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Home My WebLink AboutPermit 5052 - Osborn & Ullard - HVACCITY OF TUKWILA Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1845 Work to be done Site Address Building Use Property Owner Address Contractor Address HVAC BUILDING PERMIT 339 TUKWILA PY RETAIL BETA DEVELOPMENT 201 116TH AVENUE N.E. BEAUSOLEIL MATHISON PERMIT # S-v c5)._, Control # 87 -407 Suite# Tenant USBORN & ULLAND Assessors :account #`N7A Phone # 454 -6120 Zip 98004 Phone # 2/2 -22T2 Zip 98499 BELLEVUE P.O. BOX 99375 FOR BUILDING PERMIT ONLY COMA Sq. Ft. Ts t—FT. Office Storage/ e Ware hous Retail Other Om cc. Load 2nd F1. -3rd F1. Total Fire Protection: ❑ Sprinklers J Detectors Zoning Type of Construction Special Conditions Fees sq. ft. @ 1st F1. $ sq. ft. @ 2nd F1. $ sq. ft. @ other $ sq. ft. @ other $ Total Valuation of Construction $ 10,000 Bldg. Permit Fee Plan Chuck Fee Demolition Surcharges Other Other TOTAL Receipt #4\, 73 $ 51.00 Receipt # $ 13.75 Receipt # $ Receipt # $ N/A Receipt # $ Receipt # $ $ 63.75 FOR SIGN PERMIT ONLY 0 Permanent ❑ Temporary [] Single Face ❑ Double Face ❑ Wall Mounted [] Free Standing ❑ Other Building face Setbacks: Front Side Square Footage of each sign face Special Conditions Side Rear Total square footage of sign THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK 15 SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK 15 COMMENCED. I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORUINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING Of A PERMIT DOES NOT PRESUME TU GIVE AUTHORITY TO VIOLATE OR „Cy)ICEL / THE PPOVISI� �i1 _ OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. Date /G �b"7 s2 Signed__ LICENSED CONTRACTORS DECLARATION I hereby affirm that I am ii, en d un r provisions o t'r: Business and Professions Code, and my license is in full force and effect. Date 4 1.7//c/ 87 Contractor (signature) ( ) 1, as owner offered for ( ) 1, as owner Owner (signature) OWNER- BUILDER DECLARATION of the property, or my employees, with wages as their sole compensation, will do the work, and the structure is not intended or sale. of the property, am exclusively contracting with licensed contractor's to construct the project. Date CITY OF TUKWILA lding.li11i sion 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1845 BUILDING PERMIT Work to be done HVAC Site Address Building Use i'-Property Owner Address Contractor Address PERMIT # Control # 37 -407 339 TUKWILA PY RETAIL BEAA DEVELOPMENT 201 116TH AVENUE N.E. F3EAUSOLEIL MATHISON P.O. BOX 99375 FOR BUILDING PERMIT ONLY Suite # Tenant USIJU} <h & ULLANu Assessors Account # N/A Phone # 04 -61w Zip 98DU4 Phone # 2/z-2212 Zip 96499 BELLEVUE hCOMA Sq. Ft. lit—TT. Office Warehouse Retail Other Occ. load] 2nd F1. ^3rd F1. Total Fire Protection: ❑ Sprinklers [[ Detectors Zoning ". " Type of Construction Special Conditions' Fees sq. ft. @ 1st Fl. $ sq. ft. @ 2nd Fl. $ sq. ft. @ other $ sq. ft. @ other $ Total Valuation of Construction $ 10,000 Bldg. Permit Fee Plan Check Fee Demolition Surcharges Other Other TOTAL-.... • Receipt #(' $ 51.00 Receipt # `' �3 $ 15.75 $ Receipt # Receipt # $ N/A Receipt # �• $ Receipt # $ FUR SIGN PERMIT ONLY [( Permanent [D Temporary [] Single Face Building face [j Double Face [� Wall Mounted Setbacks: Front Square Footage of each sign face Special Conditions [] Free Standing (l Other Side Side Rear Total square footage of sign MIIIMMMMMMOMMOMW. AM THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK I5 SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR ,CA CEL.1THE PPOVISI N OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. Signed__ ' l� -/- Date Jif%/ fsz J LICENSED CONT• RACTORS DECLARATION I hereby affirm that I am licensed under provisions Business and Professions Code, and my license is in full force and effect. Contractor (signature) 1.-(e j // r i Date J 1:///17 S2 OWNER- BUILDER DECLARATION ( ) 1, as owner of the property, or my employees, with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ) 1, as owner of the property, Owner (signature) am exclusively contracting with licensed contractor's to construct the project. Date CITY OF TUKWILA Building Division 6200 Southcenter Boulevard Tukwila, Washington 9818B (206) 433 -1849 Type of InspectidnL,,. Site Address 3 3 9 Requestor Special Instructions U , ) 24 ��Away INSPECTfV()N RECORD PERMIT # 5O52 Date l //7 Date Wanted // 3 g7 a.m Project QS,( ,�/ Phone # Inspection Results /Comments: Inspector %/11/14 Date OW CITY OF TUKWILA Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1849 Type of Inspection Site Address 3.3'! Requestor 7—L• L-a— ick y 7 ' r� U INSPECTION RECORD • PERMIT # tos'a Date /1 / f / 7 Date Wanted fio /may a.m p.m) 2 '->'/ 4' 7/3 Project Phone # Special Instructions Inspection Results /Comments: ,SCI! 4 (2_4/ elm r aff,AMA-Lea Inspector Date / oto7 CITY OF TUKWILA Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1849 Type of Inspection Site Address '''o ](.c. Requestor r�Q7Ll7i e) INSPEC I?N RECORD ,PERMIT # 365'' /.0///37 Date Wanted /c Date SC L /091c/ 91 2r Special Instructions D 67 a .m Ann/LK Project a•�, ..r`n Phone %� — o"''" uc-4ct p•m• Inspection Results /Comments: ,,Lt,frt3t .ten eyet.. (72_ (e4 � . Inspector We44-1, Date) zU :w..o�•• *Imo 'PUS L 3cst i i 1 Tac(* . #4ti 7%�040 S"(F .3T- .171 Scou7hcre+ r e K /iN•vc X 1u. Kwilt? 14.11 CITY OF TUKWrLA APPROVED 6CT 141987 f ;, 'VW ti) BUIt-D�h;C ul/Ic ,1.” 0 /y •. I Qe Ty /J.v I4 / 0 IZrT'1* 414 101z: nolc!ivii-cp FO CT °7 1987 crr, - ,js',VVIL,►, Ft -ANNINO r „'PT. R�r4R� ,4( c 6R,'1Ic I inns F RoNT - Sou Th Nor To c:c4 lt. THE TRANE COMPANY DEALER PRODUCTS GROUP •• AF'F'LICATION ENGINEERING•• MANUAL •J LOAD CALCULATION PROGRAM. 7TH EDITION OSBOF't^t ULLAIID BLDG S:OI.ITHCENTER ANNEX Ti IKW.1 + LA+ WA PREPARED ELY: GLP DESIGN CONDITIONS WINTER , nl_IT{: I DE INSIDE OUTS I DE DEGREES DEGREES DEGREES 20 70 VENT r'FM SUM ?NFL CFM ICI I N I I'4FL CFM 0 691 921 -COMPONENT- WIN C:OMPONENT- WALLS WINDOWS DOORS CEILING FLOORS VENTILATION INFILTRATION SUMMER INFILTRATION MINTER APPLIANCES PEOPLE DUCTS: TOTAL SENSIBLE LATENT'5A1N PEOPLE • TNFIL TRATION ,&10.60 A/C TOTAL LATENT GAIN ENTIRE • UIMMER INSIDE DEGREES: GRAINS DAILY LATITUDE RANGE 90 75 tl 47 Aar VALUES -- NUMBER OF-- PEOPLE ROOMS AREA 4512. 459. 21. 4928. 312. e�0.60 A/C 0.80 A'C • :: , . ,y .:%:.. • .. MEDIUM - -- DUCT - -- - -- BTUH - - -- GAIN LOSS: GAIN LOS: 5.0% 5.0% 50785. 114333. BTUH GAIN BTUH LOSS 7553. 9747. 180. 6342. 0. 0. 11406. 1200. 6900. 2166. 45495. 5290. 0. 5290. •50785. • t:090 --' 20304. =•9 4 4 �� r • 483. 8131. 12636. 0. 50695. 5444. CONSTRUCTION NUMBERS 12C 3C 10D 16G 22A CITY OF TUKWILA ArPRnVrn OCT 141987 -.:11143;33. . YOUR EQUIPMENT SELECTION MUST MEET -BOTH A SENSIBLE HEAT GAIN ' OF • 45495. BTUH AND A TOTAL HEAT GAIN OF 50785. BTUH U S l 3 0 / . Y - l A L 4-'1 I v 1J S S `( / u Pti W 101• �a- r K w o—f ENGII :cRS- NORTHWEST (.14C. P. S. 6869 WOODLAWN AVE. N.E. - SUITE 205 - SEATTLE, WA 98115 - (206)525-7560 Joe NO Jura NAME tel Sow GG�c 7 �j rrNex DATE JO -5 SUBJECT Al., GI a ti t w-( 2/ ry; 74 ,� "jd/v� SHEET�_OF / �'�7 /' BY ,3D r Grit/ t crs.i L C"i L X �' i ._ A) 49 Ica 4 41 ea. e ct 15.1. e"Pr it 46€4 "if l 1 Jo%S� r�I CITY FTUKWIL AP RnvED acr 141987 A.) tiUWLU BI Dinh no /lclnr+ we 41 j'AS7l3' e xr314- r xi.$) -id4L ae"' TRANE'M 4 5 Ton • Downflow Packaged Heat Pump Specifications: Basic Units BWC048 -060G Factory Stocking Location: Ft. Smith (Whse. 201) Model Number Power Supply SEER Capacity Cooling (BTUH) Uncrated Dim., in. Shipping Weight BAYCURB018 Field assembled roof curb H W L BWC048G 100A 4( 230/1/60 9.00 49,000 36 53 57 536 1/ BAYECON026 13WC060G100A 230/1/60 9.05 57,500 36 53 57 565 BAYDMPR020 0 -25% Motorized fresh air damper BWC048.060G EER BAY41X171A 5 or 7 Min Time Delay Relay BWC048-060G 1 BWC048G300A 200 - 230/3/60 8.05 49,000 36 53 57 536 ODT 45'F to —10°F.0 BAYHTR -- BWC060G300A 200- 230/3/60 8.10 57,500 36 53 57 565 BWC048G400A 460/3/60 8.05 49,000 36 53 57 536 BWC060G400A 460/3/60 8.10 57,500 36 53 57 565 Accessories: BWC048 -060G Model Number Description Used With Shipping Weight BAYCURB018 Field assembled roof curb BWC048 -060G 87 BAYECON026 Economizer — 0 -100% fully modulating w /controls BWC048.060G 94 BAYBARM009 Barometric Relief BAYECON026 24 BAYDMPR024 0 -25% Manual fresh air hood BWC048.060G 11 BAYDMPR020 0 -25% Motorized fresh air damper BWC048.060G 22 BAY41X171A 5 or 7 Min Time Delay Relay BWC048-060G 1 BAY28X123C Head Pressure Control (for 0° ambient) BWC048 -060G 23 BAY28X125A ODT 45'F to —10°F.0 BAYHTR -- 1 BAY28X 113B ODT Box (Holds up to 310 BAY28X125A 1 O ODT provided with dual circuit heaters to control second stage. Accessory ODT available for option& outdoor temperature control of heater first stage. Order ODT Box with accessory ODT for use with single stage heaters. Thermostats, Electric Heater, Single Power Entry Kit (See pages 85 & 87) Features: • Climatuff'° compressor • Downflow Supply Return • Two outdoor fans • Draw - through outdoor coil with Vertical discharge • Direct- drive, three -speed indoor fan motor • Mounting- Lifting Rails • Hoisting rings are attached to side of unit rails • 1 -inch throwaway filters with provisions for 2" • Service pressure taps on system in compressor compartment • Polarized (low voltage) plug for heaters and ODT • Polarized plug for economizer • Plate fin tube, indoor and outdoor coil • UL approved • Easy access to internal filter rack • All field wiring connection located on one side of unit • Weather - resistant cabinet of heavy- gauge, galvanized steel • Space for supplementary heaters in indoor blower outlet duct • Internal pressure relief valve • Evaporator defrost control • Optional head pressure control available for cooling down to 0 • Condenser fan motor suitable for head pressure control kit • Quick start kit on single phase units • System transformer • Thermostat on (1) outdoor fan motor . • Time /Temperature defrost System • Solenoid operated reversing valve • Refrigerant line filter dryer • Operating charge of R -22 • Pressure tap for head pressure control, located on discharge gas line • Low ambient cooling to 20 F as manufactured • Crankcase heater • Thermal expansion and check valves refrigerant control on indoor and outdoor coils • 5 year compressor warranty F. -84- • acting the in ustry in efficiency. The new Trane Elite Single Package Weathertron Heat Pump is a year -round comfort system. It is all electric, automatic and economical. The Elite Heat Pump does its job so well that it can now deliver up to 300% more heat than an electric furnace can by itself — while using the same amount of electricity.* The heat pump Is an air con- ditioning product that both heats and cools. It costs less to operate than a furnace because it doesn't burn fuel to make heat —it simply moves heat that already exists. In summer, the heat pump pulls the heat out of your home and releases it outside. In winter, it captures the heat that's present in cold winter air, and pumps the heat into your home. (Yes, there's heat in the air even on the coldest days.) Get year -round high performance. To compare the Trane Elite Weathertron Heat Pump with other units, first check the Seasonal Energy Efficiency Ratio (SEER). SEERs are used by the Department cf Energy as the standard measure- ment of cooling efficiency. The higher the SEER, the greater the efficiency. And the lower the operating costs. 'Based on an ARI high temperature rating point, 7OF return air and 47F outdoor temperature. A SEER of 6 is considered poor, 8 is good and 9 is even better. The cooling chart below shows that Elite Weathertron Heat Pump has a SEER of 9 or better with every model. For heating efficiencies, compare the Heating Seasonal Performance Factor (HSPF). It's another measure- ment used by the Department of Energy. Like SEERs, the higher the HSPF, the lower the operating cost. But the performance ratings vary slightly: a rating of 5 is considered poor, and a rating of 5.5 or better is considered good. Look at the heating performance chart below to see that the Elite Weathertron Heat High cooling performance F$fif ,"SElit4,7 i. ? Weathsrtron4n'. Heat •Pump `' r� y : 1 ''r Cooling rC *Pacify` ;.• ;BTUF) ` SEERw, BWCO24C100A 22,800 9.9 BWC030C100A 30,200 9.5 BWC036C100A 35,200 9.4 BWC036C300A 35,200 9.4 BWC036C400A 35,200 9.4 Operating cost comparisons Pump has a HSPF of 6.5 or better. That's excellent performance. How efficiency translates into economy. To give you an idea of how economi- cal it is to run your Trane heat pump system, we've compared the heat- ing costs of the Elite Weathertron Heat Pump to the cost of running a propane furnace, a gas furnace, an electric furnace and an oil fur- nace. The figures in the savings chart below are based on homes using a 3 -ton unit. The numbers speak for themselves. High heating performance ;;. =,:v. y ;?! :t; ,r 'V 'r A �EliQt.# S%^,� z.q NSat$jt one Y. :-$:4 c'rYti:i:1::1 ?t.-v Y• e5 rr F eatliip7 .� °i: ';1Y:.:i�?�' � �.t, ,I, ri ", Neat Pump: ° ij�r4� io , r /LkYri�,? ,tCOSt31199 r f i qto �f OII u Turn c e : ap BWCO24C100A 23,000 6.75 BWC030C100A 32,000 6.75 BWC036C100A 37,000 6.85' BWC036C300A 37,000 6.65 BWC036C400A 37,000 6.65 t E nt�tztry �; , l' i, S..I� a� �r } r' CItY a ": r n; %l '(.r �s�/: i`i �.) .; 3 xQottt uel�g k "i � t Electtic ,s t F r ce r i u na j.l' 'f4t r� . ,,Oii Bi � ►9, k l,5 ; tllatUrela r�„ ry 1 xc a Gas, ,� 'r i urn fi t h, F act x ::✓ ni.V "�i Ls: ' f Gost s 9 r h+ t yv 4 k�,1 J �^�#X I 1 , 4Gaa *�t}'g� r ';Fu °ace; in ij�r4� io , r /LkYri�,? ,tCOSt31199 r f i qto �f OII u Turn c e : ap �fi, :JNJ.,,t, A. 6 t t;Cofrt usin ,srt if'� i + ,, Ell�e� 4f' f I aY 2 s ki YYeat e`, " + ► PA HerIt„ ur iP Nashville $650 $333 $662 N/A $310 Tampa 226 72 210 162 95 Phoenix 447 186 387 N/A 195 Charlotte 611 393 716 577 282 Memphis 562 287 662 N/A 262 Seattle 868 644 1170 962 396 Las Vegas 455 233 663 N/A 204 Birmingham 596 316 597 N/A 274 Based on a home with a 3.ton cooling /heating load for a typical heating season using Department of Energy Standards. Utility rates quoted March 1984. These figures are for comparison only. Your actual savings will depend on where you live, your home's construction and how your heat pump is Installed. Model used Is an Elite BWC038C100A. Your Trane dealer can refine these savings to match your home and local weather conditions. • • • • Built for energy savings and long life. Over /Under Air Discharge Design —for convenient installation. Heater Compartment — for easy to slide in accessory heaters. Direct drive multi- speed "Extra Energy Saver” Fan Motor Expansion Valves blower motor— — designed for higher SEER — Efficiently no pulleys or belts to adjust rating. controls the flow and no lubrication required. of refrigerant for Centrifugal blower —more air with Tess noise... Plate fin coil —.; extra large coil : ;: surface provides' higher efficiency :' and more heating and cooling ca paolty. improved perfor- mance and effi- ciency. Refrigerant Driers —help prolong unit life by keeping re- frigerant clean and dry. Plate fin coil— extra large coil surface provides higher efficiency and more heating and cooling ca- pacity. Climatuff Compressor- the heart of the heat pump. Proven in over 4 million installations, reliable enough to be backed by a 5 -year limited warranty, . . Attractive and durable Cabinet =rust resistant galvanized steel wjth': baked on , enamel finish; Intemally Insu- Thennostatically fated cabinet- Controlled Sump reduces heating Heater -Oper- and cooling ates only when losses and needed, Increas blower noise: ; Ing efficiency. Model BWC036C shown. Other models may vary, slightly. Elite Weathertron® Heat Pump dimensions (Inches) r s . ��trs:•c'."1. 4 :Moittgl: �!t!I a ,fe.•�,:.V'ai^"7' :Wail �. 1,re „u+� 440, $.476.1 BWCO24C . ' 30 32 BWC030C 30. 32.: 44 BWC036C 30 32 44 ` Weathertron® Heat .Pump America's: #1 SelOng Brand_ These features too: • Easy access panels should service ever be required. • Weathertight control box. • . Easy hook -up terminal board • Resilient rings support motor . for quieter blower operation. Our energy analysis pinpoints your savings. Let your Trane dealer conduct an energy analysis on your home. It's absolutely free. Your dealer simply enters data about your house into a computer: how it's built, where it's located, and what its measurements are. He also deter- mines the amount of energy you are now using and what it cost. Then he figures out exactly how much you can expect to save with our system. If a Trane Weathertron® Heat Pump can't help you cut costs, he'll tell you. But chances are it can. And the analysis will help you select a system that's right for you. Your Trane dealer has the special training to guide you in the right direction. So when he makes a recommendation, you can be con- fident it's the right one for you. The thermostat is your comfort control center The heat pump system puts comfort at your fingertips with the automatic heat pump thermostat.* Just set the temperatures you want by using the two indicators on top of the thermostat control. Then place the system and fan switch on AUTO. After that, your comfort control center will switch automatically from heating to cooling. So you get . a constant indoor temperature,'. re- gardless of changes in outdoor temperatures. "Intelligent" TIGHT WATT' thermostat* It manages your heat pump. It's the Trane TIGHT WATT. And together with the high efficiency Trane Weathertron Heat Pump, it • improves energy savings even more. That's because you program it to make temperature adjustments throughout the entire day. This new, highly- sensitive micro- electronic monitoring system is making conventional thermostats obsolete. For unlike ordinary . thermostats, when the TIGHT WATT program calls for a temperature change, it's "intelligent recovery raises the setting gradually over a maximum 2 -hour period. And, there- fore, it uses the more efficient heat pump compressor, rather than your auxiliary electric resistance heaters. So find out more about sav- ing energy dollars with the Trane; :.. TIGHT WATT. Talk to your'Trane dealer today Your dealer's special training can really make a difference. When buying a heating or cooling system, selecting the right size is crucial. A unit that's too small Tacks the capacity to give you the com- fort you want. A unit that's too large not only costs more to buy, but it also costs more to operate. Certified by the Air Conditioning and Refrigeration Institute. Standard 240, Listed by Underwriters Laboratory. • 'Optional accessory WESTERN FURNACES 2901 SOUTH TACOMA WAY P.O. BOX 11145 TACOMA, WA 98411 Pub. No. 72- 1004 -1 The Trane Company Dealer Products Group." 'Troup Highway Tyler, TX 75711 CITY OF TUKWILA Building Division 6200 Southcenter Boulevard MECHANICAL PERMIT APPLICATION Tukwila, Washington 98188 (206) 433 -1845 C Site Address 3 `>' T tt Ku, Project Name /Tenant f7 5- g r r� Valuation of work �� o„c, — /34—/- I4.AND Assessors Account # CONTROL# Suite# Floor# Property Owner //e, 7'4 4 61,Y rte/ n p,,, c, �, T' i ,d Address l U / j// 7 /'LA ve .,VE= J.L. 1 ) v Phone L/ S y- 6 J Appl i canter , r� (12 Address /2 , n , �� X19 '-7 4 Architect /Engineer Fiy q / n e.e, r-- S - 4/4 r- 7 M w 1 , Address tr.• e n 4. II, A- ✓ e N£ , 1 Zip q Phone i /—e-e w A- /9 Zip , c/ q Phone .; 2- 5'- 7 5 el x.05" Zip 01 8II3 Contractor /3,.,, ,... Sr j r. ;! /tm --/-)» s n H License #� �, �, ti. 5 M ,0 / 3 H 1C 7 Phone a_ 7 s- ► -� Address /2 ,r, . , ,, ,r q 9 3 7 � T f%- G r> A Describe work to be done — 'y T ' - bGN / t-i Zip 9 r‹.. h/ 9 /Y. e_ i- pwiri Indicate the type of equipment to be installed, rating /size of equipment, and number of each: TYPE RATING /SIZE 1 Ton t2 i vV 0 i Se i- /N/} e 2- r ,- ,•. -s A At r 1140oe' 7-11 r vr, /, . t t j� ac• n-� f.9 NUMBER ,DO /gN/GoH8'G 'Ann4. )6 SO /3 7-x443)4 ► 3 A ' / G t t r- 1.3 !J / .' 13 /I Y ,e) •/ i3hy2.ex/3s? Two (2) sets of plans must be submitted meeting the application requirements of Section 302(b) and (c), 1985 Uniform Mechanical Code. Roof -top equipment work requires submission of building elevations. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT AND THAT I HAVE THE PROPERTY OWNER'S AUTHORIZATION TO DO THIS WORK. Applicant /Authorized Agent (signature) 1-(7 aQ, iU /r. {4-vr/ (print name) l-/oyr7 /. /yA -TI-}► snr✓' Contact Person (please print) IL /oyfl 19,y -74' 1 sn A' Date to/ 7 / ;5'J 7 Phone 20,4 _ - „1.. OFFICE USE ONLY FEES: Basic Permit Fee (000/322.100) $ /5,06 Receipt# Unit Fee (000/322.100) 3(e, O7 Receipt# Plan Check Fee (000/345.830) ) 7' Receipt# Other ( / ) Receipt# TOTAL TRACKING Date Paid /0_ /547 Date Paid Date Paid Date Paid ('3 . ,1 (OWES: $ L ,15- DEPT. DATE IN DATE 0 T COMM NT BLDG PLNG 10 -t'1 pprove or ssuance Approved (Initials) I 0c .. -. 1997 GIl T w(J flli�b`v�l.A PLANNING tL •:PT.