HomeMy WebLinkAboutAPPLICATIONS & COMPLIANCE CERT - 17-00272 - 639 Handcart Ln - Savoye Apartments LLC<yyzsoec
clry OF
w c REXBURG Submit By Email
" 1�AllUjt
AmerW ilami�y Community
Permit Policies Acknowledgement
Building Safety Department
City of Rexburg
35 North 1st East
Rexburg, Idaho 83440
The Cityof Rexburg Building Safety Department is determined to provide excellent customer service. In an effort to help you
understand the City of Rexburg Permit Policies, listed below are several policies which you are required to know prior to
proceeding with your project
Any construction within the City of Rexburg which requires a permit shall not begin until an approved permit is
obtained. If you do not have a pink building permit signed by the Building Inspector, then you do not have an
approved permit.
dW , o Building without the pink building permit signed by the Building Inspector will result in double fees to be
f� assessed and the project to be red tagged. If your project is red tagged, halting all construction, only a City
Official may remove the red tag. If the red tag is removed by anyone but a City Official, citations will be issued.
No building may be occupied without receiving a signed Certificate of Occupancy.
o If a building is occupied without receiving a signed Certificate of Occupancy, citations will be issued and the
occupants will be evicted.
Initials
Calling in inspections is the responsibility of the applicant and their contractor. Inspections need to be called
into the hotline and not to the inspector. Inspections called in later than 8 AM will be scheduled for the following
business day.
o If an inspection is not done, the inspector may require any measures to be taken to allow him to correctly
perform the inspection. (Example: If the electrical rough in inspection is not done and the sheetrock has been
InRials put up, the inspector may require the sheetrock be removed in order to perform the electrical rough in
inspection.)
Any approval for Certificate of Occupancies and Building Permits is only verified through the Permit Technician.
If an inspector says something like "You re good to go", understand that you still need to receive all relevant
documentation from the Permit Technician before you are truly good to go.
o Even if you hear from an inspector that you're good to go, ultimately if you do not have a Building Permit or
Certificate of Occupancy, the above policies will be enforced.
Initials
It is your responsibility to relay this information on to anyone who this would be applicable to for your project.
All sub -contractors will be held to this standard with no exceptions.
o The above policies will be enforced to all, regardless if you pass this information on to them or not.
Initrahs_
Applicant's Name (print): K2��ICA'AAASi Signature: Date: 9/a,4/1
}
Inspections must be called in before 8AM on the day the inspection is requested. Inspec on equests called in after 8 AM will he scheduled for the next business day.
Inspectionnotline-(208)372.2344 www.rexburg.org Permit Technician -(208)372.2341 Revised March, 2016
CITY OF
REXBURG
OW
AmerlraS Family Community
Building Safety Department
Submit By Emall City of Rexburg
35 North 1St East
Rexburg, Idaho 83440
BUILDING APPLICATION
Commercial/Multi-family Residence
For Office Use
Digital Plans Included: ❑ CD ❑ USB ❑ Dropbox ❑ Not Included
Permit Number:
Permit Type: []New ❑ Remodel ❑ Addition
DepositAmount: ❑ $1000 New Const. ❑ $250 Addition
0 $100 Other Deposit Included with Application: ❑ Yes ❑ No
1. Property Owner
Name: SaVOVQ� e wt" L
Address: 5.15 l4ar;Jrarl Lv% II3 Nb.
City: "M_ _ State: -Xb Zip Code: $3'1`40
Phone &Type: ;g14g2a. ❑ Office 03Mobile
Email: I4rw.ec&,VAL45 w oybtµiL'Gc an
---
Under Idaho Building Code, a contractor must do the work for a Commercial Building.
2. Applicant 111I
VA
/ cc-'
Name: /Wr&,nnllass
Role: (Owner, Tenant, Contractor, etc.) 0wv4lr -A'
Address: Vo 1 _
City:._L Iuyn_ Stater Zip Code:
Phone&Type: 2a- ❑OfffceiMMobile
_ _93y4o
Email: lcrwtttatwdufis 0- a;1 .cow
Contact/Rep. Name:l14lly IAAC&l,tAtss Phone:
AW 2gi fga.L Email: 11'"I"
3. General ,
alContraclto�r �1
Name: /���'SBkA6s% 6"
Registration #: jam- c14118 Exp.: 6711-41.)018
Address Pb &4 %fiQ
City: State: 3U _ Zip Code:40
Phone & Type: AM Ma -2-42'k- ❑ Office ®Mobile
Email: k(+ toLv tl GOw�,
Contact/Rep. Name: IWCAUSS —Phone:
_
4012% Email: k CtA1wALts Q 4Naar( CONti
General Contractor Authorized Signature:
-Date: S'bi I?
4. Project Description
Address: _ S16 ND.w Awir Lw -OR-
Lot #: Block #: Subdivision: _
Type of work:
Check one: 1%NeWConstruction ❑Remodel* ❑Addition*
Check all that apply: (h Framing 10 Mechanical
® Plumbing M Electrical
NOTE: Any sub -contractors involved will need to submit their own signed ap,pplications.
Description of work: Cite atopykul ��. +� I.It>aV6ui,'�
*Total cost of project - materials and labor: $ 6
(used to calculate permit fees) # Of Buildings:
Building 1: l4 Units 18.$00 sq. ft Building 2:
Units sq. fL Building 3: __Units __sq. ft.
Additional Buildings:
_
Utility, Misc, Private Garage:
sq. it Storage: sq. ft
APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty ofpeiury, I hereby certify that I have read this application and state that the information herein
is correct and I swear that any information which may hereafter he given by mein hearings before the Planning and Zoning Commission or the City Council forthe City of Rexburg
shall be truthful and correct. I agree to comply with all City regulations and State laws relating to the subject matter of this application and hereby authorized representatives ofthe
City to enter upon the above-mentioned property for inspections purposes. NOTE: The building official may revoke a permit on approval issued under the provisions of the 2012
International Code in cases of any false statement or misrepresentation of fact in the application or on the plans on which the permit or approval was based. Permit void if not
startedwithin 180 days. Permit void ifworkstops for 180 days.
Applicant's Name (print): ( w�4tt Signature: __ Date: sIX]a
Inspections must he called in before 8 AM on the day the inspection is requested. lnsie, onrequests called in iffier AM will be scheduled for the next business day,
Inspecti on No tl ine - (208) 372.2344 www.rexburg.org Perm it Technician -(208)372.2341 Revised March, 2016
5/22/2017 e1BOLPublic - Public Information
State of Idaho
Bureau Of Occupational Licenses
Public Record Information (Detail)
Public Record
Business Name: KELLY MCCANDLESS GROUP LLC
_ --
Owner: KELLY MCCANDLESS
Profession: FIDANO CONTRACTORS BOARD
Type: REGISTERED ENTITY CONTRACTOR
—_--_::
Number; r,RCE-44718
Address Of Record:-
City/State/Zip: RE%BURG ID 83440
Country: USA
Business Phone: -- —
Original Date of Issue: 5717/2017 -�
Registered/Licensed By:
Status:..Cwrent -_
Discipline Status:
Expiration Date: 5/17/2018
Disciplinary Action Documents
None
NOTE: This document is a copy of the electronic record of the person named above and constitutes a verification of that record. If official certification of
this record Is required, a written request must be submitted together with a 510.00 fee to the Bureau of Occupational Licenses, 700 West State Street, PO
Box 83720, Boise, Idaho 83720-0063.
https://secure.ibol,idaho.gov/eIBOLPublic/LicensePublicRecord.aspx?Profession=CON&LicenseType=RCE&LicenseNo=44718 I/1
;oQ µezevgv d 77�� CITY YYTo7FBuilding Safety Department
1�
o^ `CGJr o EXB VRG Submit By Email City of Rexburg
CW 35 North 1St East
AmerW Family Community Rexburg, Idaho 83440
EXEMPTIONS FROM STATE REGISTRATION
As of January 1, 2006, the City of Rexburg can no longer sell permits without having a copy of your State
registration number or your exemption from the State registration. Please send a copy of your state registration or
fill out this form showing your exemption and send it with your license renewal or your next permit application.
(This list is a summarization of Idaho Code Title 54 Chapter 5205, for full definitions of these exemptions please
see the State's website at www.ibol.idaho.gov/cont.htm)
❑ Currently State licensed pursuant to Title 54 Idaho Code, Chapters:
3 Architects,
1Q Electrical Contractors/Journeyman,
12 Engineers/Surveyors,
19 Public Works Contractors (exempt from fee only registration required),
26 Plumbing/Plumbers,
45 Public Works Construction Management Licensing Act (exempt from fee only registration required), or
50 Installation of heating, ventilation and air conditioning systems
❑ Employee or volunteer of a licensed contractor or part of an educational curriculum or nonprofit charitable
activity with no wages or salary
❑ Employee of a US Government agency (State, City, County, or other municipality)
❑ Public Utility doing construction, maintenance, or development to its own business
❑ Involved with gas, oil or mineral operations
❑ Supplier doing no installation or fabricating
❑ Contracting a project or projects with a total cost less than $2000
❑ Operation of a farm or ranch or construction of agriculture buildings exempt from Idaho Building Code
❑ Any type of water district operations
❑ Work in rural districts for fire prevention purposes
❑ Owner who performs work on own property or contracts with a registered contractor to do work as long as the
property is not for resale within 12 months
❑ Owner or lessee of commercial property performing maintenance, repair, alteration or construction on that
property
❑ Real estate licensee/property manager acting within Idaho Code
❑ Engaging in the logging industry
❑ Renter working on the property where they live with the property owners approval
❑ Construction of a building used for industrial chemical processing per Idaho Code
❑ Construction of a modular building (defined by Idaho Code) to be moved out of state
I hereby certify that the above information is true and correct to the best of my knowledge.
Am S 1;2 I aoq
Si lure11..A Da
Y&At
�—
hftjttft
Print Name
Inspection Hotline -(208)372.2344 w rexburg.org Permit Technician -(208)372.2341 Revised March,2016
CITY OF
REXBURG
America's Family Community
Building Safety Department
Submit By Email City of Rexburg
35 North 1st East
Rexburg, Idaho 83440
Property Lines
Each site plan that is submitted to the City of Rexburg for the Building Permit process requires that property lines
are shown accurately. It is the Developer's responsibility to correctly identify on the site plan the location of these
lines in reference to the public right-of-way, other adjoining property lines, the street, other structures and all
utility lines. The Developer should find property pins that are still available at the lot in question. If these pins do
not exist or have become unrecognizable then a new survey should be performed.
Accurate property line information is a must for a timely review. In addition to finding existing property pins, legal
descriptions should be checked. The best way to identify property line location is with a land survey. The City of
Rexburg has aerial photos and a parcel line layer that can be checked, but they are only a tool and are not
guaranteed for accuracy. If you want to request a copy of your lot, see the front counter at the Community
Development Department.
I have read and understand the above requirements,
Sig afore
1G.iA wtk. &.t..
Printed Name
6- lag 1 17
Date
Inspection Hotline -(208)372.2344 w .rexhurg.org Permit Technician -(208)372.2341 Revised March, 2016
CITY O P b Buildinp Safetyp Department
REXB1J G Submit By Email City of Rexburg
cw 35 North 15C East
Amerw:Famlycommunity Rexburg, Idaho 83440
Subcontractor List
Excavation & Earthwork: Fdb4ypo. ('sem viwa�t��
Concrete: _Y -r—
Masonry: No I
Roofing: 7131D
Insulation: TIS(
Drywall: Tao
Painting: TWO
Floor Coverings:
Plumbing: plwm i n5
Heating:3N%k WW-1164uee.al
Electrical: $"Y 9—LoAr1C
Special Construction
(Manufacturer or Supplier)
Roof Trusses:
Floor/Ceiling Joists:
Siding/Exterior Trim:
Other:
Inspection Hotline -(206)372.2344 w .rexlmrg.org Permit Technician -(208)372.2341 Revised March, 2016
CITY OF Building Safety Department
a REXB RG Submit By Email City of Rexburg
* e,.. 35 North 1St East
America's Family Community Rexburg, Idaho 83440
BUSINESS USE SUMMARY
The following questions will help speed the review process along. Please take the time to answer all of thein.
Is this business occupying an existing building?
Will the business be doing any structural/or remodeling changes to the building?
Any changes to the electrical?
Any changes to the plumbing?
Any changes to the mechanical system?
Is the business type changing?❑Yes, it will change to
Is this business changing ownership?
❑Yes MNo
❑Yes [a No
[]Yes QNo
[]Yes 15No
❑Yes ONO
No
[]Yes ®No
Is the business registered with the City of Rexburg?[] Yes, License #: [ZNo
*If No, please apply for a business license with the Customer Service Dept.
Will the business have food preparations? []Yes [allo
Will there be any cooking of foods? []Yes ®.No
Will there be any deep fat frying? ❑Yes {o No
Will you have food disposal on site? []Yes ® No
Will there be sumps or floor drains in the facility? ®Yes ❑ No
Will the business have any chemicals on site? []Yes [SNo
iobt atla plea 5-1,P111
icants Signature Phone Date
I certify that the information that I have provided above is to the best of my knowledge accurate and true.
Inspection Hot] ina-(208)372.2344 www.rexburg.org Permit Technician -(208)372.2341 Revised March, 2016
6 COMcheck Software Version COMcheck-Web
�( Envelope Compliance Certificate
Project Information
Energy Code:
2015 I ECC
Project Title:
Proposed
Location:
Rexburg, Idaho
Climate Zone:
6b
Project Type:
New Construction
Vertical Glazing /Wall Area:
9%
Construction Site: Owner/Agent: Designer/Contractor:
525 Handcart Lane
Rexburg, Idaho 83440
Building Area Floor Area
11 -Multifamily : Residential 18000
Additional Efficiency Package
High efficiency HVAC. Systems that do not meet the performance requirement will be identified in the mechanical requirements checklist
report.
Envelope Assemblies
Assembly
Gross Area
Cavity Cont.
Proposed
Budget U -
or
R -Value R -Value
U -Factor
Factor(.)
Perimeter
Roof: Insulation Entirely Above Deck, [Bldg. Use 1 - Multifamily]
4500
--- 38.0
0.026
0.032
Floor: Unheated Slab -On -Grade, [Bldg. Use 1 - Multifamily) (c)
378
--- ---
0.730
0.520
NORTH
Ext. Wall: Wood -Framed, 16in. o.c., [Bldg. Use 1 - Multifamily)
5112
19.0 21.0
0.027
0.051
Window: Vinyl Frame: Operable, Perf. Type: Energy code default,
480
--- ---
0.550
0.430
Double Pane with Low -E, Clear, SHGC 0.70, [Bldg. Use 1 - Multifamily]
Door: Insulated Metal, Swinging, [Bldg. Use 1 - Multifamily]
84
--- ---
0.000
0.370
EAST
Ext. Wall: Wood -Framed, 16in. o.c., [Bldg. Use 1 - Multifamily]
1692
19.0 21.0
0.027
0.051
Window: Vinyl Frame: Operable, Ped. Type: Energy code default,
120
--- ---
0.550
0.430
Double Pane with Low -E, Clear, SHGC 0.70, [Bldg. Use 1 - Multifamily]
SOUTH
Ext. Wall: Wood -Framed, 16in. o.c., [Bldg. Use 1 - Multifamily]
5112
19.0 21.0
0.027
0.051
Window: Vinyl Frame: Fixed, Perl. Type: Energy code default, Double
480
--- ---
0.550
0.360
Pane with Low -E, Clear, SHGC 0.70, [Bldg. Use 1 - Multifamily)
Door: Insulated Metal, Swinging, [Bldg. Use 1 - Multifamily]
84
--- ---
0.000
0.370
WEST
Ext. Wall: Wood -Framed, 161n. o.c., [Bldg. Use 1 - Multifamily]
1692
19.0 21.0
0.027
0.051
Window: Vinyl Frame: Operable, Ped. Type: Energy code default,
150
--- ---
0.550
0.430
Double Pane with Low -E, Clear, SHGC 0.70, [Bldg. Use 1 - Multifamily]
Project Title:
Report date: 05/22/17
Data filename:
Page 1 of 15
(a) Budget U -factors are used for software baseline calculations ONLY, and are not code requirements.
(b) This component fails a mandatory U-factor/R-value requirement.
(c) Slab -On -Grade proposed and budget U -factors shown in table are F -factors.
Envelope TBD: Invalid U-Factor(s)
Project Title: Report date: 05/22/17
Data filename: Page 2 of 15
n�(
COMcheck Software Version COMcheck-Web
Interior Lighting Compliance Certificate
Project Information
Energy Code:
Project Title:
Project Type:
Construction Site:
525 Handcart Lane
Rexburg, Idaho 83440
2015 IECC
New Construction
Owner/Agent:
Designer/Contractor:
Additional Efficiency Package
High efficiency HVAC. Systems that do not meet the performance requirement will be identified in the mechanical requirements checklist
report.
Allowed Interior Lighting Power
Proposed Interior Lighting Power
Interior Lighting TBD: No lighting fixtures specified
Project Title: Report date: 05/22/17
Data filename: Page 3 of 15
COMcheck Software Version COMcheck-Web
Exterior Lighting Compliance Certificate
Project Information
Energy Code:
Project Title:
Project Type:
Exterior Lighting Zone
Construction Site:
525 Handcart Lane
Rexburg, Idaho 83440
Allowed Exterior Lighting Power
A
Area/Surface Category
2015 IECC
New Construction
0 (Unspecified)
Owner/Agent: Designer/Contractor:
B C D E
Quantity Allowed Tradable Allowed Watts
Watts / Wattage (B X C)
Total Tradable Watts (a) = 0
Total Allowed Watts = 0
Total Allowed Supplemental Watts (b) = 500
(a) Wattage tradeoffs are only allowed between tradable areas/surfaces.
(b) A supplemental allowance equal to 500 watts may be applied toward compliance of both non -tradable and tradable areas/surfaces.
Proposed Exterior Lighting Power
Exterior Lighting TBD: Exterior lighting zone not specified (see project screen)
Project Title: Report date: 05/22/17
Data filename: Page 4 of 15
COMcheck Software Version COMcheck-Web
Mechanical Compliance Certificate
Project Information
Energy Code:
2015 I ECC
Project Title:
Location:
Rexburg, Idaho
Climate Zone:
6b
Project Type:
New Construction
Construction Site: Owner/Agent: Designer/Contractor:
525 Handcart Lane
Rexburg, Idaho 83440
Additional Efficiency Package
High efficiency HVAC. Systems that do not meet the performance requirement will be identified in the mechanical requirements checklist
report.
Mechanical Systems List
Quantity System Type & Description
HVAC System (Single Zone):
Heating: 1 each - Central Furnace, Gas, Capacity = 30000 kBtu/h
Proposed Efficiency = 98.00% Et, Required Efficiency = 88.00% Et
Cooling: 1 each - Split System, Capacity = 30000 kBtu/h, Air -Cooled Condenser, Air Economizer
Proposed Efficiency= 13.00 EER, Required Efficiency: 10.45 EER + 11.0 IEER
Mechanical Compliance Statement
Compliance Statement., The proposed mechanical design represented In this document is consistent with the building plans,
specifications, and other calculations submitted with this permit application. The proposed mechanical systems have been
designed to meet the 2015 IECC requirements in COMcheck Version COMcheck-Web and to comply with any applicable
mandatory requirements listed in the Inspection Checklist.
Project Title:
Data filename:
Report date: 05/22/17
Page 5 of 15
COMcheck Software Version COMcheck-Web
Inspection Checklist
Energy Code: 2015 IECC
Requirements: 47.0% were addressed directly in the COMcheck software
Text in the "Comments/Assumptions" column is provided by the user in the COMcheck Requirements screen. For each
requirement, the user certifies that a code requirement will be met and how that is documented, or that an exception
is being claimed. Where compliance is itemized in a separate table, a reference to that table is provided.
Section
#
Pian Review
Complies? Comments/Assumptions
& Re .ID
C103.2
;Plans and/or specifications provide all
:❑Complies Requirement will be met.
[PR1]1
:information with which compliance
I❑Does Not
scan be determined for the building
,envelope
:❑Not Observable
and document where
'exceptions to the standard are
;❑Not Applicable
claimed.
C103.2
; Plans, specifications, and/or
;❑Complies !Requirement will be met.
[PR2]1
calculations provide all information
;❑Does Not
with which compliance can be
determined for the mechanical
Observable
;❑Not Observable
:❑Not
systems and equipment and
Applicable
document where exceptions to the
'.standard are claimed. Load
calculations per acceptable
engineering standards and
;handbooks.
C402.4.1
:The vertical fenestration area <= 30
I❑Complies
[PR10]1
I percent of the gross above -grade wall
{❑Does Not
:area.
;❑Not Observable I
❑Not Applicable
C402.4.1
;The skylight area <= 3 percent of theI❑Complies
[PRl1)1 ;gross
roof area.
;❑Does Not
❑Not Observable;
I❑Not Applicable j
Additional Comments/Assumptions:
1 I High Impact (Tier 1) `2'; Medium Impact (Tier 2) 13 1 Low Impact (Tier 3)
Project Title: Report date: 05/22/17
Data filename: Page 6 of 15
Section
_..
#
Footing / Foundation Inspection
Complies? Comments/Assumptions
C303.2
Slab edge insulation installed per
❑Complies
[F04]2
manufacturer's instructions.
❑Does Not
❑Not Observable j
UNot Applicable
C303.2.1
''. Exterior insulation protected against
;❑Complies
[F06]'
damage, sunlight, moisture, wind,
;❑Does Not
landscaping and equipment❑Not
Observable;
maintenance activities.
❑Not Applicable
0402.2.5
Slab edge insulation R-value.❑Complies
;See the Envelope Assemblies table for values.
[F03]2
;❑Does Not
I ❑ Not Observable
❑Not Applicable j
0402.2.6
Radiant heating systems panels
;❑Complies ; Requirement will be met.
[FO12]3
insulated to >=R-3.5 on face opposite
1❑Does Not
space being heated.
;❑Not Observable:See the Envelope Assemblies table for values.
❑Not Applicable
0403.2.4.
;Snow/ice melting system sensors for
;❑Complies ,Requirement will be met.
5,
'future connection to controls. Freeze
1❑Does Not
C403.2.4.
protection systems have automatic
UNot Observable
6
[F09]'❑Not
controls installed.
Applicable ;
Additional Comments/Assumptions:
11 High Impact (Tier 1) 12.: Medium Impact (Tier 2) 13 1 Low Impact (Tier 3)
Project Title: Report date: 05/22/17
Data filename: Page 7 of 15
Section
-
--- --
#
Framing / Rough-In Inspection
I
Complies? Comments/Assumptions
F
& Re .ID
C303.13
'Fenestration products rated in
❑complies --
[FR1212
accordance with NFRC.
!❑Does Not
❑Not Observable
❑Not Applicable
C303.1.3'.
Fenestration products are certified as❑Complies
[FR1311
'.. to performance labels or certificates
I❑Does Not
provided.
![]Not Observable
❑Not Applicable
C402.4.3
;Vertical fenestration SHGC value.❑Complies
;See the Envelope Assemblies table for values.
[FR1011
i
T❑Does Not
❑Not Observable
❑Not Applicable
C402.4.3,
',Vertical fenestration U-Factor.❑Complies
See the Envelope Assemblies table for values.
C402.43.
j❑Does Not
4
[FR811
❑Not Observable.
❑Not Applicable
C402.4.4
U-factor of opaque doors associated
;❑Complies ;See the Envelope Assemblies table for values.
[FR1412
with the building thermal envelope
❑Does Not
meets requirements.
;❑Not Observable;
❑Not Applicable
C402.5.7
Vestibules are installed on all building❑Complies
[FR17)3
entrances. Doors have self-closing
❑Does Not
devices.
❑Not Observable;
❑Not Applicable
Additional Comments/Assumptions:
1 I High Impact (Tier 1) IM Medium Impact (Tier 2) '3 Low Impact (Tier 3)
Project Title: Report date: 05/22/17
Data filename: Page 8 of 15
Section
Pumps that circulate water between a ,
[PL7]3
heater and storage tank have controls
#
Plumbing Rough -In Inspection
1
Complies?
1-
Comments/Assumptions
i
& Re .ID
cycle.
C404.7
'Water distribution system that pumps ;
C404.5,
; Heated water supply piping conforms
❑Complies
C404.5.1,
:to pipe length and volume
❑Does Not
C404.5.2
requirements. Refer to section details.❑
Not Observable
[PL6]3
controls that start the pump upon
receiving a signal from the action of a
❑Not Applicable.
C404.6.3
Pumps that circulate water between a ,
[PL7]3
heater and storage tank have controls
that limit operation from startup to
r_ 5 minutes after end of heating
cycle.
C404.7
'Water distribution system that pumps ;
[PL8]3
water from a heated -water supply
pipe back to the heated -water source F
through a cold -water supply pipe is a
demand recirculation water system.
Pumps within this system have
controls that start the pump upon
receiving a signal from the action of a
user of a fixture or appliance and
limits the temperature of the water
entering the cold -water piping to
104°F.
Additional Comments/Assumptions:
Does Not
Not Observable j
Not Applicable j
Complies
Does Not
Not Observable:
Not Applicable
1 I High Impact (Tier 1) Medium Impact (Tier 2) 13 ILow Impact (Tier 3)
Project Title: Report date: 05/22/17
Data filename: Page 9 of 15
Section
#
Mechanical Rough-In Inspection
Complies?
Comments/Assumptions
& Reci.ID
C402.2.6
'Thermally ineffective panel surfaces of'.❑Complies
Requirement will be met.
[ME41]3
!sensible heating panels have❑Does
Not
insulation >= R-3.5.,❑Not
Observable'
(❑Not Applicable.
C402.5.5,
Stair and elevator shaft vents have❑Complies
! --
C403.2.4.
motorized dampers that automatically
1❑Does Not
3
[ME313
close.
;❑Not Observable;
•❑Not
Applicable
0402.5.5,
!Outdoor air and exhaust systems have;❑Complies
C403.2.4.
motorized dampers that automatically❑Does
Not
3
[ME58]3
shut when not in use and meet
(maximum leakage rates. Check
❑Not Observable
. gravity dampers where allowed.
❑Not Applicable
C403.2.12
'HVAC HVAC fan systems at design
❑Complies ;See the Mechanical systems list for values.
.1
conditions do not exceed allowable
❑Does Not
[ME65]3
fan system motor nameplate hp or fan
I Observable ;
system bhp.❑Not
❑Not Applicable j
C403.2.12
Fans have efficiency grade (FEG) >_❑Complies
.3
67. The total efficiency of the fan at
:❑Does Not
[ME117]2
the design point of operation <= 15%
; Observable;
of maximum total efficiency of the❑Not
;❑Not Applicable
fan.
C403.2.13
Unenclosed spaces that are heated
;❑Complies Requirement will be met.
[ME71]2
use only radiant heat.
1❑Does Not
❑Not Observable I
❑Not Applicable
0403.2.3
HVAC equipment efficiency verified.
;❑Complies ; See the Mechanical Systems list for values.
[ME55]2
j❑Does Not
I❑Not Observable;
❑Not Applicable j
C403.2.4.
Fault detection and diagnostics
;❑Complies
7
installed with air-cooled unitary DX
1❑Does Not
[ME113]2
units having economizers.
❑Not Observable;
❑Not Applicable
C403.2.6.
;Demand control ventilation provided
1❑Complies ;Requirement will be met.
1
!for spaces >500 ft2 and >25❑Does
Not
[ME59]1
; people/1000 ft2 occupant density and
1Not Observable:
served by systems with air side
;❑Not Applicable
economizer, auto modulating outside
air damper control, or design airflow
>3,000 cfm.
C403.2.6.
Enclosed parking garage ventilation
;❑Complies ; Requirement will be met.
2
has automatic contaminant detection❑Does
Not
[ME115]3;
and capacity to stage or modulate
Observable,,
!fans to 50% or less of design capacity.
;❑Not
❑Not Applicable ;
C403.2.7
Exhaust air energy recovery on
;❑Complies ; Requirement will be met.
[ME57]1
systems meeting Table C403.2.7(1)❑Does
Not
;and 0403.2.7(2).
;❑Not Observable:
j❑Not Applicable
C403.2.8
'Kitchen exhaust systems comply with❑Complies
I Requirement will be met.
[ME116]3
'replacement air and conditioned
❑Does Not
supply air limitations, and satisfy hood
j❑Not Observable;
rating requirements and maximum
;❑Not Applicable
exhaust rate criteria.
11 High Impact (Tier 1) -: Medium Impact (Tier 2) 3 1 Low Impact (Tier 3)
Project Title: Report date: 05/22/17
Data filename: Page 10 of 15
Section
- - - --- -
#
Mechanical Rough -In Inspection
Complies? Comments/Assumptions
& Re .ID
C403.2.9
HVAC ducts and plenums insulated.
❑Complies ! Requirement will be met
[ME60]2
Where ducts or plenums are installed
❑Does Not
in or under a slab, verification may
-.❑Not Observable,
need to occur during Foundation
Inspection.
:❑Not Applicable
C403.2.9
Ducts and plenums sealed based on❑Complies
;Requirement will be met. ---
[ME 10]2
static pressure and location.
❑Does Not
❑Not Observable;
;❑Not Applicable
C403.2.9.
Ductwork operating >3 in. water
;❑Complies
1.3
column requires air leakage testing,❑Does
Not
[ME1113
'[:]Not Observable;
_
❑Not Applicable
C403.3
Air economizers provided where❑Complies
[ME62]1
required, meet the requirements for❑Does
Not
design capacity, control signal,
ventilation controls, high -limit shut-off,;
❑Not Observable
integrated economizer control, and❑Not
Applicable
'.. provide a means to relieve excess
outside air during operation.
C403.4.4.
Multiple zone VAV systems with DDC❑Complies
See the Mechanical Systems list for values.
6
of individual zone boxes have static❑Does
Note
[ME110]3
pressure setpoint reset controls.
❑Not Observable j
;❑Not Applicable
C408.2.2.
:Air outlets and zone terminal devices
C0 ;Requirement will be met.
Um
1
have means for air balancing.
!❑Does Not
[ME53]3❑Not
Observable;
❑Not Applicable
Additional Comments/Assumptions:
1 IHigh Impact (Tier 1) '2 Medium Impact (Tier 2) 13 1 Low Impact (Tier 3)
Project Title: Report date: 05/22/17
Data filename: Page 11 of 15
Section
#
Insulation Inspection
Complies? Comments/Assumptions
& Re AD
C303.1
Roof insulation installed per❑Complies
[IN3]1
manufacturer's instructions. Blown or❑Does
Not
poured loose -fill insulation is installed❑Not
Observable;
only where the roof slope is <=3 in
12,
:[]Not Applicable j
C303.1
Building envelope insulation is labeled
I❑Complies
[IN10]'
'with R -value or insulation certificate
1❑Does Not
providing R -value and other relevant❑
Not Observable;
data.
❑Not Applicable i
0303 2
;Above -grade wall insulation installed
...-----__ ..._....___._---
;❑Complies
[IN7]1
!, per manufacturer's instructions.❑Does
Not
j❑Not Observable I
❑Not Applicable j
C303.2.1
Exterior insulation is protected from❑Complies
[IN14]2
damage with a protective material.❑Does
Not
Verification for exposed foundation❑Not
Observable;
insulation may need to occur during
;❑Not Applicable
Foundation Inspection.
C402.2.1
Insulation intended to meet the roof❑Complies
[IN17]'
insulation requirements cannot be❑Does
Not
installed on top of a suspended
;phot Observable;
ceiling. Mark this requirement
compliant if insulation is installed
;❑Not Applicable
accordingly.
C402.2.3
'Above -grade wall insulation R -value.
;❑Complies See the Envelope Assemblies table for values.
[IN6]1
❑Does Not
j❑Not Observable:
❑Not Applicable
C402.2.5
Floor insulation R-value.❑Complies
;See the Envelope Assemblies table for values.
[IN8)2
UDoes Not
❑Not Observable;
1
;❑Not Applicable
C402.2.6Radiant
panels and associated
;❑Complies
[IN18]3
:components, designed for heat
;❑Does Not
transfer from the panel surfaces to they❑Not Observable;
;occupants or indoor space are
] insulated with a minimum of R-3.5.
;❑Not Applicable
0402.4.2.
:Roof R -value. For some ceiling
;❑Complies ;See the Envelope Assemblies table for values.
2
systems, verification may need to
1❑Does Not
[IN2]1
;occur during Framing Inspection.
;❑Not Observable;
❑Not Applicable 1
C402.5.1.
;All sources of air leakage in the
IElComplies
1
;building thermal envelope are sealed,❑Does
Not
[IN1]1
:caulked, gasketed, weather stripped
;or wrapped with moisture vapor-
❑Not Observable
Applicable
permeable wrapping material to❑Not
minimize air leakage.
Additional Comments/Assumptions:
1 JHlgh Impact (Tier 1) Medium Impact (Tier 2) 13. Low Impact (Tier 3)
Project Title: Report date: 05/22/17
Data filename: Page 12 of 15
Section
#
Final Inspection
Complies? Comments/Assumptions
& Re .ID
C303.3,
--
Furnished O&M manuals for HVAC
-- - --- -- ----
❑Complies -Requirement will be met.
C408.2.5.
systems within 90 days of system
❑Does Not
3
[FI8]3❑Not
'acceptance.
Observable.
j❑Not Applicable
C402.5
,Building envelope contains a
;❑Complies
[FI55]1
continuous air barrier that has been
I❑Does Not
tested and deemed to limit air leakage!
;❑Not Observable;
<= 0.40 cfm/ft2.
T❑Not Applicable
C402.5.6
Weatherseals installed on all loading
;❑Complies
[F[37]1
dock cargo doors.
;❑Does Not
j❑Not Observable;
❑Not Applicable
0403.2.2
;HVAC systems and equipment❑Complies
;Requirement will be met.
[F127]3
(capacity does not exceed calculated
❑Does Not
loads.
;
;❑Not Observable;
;❑Not Applicable
C403.2.4.
Heating and cooling to each zone is
;❑Complies
1
controlled by a thermostat control.
f❑Does Not
[17147 J3
Minimum one humidity control device
;
I❑Not Observable;
per installed
humidification/dehumidification
;❑Not Applicable
;system.
C403.2.4.
;Thermostatic controls have a 5 °F
;❑Complies Requirement will be met.
1.2
;deadband.
;❑Does Not
[FI38]1❑Not
Observable;
I
;❑Not Applicable I
C403.2.4.
;Temperature controls have setpoint
;❑Complies ;Requirement will be met.
1.3
I overlap restrictions.
Not
[F12()]3;❑Not
;❑Does
Observable;
;❑Not Applicable
0403.2.4.
:Each zone equipped with setback❑Complies
; Requirement will be met.
2
,controls using automatic time clock or❑Does
Not
[F139]3
programmable control system.
❑Not Observable;
;❑Not Applicable ;
C403.2.4.
Automatic Controls: Setback to 55°F
;❑Complies ; Requirement will be met.
2.1,
(heat) and 85°F (cool); 7 -day clock, 2-
;❑Does Not
C403.2.4.
hour occupant override, 10 -hour❑
Not Observable:
2.2
[F140]3
backup
j❑Not Applicable
C408.2.1
!Commissioning plan developed by;❑Complies
;Requirement will be met.
[FI28]1
registered design professional or
;❑Does Not
approved agency.
j❑Not Observable;
;❑Not Applicable
C408.2.3.
HVAC equipment has been tested to
;❑Complies Requirement will be met.
1
ensure proper operation.
j❑Does Not
[FI31]1❑Not
Observable;
;❑Not Applicable ;
C408.2.3.
; HVAC control systems have been
;❑Complies :Requirement will be met.
2
!tested to ensure proper operation,
;❑Does Not
[F[10]1
:calibration and adjustment of controls.;❑Not
Observable;
❑Not Applicable
111 High Impact (Tier 1) 12 1 Medium Impact (Tier 2) 13. Low Impact (Tier 3)
Project Title: Report date: 05/22/17
Data filename: Page 13 of 15
Section
#
Final inspection
Complies?
Comments/Assumptions
& Re .ID
C408.2.3.
'Economizers have been tested to',❑Complies
;Requirement will be met.
3
:ensure proper operation.
❑Does Not
[FI32]'
;❑Not Observable;
❑Not Applicable
C408.2.4
Preliminary commissioning report❑Complies
;Requirement will be met.
[FI29]1
'completed and certified by registered
;❑Does Not
!design professional or approved
;❑Nat Observable ;
agency.
❑Not Applicable
C408.2.5.
Furnished HVAC as-built drawings
;❑Complies ; Requirement will be met.
1
submitted within 90 days of system
!❑Does Not
[F1713
acceptance.
❑Not Observable;
j❑Not Applicable
C408.2.5.
;An air and/or hydronic system
❑Complies ;Requirement will be met.
3
balancing report is provided for HVAC❑Does
Not
[FI43]1
;systems.
❑Not Observable;
❑Not Applicable
C408.2.5.
Final commissioning report due to
;❑Complies ;Requirement will be met.
4
building owner within 90 days of
{❑Does Not
[F13011
, receipt of certificate of occupancy.
I❑Not Observable;
;❑Not Applicable
Additional Comments/Assumptions:
1 I High Impact (Tier 1) 2 1 Medium Impact (Tier 2) 3 1 Low Impact (Tier 3)
Project Title: Report date: 05/22/17
Data filename: Page 14 of 15