HomeMy WebLinkAboutPermit M14-0067 - CHIPOTLE MEXICAN GRILL - REFRIGERATION SYSTEMCHIPOTLE
MEXICAN GRILL
2600 SOUTHCENTER MALL
FC-02
M14-0067
Parcel No:
Address:
Citv of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Inspection Request Line: 206-438-9350
Web site: http://www.TukwilaWA.gpv
MECHANICAL PERMIT
9202470010 Permit Number: M14-0067
2600 SOUTHCENTER MALL FCO2 Issue Date: 3/26/2014
Permit Expires On: 9/22/2014
Project Name: CHIPOTLE MEXICAN GRILL
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
WESTFIELD PROPERTY TAX DEPT
PO BOX 130940 , CARLSBAD, WA,
92013
GREG EDWARDS
4403 LAKESHORE DR , MOSES LAKE,
WA, 98837
ERICKSON REFRIGERATION LLC
Phone: (206) 510-3458
Phone: (253) 333-7294
1519 W VALLEY HWY N STE 102,
AUBURN, WA, 98001
ERICKRL922QE Expiration Date: 3/21/2016
DESCRIPTION OF WORK:
INSTALL PRE -PRESSURIZED REFRIGERATION LINES FROMW ALK IN COOLER TO ROOFTOP CONDENSER. ALSO
INSTALL PRE -PRESSURIZED REFRIGERATION LINES FROM ICE MACHINE TO ROOFTOP CONDENSER.
Valuation of Work: $3,000.00
Type of Work: NEW
Fuel type: GAS
Fees Collected: $188.90
Electrical Service Provided by: PUGET SOUND ENERGY
Water District: TUKWILA
Sewer Distric: TUKWILA SEWER SERVICE
Current Codes adopted by the City of Tukwila:
Internations Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
Permit Center Authorized Signature:1
2012
2012
2012
2012
International Fuel Gas Code:
WA Cities Electrical Code:
WA State Energy Code:
2012
2012
2012
Date: 02 2-(1
H
I hearby 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 d
state or local laws regula
development permit and
of presume to give authority to violate or cancel the provisions of any other
truction or the performance of work. I am authorized to sign and obtain this
the conns atiached to this permit.
Signature: Date: 3 - 0.26 / Y
Print Name: eJ 7c/Lw Ird 5
This permit shall become null and void if the work is not commenced within 180 days for the date of issuance, or
if the work is suspended or abandoned for a period of 180 days from the last inspection.
PERMIT CONDITIONS:
1: ***MECHANICAL PERMIT CONDITIONS***
2: All mechanical work shall be inspected and approved under a separate permit issued by the City of
Tukwila Permit Center (206/431-3670).
3: All permits, inspection record card and approved construction documents shall be kept at the site of work
and shall be open to inspection by the Building Inspector until final inspection approval is granted.
4: Manufacturers installation instructions shall be available on the job site at the time of inspection.
5: Except for direct -vent appliances that obtain all combustion air directly from the outdoors; fuel -fired
appliances shall not be located in, or obtain combustion air from, any of the following rooms or spaces:
Sleeping rooms, bathrooms, toilet rooms, storage closets, surgical rooms.
6: Equipment and appliances having an ignition source and located in hazardous locations and public
garages, PRIVATE GARAGES, repair garages, automotive motor -fuel dispensing facilities and parking
garages shall be elevated such that the source of ignition is not less than 18 inches above the floor surface
on which the equipment or appliance rests.
7: Type 1 Hoods, the required grease duct leakage test and flight test shall be performed by a special
inspection and testing agency in accordance with I.M.C. Chapter 5.
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
1800 MECHANICAL FINAL
0701 ROUGH -IN MECHANICAL
CITY OF TUKWI
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
littp://www.TukwilaWA.gov
Mechanical Permit No. Pq14- Ni 1
Project No. pp��
Date Application Accepted: V ut
Date Application Expires:
(For office use only)
MECHANICAL PERMIT APPLICATION
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**
SITE LOCATION
cu � Potle
Site Address: 9.600 Soak 62N,t(I%'. bar
King Co Assessor's Tax No.: 7/-19`4 ` BOO 1.0
1 Suite Number:C0� Floor:
Tenant Name: oilpo ' t2. (vi -�c�� r+ r, {(New Tenant: ❑ Yes ❑.. No
PROPERTY OWNER
Name: Wt-(.,Th up
Address: Q 0 IboNi v2,30 /f1 Go
YJ
_cipt!
City: ,Mr State:
Ci
Zip:16
CONTACT PERSON — person receiving all project
communication
Name: 6 c)2
Address: tL0'S 1.ette4eYie. kA
Zip:R
City: it'lles 14$L( State:WA-
�7
Phone: az(2- S 0-3HS5l 955-((333 - i -7`� a
m((Fa�
Eai t ., . i Pattl-t u& , ('Uk'\
MECHANICAL CONTRACTOR INFORMATION
Company Name: ftl[k6cm p eN _ -' (M V + 1L
Address: too CJ (AkeDr
City:s wicl State: Zip:132
Phone _78. /7» Fax:j,s_3"53.3_/7S9.,_
Contr Reg No.: Exp Date:
Tukwila Business License No.: c - Srl Difi
Valuation of project (contractor's bid price): $ 31 COO •°°
Describe the scope of work in detail: L'A.41vrg,.$) Pz-C " PtS<hUt' ONAM.Del VIA42'S
dt,' t'An � i'vcx % �tn�o)-e,,t' . 4'ip 1. vt Still
✓�
1 e \ l C r \ � fi+ wse t • �n gfeArt .xM -("t% hU& p
Use: Residential: New ❑ Replacement ❑
Commercial: New ❑ Replacement ❑
Fuel Type: Electric ❑
Gas ❑ Other:
H:\Applications\Forms-Applications On Line\2011 Applications\Mechanical Permit Application Revised 8-9-11.docx
Revised: August 2011
bh
Page I of 2
Indicate type of mechanical work being installed and the quantity below:
Unit Type
Qty
Furnace <100k btu
Furnace >100k btu
Floor furnace
Suspended/wall/floor
mounted heater
Appliance vent
Repair or addition to
heatlrefrig/cooling
system
Air handling unit
<10,000 cfm
Unit Type
Qty
Air handling unit
>10,000 cfm
Evaporator cooler
Ventilation fan
connected to single duct
Ventilation system
Hood and duct
Incinerator — domestic
Incinerator —
comm/industrial
Unit Type
Qty
Fire damper
Diffuser
Thermostat
Wood/gas stove
Emergency generator
Other mechanical
equipment
Boiler/Compressor
Qty
0-3 hp/100,000 btu
3-15 hp/500,000 btu
15-30 hp/1,000,000 btu
30-50 hp/1,750,000 btu
50+ hp/1,750,000 btu
PERMIT APPLICATION NOTES -
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.
The building official may grant one extension of time for additional periods not to exceed 90 days each. The extension shall be requested in writing
and justifiable cause demonstrated. Section 105.3.2 International Building 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 TU -t WS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR iZHORIZE
Signature:
Date: alP
Print Name: 6fEed c< T _5 Day Telephone: 7 L/C2S
Mailing Address: g140 Lc) bAz di2AZ,�(- 1f %eS (At (.Cdlf" q,3 7
City State Zip
H:WpplicationsWorms-Applications On Line\201 I Applications\Mechanical Permit Application Revised 8-9-11.docx
Revised: August 2011
bh
Page 2 of 2
DESCRIPTIONS
PermitTRAK
Cash Register Receipt
City of Tukwila
ACCOUNT
QUANTITY I PAID
$188.90
M14-0067 Address: 2600 SOUTHCENTER MALL FCO2'+ Apn: 9202470010
$188.90
MECHANICAL
$179.90
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
$32.50
PERMIT FEE
R000.322.100.00.00
$147.40
TECHNOLOGY FEE
$9.00
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R1595
R000.322.900.04.00
$9.00
$188.90
Date Paid: Wednesday, March 26, 2014
Paid By: ERICKSON REFRIGERATION, GREGOR
Pay Method: CREDIT CARD 07520G
Printed: Wednesday, March 26, 2014 10:52 AM 1 of 1
SYSTEMS
INSPECTION RECORD
Retain a copy with permit 1' `�`�&
f.1
INSPECTION NO. PERMIT NO. , A
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Project: / � t /
-'{ t , p ,,) t/� - Jt [ (n Ex c. l i
/ Type of trspection:
�/i e(J . D J 6 f
A
Address:
?(,)o0 C M i
Date Called:
Meng Ai4L-
Special Instructions:
Date Wanted:
- Z ��
`_m. a.m.
p.m.
Requester:
Phone No:
Approved per applicable codes.
•
Corrections required prior to`approval.
COMMENTS:
Leif ,t fs,>r7�Prt
,z7,/
Inspettor
Date:
a .06 AA
REINSPECTION FEE REQUIRED! Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
M1 -d06'1
CITY OF TUKWILA BUILDING DIVISION G
6300 Southcenter Blvd., 4100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Project:
Type of nspe
Addre Sc
Date
Special Instructions:
Date Wanted:
Requester:
Phone No:
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
REINSPECTION FEE REQUIRED. for to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Report By:
National TAB
9471 Sutton Place
Hamilton, OH 45011
11tA -ocui
NATIONAL • T B
Report: Test and Balance
Date: 4/1/2014
PROJECT
Chipotle - Southcenter Mall #2270
633 Southcenter Mall, 2600
Tukwila, WA 98188
Client
Chipotle Mexican Grill
1401 Wynkoop Street, Suite 500
Denver, CO 80202
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National TAB
Project: Chipotle - Southcenter Mall #2270
Table Of Contents
Section Page #
Summary Data 3
Checklist Data 4
AHU/RTU 9
FAN - Exhaust 11
FAN - Supply 13
Kitchen Hood Type I 14
Kitchen Hood Type II 15
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National TAB
Project: Chipotle - Southcenter Mall #2270
Project Summary
OUTSIDE AIR IS DUCTED TO THE ROOF USING A CIRCULAR DUCT WITH CAPTIVE AIRE ROOF CAP. THE
TOTAL AHU FLOW IS LOWER THAN DESIGN. THE UNIT THERMOSTAT WAS SET TO 55 DEGREES, TO
ESTABLISH FULL COOL BALANCE POINT. THE UNIT WAS THEN INITIALLY READ AND WAS SUPPLYING 1675
CFM. THE RETURN DUCT WAS REDUCED TO FORCE A GREATER PERCENT OF OUTDOOR AIR THROUGH THE
OA DUCTED SYSTEM. THE BALANCE, RESTRICTION OF DAMPERS, RESULTED IN A FINAL VOLUME OF 1,595
CFM WHILE THE OUTDOOR AIR INCREASED TO 361 CFM. THE UNIT IS MAXIMIZED BUT ONLY PERFORMING
TO 88% OF DESIGN.
Date: 4/1/2014
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National TAB
NAiIONAI•Tp6
Project: Chipotle - Southcenter Mall #2270
DUCTWORK SITE EVAL
Assigned Organization: National TAB Status: Submitted
Asset:
HVAC DUCTWORK CHECKLIST
- Ductwork and diffusers are installed per Yes
design
- Balance dampers installed and functional Yes
- Balance dampers are accessible Yes
- Ductwork is properly covered with insulation, Yes
& Insulation is secured
- Tops of diffusers are properly insulated Yes
- Installed diffusers match design Yes
Notes/Comments:
Date: 4/1/2014
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National TAB
NAiIONAI•TAB
EXHAUST FAN SITE
EVAL
Project: Chipotle - Southcenter Mall #2270
Assigned Organization: National TAB Status: Submitted
EXHAUST FAN
- Verify units marked for easy identification Yes
- Unit sealed and properly seated to roof curb Yes
No unusual vibration or noise Yes
- Belts properly tensioned and free of damage Yes
- Pulleys properly aligned Yes
- Blower wheel moves freely by hand Yes
- Unit is providing required airflow Yes
- Verify on/off disconnect works Yes
- Verify voltage input is correct Yes
- Fan rotation is correct (compare to arrow Yes
Notes/Comments:
Asset:
Date: 4/1/2014
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Nanoity6
National TAB
Project: Chipotle - Southcenter Mall #2270
GV-1 CHECKLIST
Assigned Organization: National TAB Status: Submitted
Asset:
Device is secured to the curb. Yes
Backdraft damper is installed properly. Yes
Backdraft damper can fully open without hitting Yes
exhaust fan.
Backdraft damper can freely move and is not Yes
getting stuck.
Notes/Comments:
Date: 4/1/2014
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National TAB
NAflOf1Al • T11B
Project: Chipotle - Southcenter Mall #2270
RTU SITE EVAL
Assigned Organization: National TAB Status: Submitted
Asset:
RTU CHECKLIST
- Units are labeled and installed at proper Yes
locations
- Units size matches its design (nameplate) Yes
- Clean filters are installed at DX coil Yes
- Belts are tight and in good working order Yes
- Pulleys are properly aligned Yes
- Motors rotating correctly Yes
- Units sealed and properly seated to roof curb Yes
- Evaporator coils clean and free of debris Yes
- Gas piping installed Yes
- Gas valves turned in the on position Yes
- Condensate lines and P-traps installed Yes
correctly
- No noticeable vibration or noise exist correct? Yes
- Outside air dampers installed and functioning Yes
- Condensor coil clean and free of damage Yes
- Verify voltage input correct Yes
- Compressors operating in correct rotation Yes
- Heating mode tested satisfactorily Yes
- Cooling mode tested satisfactorily Yes
- Any additional comments/notes:
Notes/Comments:
DIRECT DRIVE UNIT. ALL BELT AND PULLEY INFO IS N/A.
UNIT IS SUSPENDED.
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NanoJAVe
SMOKE CONTAINMENT
AND BLDG PRESSURE
TESTS
National TAB
Project: Chipotle - Southcenter Mall #2270
Assigned Organization: National TAB Status: Completed
Asset:
HOOD CAPTURE TEST
LIST EQUIPMENT TURNED ON FOR N/A, GAS RUN TO EQUIPMENT BUT HAS NOT UNDERGONE
TESTING STARTUP.
LIST SMOKE CANDLE TYPE USED SMOKEY
SMOKE TEST CAPTURE - PERIMETER OF PASS
HOOD
SMOKE TEST CAPTURE - TOP OF COOKING PASS
SURFACE
WITNESS
DATE TEST WAS COMPLETED 4/1/2014
TAB TECH NAME / FIRM PHIL MCCARROLL / NATIONAL TAB
SITE SUPR NAME / FIRM • GABE HARVISON / WESTERN CONSTRUCTION
OWNER REPRESENTATIVE NAME / FIRM (IF NOT PRESENT
APPLICABLE)
CODE OFFICIAL NAME / FIRM (IF NOT PRESENT
APPLICABLE)
BUILDING PRESSUR AT FRONT & BACK STORE OPEN TO FOOD COURT
DOORS (ALL SYSTEMS ON)
Notes/Comments:
Date: 4/1/2014
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NanoCAZ,B
Asset: AH1
National TAB
Project: Chipotle - Southcenter Mall #2270
System/Unit: AHU/RTU
AREA: KITCHEN
Unit Data
Design
Actual
MFG
TRANE
TRANE
Model Num
TAM7B0
TAM7B0
Serial Num
14114H8CAV
Type
AHU
AHU
Configuration
HORIZONTAL
HORIZONTAL
Num OA Filters 1
1
OA Filter Size 1
12" DIA
Num OA Filters 2
N/A
OA Filter Size 2
N/A
Num Final Filter 1
1
Final Filter Size 1
20X22X1
Num Final Filter 2
N/A
Final Filter Size 2
N/A
Motor Data
Design
Actual
Motor MFG
N/A
Frame
N/A
Horsepower
1.0
Motor Rpm
N/A
Phase
3
1
Rated Voltage
208
200-230
Rated Amperage
5.5
Service Factor
N/A
Efficiency
N/A
Power Factor
N/A
Drive Data
Design
Actual
Motor Sheave Size
DD
Motor Bore Size
DD
Motor Sheave SetPt
DD
Fan Sheave Size
DD
Fan Sheave Bore
DD
Belt CL Distance
DD
Num of Belts
DD
Belt Size
DD
Belt Alignment
DD
Notes:
Test Data
Design
Actual
SF CFM
1900
1595
SF RPM
DD
RA CFM
1400
1234
OA CFM
500
361
RL Voltage
205
RL Amperage
2.1
SF Rotation
CW
VFD Max SetPt
N/A
RA Damper Position
PLEASE SEE
NOTES: 99%
CLOSED
Min OA Damper Position
100% OPEN
Min OA Damper Type
MOTORIZED
DAMPER
Performance Data
Design
Actual
Fan Suction SP
-0.674
Fan Discharge SP
0.439
Total ESP
1.0
0.618
Fan Total SP
1.11
General
Design
Actual
Fan Rotation Correct
YES (CW FROM
TOP DOWN
PERSPECTIVE)
Unit Filters Clean
YES
Date: 4/1/2014
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NATIO
e
National TAB
Project: Chipotle - Southcenter Mali #2270
System/Unit: AHU/RTU
Asset: AREA:
OUTSIDE AIR FED BY CIRCULAR DUCT WITH CAPTIVE AIRE ROOF CAP.
UNABLE TO READ MOTOR LABEL. MOTOR INFO TAKEN FROM UNIT LABEL.
PRE-DAMPERING CFM: 1675
UNIT MAXIMIZED BUT ONLY PERFORMING TO 88% OF DESIGN.
UNABLE TO ATTAIN 500 CFM O/A. OPENED O/A DAMPER 100% AND ESSENTIALLY CLOSED R/A
DAMPERS. MAXIMUM O/A ATTAINED WAS 361 CFM. THIS IS APPROXIMATELY 22% OF CURRENT UNIT
OUTPUT.
Diffuser Supply (GRD)
AH1
Asset
Area Served
Type
Size
DESIGN
CFM
AK
CFM(1)
CFM(2)
FINAL
CFM
%to
design
AHU1-SGRD1
SERVE LINE
PERF
11X11
250
227
217
86.8
AHU1-SGRD2
SERVE LINE
PERF
11X11
250
173
200
80.0
AHU1-SGRD3
SERVE LINE
PERF
11X11
250
199
205
82.0
AHU1-SGRD4
SERVE LINE
PERF
11X11
250
218
218
87.2
AHU1-SGRD5
SERVE LINE
PERF
24X24
300
246
246
82.0
AHU1-SGRD6
KITCHEN
PERF
24X24
300
183
240
80.0
AHU1-SGRD7
OFFICE
PERF
11X11
100
210
83
83.0
AHU1-SGRD8
KITCHEN
PERF
24X24
200
218
186
93.0
Asset
Area Served
Notes
Date: 4/1/2014
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National TAB
NAilOAAL•TAB
Asset: EF1
Project: Chipotle - Southcenter Mall #2270
System/Unit: FAN - Exhaust
AREA: HOOD 1
Unit Data
Design
Actual
MFG
CAPTIVE-AIRE
CAPTIVE-AIRE
Model Num
DU85HFA
DU85HFA
Serial Num
1882165
Type
CENTRIFIGUL
UPBLAST
Configuration
UPBLAST
VERTICAL
Motor Data
Design
Actual
Motor MFG
HSSA
Frame
48Y
Horsepower
3/4
3/4
Motor Rpm
1625
Phase
1
1
Voltage (rated)
277
115/230
Amperage (rated)
11.3/6.0
Service Factor
1.0
Notes:
Test Data
Design
Actual
CFM
1800
1871
Fan RPM
DD
Fan Rotation
CCW
Motor RPM
DD
System SetPt
WIRED HIGH,
SET MED
RL Voltage
118
RL Amperage
10.3
Total ESP
1.2
0.467
Fan Inlet SP
-0.467
Fan Discharge SP
ATM
Date: 4/1/2014
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aano�ai�e
Asset: EF2
National TAB
Project: Chipotle - Southcenter Mall #2270
System/Unit: FAN - Exhaust
AREA: HOOD 2
Unit Data
Design
Actual
MFG
CAPTIVE-AIRE
CAPTIVE-AIRE
Model Num
DU3OHFA
DU3OHFA
Serial Num
1882165
Type
CENTRIFUGAL
UPBLAST
Configuration
UPBLAST
VERTICAL
Motor Data
Design
Actual
Motor MFG
HSSA
Frame
48Y
Horsepower
0.25
1/4
Motor Rpm
1625
Phase
1
1
Voltage (rated)
120
115/230
Amperage (rated)
4.9/1.9
Service Factor
1.0
Notes:
Test Data
Design
Actual
CFM
475
477
Fan RPM
DD
Fan Rotation
CCW
Motor RPM
DD
System SetPt
WIRED HIGH,
SET LOW
RL Voltage
119
RL Amperage
3.7
Total ESP
0.3
0.164
Fan Inlet SP
-0.164
Fan Discharge SP
ATM
Date: 4/1/2014
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NAflONAI•TAB
4,
Asset: SF1
National TAB
Project: Chipotle - Southcenter Mali #2270
System/Unit: FAN - Supply
AREA: HOOD 1 SUPPLY
Unit Data
Design
Actual
MFG
CAPTIVE-AIRE
CAPTIVE-AIRE
Model Num
D76
D76
Serial Num
1882165
Type
DIRECT FIRED
DIRECT -FIRED
Configuration
DOWN
DISCHARGE
DOWN
DISCHARGE
Motor Data
Design
Actual
Motor MFG
WEG
Frame
D56
Horsepower
1 1 /2
1.5
Motor Rpm
1720
Phase
3
3
Voltage (rated)
460
208-230/460
Amperage (rated)
4.70-4.20/
Service Factor
1.15
Efficiency
77
Power Factor
0.81
Drive Data
Design
Actual
Motor Sheave Size
1 VP50
Motor Bore Size
5/8
Fan Sheave Size
AK39
Fan Sheave Bore
3/4
Belt CL Distance
10"
Num of Belts
1
Belt Size
AX31
Belt Alignment Verified
YES
Gas Heat
Design
Actual
Heater Operates (y/n)
YES
Flame Status (pass/fail)
PASS
Inlet Air Temp SetPt
55
55
Discharge Air Temp SetPt
60
60
Notes:
Test Data
Design
Actual
CFM
1175
1117
SF RPM
2109
SF Rotation
CW
Motor RPM
1753
RL Voltage
477,477,477
RL Amperage
1.9,1.9,1.9
Total ESP
0.8
N/A
Fan Discharge SP
N/A
General
Design
Actual
Fan Rotation Correct
YES
Date: 4/1/2014
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National TAB
NAflOkA• TAB
Project: Chipotle - Southcenter Mall #2270
System/Unit: Kitchen Hood Type I
Asset: HD(TYPE 1)-1 AREA: MAIN COOKLINE
Unit Data
Design
Actual
MFG
CAPTIVE-AIRE
CAPTIVE-AIRE
Model Num
5424 ND-PSP
5424 ND-PSP
Job / Serial Num
1882165
Type
TYPE I CANOPY
TYPE I CANOPY
Hood length
96"
96"
Hood Width
54"
54"
Supply Plenum Type
PSP
PSP
Supply Plenum Width
12"
12"
Supply Plenum Length
111"
111"
Test Data Exhaust
Design
Actual
Filter Type
CAPTRATE
SOLO
CAPTRATE
SOLO
Filter Size 1
16X16
16X16
Filter Size 2
16X20
16X20
Filter Qty 1
1
1
Filter Qty 2
4
4
Filter AK factor size 1
1.62
1.62
Filters AK factor size 2
2.08
2.08
Filter Total AK Area
9.94
9.94
Filter High FPM(corr)
192
Filter Low FPM (corr)
184
Filter Ave FPM(corr)
188
CFM
1800
1871
Test Data Supply
Design
Actual
Total AK Area
9.25
9.25
Num of Readings
9
High FPM(corr)
150
Low FPM(corr)
123
Ave FPM(corr)
120.74
CFM
1175
1116
Performance Data
Design
Actual
Exh-Supply Net CFM
625
754
Smoke Generation Type
SMOKEY
Cooking Equip Heat On
NONE, GAS
NOT TURNED
ON
Hood Capture %
100
General
Design
Actual
Third Party Witness
Third Party Company
WESTERN
CONSTRUCTIO
N
Tech Witness
PHIL
MCCARROLL
Tech Company
NATIONAL TAB
Code Official Witness
NOT PRESENT
Jurisdiction
NOT PRESENT
Notes: PSP CREATES CAPTURE ISSUES IF MOTOR INCREASED AT ALL.
Date: 4/1/2014
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NAiiOflAL-TAB
40/
Asset: HD(TYPE 2)-1
National TAB
Project: Chipotle - Southcenter Mall #2270
System/Unit: Kitchen Hood Type 1I
AREA: TYPE II HOOD
Unit Data
Design
Actual
MFG
CAPTIVE-AIRE
CAPTIVE-AIRE
Model Num
5424 VHB-ND
5424 VHB-ND
Serial Num
1882165
Type
TYPE II
CANOPY
TYPE II
CANOPY
Hood length
57"
57"
Hood Width
54"
54"
Notes:
Test Data
Design
Actual
Exhaust CFM
475
477
Date: 4/1/2014
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Erickson Refrigeration LLC
Page 1 of 2
Washington State Department of
Labor & Industries
Erickson Refrigeration LLC
Owner or tradesperson
EDWARDS, GREGORY J
Principals
EDWARDS, GREGORY J
Doing business as
Erickson Refrigeration LLC
WA UBI No.
602 592 091
PO Box 1426
MOSES LAKE, WA98837
253-333-7294
GRANT County
Business type
Limited Liability Company
Governing persons
GREGORY JOHN EDWARDS
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Construction Contractor
License specialties
Heating/Vent/Air-Conditioning and Refrig
(HVAC/R)
License no.
ERICKRL922QE
Effective — expiration
11/05/2008 — 03/21/2016
Bond
American States Insurance Co
Bond account no.
32S206749
Received by L&I
05/07/2012
Insurance
Mid -Century Ins Co
Policy no.
605041166
Received by L&I
09/09/2013
Active.
Meets current requirements.
$6,000.00
Effective date
04/20/2012
$2,000,000.00
Effective date
09/16/2011
Expiration date
09/13/2014
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602592091 &LIC=ERICKRL922QE&SAW= 03/26/2014