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� 2001 Washi ton Stata Nonreaidentlal Ener Code Com ' nce Form <br /> • • � • <br /> _9�f Nasn�nyton Suu Ma�refMw�nM Enrpy CaM CmO��am Forrre ��•� <br /> Pro7ectAddress p��b e�uasnq - s�•r.cc co��icy cotl.q. �a�e 3/25/]00� <br /> I 'ne following addiuonal inlormation is necessary to Ueck a mechaniwl permd appliwUon for a wmplex For Bu�iaing Department Use <br /> Techamcal 5;;tem lor compliante wilh Ihe methanical reGwremenls in the WaShinglon Slate No�re5i0ential <br /> E^ergy CoCe. Use t�e check6sl as a relerence for notes atldea to the mechaniwl drawings(see Ue MECH• <br /> ;'r.K c�ecklist for aCNtional system reduiremen6). This inlormation must�?on Ihe p�ans since Nis is the <br /> oKiaal record of the Oerm�t. rav�ng Nis informalion in se0arate sDeafcaticns aione is NOT an acceptabie <br /> auemative. <br /> AODlicab�lity Code LocaGon Building Department <br /> hes,no,n.a.) Sec•wn CcmOonent Intormatlon Reqwred on?lans Notes <br /> ADDITIONAL CHECKLIST ITEMS FOR COMPLEX SYSTEMS ONLY <br /> r..a. �y3�,� Field assem.sys. Piovide calculations <br /> v�s 1d32J Se�Dack b shuFoH Indiwte separate sys�ems or snow isolalion dev�ces on plans 159oa <br /> yes �432.?.1 �u system resel InCiwte automatic resel 15900 <br /> yee 1432.2.2 HyCr.syslem resel IndiUte automatic reset 15900 <br /> IndiWte eConamiier on equipment schedule w provi0e 159aa <br /> yee 1433 Pir Economizer ��alations to justify exemOtlon <br /> Indipte�rater economizar and provide plculatlons it 1433 <br /> 1433 Waeer Ecanomizer Exception 2 is utilized <br /> yee 1434 Separale air sys. Indicate separate systems on plans pN1.6 <br /> IndiWle Nat simullaneous heating anC Cooiicg is orohibited, y59oo <br /> yea 1435 Simul.htg.8 Gg. unless use ol exception is jusUfied <br /> Indicate heat recovery on plans;complete and attaU heat <br /> r..a. ta36 Neatrecovery recoverywlculations <br /> N�ch- <br /> ye° 1J37 Elec.motor effic. MECH•MOT or Equip.Schedule witk hp,rpm,effidency Moe <br /> n.a. �s38 Vanable Aow sys. Indiwte variaCle Bow on fan and F�mp scnedules ' <br /> ta39.1 Ki��ryen Hcods Indiwte uncooled and un�ealed makeap air ' <br /> 1d392 Fume Hoods Indiwte VAV,unhealeC/uncooled or heat rec.makeup <br /> no is arc e or any question, provi e exp anation: <br /> Decision Flowchut Use this flowchart to Cetertnine�ow Ne requiremenls of the Complex Systems OpUon aOPly <br /> ro the pro�ect. Reter to se inaicated Code sectians for more com0lete inlormatlon on Ihe <br /> requiremenis. <br /> Start Here ) . <br /> • � <br /> Sep�ont�ttl � �`� ArtSpiem CaoacryolM\V p�NO.�lcsemeleu' <br /> Ec�mmem E!Gciency__� 3asOd Fumace , ��.� Serc�rg�tWUVe —Yo—► reaura Sy+km• � epu�Dment� �— <br /> Snaii��ee�i�Eies �. ::5�OU Btun� , � �ones' �fi00 000 3Nn> � <br /> u4At�mu9n I�-1G�� � <br /> V � <br /> __— . <br /> Yes �'� �es �es Yes No <br /> 1 • — � .t <br /> -u 1 t t intertninmt . <br /> qrn:en Onvr_e 3 Senian i�J� � . ', SMian t+]2 2�:i , <br /> SeceonuJ:: 'NaiarSuooH <br /> o.er'/e�unq or CaicWanons ol Totai __ SuOPY��r ResM <br /> Jamttr.J 15'L Jn-Sao Ereryy��0�� TemoenW�e pnei <br /> \luim+m iac�et S CuCut Re4wrM ConvoN�esm�N . q�imp <br /> Lms <br /> '+�7dtbOWdlmgur. - �— ' <br /> i�.�r,eC�omomian '. <br /> '_rr.ou RNmrea � <br /> — _.1—_'—'_"____'. '—__. — <br /> ICCnUnuCtl un peCkl � <br /> ♦ <br />