Loading...
18-104799 Mechanical City of Federal Way Permit #:18-104799-00-ME Community Development Dept. 33325 8th Ave S Federal Way,WA 98003 Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax(253)835-2609 Project Name: MATTRESS FIRM/CAR TOYS Project Address: 31610 PACIFIC HWY S Parcel Number:092104 9118 Project Description: Replace an existing 10-ton roof top units with a new 10-ton roof top unit on the same curb. Owner Applicant Contractor RHEKI FEDERAL WAY L L C NEW CASTLE MECHANICAL NEW CASTLE MECHANICAL 12013 206TH PL SE 9823 160TH ST E SUITE A NEWCACM924OD(10/7/20) ISSAQUAH,WA 98027 PUYALLUP WA 98375 9823 160TH ST E SUITE A PUYALLUP WA 98375 Additional Permit information i Mechanical Work Valuation? 19000 Is this an Onl' .C.ap. wtion9 Yes 4111) Air Handling Units 1 COUP • S:Noill4 Subject to field inspection without plans. PERMIT - - uesday,9 lelpril,2019 Permit Issu , ii rsda ober 11,2018 • a. I hereby certify that the above info •Bile rrect and e construction on the above described property and the occupancy and the use wil ' accordath the laws, rules and regulations of the State of Wash' .ton and 1 ity of Federal Way. Owner or agent: . . s/4t/iiV/4,4cDate: /0/li 7,1 ei 1 41 THIS CARD IS TO REMAIN ON-SITE Fec�era�Way Construction Inspection Record INSPECTION REQUESTS:(253)835-3050 PERMIT#: 18 104799 00 Address: 31610 PACIFIC HWY S Project: RHEKI FEDERAL WAY L L C FEDERAL WAY WA 98003-5408 Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as possible (read left to right,top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card. 1❑ Mechanical Rough-in(4165) Y❑ Gas Piping(4125) El Final-Mechanical(4065) Approved Approved to release test Approved By Date • By Date By Date 0 Rough Electrical 0 Final Electrical ❑ Right of Way Approved Approved Approved By Date By Date By Date Nib, CITY OF Building Division 3332Fed a ra I WayFederal Eighth, Avenue -63 South Way,WA 98003-6325 Phone 253-835-2607 Fax 253-835-2609 CORRECTION NOTICE ADDRESS: 31(40 Qtic_ )4 j S • PERMIT#: ) -- )0/476 ci 1, c. 606 , 2 , 1 - S \ s y54- ,05 2 000 C1-10.& cc move_ i,�n�k i s 9000 cF l SKr itea\ ,e Q‘..‘‘c'El Dkac— 'f0 Ri^al ✓H•2.c-1,- Tr)sp. IF YOU HAVE QUESTIONS CALL jy�Ol� (253) 835- 2(e 3 7 WHEN CORRECTIONS HAVE BEEN MADE, CALL (25 ) 835-3050 FOR RE-INSPECTION. SEE BACK OF CARD FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS. 1 ) « 4•1 DATE INSPECTOR DO NOT REMOVE THIS NOTICE Page of • • , fiLes altos • ca, Carrier SUBMITTAL Project Mattress Firm 10T Date Tuesday, August 21, 2018 JFiJim.7 J,, RECEIVED OCT 102018 GITY OF FEDERAL WAY COMMUNITY DEVELOPMENT • • Table Of Contents Project: Mattress Firm 10T 08/21/2018 Prepared By: 0352PM 10T PHP 3 Unit Report 4 Certified Drawing 5 Performance Summary Unit Feature Sheet 11 Spec Sheet 12 Packaged Rooftop Builder 1.49i Page 2 of 12 , 10T PHP Project: Mattress Firm 10T 08/21/2018 Prepared By: 03:52PM 10T PHP Tag Cover Sheet Unit Report Certified Drawing Performance Report Unit Feature Sheet Spec Sheet Packaged Rooftop Builder 1.49i Page 3 of 12 • Unit Report For 10T PHP Project: Mattress Firm 10T 08/21/2018 Prepared By: 03:52PM Unit Parameters Dimensions(ft.in.)&Weight(lb.)*** Unit Model.. 50TCQD12A2A5-0A0G0 Unit Length* 7'4.125" Unit Size:_____._._....__ 12(10 Tons) Unit Width 4'11.5" Volts-Phase-Hertz:_ 208440 Unit Height' 4' 1.375" Heating Type' Heat Pump **• Total Operating Weight:___.._.___.__ ._.._.1230 lb Duct Cfg:. .____..._..Vertical Supply/Vertical Return Two-Stage Cooling Refrigeration Coil Weights and Dimensions are approximate. Weight does not include unit packaging. Approximate dimensions are provided primarily for shipping purposes.For exact dimensions and weights,refer to appropriate product data catalog. Lines and Filters Condensate Drain Line Size' 3/4 Return Air Filter Type' Throwaway Return Air Filter Quantity' 4 Return Air Filter Size' 20 x 20 x 2 Unit Configuration Medium Static Option Belt Drive Al/Cu-Al/Cu Base Electromechanical Controls Standard Packaging 2-Speed indoor fan motor controlled by VFD Warranty information 1-Year parts(STD.) 5-Year Compressor(std.) No optional warranties were selected. NOTE: Please see Warranty Catalog 500-089 for explanation of policies and ordering methods. Ordering Information Part Number Description Quantity 50TCQD12A2A5-0A0G0 Rooftop Unit 1 Base Unit Medium Static Option Belt Drive None 2-Speed Indoor Fan(VFD)Controller Accessories CRHEATER112A00 24.0/29.4/32.0 kW 208/230/240-3-60 Volt Electric Heater 1 CRSINGLE051A00 Single Point Kit 1 CRECOMZR069A01 LOW LEAK-Vertical EconoMi$er 1 Packaged Rooftop Builder 1.49i Page 4 of 12 N CO 2 - N N Ul p a d a x 1 8 m m =$ =1 a 'a, 'a§ a ani —` a,ral^l •- t«y N 2i 1 4. aa _ , 17.7:21 g»Inig R (II ^a p O. iri rf I----x:7.a- -- ,i i itil ii LI En Fg ;� CI giUm -� (1 I * I l==#= ..—=— Sia _ 7--Wig - ti g ,'. I a3�Y� E Y�va a i , I $`-E i; s� Iszi • ay i;I * o € "`` :g -§ III 1- wen _▪ a a E iiI ) coo RI CO Ce as ate. 22 ) \ hi co coi & 4 t j_ , ,! .b . I 8 2 lot ° — . / a. R 0 I |/ J C11 C 22; . . . . • • ) !\ O % --.--V-\z ® ' ca \ . 2 ,,,17/. zz ..Fr- t : / . 0 \\.j . 11 - • . . (� , \ ( k G _ . k 11- . \ kEz % Fa .! k 43 I- � � 5 _ ■ / $ » \¢ - sCC /Q. 0 § os [� CM C4 . t2 & @°- 0- ' = 1 z\ § | fl It ! ® / f |!#i | I / _ \ / !'I; I f , < f\ %f | k\ t w \ : \ / z | : < . . . � ! ; ;!;II /i1 1 !® / ill! `as ii, ® ) it $} ° =® 7itlkk|I| i § , / ^ \ i!i111111fl1I1I1! TS F 1 ` \ |{f f !!i-f{fE , ! 0 \ z ` / |�! k ■a2t!§ §! ! !{ °i{ ; W4 ;A4S; , . \ / \, �\ / \ / / f \ \ y . , 0 y 7 ; & & k ) . h ( 2 a o 0-u. 2 • Performance Summary For 10T PHP Project: Mattress Firm 10T 08/21/2018 Prepared By: 03:52PM Part Number:50TCQD12A2A5-0A0G0 ARI EER 11.00 IEER. 12.5 Base Unit Dimensions Unit Length 88.1 in Unit Width: 59.5 in Unit Height. 49.4 in Operating Weight Base Unit Weight 1050 lb Medium Static Option Belt Drive. 15 lb 2-Speed Indoor Fan(VFD)Controller: 20 lb Accessories 24.0/29.4/32.0 kW 208/230/240-3-60 Volt Electric Heater 45 lb Single Point Kit 15 lb LOW LEAK-Vertical EconoMi$er: 75 lb Total Operating Weight:. 1230 lb Unit Unit Voltage-Phase-Hertz. 208-3-60 Air Discharge Vertical Fan Drive Type. Belt Actual Airflow. 4000 CFM Site Altitude 0 ft Cooling Performance Condenser Entering Air DB 95.0 F Evaporator Entering Air DB 80.0 F Evaporator Entering Air WB 67.0 F Entering Air Enthalpy. 31.44 BTU/lb Evaporator Leaving Air DB: 59.6 F Evaporator Leaving Air WB 57.8 F Evaporator Leaving Air Enthalpy. 24.87 BTU/lb Gross Cooling Capacity: 118.20 MBH Gross Sensible Capacity. 88.11 MBH Compressor Power Input 10.84 kW Coil Bypass Factor 0.084 Heating Performance Outdoor Ambient Temperature. 47.0 F Entering Air Indoor Coil DB 70.0 F Leaving Air Indoor Coil DB 96.8 F Total Heating Capacity. 115.90 MBH Integrated Heating Capacity: 115.90 MBH Heating Power Input: 11.27 kW High Temperature COP. 3.3 Low Temperature COP 2.3 Electric Heating Capacity. 24.00 kW Unit Leaving Air Temp 115.8 F Supply Fan External Static Pressure* 0.80 in wg Options/Accessories Static Pressure Electric Heaters: 0.08 in wg Economizer 0.20 in wg Total Application Static(ESP+ Unit Opts/Acc.): 1.09 in wg Fan RPM: 915 Fan Power 2.28 BHP Packaged Rooftop Builder 1.49i Page 8 of 12 Performance Summary For 10T PHP Project: Mattress Firm 10T 08/21/2018 Prepared By: 03:52PM, NOTE:.____....._._.__ _ ._. Selected IFM RPM Range:733-949 Electrical Data Voltage Range: 187-253 Compressor#1 RLA: 15.6 Compressor#1 LRA 110 Compressor#2 RLA:...___. 15.9 Compressor#2 LRA: 110 Actual Electric Heater kW 24 Electric Heater FLA:. 66.7 Indoor Fan Motor Type MED Indoor Fan Motor FLA' 10.8 Power Supply MCA 136 Power Supply MOCP(Fuse or HACR)• 150 Disconnect Size FLA: . 132 Disconnect Size LRA. 396 Electrical Convenience Outlet None Outdoor Fan[Qty/FLA(ea)]• 1 16.2 Electric Heater Number of Stages' 1 Control Panel SCCR: 5kA RMS at Rated Symmetrical Voltage Acoustics Sound Rating 87.0 db Sound Power Levels,db re 10E-12 Watts Discharge Inlet Outdoor 63 Hz 90.7 86.7 88.1 125 Hz 86.1 80.5 90.0 250 Hz 72.8 67.4 85.9 500 Hz 71.9 66.7 83.0 1000 Hz 70.7 65.5 81.6 2000 Hz 67.3 59.8 78.5 4000 Hz 68.2 57.5 76.4 8000 Hz 64.9 51.6 75.5 A-Weighted 77.2 71.0 87.0 Advanced Acoustics to filimia- ---: , rie---0 ,,,,,,:,,,), O Advanced Accoustics Parameters 1. Unit height above ground' 30.0 ft 2. Horizontal distance from unit to receiver 50.0 ft 3. Receiver height above ground:..._.........._..,._...__ ...__.5.7 ft 4. Height of obstruction' 0.0 ft 5. Horizontal distance from obstruction to receiver:_..0.0 ft 6. Horizontal distance from unit to obstruction' 0.0 ft Packaged Rooftop Builder 1.49i Page 9 of 12 Performance Summary For 10T PHP Project: Mattress Firm 10T 08/21/2018 Prepared By: 03:52PM Detailed Acoustics Information Octave Band Center Freq.Hz 63 125 250 500 1k 2k 4k 8k Overall A 88.1 90.0 85.9 83.0 81.6 78.5 76.4 75.5 94.0 Lw B 61.9 73.9 77.3 79.8 81.6 79.7 77.4 74.4 87.0 LwA C 55.7 57.6 53.5 50.6 49.2 46.1 44.0 43.1 61.6 Lp D 29.5 41.5 44.9 47.4 49.2 47.3 45.0 42.0 54.6 LpA Legend A Sound Power Levels at Units Acoustic Center, Lw B A-Weighted Sound Power Levels at Unit's Acoustic Center, LwA C Sound Pressure Levels at Specific Distance from Unit, Lp D A-Weighted Sound Pressure Levels at Specific Distance from Unit, LpA Calculation methods used in this program are patterned after the ASHRAE Guide; other ASHRAE Publications and the AHRI Acoustical Standards. While a very significant effort has been made to insure the technical accuracy of this program, it is assumed that the user is knowledgeable in the art of system sound estimation and is aware of the tolerances involved in real world acoustical estimation. This program makes certain assumptions as to the dominant sound sources and sound paths which may not always be appropriate to the real system being estimated. Because of this, no assurances can be offered that this software will always generate an accurate sound prediction from user supplied input data. If in doubt about the estimation of expected sound levels in a space, an Acoustical Engineer or a person with sound prediction expertise should be consulted. FanCurve 2D - ,000 , la �� Ino X12 �� �, ••: N - a, 10 o, N A � =� e - � �� 00 ce �- �� \ � „� � U) _ N 2.00131-P -400FiPM 04 �-- I I I I III ]I ] i I I I till-i m l- 1 1 1 1 .' 1 1 1 1 I l i 1 1 l 1 1 CO 05 10 15 20 25 35 40 45 Atiflow(CFM-thousands) RPM=915 BHP=2.28 MaximwnRPM=1400 MaximumBHP=3.70 Note:Pleasec ctapplicationengineeiingforselectionsoutsidethesha region. SC-SystemCurve RP-RatedPoint Packaged Rooftop Builder 1.49i Page 10 of 12 Unit Feature Sheet for 10T PHP Project: Mattress Firm 10T 08/21/2018 Prepared By: 03:52PM Carrier WeatherMaker- SOTCQ PACKAGED ROOFTOP HEAT PUMP UNITS 3.4.5,6,7.11,8-112,10 and 12.5 TON S PERFORMANCE FEATURES • a,Roc; R•41a' -C'ef'pa'snt �r • ASi;RAE931ane^aycondo,ant • SE8Rs•:pt0134 E_Rsupt0 11.2 • ;EEO s:pto 12.2 • r+So=s;.p o 'a^d CO=s.:oto33 • Snpestage coo.nacap. :,w^t' on 04-0-^woes • -,,a-supecock ngcaoa..t,controon 38.14^woes • E'cws^itnp :oCos a t0^aostt.Ond an mitt own^:a000'iece Stn 4Sh+R,.E5 Sta^da^dsot;natesan syeo 4 e-o'an • • =41,1 cpn,t.o4 f"2"1a^.ti^a t0 0:pn:a:$''0 0^.a.-ooze s'.0 'tp 's on 04.12 root s. S-oo y p.Gt+t yp..:rto '4 sr.e-*cog'on,/ • :.00pe,tu 04no nofn co%'S ono'.a c0'ro30n.^4133.9.S.0;rS • P9toe IaO er'ero'cans Sono p nta'coca o steno,09,t's tetach 500 no,•s sal sons,;rotation • s t . _. �<.. • ..0.ropcoe'we+ 'g,�.ptos115F 45C•and do.ento25. 4,_. • S0—state control board 9n1 easy$P 49.4 t ,rn.na 00$'P • Refnge'antft a^d'4'and.cc "i ato'on t$cn ra'^aa'ent ercve • FJ'/lnsa'ated C40.n41 • Auto^1at.cnanaaove ,ane us4d.von$oto cnanp4ove me'nnostat 50TCQunits are high-efficiency single-packaged heat pumpunits • Raudnsoca rdance ,tn4-RE Stan 10,ds240;04-05 saes,and that are pre-wired and pre-charged withPURON(HFC; 343.0-•14; refrigerant.Electric heat is available as afield-installed accessory. • ces.a^ap.i actoroanta.an ^jer,;v;g s -goo$:0,esS:9105"0 7995 The units are fully factory tested and agency certified. • :'stai P, an;t.'- Canada MAINTENANCE FEATURES: • 4ccsspanasAli,eas/VT/haa044 • 'n0v11:st,easy St9Tna,'0 Str,O WOO.faatu'as 0^..':9cCISs oa^,els. • -,v0-^t^d,sccr404 tu" $P'',tars • '.00-4ssf.14,SCc433 door ISHRIE � • 3f 7n':se ten,to- $^^l0:0'i Op",e,con-4 na.,o's$t8=,'ad4 o^9--' 3:;:113:0'latt anj appsC$t0' • E4c'icv a x13 5 sotto.o'a a ^woo'on 04 ,o oa'woe s • ,.e^.ra tt'^1na owl;$c.t$Lna Snw4 seat,c" t'0 4sn.00trt^.a COMIPLI*NT', and S^7p:.ep rontro'.poxar$ngt'xn: INSTALLATION FEATURES: • `!1ti•I±:S•oott0n100htr8nt y cao90+-'.;st$'P$'d • 5na 4 ooin:e4r.n:connectLas A • =,.J ciannnete'oast'9 t.tn0.��t^ • -:aa lo.a apapta'S 910 :: ,� ot�;S:e19 A.a GE Rt II lEO. RELIABILITY FEATURES: •, • Scro:•.co-10%590'S At" nt4r $ :n.4bra■+.0,3,090 Prot•Ct'on, • Ct0end$04 ^14 -a^1pe'EL't oef'0St0O$oono oac. • 24-...o coc-c,,a oro sotto At^reS4t'.404 Cu$ • Pr”oana ,L o'.a:to 9 epo'a•o fan rata • o.a",en.•ostd con dan54 na:o^S..tlpe^'Vnen.y'i 0'^_atto pe$^nas • -case:narge.4'442.O'Otett'0^ anon an•p'tss:'a sarcnas STANDARD WARRANTY: • 5•,es'44ctrc'eatars Certified to ISO 9001 • 5-yea'conloresso' • 1-.411,0425 1;19n,opt pra..:011,3":444'50 9r$.104 OPTIONS INCLUDE BUT ARE NOT LIMITED TO: • rot000 RTL Co." a0 .•'i4'..'t 2,'ettD•:}:9'C0ntro • !;on•fosedd-9unneas:ac' • ECOnon1sa'po:0ns'pr44ct'o-^1et'1^cs.a^d:20 co^I'o • CO''501,es.5t9nt Co-oOCOns'0'*,000'$t0'$'0 c0n34'S4' • r:0t0^11't1P00''$n'loto'sfo'*x09ndej a%41o,1 caoao',,.tj • 4CCI550n,e4Ct'A Rest fie:d-+natl.40 opt0'0',' • S'lokt o0tector5-Su0o,ri Re:.'"a:' • ^.ge0$ Ca3Spa'e'S Packaged Rooftop Builder 1.49i Page 11 of 12 • Spec Sheet for 10T PHP Project: Mattress Firm 10T 08/21/2018 Prepared By: 03:52PM Packaged Rooftop Builder 1.49i Page 12 of 12 ir 0.101.1011.0 NO TOUINIVRIMMIN ANWI1.1•1110 REVISIONS REV. DESCRIPTION DATE APPROVED Attn: Tag: 1 RUAL DRAWING 9/22/06 -- 171N78^ 2 CHANGED HEIGHT TO 16" 2/10/10 MING Approval: MIL SUPPLY AIR ,, I RETURN AIR 39 1'411 38 114 - UNCOVER O EXISTING CURB LAYOUT i� • ,L_ 551/2 Imo--41 15/14" ...- 77"77^ SUPPLY I } 921/4" 81 314` I +RETURN 16114" 59 7118" Jt S / 39 1d" 21/d"��L 21/1" 10 I/ I ! 11 57" I 78 1?' I L3` MA MEAR16J6.1 emcee wT6 ..s 1-3595-4005 CURB SHOWN IS CDI STANDARD CONFIGURATION 33259 n4A.,NNoa Note: CDI RESERVES THE RIGHT TO CHANGE LAYOUT 1.1.5"ADDED TO OLD CURB 0.0 norm— INweea.r.P.w.r.1o.2m01:ao/Pr,i.....QUOTE#: 2.MATERIAL:18 pa GALVANIZED STEEL WITHOUT NOTIFICATION.IF CURB IS NEEDED INA RMu,.,�,y1y y1R1� la Wim,,, 3.GASKET PROVIDED WITH CURB DIFFERENT CONFIGURATION CDI MUST BE NOTIFIED VI".Ar,= "TUR 001. A"r ei,K°10RrvEn.RTYLERN GSM t�5py.gpDS ` 4.INSULATION 1"1 V2 LB DENSITY PRIOR TO PLACING AN ORDER. %ALL WITH If Q7 9/O.6 MIN .;�_CDI gra -. -400 earn 1 e 9 RECEIVED PERMIT APPLICATION CITY OF Federal Way OCT 10 2018 PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325 253-835-2607+FAX 253-835-2609+pennitcenter Icityoffederalway.com CITY OF FEDERAL WAY COMMUNITY DEVEL.1_61OPMENT PERMIT NUMBER ` _ j 7 9 _ v TARGET DATE SITE ADDRESS SUITE/UNIT 9 31610 Pacific Hwy S (Mattress Firm) PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL�f 19,000 CC-C _L A_ - 2 TYPE OF PERMIT 0 BUILDING 0 PLUMBING iXMECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION NAME OF PROJECT Mattress Firm roof top unit replacement PROJECT DESCRIPTION Replace existing 10 ton roof top unit with new 10 ton roof top Detailed description of work to be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER INQADDi PrjPral Way, LTE RESS E-MAIL CITY STATE ZIP NAME PHONE New Castle Mechanical 253-503-7390 MAILING ADDRESS E-MAIL CONTRACTOR 9823 160th St E Suite A stephanie.newcastle@comcast.net CITY STATE ZIP FAX Puyallup WA 98375 WA STATE CONTRACTOR'S LICENSE i EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE M NEWCACM924OD 10i 7 / 18 20-13-101510-00-BL NAME k PRIMARY PHONE Stephanie Givens 253-686-6061 APPLICANT MAILING ADDRESS E-MAILE-MA 9823 160th St E Suite A Stephanie.newcastlefgcomcast.ne; CITY STATE ZIP FAX Puyallup W4 98375 NAME PRIMARY PHONE PROJECT CONTACT see above (The individual to receive and MAILING ADDRESS E-MAIL respond to all correspondence concerning this application) emir STATE ZIP FAX PROJECT FINANCING NAME EX OWNER-FINANCED When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE (RCW 19.27.095) I certify under penalty of perjury that I am the property owner or authorised agent of the property owner.I certify that to the best of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with all applicable City of Federal Way regulations pertaining to the work authorised by the issuance of a permit. I understand that the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating construction or environmental laws. I further agree to hold harmless the City of Federal Way as to any claim(including costs,expensesand attorneys'fees incurred in the investigation and defense of such claim),which may be made by any person,including the undersigned,and flied against the city, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to t city as a part of this applic tion. SIGNATURE: G GG �I/Ki DATE / �/�/ 1 PRINT NAME: Stephanie Givens Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application VALUE OF MECHANICAL WORK MECHANICAL PERMIT $ 19,000 Indicate how many of each tape of facture to be installed or relocated as part of this project.Do not include existing factures to remain. AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe) 1 AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial) BOILERS FURNACES HOT WATER TANKS(Gaa) COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES VALUE OF PLUMBING WORK PLUMBING PERMIT Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include existingfxtu•-s to remain. BATHTUBS(or Tub/Shower Combo) LAVS(Hand Sinks) TOILETS WA • PIPING DISHWASHERS RAINWATER SYSTEMS URINALS P HER(Describe) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Electric) HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS EXISTING/PREVIOUS USE LOT SIZE Da Square Feet) EXISTING FIRE SPRINKLE- SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? a Yes ❑ 'o ❑Yes ❑ No RESIDENTIAL - NEW OR ADDITION AREA DESCRIPTION(in square feet) EXISTING PROPOS TOTAL FOR OFFICE USE BASEMENT FIRST FLOOR(or Mobile Home) SECOND FLOOR COVERED ENTRY DECK GARAGE 0 CARPORT 0OTHER(describe) Area Totals EXISTING PROPOSED TOTAL NEW HOMES ONLY" - ESTIMATED SELLING PRIC #OF BEDROOMS COMMERCIAL-.''EW/ADDITION AREA DESCRI- •N Area Occupancy Group(s) Construction #of Additional Information Square FeetType Stories NEW : $ •ma • •ITION COM RCIAL-REMODEL/TENANT IMPROVEMENTS - DESCRIPTION Area OccupancyGroup(s) Construction #of Additional Information Square Feet 1 Type Stories AL BUILDING TENANT AREA ONLY PROJECT AREA ONLY Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application