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2001 thindton State Nonresidential Enerov Code ComoliancForm <br />}npl Wwfe,peli 9tle Nalu^9EnOM FJIegy GOM dmmpmcw Faint JV�e SqA - el.l <br />Project Address <br />Date <br />The fdloemg information is necessary to check a mechanical permit application for compliance with the mechanical requirements in the <br />Washington State Nonresidential Energy Code. <br />Apphcaoimy <br />(yes. no, n a 1 <br />Cod0 <br />SCd.., <br />Cpmppnent <br />Information Requiretl <br />Location <br />on Plans <br />Budding Oepanment <br />Notes <br />HVAC REQUIREMENTS (Sections 1401-1424) <br />1411 <br />Equipment performance <br />1411,4 <br />Pegelec big & cig <br />lift boat pimps on schedule <br />1411.1 <br />Minimum efficiency <br />Equipment Schedule with type. capably. eRuency <br />1411.1 <br />Combustion Ing <br />11fifficate intermittent Ignition. Ilue/draft damper & jacket loss <br />1412 <br />HVAC controls <br />1412.1 <br />Temperature zones <br />Indicate locations on plans <br />14122 <br />Deadband control <br />Indicate 5 dagree deadband minimum <br />14123 <br />Humidity control <br />Indicate humidntat <br />14124 <br />Automatic setback <br />Indicate thermostat with night setback and 7 diff. day types <br />14124.1 <br />Dampers <br />Indicate damgr location and auto. controls 5 mac leakage <br />141Z4.2 <br />Optimum Start <br />Indicate optimum start controls <br />14125 <br />Heat pump control <br />Indicate microprocessor on thermostat schedule <br />14128 <br />Combustion htg <br />Indicate modulating or staged control <br />14127 <br />Balancing <br />indicate balancing features on plans <br />1422 <br />Thermostat interlock <br />Indicate thermostat mledock on plans <br />1423 <br />Economizers <br />Equipment schedule <br />1413 JAir <br />economizers <br />1413.1 JAtr <br />Econo Operation <br />Indicate 100% capability on schedule <br />1413.1 <br />WVEmmo Operalum <br />Indicate 100% wpaaty at 45 dei db& 40 deg F wb <br />1413.2 <br />WaterEcono Ooc <br />Indicate dg load &water e=moe & ctg tower performance <br />1413.3 <br />Integrated operation <br />Indicate wpabirly fa paraal coding <br />1413.4 <br />Humidification Indicale direct evap or fog atomization w/ at economizer <br />1414 IDucting <br />systems <br />1414.1 IDuct <br />sealing <br />Indicate sealing necessary <br />1419.2 IDucl <br />i1:6,letian <br />Indicate R-value of insulation on duct <br />1415.1 JPiong <br />insulation <br />Indicale R-value of insulation on piping <br />1416 lCompletion <br />Requirements <br />1416.1&2 <br />Drawings VIManuals <br />Indicate requirement for record drawings and operation doca. <br />1416.3.2 <br />Air Baancng <br />Inuicate car system balance requirements <br />1416.3.3 <br />Hydronic Baancng <br />Indicate hydronic system balance requirements <br />1416.4 <br />Commissioning <br />Indicate requirements for commissioning and prelim. Report <br />1424 <br />Separate air sys <br />Indicate separate systems on pans <br />Mechanical <br />Summary Form <br />Completed and attached Equipment schedule In types, <br />inpuVoutput. eKtienry, cm. hp. economizer <br />_ <br />tic Ions <br />1440 <br />_- <br />Service water htg. <br />1441 <br />Elec. water heatet <br />Indicate R.10 insulation under tank <br />1442 <br />Shut-off controls <br />Indicate automatic s4uW1 <br />4 <br />1443 <br />Pipe Insulation <br />Indicate R-value of insulation on piping <br />4 <br />1452 <br />Heat Pump COP <br />Indicate minimum COP of 4.0 <br />4 <br />1452 <br />Heater Efficiency <br />Indicate pool heater efficiency <br />1453 <br />Pool healer controls <br />Indicate swdcn and 55 degree control <br />1454 <br />Pod covers <br />Indicate vapor retardant cover <br />1454 <br />Pools 90+ degrees 1 <br />Indicate R-12 pod cover <br />it no is circled cur any question, provcle expianauon: <br />