Specifications I 9 f
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Form 4a Project Name: PAINTED WITH OIL Page: 1
SYSTEMS - GENERAL
Applicability Plans /Specs
Discussion of qualifying Show compliance by including a drawing sheet, detail number,
exceptions on page 4 -25 specification section and subparagraph.
1. Applicablity (Section 1317)
Is this form required?
❑ 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, ductwork, and insulation.)
❑ 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: 2400 SQFT Exception El - LI -2 ❑ -3
Area: Exception 1=1 - 1=1 ❑ -3
Area: Exception ID -1 El - ❑ -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:
El -4a El -4b ❑ -4c ❑ -4d ❑ -4e 1=1-4f ❑ -4g ❑ -4h 1=1-41 ❑ -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.
• 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.
• 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 1316.1.1, Exceptiion:
0 -1 0 -2 171-3 0 -4 0 -5 111 - 6 ❑ - 7 El -8 0 -9 0 -10 0 -1 0 -12 ❑ -12 0 -14
Attach relevant documentation for appropriate exception. The plans /specs show compliance in the
"° following locations:
4 -1 April 2005
Compliance with OSSC, effective 01/01/05
Form 4a ' Project Name: PAINTED WITH OIL Page: 2
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 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)
❑ Complies. Systems must have at least one of the following features:
❑ 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.
O 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:
0 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 -
The plans /specs show compliance in the following locations:
6.3 Control Capabilities (Sec. 1317.4.2.1)
El 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 - 0 -
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)
El 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)
CI 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.
c'`'r The plans /specs show compliance in the following locations:
r +` r
„...
4 -2 April 2005
Compliance with OSSC, effective 01/01/05
Form 4a Project Name: PAINTED WITH OIL Page: 3
SYSTEMS - GENERAL
7. Economizer Cooling (Section 1317.3)
❑ No Cooling. The building plans do not call for a new fan system with mechanical cooling.
El 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 ❑ - ❑ - ❑ -3 ❑ - ❑ -5 ❑ -
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 its Integration (Section 1317.3.1 and 1317.3.2)
o 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.
❑ 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 ❑ - ❑ -2
The plans /specs show compliance in the following locations:
9. Hot Gas Bypass (Section 1317.5)
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 Gas Bypass
r • <240,000 Btu /hr 50%
}? >240,000 Btu /hr 25%
❑ Exception. Unitary packaged system with cooling capacity no greater than 90,000 Btu /h
4 -3 April 2005
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Form 4a Project Name: PAINTED WITH OIL Page: 4
SYSTEMS - GENERAL
10. Shutoff Dampers (1317.4.3.3)
❑ Not Required. Shutoff dampers are not required on this project.
o 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 ❑ - ❑ - ❑ -
The plans /specs show compliance in the following locations:
Keyed notes #12 & #17
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
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)
a 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.
o 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 ❑ - ❑ -2
12. Occupancy Ventilation
o 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 See Air Handling Unit Schedule
the following locations:
The plans /specs show compliance
, t ^ � ', on the following pages:
W.T Pi
4 -4 April 2005
Compliance with OSSC, effective 01/01/05
Form 4a Project Name: PAINTED WITH OIL Page: 5
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 from Table 1004.1.2 have a
means to automatically reduce outside air intake.
Identify applicable systems: AHU -1
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)
O 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 0-5 0-6 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)
❑ 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.
El 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:
�` ' The plans /specs show compliance in the following locations:
4 -5 April 2005
Compliance with OSSC, effective 01/01/05
Form 4a Project Name: PAINTED WITH OIL Page: 6
SYSTEMS - GENERAL
18. Swimming Pools, Spas and Hot Tubs (Section 1315.5)
o 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.)
o 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.
❑ 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)
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.
❑ 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)
• 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:
22. Outside Heating Systems (Section 1317.12)
R 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
•
Form 4b Project Name: PAINTED WITH OIL Page: 7
COMPLEX HVAC SYSTEMS
Applic 1. Simple or Complex Systems (Section 1317.9, 1317.10 and 1318)
ability Note: This form is required for complex systems only. If your plans qualify as a simple system
Discussion of as defined by the code, this form is not required.
qualifying excep-
tions in
instructions 2. Air Transport Energy (Section 1318.4.2)
section. 0 Not Regulated. Each HVAC system does not have total fan nameplate horsepower of 7.5 HP
Fan Motor or greater (include sum of all supply, return, & exhaust fans operating at design conditions).
Energy ❑ Brake Horsepower Complies. The energy demand of all HVAC fan systems meets code
See Section p
1318.4.2 for requirements. Complete and attach Worksheet 41.
maximum horse- ❑ Nameplate Horsepower Complies. Selected fan motors have nameplate ratings no larger
power allowed. than is allowed by Section 1218.4.2.3. (Complete Worksheet 4L.)
❑ Exception. Section 1318.4.2, Exception 0 0-2 ❑ -3 0-4
Portions of the building that qualify:
The plans /specs show compliance in the following locations:
Cooling 3. Cooling Tower Fans (Section 1317.5.4.1)
Tower 0 No Cooling Tower There is no cooling tower in this project.
Fans ❑ Complies. Cooling tower fans have control devices that vary flow by controlling leaving fluid
temperature or condenser temperature /pressure of the heat rejection device.
The plans /specs show compliance in
the following locations:
4. Simultaneous Heating and Cooling (Section 1318.2.1)
❑ No Cooling. The building HVAC system has no cooling.
O Complies. Controls prevent reheating, recooling or mixing of mechanically heated and
mechanically cooled air.
❑ Exception. Code exception is Section 1318.2.1, Exception 0-1 0-2 0-3 0-4 0-5
If exception 1 is used, complete and attach Worksheet 4k
Portions of the building that qualify:
The plans /specs show compliance in
the following locations:
5. Electric Motor Efficiency (Section 1317.10.3 85 Table 13 - T)
❑ Not Regulated. There are no NEMA Design A &B squirrel cage,T -frame induction, permanently
wired polyphase motors of one horsepower or more which serve built up HVAC systems.
0 Complies. The efficiency of all regulated motors meets code requirements.
Exceptions ❑ Exception. Section 1317.10.3, Exception 0- 0
Discussion of
qualifying Portions of the building that qualify:
exceptions in
instructions section. The plans /specs show compliance in
the following locations:
6. VAV System Static Pressure Reset Controls (Section 1318.2.3)
O Not Regulated. The building plans or specifications do not call for a VAV system controlled by
a static pressure sensor or direct digital control of individual zone boxes.
❑ Complies. The system static pressure set point automatically resets to the lowest point
"w3• possible while still providing the required air flow to the zones with the greatest demand.
*° ❑ Exception. Section 1318.2.3, Exception
r *Jr The plans /specs show compliance in
the following locations:
4 -7 April 2005
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Form 4b Project Name: PAINTED WITH OIL Page: 8
COMPLEX HVAC SYSTEMS
7. VAV Terminal Units (Section 1317.4.2.1)
O Not Regulated. Project does not contain VAV terminal units.
❑ Complies. VAV terminal units are programmed to operate at the minimum airflow setting without
addition of reheat when the zone temperature is within the set deadband. Complete Worksheet 4k.
❑ Exception. Section 1317.4.2.1, Exception 0-1 0 -2
The plans /specs show compliance in the
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.
❑ Complies. Multiple zone HVAC systems include controls that automatically reset the supply -air
temperatures in response to building loads or outside air temperature.
❑ 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 0-2 0
Portions of the building that qualify:
The plans /specs show compliance in the
following locations:
9. Chilled and Hot Water Temperature Reset Controls (Section 1318.2.4)
O Not Regulated. The building plans or specifications do not call for chilled or hot water systems with
a design capacity exceeding 300,000 Btu /hr.
❑ Complies. Chilled and hot water systems include controls that automatically reset supply water
temperatures by representative building loads or by outside air temperature.
❑ Exception. Section 1318.2.4, Exception 0 -1 0 -2
Portions of the building that qualify:
The plans /specs show compliance in the
following locations:
10. Separate Air Distribution Systems (Section 1318.2.7)
O Not Regulated. The building plans or specifications do not call for zones with special process
temperature or humidity requirements.
❑ 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 purposes only.
❑ Exception. Section 1318.2.7, Exception 0 -1 0 -2
Identify zones with special process
requirements:
The plans /specs show compliance in the
following locations:
11. Zone Isolation Controls (Section 1318.2.6)
O Not Regulated. Building plans or specifications do not call for HVAC systems serving multiple
occupancies or floors with >240,000 Btu /hr cooling capacity, or >300,000 Btu /hr heating capacity.
❑ Complies. HVAC systems serving multiple occupancies or floors with >240,000 Btu /hr cooling
capacity, or >300,000 Btu /hr heating capacity are equipped with isolation devices capable of
automatically shutting off supply air to and from each isolated area. Each isolated area is controlled
independently and satisfies temperature setback (Section 1317.4.2) and optimum start control
requirements. Central fan system air volume is reduced through fan speed reduction.
The plans /specs show compliance in the
following locations:
•
4 -8 April 2005
Compliance with OSSC, effective 01/01/05
1
Form 4b Project Name: PAINTED WITH OIL Page: 9
COMPLEX HVAC SYSTEMS
12. Humidity Controls (Section 1318.2.2)
El No Moisture Added to Building. The building plans do not call for means to add moisture to
maintain specific humidity levels.
❑ 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 is
The plans /specs show compliance in
the following locations:
13. Hydronic System Controls (Section 1318.2.8)
❑ No Hydronic System. The building plans or specifications do not call for a new hydronic system.
2 Complies. The hydronic system complies as follows:
13.1 Variable Flow Controls (Section 1318.2.8.4)
El System does not have a 10 hp or greater motor
❑ Complies. System has controls capable of varying pump flow
The plans /specs show compliance in
the following locations:
13.2 Three -Pipe System (Section 1318.2.8.1)
El 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)
❑ System is not a Two -Pipe Changeover System
❑ Complies. System is:
a. Designed to allow a deadband between changeover from one mode to the other
of at least 15 °F outside air temperature.
b. Designed to operate and provided with controls that will allow operation in one
mode for at least four hours before changing over to the other mode.
c. Provided with reset controls that allow heating and cooling supply temperatures
at the changeover point to be no more than 30 °F apart.
The plans /specs show compliance in
the following locations:
13.4 Hydronic (Water Loop) Heat Pump System (Section 1318.2.8.3)
❑ System is not a Hydronic (Water Loop) Heat Pump System
❑ Complies. Hydronic heat pumps connected to a common heat pump water loop with central
devices for heat rejection (e.g., cooling tower) and heat addition (e.g., 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- leakage positive closure dampers.
c. Open- circuit tower installed directly in the heat pump loop has an automatic
valve installed to bypass all heat pump water flow around the tower. Open -
circuit towers used in conjunction with a separate heat exchanger to isolate
the tower from the heat pump loop are controlled by shutting down the
circulation pump on the cooling tower loop.
, d. A two- position valve at each hydronic heat pump for hydronic systems
O' 0 r having a total pump system power exceeding 10 hp.
,,.`^ The plans /specs show compliance in the following locations:
4-9 April 2005
Compliance with OSSC, effective 01/01/05
Worksheet 4a Project Name: PAINTED WITH OIL Page:
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
AHU -1 BCH054 60 N/A 10 D
AHU -2 BCH012 8 N/A 10 D
Required Indicate source of information
Document- ❑ ARI Unitary Directory, Section AC, page:
ation
❑ 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 135,000 240,000 9.5 EER n/a
Resistance 240,000 . 760,000 9.3 EER 9.5 IPLV
760,000 - - 9.0 EER 9.2 IPLV
65,000 na 10 SEER
"*� 0 Split System With a Heating 65,000 135,000 10.1 EER n/a
r.: = 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
Worksheet 4b Project Name: PAINTED WITH OIL Page:1
UNITARY AIR COND. - WATER & EVAPORATIVELY COOLED
Equipment (a) (b) (d) (e)
Proposed Performance
Discussion of equip- Compliance
ment ratings and Cooling Capacity Seasonal or Schedule (A-
equipment defini- Equip. ID Model Designation (Btu /h) Steady State Part Load E)
tions on page 4 -19.
Required Indicate source of information
Document- ❑ ARI Unitary Directory, Section AC, page:
ation ❑ ARI Applied Products directory, Section ULE, Page:
❑ Product data (Attach data furnished by the equipment supplier, I.e., "cut sheets ")
Code Cooling Capacity (btu /hr) Minimum Rating
Required Compliance Seasonal or
Efficiencies Schedule Equipment Typ Over But not over - Steady State Part Load
Single Packaged and Split 0 65,000 12.1 EER n/a
This equipment efficie A AC Without a Heating 65,000 135,000 11.5 EER na
ncies schedule was Section or With Electric 135,000 240,000 11.0 EER n/a
reformatted from Resistance Heat 240,000 - 11.0 EER 10.3 IPLV
code, Table 13 -L. 0 65,000 12.1 EER n/a
Single Packaged and Split
B AC With a Heating Section 65,000 135,000 11.3 EER na
�,, Other Than Electric 135,000 240,000 10.8 EER n/a
°' Resistance
- ' 1 240,000 - 10.8 EER 10.1 IPLV
C Condensing Units 135,000 - 13.1 EER 13.1 IPLV
4 -12
Compliance with OSSC, effective 01/01/05
•
Worksheet 4c Project Name: PAINTED WITH OIL Page:
UNITARY HEAT PUMP - AIR COOLED
Equipment (a) (b) (c) (d) (e) (f)
Proposed Rating Proposed HeatincQRatinq
Discussion of equip-
ment ratings and Cooling Compliance
equipment definitions Capacity COP COP Schedule
on page 4 -19. Equip. ID Model Designation (Btu /h) SEER EER HSPF (47 °F) (17 °F) (A -E)
Required Indicate source of information
Document- ❑ ARI Unitary Directory, Section AC, page:
ation ❑ ARI Applied Products directory, Section ULE, Page:
❑ Product data (Attach data furnished by the equipment supplier, I.e., "cut sheets ")
Code Cooling Capacity -- Minimum Cooling -
(btu /hr) Rating Minimum Heating Rating
Required Compliance But not Seasonal or COP COP
Efficiencies Schedule Equipment Type Over over EER Part Load HSPF (@ 47 °F) (@ 17 °F)
0 65,000 - 9.7 SEER 6.6 - -
Single Package Without a 65,000 135,000 10.1 n/a - 3. 2 2.2
This schedule of A Heating Section or With
equipment efficien- Electric Resistance Heat 135,000 240,000 9.3 Na 3.1 2.0
cies was reformat- 240,000 - 9.0 9.2 IPLV - 3.1 2.0
ted from the code, 0 65,000 - 10 SEER 6.8 - -
Table 13 -M. Split System Without a
B Heating Section or With 65,000 135,000 10.1 n/a - 3.2 2.2
Electric Resistance Heat 135,000 240,000 9.3 n/a - 3.1 2.0
240,000 - 9.0 9.2 IPLV - 3.1 2.0
Single Package With -a 0 65,000 - 9.7 SEER 6.6
65,000 135,000 9.9 n/a 3.2 2.2
C Heating Section Other Than
R Electric Resistance 135,000 240,000 9.1 n/a - 3.1 2.0
l 240,000 - 8.8 9.0 IPLV - 3.1 2.0
i ` Split System With a Heating 0 65,000 - 10 SEER 6.8 - =
°�` D Section Other Than Electric 65,000 135,000 9.9 n/a 3.2 2.2
Resistance 135,000 240,000 9.1 n/a - 3.1 2.0
• 34 240,000 - 8.8 9.0 IPLV - 3.1 2.0
4 -13
Compliance with OSSC, effective 01/01/05
Worksheet 4d Project Name: PAINTED WITH OIL Page:
UNITARY HEAT PUMP - WATER COOLED
Equipment (a) (b) (c) (d) (e) (f) (9)
Entering
Discussion of equipment - Cooling Water Compliance
ratings and equipment Capacity Temp. Proposed Proposed Schedule
definitions on page 4 -19. Equip. ID Model Designation (Btu /hr) EWT ( °F) EER COP (A, B, or C)
i ..7 - 7 ‘;.y.?/'
Required Indicate source of information
Document- ❑ ARI Unitary Directory, Section AC, page:
ation ❑ ARI Applied Products directory, Section ULE, Page:
❑ Product data (Attach data furnished by the equipment supplier, I.e., "cut sheets ")
Code Minimum Cooling Minimum Heating
Cooling Capacity (btu /hr) Rating Rating
Required Compliance But not @
Efficiencies Schedule Equipment Type Over over EER (EWT COP EWT
0 17,000 11.2 86 °F 4.2 68 °F
This schedule of equip- A Water Source 17,000 65,000 12.0 86 °F . 4.2 68 °F
ment efficiencies was
reformatted from the 65,000 135,000 12.0 86 ° F - 4:2 68 ° F
code, Table 13 -M B Ground Water Source 0 135,000 16.2 59 °F 3.6 50 °F
C Ground Source 0 135,000 13.4 77 °F 3.1 32 °F
, 4 -14
Compliance with OSSC, effective 01/01/05
Worksheet 4e Project Name: PAINTED WITH OIL Page:
PACKAGED TERMINAL A.C. - AIR COOLED
Equipment (a) (b) ( c) (d) (e)
Proposed Code
Enter the cooling capacity Minimum
in column (c ). If capacity Cooling
is less than 7,000 Btu /hr,
use 7,000 If above Capacity EER EER
15,000, use 15,000. Type of Equipment Equip. ID Model Designation (Btu /hr) (95 °F db) (95 °F db)
Discussion of equipment
ratings and equipment
definitions on page 4 -19.
Units Installed in New
Construction
Replacement of
Existing Units (installed
prior to 10/01/03)
Vmmi
Required Indicate source of information
Documentation ❑ ARI Unitary Directory, Section AC, page:
❑ ARI Applied Products directory, Section ULE, Page:
❑ Product data (Attach data furnished by the equipment supplier, I.e., "cut sheets ")
Code Calculate the code minimum EERs from the formulas below using the cooling capacity in column ( c ).
Required Enter the results in column (e).
New Construction EER @ 95F Test Conditions = 12 5-(0 213x Cap/1000)
Efficiencies Replacement Units EER Q 95F Test Conditions = 10 9- (0.213x Cap/1000)
4 -15
Compliance with OSSC, effective 01/01/05
Worksheet 4f Project Name: PAINTED WITH OIL Page:
PACKAGED TERMINAL HEAT PUMP - AIR COOLED
Equipment (a) (b) (c) (d) (e)
Proposed Code Minimum
Enter the cooling capacity Cooling Cooling
in column (c). If capacity is Rating Heating Rating Heating
less than 7,000 Btu /hr, Cooling
use 7,000. If above Capacity EER EER
15,000, use 15,000. Type of Equipment Equip. ID Model Designation (Btu /hr) (95 °F db) (95 °F db)
Calculate the code
minimum EER's from
formulas below using
cooling capacity in the
column (c). Enter results
in column (e).
Discussion of equipment
ratings and equipment
definitions on page 4 -19. Units Installed in
New Construction
Replacement of
Existing Units
(installed prior to
10/01/03)
Required Indicate source of information
Document- ❑ ARI Unitary Directory, Section AC, page:
ation ❑ ARI Applied Products directory, Section ULE, Page:
❑ Product data (Attach data furnished by the equipment supplier, I.e., "cut sheets ")
Code Calculate the code minimum EERs and COP's from the formulas below using the cooling capacity in column (c)
Enter the results in column (e)
Required New Construction EER: EER @ 95F Test Conditions = 12 3— (0.213x Cap /1000)
Efficiencies New Construction COP COP = 3.2 - (0.026 x Cap /1000)
Replacement Units EER• EER @ 95F Test Conditions = 10.8— (0.213x Cap /1000)
Replacement Units COP COP = 2 9 - (0 026 x Cap /1000)
4 - 16
Compliance with OSSC, effective 01/01/05
Worksheet 4g Project Name: PAINTED WITH OIL Page:
WATER CHILLING PKGS. - WATER & AIR COOLED
Equipment (a) (b) (c) (d) (e) (f)
Discussion of equipment Proposed
ratings and equipment Cooling Steady Proposed Compliance
definitions on page 4 -19. Capacity State Part Load Schedule
Equip. ID Model Designation (Btu /hr) COP IPLV (A - I)
Required Indicate source of information
Document- ARI Unitary Directory, Section AC, page:
ation ARI Applied Products directory, Section ULE, Page:
Product data (Attach data furnished by the equipment supplier, I.e., "cut sheets ")
Code Minimum Rating
Required Compliance Schedule Equipment Type Cooling Capacity (Tons) COP IPLV
A Air Cooled, With Condenser, Electrically . All Capacities 2.80 2.80
Efficiencies Operated
B Air Cooled, Without Condenser, All Capacities 3 10 3.10
This schedule of equip- Electrically Operated
ment efficiencies was
reformatted from code, C Water Cooled, Electrically Operated, All Capacities 4 20 4 65
Table 13-0. Positive Displacement (Reciprocating)
Water Cooled, Electrically Operated, < 150 tons 4 45 4 50
D Positive Displacement (Rotary, Screw and >150, <300 tons 4 90 4.95
Scroll) >300 tons 5 50 5.60
< 150 tons 5 00 5.00
E Water Cooled, Electrically Operated, >150, <300 tons 5 50 5.50
Centrifugal >300 tons 6.10 6.10
471"4, F Air Cooled Absorption, Single Effect All Capacities 0 60 —
j
�I i P-1 G Water Cooled Absorption, Single Effect All Capacities 0.70 . -
N'4.-7.--e•-•• H Absorption Double Effect, Indirect Fired All Capacities 1.00 1.05
I Absorption Double Effect, Direct Fired All Capacities 1 00 1.00
4 - 17
Compliance with OSSC, effective 01/01/05
Worksheet 4h Project Name: PAINTED WITH OIL Page:
HEAT REJECT. EQUIPMT. - COOLING TOWERS & AIR COOLED CONDENSERS
Equipment- Cooling Tower - Equip. ID Design Entering Water Temperature (EWT)
Cooling
Compliance Schedule Design Leaving Water Temperature (LWT) Fan Type
Towers
Design Wet Bulb Temperature (WB)
Discussion of equip Location of Equipment Schedule for EWT, LWT and WB
ment ratings and
equipment defin- (a) ( b) (c) (d) (e) (f) (g) (h)
itions on page 4 -19. GPM /HP Tower Pump Tower Fan GPM /HP
Tower Pump Tower Fan HP ((b) /(c)) at GPM at CTI HP at CTI ((e) /(f)) at
GPM at Design at Design Design Rated Rated CTI Rated
Model Designation Conditions Conditions Conditions Conditions Conditions Conditions Complies'
' Column (q) is less than value stated in table below
Cooling Tower - Equip. ID Design Entering Water Temperature (EWT)
Compliance Schedule Design Leaving Water Temperature (LWT) Fan Type
Design Wet Bulb Temperature (WB) I.
Location of Equipment Schedule for EWT, LWT and WB
(a) (b) (c) (d) (e) (f) (g) (h)
GPM /HP Tower Pump Tower Fan GPM /HP
Tower Pump Tower Fan HP ((b) /(c)) at GPM at CTI HP at CTI ((e) /(f)) at
GPM at Design at Design Design Rated Rated CTI Rated
Model Designation Conditions Conditions Conditions Conditions Conditions Conditions Complies'
' Column (g) is less than value stated in table below
Equipment- Air- Cooled Condenser - Equip. ID Condenser Temperature (CT)
Air Cooled Compliance Schedule Air Temp. Entering Condenser (ATEC)
Condensers
Location of CT & ATEC Schedule
Discussion of equip- (a) (b) (c) (d) (e) (f) (g) (h)
ment ratings and Heat Rejected Condenser Btu /h -HP Heat Rejected Condenser Btu/h -HP
equipment definitions (Btu /h) at Fan HP at ((b)/(c)) at (Btu /h) at ARI Fan HP at ((e) /(f)) at
on page 4 -19 Design Design Design Rated ARI Rated ARI Rated
Model Designation Conditions Conditions Conditions Conditions Conditions Conditions Complies 1
' Column (g) is greater than value stated in table below
Air- Cooled Condenser- Equip. ID Condenser Temperature (CT)
Compliance Schedule _ Air Temp. Entering Condenser (ATEC)
Location of CT & ATEC Schedule
(a) (b) (c) (d) (e) (f) (g) (h)
Heat Rejected Condenser Btu /h -HP Heat Rejected Condenser Btu /h -HP
{*� (Btu /h) at Fan HP at ((b) /(c)) at (Btu /h) at ARI Fan HP at ((e) /(f)) at
n Design Design Design Rated ARI Rated ARI Rated
. -I'! A. Model Designation Conditions Conditions Conditions Conditions Conditions Conditions Complies'
VI 4 j .
1
' Column (g) is greater than value stated in table below
Required Indicate source of information ❑ ARI Directory, Section, Page (for air cooled condensers only)
Document -
ation ❑ Product data (Attach data furnished by the equipment supplier: I.e , "cut sheets ")
Code eotcl System Heat Performance Required 2' 9
Compliance Rejection Capacity at
Required Schedule Equipment Type Rated Conditions Subcategory or Rating Conditions gpm/hp Btu /h -hp
Propeller or Axial Fan Cooling 95 ° F Entering Water
Efficiencies A Towers All 85 Leaving Water >38.2
75 ° F wb Outdoor Air
This schedule of Centrifugal Fan Cooling 95 Entering Water
equipment efficien B
Towers All 85 Leaving Water >20 0
cies was reformatted 75 ° F wb Outdoor Air
from code, Table 13 - 125 ° F Condenser Temp R -22 Test Fluid
R C Air Cooled Condensers All 190 °F Entering Gas Temperature >176,000
15 Subcooling
95 ° F Entering db
2 For purposes of this table, cooling tower performance is defined as maximum flow rating of tower divided by the fan nameplate rated motor horsepower
3 For purposes of this table, air - cooled condenser performance is defined as heat reiected from refngerant divided by the fan nameplate rated motor horsepower
, .
4 - 18
C ompliance with , effective 01 01/05
Worksheet 4i Project Name: PAINTED WITH OIL Page:
BOILER - GAS -FIRED & OIL -FIRED
Equipment (a) (b) (c) (d) (e) (f)
Discussion of equip- Heating Proposed Proposed
ment ratings and Capacity Minimum Minimum E, or Compliance
equipment definitions Equip. ID Model Designation (Btu /hr) AFUE ( %) E ( %) Schedule (A -D)
on page 4 -19.
Required Indicate source of information
Document- ❑ GAMA Consumer Directory, page(s):
ation ❑ Product data (Attach data furnished by the equipment supplier, I.e., "cut sheets ").
Code Heating Capacity (Btu /hr)
Compliance But not Minimum
Required Schedule Equipment Type . Over over Efficiency
Efficiencies 0 300,000 80% AFUE
A Gas Fired Hot Water 300,000 2,500,000 75% E
This schedule of 2,500,000 - 80% Ec
equipment efficien-
cies was reformatted 0 300,000 75% AFUE
from the code, Table B Gas Fired Steam 300,000 2,500,000 75% E
13 -Q. 2,500,000 - 80% E
0 . 300,000 80% AFUE
C Oil Fired Hot Water, Steam 300,000 2,500,000 78% E
, 2,500,000 - 83% Ec
; Low { All 300,000 2,500,000 78% E
. D Oil Fired Residual Hot Water 2,500,000 - 83% E
Steam 2,500,000 - 83% E�
4 -19
Compliance with OSSC, effective 01/01/05
Worksheet 4j Project Name: PAINTED WITH OIL Page:1
FURNACE & UNIT HEATERS - GAS & OIL -FIRED
Equipment (a) (b) (c) (d) (e)
Proposed
Discussion of equip- Heating Minimum Minimum
ment ratings and Capacity Ec ET Minimum Compliance
equipment definitions Equip. ID Model Designation (Btu/hr) (%) (%) 0
on page 4 -19. q p' g ( ) ( /0) ( /o) AFUE (%) Schedule (A E)
Required Indicate source of information
Document- ❑ GAMA Consumer Directory, page(s):
ation ❑ Product data (Attach data furnished by the equipment supplier, I.e., "cut sheets ").
Code
Capacity SBtu /hr)
Required Compliance But not
Efficiencies Schedule Equipment Type Over over Minimum Efficiency
This schedule of equip Gas Fired Warm -Air Furnaces 0 225,000 78% AFUE or 80% E
ment efficiencies was & Combustion Furnace /AC o
reformatted from code, 225,000 80 /o E�
Table 13 -P. Oil -Fired Warm -Air Furnaces 0 225,000 78% AFUE or 80% E
B & Combustion Furnace /AC
225,000 81% E,
C Gas Fired Duct Furnaces ALL 80% E
D Gas Fired Unit Heaters ALL 80% E
E Oil -Fired Unit Heaters ALL 80% E
4 -20
Compliance with OSSC, effective 01/01/05
Worksheet 4k Project Name: PAINTED WITH OIL Page:
Simultaneous Heating and Cooling
* Additional pages may be necessary if building has more terminal units
than there are lines in this form. If needed use Add New Worksheet button
Complete this form for all terminal units with reheat to verify compliance with Section 1318.2.1 exception 1.
Terminal Unit (Variable Air Volume (VAV) Box) CFM Design Conditions
Required Information Comply
Max. Ht CFM Ht. CFM Ht. CFM Maximum
Cooling Occupancy < or = to < or = to < or = to Airflow is
Terminal Unit ID or Sq. ft Area Airflow- Max. Heating Ventilation- 30% of 0.4 CFM Occupancy < or = to
Description /Location Served CFM Airflow -CFM CFM Max per sq. ft Ventilation 300 CFM
4 -21
Compliance with OSSC, effective 01/01/05
Worksheet 41 - • " Project Name: ,PAINTED WITH OIL Page: 10
AIR TRANSPORT ENERGY
Complete one worksheet for each fan system > 7.5 horsepower. Fan system horsepower is the sum of motor brake
horsepower of all supply, return, and exhaust fans (including series fan - powered terminal units) that operate during design
conditions.
Fan System ID: Areas Served:
0 System serves hospital or laboratory and include flow control device for maintaining precise pressure control.
Maximum
Fan Type (Supply, Nameplate
Fan Identifier Return, Exhaust, Series Constant Volume Motor Brake Nameplate Motor HP
(Tag) VAV) CFM or VAV HP Motor HP Allowed
The Plans /Specs show brake hp, nameplate hp, and CFM in the following locations:
Total System Total Total System
Supply Fan Constant Volume, VAV, System Max Brake HP Brake HP Nameplate
CFM or Hospital /Lab Brake HP Allowed Complies HP Complies
Hospital /Lab
Additional Pressure Drop Credit (all systems). Complete the section below if system contains filtration with a pressure
drop at design flow in excess of 1" w.c. ( when filters are clean), heat recovery, or direct evaporative humidifier /cooler.
Additional Pressure Drop Credit for Hospitals and Laboratories. Complete the section below if system serves a
hospital or laboratory and contains rully ducted retum /exhaust, return /exhaust air flow control devices, or individual filter
system efficiencies.
Additional Pressure Drop Credits Pressure Drop, Inches, W.C.
❑ Filtration Pressure Drop >1" w.c.
All Systems
❑ Heat Recovery
❑ Direct Evaporative Humidifier /Cooler
Hospital and ❑ Fully Ducted Return /Exhaust (0.5" credit)
Laboratory ❑ Return /Exhaust Flow Control Device (0.5" credit)
Systems Only ❑ Individual Filter Efficiency > or = 85% (0.5" credit)
Total Additional Pressure Drop Credit:
❑ Manufacturer's product data sheet(s) is attached and design values are shown in plans /specs in the following locations
Adjusted Total Brake
Constant Volume or VAV (Use VAV Total Additional Max Allowed HP (from Adjusted Brake
Supply CFM for Hospital or Lab Systems) Pressure Drop Brake HP above) HP Complies
Add New Worksheet 41
-22 1
1 Compliance with OSSC, effective 01/01/05
Worksheet 4m Project Name: PAINTED WITH OIL Page:
NATURAL VENTILATION
1. Fill in worksheet for all spaces that will be provided with natural ventilation.
(a) (b) (C) (d) (e) (f) (g) (h) (I) U) (k)
Space Estimated Max used to determine Required
(Room # Occupant Load ventilation Required CFM/Sqft Net Free
or name from OMSC Table Check if requirements CFM /person (from Required Area of Opening Calculated Natural -
from Room 403.3 Smoking (persons /1000sgft. (from Table Table Ventilation Outside Air Area / Floor Ventilation to Space
plans) Area (sqft) (persons /1000sgft.) Area ) 403.3) 403.3) CFM Openin Area (design conditions)2:
El
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 20% of floor area for smoking areas, otherwise enter N /A. Attach calculations.
Number of Additional Worksheets 4m I 0 -�
2. Describe calculation method used to determine ventilation delivered. Attach additional sheets as necessary
3. Attach manual calculations, spreadsheets, computer model input and outputs, and other technical documentation that verifies
t.
required ventilation will be provided to each space." ` y
4. I certify that to the best of my knowledge, the natural ventilation calculations provided are correct. ,r
% ....74V •
This line to be signed and stamped by Architect or Engineer Registered in the State of Oregon.
4 -23
Compliance with OSSC, effective 01/01/05