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2012 Washington State Energy ode Compliance Forms for Commercial, Group R1, and > 3 story R2 and R3 <br />r mun R1_ and > 3 story <br />)oU <br />Project Info <br />Project Address Jacknone St., •cot <br />Data 3/31/2014 <br />213l waln'.,t St <br />For Building Dept. Use <br />F:vnrott, NA _ <br />Applicant Name: <br />Applicant Address. <br />Applicant Phone. <br />Project Description <br />Briefly describe mechanical <br />system type and features. <br />El Includes Plans <br />Rooftop Packaged Systems <br />Include documentation requiring compliance with commissioning provisions per Section C408. <br />Compliance Option <br />Simple System O Complex System Q Systems Analysis <br />Equipment Schedules <br />The lol!owmg mformalion is required to be incorporated with the mechanical equipment schedules on <br />the plans For pro eels wdhout plans, fill in the required information below. _ <br />Cooling Equipment Schedule <br />Equ;p. <br />1D <br />Equip <br />Type <br />Brand Name' <br />Model No.' <br />Capacit/ <br />Bluth <br />OSACFAI <br />or Econo? <br />SEER <br />or EER <br />IPLVP <br />Er •^^r <br />Opttu •.• <br />Except%one <br />Heat <br />Recovery <br />YIN <br />Sne t'.ot <br />Heating Equipment Schedule <br />Equip. <br />ID <br />Equip <br />Type <br />Brand Name' <br />Model No.' <br />Capaeity2 <br />'Bluth <br />OSA cfm <br />or Econo? <br />Input Btuh <br />Output Blob <br />Efficiency` <br />Heat <br />Recovery <br />YIN <br />sco Hot <br />Fan Equipment Schedule <br />Equip. <br />ID <br />Equip <br />Type <br />Brand Name' <br />Model No.' <br />CFNI <br />.SP' <br />HP/BHP <br />Flow Controls <br />Location of Service <br />sin trot <br />Service Water Heating Equipment Schedule <br />Equip. <br />ID <br />Equip <br />Typo <br />Brand Name' <br />Model No.' <br />.Input. <br />Capacity <br />Sub. <br />Category <br />BFr <br />Locabon of Service <br />' If available. ' As tested according to Table C403.2.3(1)A thru C403.2.3(8). 31f required. ' COP, HSPF, Combustion Efficiency, or AFUE, as <br />applicable. ° Flow control types: variable au volume (VAV), constant volume (CV), or variable speed (VS) 6 Economizer exception number per <br />DS <br />