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ALL DOCS & CO - 10-00368 - Teriyaki Express - Remodel
` 1,EXl3Uq�. C I Y 6 F REXB 'Imerieas Family com"Itau,y 8) 359 -3020 / Fax (208) 359 -3024 Building Permit No: 1000368 Applicable Edition of Code: International Building Code 2006 Site Address: 110 W 4th S Use and Occupancy: Teriyaki Express Remodel Type of Construction: Type V, non -rated Design Occupant Load: 49 Sprinkler System Required: No Name and Address of Owner: Shumway Perry 2488 W 5200 S Certificate of Occupancy City of Rexburg Department of Community Development 19 E. Main St. / Rexburg, ID. 83440 Rexburg, ID 83440 Contractor: Heritage Remodel And Cabinetry Special Conditions: Occupancy: Business - office, professional or service transactions This Certificate, issued pursuant to the requirements of Section 109 of the International Building Code, certifies that, at the time time of issuance, this building or that portion of the building that was inspected on the date listed was found to be in compliance with the requirements of the code for the group and division of occupancy and the use for which the proposed occupancy was classified. Date C.O. Issued: ;June r3l (01:28P IM, ) C.O Issued by: Building Official There shall be no further change in the existing occupancy classification of the building nor shall any structural changes, modifications or additions be made to the building or any portion thereof until the Building Official has reviewed and approved said future changes. Plumbing Inspe for Fire Inspector: i Electrical Inspecto P&Z Administrator *4 CITY O F 0 America's Family Community REXBURU t� Please Comple le Entire Application! If the question does not apply fill in NA for non applicable RESIDENTIAL BUILDING PERMIT APPLICATION 35 N 1" E, REXBURG, ID 83440 208 - 372 -2326 PARCEL NUMBER: (We will provide this for you) /� =J6s& 8 SUBDIVISION: UNIT# BLOCK# LOT# (Addressing is based on the information - must be accurate) Dwelling Units: Parcel Acres: OWNER NAME CONTACT PHONE #. PROPERTY ADDRESS: PHONE #: Home ( ) Work ( ) OWNER MAILING ADDRESS: CITY: EMAIL FAX_ ATE: ZIP: APPLICANT (If other than owner) (Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.) APPLICANT INFORMATION: ADDRESS CITY: STATE; ZIP PHONE #: Home ( EMAIL F Work ( Cell ( CONTRACTOR MAILING ADDRESS: 868' 1M &M 40nit CITY kexbura STATE & OVI PHONE #: Home 6 9 - Qa `f6 Work ( ) fie Cell ( ) Saran e EMA ire h� FAX JA IDAHO REGISTRATION # & EXP. DATE -44953 How many buildings are located on this property?, Did you recently purchase this property? No Yes (If yes, list previous owner's name) Is this a lot split? NO YES (Please bring copy of new legal description of property) MnPnCFTI I TCF• _ (i.e., Single Family Residence, Multi Family, Apartments, Remodel, Garage, Commercial, Addition, Etc.) APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, I hereby certify that I have read this application and state that the information herein is correct and I swear that any information which may hereafter be given by me in hearings before the Planning and Zoning Commission or the City Council for the City of Rexburg shall be truthful and correct. I agree to comply with all City regulations and State laws relating to the subject matter of this application and hereby authorized representatives of the City to enter upon the above - mentioned property for inspections purposes. NOTE: The building official may revoke a permit on approval issued under the provisions of the 2003 International Code in cases of any false statement or misrepresentation of fact in the application or on the plans on which the permit or approval was based. Permit void if not started within-. 80 days. P t v id if work sto for 180 days. F Sig o wner/A licant "x' 1 � PP WARNING — BUILDING PERMIT MUST BE POSTED ON CONSTRUCTION SITE! Plan fees are non - refundable and are paid in full at the time of application beginning jangary i 2005 City of Rexburg's Acceptance of the plan review fee does not constitute plan approval **Building Permit Fees are due at time of application ** * *Building Permits are void if your check does not clear** 2 Cell ( F gEXB [SR & 4 CITY OF 1 7 REXBURG Eo America's Family Community RESIDENTIAL BUILDING PERMIT APPLICATION 35 N V E, REXBURG, ID 83440 208 - 372 -2326 PARCEL NUMBER: (We will provide this for you) SUBDIVISION: UNIT# BLOCK# (Addressing is based on the information - must be accurate) LOT #, Dwelling Units: Parcel Acres: OWNER NAME (31f!o ---A 1A, E CONTACT PHONE # PROPERTY ADDRESS: 1 I o V A" �. 1\ r PHONE #: Home ( ) "_ $S --5- V , g2 W OWNER MAILING ADDRESS: CITY: STATE: ZIP: EMAIL FAX APPLICANT (If other than owner) P(2,r [ q S h u (Applicant if other than owner, a statement authorizing Applicant to act as ag nt for owner must accompany this application.) APPLICANT INFORMATION: ADDRESS S 8 L / _5- c S CITY: STATE; ZIP ' N_ EMAIL L /- r" C=- .-, PHONE #: Home ( ) `!.5 - 1— S y7 (e Work ( ) 3S/ /gi s— Cell ( ) CONTRACTOR Please Complete the Entire Application! If the question does not apply fill in NA for non applicable Cell ( MAILING ADDRESS: CITY PHONE #: Home Work Cell ( EMAIL FAX IDAHO REGISTRATION # & EXP How many buildings are located on this property Did you recently purchase this property? No Yes (If yes, list previous owner's name) Is this a lot split. NO YES (Please bring copy of new legal description of property) PROPOSED USE: P.St stir- 0 d- a (i.e., Single Family Residence, Multi Famil y, Apartments, Remodel, Garage, Commercial, Addition, Etc.) ATE ZIP DATE APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury, I hereby certify that I have read this application and state that the information herein is correct and I swear that any information which may hereafter be given by me in hearings before the Planning and Zoning Commission or the City Council for the City of Rexburg shall be truthful and correct. I agree to comply with all City regulations and State laws relating to the subject matter of this application and hereby authorized representatives of the City to enter upon the above - mentioned property for inspections purposes. NOTE: The building official may revoke a permit on approval issued under the provisions of the 2003 International Code in cases of any fals tatement or misrepresontation of fact in the application or on the plans on which the permit or approval was based. Permit void if not started within , 0 days. Permit void if work stops for 189-days. Owner /Applicant j // l Q DATE WARNING — JILDING PERMIT MUST BE POSTED ON CONSTRUCTION SITE! Plan fees are non - refundable and are paid in full at the time of application beginning anuary 1.2005 City of Rexburg's Acceptance of the plan review fee does not constitute plan approval **Building Permit Fees are due at time of application ** * *Building Permits are void if your check does not clear** Built___ _g Safety Department City of Rexburg 35 N I st E Phone: 208.372.2326 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3022 C I T Y O F REXBURG America's Family Community Affidavit of Legal Interest A. Signature OF REXB URC Subscribed and sworn to before me the day and year first above written. State of Idaho County of Madison I, � [ - /� tt t ✓�`. �O / cj L/ -I-L -c c - 7�Crr= f.�/�t �.:' Name Address Qc'x 13a —C-1 Cit Being first duly sworn upon oath, depose and say: =- State (If Applicant is also Owner of Record, skip to B) to submit the accompanying application pertaining to that property. r,5YY0 That I am the record owner of the property described on the attached, and I grant my permission to: �,fC�,�G ,per k � Name Address B. I agree to indemnify, defend and hold Rexburg City and its employees harmless from any claim or liability resulting from any dispute as to the statements contained herein or as to the ownership of the property which is the subject of the application. Dated this r� P �' day of 20 / y F �I Notary POGic of Idaho Residing at: M0 j p My commission expires: - c) 4 / a 3 Bubuing Safety Departmenr 35N 1srE Rexburg, ID 83440 www.rexburg.org City of Rexburg Phone: 208.372.2326 Fax: 208.359.3022 O4 gEXB SRC u '9 o C I T Y OF R . E . XBURG OW Americas Family Community Property Lines Each site plan that is submitted to the City of Rexburg for the Building Permit process requires that property lines are shown accurately. It is the Developer's responsibility to correctly identify on the site plan the location of these lines in reference to the public right -of -way, other adjoining property lines, the street, other structures and all utility lines. The Developer should find property pins that are still available at the lot in question. If these pins do not exist or have become unrecognizable then a new survey should be performed. Accurate property line information is a must for a timely review. In addition to finding existing property pins, legal descriptions should be checked. The best way to identify property line location is with a land survey. The City of Rexburg has aerial photos and a parcel line layer that can be checked, but they are only a tool and are not guaranteed for accuracy. If you want to request a copy of your lot, see the front counter at the Community Development Department. I have read and understand the above requirements. Signature Printed Name 7 -I y pro Date ❑ Owner or M Builder 4 Building Safety Department City of Rexburg 35 N ld E Phone: 208.372.2326 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3022 O� gEXe URC U 70 CITY O F REXBURG Americas Family Community NAME I eC PROPERTY AD RESS j �f ' Permit# SUBDIVISIO PHASE LOT BLOCK Remodeling Your Building /Home (need Estimate $ SURFACE SQUARE FOOTAGE: (Shall include the exterior wall measurements of the building) First Floor Area Unfinished Basement area Second floor /loft area Finished basement area Third floor /loft area Garage area Shed or Barn Carport /Deck (30" above grade)Area Water Meter Quantity: * * * * * * * * * * * ** *Water Meter Size: Requiredfff PLUMBING Plumbing Contractor's Name: ! -e e k i Business Name: Q' ( P I LA Address f , c4g d t„/y, City State 21b Zip�� Contact Phone: ( ) S( $�7o Business Phone: ( ) Email Fax FIXTURE COUNT /includinerout -h fixtures Clothes Washing Machine Sprinklers Dishwasher Tub /Showers Floor Drain Toilet /Urinal Garbage Disposal Water Heater Hot Tub /Spa Water Softener _- Sinks (Lavatories, kitchens, bar, mop) Plumbing Estimate (COMMERCIAL /MULTI - FAMILY ONLY) Signature of Licensed Contractor License Number& Expiration Date Date 5 Builaing Safety Department City of Rexburg 35 N I5f E Phone: 208.372.2326 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3022 O� REXB URC � 7 0 C IT Y OF R ___ ow Americas Family Community NAME J,' M ,V` PROPERTY AD RESS I G V i l" t t, Permit# SUBDIVISION PHASE LOT BLOCK Required.!!f MECHANICAL Mechanical Contractor's Name Business Name Address �/ /�/ffj,�j Ciry AOW,4� : Cell Phone ) � �- �/70 Business Phone (94) Fax l J,»✓�'`� Email .aG�,/. v Mechanical Estimate $ (Commercial / Multi Family Only) FIXTURES & APPLIANCES COUNT Furnace Furnace /Air Conditioner Combo Heat Pump Air Conditioner Evaporative Cooler Unit Heater Space Heater Decorative gas -fired appliance Incinerator System Boiler (Single Family Dwelling Only� `/y fleeA Exhau or Vent Ducts (water heater) Dryer Vents Range Hood Vents Cook Stove Vents Bath Fan Vents other similar vents & ducts: p P A�� Ieater Fuel Gas Pipe Outlets including stubbed in or future outlets 2 1# Inlet Pressure (Meter Supply) PSI Heat (Circle all that app),yr Gas AMAoal Fireplace Electric Hydronic Ile � W05 Licensed Contr ctor License number — Y /SLIP _ IF Date Z Building Safety Department City of Rexburg 35 N 1 sr E Phone: 208.372.2326 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3022 OF pEXa juj 4 �O CITY OF R Americas Family Community OWNER'S NAME PROPERTY ADDRESS SUBDIVISION PHASE LOT BLOCK Permit# HOME OWNER'S ELECTRICAL PERMIT Home Owner's Name Address Cell Phone ( ) Fax ( ) City State Zip Home Phone ( ) TYPES OF INSTALLATION (New Residential includes everything contained within the residential structure and attached garage at the same time) 0 For power supplier requirements visit www.rockymtnpower.net ❑ *Up to 1,500 sq ft - $72 ❑ *1,501 to 2,500 sq ft - $120 ❑ *2,501 to 3,500 sq ft - $168 ❑ *3,501 to 4,500 sq ft - $216 ❑ * *Over 4,500 sq ft - $216 plus $.04 /sq ft: sq ft total • Existing Residential (# of Branch Circuits) - $40 plus $10 per circuit: # of circuits • Temporary Construction Service, 200 amp or less, one location (for a period not to exceed 1 year) - $40 • Spa, Hot Tub, Swimming Pool - $40 plus $40 grounding grid where applicable ❑ Electric Central Systems Heating and /or Cooling (when notpart of a new residential construction permit and no additional u4iin,g) - $40 ❑ Modular, Manufactured or Mobile Home - $50 plus $10 per circuit ❑ Other Installations: Wiring not specifically covered by any of the above: Cost of W1 inng & Labor. $ (Includes the cost of materials installed regardless of the par y supplying it). ❑ Pumps (Domestic Water, Irrigation, Sewage): horse power • Requested Inspections (of existing wiring) - $40 /hr (1 hour minimum) plus $40 /hr thereafter *Includes a maximum of 3 inspections. Additional inspections charged at requested inspection rate of $40 per hour. ** Includes a maximum of 4 inspections. Additional inspections charged at requested inspection rate of $40 per hour. Signature of Home Owner Date 7 Building Safety Department �y °� ,vt � llXBE:R °a C I T Y o F City of Rexburg ° R 35N l Phone: 208.372.232 Lv - -c— Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3022 2 America3 Family Community `° '� OWNER'SNAME PROPERTYADDRESS� Pe_mit# SUBDIVISION PHASE LOT BLOCK Required!!! MECHANICAL Mechanical Contractor's N e: ,�' ;( B usiness � // t', � � � � K Name: T Address Ci ry ,� �l 1 State � _ ) —�� p Contact Phone: =�'� (%'.cam) Business Phone: Email Fax ZV Mechanical Estimate $ SCI °'' (Commercial /Multi Family Only) FIXTURES & APPLIANCES COUNT (Single Family Dwelling Onlp) Furnace Exhaust or Vent Ducts Furnace /Air Conditioner Combo Heat Pump Air Conditioner Evaporative Cooler Unit Heater Space Heater Decorative gas -fired appliance Incinerator System Boiler Dryer Vents Range Hood Vents Cook Stove Vents Bath Fan Vents other similar vents & ducts: Pool Heater Fuel Gas Pipe Outlets including stubbed in or future outlets Inlet Pressure (Meter Supply) PSI Heat (Circle all that apply) Ga Oil Coal Fireplace,.O�lectri Hydronic Required! Signature of Licensed Contractor License number Date 0 3 BU11L...g Safety Department City of Rexburg 35 N 1 sr E Phone: 208.372.2326 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3022 o �pexapp� �� IO ,� 9 U O CITY O F REXBURG Ow Americas Family Community OWNER'S NAME Tf j I t �.� PROPERTY ADDRESS �? Permit# SUBDIVISION PHASE LOT BLOCK Requiredffl ELECTRICAL Electrical Contractor's Name o u (:�" L., Business Name I K It�d p Et Addr j3&S:: u3 67S S Ciry State '1 Zip ` 4/yn Cell Phone (?68) - 9 Business Phone ( ) Fax ( Electrical Estimate (cost of wiring & labor) $ (COMMERCIAL /MULTI - FAMILY ONLY) (Includes the cost of materials installed regardless of the party supplying it). TYPES OF INSTALLATION (New Residential includes everything contained within the residential structure and attached garage at the same time) RESIDENTIAL ONLY ❑ *Up to 1,500 sq ft - $72 ❑ *1,501 to 2,500 sq ft - $120 ❑ *2,501 to 3,500 sq ft - $168 ❑ *3,501 to 4,500 sq ft - $216 • * *Over 4,500 sq ft - $216 plus $.04 /sq ft: sq ft total • Existing Residential (# of Branch Circuits) - $40 plus $10 per circuit: # of circuits ❑ Temporary Construction Service, 200 amp or less, one location (for a period not to exceed 1 year) - $40 ❑ Spa, Hot Tub, Swimming Pool - $40 plus $40 grounding grid where applicable ❑ Electric Central Systems Heating and /or Cooling (when not part of a new residential construction permit and no additional wiring) - $40 ❑ Modular, Manufactured or Mobile Home - $50 plus $10 per circuit Other Installations: Wiring not > s p j ecifically covered by any of the above: Cost of Firing & Labor. / d (Includes the cost of materials installed re gardless of the perry supplying it). ❑ Pumps (Domestic Water, Irrigation, Sewage): horse power ❑ Requested Inspections (of existing wiring) - $40 /hr (1 hr minim plus $40 /hr thereafter *Includes a maximum of 3 inspections. Additional inspections charged at requested inspection rate of $40 per hour. ** Includes maximum of 4 inspecti . Additional inspections charged at requested inspection rate of $40 per hour. Si afar o icense ontractor LicenseAurnber Date 8 SUBCONTRACTOR LIST Excavation & Earthwork: Masonry: Pain Floor Ck k1 S Ro ws e of ✓� Ga Special Construction (Manufacturer or Supplier) Roof Trus Floor /Ceiling Joi Siding /Exterior 6 N EXEMPTI JS FROM STATE RE _ - STRATION As of January 1, 2006, the City of Rexburg can no longer sell permits without having a copy of your State registration number or your exemption from the State registration. Please send a copy of your state registration or fill out this form showing your exemption and send it with your license renewal or your next permit application. (This list is a summarization of Idaho Code Title 54 Chapter 5205, for full definitions of these exemptions please see the State's website at wwwdbol.idaho.gov /cont htm ❑ Currently State licensed pursuant to Title 54 Idaho Code, Chapters: 3 Architects, 10 Electrical Contractors /Journeyman, 12 Engineers /Surveyors, 19 Public Works Contractors (exempt from fee only registration required), 26 Plumbing /Plumbers, 45 Public Works Construction Management Licensing Act (exempt from fee only registration required), or 50 Installation of heating, ventilation and air conditioning systems ❑ Employee or volunteer of a licensed contractor or part of an educational curriculum or nonprofit charitable activity with no wages or salary ❑ Employee of a US Government agency (State, City, County, or other municipality) ❑ Public Utility doing construction, maintenance, or development to its own business ❑ Involved with gas, oil or mineral operations ❑ Supplier doing no installation or fabricating ❑ Contracting a project or projects with a total cost less than $2000 ❑ Operation of a farm or ranch or construction of agriculture buildings exempt from Idaho Building Code ❑ Any type of water district operations ❑ Work in rural districts for fire prevention purposes ❑ Owner who performs work on own property or contracts with a registered contractor to do work as long as the property is not for resale within 12 months �( Owner or lessee of commercial property performing maintenance, repair, alteration or construction on that property ❑ Real estate licensee /property manager acting within Idaho Code ❑ Engaging in the logging industry ❑ Renter working on the property where they live with the property owners approval ❑ Construction of a building used for industrial chemical processing per Idaho Code ❑ Construction of a modular building (defined by Idaho Code) to be moved out of state I her certify that the above information is true and correct to the best of my knowledge. —I`/- 70 /o Date Pe{ A Print Name TO: Val Christensen, City of Rexburg FROM: Perry Shumway, Teriyaki Express DATE: September 27, 2010 RE: Projected Timeline: Teriyaki Express expansion into former Hogi Yogi building • October 2010 • Move trailer to building; use trailer solely for cooking, utilizing building for everything else • Finalize SBA - backed financing package through The Development Company • Purchase kitchen equipment: • Exhaust hood system w/ fire suppression, heated makeup air • Charbroiler grills, deep fryer, hot plate • Rice cookers • Point -of -Sale system • Pass - through food warmer • Three -basin sink • 2nd exhaust hood for rice cookers • Other misc. equipment o Receive the purchased equipment • November 2010 • Install the equipment • Finish interior construction work: ■ Remove old cabinets, fixtures ■ Painting, interior and exterior ■ Framing, sheetrock, doors, painting of new kitchen • Repair freezer compressor • Exterior: Paint parking stripes, perform pre - winter landscaping • December 2010 o Finish all construction, installations • Inspections: • City of Rexburg • District 7 Health Department • Fire marshall • Rectify anything that inspections turned up • Re- inspect as necessary • Train employees for new setup • lanuary 2011 o Remove the trailer and become fully open for business inside the building TO: Val Christensen, City of Rexburg FROM: Perry Shumway, Teriyaki Express DATE: September 27, 2010 RE: Building Permit Application We seek to temporarily move our trailer to the former Hogi Yogi location at 110 Viking Drive, and utilize the trailer strictly as a temporary kitchen facility, until we can complete the interior construction and begin cooking inside the building. We would (upon health department approval) immediately start to serve people inside the building, performing cash register functions, food preparation and warming, and sanitation inside the building. The trailer would only serve as a temporary mobile kitchen for us. Interior renovations for this project would include the following: 1. Addition of non -load bearing walls with two doors, to setoff the kitchen and food prep area from the rest of the building. 2. Installation of a Type -I exhaust hood with fire suppression system and heated makeup air, under which we will place two grills, a hot plate and a deep fryer. We will not use the deep fryer until we install a grease trap, after which we will schedule an inspection from the city. Grease from the grills is currently collected in underbelly trays, which we empty every night into a grease repository for collection by a recycling company. 3. Installation of a Type -II exhaust hood to collect steam from an array of four rice cookers beneath it. 4. Connection of two commercial sinks to existing water supply lines. 5. All necessary electrical and natural gas connections to make the equipment operational. 6. Installation of a point -of -sale cash register system. 7. Repainting of parking stripes outside, exterior walls, interior walls and ceiling. When this work is complete, we will remove the trailer and perform all functions from inside the building. i �EFR�G. O c ti F ie xr °o d 8F v�KgG - T RICE -4t OQ6 3 i� a t oo Fo o p r- vv inE� A ND FooD C ou r4l P. 2 i Co� � Cou rq �$u y r -- — THRv W t Npow xv IFoQK\ � � u t)f l Yn /..1 l.sa OR S IDeWAL -VI Building Safety Department City of Rexburg 35 N I5t E Phone: 208.372.2326 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3022 'ion 4exa l7 U � � C I T Y O F MXBURG America's Family Communih Business Application Questionaire (for the purpose of wastewater permitting) 1. Type of business or establishment? 2. Will this business be doing any type of food preparation or cooking? 10. Will there be any types of chemicals used at this facility, other than household cleaning solutions? Yes No 11. Is there any manufacturing of products at this facility? Yes No �'i+�- �0 Applicant Si re Date Building Safety Department City of Rexburg 35 N Ist E Phone: 208.372.2326 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3022 OF REXB °RC U �O C I T Y O F REXBURG Americas Family Communig Site Plan Checklist Application Information Applicant: pe, zS�t,tti Applicant's Address: Project Address: 11 p V; �tA Permit Number: Phone: -� 5-1 &3 5_ FAX: i City: �9 6 11 CA ST: - rA _ Zip: K 3Ho Recorded Owner: �_ I e, o f Co vwm, / ' - Phone: ��`1 175 FAX: Recorded Owner Address: (0 1 "l e - eyiP hr, City: (Ze ST: � Zip: Development Information 0 Site plan must be drawn to scale, be legible and also be submitted electron' J g electronically if possible. l� 2. Adjoining streets labeled. 3. Right -of -way location and width, curb to curb v"idths and sidewalk location. LA 4. Building location, sq footage and dimensiotts� with distance to property lines and distances between buildings. ❑ 5. Show existing and proposed easements. ❑ 6. Existing utilities (waterlines, sanitary wex lines, manholes, storm drains). ❑ 7. Proposed utilities including tie in' lo6ti n to existing services and new easements. ❑ 8. Proposed storm drain and anitary sewer elevations (for pipe inverts at manholes and catch basins). ❑ 9. Storm drainage plan for parkingJot and roof areas, with calculations. ❑ 10. Fire hydrants and fire suppression -;link (including tie to City lines). ❑ Sprinkled ❑ Not Sprinkled ❑ 11. Indicate Fire apparatus access. ❑ 12. Parking (including parking lot, drainage arrows, dimension of lot, distance between rows, and total numbers). ❑ 13. Landscaping (type and total area, including dimensions). ❑ 14. Trash facilities. ❑ 15. North Arrow ❑ 16. Drawing to Scale, including a graphic scale (11 %2 x 17" paper if possible). ❑ 17. Proposed street improvements (curb, gutter, sidewalk, pavement, etc.) ❑ 18. Legal description of proposed building site included. ❑ 19. Percent of lot covered by building or paving calculated. ❑ 20. Show 10% snow storage area. ❑ 21. Distance of entrances from street corner indicated. ❑ 22. Current Vicinity Map. (81/2 x 11 ") at 1" = 300' scale, showing location of the property. ❑ 23. Lighting Plan NOTE: SITE PLANS MUST BE COMPLETE AND SUBMITTED FOR REVIEW BEFORE THE PROJECT WILL BE PLACED ON THE PLANNING & ZONING AGENDA. °'�' -3(09 TO: Val Christensen, City of Rexburg FROM: Perry Shumway, Teriyaki Express DATE: August 30, 2010 RE: Request to move the trailer I request permission from the city to move my Teriyaki Express trailer from its current location at 167 W. Main Street to a temporary spot behind the back door of the former Hogi Yogi building, and that I be given permission to utilize the former Hogi Yogi building for all aspects of my Teriyaki Express restaurant - cashier sales, food warming, food preparation, food serving, and eating - starting on September 1. My plan is to install the necessary kitchen equipment into the building and get it inspected and approved as soon as possible (please see attached timeline), while in the meantime continuing to use my already approved and operational trailer strictly as a kitchen, for cooking the food. Once the kitchen inside the building is complete and approved, I will move the trailer and cease to operate it in its current capacity. The purpose for moving the trailer is to provide a temporary means of cooking our food while the real kitchen is being built. With the return of the BYU -Idaho students and the onset of winter, it will be advantageous for me to shift operations from outdoors to the former Hogi Yogi building, for which I have been paying rent since the beginning of June. Operations inside this building are projected to increase sales, thereby enabling me to hire more people from the local community. I will also thereby continue to provide a unique and highly popular food option to the community which, up to now, has not been available. The placement of the trailer outside the building would be only temporary, and the trailer itself would not serve as a retail sales counter or a place for customer interaction or sales. Instead, it would solely serve as the place for us to cook our food, until the time when our inside kitchen is complete and ready to go, at which point we would remove the trailer entirely. Inside the restaurant, we will close off the construction area to the general public by hanging plastic sheets from the ceiling, thereby also avoiding contamination of the food. We will leave a cleared pathway for food to be brought inside from the trailer. Thank you for your consideration in this matter. If you have further questions, my cell phone number is 351 -1835. TO: Val Christensen, City of Rexburg FROM: Perry Shumway, Teriyaki Express DATE: August 30, 2010 RE: Projected Timeline: Teriyaki Express expansion into former Hogi Yogi building • September 2010 o Move trailer to building; use trailer solely for cooking, utilizing building for everything else o Finalize SBA - backed financing package through The Development Company o Purchase kitchen equipment: • Exhaust hood system w/ fire suppression, heated makeup air • Charbroiler grills, deep fryer, hot plate • Rice cookers • Point -of -Sale system • Pass - through food warmer • Three -basin sink • 2nd exhaust hood for rice cookers • Other misc. equipment o Receive the purchased equipment • October 2010 • Install the equipment • Finish interior construction work: • Remove old cabinets, fixtures • Painting, interior and exterior • Framing, sheetrock, doors, painting of new kitchen • Repair freezer compressor • Exterior: Paint parking stripes, perform pre - winter landscaping • November 2010 • Finish all construction, installations • Inspections: • City of Rexburg • District 7 Health Department • Fire marshall • Rectify anything that inspections turned up • Re- inspect as necessary • Train employees for new setup • December o Become fully open for business coo � �o FOR,P K O&I YOGI 3 I E rJrR d � T �- Ll S lbev/Alv, Y I kI NU bkoF w �,.,�. Web Site �I00 a+ http: / /www.hoodmart.com Quote Phone # 800 - 715 -1014 Fax # 800 - 716 -1214 Date Quote # 7/26/2010 HM 10229 Signature: Date: Page 1 Name / Address Ship To Perry Shumway Rexburg, ID Customer Phone Customer Fax Customer E -mail Rep bluntinstrument9 @hotmail.com Pat Item Description Qty Total 2009PFS 9' 6" x 48" Low Ceiling Stainless Steel Front and Ends..w /Perforated Supply Plenum 1 9,729.00 Front: 12" Back: 24" Includes:Filters, Pre -Wired Lights, Stainless Grease Cup and Hanging Brackets +3" Air Gap on Back HMEX36B - UL762 Exhaust Fan HMSFT -2 Direct Fired Heated Make Up Air Unit Down Discharge, Natural Gas, Single Phase 208 or 230 Volt (Heated MUA to be used for Hood 1 and Hood 2) Total MUA CFMS 3320 (for Both hoods) Mounting Curb for Exhaust and Supply -- Pitched Roof Plus Pre -Piped Fire Suppression System (Does NOT Include Final Hook Up, Permits, Final Test)Includes: Nozzles and detection brackets affixed to the hood with hangers, Micro Switch, Remote Pull Station, Mechanical Shut Off Valve, Control Heads, Tanks and Brackets Options: HMO250 ELEC -BOX ELECTRICAL CONTROL PACKAGE 480.00 1 Exhaust /1 Supply Single or Three phase SS -WALL Stainless Wall Panel 9'6"L x 80 "H includes seam strips and end caps 10 625.00 Terms: PREPAID OR CREDIT CARD Total Special Conditions: All price quotes are valid for thirty (30) Days from the above date, and ALL SALES ARE FINAL. All installations, electrical, roof seals, permit fees, architectural services, stainless steel wall panels and/or shrouds, duct enclosures, fire wrap, final hook up of fire system, and clearance to combustible requirements are NOT included unless specified in writing above. Seller Will NOT be liable for; but not limited to, any consequential or indirect damages, or for any delays, or for any incurred costs, or any other situation(s). Any and All disputes involving Hood Mart, Inc. will be handled in accordance with the Ohio Revised Codes in Ohio Courts. Below signature acknowledges ALL terms stated above. Thank you for the opportunity to serve you. We here at Hood Mart, Inc. look forward to meeting all of your ventilation needs. Signature: Date: Page 1 3H1100C11WV&jVt Web Site http: / /www.hoodmart.com Quote Phone # 800 - 715 -1014 Fax # 800 - 716 -1214 Date Quote # 7/26/2010 HM10229 Signature: Date: Page 2 Name / Address Ship To Perry Shumway Rexburg, ID Customer Phone Customer Fax Customer E -mail Rep bluntinstrument9 @hotmail.com Pat Item Description Qty Total MISC Duct for Hood 1 4'L (14" x 20 ") 280.00 Duct for Hood 2 4'L (10" x 12 ") EXSS08 Hood 2 1,885.00 7'6 "x 36" Low Ceiling Type 2 Stainless Steel Exhaust Only Condensate Hood Packages 12" All Around Includes:Loose Wire Mesh Filter, Hanging Brackets and Full Perimeter Gutter HMEX20D Exhaust Fan-UL762 Mounting Curb for Exhaust Fan-- Pitched Roof FRT Free Freight for orders $5999 or more Shipping Surcharges for Residential Delivery and Special Requests may Apply Terms: PREPAID OR CREDIT CARD Total $12,999.00 Special Conditions: All price quotes are valid for thirty (30) Days from the above date, and ALL SALES ARE FINAL. All installations, electrical, roof seals, permit fees, architectural services, stainless steel wall panels and/or shrouds, duct enclosures, fire wrap, final hook up of fire system, and clearance to combustible requirements are NOT included unless specified in writing above. Seller Will NOT be liable for; but not limited to, any consequential or indirect damages, or for any delays, or for any incurred costs, or any other situation(s). Any and All disputes involving Hood Mart, Inc. will be handled in accordance with the Ohio Revised Codes in Ohio Courts. Below signature acknowledges ALL terms stated above. Thank you for the opportunity to serve you. We here at Hood Mart, Inc. look forward to meeting all of your ventilation needs. Signature: Date: Page 2 /0-348 iMA, VOLIN O7lf 3ram HOOD 3HO1a P.O. Box loon CAMBRIDQE OH 43725 Www- heodMw*.cgm PHONES (200) 715 -1014 FAM (800) 716 -1214 Hood Installation Instructions Consult NFPA 96 and Local Codes before installing you hood system or exhaust ductwork. Installation of Wall Hood or Island Hood Use extreme care when uncrating, handling, and installing the hood. Steel surfaces are costly to repair when damaged. All HoodMart Inc. hoods include hanging brackets that can be found at the top of the hood. 3/8" diameter threaded rod should be used with necessary nuts, washer, etc. To determine the exact location of the hood consult your project plans and drawings. After determining where the hood is to be hung, prepare the structural support system using inserts, shields, angle iron, etc. and 3/8" threaded rod and turnbuckles. After all the necessary preparations have been made, prepare the hood for lifting by providing the appropriate lifting equipment. When all hanging material has been attached, lift the hood into position and secure it to the structural framing. The bottom edge of the hood should be mounted 6'6" from the finished floor. Hood should be hung at an angle so grease will drain towards removable grease container and, where possible, the exhaust hood outlet should be in line with the exhaust fan opening. Duct runs, offsets, elbows, etc. should be as simple and direct as possible. After securing the hood to the framing, baffle type grease filters should be installed. To prevent loss or damage, filters may be packaged separately. Unwrap grease container and slide into bracket at end of grease trough. Consult HoodMart Inc. for replacement filters and grease cups. Light bulbs are not supplied and are provided by the customer. A maximum of 100 watts will be adequate. P P , Ai- A -r'Ot1M 0173 3rOP HOOD 3H0p P.O. Box 1808 Cambridge, OH 43725 Phone: 1- 800 - 715 -1014 Fax: 1- 800 - 716 -1214 www.hoodmart.com Exhaust Hood Assemblv • Monthly o If belt drive system, check condition of drive belts for proper tension. Adjust belt tension if necessary, as belts tend to stretch during break in period. o Check belts for fraying and wear, replace when necessary. o Clean exhaust fan wheel and inside of fan housing. Heavy grease build -up can be a fire hazard and can also cause exhaust wheel to become unbalanced, a condition that will result in premature bearing wear. Make-Up Air Fan Assembly • Bi- Weekly o Check condition of supply air filters during the break -in period of approximately two months to determine and establish a proper cleaning schedule. o Filters can be cleaned with mild detergent or degreaser if necessary. • Monthly o If belt drive system, check condition of drive belts for proper tension. Adjust belt tension if necessary, as belts tend to stretch during break in period. • Check belts for fraying and wear, replace when necessary. • Clean intake filter(s) using water and mild detergent. • Inspect and clean fan housing removing any debris that may have accumulated. iM,A +jaum on& 3r0p HOOD 3`HOIN P.O. Box 1808 Cambridge, OH 43725 Phone: 1-800-715-1014 Fax: 1-800-716-1214 www.hoodmart.com System Maintenance Instructions Hood • Daily • Inspect grease filters checking for accumulated grease, clean if necessary (instructions stated below) • Remove grease trough and grease cup; empty contents and clean using mild detergent or degreaser if necessary. • Wipe interior of hood to remove accumulated grease and debris using mild detergent or degreaser if necessary. Do not use abrasive cleaners such as powder cleaners or abrasive cleaning cloths. • Wipe globes on lights. • Weekl o Remove baffle grease filters and wash in dishwasher or sink with mild detergent. If application is in a heavy grease - producing environment, more frequent cleaning may be required. • Clean entire interior of the hood prior to replacing baffle filters. Use mild detergent degrease if necessary, do not use abrasive cleaners or abrasive cleaning cloths. • Stainless steel hood should be polished with stainless steel polish to preserve the luster and finish. F . i \ �JoLfiq 0/76 srcp a000 SHOP P.O. Box 1808 Cambridge, OH 43725 Phone: 1-800-715-1014 Fax: 1- 800 - 716 -1214 www.hoodmart.com Wiring All wiring should be installed in accordance with NFPA 70 (National Electric Code) Complete any wiring that is required. If power and /or control wiring is supplied with Roof top Unit, extend to junction box on top of the hood. Ductwork NFPA 96 standards require exhaust duct to be installed using 16 gauge carbon steel or 18 gauge stainless steel and all joints and seams must be welded liquid tight. Check your local codes to ensure that your hood system will conform with all requirements. In addition, NFPA 96 Requires that a minimum of 1500 FPM velocity be maintained in the exhaust duct. NFPA 96 does not specify a maximum although the velocity should not exceed 2200 FPM. Make -Up air ductwork should contain adequate filtering provisions in the system prior to it introduction into the space or into the hood. Clearance to Combustible Materials NFPA 96 States " Where 18 inch clearance is required for unprotected combustible material, the clearance may be reduced if the combustible material is protected by an engineered construction system acceptable to the authority having jurisdiction, or by the use of materials or products listed for protection purposes." MART YOUR ONE S roP HOOD Mood Uw% ina. P.O. INIM 1806 C8n*r1d8•, 0110 48725' 14MO.715.101a EQUIPMENT LIST 'i� X W ' 2 3 1 44 f! A; 19 1' 13 12 W INSTALLATION DIAGRAM *1. Exhaust Hood it 2. Exhaust Fan * 3. Make Up -Air Fan * 4. Roof Curbs * 5. Vapor -Proof Light * 6. Grease Filters * 7. Grease Cup • 8. Duct Openings • 9. Duct Collars • 10. Insulated Mua • 11. Air Gap • 12. Stainless Steel Back Splash • 13. Trim Strips • 14. Exhaust Duct • 15. Mua Duct • 16. 90° Elbows and/ or Offsets for Exhaust and Mua • 17. Hanger Brackets • 18. Full Threaded Rod • 19. Unistrut * = Included in Package • = Optional Equipment HOOD SYSTEMS BUILT FOR HOOD SYSTEMS EQUIPMENT FOR THE REMOVAL BUILT FOR I*] ' OF SMOKE AND GREASE LADEN FOOD SERVICE US L VAPORS FROM COMMEAClAL EQUIPMENT MPPA® ( fit L COOKING EQUIPMENT TO STD, NSF-2 QD FANS MEMBER IHIOOCZMart Web Site http: / /www.hoodmart.com Quote Phone # 800 - 715 -1014 Fax # 800 - 716 -1214 Date Quote # 7/26/2010 HM 10229 Signature: Date: Page 1 Name / Address Ship To Perry Shumway Rexburg, ID Customer Phone Customer Fax Customer E -mail Rep bluntinstrument9 @hotmail.com Pat Item Description Qty Total 2009PFS 9'6" x 48" Low Ceiling Stainless Steel Front and Ends..w/Perforated Supply Plenum 1 9,729.00 Front: 12" Back: 24" Includes:Filters, Pre -Wired Lights, Stainless Grease Cup and Hanging Brackets +3" Air Gap on Back HMEX36B - UL762 Exhaust Fan HMSFT -2 Direct Fired Heated Make Up Air Unit Down Discharge, Natural Gas, Single Phase 208 or 230 Volt (Heated MUA to be used for Hood 1 and Hood 2) Total MUA C FMS 3320 (for Both hoods) Mounting Curb for Exhaust and Supply -- Pitched Roof Plus Pre -Piped Fire Suppression System (Does NOT Include Final Hook Up, Permits, Final Test)Includes: Nozzles and detection brackets affixed to the hood with hangers, Micro Switch, Remote Pull Station, Mechanical Shut Off Valve, Control Heads, Tanks and Brackets Options: HMO250 ELEC -BOX ELECTRICAL CONTROL PACKAGE 480.00 1 Exhaust/1 Supply Single or Three phase SS -WALL Stainless Wall Panel 9'6"L x 80 "H includes seam strips and end caps 10 625.00 Terms: PREPAID OR CREDIT CARD Total Special Conditions: All price quotes are valid for thirty (30) Days from the above date, and ALL SALES ARE FINAL. All installations, electrical, roof seals, permit fees, architectural services, stainless steel wall panels and/or shrouds, duct enclosures, fire wrap, final hook up of fire system, and clearance to combustible requirements are NOT included unless specified in writing above. Seller Will NOT be liable for; but not limited to, any consequential or indirect damages, or for any delays, or for any incurred costs, or any other situation(s). Any and All disputes involving Hood Mart, Inc. will be handled in accordance with the Ohio Revised Codes in Ohio Courts. Below signature acknowledges ALL terms stated above. Thank you for the opportunity to serve you. We here at Hood Mart, Inc. look forward to meeting all of your ventilation needs. Signature: Date: Page 1 1FXC31C30C1Me&jrt Web Site Phone # 800 - 715 -1014 http: / /www.hoodmart.com Fax # 800 - 716 -1214 Quote Date Quote # 7/26/2010 HM 10229 Signature: Date: Page 2 Name / Address Ship To Perry Shumway Rexburg, ID Customer Phone Customer Fax Customer E -mail Rep bluntinstrument9@hotmail.com Pat Item Description Qty Total MISC Duct for Hood 14' L (14" x 20 ") 280.00 Duct for Hood 2 4'L (10" x 12 ") EXSS08 Hood 2 1,885.00 7'6 "x 36" Low Ceiling Type 2 Stainless Steel Exhaust Only Condensate Hood Packages 12" All Around Includes:Loose Wire Mesh Filter, Hanging Brackets and Full Perimeter Gutter HMEX20D Exhaust Fan-UL762 Mounting CUrb for Exhaust Fan-- Pitched Roof FRT Free Freight for orders $5999 or more Shipping Surcharges for Residential Delivery and Special Requests may Apply Terms: PREPAID OR CREDIT CARD Total $12,999.00 Special Conditions: All price quotes are valid for thirty (30) Days from the above date, and ALL SALES ARE FINAL. All installations, electrical, roof seals, permit fees, architectural services, stainless steel wall panels and/or shrouds, duct enclosures, fire wrap, final hook up of fire system, and clearance to combustible requirements are NOT included unless specified in writing above. Seller Will NOT be liable for; but not limited to, any consequential or indirect damages, or for any delays, or for any incurred costs, or any other situation(s). Any and All disputes involving Hood Mart, Inc. will be handled in accordance with the Ohio Revised Codes in Ohio Courts. Below signature acknowledges ALL terms stated above. Thank you for the opportunity to serve you. We here at Hood Mart, Inc. look forward to meeting all of your ventilation needs. Signature: Date: Page 2 l 1 r r 00 bd lot r r r d y r r y r 0 0 r O O d O O d x d y b C" C" CA H y O z (7) C r c n O y C� x n O z y 0 r x d C" C" bd n H d y O 0 0 d z n O z d y z 0 N N C" d y c� 0 z y b b u O M O b O z z H TO: Amanda Saurey FROM: Perry Shumway, Teriyaki Express DATE: November 1, 2010 RE: Review actions for building permit application: Teriyaki Express Remodel From Review Action notes dated October 5, 2010: • Emergency exit lighting required: Done. (Lighting is already in place; we bought replacement bulbs.) • Post occupancy load in dining room area: Done (A sign was made for 99 persons; a new one is on order listing 49 persons, because there is only one exit.). • Aisles are required to be 40" for ADA in all areas, etc. Done. (See attached revised drawings.) • Accessible parking and access aisle on site plans. Done. (See attached revised site plan. A wheelchair stencil is on order; the accessible parking spot and adjacent spot will be painted when it arrives.) • 18" distance to combustibles in all directions from exhaust hood and ducting. Done. (See revised drawings. The wall against which the exhaust hood rests, together with the two side walls, will have metal studs installed on top of the existing sheetrock, on top of which will be attached 5/8" fire -rated drywall and a stainless steel backplate. • Information for Type I and Type II hoods is supplied - please see attached files. From Review Action notes dated October 28, 2010: • Post occupancy load in dining room area. Done. (New sign with 49 persons maximum is on order and will be posted when complete.) • Emergency exit lighting required. Done. Already installed. • Show accessible parking and 8' access aisle on site plans with access to the building. Done. (See revised plans. Wheelchair access stencil is on order; stalls will be painted when it arrives. Also, a post with a handicap sign will be installed at the accessible parking spot. Sign has already been ordered.) • Make sure all new wiring meets the 2008 NEC. I have a telephone call in to Gary Goodnough, my electrical contractor, to make sure he understands all new wiring meets the 2008 code. I will make sure to discuss it with him before he begins any work. • Clearance between type 1 hood appliance and refrigerator, etc. Done. We moved the fridge and revised the drawing to show a 40" clearance, for ADA. Also, we will maintain 18" between appliances and combustibles. The three walls surrounding the exhaust hood will be fitted with metal studs and 5/8" fire -rated drywall, underneath the stainless steel backplate that ships with the hood. • Hood must be fitted with device to turn on and off with appliances. I have an email in to the hood supplier to see if such a device comes standard with the hood; if not, I will either order one from the manufacturer, or have my electrician install one at this end, based on the manufacturer's recommendation. Amanda Saurey From: Mick Raton [bluntinstrument9 @hotmail.com] Sent: Monday, November 01, 2010 3:41 PM To: Amanda Saurey Subject: RE: Teriyaki Express Review Notes Regarding the final action item in the October 28th review notes, which indicates the need for a device which will turn on the fan when the equipment is turned on, I just heard back from the manufacturer that this device comes standard with the hood, so we will have it. Thanks. - Perry From: amandas @rexburg.org To: bluntinstrument9 @hotmail.com Date: Fri, 29 Oct 2010 15:07:50 -0600 Subject: Teriyaki Express Review Notes Perry, I've attached the notes that we previously discussed concerning Teriyaki Express. Amanda Saurey The City of Rexburg Permit Technician P.O. Box 280 35 North 1st East Rexburg, Id 83440 208 -359 -3020 ext. 2341 amandas@rexburg.org 19 11 13 W 16 HOOD SYSTEMS BUILT FOR EQUIPMENT FOR THE REMOVAL OF SMOKE AND GREASE LADEN VAPORS FROM COMMERCIAL COOKING EQUIPMENT EQUIPMENT LIST 1. 'Exhaust Hood 2. Exhaust Fan 3. Make Up-Air Fan 4. Roof Curbs 5. Vapor-Proof Light * 6. Grease Fifte * 7. Grease Cup 0 8. Duct Openings • 9. Duct Collars 0 10. Insulated Mua • 11. Air Gap 12. Stainless Steel Back Splash • 13. Trim Strips 14. Exhaust Duct 15. Mua Duct • 16. 90 Elbows and/ or Offsets for Exhaust and Mua • 17. Hanger Brackets 18. Full Threaded Rod 19. UnIstrut Included in Package Optional Equipment HOOD SYSTEMS BUILT FOR U FOOD SERVICE v L EQUIPMENT NFPAID TO STD. NSF-2 FANS MEMBER 0 r /k \ \� \\\\ ��� 3� 18� \ \� \\\\ ��� U E z w z 0 a O U W H w A W a a a H x U z 0 H U W H W A W a N N O z H D A z 0 v al a � w V A O O O h A w w 1 H x U a a 1 A d W x a O a H z 0 U 1 x U h O a U W d' d C7 1 O N N a� n H w A A O O w A z 0 0 a 1 w O O a H 1 T � V1 A W W W W A4 w W AA x Al _ r , s ✓ � � I 1 i r o, ` ANb � NPO _w .� E S? a 3 � a � d t g g � E g ' 'Q ty� A � s i o vi UIV , i e ## r z ter^ i _n I�L x j i ................ 3O C) TF rn Fn O M m < O j v r 4 . c 11 >1 AI Z O ri w.. , . -A voum any wroa Nano sHC,v P.O. BOX is0! CAMBRIDOE� OH 45723 wWww.hoodmart.ean PHONE: (800) 713 -1014 FAX# (300) 716 -1214 Hood Installation Instructions Consult NFPA 96 and Local Codes before installing you hood system or exhaust ductwork. Installation of Wall Hood or Island Hood Use extreme care when uncrating, handling, and installing the hood. Steel surfaces are costly to repair when damaged. All HoodMart Inc. hoods include hanging brackets that can be found at the top of the hood. 3/8" diameter threaded rod should be used with necessary nuts, washer, etc. To determine the exact location of the hood consult your project plans and drawings. After determining where the hood is to be hung, prepare the structural support system using inserts, shields, angle iron, etc. and 3/8" threaded rod and turnbuckles. After all the necessary preparations have been made, prepare the hood for lifting by providing the appropriate lifting equipment. When all hanging material has been attached, lift the hood into position and secure it to the structural framing. The bottom edge of the hood should be mounted 6'6" from the finished floor. Hood should be hung at an angle so grease will drain towards removable grease container and, where possible, the exhaust hood outlet should be in line with the exhaust fan opening. Duct runs, offsets, elbows, etc. should be as simple and direct as possible. After securing the hood to the framing, baffle type grease filters should be installed. To prevent loss or damage, filters may be packaged separately. Unwrap grease container and slide into bracket at end of grease trough. Consult HoodMart Inc. for replacement filters and grease cups. Light bulbs are not supplied and are provided by the customer. A maximum of 100 watts will be adequate. Am� tMA voum One 3raw HOOD SHOP P.O. Box 1808 Cambridge, OH 43725 Phone: 1- 800 - 715 -1014 Fax: 1- 800 - 716 -1214 www.hoodmart.com Exhaust Hood Assembly • Monthly o If belt drive system, check condition of drive belts for proper tension. Adjust belt tension if necessary, as belts tend to stretch during break in period. o Check belts for fraying and wear, replace when necessary. o Clean exhaust fan wheel and inside of fan housing. Heavy grease build -up can be a fire hazard and can also cause exhaust wheel to become unbalanced, a condition that will result in premature bearing wear. Make -Up Air Fan Assembly • Bi- Weekly o Check condition of supply air filters during the break -in period of approximately two months to determine and establish a proper cleaning schedule. o Filters can be cleaned with mild detergent or degreaser if necessary. • Monthly o If belt drive system, check condition of drive belts for proper tension. Adjust belt tension if necessary, as belts tend to stretch during break in period. • Check belts for fraying and wear, replace when necessary. • Clean intake filter(s) using water and mild detergent. • Inspect and clean fan housing removing any debris that may have accumulated. t vOtlm one craw HODD 3HDP P.O. Box 1808 Cambridge, OH 43725 Phone: 1- 800 - 715 -1014 Fax: 1- 800 - 716 -1214 www.hoodmart.com System Maintenance Instructions Hood • Daily • Inspect grease filters checking for accumulated grease, clean if necessary (instructions stated below) • Remove grease trough and grease cup; empty contents and clean using mild detergent or degreaser if necessary. • Wipe interior of hood to remove accumulated grease and debris using mild detergent or degreaser if necessary. Do not use abrasive cleaners such as powder cleaners or abrasive cleaning cloths. • Wipe globes on lights. • Weekly o Remove baffle grease filters and wash in dishwasher or sink with mild detergent. If application is in a heavy grease - producing environment, more frequent cleaning may be required. • Clean entire interior of the hood prior to replacing baffle filters. Use mild detergent degrease if necessary, do not use abrasive cleaners or abrasive cleaning cloths. • Stainless steel hood should be polished with stainless steel polish to preserve the luster and finish. „ .. T NOUN 0l71E zrolv HOOD SHOP P.O. Box 1808 Cambridge, OH 43725 Phone: 1- 800 - 715 -1014 Fax: 1 - 800 - 716 -1214 www.hoodmart.com Wiring All wiring should be installed in accordance with NFPA 70 (National Electric Code) Complete any wiring that is required. If power and/or control wiring is supplied with Roof top Unit, extend to junction box on top of the hood. Ductwork NFPA 96 standards require exhaust duct to be installed using 16 gauge carbon steel or 18 gauge stainless steel and all joints and seams must be welded liquid tight. Check your local codes to ensure that your hood system will conform with all requirements. In addition, NFPA 96 Requires that a minimum of 1500 FPM velocity be maintained in the exhaust duct. NFPA 96 does not specify a maximum although the velocity should not exceed 2200 FPM. Make -Up air ductwork should contain adequate filtering provisions in the system prior to it introduction into the space or into the hood. Clearance to Combustible Materials NFPA 96 States ” Where 18 inch clearance is required for unprotected combustible material, the clearance may be reduced if the combustible material is protected by an engineered construction system acceptable to the authority having jurisdiction, or by the use of materials or products listed for protection purposes." 10-.3(08 �oo� 0 2 o va /(2 ; - 11 Z �. x' 7s I g cis c Fm y C/ x 9 s - o Flo 'l 7 S3 c Fes► 75 CF 01 -f /90 cr# L cF- m lvl -/ CITY OF REXBURG PAID BY. PERRY SHUMWAY DATE: 09/27/10 BLD /0 TIME: 14:1 RECEIPT NO: 15-88!9 51 BUILDING PERMIT DEPOSIT 100.00 CREDIT CARD AMOUNT PAY CHANGE FOR REMODEL OF HOAGY YOAGY THANK YOU AND HAVE A NICE DAY -posit $100.00 $IUU.UU 10 Cf. 00 Total: $100.00 -46-, O F , F", 17jr ITT 7 I Oil* i' JR $100.00 Total: $ 100 - 00 P OC T 0 1 2010 CITY OF REX13URG W-V Page 1 of I genpmtrreceipts Receipt Number: evelopment 440 2N qra-'An?A )evelopment Receipt Number: 13440 ?081359 -3024 j` RE - $100.00 -- - PAID BY: PERRY SHiUMWA1' $16.73 ©QKEB Paye�lPz .`Ili BLB x1109 C.NTR $0.00 'I MEa 1,3-15.53 RECEIPT NO. 162196 $0.00 — $170.00 $0.00 3 BUILDING PERMIT DEPOSIT 100.00 ion BP BLITL i1EP r'LriPd%HE%H;FE +_r' ied 5 BP BOIL. PERMITS UNDER 1 7 '2.5 _ BP PLUMB. PERMIT UNDER 4 *2 00 ee BP MECH. PERMIT LINDER a 170.00 nit Fee G BP ELECT. PERMIT MI n` +.00 3 lumbing Permit Fee ee Based Calulation base i Based Calulation based R �± _ �...: LL C ARD H�IjUN1 3'81 oo L — n. PA'r`MPN 7 ,AGO. CHANGE 0.00 FOR PERMIT #10 00365 THANK YOU AND HAVE A NICE DAY losit h J? wiY ide CREDIT CARD NIA $ 380.98 Total: $380.98 - $100.00 - $100.00 $0.00 $16.73 $16.73 $0.00 $167.25 $167.25 $0.00 $42.00 $42.00 $0.00 $170.00 $170.00 $0.00 $85.00 $85.00 $0.00 Total: $380.98 $100.00 1000368 PAID N D 9 2010 genpmtrreceipts Page 1 of 1 � Receipt Number: i., -ovelopmen PAID BY: MUlK 6uxr LtobIno DATE: 12/O7/1O 8LB /1207/CNTR TIME: 15:24:48 RECEIPT NO: 165059 REF NO: 8335 26 BP MECH. PERMIT UNDER 2 14O.00 3440 !0N)358-3824 ee Based Calulation base 1O � CHECK AMOUNT 4. 1� OO PAYMENT ^ O OO CHANGE . 66 Des on cd MECHANICAL PERMIT 01O 0O368 �Foe THANK YOU AND HAVE A NICE BAY /mbing Permit Fee | .v-***4 1,10912010 Electrical Fee Based Cowlatiom based wn Ekm 10-0564 11109Q018 Mechanical Fee Based Cu|m|oUon based unK0/ 10'0504 10010010 Permit Fee Deposit 10'0564 11/0912010 Plan Check Fee CHECK Total $140.08 $167.25 -$100.00 $85.00 $1?0.O0 $100.00 $16.73 DEC 0 7 2010 $140.00 $140.00 $140.00 $140.00 1000368 1000368 1000368 1000368 1000368 1000368 1000368 gonpmtrreovpm Page 1o[1 INSPECTION TICKET ❑ Bldg. ❑ Plumb. ❑ Elect. A Mech. ❑ Firt Inspection Request: Rec'd By Date I Req. By Phone No. Project Permit No. Address Inspection Type _ ��� O Day /Time Req. � a$ INSPECTED ITEMS CONFORM TO APPROVED DWGS INSPECTOR'S ACTION (PPROVED ❑ DISAPPROVED ❑ C.O. (FINAL) ❑ NOT APPLICABLE ACTION REQUIRED: ❑Y El ❑N /A El FINAL ❑ DID NOT INSPECT ReCt A now eagea ft* l ,s Cwv While - e C py VeN JoD C y F- FIR.Ca0 inspector's Report ❑ Res. Comm. INSPECTION TICKET Bldg. ❑ Plumb. ❑ Elect. V Mech. ❑ Fire Inspection Request: Recd By Date L Req. By Phone No. 5b g0 Project L Ct Permit No. ,f� 0a�lo8 Address /�� GU• Inspection Type Day /Time Req. inspector's Report ❑ Res. W Comm. / INSPECTED ITEMS CONFORM TO APPROVED DWGS ❑Y ❑ N ❑ N/A INSPECTOR'S ACTION ❑ APPROVED ❑ C.O. (FINAL) ACTION REQUIRED: �NO�TA�P ROV E PLICA BLE ❑ FINAL ❑ DID NOT INSPECT Signed Inspector Rec'l Acknowledged While - Office Copy F- FIR -CO03 ye®ow - .we Copy pv* - IInspechm *s copy INSPECTION TICKS' ❑ Bldg. ❑ Plumb. Y Elect. ❑ Mech. ❑ Fire Inspection Request: Rec'd By Date Req. By NA 4 4,-Ab)( * Phone No. - Permit No. 0aw Address jC Inspection Type Day /Time Req. Inspector's Report ❑ Res. 2 Comm. INSPECTED ITEMS CONFORM TO APPROVED DWGS ❑y ❑ INSPECTOR'S ACTION ❑ APPROVED VDISAPPROVED ❑ FINAL ❑ C.O. (FINAL) EINOTAPPLICABLE ❑ DID NOT INSPECT ACTION REQUIRED: �? 2 Rec't Acknowledged Whge • 01ke Copy F- FIR•C003 YeNow • Job Copy Pick - p"ecyaY CWy INSPECTION TICKET ❑ Bldg. 0 Plumb. ❑ Elect. ❑ Mech. ❑ Fire Inspection Request: Rec'd By Date Req. By �/J/. �. _ Phone No. _5&19 — 72-20 Project l L Permit No. /h '6Q 3fn� Address /l() � S Inspection Type Day /time Req. Inspector's Report ❑ Res. A Comm. INSPECTED ITEMS CONFORM TO APPROVED DWGS ❑Y ❑ N/A INSPECT ACTION PPROVED ❑ DISAPPROVED FINAL ❑ C.O. (FINAL) ❑ NOT APPLICABLE ❑ DID NOT INSPECT ACTION REQUIRED: While - Otke Copy F- FIR-CO03 *" • Job Copy Pink - , SP I M 's COPY INSPECTION TICKET ❑ Bldg. ❑ Plumb. a Elect. ❑ Mech. ❑ Fire Inspection Request: Recd By `.EG.2.i:4ti_.L Date Req. By _ Phone No l syq -9Z�Eo_ Protect i � It ,A -8 t Permit No. l C 6 0 ,� Y Address ; i �_ `' 4 4-1- s Inspection Type — L� Day /Time Req. C tt�-r, Inspector's Report ❑ Res. a Comm. IIVSI'tU I ED I1 EMS C:UNFUKM 7U APPKUVED DWGS LJY ❑ N PJ N/A INSPECTOR'S ACTION E) APPROVED [I DISAPPROVED Q AL ❑ C.O. (FINAL) ❑ NOT APPLICABLE DID NOT INSPECT ACTION REQUIRED: D i&% Rec't Acknowledged While - Office Copy Yellow - Job Coq Pink - Ingp 1w Coq F- FIR•CO03 INSPECTION TICKS ❑ Bldg. � Plumb. ❑ Elect. ❑ Mech. ❑ Fire Inspection Request: Rec'd By ,1 , J Date 3 l l — Re q. By 1. J� fry Phone No. �� fad Project " - � �Co�%sS Permit No. .10 60910 Address- W • 4+ Inspection Type F1 AL, Day /Time Req. It 48 ( ` t G y 4 - Inspector's Report ❑ Res. )4 Comm. 6) s b1 F% aj Pr�a �PCVl -) o#; INSPECTED ITEMS CONFORM TO APPROVED DWGS INSPECTOR'S ACTION El APPROVED 21] 'ISAPPROVED ❑ C.O. (FINAL) ❑ NOT APPLICABLE Who* • Office Copy F- FIR•CO03 ❑Y El ❑N /A El FINAL ❑ DID NOT INSPECT *Now - Job Copy Pink - kapodw copy INSPECTION TICKET ❑ Bldg. ❑ Plumb. 0 Elect. ❑ Mech. ❑ Fide Inspection Request: Rec'd By Date Req. By A,l Phone No. 5(09' — 5::w(o Project "; rAe i '$f X D,-e94 Pennit No. 16 r1(L (n8 Address LIB` S Inspection Type /JV,4 C� �c ti�spec� Day /Time Req. Inspector's Report ❑ Res. P Comm. INSPECTED ITEMS CONFORM TO APPROVED DWGS INZIPPROVED TOR'S ACTION W.0. (FINAL) ❑ DISAPPROVED ❑ NOT APPLICABLE ❑ Y ❑ N M N/A 0 FINAL ❑ DID NOT INSPECT ACTION REQUIRED: ls� Signe � � Inspector Rec't Acknowledged While - Ofte copy *Now • Job Coq Pk*-' IF AM 'g Copp F- FIR -CO03 AR I NS Sprinklers andscaping (ZOa) 356 6639 -. BACKFLOW PREVENTION ASSEMBLY TEST REPORT Return No Later Than: Name of Premise: 1 al _;�AX L �' .�::._.� File No: Service Address: 116 A } . bj L Location of Assembly: Assembly: A M:- - Oz M �� T s ize Line �-- Line Pressure at: ;S"7 cJ = LBS. Type of Assembly: 2' Time 1 Air Gap Inspection: Required minimum air gap separation provided Yes ❑ No ❑ Remarks: The Above Report is Certified to be true: Initial Test Performed By: es;,tN � .A Cert No.: � Date: Repaired By: Date: Final Test Performed By Cert No.: Date: Water Service Restored Yes ❑ No F1 1 Customer Signature Reduced Pressure Assemblies Pressure Vacuum Breaker Double Check Assemblies Relief Air Inlet Check Valve' Valve Opened at 1 st Check 2nd Check .......,_ Psid ......,.._ Psid DC-closed 4 170 0 tight DC- closed tight Opened at Did not open Leaked ..�.�,❑ Initial Test RP Psid Leaked ❑? Psid ❑ Leaked ❑ Repairs and Materials Used Just after Repair DC_closed tight ❑ Closed ti ht 9 ❑ Opened at Opened at Psid RP Psid Psid Psid 1 Customer Signature .. I' {� 1, F,r� w`Y r:(� [ �.✓ t. Kitchen Hood Fire System Inspection & Maintenance Report FIRE DATE OF SERVICE TIME " I/ �' El A.M. " P. M. Phone 1-800-866-3640 SERVICES „ Fax 1- 208-232 -0449 [NEW INSTALL of IDAHO, INC. Locally Owned & Operated ❑ANNUAL ❑ AMEREX ❑ KIDDIE ❑ RANGE GUARD � J �.7 ❑ SEMI - ANNUAL ❑ ANSUL ),PYRO -CHEM ❑ OTHER NAME tN�t '� ❑ RECHARGE ❑ BADGER �0 V , K , f ADDRESS INGLE El 360 MODEL &TYPE ,. �y l�r/ CITY -- '�`''' � 1 El DOUBLE ❑ 450° r � 4y / / ❑ TRIPLE 0 500 LOCATION OF SYSTEM PHONE ❑ OTHER ❑ OTHER �~ OWNER OR MANAGER YES NO N/A YES NO N/A 1. All seals intact, no evidence of tampering Ij ❑ ❑ 20.Proper separation between fryers and open flame [ ❑ ❑ 2. All appliances properly covered w /correct nozzles ❑ ❑ 21. Exhaust fan in operating order Cpf ❑ ❑ 3. Duct and plenum covered w /correct nozzles ❑ ❑ 22. Remote manual release seals in place ❑ ❑ 4. Check positioning of all nozzles 1 ❑ ❑ 23. System cartridge replaced / safety pins removed !-' ❑ ❑ 5. Hood /duct penetrations sealed ❑ ❑ 24. System operational and armed f ❑ ❑ 6. Grease accumulation ❑ Excessive ❑ Heavy Moderate 25. Fan warning sign on hood ❑ ❑ 7. Pressure gauge in proper range ❑ 13 26. K class fire extinguisher in cooking area ❑ ❑ 8. Checked cartridge weight {c� ❑ ❑ 27. Proper ABC fire extinguisher for other areas l ❑ / 9. Cylinder hydrostatic test date six year maintenance 28. Fire extinguishers properly serviced 0 El ` rf} 10. Inspect - - - -- -- -- - -Q - - ❑- _ __ - - 29 - Personnel instructed in manuai operation of system - - -__ - - 01 j l - 11. Checked travel of cable and link position ❑ ❑ 30. Personnel instructed on required monthly insp. of Sys. ❑ 12. Fusible links 360 450 31. Personnel instructed on use of fire extinguishers ❑ 5 500 13. Replaced fusible links, manufacture date: I ❑ ❑ 32. Service and certification tag on system ❑ 14. Checked manual release ❑ ❑ 33. Originally installed as a UL 300 compliant system? fl ❑ / 15. Checked micro - switch 14 ❑ ❑ 34. Is the system as currently configured 7 El 16. Checked gas valve mech.- electric - � El F a UL 300 compliant system? 17. Piping /conduit securely bracketed ❑ ❑ 18. Nozzles cleaned / Chear of Blockage ❑ ❑ 19. Proper nozzle caps / covers in place ❑ ❑ NOTE: Non compliance systems may fail to extinguis s 5 h /suppre s fire e" COMMENTS / NON COMPLIANCE: Y• "� d ► Y Jf�/ p ' j� ' C �'�'�M On this date, the above system was tested and inspected in accordance with procedures of the presently adopted editir ri NFPA 17, 17A,. J6�the manufac- turer's manual and was operated according to these procedures with results indicated above. SERVICE TECHNICIAN DATE TIME AM PM CUSTOMER'S AUTHORr SIGNATURE The above service technician certifies that the system was personally inspected and found conditions to be as indica d on this report . I' {� 1, F,r� w`Y r:(� [ �.✓ t. NOTE: Non compliance systems may fail to extinguis s 5 h /suppre s fire e" COMMENTS / NON COMPLIANCE: Y• "� d ► Y Jf�/ p ' j� ' C �'�'�M On this date, the above system was tested and inspected in accordance with procedures of the presently adopted editir ri NFPA 17, 17A,. J6�the manufac- turer's manual and was operated according to these procedures with results indicated above. SERVICE TECHNICIAN DATE TIME AM PM CUSTOMER'S AUTHORr SIGNATURE The above service technician certifies that the system was personally inspected and found conditions to be as indica d on this report . INSPECTION TICKE 1.3 Bldg. U Plumb. U Elect. 16 Mech. 0 Fre Inspectinn Request: Rec'd By M '\\C■‘\ Date 5 - \ \ ..,.. Req. By ' \( Y )L , \ M\i\A( d. Phone No Project \ \'' \ TY-:\ (-1\ -- i'ermit No C Address \\ 'r C) \ / L O --"- Inspection Type 't -"\—, C\,k_\ Vi) 7 ,j ' \ ' -\ Day /Time Req. \ - y - \( v:\,x_., 8-T 1- \ \ \ \ '.0c)n,,N,- Inspector's Report LI Res. p1( Comm. .„.. --- _ imam_ ---- _ ..... . i 0 / INSPECTED ITEMS CONFORM TO APPROVED DWGS 0 Y D N O N/A INSPECTOR'S ACTION XAPPROVED 0 DISAPPROVED 0 FINAL XC.O. (FINAL) O NOT APPLICABLE 11 DID NOT INSPECT ACTION REQUIRED: a Inspector Signe...1 1 . 1 11ELA 11°111114,mor .. Rec't Ack /edged illk While - alice • . py *Now - Pink - InSpeckles Copy F F IR -0003