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2006 <br />State Nonresidential Energy Code Compliance Form <br />Stan Nc.11esme^l a Ero1.1 Co!. CcIr a^ce1 —.r <br />Rama Jwr 2W' <br />Project Info <br />Project Address im11Co AMRICA, INC. <br />Date 12/3/2008 <br />120 - eosT sN <br />For Building Dept Use <br />SWRETT, aA 99203 <br />Applicant Name JOINNE SECHIER <br />Applicant Address. 6902 S. 220TR ST, IRNT, MA 99032 <br />Apploart Phone (4251251-9940 <br />Project Description I REPLACE EXISTING 4-TON ROOFTOP GAS PACK WITH NEW 4-TON ROOFTOP <br />Briefly describe mechanical GASPACK. <br />system type and features <br />[] includes Plans IDrawings must contain notes requireing compliance with commissioning requirements - Section 1416 <br />r!) Simple System O Complex System Q Systems Analysis <br />Compliance Option <br />(See Decision Flowchart (over) for qualifications Use separate MECH-SUM for simple 8 complex systems ) <br />Equipment Schedules <br />The following information Is required to be incorporated with the mechanical equipment Schedules on the <br />plans For projects without plans. fill in the required information below. <br />Cooling Equipment Schedule <br />Equip <br />ID <br />Brand Name' <br />Model No <br />Capacity' <br />Muth <br />Total CFM <br />OSA CFM <br />or Econo? <br />SEER <br />or EER <br />IPLV' <br />Location <br />AC-5 <br />CARRIER <br />49NJD-005 --- 6 <br />48900 <br />1600 <br />ECONO <br />13.00 <br />Poor <br />Heating Equipment Schedule <br />Equip <br />10 <br />Brand Name' <br />Model No ' <br />Capacity <br />Btulh <br />Total CFM <br />OSA cfm <br />or Econo? <br />Input Blunt <br />Output Blunt <br />Efficiency' <br />Ac-5 <br />CARRIER <br />48HJD --- 6 <br />72000 <br />1600 <br />ECONO <br />72000 <br />59400 <br />82.500 <br />Fan Equipment Schedule <br />Equip <br />ID <br />Brand Name <br />Model No <br />CFM <br />SP' <br />HP/BHP <br />Flow Control' <br />Location of Service <br />'If available. 2 As tested according to Table 14-IA through 14.1G. 3 If required. ' COP. HSPF. Combustion Efficiency or AFUE, as <br />applicable. ' Flow control types variable air volume(VA'✓), constant volume (CV), or variable creed (VS) <br />F^ <br />