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2012 Washington State Ene�Code Compliance Forms for Commercial, Gro�R1, and > 3 story R2 and R3 <br />2012 Washin ton State Ener Code Compliance Forms for Commercial, Grou R1, and > 3 sto R2 and R3 Revised June 2013 <br />Project Info ProjectAddress 3305 Nassau st. Date 2/12/2014 <br />Everett, wa 9eaoi For Building Dept. Use <br />Applicant Name: AieX Burkhart <br />On ��o �-�5.� <br />ApplicantAddress: �2� soucn Kenyon St. Seattle, wa 98108 <br />Applicant Phone: zo6-�63-i�aa ext. 247 <br />Project Description Installation of three (3) packaged heat pump units, one (1) split system heat pump, and <br />Briefly describe mechanical seven (7) exhdUSt fans. <br />system type and features. <br />❑✓ Includes Plans Drawings must contain notes requiring compliance with commissioning provisions per Section C408 <br />� Simple System � Complex System � Systems Analysis <br />Compliance Option <br />E Ul ment Schedules The following information is required to be incorporated with the mechanical equipment schedules on <br />q P the plans. For projects without plans, fill in the required information below. <br />Coolin E ui ment Schedule <br />Equip. Equip Capacity2 OSA CFM SEER Econmizer Heat <br />ID Type Brand Name' Model No.' Btu/h or Econo? or EER IPLV3 Option or Recovery <br />Exceptions Y/N <br />Ac-i Lennox Kiu060S4S 61500 400 13 N/A Econmizer x <br />ac-2 Lennox KHA024S4D 23600 160 13 N/A Econmizer rr <br />AC-3 Lennox RHA024S4D 23600 160 13 N/A Econmizer rr <br />xu-i / Lennox csxz�ux-o6o / 13HPX 58500 400 13 N/A Econmizer rr <br />OU-1 060-230 <br />Heatin E ui ment Schedule <br />Equip. Equip Capacity2 OSA cfm Heat <br />ID Type Brand Name' Model No.' Btu/h or Econo? Input Btuh Output Btuh Efficiency° Recovery <br />Y/N <br />Ac-1 Lennox ICHA06054B 51216 400 51216 51216 .4 N <br />Ac-2 Lennox RHA024S4D 25608 160 25608 25608 .3 N <br />AC-3 Lennox KHA02454D 25608 160 25608 25608 "� .3 N <br />�u-1 / Lennox c8x2�ux-o6o / 13xPx 51216 400 51216 51216 3.48 N <br />OU-1 060-230 <br />Fan E ui ment Schedule <br />Equip. Equip <br />ID Type Brand Name' Model No.' CFM gp' HP/BHP Flow Controls Location of Service <br />EF-1 Broan QTR110 90 0.20" 0.10 cv Ceiling <br />EF-2 sroan QTR110 90 0.20" 0.10 CV Ceiling <br />EF-3 Broan Liso 130 0.375" 0.10 CV Ceiling <br />EF-4 Broan Liso 130 0.375" 0.10 cvi ceiiinq <br />EF-5 Broan QTR110 9� �.2�° 0.10 CV Ceiling <br />EF-6 s=oan Liso 130 0.375" 0.10 cvi ceiiinq <br />EF-7 sroaa Liso 130 0.375" 0.10 CV Ceiling <br />Service Water Heating Equipment Schedule <br />Equip. Equip Input Sub- <br />ID Type Brand Name' Model No.' Capacity Category EF' Location of Service <br />' If available. 2 As tested according to Table C403.2.3(1)A thru C403.2.3(8). 3 If required. ° COP, HSPF, Combustion Efficiency, or AFUE, as <br />