26704 APPLICANT TO FILL IN INFORMATION WITHIN RED LINES-USE BALL POINT PEN ONLY
h CITY OF CUPERTI O BUILD NO LLECTRICAL PERMI'I'NO, 26704� �O
N APPLICATION/PERMIT PLUMBING-MECHANICAL
' BUILDING DIVISION BUILDING PROXCIADRNTIFICATION
BUILDING ADDRESS,
SANITARY NO. APPLICATIONSUBMITIALDATE
V /V S}� Q 32(B6
UNIT# LOT#
O ERS NAME: (� H E: CON�tAG1'ORISNA LIC NO:
�bi \ ()P I x(115 1 V 11NE�l _ O N/C COMI'ROLX
•ARCHGECFAWNGINEF.R: T 11C NO: -O{ Os ADDRESS: ❑
CONTACT: PHONE: BUILDING PERMIT INFO
QTY, ELECTRIC PERMIT 7>_2PEE
BLDG .IiCT PLUMB MECII
PERMIT ISSUANCE l► -
LICENSED CONTRACI'OR:S DECLARATION APPLIANCES-RESIDENTIAL TOB DESCRIPI'RINI
Qy.Z Ihereby affirm that lam licensed underprovisions o(C'hapoo!)(commencing with
4100❑ Sectin7(N10).f DivW.u3.t the Bm'incer and Professions Code,and my license isin PANELS
full mands efimi
6Z{ License Cla
U UPT02MAMPS
. Lic.#
ti Q tY Dam Convector 2(11-IINNI AMPS
F-y�N 'ARCHITECI'SD OVER I(XIO AMPB A ATION a Q.FT,
ZOtrt I"
OZ•.,G I understand my plans shall be used as public records.
P:rn W SIGNS ELECTRICAL "1 G '1 � � n pp t
��d � Licensed rroresainnm - �_o L V� u— U T
yv tW,BU OWNER-BUILDER DECLARATION SP1iCIAL CIRCUIT/MISC.
�OyU I hereby alTrm 0u,1 oto exenp,from the Contrococe.,Liecore Law for 0e
41'34-tai. following notion,(Section 7031.5.Business and Pmfessions Coe:Any city orcounty 9'EMP.METER OR POLE INST. DA E bb{
N0 S which requires s permit m construct,alter,improve,demolish,or repair any structure
to
prion.its issuance.elm rcquircslhe upplicXn,(.ouch petmino file usigneJ smmmep POWERDEVICES
Opm that he is licensed purauuntto the provisions of.the Contractors License Law(Chapter
ade4 9(commencing with Section 70bou of Division 3 or the Business and Professions Code) SW IMMI NO POOL Id E.,RIC VALUATION
_, or that he is exempuherefromand,he basis for theallchsd exemption.Any vwhinim.f
FZI Section 103 LS by any applicant for a fromitsubjens the applicantmecivil penally of OIl'1'LETS,SWITCI IRS-FIXTURES
Q of ore than five hundred dollars(55110).
C m nm
❑ I.asowneroftheproperty,ormyemployeeswilhwagesaslheirsolecontpensaiion, NEWRESIDI3MTIALELECTR _SQ.FT. STORIES TYPECONSTRUCIION
will dothe work,and the structure is not intendedoroffered forule(Sm.701 Business
and Professions Cale:The Contractors License Law does not apply to an owner of
pr.pery who builds or improves thereon,and who does such work hinsulf nr through his
anpinyccs,proviJullhm such intpmvcmemanrenm imendcdoruffend fnrsale.If, OCG I
GROUP RES.UNI
however,he building.,improvement issdd withinone yearo erimpledon.lhemm,
builder will M1ave Ire burden of proving that he did not build or improve for purp.x of
sale.). - Q Y. PLUMBING PERMIT FEE- FLOOD ZONE APN
C] I,unwnenff,he propeny,amexdusively, contracting with licensed contractors 1.
linstroct the,project(Sec.7144,Business and Professions Code:)The Contractor's
cense Luwdocs not applyto en ownerofpropeny who M1uildanrimpmv<slherton.and PF.RMIT'ISSUANCE '
who contracts for such projects with a commends)licensed pursuart mine Contractors ALTER-DRAIN&VENT-WATER(I?A
License Law. ) FEE SUMMARY
❑ 1 ant exempt under Sec. B&1'C for this reason BACK FLOW PROTECT.DEVICEOUTSIDEIEE.
SANITARY Y N
Owner - Dale RECEIPT#
DRAINS-FLOOR,ROOF.AREA,COND.
WORKMAN COMPENSATION DECLARATION SCHOOLTAX Y N
ers'CiyutErm thatloommeaor.Beaoof mi,thereof
set(Sce.3,or Los Cmamo( RECEIPI'X
1'IXTURIS-PER TRAP
W.rkars'CWomPpensation lr¢umnce ornlcenifieJ c�py,hcrcaf(Scc.3800,1sb C)which PARK FIiO YN
covers Policy Xl z§S,i�At• — GAS-PA.SYSTEM. VER4OUTLETS �� BUILDING DIVRECIISION I7EES
Compeer �..g� 4urrokl IA1k.T GAS-EA.SYSTEM-OVER4(13A) PLANCHECK FEE
❑ cemrea ropy is be�ly ramisnea.
Certified copy is riled with the city ininceicn division. GREASIWNDUS'IRL WASTE INTERCEPTOR GRADING FEE
CERTIFICATE OF EXEMPTION FROM WORKERS' GREASE TRAP SOILS FEE
COMPENSATION INSURANCE
(This section need not he completed ifthe permit is!carona hundred dollars(AW) SEWFR-SANITARY-STORM EA.200FI'. ENERGY FEE
or less.)
I cenify that in the perfommnceof Ne work for which,his permit is issued.I shall WATER HEATER W/VENT/EL13CfR
not cmpiny any person in any m as to become subject to the Workers' PAID
Compmuti.n Drwsof Culifomia. Dunt so WATER SYSTEM(TREATING Dote Reed
O Z Applicant _
Z 0 NOTICE T'O APPLICANT:If,after making this Certificate of Exemption.you should NEW RESIDENTIAL PLMB. SQ.IeT. For i
F ,(Zlfs bee lot atbjccnn,he Worker's Compensation provisionsofba Lobar Code.you mus,
� > forthwith comply with such pnwisions or this .it short be deemed revoked. BUILDING F'• 01
aQ CONSTRUC'T'ION LENDING AGENCY SEISMIC '
I hereby affirm that hem is a construction lending agency for the performance of
Z) O the work f or which Ills permh Is issued(Sec 309],Civ.C.) T' 1. EI.E I
Lmalma Name a PLUMBIN FEE
Lender s Address Q'IY. MECHANICAL PERMIT FEL
LUkII cenify,hn,I have sad this application send stem that theove all information is MECHANICAL FEE
cored.lagree teentelly withall cityand county mdinnucesond stem laws relmingm PERMI T ISSOANC[i
_ building mnuruc,ion,and hereby aathoriee representatives of,his city to enter upon the CONSTRUCTION
T
U Z aMrvc-mentioned property for inspection Initial ALTER OR ADD TO MICH.
(We)agree to save,indemnify end keep tombless the City of Cupertino against
liabilideajudgments,cons andexpenses which may in any wayne....gainstuid City AIR HANDLING UNIT(TO 10,000 CFM) /X
ce of,It granting of horenni,.
AIR HANDLING UNIT(OVER 10,W0 CFM)
�7naqara of Applicant/Cmntmc,or Difts, P.XHAUSTHOOD(W/DUC) PAID
HAZARDOUS MATERIALS DISCLOSURE
1113ATING UNIT(TO IM.W BTU) Date Receipt If
Will tie applicant or fumre icipal C occupant er 9.or huddle humlth is and Safer l IIIiATING UNIT(OVER 100.00011'1 Of T
as defined by the Cupertino Municipal Coda,Chapter Y.12,and,he Health and Snfery
Code,Section 25532(01 VENTILATION FAN[SINGLE RESID)
❑Yes ❑No
' Will lheapplican,or future building mcupmtuu equipmentnrdevices which emit
BOILER-COME(JHP OR 10!1,000 ETD) ISSUANCE DATE
• haaarill air conformation as defined by the Bay Area Air Quality Management BOILER-COMP(OVER 100,01X1 BTU)
District?
❑ C1TIp ID Yes No NEW RRSIDCNAI.MECH. SQ.F 1'. W
1 have read the hazardous materials requirements under Chapter 6.95 of the {gU�
Calif ornia l Iealth&Ssl'ety Cale,Sections 255115,25533 and 25534. I undersand r at
if the building does not currently have a tenant.that it is my responsibility to notify the 9
(�i2
occupant of the requirements which must he met prior to issuance of a certificate or �
Occupancy. a
Owner or ouNomed agent Data ISSUED BY: , l
OFFICE
PDQ t�°N°
Birds Eye View of Proposed Rooftop Sytem
21670 Stevens Creek, Cupertino
O
Rooftop Unit
The Bike Shop
Rooftop unit
-Redwood (4x4) sleepers
n 11 — 3/4" Plywood
2'x10' @IWo.c.
• Lomas d . L - _.�^ t .
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�pTE - Job No.
POPA ENGINEERS Inc.
15--s-9-My— p C STRUCTURAL ENGINEERING CONSULTANTS
Chk'o By Gallen Valley OKx:e Center•2542 S.Bascom Ave.•Campbell,CA 95008
Plane:(408)559-4202 EX:'i Suite 102 Fax:(408)559-3628
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POPA ENGINEERS Inc. Joh No.
esign y ■ C STRUCTURAL ENGINEERING CONSULTANTS
Cnk'd By Golden Valley Otriice Center•2542 S.Bascom Ave.•Campbell.CA 95008
Phone:(400)559.4202 Ek 1 Suite 102 Fax(408)559-3828
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SATE Joh No:.
POPA ENGINEERS Inc.
esgnBy p C STRUCTURAL ENGINEERING CONSULTANTS
Chk'd By Golden Valley Office Center•2542 S.Bascom Ave.•CanpbeH.CA 95008
Plane:(408)5594202 IX:1 Suile 102 Faa:(408)559.3628 '
Of ;k
PACKAGED GAS HEATICOOLINGA'
GCS20-651-653 AND GCS20X-651-653 GCS20
PACKAGED GAS HEAT & COOLING
-\ STANDARD FEATURES OPTIONAL EQUIPMENT 5 Ton
/) a Complete Service Access is Loss of Charge Switch Sea Page 22 for Liming of Optional Accessories April 1994
• Insulated Cabinet • Direct Drive Blower Thermostat—Thermostats and Controls Tab Supersedes July 1993
• Fan Guard • Direct Drive Condenser Fan
• • Helical Heat Exchanger • Copper Tube/Enhanced Fin Coil stv c/ ,, _ a•mg4v
• Aluminized Steel Inshot Burner • Copeland®Compliant Scroll Compressor r 3•/
• Direct Spark Ignition • Commercial Controls Platform �y
• Induced Draft Blower a Pre-charged Refrigeration System a1% v /
• Flame Rollout Switch • Lifting Brackets Furnished
• Fan and Limit Controls • Liquid Line Strainer
• Expansion Valve • Service Gauge Ports rfsWito
• High Pressure Switch
SPECIFICATIONSI DIMENSIOIVS
Model No. GCS20-651-75 GCS20-651-125 ■GCS20X-651-100
GCS20-653-75 GCS20.653.125 MGCS20X-653-100
208/230v-1ph 39,119 39J25 39J32
Catalog No. 208/230v-3ph 39J20 39,126 3SJ33
460v-3ph 3SJ22 3SJ28 3SJ34
*ARI Total cooling capacity(Stuh) 58,000
Standard Total unit watts 5985
210/240 SEER 1Btuh/Watts) 11.00
Ratings
EER(Btuh/Watts) 9.7
*ARI Standard 270 SRN(Bels) 8:2
Refrigerant(HCFC-22)furnished 7 lbs.5 oz.
Blower wheel nom.diameter x width(in.) 11-1/2 x 9
Evaporator
Blower Motor horsepower 3/4
Air volume range(cfm) 1410-2785 1355-2760
Condenser Diameter(in.)&.No.of blades 24—4
Fan Motor horsepower 1/4
1 Btuh Input—Natural Gas 75,000 125,000 92,000
/• Heating Btuh Output—Natural Gas 58,000 95,000 74,000
Capacity Btuh Input--**IPG 67,500 112,500
Btuh Output—--LPG 52,000 85,000 ----
YA.FU.E.—Natural Gas—•"LPG 78.4%-78.4% 78.3%-78.5% 80.3%—na
California Seasonal Efficiency—Natural Gas—"LPG 72.7%-72.3% 75.0%-75.0% 75.2%—na
Gas Supply Connections fat(in.)—Natural&"LPG 1/2
Number and size of filters(in.) (1)20 x 25 x 1 (polyurethane)
Condensate drain size mpt(in.) 3/4
Net weight of basic unit(lbs.) 565 595 595
Shipping weight of basic unit—lbs.(cu.ft.)(1 Package) 655(78.12) 685(78.12) 685178.12)
•Recommended 208/230v-1ph 60
maximum fuse 208/230v-3ph 45
Line size(amps) 460v-3ph 25
voltage
data 208/230v-tph 42.0
YYMinimum 208/230v-3ph 29,0
circuit ampacity
460v-3ph 15.0
Length basic unit(with REMD16) 72-1/2(103-1/2)
Width basic unit(with EMDH16) 52(90)
Height basic unit 29
Dimensions S.&R.air opening(basic unit) 22 x 18
(inches)
Supply air opening with EMDH16(H x W) 22 x 18
Return air opening with EMOH16(H x W) 12 x 28-7/8
S.&R.air opening with SRT16 Transition 18 diameter
*Sound Rating Number in accordance with ARI Standard 270.
•Rated in accordance with ARI Standard 210/240 and DOE;95°F outdoor air temperature and 80-F db/67°F wb entering evaporator air.
••For LPG models a feld conversion kit is required and must be ordered extra.Not available on(NO.)models.
Wnnual Fuel Utilization Efficiency based on DOE test procedures and FTC labeling regulations.
efer to National Electrical Code manual to determine wire,fuse and disconnect size requirements.
here current does not exceed 100 amps,HACR type circuit breakers may be used in place of fuses.
NOTE—Extremes of operating range are plus and minus 10%of line voltage.
■"X"models meet the California Nitrogen Oxides(NO.)Standards that apply in the South Coast Air Quality Management and the San Francisco Bay Area Quality
Management District.Available in Natural Gas Only.
Technical
01994 Lennox Industries Inc. —21— Publications -.,.