5/21/2018 Inspection Checklists - Commercial ASHRAE 90.1-2007

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Commercial Building Data Collection ChecklistANSI/ASHRAE/IESNA Standard 90.!"00#

Building ID: Climate Zone:

Date: Name of Evaluator(s):

Building Contact: Name: Phone: Email:

Building Name & Address: Conditioned loor Area:

"tate: Count#: $urisdiction:

Com%liance A%%roach (chec all that a%%l#): Prescri%tive 'radeff Performance

Com%liance "oft*are (if used): +reen,A-oveCode Program:

Building .se: ffice /etail,0ercantile 1arehouse,"torage Education,"chool 2odging,3otel,0otel

/estaurant,Dining,ast ood Pu-lic Assem-l#,/eligious 3ealthcare 3igh/ise /esidential

Building *nershi%: "tateo*ned 2ocal governmento*ned National account "%eculative Private

Pro4ect '#%e: Ne* Building E5isting Building Addition E5isting Building /enovation 6aluation (If /enovation): 7

90.!"00#Section $ %lan Re&ie'

Com(lies

Comments/Assum(tions) N N/A

89!9!P/;989!P/!

5/21/2018 Inspection Checklists - Commercial ASHRAE 90.1-2007

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General building information only required if different than above Building ID:

Date: Name of Evaluator(s):

Building Contact: Name: Phone: Email:

Building Name & Address: Conditioned loor Area:

Com%liance A%%roach (chec all that a%%l#): Prescri%tive 'radeff Performance

Com%liance "oft*are (if used): +reen,A-oveCode Program:

90.!"00#Section $ -ooting / -oundation Ins(ection

eriiedalue

Com(lies

Comments/Assum(tions) N N/A

99@9@

;

99;9!

!

99@9

@

99@9

5/21/2018 Inspection Checklists - Commercial ASHRAE 90.1-2007

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General building information only required if different than above Building ID:

Date: Name of Evaluator(s):

Building Contact: Name: Phone: Email:

Building Name & Address: Conditioned loor Area:

Com%liance A%%roach (chec all that a%%l#): Prescri%tive 'radeff Performance

Com%liance "oft*are (if used): +reen,A-oveCode Program:

90.!"00#Section $ -raming / Rough!In Ins(ection eriied alue

Com(lies

Comments/Assum(tions) N N/A

989@9!

/;

99!9!

/;@/;8

5/21/2018 Inspection Checklists - Commercial ASHRAE 90.1-2007

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General building information only required if different than above Building ID:

Date: Name of Evaluator(s):

Building Contact: Name: Phone: Email:

Building Name & Address: Conditioned loor Area:

Com%liance A%%roach (chec all that a%%l#): Prescri%tive 'radeff Performance

Com%liance "oft*are (if used): +reen,A-oveCode Program:

90.!"00#Section $ %lum*ing Rough!In Ins(ection

Com(lies

Comments/Assum(tions) N N/A

?989@

P2;

5/21/2018 Inspection Checklists - Commercial ASHRAE 90.1-2007

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General building information only required if different than above Building ID:

Date: Name of Evaluator(s):

Building Contact: Name: Phone: Email:

Building Name & Address: Conditioned loor Area:

Com%liance A%%roach (chec all that a%%l#): Prescri%tive 'radeff Performance

Com%liance "oft*are (if used): +reen,A-oveCode Program:

90.!"00#Section $ echanical Rough!In Ins(ection

eriiedalue

Com(lies

Comments/Assum(tions) N N/A

>989;98=

>989;9

0E;

36AC eGui%ment efficienc# verified9 NonNAECA36AC eGui%ment la-eled as meeting H9;9

Efficienc#:

>989;99!

0E! in -# 8! in9la-eled Mfor re%lacement onl#9

>989@989;

0E@

5/21/2018 Inspection Checklists - Commercial ASHRAE 90.1-2007

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90.!"00#Section $ echanical Rough!In Ins(ection

eriiedalue

Com(lies

Comments/Assum(tions) N N/A

>99;9@

0E;99;98

0E;>99!9;

0E;?99!9!9@

0E;99!9@

0E;H99!98

0E!99@9;9!

0E!;99@9!9;

0E!!

5/21/2018 Inspection Checklists - Commercial ASHRAE 90.1-2007

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90.!"00#Section $ echanical Rough!In Ins(ection

eriiedalue

Com(lies

Comments/Assum(tions) N N/A

>99>9!=>99>9!9;=>99>9!9!

0E@;F of %ea heatre4ection is installed for %reheating of service hot*ater in !8,? facilit#= *ater cooled s#stems re4ectK> 00Btu= "31 load ; 00Btu9

>99?9;

0E@!99?9!

0E@@999;

0E@899H

0E@

"ervice *ater heating eGui%ment meets efficienc#reGuirements9

?99;

0E@?

5/21/2018 Inspection Checklists - Commercial ASHRAE 90.1-2007

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General building information only required if different than above Building ID:

Date: Name of Evaluator(s):

Building Contact: Name: Phone: Email:

Building Name & Address: Conditioned loor Area:

Com%liance A%%roach (chec all that a%%l#): Prescri%tive 'radeff Performance

Com%liance "oft*are (if used): +reen,A-oveCode Program:

90.!"00#Section $ -inal Ins(ection

Com(lies

Comments/Assum(tions) N N/A

989@9@

I;989@9;9;

I!989@9;9!=>989@9!=>989@9@=>989@9@9;=

>989@9@9!I@

9?9;

I;>

5/21/2018 Inspection Checklists - Commercial ASHRAE 90.1-2007

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Additional Comments,Assum%tions:

E&aluator AssessmentPlease %rovide a general descri%tion of *hat *as discovered during the onsite evaluation= and a %rofessional estimate *hat #ou feel the com%liance rating should -e= regardless of the individual metrics scored a-ove9 Include #ourassessment of the most im%actful energ# reGuirements for this %articular -uilding9

2E) ; 3igh Im%act ('ier ;) ! 0edium Im%act ('ier !) @ 2o* Im%act ('ier @) C Com%le5 0echanical

H,!8,!; Pa