 Southcente ' Blvd., Sure 100. Call to schedule reinspection. Date: Pro' c t: r1ZZ4 0U-r Type of Inspection: F2 AM i 1V (� Address: I o3� ► _31 i Date Called: Special Instructions: �� ,i Date Wanted: Z5 a.m. m. Requester: Phone No: .24X, --,y? -05' i y INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION' 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 INSPECTION NO. CODA M ENTS: Inspect Date: e D G 17 $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: 'Date: Approved per applicable codes. Corrections re wired prior to approval. 3 Pro{ t.-114-2-Pr (..k u-r Type of Inspection: V R Ar0 f (J ( , Address: 1y (03A T_11 5 Date Called: s Special Instructions: Date Wanted: q-2 a . pm. Requester: Phone No: 266- -- 465 (., INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION = 42- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 ' (206)431 -3670 • beR 0s COMMENTS: vr0 ; 7;741-_, ) 4 Inspector I Dater L� El Approved per applicable codes. Corrections required prior to approval. El $60.00 INSPECTION E REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. [Receipt No.: 'Date: Project: 2 2 ei lic Fire Alarm: Type of Inspection: // 11 ' 44 -Q +r1/e'CW,ai Address: 'q63$ Suite #: 7 1 - ,,,, /„, /A, ; .d j /.contact Person: " i c " ► i-c PA vE t1, v ' ' A IP,i Special Instructions: Phone No.: . - l00 - 7sc Needs Shift Inspection: v.10 Sprinkler s: Fire Alarm: Hood & Duct: r M onitor: E� Y" Pre -Fire: Permits: Type: K Approved per applicable codes. INSPECTION RECORD Retain a copy with permit INSPECTION NUMBER ERM CITY OF TUKWILA FIRE DEPARTMENT 444 Andover Park East, Tukwila. Wa. 98188 206- 575 -4407 Word /Inspection Record Form.Doc 1/13/06 I I Corrections required prior to approval. COMMENTS: . - 4 d - ¢_, f sk..e ch r, /- Inspector: fr4 4` if I Date: /o lz kr? Hrs.. • j \C $80.00 REINSPECTION FEE REQUIRED. You will receive an invoice from the City of Tukwila Finance Department. Call to schedule a reinspection. T.F.D. Form F.P. 113 44'4 12'4 32' 1 2'2 17'8 U) O a, Ry .c c C ' c: 0 2 c � O dd �c • a.> c F4 U) CZ a a O CO . En . ' En a)az) �o cc 713 m FE co as = CO C NAY .0 U t1T � >, ✓ 0 a E 0 p e 2 \/I MOP SINK \1I PAI■ 1 -DR VISI- COOLER 3 -C OM LO -TEMP DISHWASHER STORAGE —PAN STORAGE- 2 -DOOR PEPSI VISI-COOLER DRIVER'S LOBBY DISPATCH CUSTO ! ER 32 , LOBBY ,l OFFICE 7'10 DESK (4) ORDER ENTRY STATIONS 1 --4' 3'10 0 (7) 0 z (J m CARRYOUT CASH -OUT 258 'HANDSINK GILES VENTLESS HOOD •VE PITCO SINGLE VAT ELEC CLEAN ARM FRYER 11 HOT HOLD TRAULSEN NEW WINGSTREET LINE SINGLE DR FREEZER 26' SPEED RACK CUT TABLE (2) MM 570 OVENS 11 PROOFER 11' CUT TABLE W/ BOX RACK OVER 154 COOLER / FREE 47'10 PREF WS PRE/ HANDSINK[ I RETARDER RETARDER � — 4'4 47'10 5" WH T10 3'1 Ppp T&B t.- 8'5 STORAGE RAMP DOWN RELOCATED 2 -DR FREEZER RELOCATED 2 -DR FREEZER 3'3 RELOCATED 2 -DR FREEZER BOX STORAGE 8'5 WingStreet Conversion Pizza Hut 013898 14638 Tukwila International Blvd Tukwila WA 98188 CZ• cc 0 ._ I cc U La ® z t7. C6' u.--, MI g -52 La > ® CC 0 0 -� 21'9 4 EA STORAGE RACKS II BOX STORAGE BOX STORAGE BOX STORAGE BOX STORAGE ELECTRICAL PANELBOARDS 21'9 1 REST RM PEPSI VENDING MACHINE STORAGE RM 13'5 9'9 8'6 9'4 10'5 44 BRACE PARTITION TO STRUCTURE ABOVE WI STAGGERED STUDS ® 48" tr FRP, w w CC ffi w a z U J -MOLD BY FRP MFR. SEALANT PORCELAIN FLOOR AND 1/2" CEMENTITIOUS BOARD EA, SIDE. SUSPENDED I ACOUSTICAL CEILING IT GYP, BOARD SUSPENDED ACOUSTICAL CEILING RE: FINISH SCHED. FOR FINISHES NOTE: IF WALL IS TO BE FIRE RATED, WALL FRAMING AND 1/2' GYP. ED. SHALL EXTEND TO ROOF DECK, 1/2" GYP. BD. OR t,2' O.S.B. EACH SIDE, SEE WALL LEGEND, SHEET A1.0 5/8' 20 GA. MTL, STUDS © 1fi" O.C, (8' WHERE SHOWN ON PLAN) CONTINUOUS BOTTOM PLATE. FASTEN W/ POWER DRIVEN FASTNERS ItO SPACED AS REO'D PORCELAIN TILE FLOOR & BASE NEW PARTITION SECTION in - 'pr 16 Wall cross section detailoc ®a Ids U• C LU W® at Pizza Hut Tukwila Notes: 1. Delete reference to sht A1.0 2. Replace porcelain tile with black 6" high rubber base COD 9 cm ® 2 RECEIVED CITY OF TUKVVIL ► JUN 0 5 2009 PERMIT CENTER D 01 - 0`1 REVIEWED FOR CODE COMPLIANCE P ='ROVED AUG 2 0 2009 City of Tukwila BUILDING rwwISION FILE COPY o. rmit No. File MH14950 Project 93NK31839 June 14, 1994 REPORT on HOODS, DUCTLESS, FOR USE WITH SPECIFIED COf4P-IERCIAL COOKING APPLIANCES Giles Enterprises, Inc. Montgomery, AL Copyright 1934 Underwriters Laboratories Inc. Underwriters Laboratories Inc. authorizes the above named company to reproduce this Report provided _r is reproduced in its entirety. cnvo� uw CORRECTION PUS 14 2009 PERMIT CENTER VO 0 /� - MH14952 7o1. 1 Sec. 2 and Report DESCRIPTION PRODUCT COVERED: Page 1 Issued: 1 994- 0E -14 Revised: 2333 -05 -2: USL /CNL - Models FSH-2, FSH -2A , FSH- 2A -99, FSH- 2A99W, FSH -2 -PH ductless hood for use with UL Listed commercial cooking appliances. GENERAL: The recirculating hoods, d__cr :bed under PRODUCT COVERED, are intended for use with DL Listed commercial cooking appliances whose limitations are specified on the Classification Marking. See Table 1 below for appliance specifications and adapter plate designation. The hood models are as described in the Construction Details of this Section. The Model FSH -2A is identical to the Model FSH -2 except that it is physically taller. The Model FSH -2A -99 is identical to the Model FSH -2 except that it is physically taller and employs a diffuser at the exhaust outlet to vent the exhaust air horizontally to each side. See Illustration 23 for construction details and Illustration 15 for construction details of the diffuser. The model FSH-2A-99W is identical to the Model FSH -2A -99 except that it is 8 inches wider at the base to accommodate the specified ovens. See Table 1 below for appliance specifications. See Illustration 2C for construction details. The model FSH -2 -PH is identical to the Model FSH -2 except that it is narrower. See Illustration 17 for construction details. The ductless hood assembly consists of exhaust blowers, electrostatic precipitators, metal baffle type grease filters, and air filters. A UL unlisted component (GOUZ3) fire suppression system as described in Vol. 1, E143926(Sp) shall be factory installed including all required wiring, piping and discharge nozzles, with a minimum of one nozzle behind the grease filter. If the access doer is open or the blower does not operate, the cooking appliance is deenergized. If the hood fails to operate, the cooking appliance is deenergized. If filters are operated until the point of filter blockage, the unit will cease to operate and de- energize the cooking appliance. In the event of a fire in the cooking appliance and the activation of the fire extinguishing system, the ewer the cooking appliance is terminated. The hood blower will continue to operate. Interlocks and pressure switches are wired in series with the main power co_.ta,_ ✓i and the cooking appliance and hood. File MH14953 Vol. 1 Sec. 2 and R.eC rt CLEARANCES: Page 1A TABLE 1 Commercial Cooking Appliance Specifications for FSH- 2,- 2A, -2A -99 Fryers Adapter Plane Designation Maximum clearance cooking 36 surface Maximum electrical input -kW 20 Maximum cooking surface area- 380 i Maximum fry tank capacity - lb 110 Adaptor plate designation A, B, C, D, E, F, G or H ELECTRICAL RATING: Ovens FSH- 2A -99W Issued: Revised: 8kw Maximum Cooking temperature 500 ° F Maximum Overall length 25 5/8 in. Maximum Overall Width 30 1/4 in. Maximum Overall height (from floor) 54 in. Mimimum 10 in from front of hood to front of oven. 1994-06-14 2009 -03 -31 Hood Only - 15 A, 208 -240 V ac, 60 Hz, single- phase. See ILL. 5 for wiring diagram. Electrical wiring is to be as shown by ILL. 5A when N.O. momentary switch relay is provided which shall function to de- energize the exhaust air fan motor in the event of an open interlock in the system. Non- combustible Surfaces Combustible Surfaces Rear: 0 in. Rear: 0 in. *Left Side: 0 in. Left Side: 0 in. *Right Side: 0 in. Right Side: 0 in. Top: 0 in. Ton: 0 in. File MH14953 Vol. 1 Sec. 2 and R.eC rt CLEARANCES: Page 1A TABLE 1 Commercial Cooking Appliance Specifications for FSH- 2,- 2A, -2A -99 Fryers Adapter Plane Designation Maximum clearance cooking 36 surface Maximum electrical input -kW 20 Maximum cooking surface area- 380 i Maximum fry tank capacity - lb 110 Adaptor plate designation A, B, C, D, E, F, G or H ELECTRICAL RATING: Ovens FSH- 2A -99W Issued: Revised: 8kw Maximum Cooking temperature 500 ° F Maximum Overall length 25 5/8 in. Maximum Overall Width 30 1/4 in. Maximum Overall height (from floor) 54 in. Mimimum 10 in from front of hood to front of oven. 1994-06-14 2009 -03 -31 Hood Only - 15 A, 208 -240 V ac, 60 Hz, single- phase. See ILL. 5 for wiring diagram. Electrical wiring is to be as shown by ILL. 5A when N.O. momentary switch relay is provided which shall function to de- energize the exhaust air fan motor in the event of an open interlock in the system. -'_le NH14930 7c1. 1 ELECTRICAL SPACINGS: INTERNAL WIRING: COMPONENT DETAILS: Sec. 2 and Report Page 1B Issued: 1994 -0E -14 New: 2003 -02 -33 Spacings of at least 3/32 in. shall be provided between live parts of the blower motor and dead -metal parts. Spacings of at least 3/32 in. over surface and 1 /16 in. through air are provided between uninsulated parts of opposite polarity. Internal wiring is R/C iAILJ2 A.WM with minimum 1/22 in. thermoplastic insulation, rated 105 ° C minimum, 330 V minimum, or Listed MTW wire, rated 90 ° C, 300 V minimum. When the appliance is marked with the Canadian UL Mark, the components outlined in this report as UL Listed or Recognized are additionally provided with the C -UL, C -UR, or CSA Mark. 1 File ?'LH 49 0 V :l. Se:. 2 and Report CONSTRUCTION DETAILS: Page 2 Issued: 1994 -C6 -14 Revised: 2008 -05 -23 See Section General of this volume for details on the general construction features employed by the product(s) covered in this report. ELECTRICAL CONNECTIONS: Unless otherwise stated, all electrical connections are made by quick- disconnect type pressure wire connectors with positive engaging detents, or tinned leads inserted into the terminal hole and soldered or closed -loop pressure wire connectors secured by screws. INSTALLATION AND OPERATING INSTRUCTIONS: See ILL. I for the instructions to be packaged and shipped with each ductless hood. CLASSIFICATION MARKING: The ductless hood bears a metal nameplate, see ILL. 6, secured to the hood by rivets or nonremovable screws. The following items are marked on the nameplate: 1. Manufacturer's name, product model number, and date of manufacture. 2. UL Classification Marking as shown. by ILL. 6. ADDITION MARKINGS: Additional information, as shown by ILLS. 7 , 8 and 9 shall be on a plate secured to the hood, readily visible to the hood installer. The label is to be in the form of a metal plate secured to the assembly by rivets or nonremovable screws. MARKING VISIBILITY: All markings shall be visible from a point 5 ft above the floor and between 1 and 4 ft away from the front of the unit when the unit is placed in its intended use location. The markings shall be in letters not less than 1/8 in. in height, of a permanent type and in a color that contrasts with that of the background. MODELS WITH UV LIGHT SYSTEM: Models with optional UV Light System are identical to models without light system except as shown in figure 3, 3A, 32, and Sc. LV light does not effect the u=A2 results as the test was conducted without the UV lights. File MH14952 7 c-. 1 FIRE EXTINGUISHING SYSTEM: When the alternate fire extinguishing system described in Figs 3, 4, 5, and 6 is used, the final installation and actuation_ of the system needs to be completed by a qualified fire equipment personnel. As shipped from the factory, the system is complete except for the following items which must be installed and serviced by fire extinguisher installer: Cabling and fusible 1.1"1F3 installed per instructions; and Ansul CO2 cartridge to be provided and installed. Complete instructions as shown in ILL. 10 provided with :he system. Additional marking provided on system when shipped which reads: WARNING: TO INSURE ADEQUATE FIRE PROTECTION, DO NOT ATTEMPT TO COOK ON THE FRYER WITHOUT THE _:RE SUPPRESSION SYSTEM INSTALLED AND SERVICED. Table 1 outlines the nozzle and fusible link catalog numbers used in the various model as described elsewhere in this Report. TABLE 1 - NOZZLE AND FUSIBLE LINK INFORMATION Unit ° F FSH -2 1. Fire extinguisher tank must be charged with agent; Z Protected Area Appliance+ Appliance ++ Plenum FSH -2A Appliance+ Plenum hccd. Nozzle P/N 2 and Report Ansul P/N 56929 Ansul P/N 56929 Ansul P/N 56929 Ansul P/N 56930 Ansul P/N 56929 Page 2A Nozzle Fusible Quantity Description Link 2 1/2 N 2 1/2 N 2 1/2 N 2 1 N 2 1/2 N Cooking surface less than 3 in. from edge of hood. Coo<i ; surface greater than 3 Issued: New: f` om e d g e 6 -14 -94 -16 -99 Ansul 165 56811 Globe Tech 135 317135 Ansul 165 56811 Globe Tech 135 317135 Ansul 165 5 Temperature Rating, FILE COPY Permit No. — n C _ Z OM cp c_71 d v J• r CD r CD CD W CODE COMPLIANCE APPROVED AUG 2 0 2009 City of Tukwila Line: Option 2 Length: 9.5 Ft POS 'Electrical Requirements. ' - - 1-3 Isolated Ground (IG) Outlets 30" Upright Freezer Estimated Fryer Capacity: Freezer Electrical Requirements 'Voltage Hz Phase Amps 24" Prep Station 36" Finishing Station WingStreet MAINTENANCE: Hood requires charcoal filter to be changed monthly (estimated cost $33). Equipment Line 'Dimension Height ( )- Depth ( ) 83-9/16 43-9/16 * * Allow 36" additional clearance to pull out filter pan. * Recommends 7' depth for equipment line. Model HSB Includes Spout, Basket, Foot Peda AEA Model .HSK Includes faucet, basket, Knee Valves Gooseneck Spout $& Basket Model DIHS -5 Includes Gooseneck Faucet & Basket email sales @aeromfg.com AERO MANUFACTURING COMPANY • 310 ALLWOOD t3 r ROAD, CLIFTON, NEW JERSEY 07012 • VOICE 973 473 5300 FAX 973.473.3794 t r r t r..• r. '�''.. ... f. ` �. i d e v.. ::r_Sr _� �.•� fit.-,: CS Model L 21 X 16 X 8 Bowl, Wall Hung Includes Faucet, Basket odel HSKT ' i Model HSFEW icludes Faucet, Basket, P -Trap, Gooseneck Spout & Basket, with Anee Valves, Soap & Towel Dispenser, Eye wash attachment Gooseneck Spout, w /Overflow Model DIHS -10 Includes Gooseneck Faucet & Basket Item# Model LK 21 X 16 X 8 Bowl, Wall Hung Includes Knee Pedals, Gooseneck Spout & Basket Model # S -54 S -55 S -56 S -57 S -58 S -59 S-60 S -61 S-62 S -63 S-64 5-65 S -66 S-67 S-68 S -69 S -74 Project Model LB 21 X 16 X 8 Bowl, Base Mount Includes Foot Pedals, Gooseneck Spout & Basket Model HSFHACCP Includes HACCP approved metered faucet & Basket Description Soap Dispenser Paper Dispenser P -Trap Wrist Handle (add on) - Wrist Handle & FCT (Repl.) Metered Faucet Knee Valves Pedestal Base w'Foot Valve Eye Wash Attachment Hands -Free Wand H.D. FCT Upgrade (T & S) Replacement Faucet (CH) Replacement Foot Pedals Replacement Gooseneck Side Splash One Side Side Splash Two Sides Drink Bubbler T,'+ DIMENSIONAL DATA 1- Section Models Net capacity cu. h. 24.2 (686 cu I) Length - overall in. 29% (75.9 cm) Depth - overall in. 35 (88.8 cm) Depth - over body in. 32 (81.3 cm) Depth - door open 90° in. 57% (146.3 cm) Clear door width in. 211/4 (53.6 cm) Clear full -door height in. 57% (146.3 cm) Height - overall on 6" legs 831/4 (211.5 cm) No. Standard Shelves 3 Shelf area sq. ft.' 13.5 (1.3 sq m) ELECTRICAL DATA Voltage 115/60/1 Feed wires with Ground 3 Full load amperes 11.3 REFRIGERATION DATA Refrigerant R-404A BTU/HR H.P. 2160 (' /r HP) Project Model Specified: Quantity Item # CSI Section 11400 G- Series Reach -In Freezer /Self- Contained Equipped with an easy SO use microprocessor control! Model G12010 G SERIES Single Section Model # Door Hinging G12010 Full Right G12011 Full Left Stainless Steel Front 8 Doortsl Traulsen's G- Series one section reach -in freezer models are available with either full or half length doors and the convenience of a variety of different door hingings to choose from. These prod- ucts are designed to address several important issues concerning the foodservice operator of today. Such critical issues of concern as: Food Safety, Energy Efficiency and Reliability are all important features of the G- Series overall design philosophy. Built with durable exteriors, reliable controls, balanced, efficient refrigeration systems and a variety of user - friendly fea- tures, these products are the right fit for nearly any application. They are designed and built to the highest standards, and epitomize the quality Traulsen is known for. Standard Product Features • High Quality Stainless Steel Exterior Front and Door(s) • Corrosion Resistant Anodized Aluminum One -Piece Sides • Durable Anodized Aluminum Interior • Microprocessor Control With LED Temperature Readout • Top- Mounted, Balanced. Self- Contained Refrigeration System • Large High Humidity Evaporator Coil Outside The Food Zone • Full Length Stainless Steel Doors With Locks • Self- Closing Doors With Stay Open Feature At 120 Degrees • Guaranteed For Life Cam -Lift Hinges • Guaranteed For Life Horizontal Work Flow Door Handle(s) • Automatically Activated Incandescent Lights • Damage Resistant Stainless Steel Breaker Caps • Three (3) Adjustable Epoxy Coated Shelves Per Section, Supported On Shelf Pins (installed at the factory) • Energy Saving Automatic Non- Electric Condensate Evaporator • Magnetic Snap -In Door Gaskets • Gasket Protecting Anodized Aluminum Door Liner • Anti- Condensate Door Perimeter Heaters • Thermostatic Expansion Valve Metering Device Provides Quick Refrigeration Recovery Times • Stainless Steel One -Piece Louver Assembly • 9' Cord & Plug Attached • Set of Four (4) 6° High Adjustable Legs • One Year Parts And Labor Warranty • Five Year Compressor Warranty LISTED ■ V V x-- 36 (88.8cmj 1•••32 (81.3cmJ� V U E E P Listed by Underwriters Laboratories Inc. to U.S. and Canadian safety standards and Listed by NSF International. Specifications Construction, Hardware and Insulation Cabinet exterior front, louver assembly and doors are constructed of 20 gauge stainless steel. Cabinet sides (includ- ing returns), interior and door liners are constructed of anodized aluminum. The exterior cabinet top, back and bottom are constructed of heavy gauge aluminized steel. A set of four (4) adjustable 6" high legs are included. Doors are equipped with a gasket protecting metal door pan, removable plug cylinder locks and guaranteed for life cam -lift, gravity action, self - closing metal, glide hinges with stay open feature at 120 degrees. Hinges include a concealed switch to automatically activate the interior incandescent lighting. Guaranteed for life, workflow door handles are mounted horizontally over recess in door which limits protrusion from door face into aisleways. Easily removable for cleaning, vinyl magnetic door gasket assures tight door seal. Anti condensate heaters are located behind each door opening.Both the cabinet and door(s) are insulated with an average of Y thick high density, non -CFC, foamed in place polyurethane. Refrigeration System A top mounted, self - contained, balanced refrigeration system using R -404A refrigerant is conveniently located behind the one piece louver assembly. It features an easy to clean front facing condenser, thermostatic expansion valve, air - cooled hermetic compressor, large, high humidity evaporator coil located outside the food zone and a top mounted non - electric condensate evaporator. A 9' cord and plug is provided. Standard operating temperature's 0 to -5 °F. Controller The easy to use water resistant microprocessor control system is supplied standard. It includes a 3 -Digit LED Display, and a Fahrenheit or Celsius Temperature Scale Display Capability. Interior Standard interior arrangements include three (3) epoxy coated wire shelves per section, mounted on shelf pins, installed at the factory. Shelves are full- width, and do not have any large gaps between them requiring the use of "bridge" or "junior shelves" Recommended load limit per shelf should not exceed 225 lbs. ENE RC 1 STAR 1- Section Models equipped with one NEMA 5 -15P Plug NOTES NOTE Figures in parentheses reflect metric equivalents. Area of standard shelf compliment only, does not include storage area of additional shelves or available on cabinet bottom. 2= Based on a 90 degree F ambient and -t0 degree F evaporator. TRAULSEN 4101 BLUE MOUND RD. PHONE,1 (800) 825 -8220' .. Website: ww 'i.traulsen.com.i FT. WORTH, TX 76106 FAX- tv1KTG. 1 (817) 624-4302: • WINGS STREET MOBILE PREP STATION MODEL #PHWPE, 24x30x80 ASSEMBLY INSTRUCTIONS 1) Place the casters with brakes up the open ends of the 27UPK3 posts (THESE ARE THE FRONT POSTS). Put the remaining casters up the open end of the 74UPK3 posts. 2) Place a pair of Split Sleeves on each post in the bottom groove. Put the shorter posts up through the 24" side of a 2430NK3 Wire Shelf. Put the 74UPK3 up through the other 24" side. Secure the shelf in place by tapping each corner. 3) Place a pair of Split Sleeves on each post In the groove that is 19" from the floor. Place a 2430NK3 Wire Shelf ov er the posts and onto the Split Sleeves. Secure In place. 4) Place a pair of Split Sleeves on the top groove of the shorter posts and groove #28 of the back posts. Place the remaining 2430NK3 Wire Shelf over the posts and onto the Split Sleeves. Secure In place. 5) Place the foamcore filler on top of the Wire Shelf. Place the S/S Cap on top of the foamcore and wire shelf. 6) Place a pair of Spilt Sleeves on the back posts in the groove that is 42" from the floor. Place the Fryer Basket Rail over the posts and onto the Split Sleeves. Secure in place. 7) Place a pair of Split Sleeves on the back posts in the groove that is 50" from the floor. Place the remaining Fry Basket Rail over the posts and onto the Split Sleeves. Secure in place. 8) Place a pair of Split Sleeves on the back posts in the groove that Is 60" from the floor. Place the 1424NK2 shelf over the posts and onto the Split Sleeves. Secure In place. 9) Place a pair of Split Sleeves on the back posts In the 5th groove from the top. Place the 1824NK3 over the posts and onto the Split Sleeves. Secure in place. FRONT VIEW (24 ") PARTS (1) 1824NK3, Wire Shelf (1) 1424NK3, Wire Shelf (2) DD0602U, 24" Fry Basket Rail (2) 5M, Casters (2) 5MB, Casters with Brakes 'S /S CAP FITS OVER WIRE SHELF FOAMCORE INLAY PORTION BAGS & SUPPLIES Casters with Brakes in Front (1) CC2865 S/S Cap with Backsplash (3) 2430NK3, Wire Shelves (2) 27UPK3, 27" Posts (2) 74UPK3, 74" Posts (3) Bags of Split Sleeves (6) White Shelf Markers i a • a a a i i i i i i II I a a a a a 9 a a 3 e a a a a a a a a I a A a a a a a a a 9 a a - a F / FRYER OIL STORAGE SIDE VIEW (30 ") 5TH GROOVE FROM THE TOP 60" FROM FLOOR 50" FROM FLOOR 42" FROM FLOOR TOP OF FRONT POSTS & GROOVE 34 ON BACK POSTS 24" FROM FLOOR 1st GROOVE INSTR -PHWPE 04/24/06 Glues FOODSERVICE EQUIPMENT Design'Featres Electric Fryer` Con sir l The FSH -2 -PH is designed specifically for electric fryers. The fryer being placed under this hood must meet the following specifications: • Maximum electrical input of 18.5kW (if using built -in interlock) or 20kw (if field interlocked) • 60 Amp NEMA 15 -60P Plug and Cord (208 -240V 3 Phase Only) • 30 Amp 4 Pole -5 Wire Plug and Cord (380 -415V 3 Phase "Wye" Only) • Maximum cooking surface area of 380 sq. in. [0.245 cu. meter] • Maximum fry tank capacity of 110 lbs [50 kg] • Fryer width (left side to right side) 20" [508 mm] [stmn C� Giles F'oodserniee Equipment An ISO 9001 Registered Company P.U. Box 210247 • 2750 Gunter Park Drive \Vest • Montgomery, AL 3610') USA Phone 334.272.1457 • Fax 334.272.3561 • Phone Toll Free 1.500.554.4537 Web Site: www.gilesent.com • Email: inr)Cgilesent.com CE � Ventless Hood with Ansul Fire Extinguishing System Model FSH -2 -PH (3 Way Di venter) • The compact and simple design of the ventless hood eliminates the need for expensive roof modifications and the hassle of dealing with multiple vendors supplying separate hood and electrical systems. • The Giles Ventless Hood is a one -of -a -kind, type 1, stainless steel unit, which incorporates our patented Electrostatic Air Cleaner which helps provide vapor removal for specific equipment. • The fire suppression system used in your Giles Ventless Hood is an Ansul R -102A fire suppression system. Final installation, charging and testing of the system is required to be performed by an authorized Ansul distributor. Our system contains piping, nozzles (appliance and plenum), and conduit for routing the fusible link cable through the hood. Ventless Hood System This Ventless Hood consists of a built -in Fire Suppression System and a Three -stage Air Purification System. 1. Stainless Steel Baffle Filter traps large grease particles. 2. Precipitator Filter (EAC) consists of an ionizer that charges particles of dirty air allowing them to be collected by an electrostatic force. 3. Disposable Charcoal Filter helps eliminate odor. Printed in U.S.A. 03/05/(1') Form 64565(. Ventless Hood Model: FSH -2 -PH (3 Way Diverter) Inches [millimeters) APPLIANCE STAND OFF IN HOOD 60A RECEPT. -(- NEMA 15-60R (SUPPLIED WITH 3 PH ONLY) Construction: 20Ga to 16Ga Stainless Steel Dimensions: Width: 26 -7/8" Depth: 31- 7/16" [683 mml [799 mm) Height: 88- 5/16" [2243 mm) Ventless Hood: Exhaust CFM: 510 - 680 Approx. Decibel Level: 65 26 7/8 (683) 24 3/8 6191 • f Al I 1 I � 30A RECEPT 4 POLE. 5 WIRE (SUPPLIED WITH 3/30415V ONLY) U (SO III 24 118 f_ (613) Front Electrical Specifications: (No Service Cord provided) Available Voltages: 3 phase - 208 -240V - 8 AMPS (Hood Only) 1 phase - 208 -240V - 8 AMPS (Hood Only) 3 phase - 230V "Wye " - 8 AMPS (Hood Only) (380 -415V Appliance) Giles Food erviee Equipment 2750 Gunter Park Drive West • Montgomery, AL 36109 GSA Phone 334.272.1457 • Fax 334.272.3541 • Phone Toll Free 1.800.554.4537 • Web Site: u t v.gilesent.eom • Email' info@gile •tent emu 3) 16 7/ i ` – !7991 Back Specifications:: We reserve the right to change specifications and product design without notice. Such revisions do not entitle the buyer to corresponding changes, improvements, additions, or replacements on previously purchased equipment. Built - In Appliance Interlock Specifications: (208 - 240 3 Phase) Voltages: 208 -240V Amps: 60A Interlock Receptacle: NEMA 15 -60R (Requires NEMA 15-60P plug, Not Provided) Built - In Appliance Interlock Specifications: (380 - 415 3 Phase) Voltage: 380 -415V Amps: 30A Interlock Receptacle: 4 Pole, 5 wire (Requires 4 Pole, 5 wire plug, Not Provided) Product Designation: FSH - 2 - PH (3 Way Diverter) Shipping Specifications: Crated Weight: 462 lbs (146 kg) Crated Cube Size: 35" X 34" X 98" = 675 cu ft [1067mm X 915mm X 2489mm = 2.4 cu meters) ccessoiies Include Unit is shipped with (1) Baffle Filter, (2) EAC Filter, (2) Charcoal Filter, (1) EAC Soak Tank, and (1) Manual. Hgiiv7o: 1 Electrical Options Specify electrical option from the following: •• /LS Option (Interlocking Start) (Please check with your local officials for this requirement) Specify if your county requires the hood to shut -down if the fryer underneath is not operating. 2 Accessories * • Specify the part number and quantity of the following accessory items needed: *Additional charges 2 Shipping Specify the shipping method - FIRE EXTING MANUAL PULL CONNECTION - HOOD AND APPLIANCE INTERLOCK CONNECTION (1 PHASE ONLY) - -- POWER CONNECTION (HOOD ONLY 1PHASE) (HOOD AND APPLIANCE 3 PH) Printed in C.S.A. 03/05/09 Fnr(n 64565(: Voltage Hz Phase Config ReceFryer ptacle 1LS•• Part No. ❑ 208 -240 60 3 Delta Yes No 71340 ❑ 208 -240 60 3 Delta Yes Yes 71341 ❑ 208 -240 60 1 Delta No No 71342 ❑ 208 -240 60 1 Delta No Yes 71343 ❑ 208 -240 50 3 Delta Yes No 71401 ❑ 220 -230 50 1 Wye No No 71416 ❑ 380 -415 50 3 Wye Yes No 71397 Ventless Hood Model: FSH -2 -PH (3 Way Diverter) Inches [millimeters) APPLIANCE STAND OFF IN HOOD 60A RECEPT. -(- NEMA 15-60R (SUPPLIED WITH 3 PH ONLY) Construction: 20Ga to 16Ga Stainless Steel Dimensions: Width: 26 -7/8" Depth: 31- 7/16" [683 mml [799 mm) Height: 88- 5/16" [2243 mm) Ventless Hood: Exhaust CFM: 510 - 680 Approx. Decibel Level: 65 26 7/8 (683) 24 3/8 6191 • f Al I 1 I � 30A RECEPT 4 POLE. 5 WIRE (SUPPLIED WITH 3/30415V ONLY) U (SO III 24 118 f_ (613) Front Electrical Specifications: (No Service Cord provided) Available Voltages: 3 phase - 208 -240V - 8 AMPS (Hood Only) 1 phase - 208 -240V - 8 AMPS (Hood Only) 3 phase - 230V "Wye " - 8 AMPS (Hood Only) (380 -415V Appliance) Giles Food erviee Equipment 2750 Gunter Park Drive West • Montgomery, AL 36109 GSA Phone 334.272.1457 • Fax 334.272.3541 • Phone Toll Free 1.800.554.4537 • Web Site: u t v.gilesent.eom • Email' info@gile •tent emu 3) 16 7/ i ` – !7991 Back Specifications:: We reserve the right to change specifications and product design without notice. Such revisions do not entitle the buyer to corresponding changes, improvements, additions, or replacements on previously purchased equipment. Built - In Appliance Interlock Specifications: (208 - 240 3 Phase) Voltages: 208 -240V Amps: 60A Interlock Receptacle: NEMA 15 -60R (Requires NEMA 15-60P plug, Not Provided) Built - In Appliance Interlock Specifications: (380 - 415 3 Phase) Voltage: 380 -415V Amps: 30A Interlock Receptacle: 4 Pole, 5 wire (Requires 4 Pole, 5 wire plug, Not Provided) Product Designation: FSH - 2 - PH (3 Way Diverter) Shipping Specifications: Crated Weight: 462 lbs (146 kg) Crated Cube Size: 35" X 34" X 98" = 675 cu ft [1067mm X 915mm X 2489mm = 2.4 cu meters) ccessoiies Include Unit is shipped with (1) Baffle Filter, (2) EAC Filter, (2) Charcoal Filter, (1) EAC Soak Tank, and (1) Manual. Hgiiv7o: 1 Electrical Options Specify electrical option from the following: •• /LS Option (Interlocking Start) (Please check with your local officials for this requirement) Specify if your county requires the hood to shut -down if the fryer underneath is not operating. 2 Accessories * • Specify the part number and quantity of the following accessory items needed: *Additional charges 2 Shipping Specify the shipping method - FIRE EXTING MANUAL PULL CONNECTION - HOOD AND APPLIANCE INTERLOCK CONNECTION (1 PHASE ONLY) - -- POWER CONNECTION (HOOD ONLY 1PHASE) (HOOD AND APPLIANCE 3 PH) Printed in C.S.A. 03/05/09 Fnr(n 64565(: Qty Description Part Number ❑ EAC Filter 20520 ❑ Charcoal Filter 30248 ❑ Baffle Filter 42300 ❑ Dry Tank 90010 ❑ Bowl Holder 91219 Ventless Hood Model: FSH -2 -PH (3 Way Diverter) Inches [millimeters) APPLIANCE STAND OFF IN HOOD 60A RECEPT. -(- NEMA 15-60R (SUPPLIED WITH 3 PH ONLY) Construction: 20Ga to 16Ga Stainless Steel Dimensions: Width: 26 -7/8" Depth: 31- 7/16" [683 mml [799 mm) Height: 88- 5/16" [2243 mm) Ventless Hood: Exhaust CFM: 510 - 680 Approx. Decibel Level: 65 26 7/8 (683) 24 3/8 6191 • f Al I 1 I � 30A RECEPT 4 POLE. 5 WIRE (SUPPLIED WITH 3/30415V ONLY) U (SO III 24 118 f_ (613) Front Electrical Specifications: (No Service Cord provided) Available Voltages: 3 phase - 208 -240V - 8 AMPS (Hood Only) 1 phase - 208 -240V - 8 AMPS (Hood Only) 3 phase - 230V "Wye " - 8 AMPS (Hood Only) (380 -415V Appliance) Giles Food erviee Equipment 2750 Gunter Park Drive West • Montgomery, AL 36109 GSA Phone 334.272.1457 • Fax 334.272.3541 • Phone Toll Free 1.800.554.4537 • Web Site: u t v.gilesent.eom • Email' info@gile •tent emu 3) 16 7/ i ` – !7991 Back Specifications:: We reserve the right to change specifications and product design without notice. Such revisions do not entitle the buyer to corresponding changes, improvements, additions, or replacements on previously purchased equipment. Built - In Appliance Interlock Specifications: (208 - 240 3 Phase) Voltages: 208 -240V Amps: 60A Interlock Receptacle: NEMA 15 -60R (Requires NEMA 15-60P plug, Not Provided) Built - In Appliance Interlock Specifications: (380 - 415 3 Phase) Voltage: 380 -415V Amps: 30A Interlock Receptacle: 4 Pole, 5 wire (Requires 4 Pole, 5 wire plug, Not Provided) Product Designation: FSH - 2 - PH (3 Way Diverter) Shipping Specifications: Crated Weight: 462 lbs (146 kg) Crated Cube Size: 35" X 34" X 98" = 675 cu ft [1067mm X 915mm X 2489mm = 2.4 cu meters) ccessoiies Include Unit is shipped with (1) Baffle Filter, (2) EAC Filter, (2) Charcoal Filter, (1) EAC Soak Tank, and (1) Manual. Hgiiv7o: 1 Electrical Options Specify electrical option from the following: •• /LS Option (Interlocking Start) (Please check with your local officials for this requirement) Specify if your county requires the hood to shut -down if the fryer underneath is not operating. 2 Accessories * • Specify the part number and quantity of the following accessory items needed: *Additional charges 2 Shipping Specify the shipping method - FIRE EXTING MANUAL PULL CONNECTION - HOOD AND APPLIANCE INTERLOCK CONNECTION (1 PHASE ONLY) - -- POWER CONNECTION (HOOD ONLY 1PHASE) (HOOD AND APPLIANCE 3 PH) Printed in C.S.A. 03/05/09 Fnr(n 64565(: the standard in safety 11/05/2008 Mr. Tim Kelley Giles Enterprises Inc 2750 Gunter Park Dr W Montgomery, AL 36121 United States Dear Mr. Kelley: The NFPA (Section 50.2.2.1) states that where enclosures are not required, hoods, grease removal devices, exhaust fans, and ducts shall have a clearance of at least 18 in. (457 mm) to combustible material, 3 in. (76 mm) to limited - combustible material, and 0 in. (0 mm) to noncombustible material. Under section 50.2.2.2 it also states that where a hood, duct, or grease removal device is Listed for clearances less than those required in 50.2.2.1, the Listing requirements shall be permitted. Because the model FSH -2 series is UL Listed and evaluated with 0 in. clearance, it has been determined that 0 inch clearance to combustible material on all sides and top is considered acceptable. Under the current Listing, Giles complies with section 50.2.2.2 of the NFPA. Any information and documentation involving UL Mark services are provided on behalf of Underwriters Laboratories Inc. (UL) or any authorized licensee of UL. Very truly yours, Reviewed by: Bill Morler Project Engineer 3015CNBK Tel: 847 - 664 -1852 Fax: 847 - 407 -1852 William.Morler @us.ul.com Fred Zaplatosch Staff Engineer 3015CNBK Underwriters Laboratories I)ndM Wri(Ors Lai) Orai0ries Inc. 333 P(nystan Road. Northbrook, IL 60062 2096 USA I:: 847.272.8300 F- 817.272.8129; W:: uI.cnm Model PH- SEF184 Electric Open Fryer with Filtration STANDARD FRYER FEATURES • Fry pot constructed of stainless steel • Fixed heating elements • 1 Y<" (3.2 cm) Full port drain valve • Cabinet - stainless steel sides, front, splash back • WingStreet 4 Color cooking computer • Mercury free heating contactors • High temperature limit switch • Drain valve interlock • Heavy duty 3/16" (.48 cm) door hinges • 10" (25.4 cm) fixed casters rear and front legs ACCESSORY ITEMS SHIPPED WITH UNIT • 1 - Fry pot drain clean out rod • 1 - Fry pot cleaning brush • 1 - Fry pot crumb scoop • 1 - Filter shovel scoop • 1 - YUM 14" x 22" (35.4 x 55.9 cm) filter paper envelope starter pack • 1 - Element rack • 1 - Removable basket hanger • 4 - Triple size fry baskets WingStreet APPLICATION The PH- SEF184 fryer design offers higher production with increased efficiency and a space saving under the fryer filter system which is ideal for cooking Bone -in wings, Boneless wings, Traditional wings, Taters, Pies, Cheese sticks and other standard YUM freezer to fryer products. SHORT FORM DESCRIPTION Fryer, Electric Open Fryer with Filtration PH- SEF184 ( voltage, phase), Line up SE184, filter below with WingStreet 4 Color cooking computer, fixed heating elements, drain valve interlock, mercury free heating contactors, SS sides & front, casters. Accessories includes: (1) clean out rod, (1) brush, (1) crumb scoop, (1) filter shovel scoop, (1) YUM 14" x 22" (35.4 x 55.9 cm) filter paper envelope starter pack, (1) element rack, (1) removable basket hanger, (4) triple baskets. Startup performance check by a qualified service representative. STANDARD FILTER FEATURES • Filter pump thermally and overload protected • Rear oil return for bottom cleaning • Extra Large 3" (7.6 cm) curved drain spout virtually eliminates splashing and swivels for oil disposal. • Filter pan is stainless steel with rear wheels for easy movement during cleaning. • Connection to fryer is self aligning for hands free operation. Easy two step filtering. • Filter pan lid. Self storing, out of the way. OPTIONS & ACCESSORIES (AT ADDITIONAL COST) ❑ 6' Power Cord (208V & 240V 3Phase only) �L c ® us C Pitco Frialator, Inc • P.O. Box 501, Concord, NH 03302 -0501 • 509 Route 3A, Bow, NH 03304 603 - 225 -6684 • FAX: 603 - 225 -8497 • www.pitco.com L10 -300 Rev x1 10/07 Printed in the USA INDIVIDUAL. FRYER SPECIFICATIONS: ° . „ , Frying Area Cook Depth Oil Capacity 18 x 14 in (45.7 x 35.6 cm) 3 - 5 in (8.3 - 12.7cm) 60 Lbs (18 - 23 kg) FILTER SPECIFICATIONS . 1, Pan Oil Ca •acct Filter Pump Motor Filter Pump Rated Flow Filter Media 93 Lbs (42.2 kg) 1/3 HP 50/60 Hz 8 GPM (30.3 LPM) @ 60 Hz 14 x 22 in (35.4 x 55.9 cm) 6.7 GPM (25.4 LPM) @ 50 Hz Paper Envelope :.ELECTRIC Nominal Amps Per Line (so/so Hz) ';.REQUIREMENTS .. Single Phase (2 wire + ground) 3 Phase (3 wire + ground) 3 Phase r (4 wire + ground) Model KW /Hr 208 220 230 240 480' 208 220 240 480' 380/220 400/230 415/240 SE184 (each) 17 82 78 74 71 36 48 45 41 21 26 25 24 • Each fryer requires it's own separate power cord. Supply Power for Filter is wired into the fryer's high voltage line terminal block, except for 480V, which requires a separate supply cord hook up to the unit. Domestic models will require a separate single phase 115 (6.8 amp ) service and export models will require a single phase 220/230/240V ( 3.5 amp ) service. ' . FRYER SYSTEM SHIPPING, INFORMATION (Approximate) ; .z : ;.` Shi • • in • Wei • ht Shi • • in • Crate Size H x W x L Shi .. in. Cube 376 Lbs (170.5 kg) 44 x23x59in (111.7 x 58.4 x 149.8 cm) 34.6 ft (1.0m POWER SUPPLY HOOK UP 2216 [58.3] 28 [6 19- 8 [49.8] Model PH- SEF184 Electric Open Fryer with Filtration PH WINGSTREET 4 ZONE COMPUTER 35-- 3 [89.6] 14 [32.4] 2X 10 INCH (25.4 CM) LEGS FRONT 2X 10 INCH (25.4 CM) RIGID NON - LOCKING CASTERS REAR 31- [ 79.2] MINIMUM AISLE SPACE REQUIRED TO REMOVE FILTER PAN [1.6] - 10 [25.4] 1 3432 [87 411-6 104.3] [*- 7 [55.6] -►I 4 [11.3] OPTIONAL POWER CORD NEMA 15 -60 -P PLUG, 4/4 CORD Pitco Frialator, Inc • P.O. Box 501, Concord, NH 03302 -0501 • 509 Route 3A, Bow, NH 03304 603 - 225 -6684 • FAX: 603 - 225 -8497 • www.pitco.com L10 -300 Rev x1 10/07 Printed in the USA PIZZA HUT WINGSTREET FINISHING STATION MODEL #PHWF36A NOTE; Place Monitor on the opposite side of the Fryer. A S S E M B L Y M A N U A L 4 z1 Po1 III I ;t 11 PARTS (1) WS36, S/S Work Surface and Uprights with Hardware (1) WS36AB, Accessory Bar (2) DD5662A, 14 "x36" Solid Stainless Steel Shelves with Support Arms (1) DD5662B, 18 "x36" Solid Stainless Steel Shelf with Support Arms (2) WS3236NK3 -NA, 32 "x36" Wire Shelf (1) DD5662C, 32 "x36" Wire Shelf with Support Arms (1) WS36AB, Accessory bar (1) DD2671B, Printer Holder (1) DD2851B, Label /Foil Holder Enande of MnigStreet Mom oard P1110 Prkes rith Sri@ les and -Y ActIt �I fri 7 MENU ITEM DRY /CANNED STORAGE COLD STORAGE FROZEN STORAGE THAW HOLD COLD CUT/ ASSEMBLE COOK HOT HOLD COOL HOT FOODS OR INGREDIENTS (see below) RE -HEAT PACKAGE Pepperoni Lover's Pizza X X Meat Lover's Pizza X X Cheese Lover's Plus Pizza X X Veggie Lover's Pizza X X Super Supreme Pizza X X Pepperoni X X X Italian Sausage X X X Beef Topping X X X Ham X X X Chicken X X X X Bacon X X X Pork topping X X X Veggies X X X Mushrooms X X X Black olives X X X Tomatoes X X X Green peppers X X X Red Onions X X X Pineapple X X X Cheese X X X X Jalepenos X X X Chicken wings X X X Garlic Bread X X X Breadsticks X X X Sauces x x X Grilled Chicken X X X Italian Sausage X X X Supreme Pizzas X X Lover's Line Pizzas X X Cheese X X X Tomato sauce X X Pizza Hut/Wingstreet METHOD OF FOOD PREPARATION CHART Hot Hold - Pizza only, no wings Hot hold is used for customer carry-out; unit temp held at 185 with water humidification June 11, 2009 Chuck Henderson 12121 Harbour Beach Dr Mukilteo, WA 98275 Department of Community +i'evelopment Jack Pace, Director RE: CORRECTION LETTER #1 Development Permit Application Number D09 -095 Pizza Hut —14638 Tukwila International Bl Dear Mr. Henderson, This letter is to inform you of corrections that must be addressed before your development permit(s) can be approved. All correction requests from each department must be addressed at the same time and reflected on your drawings. I have enclosed comments from the Building Department. At this time the Fire, Planning, and Public Works Depaitrnents have no comments. Building Department: Allen Johannessen at 206 433 -7163 if you have questions regarding the attached memo. Please address the attached comments in an itemized format with applicable revised plans, specifications, and /or other documentation. The City requires that four (4) complete sets of revised plans, specifications and/or other documentation be resubmitted with the appropriate revision block. In order to better expedite your resubmittal, a `Revision Submittal Sheet' must accompany every resubmittal. I have enclosed one for your convenience. I have also enclosed a Non - Residential Sewer Use Certification that must be completed prior to issuance of the permit. Corrections /revisions must be made in person and will not be accepted through the mail or by a messenger service. If you have any questions, please contact me at (206) 431 -3670. Sincerely, Bill Rambo Permit Technician encl File No. D09 -095 w Q W:\Permit Center \Correction Letters\2009\D09 -095 Correction Letter #1.DOC wer Jim Haggerton, Mayor 6300 Southcenter Boulevard, Suite #100 ® Tukwila, Washington 98188 o Phone: 206 - 431 -3670 o Fax: 206 - 431 - .7 MS Building Division Review Memo Date: June 10, 2009 Project Name: Pizza Hut Permit #: D09 -095 Plan Review: Allen Johannessen, Plans Examiner Tukwila Building Division Allen Johannessen, Plan Examiner The Building Division conducted a plan review on the subject permit application. Please address the following comments in an itemized format with revised plans, specifications and/or other applicable documentation. (GENERAL NOTE) PLAN SUBMITTALS: (Min. size 1 1x17 to maximum size of 24x36; all sheets shall be the same size). (If applicable) Structural Drawings and structural calculations sheets shall be original signed wet stamped, not copied.) 1. Please identify which wall is to be installed by highlighting or clouding the wall (s). 2. The UL standards letter provided specifies that the duct model FSH -2 meets NFPA listed standards. However it shall be necessary to provide the UL listing IMC 507.1 Exception: 2 for commercial cooking recirculation systems which are tested in accordance with UL 710B. Please provide that listing for this equipment. Should there be questions concerning the above requirements, contact the Building Division at 206 -431- 3670. No further comments at this time. ACTIVITY NUMBER: D09 -095 DATE: 08 -14 -09 PROJECT NAME: PIZZA HUT SITE ADDRESS: 14638 TUKWILA INTERNATIONAL BL Original Plan Submittal X Response to Correction Letter # 1 Response to Incomplete Letter # Revision # After Permit Issued DEPARTMENTS: icizq 44)C wilding DPvlsion Public Works DETERMINATI N OF COMPLETENESS: (Tues., Thurs.) Complete Comments: • APPROVALS OR CORRECTIONS: Documents/routing slip.doc 2 -28 -02 • PERMIT COORD COPY el PLAN REVIEW /ROUTING SLIP Fire Prevention Structural Incomplete n ❑ Permit Coordinator ❑ DUE DATE: 08-18-09 Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES /THURS R TING: Please Route Structural Review Required ❑ No further Review Required n REVIEWER'S INITIALS: DATE: Planning Division Not Applicable Approved Approved with Conditions Not Approved (attach comments) n Notation: REVIEWER'S INITIALS: DATE: n DUE DATE: 09-15-09 Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: ACTIVITY NUMBER: D09 - 095 DATE: 06 -05 -09 PROJECT NAME: PIZZA HUT SITE ADDRESS: 14638 TUKWILA INTERNATIONAL BL X Original Plan Submittal Response to Correction Letter # Response to Incomplete Letter # Revision # After Permit Issued DEPARTMENTS: 4 ding Division Publ wor<V4 ( DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Comments: Permit Center Use Only INCOMPLETE LETTER MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: LETTER OF COMPLETENESS MAILED: TUES /THURS ROUTING: Please Route REVIEWER'S INITIALS: Documents/routing slip.doc 2 -28 -02 � PERMIT COORD COPY • PLAN REVIEW /ROUTING SLIP APPROVALS OR CORRECTIONS: A1 ,4wc- trtO Ol Fire Prevention Structural Incomplete Structural Review Required I No further Review Required n Approved n Approved with Conditions I I Not Approved (attach comments) n Notation: REVIEWER'S INITIALS: DUE DATE: 06-09-09 DATE: sN N/A - Planning Division Permit Coordinator Not Applicable DUE DATE: 07-07-09 DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg' Fire ❑ Ping ❑ PW ❑ Staff Initials: u,2 • City of Tukwila Date: Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 -431 -3665 Web site: http: / /www.ci.tukwila.wa.us Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. - - n9 Plan Check/Permit Number: • 12 octc ❑ Response to Incomplete Letter # 1 RECEIVED V] Response to Correction Letter # 1 CRY OF Tuktolu ❑ Revision # after Permit is Issued AUG 1 4 2009 ❑ Revision requested by a City Building Inspector or Plans Examiner Project Name: WI N GST�F -T Project Address: 14103E - R1. W 11-4 1NTe AT1n2L (-r c nC p,\1\11 5) Contact Person: GN U G4- 1- kSt4DENZ-SO44 Phone Number: 2 -06 -42 3 - 9 4- Summary of Revision: 2 Co? \ es OF FL-0 orz ? LA r4 S1- W 1 NG N W Wt.t - To YE C.ONSTIz -UC.T» @ W 1N STREET l-A �►IGH�t& -fl C 1N `e-Lk.OW ) q'5 32�t�U�ST�D 2 c- orp\1,r9 of Ul, fly MH (41 So 4.114. 3 1$2,39 V o L 1 SEC 2- p. N D P.eiPoKT P4.Tl =p A.N b Iv.t' mg 4- - o b - (4 AN REV \ST 2008 OS - 2 8 , U L f1 fZlr e F�r(C S 1 M G )Z V 1 g- I:M S r - M.Att U f-Lc c t -ER. Sheet Number(s): "Cloud" or highlight all areas of revision including date of revision Received at the City of Tukwila Permit Center by: TA Entered in Permits Plus on kapplications\forms- applications on Iine\revision submittal Created: 8 -13 -2004 Lotm Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 2 LIBERTY MUTUAL INS CO 67401 2297 02/28/2008 Until Cancelled $12,000.0003/06 /2008 1 WESTERN SURETY CO 58606971 02/28/2003 Until Cancelled 02/28/2008 $12,000.0003/14 /2003 Name Role Effective Date Expiration Date HOPKINS, TERRY PARTNER /MEMBER 03/14/2003 Amount Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 7 WAUSAU UNDERWRITERS INS CO YYJZ91438126019 07/01/2009 07/01/2010 $1,000,000.00 06/11/2009 6 WAUSAU U/W YYJZ91438126017 07/01/200707/01 /2009 $1,000,000.00 07/08/2008 5 WAUSAU BUSINESS INS YYJZ9143812601 6 07/01/2005 07/01/2007 $1,000,000.0006 /15/2006 WESTPORT INS Untitled Page General /Specialty Contractor A business registered as a construction contractor with L8I to perform construction work within the scope of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Name EMERALD CITY PIZZA LLC UBI No. 602065598 Phone 4254938077 Status ACTIVE Address 12121 HARBOUR REACH DR License No. EMERACP971 DM #200 Suite /Apt. License Type CONSTRUCTION CONTRACTOR City MUKILTEO Effective Date 3/14/2003 State WA Expiration 3/14/2011 Date Zip 98275 Suspend Date County SNOHOMISH Specialty 1 GENERAL Business Type Limited Liability Company Specialty 2 UNUSED Parent Company Business Owner Information Bond Information Insurance Information • S Page 1 of 2 https://fortress.wa.gov/lni/bbip/Detail.aspx 09/02/2009