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2004 <br />Code Comoliance Form <br />Renaed May 3005 <br />Project Info ProjectAddress 5os s.e. evenerr emi.r. ws, sxc. 7 Dale 6/26/2006 <br />evenerr, vm sezae For Building Dept. Use <br />Applicanl Name: sprant ecs <br />ApplicantAddress: si3o sprinc Patkvray <br />Applicant Phone: o„o�l,»d ruk, RS 66210 <br />Project DescripHon <br />Bdefly describe mechaNcal <br />system type and leatures. <br />�❑ Ind �des Plans <br />'ICo:mpliance Oplion <br />must oontain notes requireing compliance wilh commissioniny requiremenls - Section 1416 <br />Q Simpie Syslem � Compiex System p Systems Analysis <br />(See Dn:ision Flowchart (over) (or qualifications. Use separate MECH-SUM for simple 8 complex syslems.) <br />Equi,nment Schedulesl 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 informatlon below. <br />Coolin E, uipment Schedule <br />Equip. Capaclty� OSA CFM SEER <br />ID Brana "lame� Model No.� Btu/h Total CFM or Econo7 or EER IPLV3 Localion <br />RTU-1 pC: H-1 <br />RTU-2 PE: H-1 <br />Hearin E ui ment Schedule <br />Equip. Capacity� OSA cfm <br />ID Brand Name' Model No.� BIWh Total CFM or Econo? input Btuh Oulput Btuh Ef�ciency� <br />Fan Equipment Schedule <br />Equip. <br />ID Brand Name' Model No.� CFM SP� HP/BHP Flow Conlrol° Location of Service <br />ee-i xe: u-i <br />ee-z ne: x-1 <br />'If available. 2 As tested according to Table 141A lhrough 147G. ' If required. � COP, HSPF, Combustion Efficiency, orAFUE, as applicahle. <br />5 Flow conlrol types: variable air volume(VA�, constanl volume (C�, or variable speed (VS). <br />