Note: | Grouped Buildings Compliance with Standard 100 (Form J) is used instead of Form A for grouped buildings. |
1. Grouped buildings identification:
a. Washington state grouped buildings ID;
b. County;
c. County parcel number(s);
d. Portfolio manager property ID number;
e. Property name;
f. Parent property name;
g. Address 1 (street);
h. Address 2;
i. City;
j. State;
k. Postal code.
2. Contact information:
a. Grouped buildings owner name(s);
b. Contact name;
c. Address 1 (street);
d. Address 2;
e. City;
f. State/province;
g. Country;
h. Postal code;
i. Telephone number;
j. Email address.
3. Qualified person:
a. Qualified person name;
b. Address 1 (street);
c. Address 2;
d. City;
e. State;
f. Postal code;
g. Telephone number;
h. Email address;
i. Licensed, certified (select all that apply):
i. Licensure; or
ii. Certifying authority.
4. Energy manager (if different than the qualified person):
a. Energy manager name;
b. Address 1 (street);
c. Address 2;
d. City;
e. State/province;
f. Postal code;
g. Country;
h. Telephone number;
i. Email address.
5. Decarbonization plan author, where applicable:
a. Company name;
b. Contact name;
c. Address 1 (street);
d. Address 2;
e. City;
f. State;
g. Postal code;
h. Telephone number;
i. Email address.
6. This compliance report is for:
a. Grouped buildings that meets the EUIt;
b. Grouped buildings that meets the investment criteria prior to the compliance date;
c. Grouped buildings that will meet the EUIt through conditional compliance;
d. Grouped buildings that will meet the investment criteria through conditional compliance;
e. Annual reporting for conditional compliance;
f. Progress reporting for decarbonization plan;
g. Completion reporting.
7. Summary data:
a. Energy use intensity target (EUIt) (kBtu/ft2/yr) based on completed Section Z6.2 Form B;
Note: | Baseline WNEUI for grouped buildings that will meet investment criteria through conditional compliance. |
b. Measured site EUI (kBtu/ft2) for the compliance year for grouped buildings based on Section Z6.3 Form C;
c. Grouped buildings without an energy target;
Notes: | 1. Predicted site EUI for grouped buildings that will meet the EUIt or investment criteria through conditional compliance. |
| 2. Grouped buildings unable to develop EUIt in accordance with Section 7.2.2 or 7.2.3 of this standard shall report national median site EUI as calculated by the Energy Star portfolio manager account and reported on Form C. |
d. Grouped buildings measured weather normalized site EUI (kBtu/ft2) for the compliance year based on Section Z6.3 Form C;
e. List the months/year of the collected data (mm/yyyy - mm/yyyy) for the compliance year for this grouped buildings from Section Z6.3 Form C;
f. Grouped buildings applying for conditional compliance through meeting the EUIt shall submit the following based on Section Z6.4 Form D:
• Baseline EUI;
• Projected EUI;
Note: | Not applicable to decarbonization plan. |
g. Grouped buildings applying for conditional compliance through meeting the investment criteria shall submit the following based on Section Z6.4 Form D:
• Baseline total kBtu;
• Projected total kBtu;
• Projected savings total kBtu;
Note: | Not applicable to decarbonization plan. |
8. Have the energy management requirements of Section 5 been met in accordance with the compliance schedule outlined in Section Z3.2 for Tier 1 covered buildings, Section Y3.2 for Tier 2 covered buildings, and for campuses participating in the decarbonization plan by July 1, 2030, for buildings not covered, but connected to the district energy system? [ ] Yes [ ] No
• Upload energy management plan as specified by the AHJ.
9. Have the operation and maintenance requirements of Section 6 been met in accordance with the compliance schedule outlined in Section Z3.2 for Tier 1 covered buildings, Section Y3.2 for Tier 2 covered buildings, and for campuses participating in the decarbonization plan by July 1, 2030, for buildings not covered, but connected to the district energy system? [ ] Yes [ ] No
• Upload operation and maintenance implementation documentation as specified by the AHJ.
10. Date the audit and economic evaluation was completed (N/A if none required).
• Upload audit reports as specified by Section Z6.4 Form D.
11. Have all EEMs required by Section 8 been implemented? [ ] Yes [ ] No
12. Have the requirements of Section 9 been completed? [ ] Yes [ ] No
13. We state that these
grouped buildings comply with ANSI/ASHRAE/IES Standard 100 as amended by the
AHJ to conform with RCW
19.27A.210:
a. Signature of grouped buildings owner:
• Date:
b. Signature of qualified person:
• Date:
c. Signature of energy manager:
• Date:
d. Signature of authority having jurisdiction:
• Conditional or final compliance:
• Date:
W6.2 Building activity and energy use intensity target (EUIt) (Form B). See Section Z6.2.
W6.3 Energy use intensity calculations (Form C). See Section Z6.3.
W6.4 End use analysis requirements.Building owners shall demonstrate compliance with Form D by providing the documentation required by Section Z6.4.1 for all Tier 1 covered buildings of campuses pursuing compliance through the investment criteria.
W6.5 Normative Annex X, "Investment Criteria," Tool (Form F). See Section Z6.5 for all Tier 1 covered buildings of campuses pursuing compliance through the investment criteria.
W6.6 Documentation of a building of historic significance (Form G). See Section Z6.6.
W6.7 Application for exemption certificate (Form H). See Section Z6.7 for Tier 1 covered buildings or Section Y6.7 for Tier 2 covered buildings.
W6.8 Decarbonization plan reporting requirements (decarbonization plan content outline) (Form K).
1. This decarbonization plan report is for:
a. Final decarbonization plan submittal [ ] Yes [ ] No
b. Progress reporting [ ] Yes [ ] No
c. Completion reporting [ ] Yes [ ] No
2. Decarbonization project scope of work:
a. Summary of existing district energy system and campus layout including:
i. List of all buildings served by the district energy system;
ii. List of all buildings served by the district energy system heating and/or cooling plant, peak load;
iii. Description of current district energy system including, but not limited to, heating and cooling system type(s), configuration(s), output capacity(ies), thermal distribution loop(s);
iv. Energy monitoring (benchmarking):
• Identification of current benchmarking configuration:
- Campus [ ] Yes [ ] No
- Connected building [ ] Yes [ ] No
- Campus-level [ ] Yes [ ] No
v. Energy use intensity target (EUIt) (kBtu/ft2/yr) based on completed Section Z6.2;
Form B Note: | Baseline WNEUI for decarbonization plans that will meet investment criteria through conditional compliance. |
vi. Measured site EUI (kBtu/ft2) for the identified benchmarking configuration at time of decarbonization plan submittal based on Section Z6.3 Form C;
b. Proposed decarbonized district energy system and campus layout including:
i. List of all buildings to be served by the district energy system;
ii. List of all buildings to be served by the district energy system heating plant, peak load;
iii. List of all buildings to be served by the district energy system cooling plant, peak load;
iv. Description of proposed district energy system including, but not limited to, heating and cooling system type(s), configuration(s), output capacity(ies), thermal distribution loop(s);
• An inventory and evaluation of possible options to partner with nearby sources and uses of waste heat and cooling;
• An inventory and evaluation of expanding district energy system to other buildings;
v. Identification of heating plant backup type, fuel source, capacity;
vi. Identification of proposed energy efficiency measures (EEMs) required to meet the requirements of the standard;
c. Proposed building performance metric:
i. Compliance pathway:
• EUIt [ ] Yes [ ] No
• Investment criteria – (include within progress report) [ ] Yes [ ] No
- Plans for Level 2 energy audit, on Tier 1 covered buildings
- Plans for LCCA
ii. Energy monitoring (benchmarking):
• Identification of proposed benchmarking configuration:
- Campus [ ] Yes [ ] No
- Connected building [ ] Yes [ ] No
- Campus-level [ ] Yes [ ] No
• Proposed energy use intensity target (EUIt) (kBtu/ft2/yr) developed in accordance with the standard;
• Projected site EUI (kBtu/ft2) for the identified benchmarking configuration after implementation of decarbonization plan based on Section Z6.3 Form C;
• Form D documenting proposed energy efficiency measures (EEMs);
• Form F documenting the life cycle cost analysis if pursuing the investment criteria of the standard;
d. Proposed metering configuration:
i. Shall include metering to measure district energy system heating and/or cooling plant input to individual buildings;
ii. Shall be configured in a manner to measure proposed benchmarking configuration;
iii. Shall include independent end use metering of district energy system backup heating plant.
3. Recommended district energy system decarbonization plan considerations:Participating campuses are encouraged to include the following considerations in a decarbonization plan:
a. Distribution network upgrades;
b. On-site energy storage facilities;
c. Space cooling for residential facilities;
d. Labor and workforce, including state registered apprenticeship utilization;
e. Options for public-private partnerships;
f. Incorporation of industrial symbiosis projects or networks as described in chapter 308, Laws of 2021.
4. Utility engagement: Narrative of steps taken including the date range of communications, for participating campuses consultation with the electric utility and the natural gas utility serving the site of the system during decarbonization plan development.
5. Proposed project timeline shall provide implementation details and dates for:
a. Energy management plan and operations and maintenance program, implemented in accordance with Section W3.1.1(5);
b. Energy efficiency measures (EEMs) required to meet the standard;
c. All phases of district energy system decarbonization plan;
i. Decarbonization plan shall determine implementation schedule, project timeline, compliance schedule;
6. Other considerations:
a. Communication engagement including, but not limited to, occupants, utilities, funders, and public;
b. Are funding mechanisms in place? [ ] Yes [ ] No
c. Are there cost projections in place? [ ] Yes [ ] No
i. What are your current/updated estimated costs? _________
ii. What are your current expended costs? _________
d. Changes to plan required to meet changes in codes, laws, and standards including any future reductions in EUIt.
[Statutory Authority: RCW
19.27A.210. WSR 24-16-041, § 194-50-170, filed 7/30/24, effective 8/30/24.]
Reviser's note: The brackets and enclosed material in the text of the above section occurred in the copy filed by the agency.