Plans form 4a Project Nam e: Option Care Page:
SYSTEMS - GENERAL _
Applicability • Plans /Specs
Discussion of qualifying � Show compliance by in ' ri;_.r in sheet, detail number,
exceptions on page 4 -25 specification section an w _:, a• ED
1. Applicablity (Section 1317)
Is this form required? FEB 0 8 1006
El Form Required. Complete form if a new HVAC system is being installed, or components of an
existing HVAC system are being replaced (I.e., equipment, controls, ductwggYatlif insAmbon.)
BUILDING DIVISION
❑ Exception. The building or part of the building qualifies for an exception from HVAC code
requirements. Applicable code exception is Section 1317.1. Portions of the building that
qualify:
Area: Exception ❑ -1 ❑ -2 ❑ -3
Area: Exception ❑ -1 ❑ -2 ❑ -3
Area: Exception ❑ - ❑ - ❑ -3
❑ Form Not Required. This project does not contain work required to comply with code.
2. Simple or Complex Systems (Section 1317.9 or 1317.10)
Simple System. Building contains only Simple HVAC System(s). Complete this form (4a) and
equipment efficiency worksheets as required. Form 4b is not required.
❑ Complex System. Project includes a' Complex System. Complete this form (4a), form 4b and
equipment efficiency worksheets as required.
3. Equipment Performance (Section 1317.5)
❑ No New HVAC Equipment. The building plans do not call for new electrical HVAC equipment,
combustion heating equipment, or heat - operated cooling equipment.
El Complies. All new HVAC equipment have efficiencies not less than those required by code.
The following equipment efficiency worksheets are attached:
L7 -4a ❑-4b 0 -4c 0 -4d 0 -4e 0 -4f 0 -4g 0 -4h 0 -4i 0 -4,
4. Duct Insulation and Sealing (Sections 1317.7 & 1317.8)
❑ No Ducts. The building plans and specifications do not call for new HVAC ducts or plenums.
o Complies. The plans and specifications call for all air - handling ducts and plenums to be
insulated and sealed as reauired by Sections 1317.7 &1317.8.
5. Distribution Transformers (Section 1316.1)
❑ No Distribution Transformers. The plans /specs do not call for new distribution transformers.
El Complies. All new distribution transformers comply with efficiency, testing, and labeling
requirements of Section 1316.1.1.
❑ Exception. The project qualifies for an exception per Section 1316..1, Exceptiion:
- 1 - 2 - 3 0 - 4 0 - 5 - 6 0 0 - 8 0 - 9 0 - 1 0 0 - 1 0 - 1 2 0 - 1 2 D - 1 0 0 4
Attach relevant documentation for appropriate exception. The plans /specs show compliance in the
following locations:
mo. >or'
4 -1 April 2005
Compliance with OSSC, effective 01/01/05
Form 4a Project Name: Option Care Page:
SYSTEMS - GENERAL
6. HVAC Controls (Section 1317.4)
6.1 System Thermostat /Zone. Controls (Section 1317.4.1) •
O Complies. All new HVAC systems include at least one temperature control device responding to
temperatures within the zones.
❑ Exception. HVAC system qualifies for an exception from zone control requirements.
The applicable code exception is Section 1317.4.2, Exception 0-1 0
Portions of the building that qualify:
The plans /specs show compliance in the following locations:
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:
O Control Setback Complies. Each system is equipped with automatic control capable of reducing
energy through control setback during periods of non -use or alternate use of spaces served.
• Equipment Shutdown Complies. Each system is equipped with controls capable of reducing
energy use through automatic shutdown during periods of non -use or alternate use of spaces.
HVAC systems with equipment shutdown are equipped with at least one of the following:
O Programmable controls (1317.4.3.1 (1))
❑ Occupant sensor (1317.4.3.1 (2))
❑ Interlocked to a security system (1317.4.3.1 (3))
❑ Manually activated timers with 2 -hour operation max (1317.4.3.1 (4))
❑ Exception. The building qualifies for an exception to the requirement for automatic setback or
shutdown controls. The applicable code exception is Section 1317.4.3
Exception 0-1 0 -2
The plans /specs show compliance in the following locations:
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 capable of
providing a temperature range or deadband of at least 5 degrees F within which the supply of
heating and cooling energy to the zone is shut off or reduced to a minimum.
❑ 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
Portions Portions of the building that qualify:
The plans /specs show compliance in the following locations:
6.4 Optimum Start Controls (Section 1317.4.3.2)
❑ Complies. Separate HVAC systems have controls capable of varying start -up time of system to
just meet temperature set point at time of occupancy.
❑ Exception. HVAC systems have a design supply air capacity not exceeding 10,000 cfm.
The plans /specs show compliance in the following locations:
6.5 Heat Pump Controls (Section 1317.4.4)
❑ No Heat Pump. The plans /specs do not call for a new heat pump
❑ 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.
The plans /specs show compliance in the following locations:
4 -2 April 2005
Compliance with OSSC, effective 01/01/05
•
Form 4a Project Name: Option Care Page:
•
SYSTEMS - GENERAL
7. Economizer Cooling (Section 1317.3)
❑ No Cooling. The building plans do not call for a new fan system with mechanical cooling.
O 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.
❑ Exception At least one new fan system qualifies for an exception. The applicable code exception
is Section 1317.3,Exception 0-10-2 ❑ -3 ❑ -4 ❑ - ❑ -6
If Exception 3 is selected complete the following:
(a) Total cooling capacity of exempt units (Btu /hr)
(b) Total installed building cooling capacity (Btu /hr)
❑ Complies. Sum of exempt units rated at less than 54,000 Btu /hr is <240,000 Btu /hr or a/b
< 0.10 (10% of total building cooling capacity).
Unit Identifier of exempt units:
The plans /specs show compliance in the following locations:
8. Economizer Pressure Relief & Integration (Section 1317.3.1 and 1317.3.2)
❑ No Economizers Required. Project does not contain a new fan system requiring economizers.
❑ Overpressurization Complies. The drawings specifically identify a pressure relief mechanism for
each fan system that will relieve the extra air introduced by the economizer. ,
El Integration Complies. Economizer is capable of providing partial cooling even when additional
mechanical cooling is required to meet the remainder of the cooling load.
❑ Exception. The applicable exception is Section 1317.3.2, Exception ❑ -1 ❑ -2
The plans /specs show compliance in the following locations:
9. Hot Gas Bypass (Section 1317.5)
El No Hot Gas Bypass
❑ Complies. See allowable amount of hot gas bypass as a percentage of total cooling capacity in
table below.
Unit ID Rated Cooling Capacity Hot Gas Bypass Capacity
Allowable Hot Gas Bypass
Rated Cooling Capacity Max Hot Gds Bypass
<240,000 Btu hr 50
>240,000 Btu /hr 25%
❑ Exception. Unitary packaged system with cooling capacity no greater than 90,000 Btu /h
"::x7 C ' ' +4 fi -may '>.x" n.::. , ..�.:�:'J�Lh,.•r.'�''•L -n x . �''v'+`. R'nv ,i,7r,1•'3. ; �?vra zYG w"�" e �' 4 t+hn,.s. +7" r.F.F �ti t,• . --? �v' tee. - ++. v e.
4 -3 April 2005
Compliance with OSSC, effective 01/01/05
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Form 4a Project Name: option Care Page:
SYSTEMS - GENERAL
10. Shutoff Dampers (1317.4.3.3)
Not Required. Shutoff dampers are not required on this project.
❑ Complies. Each outdoor air supply & exhaust system shall be equipped with motorized dampers.
❑ Exception. The building qualifies for an exception to the motorized damper requirement. The
applicable code exception is Section 1317.4.3.3 Exception ❑ -1 ❑ -2 ❑ -3 ❑ -a ❑ -s O -6
The plans /specs show compliance in the following locations:
10.1. Shutoff Damper Controls (Section 1317.4.3.3.1)
El Complies. Outdoor air supply and exhaust systems shall be provided dampers that automatically
shut when systems or spaces served are not in use or during building warm -up, cooldown, or
setback.
❑ Complies. Stair and shaft vents are capable of being automatically closed during normal building
operation and interlocked to open as required by fire and smoke detection systems.
The plans /specs show compliance in the following locations:
10.2. Motorized Damper Leakage (1317.4.3.3.2)
❑ Complies. Motorized outdoor air supply and exhaust air dampers have a maximum leakage rate
of 4 cfm /ft2 at 1.0 in w.g. when tested in accordance with AMCA Standard 500 -1998.
❑ Exception. Packaged HVAC equipment may have maximum leakage rate of 20 cfm /ft at 1.0 in
w.g: when tested in accordance with AMCA Standard 500 -1998.
The plans /specs show compliance in the following locations:
11. Piping Insulation (Section 1314)
No New Piping. The building plans and specifications do not call for new piping serving a
heating or cooling system or part of a circulating service water heating system.
❑ Complies. All new piping serving a heating or cooling system or part of a circulating service
water heating system complies with the requirements of the Code, Section 1314.1.
❑ Exception. New piping qualifies for exception: Section 1314.1, Exception ❑ -1 ❑ -
12. Occupancy Ventilation
El Complies. Mechanical ventilation systems provide the required amount of ventilation is indicated
in plans /specifications as specified in Chapter 4 of the Oregon Mechanical Specialty Code.
❑ Complies. Natural ventilation systems provide required amount of ventilation as certified by a reg-
istered architect or engineer as specified by Section1203.4.1, Exception. Attach worksheet 4m.
The plans /specs show compliance in
the following locations: .
The plans /specs show compliance
on the following pages:
_i
4 -4 April 2005
Compliance with OSSC, effective 01/01/05
Form 4a Project Name: Option Care Page:
SYSTEMS - GENERAL
13. High Occupancy Ventilation (Section 1317.2.2)
❑ 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 Tess from Table 1004.1.2 have a
means to automatically reduce outside air intake.
Identify applicable systems:
Plans /specs indicate where equipment (i.e. carbon dioxide sensor) and sequence is specified:
❑ Exception. HVAC systems are equipped with an energy recovery device with at least 50%
recovery effectiveness.
• No High Occupancy Systems. Project does not contain an HVAC system as described above.
14. Exhaust Air Heat Recovery (Section 1318.3)
• Not Regulated. HVAC system does not have: 1) design supply air cap. of >10,000 cfm, and 2)
min. outside air supply >70 %, and 3) at least 1 exhaust fan rated at 75% of min outside air supply.
❑ Complies. Heat recovery system increases outside air temperature by 20 °F (Climte Zone 1) or
30 °F (Zone 2) and has provision to provide bypass during air economizer mode.
❑ Exception. An HVAC system qualifies for an exception to this requirement. Applicable exception
from Section 1318.3 Exception0- 0-2 0-3 0-4 0 -6 ❑-s 0-7
The plans /specs show compliance in the following
locations:
15. Large Volume Fan Systems (Section 1318.4.2.4)
O Not Regulated. The building plans or specifications do not call for fan systems over 15,000 CFM
that serve a single zone and function for the purpose of temperature control.
❑ Complies. Fan systems are equipped with variable frequency drive or two speed motor to reduce
airflow as required by Section 1318.4.2.3.
The plans /specs show compliance in the following
locations:
16. Variable Speed Drives (Section 1317.10.3.1)
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. •
❑ Complies. All fan and pump motors 10 hp and greater which serve variable -flow air or liquid
systems are controlled by a variable -speed drive.
❑ Exception. The building qualifies for an exception to the variable -speed drive requirement.
Portions of the building that qualify:
Applicable code exception is Section 1317.10.3.1, Exception - -
The plans /specs show compliance in the following
locations:
17. Service Water Heating (Sec. 1315)
O No New Water Heating. The building plans and specifications do not call for new water heaters,
hot water storage tanks or service hot water distribution systems.
❑ Complies. All new water heaters, hot water storage tanks or service hot water distribution
systems comply with the requirements of the Section 1315.
❑ Exception. The applicable code exception is Section: (Exception:
Portions of the building that qualify: 1
The plans /specs show compliance in the following locations:
4 -5 April 2005
Compliance with OSSC, effective 01/01/05
I Forma Project Name: Option Care Page:
`SYSTEMS - GENERAL
18. Swimming Pools, Spas and Hot Tubs (Section 1315.5)
�12 No New Pools. The building plans and specifications do not call for new, swimming pools, spas
or hot tubs.
❑ 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.
❑ Ventilation Controls Complies. Pool ventilation system is controlled based on humidity.
❑ Cover Complies. All heated pools, hot tubs and spas are equipped with a cover.
❑ Heat Recovery Complies. Pools, Spas, and hot tubs, over 200 ft utilize recovered heat as
required by Section 1315.5.3.
❑ 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.)
a No Fume Hoods. The building plans do not call for fume hood systems that have a total exhaust
rate greater than 15,000 cfm.
❑ Complies. Fume hood systems have at least one of the following features:
❑ Variable air volume hood exhaust and room supply systems capable of reducing exhaust
and makeup air volume to 50% or less of design values.
❑ Direct makeup (auxiliary) air supply equal to at least 75% of the exhaust rate, heated no
warmer than 2° F below room set point, cooled no cooler than 3° F above room set point,
no humidification added, and no simultaneous heating and cooling used for
dehumidification control.
0 Heat recovery systems to precondition makeup air from fume hood exhaust in accordance
with 1318.3 - Exhaust Air Energy Recovery, without using any exception.
The plans /specs show compliance in the following locations:
20. Parking Garage Ventilation (Section 1317.2.3)
El 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.
❑ Complies. The plans and specifications call for carbon monoxide sensing devices as required by
Section 1317.2.3.
❑ 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.
❑ Complies. All new kitchen hoods with a total exhaust capacity greater than 5,000 cfm have at
least 50 percent of the required makeup air; (a) unheated or heated to no more than 60 °F; and (b)
uncooled or evaporatively cooled.
The plans /specs show compliance in the following locations:
N., y!%i1
..-., r •.. v< z..,......:< :.._..:�.,r.:... say. r.,- w.: w. �>. ew.. n_„ k.-..... ma..,.....,:-,,.,. --,- u .;- �> s, r-,.. m.t.as- :r:«:no:.:. .-m �•. wu,.. e. F.-;,. w. nn .::- mti+•.n.rc- ru::.s:xm.<a.rn• �:,r.. .x. :-.:,:,.e.K
22. Outside Heating Systems (Section 1317.12)
E No Outside Heating Systems. The plans /specs do not call for new permanently installed heating
systems outside the building.
❑ Complies. All new permanently installed outside heating systems are radiant gas fired systems
controlled by an occupancy sensor or timer switch as required by Section 1317.12.
4 -6 April 2005
Compliance with OSSC, effective 01/01/05
Worksheet 4a Project Name: Option Care Page: I
UNITARY AIR CONDITIONER - AIR COOLED
•
Equipment (a) (b) • (c) (d) (e)
•
Proposed Performance
Discussion of equipment Cooling Seasonal or Compliance .
ratings and equipment Equip. ID Model.Designation Capacity Steady State Part Load Schedule (A -E)
definitions on page 4 -19.
RTU -1 YORK - D1 NA024 23,000 - 10.5 C
RTU -2 YORK - DCG048 47,400 9 . 10 C
RTU -3,4,5 YORK - DCG072 72,000 9 - C
•
RTU -6 YORK - DCG060 59,000 9.1 10 C
RTU -7,8 YORK - DCG036 36,000 9.1 10 C . .
•
•
•
Required Indicate source of information
Document- 0 ARI Unitary Directory, Section AC, page:.
ation
0 ARI Applied Products directory, Section ULE, page:
p Product data (Attach data furnished by the equipment supplier, I.e., "cut sheets ")
Code Required ' Cooling Capacity (btu /hr) Minimum Rating
Efficiencies Compliance Seasonal or
Schedule Equipment Type Over But not over - Steady State Part Load
0 65,000 na 9.7 SEER
Single Package Without a 65,000 135,000 10.3 EER n/a
This schedule of equip- A Heating Section or With Electric 135,000 240,000 9.7 EER n/a
ment efficiencies was • Resistance Heat 240,000 760,000 9.5 EER 9.7 IPLV
reformatted from code, 760,000 - 9.2 EER 9.4 IPLV
Table 13 -L. 0 65,000 na 10 SEER
Split System Without a Heating 65,000 135,000 10.3 EER n/a .
B Section or With Electric 135,000 . 240,000 9.7 EER n/a
• Resistance Heat 240,000 760,000 9.5 EER 9.5 IPLV
760,000 - 9.2 EER 9.2 IPLV
0 65,000 na 9.7 SEER
Single Package With a Heating 65,000 135,000 10.1 EER n/a
C Section Other Than Electric 135 240,000 9.5 EER n/a
Resistance 240,000 1 760.000 9.3 EER, 9.5 IPLV
760,000 1 - 9.0 EER 9.2 IPLV
0 65,000 na 10 SEER
4 'F Split System With a Heating 65,000 135,000 10.1 EER n/a
' ` :('' +L- . ' ` O' D Section Other Than Electric 135,000 240,000 9.5 EER n/a
'' / Resistance 240,000 760,000 9.3 EER 9.7 IPLV
760,000 - 9.0 EER 9.4 IPLV
E Condensing Unit Only . 135,000 - 10.1 EER 11.2 IPLV
4 -11
Compliance with OSSC, effective 01/01/05