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� , � 2004 Washington Stale Nonresidential Energy Code Compliance Form <br /> . _ . <br /> 10o�wvmnpioo 5uie lmmesaemim Enerpy Coae compl�ance Pormi Fewwa Y+Y��OS <br /> PmjeclAdtlress asxo cw:q:..� w.y Daie 8/18/2008 <br /> The lollowing information is necessary to check a mechanical pertnit appliwtion lor wmp�iance with Ihe mechanical requirements in the <br /> Washington State Nonresitlential Energy Cotle. <br /> Appliw�iliry Cotle Lowtion Building Depahmenl <br /> (yes,no,n.a.) Seclion Component Intormation Required on Plans Notes <br /> HVAC RE�UIREMENTS (Sections 1401-1424) <br /> 1411 Equipment performancc <br /> .a. 1411.4 Pkg.elec.ht9.8 Ug. Lisl hea�pumps on schetlule <br /> yee 1411.1 Minimum efGCiency Equipment SChedule with�ype,W paCity,e1G[iency � <br /> .a. 1 a77.1 Comb�stion htg. Indicate inlertnittent ignition,Iluellraft dampe� 8 jacket loss <br /> . 1412 HVAC[onlrols <br /> yae 1412.1 Temperature zones IntliCate lorations on plans Hl <br /> yee 14122 OeaObana[on�rol Indicale 5 tlegree tleatlDand minimum � <br /> .a. 1412.3 HumiOilycontml Intlicatehumidi5lal <br /> yse 14t24 Automaticsetback Indiwtethermostatwithnigntselback .7d�fl.daytypes � <br /> .a. 1412A.1 Dampers IntliCale Oamper lOcation and auio.[on�rols 8 maz.leakage <br /> .a. 1412.42 Optimun Stan Intlicate optimum scan commis <br /> .e. 1412.5 Heat pump conVol Intlica�e miaoprocessor on thermoslal scheCu�e <br /> yon 7412.6 Comhustion hig. Indicate modulahng or staged control � <br /> yoa 1412.7 Balancing IndiCatebalancingleaturesonptans Mi <br /> yeo 1422 Thermostal inletlock Intlicale ihermostat intedak on plans � <br /> yee t423 Ewnomizers Equipmentschetlule � <br /> 7417 Alreconomlzers <br /> yea 1413.1 Air Econo Operation Intlicate 100%wpa6i6ty on schetlule � <br /> ,n. 1413.1 Wlr Ewno Operalion Intlirate 100%rapaciry a145 tlegF db S 40 tleg F w6 <br /> .e. 14132 Water Ewno�oC Intlitate clg load 8 water eCAnoe 8 dg tower petlortnance <br /> yoe t413.3 Integratetloperation Indicatecapa6ility�orparti3lcooling � <br /> .n. 1473A Humidification Intlicate tlirect evap or log alomization w/air ewnomizer <br /> 1414 Ducling systems <br /> yea 1414.1 Duct sea'ing Intlica�e sealing necessary � <br /> yoe 1414.2 Duclinsulalion IndicateR-valueotinsula�ionontlucl F� <br /> .e. 1475.7 Piping insulalion Intlicate R-value of insulalion on piping <br /> 1416 Completlon ReqWrements <br /> yoe 1416.782 Drawings 8 Manuals Intlicale requirement lor rerortl Orawings antl operation tlocs. Mi <br /> yeu 1476.31 Air Balancing Intlica�e air system balance reGuirements Hl <br /> .e. 1416.3.3 Hytlronic�alancing InOica�e hytlronic system balence requirements <br /> yee 74�6.4 Commissioning Intlicate requirements 1or commissioning antl prelim.Report nl <br /> .n. 1424 Separaleairsys. Intlicateseparatesystemsonplans <br /> yue Mechanicai Compleletl antl attacheC. Eampmenl schedule w�th types, � <br /> Summary Form inpuVoulpu�,e/liciency,clm,�0.economizer <br /> ec ions <br /> 7440 Servicewaterhtg. <br /> .a. 1441 Elec.water heater Indicate R-10 msulation under tank <br /> .a. 1442 SOuI-oflconlrols ��tlicateautomaticshut-oN <br /> yoa 1443 Pipe Insulation InOiwte R-value of insulation on piping p3 <br /> .e. 1452 Heat Pump COP Intlicate minimum COP of 4.0 <br /> .e. 1452 HeaterElhciency IntlicatepoolheaterelGciency <br /> .a. 1453 Pool heater motmis Intlicate switch and 65 tlegree control <br /> .a. tA54 Pooltovers Intlicatevaporrelardantcovef <br /> .n. 1454 Pools 3�i degrees Intlicate R-12 poolcever <br /> no is cvic e or any ques on, provi e exp ana ion: <br /> /� <br />