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2001 <br />,ton State Nonresidential Enerav Code Compli• ^e Form <br />9%II Wasn. aWm Stele Nmles,de^6sl Gnerpy Cade <br />June <br />Project Info <br />Project Address 7 OM 114 <br />Date 8/31/04 <br />WAfl <br />• L <br />For Building Dept. Use <br />U "gJlC) <br />Applicant Name: set -Aire meeting, Inc. <br />Applicant Address, 7172 Division street <br />Applicant Phone: U601 77I-4652 <br />Project Description <br />Briefly describe mechanical <br />system type and features. <br />El Includes Plans <br />must contain notes requheng compliance with commissioning requirements - Section 1416 <br />Q Simple System O Complex System O Systems Analysis <br />Compliance Option (See Decision Flowchart (over) for qualifications. Use separate MECH•SUM for simple 8 complex systems I <br />.quipmen t Schrd u I es <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 Sichedule <br />litkw) <br />Brand Name' <br />Model No.' <br />Capacity° <br />Btmh <br />Total CFM <br />OSA CFM <br />or Econo? <br />SEER <br />or EER <br />IPLV° <br />kw„ l ini <br />t:(t <br />,I I.-n <br />)ter <br />2'1 y) <br />SA <br />Heatin r Equipment Schedule <br />Equip. <br />to <br />Brand Name' <br />Model No.' <br />Capacity <br />Btu/h <br />Total CFM <br />OSA chill <br />or Econo? <br />Input Btuh <br />Output Btuh <br />Ehrcienc . <br />1t(� <br />1'. &ZqJ CNcE <br />UUt1goo <br />(I 51q <br />Opp <br />41 V&i <br />Fan E ui nlent Schedule <br />Equip. <br />ID <br />Bra ' <br />Model No.' <br />CFM <br />gp' <br />HP/BHP <br />Flow Canrol <br />Location of Service <br />'II available. ] As tested accord,ng to Table 14.1A through 14.1 G. 111 required, x COP, HSPF, Combustion Efficiency, or AFUE. as <br />applicable. ° Flow control types variable air volume(VAV), constant volume (CV), or variable speed (VS) 1 <br />1 / 3 <br />