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� ( � <br /> 2001 Washington Stale Nonresidential Energy Code Compliance Form <br /> . _ . <br /> 2001 W asmny:on Sais NorvevCen4al Ene�qy CoCe Comqanro Foims Finl EOitim,Jme SW t <br /> Project Address 10217 19th Avenuc SE Dale �; May 04 <br /> The tollaiing inlormation is necessary to check a mechanical permit applicalion lor compliance with Ihe mechanical requiremeNs in the <br /> W ashiogron Stale Nonresidential Energy Code. <br /> Applicability Code Location Building Depanmenl <br /> (yes,no,n.a.) Seclion Componenl Inlormatinn Repuired on Plans Notes <br /> HVAC REQUIREMENTS (Sections 1401-1424) <br /> 7411 E ui menl perfamance <br /> ecs 7417.M1 Pkg.elec.hlg.&clg. Lisl heat pumps on schetlule M2 <br /> ves 1411.1 Minimum etficiency Equipment schedule vnlh lype,capaciry.elficiency �I? <br /> ta72 rIVACmn�rols <br /> ve.; ia12.1 Temperalurezones Indicalelacnhononplans \1I, �12 <br /> vcs 1412.2 Deadbantl conlyd Ind¢ale 5 degree tleatlband minimum \I I <br /> ❑.;, ta12.7 Humitlitycon�r:N Indicatehumitlistal <br /> vcs 1472M1 Au�omauc setback Indicate ihermostat wrth mgh�set0ack and 7 dift day types V 1 <br /> vrs 7412A.1 Da�cers Intlicaie tlamper tocation antl automapc coNwls �I 1. \I9 <br /> vcs 1412.5 Hec� =ump con�rol Intlicale micmprocessa on�hermosial schedule �t l <br /> ❑.❑ tA72.fi Cca �stion hlg. Intl¢a1e modulabng or staged conlrG <br /> ves 1412.7 8alan:=;ng Intlicate balancing:e2lures on plans 111. �f^_ <br /> ❑.;� 1422 Therrnuslat inledock Indicate Ihermostal intetlak m p�ans <br /> ���s 7a23 Econan¢ers Eawomen�scheCule �1? <br />' 7113 Air economizers <br /> ves W 1J.1 Operatico Intlicale tC0°�e capability on schedule �f l <br /> ��is W 19.: Control Intlicate conlrols able to evalua�e oWside air Sll <br /> vrs ta 13.3 IMe9ra1M operalion intlicate capa�ility fa partlal coding \t l <br /> ta73 �uctin svstems <br /> yis ta 14.1 Duct sealing Indi[ale sealing necessary �i 1 <br /> ��rs 1Jta2 Duct insulalicn �ndicate R-value ol insWalion on tluci �1 t <br /> �.� 1s15.7 Pipmg insulalion Indicate R�value o�msulalion on piping <br /> 1J76 Com0leiwnReourtemeni<_ <br /> vcs 1416.182 Dravnng 8 Manuals Inaicate reqwrement for record tlrawings and operauon dccs. �11 <br /> ccs 7176.3.2 >ir Balancing Indicate au syslem balance requiremenls \t l <br /> n.a 1476.3.3 Hydwnic Balancing inaica�e hydronic system baiance reqwremems <br /> vcs 1416A Commissionmg Inaicale reQuiremeNs br ccmmissiemng and prelim.Repat �I I <br /> n.a W24 Separaie air sys. Inaicate separate syslems an plans <br /> •:es Nech. Sum.Form Campleted antl auachea. EqwpmeN schedule wilh types, <br /> inpuUw�pul,effiaency,cfm,hp,economrzer <br /> SERVICE WATER HEATING AND HEATED POOLS (Sections 1440-1454) <br /> 1J40 Sernce water ht . <br /> n.a 7?41 Elec.water healer nCka7 R-10 insulalion under tank <br /> vcs 7442 Shu4otl coNrds Intlicate allomatic shut-ofl P2 <br /> ves t4a3 Pipe Insulation Intlicate R-rafue ol insulalion on piping Pl <br /> n.a 7453 Ped heater cmlmis Indicale switch and 65 degree cmtwl <br /> n,a iJ54 Pod covers Intlicalevapor relardam cover <br /> n.a 1a5J Poo190t degrees Indicale 4-12 pool cover <br /> If"no" is circled for any question, provide explanation: <br /> 95021ithAvenueNE Skylark Engineering Phone: (206)526-7963 <br /> SeaMe.WA 981IS Fox: �425�790-3189 <br /> `�l <br />