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2009 Washinglon State E^^�gy Code Compliance Forms for Nonresidentia���d Multifamily Residential <br /> '2009 Washington Slata Energy Code Complianco Forms lor Nonresidential end Mullilamily Residonfial Revised December 2070 <br /> ProjectInfo P�ojeclAddre55 4919EvergreenWey Date 3/14/2012 <br /> Everen,WA 9e2o7 For Building Dept. Use <br /> AppliCanl Name: Evergrecn Rcidgerellon 1 � \'��-'�� <br /> ApplicaM Address: 727 S.Kenyon St.Seanle,WA 98108 <br /> Applicant Phone: 206•763-t744xz47 <br /> Project Description Installation of one (1) split system heat pump. <br /> Brieily describe mechanical <br /> system type and leatures. <br /> Q Indudes Plans Drawings must confain notes requireing cornpliance with commissioning requiremems-Section 1416 <br /> QQ Simple Svstem Q Complex System 0 Systems Analysis <br /> Compliance Option (See Decision Flowchart(over)lor qualilications. Use separate MECH-SUM lor simple&complex <br /> Equipment Schedules The following information is required to be inwrporated with the mechanical equipmenl schedules on <br /> Ih�plans. For projects without plans,fill in the required inlormation below. <br /> Coolin � ui ment Schedulr_ ,,_„ <br /> Q P, q P Ca acit � OSA CFM SEER Econmizer _ <br /> E ID Type Brand Name' Model No.' Btu/hY or Econo? or EER �p��� Option or F7ecovery <br /> Exceplion� YM <br /> cu-i Lemox iaxex-oz4 23400 140 13 Econmizer x <br /> Heatin E ui ment Schedule <br /> Ca aci 2 OSA cim Heat <br /> Equip. Equip , P ty or Econo? In ut Btuh Oul ut Btuh Recove <br /> ID Type 9rand Name Model No. BtWh P P Ef(iciency° Y/N ry <br /> NI-1 Lemox CB%26vx-029 17050 140 22200 17050 4 N <br /> i Pan E ui ment Schedule <br /> � Equip. Equip � i CFM gp' HP/BHP Flow CoNrols Location oi Service <br /> I <br /> ID Type Brand Name Model IJo, <br /> 'If evailable. z As lested according to Table 14•1A through 14-1G. 'If required. 'COP. H�PF,Combusticn Elficiency,or AFUE,as <br /> &pplicable. ''Flow coNrol types:vanable air volume(VAV),wnstant volume(CV),or variabla speed(VS). 6 Excep[ion numher from Se[tion � <br /> i <br /> ',!� � ,; i <br />