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Project Info <br />Project Address 1 <br />Date <br />7 <br />For� Building Dept. Use <br />V f t Q,rjp,3 —p0 7 <br />Applicant Name: i re <br />Applicant Address: <br />Applicant Phone: • - <br />Project Description I Lnn,to 4-0 (6) nr R'7105 <br />Briefly describe mechanical <br />system Nee and features. <br />❑ Includes Plans IInclude documentation requiring compliance Win commissioning requirements, Section 1416. <br />Simple System Q Complex System 0 Systems Analysis <br />Compliance Option (See Decision Flowchart (over) for qualifications. Use separate MECH-SUM for simple & complex systems.) <br />Equipment Schedules <br />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 information below. <br />Cooling Equipment Schedule <br />Equip. <br />ID <br />Brand Name' <br />Model No.' <br />Capacity' <br />BIWh <br />Total CFM <br />OSA CFM <br />or Econo7 <br />SEER <br />or EER <br />IPLV' <br />Location <br />ftf77 <br />IZl+6t61y <br />Ef P. <br />l <br />(b00 <br />10.4 <br />Z■¢ a• If <br />4OF <br />C4 <br />w <br />v <br />✓ <br />✓- <br />✓ <br />■ <br />,1U3 <br />r <br />r <br />N <br />V <br />u <br />✓ <br />w <br />r <br />47- <br />14o0 <br />Io <br />3t. <br />r. <br />10.2 <br />■ <br />1 _ <br />u <br />l� <br />" <br />rh <br />y <br />" <br />Heating Equipment Schedule <br />Equip. <br />ID <br />Brand Name' <br />Model No.' <br />Capaaly <br />Bluth <br />Total CFM <br />OSA cfm <br />or Econo9 <br />Input Btuh <br />Output Btuh <br />Elficien ' <br />-U <br />lk lIV404 <br />1001), <br />so <br />f"t-S- <br />ib <br />Ra <br />! <br />✓ <br />N <br />Y <br />r <br />V <br />.� <br />a <br />fa icy AZG <br />w <br />17.o <br />RW •5 <br />RUN. <br />so <br />%1 <br />" <br />N <br />r0 <br />✓ <br />✓ <br />" <br />Fan Equipment Schedule <br />Equip. <br />ID <br />Brand Name' <br />Model No.' <br />CFM <br />SP' <br />HP/BHP <br />Flow Control" <br />Location of Service <br />'If available. ' As tested accoroing to Table 14-1A through 14-1G. ' If required. 'COP, HSPF. Combustion Efficiency. or AFUE, as <br />applicable. ' Flow control types: variable air volume(VAV), constant volume (CV), or variable speed (VS). <br />