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2004 Washin ton State Nonresidential Ener, Code Compliance Form <br />r. • • 40 <br />2 Wa Washmg,on Sia•e NonresWenual Energy Cnae C.,na ante Fame Revised May 20G., <br />Project Address Everett Clinic, Pathology Lab <br />Date 8/30/2007 <br />The following additional information is necessary to check a mechv:;ral permit application for a complex <br />For Building Department Use <br />mechanical system for compliance with the mechanical requirements_ in the 111ashington Stale Nonresidential <br />Energy Code. Cse the checklist as a reference for notes added to the mechanical drawings (see the MECH- <br />ln/1 0 7 U& -0 i I <br />r `I <br />CHK checklist tir additional system requirements). This information must be on the plans since this is the <br />I l <br />official record of the permit. Having this information in separate soecincations alone is NOT an acceptable <br />alternative. <br />_ <br />Aprlicability1 Code <br />!.ovation <br />Building Department <br />(yes no, n. a.) Sec`ion <br />Component <br />Information Required <br />on Plans <br />Notes <br />ADDITIONAL CHECKLIST ITEMS FOR COMPLEX SYSTEMS ONLY <br />'a' <br />1431.1 <br />Field assem. Sys. <br />Provide calculations <br />n . a . <br />1432.1 <br />Setback S shut -oft <br />Indicate separate systems or show isolation devices on plans <br />n. a. <br />1432.2.1 <br />Air system reset <br />Indicate automatic reset <br />n. a. <br />1432..2.2 <br />Hydr. system reset <br />Indicate automatic reset <br />Indicate economizer on equipment schedule or provide <br />n. a. <br />1433 <br />Air Economizer <br />calculptions to justify exemption and demonstrate 10% higher <br />efficiency for equipment with out economizer. <br />Indicate water economizer and provide calculations if 1433 <br />n. a. <br />1433 <br />Water Economizer <br />Exception 2 is utilized <br />n. a. <br />1434 <br />Separate air Sys, <br />Indicale separate systems on plans <br />Indicate that simultaneous heating and cooking is prohibited. <br />n. a. <br />1435 <br />Simul. idg. & clg <br />unless use of exception is justified <br />Indicate heat recovery on plans; complete and attach heat <br />1436 <br />Heat recovery <br />recovery calculations <br />Yes <br />1437 <br />Elec. motor effic. <br />MECH-MOT or Equip. Schedule with hp. rpm, eBiacncy <br />k0.2 <br />n . a . <br />143E <br />Variable flow Sys. <br />Indicate variable flour on fan and pump schedules <br />n. a. <br />_ <br />1439.1 <br />Kitchen Hoods <br />Indicate uncoolerl and unheated makeup air <br />yes <br />1439.2 <br />Fume Hoods <br />Indicate VAV, unheated/uncooled or heat rec. makeup <br />H1.0 <br />no Is clrc a or arl ouestlon, qr!l a exp anatlon: <br />Decision Flowchart Use this flowchart to determine how the requirements of the Complex Systems Option apply <br />to the project. Refer to the indicated Code sections for more complete information on the <br />requirements. <br />Start Here <br />Section 1411.1 <br />Equipment Elficency <br />Shall Meet Tables <br />144A through 14-IG <br />e16Assembk Air System ` <br />Equipmenl7 Serving Multiple <br />Zones? <br />li <br />�Ignitlon Device 8 Section 140L1 Section 1432.2.2 Hot <br />palaver Venting or Calmlaamsol Total Seo0on 14021.1 Water Suppy <br />Damper. 0.75% MSite Energy Input Supply Ak Resel Temperature ieset <br />Max;mum Jacket dOupul Required Contrds Required Required <br />Loss <br />1412.6 Modulating or — T <br />Staued Combustion <br />(continued on back) <br />