| Project Name: |
Project Information | Project Address: |
| Certified Commissioning Professional: |
| Type of ISO Certification and Number: |
Supporting Documents | □ | Manuals, record documents and training have been completed or are scheduled (Section C103.6) |
| | • | Building operations and maintenance information (C103.6.2) have been submitted to the owner or scheduled date: |
| | • | Manuals (C103.6.2.1) have been submitted to the owner or scheduled date: |
| | • | Compliance documentation (C103.6.3) has been provided to the owner or scheduled date: |
| | • | System operation training (C103.6.4) has been provided to the owner or scheduled date: |
Commissioning Plan | □ | Commissioning Plan was used during construction (Section C408.1.2) |
Commissioning Report | □ | Commissioning Report has been submitted (Section C408.1.3) |
Commissioned Systems | □ | Mechanical Systems were included in the commissioning process (Section C408.2) |
| | □ | Testing, adjusting and balancing is complete (Section C408.2.2). |
| | □ | There are unresolved deficiencies with the mechanical systems. These are described in the attached Commissioning Report submitted to the owner. |
| □ | Service Water Heating Systems were included in the commissioning process (Section C408.3) |
| | □ | There are unresolved deficiencies with the service water heating systems. These are described in the attached Commissioning Report submitted to the owner. |
| □ | Controlled receptacles and lighting control systems were included in the commissioning process (Section C408.4) |
| | □ | There are unresolved deficiencies with the electrical power and/or automatic lighting controls. These are described in the attached Commissioning Report submitted to the owner. |
| □ | Additional Systems included in the commissioning process (Section C408.5) |
| | □ | There are unresolved deficiencies with systems required by Section C406 or Section C407. These are described in the attached Commissioning Report submitted to the owner. |
| □ | Metering Systems were included in the commissioning process (Section C408.6) |
| | □ | There are unresolved deficiencies with the metering system. These are described in the attached Commissioning Report submitted to the owner. |
| □ | Refrigeration Systems were included in the commissioning process (Section C408.7) |
| | □ | There are unresolved deficiencies with the systems required by Section C410. These are described in the attached Commissioning Report submitted to the owner. |
Certification | □ | I hereby certify that all requirements for Section C408 System Commissioning have been completed in accordance with the Washington State Energy Code, including all items above. |
| | | | |
| | | Certified Commissioning Professional | Date |
| □ | I hereby certify that all requirements for Section C408 System Commissioning have been completed in accordance with the Washington State Energy Code, including all items above. |
| | | | |
| | | Building Owner or Owner's Authorized Agent | Date |
[Statutory Authority: RCW
19.27A.020,
19.27A.025,
19.27A.160 and chapter
19.27 RCW. WSR 19-24-040, § 51-11C-408012, filed 11/26/19, effective 7/1/20. Statutory Authority: RCW
19.27A.025,
19.27A.160, and
19.27.074. WSR 16-03-072, § 51-11C-408012, filed 1/19/16, effective 7/1/16. Statutory Authority: RCW
19.27A.020,
19.27A.025 and chapters
19.27 and
34.05 RCW. WSR 13-04-056, § 51-11C-408012, filed 2/1/13, effective 7/1/13.]