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2012 Washington State Ener1 Code Compliance Forms for Commercial, Gro�R1, and > 3 story R2 and R3 <br />2012 Was�in ton State Ener Code Com liance Forms for Commercial, Group R1, and > 3 sto R2 and R3 Revised June 2013 <br />Project Info ProjectAddress 9506 7th Ave ss Date 6/3/2013 <br />averett, wa 9ezoa For Building Dept. Use <br />Applicant Name: aieX Burkhart � ( �j � � -(,? (�,� <br />ApplicantAddress: �2� South Kenyon St. Seattle, wa 98108 <br />Applicant Phone: zo6-�ea-i�aa ext. 247 <br />Project Description Installation of two (2) rooftop packaged heat pump units. <br />Briefly describe mechanical <br />system type and features. <br />� Includes Plans Drawings must contain notes requiring compliance with commissioning provisions per Section C408 <br />� Simple System �i Complex System 0 Systems Analysis <br />Compliance Option <br />E Lll 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 />RTU-1 Lennox KHA15054B 144300 1000 10 .6 N/A Econmizer rr <br />RTU-2 Lennox RHA09254B 91600 500 11 . 0 N/A Econmizer x <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 Efficiency4 Recovery <br />Y/N <br />RTU-1 Lennox xxA15os4B 138000 1000 138000 138000 3.2 N <br />RTU-2 Lennox KHA092S4S 89000 500 89000 89000 3.3 N <br />Fan E ui ment Schedule <br />Equip. Equip <br />ID Type Brand Name' Model No.' CFM Sp' HP/BHP Flow Controls Location of Service <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 />applicable. 5 Flow control types: variable air volume (VAV), constant volume (CV), or variable speed (VS). 6 Economizer exception number per <br />