HomeMy WebLinkAboutPermit Mechanical 2009-6-15
Mechanical Permit Application
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I Permit nbC*l-?\{P~;L.. I
I Date6;?S-jCJ7 I
225 Fifth Street. Springfield, OR 97477. PH(541)726-3753 . FAX(541)726.3689
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This permit is issued under OAR 918-440-0050. Permits expire if work is not started within 180 days of issuance or if work is
suspended for 180 days. ,. I'
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o Residential I 0 Government I 0 Commercial
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I Job site address: ?"'3@-~ fJ1 A;t::/-t I
I City:1f'F:.:IC!;",.;:Ci7 I State: 0'1 I ZIP:
I Subdivision: ~ I Lot no,:
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I Name:YYl &.4- (" L( If?. He1.A..'\C
I Address: ,:} '3:s. 'i ~ru. {)J
I City:~"[Ma't~r State: ~I ZIP:~\l
I Phone:.~ I Fax: - - I
I E-mail: I
This installation is being made on property owned by me or a
member of my immediate family, and is exempt from licensing
requirements under ORS 701,010,
Signature:
P.~-C0Nfij~c;:;it0RI!TNSjJAI!I!rA.,fti0W!'ll"'''~lP''ill~''.:;'\
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I Business name: f).,.,DC( 5 /-J 4.:A+IAlC I
I Address: Q ~ 0 R (..((3 <) 1.1 V 1> I
I City: r:;LcY::::=~~ I State:C)V'\ ZIP:O?vOrI
I Phone: cSCf ( lt~I ) ;2})';) I Fax:
I E-mail:
I CCB license no,: / 8' S- Yo '7
I Print name: cb.("t=<::;: JIl",D E(L!::c ,--'
I Signaturer P-
440-2545-) (1l/08/COM)
lFurn;:tce/burner includin1g ducts and vents
I Up to J OOk BTUlhr, I I $17.00 I $
lOver lOOk BTUlhr, 11 $20,00 $
I Heaters/stoves/vents II
I Unit heater II $17.00 $
I Wood/pellet/gas stove/flue $38,00 $
I Repair/alter/add to heating appliance!
refrigeration ,unit or cooling system! $58.00 $
absorption system II "
IEvaporated cooler Ii $13.00 $
ji
I Vent fan with ,one duct/appliance ve~t $9,00 $
I Hood with exhaust and d~ct $13,00 $
~ Floor.fumate including ~rent $58.00 $
Gas piping I
lOne to four outlets Ii I I $7.001 $
Additional outlets (each)il $4.00 $
Air-handling units, in:cluding ducts
Up to J 0,000 CFM Ii I I $11.00 I $
Over J 0,000 CFM II $20.00 $
Compressor/absorption system/heat pump
Up to 3 hp/I OOk BTU II / $17.00 $
Up to 15 hp/500k BTU il $29,00 $
Up to 30 hp/I,OOO BTU II $43.00 $
Up to 50 hp/I,750 BTU II $57.00 $
Over 50 hp/I,750 BTU $95,00 I $
Incinerators
Domestic incinerator $20,00 $
I Enter total valuation of niechanical system
and installation costs $ ..J2Z) E:J 0
_ Enter fee based on valua~jon of mechanical system, etc. $'3,7 ;J. ") .
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"4c,':.,,!,"";~)!~!~f;-""'tHW..:;y~'<('Cl0i,~~f~~~l,"#Lj~f;,,,~,i'< ...~~ ~~st~,
I Reinspection il I I $58,00 $ I
I Specially requested inspeCtions (per ,hr,) I $58,00 $
I Regulated equipment (un~lassed) I I $13,00 $ I
I Each additional inspection: (I) I $58,00 $ I
1~~~1RII~.&:RF[~IG~f.j'r~[ijSE'~t;IF~_~1
I (A) Enter subtotal of aboye fees (or enter set I
minimum fee of $ 79,001' $
I (B) Investigative fee (equ~l to [A]) $ I
I (C) Enter 12o/~ surcharge'(.l2x [A+B]) $ iO ~t:-i-j
I (D) Seismicfee, 1 % (,OI:x [A]) $ I
I (E) Technology Fee.(5% 'a[[A]) $ &f}!!' _
I TOTAL fees and surcharges (A through E): $ IO;;.{)~
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Form 4a '
Project Name: IIh lliffl
SYSTEMS - GENERAL
(lQ.~lorz.. 2.oloS', ~
(Lulg/./oIl5~H page:! I
Part lof6
"1':
Applicability
Dlscussion"of qualifying
eXCept,ions on page 4-25
Plans/Specs I
Show compliance by induding a drawing sheet, detail number.
specification section and subparag~~,
1. Applicablity (Section i317)
Is this form required?
~orm RequIred. Complete form if a new HVAC system is being installed, or cOmponents of an
existing HVAC system are being replaced (l.e" equipment, controls, duct...Jor1<, andihsulation.)
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o Exception; The building or part of the building qu~lifies for an exception fro~ HVAC code
requirements. Applicable code exception is Section 1317.1. Portidhs of the building ttiat
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Area: I j Exception 0 -1 0 -2 0,3
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, Exce~~ion 0 -.1 0 -2 0-3
Area: I ,i J Exception ,0:1 0-2 0-3
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o Form Not ,Required. Th!s project does not. contain work required to comp(y with code.
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2 Simple or Complex Systems (Section 1317.9 or 1317.10) ,
~imPle System. Buildi~g cOntains only Simple HVAC System(s). Compl~te this form (4a) and
.. T";quiPment efficiency worl<sheets as required. Form 4b is not required." ,
o Complex System. Proj~ includes a Complex System, Complete this form (4a), fo!m 4b and
equipment efficiency wo!ksheets as required. "
Area: I
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3. Equipment Perforh1ance (Section 1317.5) "J;'
o No New HVAC Equipment. The building plans do not call ,for new electrical HVAC equipment,
r.~ombustion heating equipment, or heat-operated cooling equipment. 1'1 ,,'
''\:l-Complles. All new HVAC equipment have efficiencies not less than those required by code.
) The following equipmeni efficiency wor1<sheets are attached: ,I
o -4a 0 -4b 0 -4c tJ -4d 0 -4e O,-4f O"4g 0 -4h 0 -4i O:~j ,
"'1', . I 1111 ".Ii
~. Duct Insulation and Sealing (Sections 1317.7 & 1317.l!1
, ~No Ducts. The building'plans and specifications do not call for new HVAC ducts or plenums. ,
I1J Complies. The plans and specifications call for all air-handling ducts andi'plenums ;io be insulated
J and sealed as required by Sections 1317.7 &1317.8. II
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5. Distribution Tran~rormers (Section 1316.1) ,
, 0 No Distribution Transformers. The plans/specs do not call for new distribution transformers.
o Complies. All new'distribution transformers comply with effiCiency, testirig, and labeling
requirements of Section r1316.1.1. . _' '
o Exception. The project qualifies for an exception per Section 1316.1.1, Exceptiion': ' '
0-10-2 0-3 0-4 jO-5 0-6 0-7 0-8 0-9 0-10 0-11 o-b 0-13' 0-14
Attachreievant documentation for appropriate exception. The plans/specsshowccimpliancein the
following locations: I . . .' . ' ,
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4-1, I
Compliance with OSSC, effective 04/01 (07
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Form 4a
Project Name: I /YlfH';:t l~Ll8/-JgwSC-:;" j
,~:
SYSTEMS - GENERAL .iI
Page: I I
Part 1 of6
AppUcability
Discussion of qualifying
exceptions of! pag64~25
1. AppUcabUty (Section 13171 "
Is this form required?' .' .
. f{Form RequIred. .Complete form if a n€w HVAC system is being installed,iprcompo.nentsof an'
. existing HVAC system are being replaced (I.e., equipment, controls, ductwprK, and insulation.) .
. . . . I" . '
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o Exception. The building or part of the building qualifies for an exqption fro'!1 HVAC code
. requirements. Applicable code exception is Section 1317.1. Portions of the building that
qualify: . I' ,. .'
Area: I Excep!ion 0 -1 0 -2 0-3
Plans/Specs!i ' , ,
Show compliance"by iriduding a' drawing sheet, detail number.
specification section a~~ subparagraph. .
l -
'. Area:1
Exce~tion 0 -1 0 -2 0-3
. j,EXCep,tion 0-1 0-2,0,-3
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o Form Not Required. This project does not contain work required to comply with code.
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2. Simple or Complex Systems (Section 1317.9 or1317.~,oI ",
~Simple~System. ,Building contains only Simple HVAC System(s). Comple,e thisfor!)1 (4a),and
equipment efficiency worKsheets as required. Form 4b is not required.,i '
o Complex System. Project includes a Complex System. Complete this form (4a), fOIm 4b and
equipment efficiency worKsheets as required. ii
Area: I
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3. Equipment Performance (Section 1317.51 '" . Ii . "
o No New HVAC Equipment. The building plans do not call for new electri~1 HVAC !lquipment,
, combustion heating equipment, or heat-operated cooling equipment. . II , "
)9 Complies. All new HVAC equipment have efficiencies not less than thosej'reqUired by code.
, The following equipment efficiency worKsheets are attached:. ,i
. 0 -4a 0 -4b, 0 -4c 0 -4d 0 -4e 0 -4f 0 -4g 0 -4h 0 -4i Oi:-4j .
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4. Duct Insulation and Sealing (Sections 1317.7 & 1317.~1 :' .
)E3 No Ducts. The building plans and specifications do not call for new HV AC; ducts or,plenums.
o Complies. The plans and specifications ca, II for all air-ha,ndling ducts andl'plenums :)0 be insulated
, and' sealed as required by Sections 1317.7 &1317.8. . :'.'
5. 'Distribution Transformers (Section 1316;11
o No DistributIon Transformers. The plans/specs do not call for new distri~ution transformers,'
o Complies: All new distribuiion transformers comply with efficiency. testing, and labeling
requirements of Section 1316.1.1. .' .
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o Exception. The project qualifies for an exception per Section 1316.1.1,'Exceptiion:
0-1 0-2 0-3 0-4 0-5 0-6 0-7 0-8 0-9 0-10 0:11 0-,12 0-13 0-14
Attach relevant documentation for appropriate exception. The plans/specs:show compliance in the
following locations:' . ". ,,:
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4-1
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!: Campllancei~ith 055<;:: effective 04/01(07
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Form 4a Project Na~e: I
SYSTEMS - GENERAL
I p~geJ I .
Part 2 of6
6. HVAC Controls (Section 1317.4)
, 6.1 System Thermostat/Zone Controls (Section 1317.4.1)
~ Complies. All ~ew'HVAC systems include at least one temperature control device,respondingto
I temperatures within the zones. ' ,
o Exception. HV AC system qualifies for an exception from zone control r~quirements. '
The applicable code exception is Section 1317.4.2. Exception 0:1 0 -2" '
Portions of the building that qualify: I
The plans/specs show Compliance in the followinq locations:
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6.2 Off-hour Controls - Auto Setback or Shutdown (SeCtion 1317.4.3)
o Complies. Systems must have at least one of the following features: '
Ia Control Setback Complies. Each system is equipped with automatic control capable of
/- reducing energy through control setback during periods of non-use oralt4mate use of spaces
o EquipmenfShutdown Complies. El;!ch system i,s equipped with controls capable .of reducing
energy use through automatic shutdown during periods of non-use or'alternate use:of spaces.
~ HV AC systems with equipment shutdown ale equipped with at least one of the following:
Programmable controls (1317.4.3.1 (1))' .' '
Occupant sensor (1317.4.3,1 (2)) '_' '
o Intenocked toa security system (1317.4.3.1 (3))
o Manually activated timers with 2-hour operation max (1317.4.3.1 (4))
o Exception. The building qualifies for an exception to the requirement for !Iutomatlc:setback or
shutdown controls. The applicable code exception is Section 1317.4.3 ~xception: 0 -10-2
The plans/specs show compliance in the following locations:
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6.3 Control Capabilities (Sec. 1317.4.2.1) ,
o Complies. Zone thermostats are capable of being set to the temperatures described in Sec.
1317.4,2,1. Where used to control both heating and cooling, zone controls shall be'icapable of
providing a temperature range or deadband of at least 5 degrees F within'lwhich the' supply of
heating and cooling energy to the zone is shut off or reduced to a minimuln.
o Exception. The building qualifies for an exception to the deadband requirements.
The applicable code exception is Section 1317.4.2.1 Exception 0 -1 0-2
Portions of the building that qualify: I
The plans/specs show compliance, in the following locations:
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6.4 Optimum Start Controls (Section 1317.4.3.2)
o Complies. Separate HVAC systems have controls capable of varying"start-up,time,of system to
just meet temperature set point at time of occupancy.
o Exception. HVAC systems have a design supply air capacitY not exceeding 1(),OOOcfm.
The plans/specs show compliance in the followinq locations:
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,..,(6.5 Heat Pump Controls (Section 1317.4.4)
~ No Heat Pump. The plans/specs do not call for a new heat pump ,
. o Complies. All new heat pumps equipped with supplementary heaters are controlled to minimize
{ ," the use of supplemental heat as, defined in Section 1317.4.4,
fi,.~ The plans/specs show compliance in the following locations: I .
\;,ifi;91 ' '
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4-2
Compliance ~ith O~SC, effective 04101107
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Form 4a
Project Name: I
SYSTEMS -'GENERAL
~age:l
Part 3'of 6
7. EconomiZer Cooling (Section 1317.3)
o No Cooling. The building plans do not call for a new fan system with mechanical cooling.
, 0 Complies. Each new fan system has an air economizer capable of modulating outside-air and
return-air dampers to provide up to 100 percent of the design supply air as outside air. '
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o Exception At least one new fan system qualifies for an exception. The applicable code exception
is. Section 1317.3, Exception 0-1 0-2 0-3 0-4 0'5 0-6 1Il-7
If Exception 3 is selected complete the following:
(a) Total cooling capacity of exempt units (Btu/hr),
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, (b) Total installedbuilding cooling capacity (Btu/h? I.. .1
o Complies. Sum of exempt units rated at less than 54,000 Btu/hr is <240,000 or a/b,
< 0.1.0 (1 O%of total building cooling capacity). . 'e'
Unit identifier of exempt units: I
The plans/spees show compliance in the followin!) locations:
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8. Economizer Pres~ure Relief & Integration (Section 131713.1 and 1317.3.2)
o No Economizers Required. Project does not contain a new fan system r~quiring eConomizers. .
o O~erpressurlzation Complies, The drawings specifically identify a:press~re relief mechanism for
each fan system.that will relieve the extra air introduced by the economiier. , .,' .
o Integration Complies. Economizer is capable of providing partial cooling :~ven when additional
mechanical cooling is required to meet the remainder of the cooling load. 11 ",
o Exception. Tile applicable exception is Section 1317.3,2, Exception Dill 0 -2.
The plans/specs show compliance in the following locations: .
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9. Hot Gas Bypass (Section 1317.5)
o No Hot Gas Bypass " . "
,0 Complies. See allowable amount of hot gas bypass as'a 'percentage'oftbtal cooling capacity in
table below, .
I Unit 10
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I'<~~:'f!f,
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""',~-
Rated Cooling Capacity
Hot Gas Bypass Capacity
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Allowable Hot Gas Bypass I
Rab!d Cooling Capacity Max Hot Gas Bypass . 'I
5,240,000 Btu/hr 50'MI I
>240,000 Btu/hr 25'M1
o Exception. Unitary packaged system with cooling capacity no greater than:190,000 Btu/h
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u' -, . ,. 'I : t. '
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4-3
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Compliance W!th osse, effective 04101/07
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Form 4a Project Na~e: I,
SYSTEMS - GENERAL
, : Page: 1
Part 4 of 6
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10. Shutoff Dampers (1317.4.3.3)
o Not Required. Shutoff dampers are not required on this project.
o Complies. Each outdoor airsupply & exhaust system shall be equiPped11with motorized dampers
0, Exception. The building qualifies for an exception to the motorized damper requirement. The
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applic-able code exception is Sectioi11317.4,3,3 Exception 0 -1 (] -2 0 -3 0-4 0-5
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The vlans/specs show comvliance in the followinQ locations:
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. 10.1. Shutoff Damper Controls (Section 1317;4.3.3.1) :' ,
o Complies. Outdoor air supply and exhaust systems shall be provided dampers that automatically'
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shut when systems or spaces served are nof.in use or during building warm-up, cooldown, Of
setback, ,', . 'Ii", ,
o Complies. Stair and shaft vents. are capable of b~ingautomatically clo~ed during normill building
operation and interlocked to open as required by fire and smoke detection systems.
The plans/specs show pompliance in the following locations:
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\ 10.2. Motorized Damper Leakage (1317.4.3.3.2) , 'I
o Complies. Motorized outdoor air supply and exhaust air dampers have a maxim'um leakage rate
of4 cfm/fl2 at 1.0 in w.g. when tested in accordance with AMCA Standard 500-1998.
o Exception. Packaged HV AC equipment mc!yhave maximum leakage r~te of 20 Ctm/ft2 at 1.0 in
w.g. when tested in accordance with AMCAStandard 50D-: 1998. '
The plans/specs show compliance in the following loCations:
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11. Piping Insulation (Section 1314)
o No New Piping. The building plans and specifiCations donol'call for new piping serving a
heating or cooling system or part of a circulating serVice water heating system. '': .
'.Y,di~,' . Compiles. All new piping serving a heating or cooling system or part Ofi,ia circulating service '
';'., j water heating system cOmplies with the requirements of the Code, Section 1314.1. '
~~./ Exception. New piping qualifies for exception: Section,1314.1, Exceptio'/, . 0 -'1 0-2
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12. Occupancy Ventilation .
o Complies. Mechanical ventilation systems provide the required amount of ventilation specified'
'in Chapter 4 of the Oregon Mechanical Specialty Code. ' I
o Complies: Natural ventilation systems provide required amount of ventilation as certified by a .
reg-istered architect or engineer as specified by Section1203.4. J, Exception. Attach worksheet
The ,Plafls/specs, srow compliance in I
the following locations:
The plans/specs show compliance
, on the following pages:
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4-4
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. Cor:npllance with osse, effective 04/01/07'
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Fonn 4a
Pr6j~ctName: I
Page: I I,
Part 5 of 6.
SYSTEMS- GENERAL
13. High Occupancy Ventilation (Section 1317.2.2)
o Complies. HVAC systems with ventilation air capacities of 1.500 CFM or greater 'that serve
areas having an average occupant load of 20 square feet per person or'less fr<:>m Table, '
1004.1,2 have a means to automatically reduce outside air intake, ., '
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Identify applicable systems:
Plans/soecs i~dicate whe;e eQuipment (i.e. carbon dioxide sensor) and seauence is specified:
I il
U.Exceptlon. HVAC syster:ns are equipped with an energy recovery devic~ with afleast50%
recovery effectiveness. "
o No High Occupancy Systems. Project.doesnolcontain an HV AC syst~m as described above.
14. Exhaust Air Heat Recovery (Section 1318.3) , ii ' ".
o Not Regulated: HVAC system does not have: 1) design supply air cap. of ?,10,000,cfm, and 2)
mine outside air sup~ly ?,70%, and 3) at least 1 exhaust fan rated at 75%:lof minou~ide air ,
o Complies. Heat recovery system increases outside air temperature by 200F (Climts Zone 1) or
' 300F (Zone 2) and has provision to provide bypass during air economize! mode.
o exception. An HVAC system qualifies for an exception to this iequiremeht. Applicable
exception from Section 1318,3 Exception 0-1 0-2 0-3 0-4 Cf-5 0-6 '0-7
The plans/specs show compliance in the following I
locations:
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15. Large Volume Fan Systems (Section 1318.4:2.4). . 'I
o Not Regulated. The building' plans or specifications do not call for fan systems over 15,000
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CFM that serve a single zone and function for the purpose of temperature control:
o Complies. Fan systems are equipped with variable frequency drive or'lw6speed motor to
reduce airflow as required by Section 1318.4.2.3. "
The plans/specs show compliance in the following
locations:
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16. Variable Speed Drives (Section 1317.10.3.1) 'if '
o Not Regulated. The building plans or specifications do not call for fan and pump motors 10
horsepower and greater that serve variable-flow air or liquid systems.';' ': '
o Complies. All fan a'nd pump motors 10 hp and greater which serve variable-flow air or liquid
systems are controlled 'by a variable-speed drive.' . Ii ' "
o exception. The buildirig qualifies for an exception to the variable-speedd~iverequirilmenl.
Portions of the building that qualify:, I J
Applicable code exception is Section 1317: 10,3.1, Exception
The,plans/specs show ,compliance In the following I I
locations:
17. Service Water Heating (Sec.. 1315) II
o No New Water Hl!atlng. The building plans and speCifications do not call. for new water
, heaters, hot water: storage tanks or service hot water distribution systemsJI, . ,. " '
o Complies. All new water healers, hot water storage tanks or service hot water dis'lribution
systems comply with the requirements of the Section 1315. ,.
...0 Exc';ptlon"The applicable Code exception is Section: I . , ' l~xcePtiOri:1 ,
. Porti~ns of the building that qualify: I ' ' 'f
, The,plans/specs show compliance in the following locations:
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4-5
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Compliance ,with osse, effective 04101107
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Form 4a
Project Na';'e; I
J
~age;I' ." I .
part 6 0(6
SYSTEMS - GENERAL
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18. Swimming Pools. Spas and Hot Tubs (Section 131S!S).
o .No New Pools. The building plans and specifications do not call for new, swimming pools, spas or .
hot tubs.
o On/Off Controls Complies. Spa and hot tub heaters are equipped with a readily accessible
. ON/OFF switch as required by Section 1315.5.1. .
. Cl Ventilation Controls Complies. Pool ventilation system is controlled b~sed on humidity. .
. [J Cover Complies. All heated. pools, hot tubs and spas are equipped with a cover. .
o Heat RecoveryCompiies. Pools; Spas, and hot tubs, over 200 ft2 utilize recover~d heat as
required by Section 1315.5.3.' ,
. 0 Exception. Heat recovery is not necessary as pool is heated by',renewable energy or waste
heat recovery sources capable 'of providing at least 70 percent of the heating energy
required over an operating season.
19. Fume Hoods (Section 1317.2.1.)
o No Fume Hoods. The building plans do not call for fume hood systems that have a total exhaust
. . . . .. ".
. rate great!!r than 15,000 cfm. '.
o Complies. Fume hood systems. have at 'east one of the following features; "
o Variable air volume hood exhaust and room supply systems cap~ble of reducing exhaust .
, and makeup air volume to 50% or less of design values. .
o Direct makeup (auxiliary) air supply equal to at least 75% of the exhaust rate, heated no
warmerthan 2' F below room set point, cooled no cooler than 3' 1= above room set point,
no humidification added, and no simultaneous heating and cooling used for .
dehumidification control.
o Heat recovery systems to precondition makeup ai'r from fume hood exhaust in accordance
with 1318.3 - Exha.ust Air Energy Recovery. without us.ing any exdkption. :
The plans/specs show compliance in the following locations;
I
..,
20. Parking Garage Ventilation (Section 1317.2.3) ]1 "
o No Enclosed Garages. The building plans and specifications do not call for enclosed Group S-2
parking garages with a ventilation exhaust rate greater than 30,000 CFM." ' .
o Complies. The plans and specification's call for carbon monoxide sensing'devices as required by
Section 1317.2.3. '"
o Exception. Open parking garages.
21: Kitchen Hoods (Section 1317.11)
o Not Regulated..The plans/specs do not call for any new kitchen hoods with exhaust capacity
greater than 5,000 cfm each.' . ".
o Complies. AJI'new kitchen hoods'with a total exhaust capacity gfeaterthan 5,000cfm have at
. '. w .
least 50 percent of the required makeup air; (a) unheated or heated to no more than GO'F; and (b)
uncooled or evaporatively cooled. ( . .
~.":~. The plans/specs show ~ompliance' in the following locations:
\;., ~MI
.,.In(../' '" ,"
. '
22. Outside Heating Systems (Section 1317.12). . '
Q No Outside Heating Systems. The plans/specs do not call,for new permanently instaUed heating
. systems outside the building, ,
,0 Complies. All new permanently installedoulside heating systems are radiant gas finid syst~ms
co')trolled by an occupancy sensor or timer switch as require? by Section 1~:17.12. ':I
1-
,
4-6
. Compliance with OSSC, effective 04/01107'
\
Form 4b Project Name:1
COMPLEX HVAC SYSTEMS
j Page: I
Part 1 ora
AppUc-
ability
Discussion of
QualifyIng excep-
tionsin
instructions 2. Air Transport Energy (Section 1318.4.21
section. 'll)/ot Ragulated. Each HVAC system does not have total.fan nameplate horsepower of 7.5 HP
Fan Motor or greater (include sum of all supply. retum, & exhaust fans operating at design conditions).
Energy 0 Brake Horsepower Complies. The energy demand of all HV AC f~n systems 'meets cOde
~;;8S4og~: requirements. Complete and attach Worksheet 41. 'I 'I
maximum horse- . 0 Nameplate Horsepower Complies. Selected fan motors have nameplate ratings no larger
powe,.IIowed. than is allowed by Section 1318.4.2.3. (Complete Worksheet 4L.):" ',' .
'0 Exception. Section 1318.4.2. Exception '0-1 0-2, 0-3 O~ .
I
1. Simple or Complex'Systems (Section 1317.9,,13~7.10 and 13181
Note: This form is required for complex systems only. If your plaris qualify as a, simple
system as defined by the code. this form is not required: " ..
, ' ..
Portions of ille'building that qualify:
J
The plans/specs show compliance in the follOwing locations: . .
,
L
.1
I
CooUng
Tower
Fans
I
3. Cooling Tower Fans (~ction 1317.5.4.11 JI,
o No Cooling Tower There is no cooling tow~" in this project. II - , '
o Complies. Cooling tower fans have control devices trat vary flow by controlling leaving fluid
temperature or condenser temperature/pressure of the heat rejectiondeviea. ' "
The plans/specs show compliance in I' I
the following locations: "__ '.
II _ I
.4. Simultaneous Heating and Cooling (Section 1318:2.11
o No Cooling. The building HVAC system has no.cooling.'
o Complies. Controls prevent reheating, recooling or mixing of mechanically heated and
mechanically cooled air. , :i
o Exception. Code exception is Section 1318.2.1, Exception 0 -1:' 0 -2 Oc3 0-4
If exception 1 is used, complete and attach Worksheet 4k!! .
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,
0-5
Portions of the building that qualify:
The plans/specs show compliance in
the foll~wing locations:
,.'
. ... .r ,"
5. Electric Motor Efficiency (Section 1317.10.3 & Table 13-TI
o Not Regulated. There are no NEMA Design A&B squirrel cage.T-fr~ine induction.
permanently wired polypbase motors of one horsepower or more which serVe built up HVAC
' ", I
o Complies. The efficiency of all regulated motors meets code requirements. ,
Exceptions 0 Exception. Seclion1317.10.3, Exception 0 -1 0 -2,'
Discussion 01/
~~~=~s" '.. ,Portionsof the building that qualify: I
Instructions Th~ plans/specs show compliance in
the following locations: ,
I
I
;c-:~~.
2,.::'4,i.';' :
'....~ - " i ,
\\ ,. ..
~~.-&:....
., .. .. .1
6. VAV System Static Pressure Reset ~ontrols (Section 1318.2.31
O' Not Regulated. The building plans or specifications do not call for a VAV systein controlled
by a static pressure sensor or direct digital control of iridividual zonelloxes.' ,
o Complies. The system static p;essure set 'point automatically resets to the low~~t paint
possible while still providing the required air flow to the zones with th~, greatest demand.:
o Excelltion. Section 1318.2.3. Exception ' ",'
, The plans/specs show compliance in I J
I,he following locations:
l
4-7
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" ,-- j, ~ - .
Compliance ~ith OSSC, effective 04/01107
,~
'.
i~
I
Form 40 Project Name: I
COMPLEX HvAC SYSTEMS
Page: I
Part 2 of 3
'7. VAV Terminal Units (Section 1317.4.2.11
o Not Regulated. Project does not contain VAV terminal units.
o Complies. VAV terminal units are programmed to operate at the minimum airflow setting withou(
. . II ,
addition of reheat when the zone temperature is within the set deadband. Complete Worksheet 4k.
o Exception. Section 1317.4.2.1, Exception 0 -1 0 -2 '
The plans/specs show compliance in the I
following locations'
8. Supply-Air Temperature Reset Controls (Section 1318.2.5) .
o Not Regulated. The building plans or specifications do not call for multiple zone HVAC systems.
o . Complies. Multiple zone HVAC systems include controls thalautomatic~lIy reselthe supply-air
temperatures,in response to building loads or outsideairtemperature. Ii' " .
o Exception. The building qualifies for an exception to the supply"air reset controls requirement.
Applicable.code exception is Section 1318.2.5, Exception 0 -1 D'~2 0-3
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Portions of the building ,that qualify:
The planS/specs show compliance in the
following locations:
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9. Chilled and Hot Water Temperature Reset Controls (Section i318.2.4)
o Not Regulated. The building plans or specifications do not call for chilled or hot water systems with
a design capacity exceeding 300.000 Btulhr. . " . .
o Complies. Chilled and hot water systems include controls that automatically reset supply water
temperatures by representative building loads or by outside 'air temperature. .
o Exception. Section 1318.2.4, Exception" 0 -1 0-2
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Portions of the building that qualify:
The plans/specs show compliance in the
followirig locations:
10. Separate Air Distribution Systems (Section 1318.2.7)
o No(Regulated. The building plans or specifications do not call for zones with special process
temperature or humidity requirements. :!' .
o Complies. Separate air distribution systems serve zones with special process temperature or
humidity requirements from those zones serving only comfort conditions. or supplementary control
provisions'are included SO primary systems are specifically controlled for Comfort puiposes,onlY.
o Excepiion. Section 1318.2.7. Exception 0 -1 0-2 . I, '
Identify zones' with special process I
requirements: .
The plans/specs show compliance in the I
following locations:
,.
11. Zone Isolation Controls (Section 1318.2.6) " '. ...',.
o Not Regulated. Building plans or specifications do not call for HVAC syste'ms serving multiple
occupancies or floors with ~240.0oo,Btu/hr cooling capacity. or ~300.oo0 Btuihr heating capacity.
o Complies; HVAC systems serving multiple occupancies or floors with >240.000 Btu/hr cooling
capacity, or >300,000 Btulhrheatingcapacity are equipped with isolation devices capable of
automatically, shutting off supply air to and from each isolated area. Each isolated aiea is controlled
. indep,endenlly and satisfies temperature setback (Section 1317.4.2) and optimum stan control
requirements, Central fan system air volume is reduced through fan speed'reduction. , '
The plans/specs show compliance in the
following locations:
'~:f\;;~
/:;',"-, .
,.. .
\'."..: ~!
,":':.. .....
..,,'.~-~....
-'
4-8
Compliance with osse, effective 04/01/07
"
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Fonn 4bProject Nam~: I
COMPLEX,HVAC SYSTEMS
J Page: I
Part 3 or3
12'. HumidityControls (Section 1318.2.2):: .
c;lNo Moisture Added to Building. The building plans do not call for '!1ean~ to add moisture to
' I ,
maintain specific humidity levels.
o Complies. All new humidity control systems equipped with a humidistat when required. All
humidifier preheating devices have an automatic value to shut off preheat when humidification
'- c' _ . .1 . .
The, planslsp9CS show compliance in I . I
the following locations:, .
13; 'Hydronic System Controls (Section 1318.2.8) ::
'0 No Hydronlc System. The building plans or specifications do not call for a new, hydronic system.
o Complies. The hydronic system complies as follows: "
, 13.1 Variable Flow Controls (Section 1318.2.8.4)
o System does not have a'lO hp or greater motor .
o Complies. System has controls capable of varying pump flow
The plans/specs show compliance in I
the following locations: " , . u_, ___,
13.2 Three-Pipe System (Section 1318.2.8.1) '. , .
o System does not have a common return system (a three-pipe. system) for'both hot water
and chilled water, ' , ,
13.3 Two-Pipe Changeover System (Section 1318.2.8.2)
o System is not a Two,Pipe Changeover System
o Complies. System is:' d
a. Designed to allow 'a deadband between changeover from one mode to the other
Of at least 15'F outside air temperature. 11 .
b. Designed to operate and provided with controls that wi!1 allow operation in one
,mode for at least four hours before changing over to ttle other mode.
c. Provided with reset controls that allow heating and cooiing supply temperatures
, ,at the changeover point to be no more than 30'F aoari. .
The plans/specs show compliance in I II
' the following locations: . .
13.4 Hydronic (Water Loop) Heat Pump System (SeCtion ..1318.2.8.3)
O'System is not a Hydronic (Water Loop) Heat Pump System . II
o Complies. I-!ydronic heat pumps connected to a common heat p~mp water;liJop with
central devices for hea.t r\ljection (e.g., cooling tower) and heat,~ddition (e.9.. boiler)
have the following:
, .
a. Controls installed capable of providing a heat pump water supply: temperature
deadband of at least 20'F between initiation of heat rejection and heat
addition by the central devices (e.g.. tower and boiler).'
b. Closed-circuit tower (fluid cooler) has either an automatic valve
installed to bypass all but a minimal flow of water around the tower
(for freeze 'protection). or low-Iealiage positive closure dampers.
c.Open.c:ircuit tower installed directly in the heat pump loop h~s IIn automatic
II ~
valve installed to bypass all heat pump water flow around the tower. Open-
circuit towers used in conjunction with a ileparate heat exchangef to isolate
the tower from the heat pump loop are controlled by sh~tting down tlie
circulation pump on the cooling tower loop." ,
<<'J, ".;:~--,: '. . d. A two-position valve at each hyaronicheat pump for hydronic systems
"~~' . haVIng a total pump system power exceeding 1 0 hp.
'~)t .-,) The plans/specs shOw compliance in the followinQlocations:
"!.'~ I . _ . . . . . "
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~mpliance wi~ osse, effective 04/01/07
J
4-9
Worksheet 4a Project Name: I
UNITARY AIR CONDITIONER - AIR COOLED
Equipment
,
Disaission of 8QuipmeOt
, ratings and eQuipment
definitions on page 4- 19.
Required
Document-
atloD
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, (b)
PageJ
Idl\
I i!Seasonal or Compliance " Newor I
--:I-~r~~CW~'1
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II I
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I I I
I" I I
, 1/, I
I II
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Indicate source of information
. [J' ARI Unitary Directory, Section AC. page:
O. AAI Applied Prcxlucts directory, Section yLi=:. page:
I:) Produd data (Attach data furnished by the equipment supplier. I.e.,' .cut she8ts")
,
IASY /4;0"0 lit 1(~Qa:>.:) I
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Model Desianation
I
111
Code Required CooIlnaCaoacitvlbtU/hr) Minimum Ratina
~QUlpment Type I I Buinot over _Ilsteadv State I Seasonal or
Efficiencies Over Part Load
0 65.000 na 13 SEER
Single Package Without a IReol~:m:nt * 0 65.000 ne 9.7 SEER
A Heating Section or With Electric 65.000 135,000 10,3 EER nla
This schedule of equip.. . Resistance Heat All 135.000 240.000 9.7 EER nle
ment efficiencies was 240.000 760.000 ,9.5 EER 9,7IPLV
reformatted from code, 760,000 9.2 EER 9.4 IPL V
Table 13-l. Now" I 0 65.000 na 13 SEER
Split System Without a Heating I Replacement * 0 65.000 . na.._ 10 SEER'
B Section or With Electric 65.000 135.000~ "0,3 EER nla. .
Resistahce.Heat All '135.000 . 240.000 . 9.7 EER n/a.
240.000 7~0.000 9.5 EER 9,5 IPL V
760,000 9.2 EER 921PLV
. . Now" I 0 65.000 :na 13 SEER
S' I P cka W~ H f I Reolacement *. 0 65.000 ne 9.7 SEER
lnge a ge a ealng 65.000 135.000 10,1 EER nla
C Section Other Than'Electric '135.000 240.000 9,5 EER nla
Resistance All
240.000 760.000 9.3 EER 9.5IPLV
760,000 :9,0 EER 9.2 IPL V
Now" 0 65.000 na 13 SEER
~plit System Witr1'a Heating I Reo/aeement * 0 65.000 na 10 SEER
65.000 135.000 10,1 EER nla
k.:S;~ D Section Other l11an Electric 136.000 240.000 '9.5 EER
!~& Resistance All nla
'I-':.~,': 240.000 760.000 9,3 EER 9.7IPLV
';\~ ...!;J 760.000 ,,- ~O_~~I! 9,4IPLV
'...::,!n~< 'i:. E -Coiidens'ing Unit OnlY All 135.000 ,- lv.1 t:t:t'( 11,2IPLV
* Equipment is a new installation or replaces existing equipment
4-11
,
Compr18nce\...ith OSSC, effective 01101/05
Required
Document"
ation
Code
Required .
Emciencies ..
- This equipment effIcie-
ncies schedule was
reformatted from
code. Table 13-L.
x;~~~.:;~~. .
'~.ii..,...
;Hi - . . ~, 1
.N." B% .
,<.~. lii
..
Indl~te source of !nformation
o ARI Unitary. Directory. Section AC. page: . . I
o ARI Applied Products directory. SectionULE, Page: I
o Product data (Attach data furnished by. the equipment supplier. I.e.. "cut sheets")
.' .' I
Compliance
Schedule
Eouioment Tvoe
Single Packaged and spin
AC Without a Heating
Section or With Electric
Resistance Heat .
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Coollno Caoseltv Ibtu/hrl 11 I ,
Minimum RatinQ
lBut not ov~ J ~teadvState I Seasonal or
Over Part Load
O. 65,000 ,. 12.1 EER nla
65.000 135.009 . 11.5.EER na
135.000 240.000 11.0EER nla
240,000 11.0 EER 10.31PLV
0 . 65.000 12.1 EER nla
~I ,
65.000 135.000 11.3 EER na
135.000 240,000 10.8 EER .n/a
240.000 . '~i 10.8 EER, 10.11PLV
135,000 =-J 13.1EE~1 13..1IPLV
11
1! /
- Compliance w~ osse, effective 04/01/07
4-12
A
B
Single Packaged and Spin
At; With a Haating Section
. Other Than Electric
Resistance
C
Condensing Units
Worksheet 4c Project Name:! page:'
UNITARY HEAT PUMP - AIR COOLED
.... II1I
Equipment (a) (b) (e) I (d) I (.) I (I) (9)
Proposed Rat/no PmoOsed Heatlno Ratlno
o'iscussion of equip. Cooling Compliance
ment ratings and
equipment ctefinitions Capacity COP COP Schedule New or
00 p~ge 4-19; EauiD. 10 Model Deslonation (Stulh) SEER EER HSPF ~ (17'F) ~ Replacmnt*
I I " ,-,- I I I I , I
I I I I I I , I I I I
I I I I I , I I I I I
I I I I I , I I I , I,
I I I I I I I I I I I
I , I I I I I I I I I
I I I I , , I I I I I I
I I I , I I I I I I I
I I I I ,. I I I I I
I I I J I I I I I I
I I I I I I I I I I
I 'I I I I I I I I I
'/ I I I I I I I I I
I I I I I I I I I I
I I I I I I I I I I
I I I , I I LLI I
Required Indicate source of information
Document-. o ARI Unitary Directory, Section AC,page:
ation o ARI Applied Products directory, Section ULE, Page:
o Product data (Attach ~ata fumlshed by the equipment supplier. I.e., .cut sheets7
Code 1I,,;OOIIng t.;8p8clty I MlnlmUml,,;OOu!'U
lbtulhr) - Rati.. Minimum Heatina Ratino
Required Compliance I I Sutnat I r "''''''' , HSPF COP I@I cOP
, Efficiencies Schedule EoulomentTvoe Ova, over EER lDSd 47-F) Ift11'"F)
I New' 0 65.000 13 SEER 7.7
"
Single Package Without a Reolcmnt * 0 . 65,000 9.7 SEER 6.6
A ' Heating Section orWlth 65,000 135,000 10.1 nla 3.2 2.2
This schedule of Electro Resistance Heat All 240,000 9,3
equipment efficien- 135,000 nla 3.1 2.0
des. was refom1al4ed 240.000 9,0 9.2IPLV 3,1 2,0
from the COde, fable I New * 0 65.000 . -13 SEER 7.7
130M.
Spilt System WIthout a ReDlcmnt- 0 65.00c" '10 SEER 6,6
S Heating Section or WIth I 65.000 135.000 10,1 I nla 3.2 2,2
'Electric ,Re.sistance.Heat All 135,000 240:00c, 9,3 nla 3,1 2,0
2401000 9,0 'j 9.21PlV 3,1 2,0
I New * I 0, 65.000 I 13SE,ER 7,7
Single Package With a Reolcmnt * 0 66.DOC' 9,7 SEER 6.6
C Heating Section Olio., Than I I 65.000 135,00(1 9.9 I nla' 3.2 2,2
A. Electric Reslsta~ . All , 135.000 240,000 9;" nla, 3,1 2,0
240.000 - I 6,6 ' 9,OlPLV 3,1 2,0
:~:.d~-'! I New' r iJ 65.00c . '13 SEER .7.7
~" " Split System With a HeSting Reolcmnt * 0 65.000 10 SEER 6,6
':';~J(' 0, Section Othe, Than E1edrlC I I 65.000 135.000 9,9 n1a' 3,2 2.2
. ,~esistance All 135,000 240.000 9,1 nla' 3.1 2.0
240,000 6.6 9.0IPLV 3,1 2,0
* Equipment is new installation or, replaces existing equipment
, ".
4~13
ComPlia~ with osse, effective 04101107
Worksheet 4d Project Name: I
UNITARY , HEAT PUMP - WATER COOLED
Equipment
Discussion of equipment
ratings and e:quiPffiEI'".t r
definitions on page 4.19.
.' .~~t...~,
'~~' - ,
~\" ..'
.... ,<..'
!~-.
Required
Document- .
ation
.,
Code
Requ,ired
Efficiencies
This schedule of equip-
ment efficiencies was
reformatted from the'
cOde. Table 13~M.
, 4-14
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(a)
(b)
EauiD. 10
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MOdel DesiQnation
CooUng
Capacity
(BluIhr)
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Indicate source of infom1aUon
,n
Compliance
Schedule
J' page:1
(e)
(d)
;; (a) .
Proposed
COP
I
o ARI Applied Products directory, Section UlE. Page: ./
o Product data (Attach data'furnished by the equipment supplier, I.e.,~cut sheets")
-, ... .. - ,.
CooIi"" ca';'city (btulhr) I
Over r e:;,ot I
o 17.000
.17.000 65.000
65.000 135.000
I 0 I 135,000 I
I 0 I 135.000 I
o ARI Unitary Directory. Section AC. page:
Eauiorylent Tvoe
A
Water Source
Entering
Water
Tamp. Proposed
EWT'('Fl 'EER
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.,
Mlnlmum-\,;oonng
II Rati",,'
EER
11.2
"
12.~
12.0
16.2 I
13.{ I
(iilEWT
860F.:.
(I) .
(g)
B
C
Ground'Water Source
Ground Source
86"F
86"F
59"F I
77"F_'
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I Minimum Heatiny I
Rat;"" I
I COP. E~
4.2 68"F
4.2 68"F
4.2 68"F
3.6 15O"F
3.1 I 32"F/
Compliance. wjth OSSC. effecti~e 04101107
j
Worksheet 4e P,roject N~me:1
PACKAGED TERMINAL A.C. - AiR COOLED
I II 1111 II I II
Equipment
Enter the cooling capaCity
incolumn ( c). If capacity
is less than),OOO Btulhr,
use 7,000: If above
15,000. use 15,000.
Tvoe of EoulDment
Discussion of equipment
ratings and equipment
definitions on page 4-19.
-,
"
Units Installed'ln New I
Construction . I
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Replacement of
. , Existing Units
(installed prior to
10/01/03)
e-
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".~;, .."
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(a)
(b)
J Page: I I
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(e) , (d) I (e)
'Proposed Code
Minimum
Cooling
i!Capadty EER EER
, (Blu/hr) 195'F db} 195'F db)
I I
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I 11
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f I I
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I I I
.J Required
Documentation
EOlJlo.IO
Model OesiQnallon
Indicate source of infonnation
.0 ARI Unitary Directory. Section AC. page: , I
o ARIApplied Products directory. Section UlE. Page: L '. ~
o Product data (Attach data fumishedby the equipment supplier, I.e., 'CU( sneets--)
. , . e -
.
!I I
Calculate the code minimum EERs from the formula. below U~ing the cooling capacitY in column I c I.
Enter tho resullll in column (8). , I.
N8w~; EER@95FTeSI~ilioos"j~2.5-(O.21311C~p/1000)
Replacement Units: EER@95F Test Condl~ons ij10.9-{O.213.ll Ciip/1000)
Code
Required
Efficiencies
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4-15
j
CO~iance With .OSSC: effective 04101107
Works~eet4f ,4 Project Na'1"e: I
PACKAGED TERMINAL HEAT PUMP - AIR COOLEp
I. Page: I
J
Equipment
Enter the cooling capacity
in column (e). 'If capacitY.
is leSS than iooo Btuthr,
uS8,7,OOO.lfaboV8
15.000: use 15;000.
Tvoe of EQuipment
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Units Installed in I
New Construction
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L
Calculate the code
minil'!lum EER's from
formulas below using
cooling capacity in the
> column (c). Enter results
in'column (a).
. Discussion of equipment
ratings and equipment
definitions on page 4.J9.
Replecement of,
Existing Units
(Installed prior to
10/01/03)
(al
(bl
(e)
.'/ Pro~ed , ' Cod~ ~lnimum
j .
I Cooling I " I Cooling I
. RatiTlQ.:... HeatinQ. RatinJC Heatina
Cooling
Capeclty EER
(Bluthrl ii (95'F db)
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indicate source of infonnation
o ARI Unitary Directory. Section AC. page:'
o ARI Applied products directorY. Section ULE. Page:
o Prod~ct data (Anaell data furnished by the equipment supplier. I,e., "cut sheats")
"
Required
Document~
ation
EauiD. 10 I
Model Deskmation
EER
(95'F
db)
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Code
Required
Efficiencies
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q&lculate the COde minimum EERs and COP's,from the fonn!Jlas below using the COOling capacity In column (c).
Enter the results In column (e). "
New ConstlllCt.lOn EER: EER@95FTestCondjJJonS="2.3-{D.213xCapt1000)
New'Construction c:OP: COP = 3.2 ~ (0.026)( Cap/1000)
~&Pla~ment Units EER: EER@95FTestCOllditions=10.8-(O.213x'Capl100Q)
Replacement Units COP: COP = 2.9 - (O.02fi x cap/1000) .
i6.-;..:r:~g~
'':;~~' -:
',W,: ,:/..;,
\~:.. "Y(i
....~.s!..... .
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4-16
Compliance Wit~ osse, effective 04101/07
Worksheet 4g Project Name:! :
WATER CHILLING PKGS. - WATER & AIR COOLED;i
(c) (d) (e) (I)
,Proposed
Cooling !j' Steady Proposed Compliance
CapaCity Ir State Part Load Schedule
(Btu/hr) COP IPLV (A-I)
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Equipment
(a)
(bl
. Discussion.of equipment
ratings and equipment
definitions on page 4-:19.
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Eouip. 10 Model"Oesiqnation
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Required
Document-
ation
. Indicate sOl:Jrce at il)fo""ation
o ARI Unitary Directory. Section AC. pag.:
.0 ARI Applied products dir.ctory. Section ULE, pag.: II'
o P~uct data (Attach data furnished by th. equipment suppli.r. I.... "cut sheSts")
I '. J[
Code
Required
Efficiencies
ComolJa~ ~ecIuI8'
A
E uJ T
Air Cooled, With Condenser. EJectricalIy
0""""",,
,
I
I
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o
B
Air Cooled, Wrthout Condenser. I
. Electrically Operated . :
"/ ' W8ter. Cooled, EIecbicalIy Operated, I
. Positive Displacement (RecIprocating)
. Water Cooled; Electrlcally Operated.
Positive Displacement (Rotary, Screw
and Scroll)
Water Cooled, E_,1y Opeo-aled,
'C_
This, schedule 'of equip-
ment efficiencies was
reformatted from code.
Table 1J..Q.
C
E
(.;;;t~~;~q
"'::?:;U:':I'":
!'K;...:: -.~..)
''':!h~
F
Air Cooled A~. Single Effect
I water Cooled Absaption. Single Effect I
I Absorption Double Effect. Indirect FIred I
I Absorption Double Effect, Dlrod F1"'" I
G
H
'I
. I.
Cooling Caoacity (T0f'Ill,) J
I
./
I
All Capac/tieS'
fAlICapacilles
. All CapacroeS
,I..
< 150 tons 4.45
~150, <300 toris 4~90
?300 Ions I 5:50
< 150 Ions I 5.00
>150, <300 tons I 5.50
~300. tons ~l I 6.10
All Capacities: I 0.60
Aft Capacities I 0.70
AJICapac/ties ' I 1.~
All Capacities .1 .1.0?
Ji" "
4-17
'H'
.........
Minimum Ratio
;:u;:; IPlV
2.80
3.10
420
, page:/
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,-
2.80
3.10
465 I
:,": './
5.60
5.00 I
5:50
6.10
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1.05 I
1.00 I
I
Compliance with asse, effective 04101/07
'/WOr1<S,heet 4h
HEAT REJECT.
Proiect Name:1 'J page:1
EQUIPMT. - COOLING TO"'<='AS & AIR CO()LED CONDENSERS
I
EquiplDent-
CooliDg
Tower. .
.1111 II
, C_, 1ower, Equip. ID I
Com';llan~ Sch;..,...1
/"""""'EnterineWatorT""., ,J"'(EW1)1
Deetgn Leavtng Water Temperaturu(LWT)I.
Design W~ BulbTemoeraturi(WBl!
Locatton of Equipment Schedule for EWT. LWT and we
(a) (b) (e)
Discussion of equip-
ment ratings arnl
equipment d6nn- .
itIons on page 4-19.
(.)
, GPMIHP
((bV(c)).'
. Design
Conditions
(a)
Tower ~mp
GPMatCTI'
RatEid
ConditiOns
Tower Pump Tower Fan HP
GPM at Design at Design
CondlUons Conditions
. Model DestQnatlon
/.
1 . Column (g) ~ less than valll!'t stated in table below
Coonn, To_ - Equip. to 1 I Doolgn Enterin, Water T, .,.' It. iEwmI
CGmpllanco Schedu..1 I Doolgn LeavIng _ Tempere\u,./LWT)
,- ' """"'" Wol Bulb 1Omoe....,.IJ.w,.11
Location of Eautoment Schedule for EWT LWT IInd we I /'
(a) (b) (e) (d) (.)1,
GP~P T~P~mp
((bV(c)) at GPM .. CTI
Design Rated
Conditions. CondlllOns
Mod~ ~~~
Tower Pump Tower Fan HP
GPM at Design at OesIgn
Conditions Conditions ~
I
Equipment-
Air Cooled
Condensers
1 C~umn (g) is less than value Btated_ in table below
AIr-C_ Con.......-Equlp, 101
Compl..... sch......1
,........ 01 CT & ATEC _..I
(il)
(.) Ii
Heat Rajacted
(BtuIh)atARi
Rated,1
CondltlOnS
I!
Condeneor -1 ..., . Ire' {eT)1
" I'
Air TeIJ'D. Entertna Conden..r IATECI
_Jl
DiscusSion of equip.
ment r8tl1'\gS and
equlpment detlnitiona
on page 4-19. {
(b) I
Heat Rejected
(BtuIh) at
'" Design
Conditions
(cl
Condenser '
Fan HP lit
DesIgn
Condltlona
(d)
BtuIh-HP
((bV(c))at
, Design ",
Conditions
Mod.1[> , ",'
L
'I
:' Column (g) is greaterttian V;lllu.e stated in table below
Ab'.c_ C, ., c" .equ,p. 101
domPllan~ Schedu..1
~oeatIon of CT & ATEC Schedule
(.)
." I
Conden.... , .. .., tf'O (C~
Air Tomo. En.rtnp Condon..r IAi'Ee)
',I
fJ.<r~~ )
~'" .'
~~:....
Ib)
Heat Rejected
(BtuIh) ..
Design
Conditions
(e)
Condenser
Fan HP at
DesJgn
Conditions
(d)
BtuhI..tiP
((bV(c))at
Design
Conditions
(e) ~i
Heat ReJected'
(B'uJh) .. ARJ
Rated 'il
~8
'1t
Modm DeslanaJk:M'
, ..
Column (g) is greater than value s~ted In table below
Required
Document.
ation
Fan-Tvoe
. (~ 1 Ie) (h)
Tower Fan GPMlHP
HP afCn ((.)/(0).'
Rate. Cll Rated
Conditions Condltions Complies f
I
I
1 Fan TVOIt
I
(~ -
ToWer,Fan
HPat'cn'
R.ted
CondItIOns
(g)'
GPM/HP
. ((.Vlo).'
cn Rated
Conditions Comolles 1
"1 1
(h)
(~' (e)
CondenSer BtuIh-HP
Fan HPat ((o)/(f)) at
ARI Rated ' ARI Rated
CondlUona Condttlons
(h)
Commies'
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I
I
1
(I) (el
CondenSer BtuIh-HP
Fori HP.. ((.)/(0).'
ARI Rated ; ARI Rated
Cond~$ Cond~kms
(h)
Complies f
I
I-
. 11,
Indicate source of Infonnatlon 0 ARt Directory, Section, Page (for airOOO~d co,:,densers o~~) I.
Q Product data (Attach data furnished by the equipment supplier: I.e".cut sheets'
- t, ,JI',
This schedule of
equipment .
eflIclenci$swas
refom,attedfrom
code, Table 1J.R,
All
Code
Required ,
Efficiencies I
I' ·
I
TotlIISY'-IIIltn.....1 . . ~I I
Re;ectionCapaci)'1I! 'I '_~
Rat8dCondlllona --!~\ Ol'RatlnnConlitions .....'~'....
95"'FEnleringWaIIlr i~ ,
a8>F Leaving Watei >38.2
7!;'F wb Outdoor Air ~ ,r
Q5'''FEnleringWaIIlr ~' I
ssOF Leavll'lg Water >20.0 ;"
7ffJFWb~~_ , I~_ jl
125"FCondenserTI!lmIJ;r<I~ leII....rUld "I ", I
190~ Entsrlng Gall Templll"lltl.n
's"F......,.,.
_ gsDF Enlerino rb I
2 For PUl'p06eS of.this table; cooHng toWer ~ _ _.,. ,.~ ...15 defined as maximum flow raling'rif IOw8r divided bY lI1e ~~~rnept8!e raied'molol'. ___,._
3 For purpOses of this table; air-cooled conden98r performance is dsflned as heat rei8l?'ed,frOm refrigerant divided by':lha fan n~te rated molar horsepower
A
All
Centrifugal Fan Cooling
T .....
c
Ai Cooled Condenurs
All
Reouir8d2,3 J
J ."""",,1
I
I
I >'78.000
4-18 .
Cciri1pliance with OSSC; 8ffective 04/01f07
/
Worksheet 41 Project Na~e: I page:1
. BOILER - 'GAS-FIRED & OIL-FIRED
Equipment (a) (b) ( 0) (d) (e) (I)
Discussion of ~quip- Heating Proposed Proposed
ment ratings and Capaclty, Minimum Minimum Ec or Compliance
. equipment definitions Equip. 10 Model Designat~n ( (Btulhr) AFUE(%) E,(%) Schedule (A-D)
on page 4.19.
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ReqUired
Document-
ation
Indicate source of info,nnation
o ' GAMA Consumer Oi~clory. pagers): .
. 0 Product da!B'(A!tBch,data furnished by the equipment supplier, I.e.. ~cut s~e~ts").
.,},:r-:::~
,SiIJ'" '''r',:<~
~~::,.~~
. ~<.~.-e_~V
Compliance ./ I
I
Schedule , Eauloment Tvoe
I
A Gas Fired Hot Water I
I
I
B Gas fired Steam I
I
I
C 011 FirOd Hot Water. Staam I
I
Alii
0 Oil Fired Residual Hot Waterl
Steaml
, I
Code
Required
Efficiencies
Heatina CaDacitv (Btu/hrl
r "B';!t, not] ~inlmurn'
Over over Efflciencv
o 1 300.000 1 80% AFUE
300.000 12.500.0001 75% E, I
2.500.0001 1 80% Ec
o 1 300.000 1 75% AFUE I
'300.000 12.500.0001 75% Eo I
2.500.000 1 1 80% e.
o 1 300.000 f 80%AFUE I:.
300,000 12.500.0001 78% E, ,
2.500.000 I I 83% Ec I
300.000 12,500.0001 ~8% E, I'
2.500.000 I I 83% E, I
2.5ilo,000 'I I 83% E, ,.
This schedule of
equipment. effic-
iencies was
refonnatted from
code, Table 13~Q.
..4-19
J
Compliance with esse, effective 04101/07
.'
l!'
,
II' . , Project Name:1 Page:L
Worksheet 4j
FURNACE & UNIT HEATERS - GAS & Oil-FIRED
Equipment . (a) (b) ( 0) . {d}:, (a),
ProPO!"'d
DisCu,ssion of equip- . Heating , Minimum Mlnlm'um Minimum
me;,t ratings and
equipment definition!> Capacity Ec E,' AFUE Compliance
on page 4-19. EQuiD. 10 ModeJ Desianation (BluJhr) (%) (%) (%) SchOdule (A_E)
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Required
Document-
atio~
Indicate source of information
[J GAMA Consu;"er Directory. pagers):
. Cl PrOduct data (Attach data furnished by the equipment supplier, I.e., ~cut ~ets..).
Code
Required
Efficiencies
This schedule of equip.
ment efficiencies was
reformatted from cOde,
Tab~ ::~. I
~\
~)(I
...-!~a""~/ I,
, .
A
'/
Eauioment Tvoe I
.1. . Gas Fired Warm-Air I
. Furnaces & Combustion I
Fumace/AC
I Oil.Fired Wa"nn.Air Furnaces ,.
& Combusti<?n FumacelAC 'I
.' I ' Gas Fired Duct Fumaces I
I Gas 'Fired Unil Heeters I
I 'OiJ-Fir'ed Unil Heelers . I
Caciacilv (BtuJhrl . I
Over, B:'::I f Min;mum Efllciencv J
o I 225.000 178% AFUE"or 80% E
225.000 I I 8O%:E"
o 1 225.000 178% AFUE or 80% ':f
225.000 1 I' 81% E,
ALL 'I' 8O%E"
ALL ,I" 80%E"
ALL ~ 8O%E"
f
Compliance
Schedule
B'
C
D
E
4'20
,
Compliance with OSSC, effective 04101/07
}
. Worksheet 4k Project Name: I
Simultaneous Heating and Cooling
Page: I
than there are lines in this form. If needed use Add New Worksheet button
at bottom
Complet<i"ihis (onn for all tennina! units with reheat to verify compliance with Section 1318.2.1 exception 1.
I Terminal UnK (Varlablo AIr Volume (VAY) Box) CFM D..lgn Condltiona
I Roquirad Infonnation I Comply
Max, HI CFM HI. CfM Hi: CFM Maximum
Cooling Occupancy < or = to < or = to < or :: to Airflow IS
Terminal Unit 10 or Sq.ftArea Airflow. Max. Heating Ventilation- 30%0(-' O.4CFM. Occupancy <or=>;to
DescriptionILocalion 'Served CFM Airflow-CFM.' CFM Max ~ per sq. ft Ventilation 300 CFM
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1
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1
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4-21
J
I
ComPlja~ with OSSC, effective 04101107
;'
Work~heet41 ~ Project Name:l .
AIR TRANSPORT .ll.!'.ll.AGY
Page:1
II I "'.' .
Complete one worksheet for each fan system> 7.5 horsepower. Fan system horsepower is', the sum of' motor bl1Jke .
h0fS8power of a/l supply, return,. and exhaust fans (including series fan-powered terminal units) that operate during
cN3sign conditions.' . '.
I
Fan Syatem ID~ . Areaa 58;"od:1 'I
r:J System .8~e8 hospital or labori!tory and Include flow control device for maintaining precise pre.sure Control.
M.mdmum
Fan Type (SuppIjt, ~ameptat8 ,Nameplate
Fan Identifier Return, EXhaust, Series Constant Volume Motor Brake Motor HP
(T...) VAVl CFM orVAV HP : Motor HP A11owod
I I. I I I I I
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The Plans/Specs show brake hp, nameplate hp, and CFM in the following locations:
I .-...--
I '0'" ..yo.....,. 'I I olal I I olal ~yslem
Supply Fan ConatantVoIumo, VAV, Syslem Max Brake HP Brake HP Norneplato I '
CFM or Hoop/talllab Brake HP' Allowed ComDlles HP.: ComDlIo. .
I I I I I I
Addltton,' P"'UvI)ll OraD Crttl'1 hili ay~m',=,Comptete,the section below if system contains filtration with a pressure
drop at design flow in excess of 1" W.c. (whenfiltefS are clean), heat recovery, or direct evaporative hum~.ifier/cooler.
Additft:!nal Pra...u,.' Draa Gredlt Irw HqA~I. and la.bnralt1l1,R. Complete the section ~ow if !!yste~' S8fV8S a
hospital or laboratory and contains'rully dueled ,return/exhaust, retum/exhaust air flow control devices, or individual filter
system efficiencie ' ,
I AddlUonal preaeure Drop(;nKllt8 Pressure Drop, IncheS, w.e.
j-OFlftratlon Pressure Drop >1- w.e.
A111..,.. 'I DHeat Recovery
I 0 Dlrocl Et.... '" ,Humldlflo<lCoolor
Hoopi!a'and I 0 Fully Duc:tod RotumlExhauot (0.5" crodR)
Labonitory 1.0 RotumlExhauot Flow Control Device (0.5" crodR) I
Syatome Only I 0 IndMdual ARer Efficiency' or . 85% (0.5" cradR) I
ITotal Addltlonal P......uro Drop CrodR: I ,
o Manufacturer's product data sheet(s) is attached and design values are shown in plans/specs in the follOwing locations
1 :i. I
I_ /eonstant YoIume or VAY (Use VAY!- Total AddltlOnal.1 M~d~~ I T~~." 1(::e/A;JU8ted, Brake'
SuppIjt CFM . for HoopItaI or lab Syelama) P.....ure Drop Brake HP above} ~p CompU..
I I I I I I I
~22 .1
"
Compliance with OSSC, aff8cttve 04/01/01.
I
c
Worksheet 4m
NATURAL VENTILATION
Project Name:
Page: I
1. Fill in worksheet for aU spaces that will be provided with natural ventilation.
,(a) (b) (C) (d), (e) (f) (g) (h) (I) (j) (k)
.Space' r Estilnated Max Actual Max Load Required
(Room # Occupant Load used to determlne Required CFM/Sqft ' Net Free
or name from OMSC Table Check If ventilation ' CFM/person (from Required Area of Opening Calculated Natural
from , ,Room 403.3 Smoking requirements (from Table Table Ventlletlon Outside Air Area I Floor Ventilation to, Space
plans) Area (sqft) (personsl1000sqft. Area (personsl1000sqft. 403.3) 403.3)' CFM Openings Area (design condlUons)2
I II 0 I I I .I
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1 I I 0 1 I I 1 I I
I I I 0 I I I I I I
1 I I 0 I I 1 I I
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1 Use this column when ventilation requirement is based on CFM/sq ft per OMSC Table 4.3.3.
2 Complete this column if net free opening is less than 5% of floor area or 2~% of floor area for smoking areas"otherwtse enter N/A. Attach calculations.
Number of Additional Worksheets 4m: I'
2. Describe qi1culation method used to determine ventilation delivered. Attach additional sheets as necessary ,
;
.
o
~"
. ~ -. ~ ...
'.
3. Attach manual calculations, spreadsheets, compuiermodel input and outp~ts. and other technical documentation that verifies
required ventilation will be provided to each space.
4. I certify that to the best of my knowledge, the natural ventilation calculations provided are correct.
This line to be signed and stamped by Architect or Engineer Registered in the State of Oregon.
4-23
Compliance With O:;:;C: eltectJve u4/0WI-
Worksheet 4m-2
NATURAL VENTILATION
Project Name:
. I
page:1
1. Fill in worksheet for all spaces that will be provided with natur~1 ventilation.
(a) .(b)~ (C) (d) (e) (f) (g) (h) (I) (j) (k)
- Space Estimated Max Actual Max Load Required
. (Room # Occupant Load used to determine Requli-ed CFM/Sqft Net Free
or. name from OMSC Table Check If ventilation CFM/person (fiom Required Area of Opening Calculated Natural
from Room 403.3 Snioklng requirements (from Table Table Ventilation Outside Air Area I Floor Ventilation to Space
plans) Area I saft\ (perSonsl1l)1)Q~ft. Area (sqft/person) 403.3) - 403.3)' CFM Openings Aree (design co~dltlonsl2
0
0
Do-
0
0
o.
0 I
0 I
0 I
I D I
I I 0 I
/ I 0 I
I I .0 I
I I 0 I
I I 0 I
, I 0 I
I I 0 I. /.
I I 0 I I
I I 0 I - I
I
I' -
I
I
I
I
r
I
,
1 Use this column when ventilation requirement is based on CFMlsq ft per OMSC Table 4.3.3.
2. Complete this column if net free opening is less than 5%.of ~oor are.s or 20% of floor area for smoking areas, otherwise enter"NJA.. Attach calculations.
4-23
/
Compliance with osse, effective 04/01/07