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2009 Washington State F�ergy Code Compliance Forms for Nonresidentif'�nd Multi(amily Residenlial <br /> . , � <br /> � Revised December 2010 <br /> 2009 W ashingla�Stato Ene�ay Codo Complianco Fortns for Nonresidrnl�al and Multifamily Residenlial Dd10 11/19/2012 <br /> ProjecElnfo ProjactAddress 2300MerrIllCreekParkwey <br /> Everetl,WA 98208 For BUilding Dept.USe <br /> m �z� �-o �i � <br /> AppliCant Neme: Evergreen Reldgeretion <br /> Applicanl Address: 727 5.Kenyan St.Seenle,WA 98108 <br /> Applicanl Phone: 206�76J•t74ax2a7 <br /> Project Description Installation of two (2) split system heat pump units and tour (4) <br /> Bnefly describe mechanical exhaust fans. <br /> system type and features. <br /> Q Indudes Plans Drawings must conlain notes requireing compliance with commissioning requiremeMs-Section 1416 <br /> QQ Simple System Q Complex System Q Systems Analysis <br /> Compliance Option (See Decision Flowchart(over)lor qualificalions.Use se�:.,rate MECH-SUM for simple&complez <br /> Equipment Schedules The lollowing inlormation is required to be incorporated wilh the mechanical equipment schedules on <br /> ihe plans. For prqecls wilhout plans,lill in the required information below. <br /> COOII❑ E Ul ment Schedule OSA CFM SEEF Econmizer Heat <br /> Equip. Equip Capacity' � O tion or Recovery <br /> ID Type 8rand Name' Model No.' 9tufi or Econo? or EER IPLV P <br /> Exception6 YIN <br /> � 1 � cexz�w-o�a / q8925 320 13 . 5 Econmizer d <br /> Lennox TpA01BS�-3J0 <br /> CO-1 <br /> �� _ � cezav«x-rro / 58525 900 13 Econmlzer N <br /> Lennax =pA46054- l0 <br /> cv-z <br /> Heatin E ui mentSchedule OSAcIm Heat <br /> q P q P Ca aci � ' � qecove <br /> E ID Type Brand Name' Model No.' Btu/h or Econo. Input Btuh Output Bluh Efficiency �Y <br /> Y/N <br /> �_1 � cexz�m+-one / q5500 320 45500 45500 3 . 52 N <br /> Lennox TpA01Bs4-130 <br /> CV-1 <br /> �._ � CeE]]NI-O60 / 56000 400 56000 56000 3 • 36 N <br /> Lennox =pA06059-230 <br /> CU-3 <br /> Pan E ui ment Schedule <br /> Equip. Equip � � CFM $p' HP/BHP Flow Controls Localion ot Service <br /> ID Type Brand Name Alodel No. <br /> 6P-1 Broen pTR110 <br /> 90 0.20" 0.10 cv cuiling <br /> gp_2 Hroan QiR110 90 0.20^ 0.10 �' Ceiling <br /> gp.� Bronn pTR130 <br /> 90 0.20" 0.10 n' ceiling <br /> Ep.q Bronn Q'fR110 90 0.20^ 0.10 �' Ce111ng <br /> 'If available, �As lested accoiding to Ta61e 14�1A thmugh 74-1G. 'II required. 'COP,HSPF,Combustion Etficiency,or AFUE,as applica6le. <br /> '�F�o�v con�io�types:vanab�e au vo�umeNAV),constan�volume(CV).or variable speed(VS). �Exception number(rom Section 1433. <br />