14050065CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10081 S TANTAU AVE
CONTRACTOR: HUSSEY BROS INC
PERMIT NO: 14050065
OWNER'S NAME: FLORENCE BAKER
903 GEORGE ST
DATE ISSUED: 05/09/2014
OWNER'S PHONE: 4082533108
SANTA CLARA, CA 95054
PHONE NO: (408)733-6360
❑ LICENSED CONTRACTOR'S DECLARATION
r- r- �
BUILDING PERMIT INFO: BLDG ELECT PLUMB
License Class Lic.#
I- f— �
MECH RESIDENTIAL COMMERCIAL
Contractor Date
JOB DESCRIPTION. 5/28/14 )OB CANCELLED BY CONTRACTOR HUSSEY
BROS-ADD (N) A/C UNIT IN SIDE YARD AREA
I hereby affirm that I am licensed under the provisions of Chapter 9
(commencing with Section 7000) of Division 3 of the Business & Professions
Code and that my license is in full force and effect.
�/� ��
I hereby affirm under penalty of perjury one of the following two declarations:
I have and will maintain a certificate of consent to self -insure for Worker's
Compensation, as provided for by Section 3700 of the Labor Code, for the
Sq. Ft Floor Area:
Valuation: $3973
performance of the work for which this permit is issued.
I have and will maintain Worker's Compensation Insurance, as provided for by
Section 3700 of the Labor Code, for the performance of the work for which this
permit is issued.
APN Number: 37507008.00
Occupancy Type:
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is
PERMIT EXPIRES IF WORK I T STARTED
correct. I agree to comply with all city and county ordinances and state laws relating
to building construction, and hereby authorize representatives of this city to enter
WITHIN 180 DAYS OF PENT ISSUANCE OR
upon the above mentioned property for inspection purposes. (We) agree to save
180 DAYS FROM LA�AL ED INSPECTION.
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
costs, and expenses which may accrue against said City in consequence of the
`
granting of this permit. Additionally, the applicant understands and will comply
Issued by: _ Date:
with all non -point source regulations per the Cupertino Municipal Code, Section
9 18.
RE -ROOFS:
Signature Date
All roofs shall be inspected prior to any roofing material being installed. If a roof is
installed without first obtaining an inspection, I agree to remove all new materials for
inspection.
❑ OWNER -BUILDER DECLARATION
Signature of Applicant: Date:
I hereby affirm that I am exempt from the Contractor's License Law for one of
the following two reasons:
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
I, 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 (Sec.7044,
Business & Professions Code)
1, as owner of the property, am exclusively contracting with licensed contractors to
HAZARDOUS MATERIALS DISCLOSURE
construct the project (Sec.7044, Business & Professions Code).
I have read the hazardous materials requirements under Chapter 6.95 of the
California Health & Safety Code, Sections 25505, 25533, and 25534. I will
I hereby affirm under penalty of perjury one of the following three
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
declarations:
Health & Safety Code, Section 25532(a) should I store or handle hazardous
I have and will maintain a Certificate of Consent to self -insure for Worker's
material. Additionally, should I use equipment or devices which emit hazardous
Compensation, as provided for by Section 3700 of the Labor Code, for the
air contaminants as defined by the Bay Area Air Quality Management District I
performance of the work for which this permit is issued.
will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance, as provided for by
the Health & Safety Code, Sections 25505, 25533, and 25534.
Section 3700 of the Labor Code, for the performance of the work for which this
permit is issued.
Owner or authorized agent: Date:
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California. If, after making this certificate of exemption, I
CONSTRUCTION LENDING AGENCY
become subject to the Worker's Compensation provisions of the Labor Code, I must
I hereby affirm that there is a construction lending agency for the performance of
forthwith comply with such provisions or this permit shall be deemed revoked.
work's for which this permit is issued (Sec. 3097, Civ C )
Lender's Name
APPLICANT CERTIFICATION
Lender's Address
I certify that I have read this application and state that the above information is
correct. I agree to comply with all city and county ordinances and state laws relating
to building construction, and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes. (We) agree to save
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
ARCHITECT'S DECLARATION
costs, and expenses which may accrue against said City in consequence of the
I understand my plans shall be used as public records.
granting of this permit. Additionally, the applicant understands and will comply
with all non -point source regulations per the Cupertino Municipal Code, Section
Licensed Professional
9 18.
Signature Date
1'�USCL I �r-0S �L(
r/
P��' '� 4 1 a&s .,
KCavt1 t 7O Ctii.%ccll pu-i"4
�70� W,<s � j Sa or0'wtoLu' (=(a*t�.ce �`kc-r-
Flvrtk,ci Awi.Lr O(ofS kv/ W4-/ SkJS4e %ks�,Ile i.
CITY OF CUPERTINO
RECEIPT NUMBER: BS000023609
RECEIVED BY: SUEW PAYOR: STEVEN HUSSEY
TODAY'S DATE: 05/28/14 REGISTER DATE: 05/28/14
TIME: 09:39
4
BSA BLDG VALUATION 14050065 -$1.00
SMIP CATEGORY 2 14050065 -$.50
ADDRESS CHANGE 14050065 -$44.00
MECHANICAL ELEC PLUMBING 14050065 -$164.00
TOTAL DUE: -$209.50
CREDIT CARD: -$209.50 REF NUM: MC -PERMIT CANCELLED
TENDERED CHANGE
-$209.50 $.00
CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10081 S TANTAU AVE
CONTRACTOR: HUSSEY BROS INC
PERMIT NO: 14050065
OWNER'S NAME: FLORENCE BAKER
903 GEORGE ST
DATE ISSUED: 05/09/2014
OWNER'S PHONE: 4082533108
SANTA CLARA, CA 95054
PHONE NO: (408)733-6360
LICENSED CONTRACTOR'S DECLARATION
JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL ❑
ADD (N) A/C UNIT IN SIDE YARD AREA
/`
License Class Z0 Lic. #
I'
Contractor }{ VSS! b re S . Date ! � � "� 7
I hereby affirm that I am licensed under the provisions of Chapter 9
(commencing with Section 7000) of Division 3 of the Business & Professions
Code and that my license is in full force and effect.
I hereby affirm under penalty of perjury one of the following two declarations:
I have and will maintain a certificate of consent to self -insure for Worker's
Compensation, as provided for by Section 3700 of the Labor Code, for the
Sq. Ft Floor Area:
Valuation: $3973
performance of the work for which this permit is issued.
I have and will maintain Worker's Compensation Insurance, as provided for by
Section 3700 of the Labor Code, for the performance of the work for which this
APN Number: 37507008.00
Occupancy Type:
permit is issued.
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is
PERMIT EXPIRES IF WORK IS NOT STARTED
correct. I agree to comply with all city and county ordinances and state laws relating
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
to building construction, and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes. (We) agree to save
180 DAYS FR ED INSPECTION.
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
costs, and expenses which may accrue against said City in consequence of the
granting of this permit. Additionally, the applicant understands and will com
S
ued by: Date: /
with all non -point source regulations per the Cupertino Municipal Code, Se on
RE -ROOFS:
9 18.
Signature Date ! 7
All roofs shall be inspected prior to any roofing material being installed. If a roof is
installed without first obtaining an inspection, I agree to remove all new materials for
inspection.
❑ OWNER -BUILDER DECLARATION
Signature of Applicant: Date:
I hereby affirm that I am exempt from the Contractor's License Law for one of
the following two reasons:
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
I, 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 (Sec.7044,
Business & Professions Code)
I, as owner of the property, am exclusively contracting with licensed contractors to
HAZARDOUS MATERIALS DISCLOSURE
construct the project (Sec.7044, Business & Professions Code).
I have read the hazardous materials requirements under Chapter 6.95 of the
California Health & Safety Code, Sections 25505, 25533, and 25534. I will
I hereby affirm under penalty of perjury one of the following three
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
declarations:
Health & Safety Code, Section 25532(a) should I store or handle hazardous
I have and will maintain a Certificate of Consent to self -insure for Worker's
material. Additionally, should I use equipment or devices which emit hazardous
Compensation, as provided for by Section 3700 of the Labor Code, for the
air contaminants as defined by the Bay Area Air Quality Management District I
performance of the work for which this permit is issued.
will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance, as provided for by
Section 3700 the Labor Code, for the the for this
the Health & Safety Code, Sections 25505, 25533, and 25534. C;
of performance of work which
Owner or authorized agent: Date:
permit is issued.
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California. If, after making this certificate of exemption, I
CONSTRUCTION LENDI G AGENCY
become subject to the Worker's Compensation provisions of the Labor Code, I must
I hereby affirm that there is a construction lending agency for the performance of
forthwith comply with such provisions or this permit shall be deemed revoked.
work's for which this permit is issued (Sec. 3097, Civ C )
Lender's Name
APPLICANT CERTIFICATION
Lender's Address
I certify that I have read this application and state that the above information is
correct. I agree to comply with all city and county ordinances and state laws relating
to building construction, and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes. (We) agree to save
indemnify and keep harmless the City of Cupertino against liabilities; judgments,
ARCHITECT'S DECLARATION
costs, and expenses which may accrue against said City in consequence of the
I understand my plans shall be used as public records.
granting of this permit. Additionally, the applicant understands and will comply
with all non -point source regulations per the Cupertino Municipal Code, Section
Licensed Professional
918.
Signature Date
r\
GENERAL PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 A
�
(408) 777-3228 - FAX (408) 777-3333 • buildino a�cupertino.org A
1—Inrr, MTXT/1- r)(1.rcrJAWTU AT ITIP7Pc7PI('At. MWSCELLANTEOUS
PRO= ADDRESS j� %� L) a %� N �A v Y1 V e I APN 9 C)C-)&
l
Vv Ic v%
SJ r PHONE YO 2r3 3 ion E-MAU
OV,rNZERN.4ME ( 1 p r c� t 4 J
STRE=ADDRESS
j od el S . fiA- fiA„ 4%K
CITY, TE, ZIP . « . FAX
�'� �r4o � 04 9sa►
`(� 3'& 3 4 a E KA.IL
CONTACT NAVE J C' e C NF 140 "'NoeJ J
STRADDRESS
EET
CITY, STATE,, ZIP
FAX
❑ OWNER ❑ OV,WER-BUII DER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ AROETECT ❑ ENGD MM ❑ DEVELOPER ❑ TE.NSNT
CONTPACTORNAMECi/SSG roS, »( LI E GGti LI C Z� E
J
BUS. LIC
COMPANY NAME J
E-MAIL
FAX
STREET ADDRESS
(izillrs�° s�•Cay.TlfCJ
STA
(A ��G r�
I PHONE
Ila 7)3-04b
ARCH7BCT/ENGINE/ERNI+A1,6E LICENSENUN.BER
( BUS. LIC
COMPANY NAME
E-MAIL
FAX
STREET ADDRESS
CITY, STATE, ZIP
PHONE
USE OF or DUPLEX ❑ MULTI -FAMILY Y PROJECT IN WI DLAND ❑ YES PROJECT IN ❑ YES
BUJIDING: COMMERCIAL I URBAN INTERFACE AREA ❑ NO I FLOOD ZANE ❑ NO
IS THE BLDG AN ❑ YES
I EICEJLER HOME? O
DESCRIPTION OF WORK 7-
• Zti�''�tilr �{v6 IefS {o6�ia vl4/� L o00 �%✓
ME
TOTAL VALUATION:- �.,�4,,
By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on the property owner's- ave read this
application and the information I have provide is -correct. I have read the Description of Work and verify it is accurate. I agree to omply with all applicable local
ordinances and state laws relating to buildin o trvction. I authorize representatives of Cupertino to enter the above -identified property for inspection purposes.
SignatureofApplicant/Agent: Date: J -6 y
SUPPLEMENTAL DEgnIATION REQUIRED
.
_� -
� ��.� �VER�Hi*rCDL2
F J�RES
VON
'a �Tv1T�Z1AR1) -�_
.FPA1isc,4pp_M1.doc revised 06/21/11
CITY OF CUPERTINO
FEE ESTIMATOR - BUILDING DIVISION
ADDRESS: 10081 S TANTAU AVE
DATE: 05/09/2014
REVIEWED BY: MELISSA
APN: 375 07 008
BP#:
*VALUATION:
1$3,973
*PERMIT TYPE: Mechanical Permit
PLAN CHECK TYPE: Alteration / Addition / Repair
PRIMARY
USE: SFD or Duplex
1
PENTAMATION
PERMIT TYPE: FURN/A �
WORK
ADD N A/C UNIT IN SIDE YARD AREA
SCOPE
APPLIANCE / EQUIP TYPE
FEE ID
5
QTY
UNITS
BP FEES
A/C Units (<=10K cfm)
1BREMAiR
$0.00
1
#
$70
IMPERMIT
Piumb. f'erm't Fee:
Lther Mech. Insp. 0.0
�rs$47.00
Omer Plumb Insp,
C d"er� Ele", lash.
Ii ,. P, F.�111:
PME Unit Fee:
I'lumh. hish. I1ee:
Iaec. Insla
$47.00
{:;r.'l 7NO He'iiOn 7'n.r:
Administrative Fee: IADMIN
$44.00
Work Without Permit? 0 Yes (j) No
$0.00
TOTALS:
Travel Documentation Fee: ITRAVDOC
$70.00
'
``Ri
FEE
5
MISC ITEMS
Plan Check /`cry':
slippl. PC' Fee
Mech. Plan Check 0.0 hrs
$0.00
Phinib, /Terri (7/m 6
Eic>c, flan
Mech. Permit Fee:
IMPERMIT
Piumb. f'erm't Fee:
Lther Mech. Insp. 0.0
�rs$47.00
Omer Plumb Insp,
C d"er� Ele", lash.
Ii ,. P, F.�111:
PME Unit Fee:
I'lumh. hish. I1ee:
Iaec. Insla
NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School
Tlictrirt otn 1 Thoco foot nro hncod nn tho nroliminnnr infnrmntinn nvnilnhlo and nro nnhy in owimato_ t^nntnrt tho Dont for addn'l info_
FEE ITEMS IFee Resolution 11-053 Eff. 711113)
FEE
QTY/FEE
MISC ITEMS
Plan Check /`cry':
slippl. PC' Fee
PME Plan Check:
$0.00
p erinit
SVI?[)/. Insp P'ce
PME Unit Fee:
$70.00
PME Permit Fee:
$47.00
{:;r.'l 7NO He'iiOn 7'n.r:
Administrative Fee: IADMIN
$44.00
Work Without Permit? 0 Yes (j) No
$0.00
IGiiwit e' i Phnv'iinji, I'eES:
Travel Documentation Fee: ITRAVDOC
$47.00
Strong Motion Fee: 1BSEISMICR
$0.50
Select an Administrative Item
Bldp, Stds Commission Fee: IBCBSC
$1.00
$209.50
$0.00 w F4 TOTAL FEE:
$209.50
Revised: 04/01/2014
INSTALLATION CERTIFICATE CF-6R-MECH-04
Space Conditioning Systems, Ducts and Fans (Page 1 of 2
Site Address: Enforcement Agency: Permit Number:
t o o i l S, T1.fin., A, --L CvtvA a
Space Conditioning Systems
Heating Equipment
Equip
Type
(package-
heat um
CEC Certified Mfr. Name
and Model Number
ARI
Reference
Number 2
# of
Identical
Systems
Efficiency
(AFUE,
etc.)1.3
(>_CF -1R
value 4
Duct
Location
(attic,
crawl-
space,
etc.)
Duct
R -value
Heating
Load
(Btu/hr)
Heating
Capacity
(Btu/hr
.V
O-
M �f:-
f I AU 6-&
3 WD Y3
%
2 D •�
Oil
to 00
Cooling Equipment
Equip
Type
(package
heat
u )
CEC Certified Mfr. Name
d Model Number
ARI Reference
Number 2
# of
Identical
Systems
Efficiency
(SEER
and EER)
1,3
(SCF -1R
value 4
Duct
Location
(attic,
crawl-
space,
etc.
Duct
R -value
Cooling
Load
(Btu/hr
Cooling
Capacity
(Btu/hr
.V
O-
M �f:-
f I AU 6-&
3 WD Y3
%
2 D •�
Oil
to 00
1. If project is neiv construction, see Footnotes to Standards Table 151-B and Table 151-C for duct ceiling alternative
compliance.
2. ARI Reference Number can be found by entering the equipment model number at http://wwiv. aridirectory. org/ari/ac.php#
3. Listed efficiency on this page must be greater than or equal (>_) to the value sholvn on the CF -IR form.
4. When CF -IR is reference it is also applicable to the CF -IR, CF -IR -AA or CF -IR -ALT
ALL BOXES MUST BE CHECKED TO BE A VALID FORM
0§110-§ 113: HVAC equipment is certified by the California Energy Commission.
'�-§ 150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA, or ACOA.
§150(i): Setback Thermostat on all applicable heating and/or cooling systems meet the requirements of §1 12(c).
�§ 1500)2: Pipe insulation for cooling system refrigerant suction, chilled water and brine lines meets minimum
requirements of Table 150-B and includes a vapor retardant or is enclosed entirely in conditioned space.
2008 Residential Compliance Forms August 2009
INSTALLATION CERTIFICATE CF-611=MECH-04
Space Conditioning Systems, Ducts and Fans -(Page 2 of 2
Site Address: Enforcement Agency: Permit Number:
00,f/ S. 'TA" 4,tv Av'c rvpCA,.:l I
Ducts and Fans
§I50(m): Duct and Fans
�a 1. All air -distribution system ducts and plenums installed, sealed and insulated to meet the requirements of CMC
Sections 601, 602, 603, 604, 605 and Standard 6-5; supply -air and return -air ducts and plenums are insulated to a
minimum installed level of R-4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape
or other duct -closure system that meets the applicable requirements of UL 181, UL 181A, or UL 181B or aerosol
sealant that meets the requirements of UL 723. If mastic or tape is used to seal openings greater than 1/4 inch, the
combination of mastic and either mesh or tape shall be used; and
V— 1. Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other
than sealed sheet metal, duct board or flexible duct shall not be used for conveying conditioned air. Building cavities
and support platforms may contain ducts. Ducts installed in cavities and support platforms shall not be compressed to
cause reductions in the cross-sectional area of the ducts.
1�7213. Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive
duct tapes unless such tape is used in combination with mastic and draw bands.
7. Exhaust fan systems have back draft or automatic dampers.
'�
�. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually
op rated dampers.
. Protection of Insulation. Insulation shall be protected from damage, including that due to sunlight, moisture,
equipment maintenance, and wind. Cellular foam insulation shall be protected as above or painted with a coating that is
water retardant and provides shielding from solar radiation that can cause degradation of the material.
5K-10. Flexible ducts cannot have porous inner cores.
DECLARATION STATEMENT
• I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct
• I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction, or an authorized
representative of the person responsible for construction (responsible person).
• I certify that the installed features, materials, components, or manufactured devices identified on this certificate (the installation)
conforms to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the
enforcement agency.
• I reviewed a copy of the Certificate of Compliance (CF -1R) form approved by the enforcement agency that identifies the specific
requirements for the installation.. I certify that the requirements detailed on the CF -1R that apply to the installation have been met.
• I will ensure_ that a completed, signed copy of this Installation Certificate shall be posted; or made. available with the building
permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand
that a signed copy of this Installation Certificate is required to be included with the documentation the builder provides to
the building owner at occupancy.
Company Name: (Installing Subcontractor or General Contractor or Builder/Owner)
#V sit!,
Isro cwt.
Responsible Person's ame:
Responsib a on's Signature:
CSLB License:Date
Signed
Position With Company (Trt e
& I
1-,5-I Y
4ww.J'
2008 Residential Compliance Forms August 2009
PLOT RLAN�5
EC E
DAT
PLAI INING DF
,p
DATF�
dve-i
C-00
Tr.,, �4 v 4v e.
qDk XS3-3W
COMNAUNIT Y DEVELOPMENT DEPARTMENT
BUILDING DIVISION - CUPERTINO
This set of p!ans and specifications MUST be kept at the
Job sil0a during construction. It is unlawful to make any
c a n a e s or ;Iger F,'(, r, s on carne, or to deviate
thcrs,-7,---rn, without apProval frcrn the Building Official.
T,7i
,tpMojna o4 this pion P-nd s-)oclficatlons SHALL NOT
�'nf.-,,Jd Lo P-rm-it or to br,-. val of the vioiation
of ff",
-F, �, �m�mance or State Law.
PERMIT NO.
ht 4,eell ,
1411&6 IINA 4&
14, ODO
- 41.+ c, rct, J. '&, �q
0 V, 1,5 0 0
sec,vif VK;+
04410(":A 0
C,
lcn
Job Name: Location: Date:
Purchaser:
Submitted to: For ❑ Reference ❑ Approval []Construction
Unit Designation:
GENERAL FEATURES
• Wall -mounted indoor unit
• Standard Hybrid Catechin Prefilter is included with indoor unit
• Quiet operation
• Choice of fan speeds: Quiet, Low, Medium, High, and Super High;
Auto fan speed control also included
• Wireless remote controller is included; PAR -21 MAA wired
remote controller can be installed as an option
• Indoor unit powered from outdoor unit using A -Control
• Auto restart following a power outage
• Limited warranty: five years on parts and defects and seven years
on the compressor
OPTIONAL ACCESSORIES
Outdoor Unit
• Drain Socket Assembly (MAC-860DS)
Indoor Unit
• M -NET Control Adapter (MAC -3991F)
• MA Contact Terminal Interface (MAC -3971F)
• Wired Remote Controller (PAR -21 MAA; requires MAC -3971F)
• Condensate Pump (230V; S13100-230)
• Anti -allergy Enzyme Filter (Two pieces per set; MAC-408FT E)
Cooling*
UNIT INCHES / MM
Rated Capacity...............................12,000
Btu/h
Minimum Capacity .............................3,800
Btu/h
SEER ......................................20.5
tu/h/W
Total Input. . . .....................................
960 W
• Rating Conditions (Cooling) - Indoor: 80°F (27°C) DB, 67°F (19°C) WB; Outdoor. 95°F
(35°C) DB, 75°F (24°C) WB.
Electrical Requirements
/ 9.52 mm
Power Supply ................
.... 208/230V,1 -Phase, 60 Hz
Breaker Size. . . ....................................
15 A
Voltage
Indoor - Outdoor S1-S2 ...................... AC 208 / 230V
Indoor - Outdoor S2 -S3 ......................... DC 12-24V
Indoor - Remote Controller ......................... Wireless
OPERATING RANGE
Indoor Intake Air Temp. Outdoor Intake Air Temp.
UNIT INCHES / MM
Maximum 90°F (32°C) DB, 115°F (46°C) DB
73°F 23°C WB
Cooling
67°F (19°C) DB,
Minimum 57°F (14°C) WB 14°F (-10°C) DB
Schedule No.:
Outdoor Unit: MUY-GE12NA
Indoor Unit
MCA...............................................1 A
Fan Motor. . . ............. ........... ...... 0.76 F.L.A.
Airflow (Quiet - Lo - Med - Hi - Super Hi)
Cooling ................ 145 - 170 - 237 - 321 - 399 Dry CFM
109 - 134 - 201 - 286 - 364 Wet CFM
Sound Pressure Level (Quiet - Lo - Med - Hi - Super Hi)
Cooling ........................19 - 22 - 30 - 37 - 45 dB(A)
DIMENSIONS
UNIT INCHES / MM
W
31-7/16 / 799
D
9-118/232
H
11-5/8/295
Weight ....:................................ 22 lbs. / 10 kg
External Finish ..................... Munsell No. 1.0Y 9.2 / 0.2
Field Drainpipe Size O.D......................5/8" / 15.88 mm
Remote Controller ............................... Wireless
(Optional Wired Remote Controller PAR -21 MAA;
see Data Submittal Sheet)
Outdoor Unit
I INCHES / MM
Compressor .............................DC
Inverter -driven
MCA..............................................12
A
Fan Motor.....................................0.50
F.L.A.
Sound Pressure Level
Cooling ......................................
49 dB(A)
DIMENSIONS
I INCHES / MM
W
131-1/2 / 800
D
111-1/4 / 286
H
21-5/8 / 549
Weight ........................... ..... 77 lbs. 135 kg
External Finish ...................... Munsell No. 3Y 7.8 / 1.1
v U P L RT (I �t
Refrigerant Type ...................................
R41 OA
Refrigerant Pipe Size O.D.
Ruilding Dercetment
Gas Side.................................3/8"
/ 9.52 mm
Liquid Side................................1/4"
16.35 mm
t
i
Max. Refrigerant Pipe Length.....................65
ft. / 20 m
Max. Refrigerant Pipe Height Difference ............
40 ft. / 12 m
„.:.,
Connection Method ................................
Flared
REVIEWED FOR CODE COMPLIANCE
Reviewed By: _
mm
MSY-GE12NA Unit: inch
7/16.1 Oblong hole 7/16x13/16 Oblong hole
31-7/16 r— _ -----�
30.15/16 1/4
4 It
6-1/8 6-1/8
mi
2-3/ 13-5/16 13-9/16
3/ 9-1/8 Indoor unit Air in wall hol
16 11
�J Installation plate
Pi in
IN4�1` 'A
N
1-3/4 1-5/8 `\r°
1-15/16-I-_ 24-3/8
/3/1 N NDrain hose
4-3/8
2-5/16_, ,- _n.3/4 Air out
MUY-GE12NA
v15-3/4 Drain hole 01-5/8 REQUIRED SPACE
-; Air in
Air in c>
le
N
Z2
DI 1
rj+ WANN
Unit: inch
Basically open 4 inch or more
without any obstruction in front
and on both sides of the unit.
mp16
8 �i' p1
Open two sides of left,
right, or rear side.
)ipe :1/4 (flared)
1e :3/8 (flared) (GE09/12)
1/2 (flared) (GE15)
14ip o.
'77o"e
v'pF Sewanee, 30024
CO Tele:678-37676-2900 •Fax: 800-889-9904
iSTE® �%OZ Toll Free: 800-433-4822 (#3)
www.mehvac.com
C SD - MSY-GE12NA & MUY-GEI2NA- 200909 0 MITSUBISHI ELECTRI 2009 CF Specifications are subject to change without notice.
Insulation
e1-3/80.13
y l I
Liquid line
0114 19 - 11/1 6 (Flared connection ¢1/4)
o- Gas line
13/16 1-15/16
o3/8 16 - 15/16
(Flared connection: 0318 (GE06109112NA), o1/2 (GE1511 MIA))
Drain hose
Insulation of -1/8 O.D Connected part o5/8 O.D
MUY-GE12NA
v15-3/4 Drain hole 01-5/8 REQUIRED SPACE
-; Air in
Air in c>
le
N
Z2
DI 1
rj+ WANN
Unit: inch
Basically open 4 inch or more
without any obstruction in front
and on both sides of the unit.
mp16
8 �i' p1
Open two sides of left,
right, or rear side.
)ipe :1/4 (flared)
1e :3/8 (flared) (GE09/12)
1/2 (flared) (GE15)
14ip o.
'77o"e
v'pF Sewanee, 30024
CO Tele:678-37676-2900 •Fax: 800-889-9904
iSTE® �%OZ Toll Free: 800-433-4822 (#3)
www.mehvac.com
C SD - MSY-GE12NA & MUY-GEI2NA- 200909 0 MITSUBISHI ELECTRI 2009 CF Specifications are subject to change without notice.