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PMT - 4699 NAUTILUS CT S, UNIT 306 - Application Form - Construction Permit PRICE QUOTE Dynamic Heating Lewis Sowell 4481 Clay Street Boulder,CO 80301 (303)668-9604(Business) (303)284-0786(Fax) July 5,2006 CUSTOMER Nancy Clanton Clanton And Associates 4699 Nautilus CtSouth Suite 102,Boulder,CO.80301 PROJECT: 4699 Nautilus CL South Suite 102 Install new package roof top anit Install Forces Air Heaft and Air Conditioning and 2-Bath Fans Dynamic Heating will install in accordance with industry standards and local codes. The proposed lob will consist of replacing the existing Lex roof top unit with a new,larger,high efficiency unit,and upgrades to the plumbing and electrical systems serving the new unit.Removal of existing supply and return ductwork,and installing new ductwork, grilles and diffusers as per system design supplied by customer. Installation of new bathroom and break mom Exhaust fans. NOTES:Dynamic Heating will supply the permit The existing roof curb will be used in conjunction with a Curb adapter for minimal impact on the roof. Dynamic Heating will warranty the work for a period of 2-years from start up. Fxtended warranties are available on the equipment Total Coat of Proposed Job....................................... t$-14,623.00 City of Boulder Planning and Development Services Permit No. Q [i Mechanical Permit Application Date Issued To construct, add, replace, alter or repair heating, ventilation, refrigeration, comfort cooling systems and other miscellaneous heat producing appliances in new and existing buildings. *Once you receive your permit,it must be available to the inspector at the work site,preferably posted in a place visible from the street. Project Address: C( , .Qlt, Scope of work(Indicate whether New or Replacement.): New Replace New Replace 0 Date Applied: Valuation:$ 2 ❑ ❑Water Heater ❑ ❑Gas Fireplace ❑Single-family Detached Dwelling ❑ Duplex/Townhome ❑ ❑ Forced-Air Furnace ❑ ❑Fireplace Insert ❑ ❑ Boiler ❑ ❑Decorative Appliance ❑ Multifamily Commercial/ Institutional/Public ❑ ❑ Radiant Heat ❑ ❑ Unit Heater Owner Name: ❑ ❑ Refrigeration System ❑ ❑ Space Heater C � ❑ ❑ Comfort Cooling ❑ ❑ Duct Work Only Address: 117 A 0 Roof-Top Unit ❑ ❑ Ventilating Equipment r—q ti ❑ ❑Other(Describe below.) ❑ ❑ Gas Piping Only City: 1 Phone No.: For: k Contractor Name: / 303 Le�l;S C -S�We l l Phone No.: License No.: -o550 33 oquo 0m 7365_-Z3 I agree to perform the work described herein, in accordance with the plans and/or specifications submitted, and with all provisions of the Building Code, Residential Code,Mechanical Code,Plumbing Code,Fire Code and health BTU Rating: Regulations of :,ofas umerat � the Boulder Revised Code, 1981.tions Location in Building: Revised June 2005 Applicant's Signature Date skipmechanical.pdf SKIP-A-TRIP Note:Skip-A-Trip permits are only Faxable/Drop-Off Application Form applicable for residential projects. To: City of Boulder Planning and Development Services — attn: Permitting Fax #: 303-441-4241 From: Date: 120 #of pages, including this page: • Permit will be processed within two business days after receiving application. • Incomplete applications shall be return-faxed to the sender. Preferences for receiving the approved permit ❑ I will pick up the permit from the Planning and Development Services Center. Contact name- Daytime Phone No.: ❑ Fax me the permit (credit card payment required). Return Fax No.:( ) ❑ Visa ❑ MasterCard Credit Card #- Name as it appears on card- Exp. Date: Billing address of credit card: Signature-