THE UNIVERSITY OF THE

CODE COMPLIANCE CHECKLIST FP-CCC 12/2006 THE STATE EDUCATION DEPARTMENT / THE UNIVERSITY OF THE STATE OF NEW YORK / Albany, NY 12234 Office of Facilit...

5 downloads 1114 Views 87KB Size
CODE COMPLIANCE CHECKLIST

FP-CCC 12/2006

THE STATE EDUCATION DEPARTMENT / THE UNIVERSITY OF THE STATE OF NEW YORK / Albany, NY 12234

Office of Facilities Planning, Room 1060 Education Building Annex Tel. (518) 474-3906 Fax (518) 486-5918 www.emsc.nysed.gov/facplan/

General Information

PAGES 1, 2, AND 3 ARE REQUIRED FOR ALL PROJECTS SUBMITTED FOR REVIEW.

Note: Fill in every line. Note: The Excel version of this form has comments embedded for guidance in filling out many areas of the form. Comments are accessible by placing the cursor over the red triangle, right click and hit edit to read or copy the comment. SED Control Number

SED Project Number 4 digit building number

8 digit district BEDS Code

3 digit project number

District / Building Name: Project Type:

New Building

Existing Building

Site Work Only

Other

Project Description:

Architect / Engineer firm: name

phone number & e-mail

Project Contact Person: name

title

phone number & e-mail

name

title

phone number & e-mail

District Contact Person:

Yes

SED Project Control Number located on all Contract Documents, forms, and correspondence.

Required Bidding information is located in the contract documents on page or drawing numbers and are paperclipped: Non-Collusion Certification Equivalency Clause Wage Rates Required Uniform Safety Standards and TEM information is located on page or drawing numbers and are paperclipped: Exiting Plan C of O statement Off-Gassing Ventilation Separation Safety & Security Asbestos Isolation Noise Control Separation of Const. Testing Lead & Asb. Fume Control Cleaning Occupied Area TEM & Code Rule 56

Required 155.7 items on the Evaluation of Existing Building Form. Non-conformances are addressed in the documents: Yes No, District addressing separately No non-conformances exist

No, Addressed in SED project #

NA (Big 5 only) list SED project number

Per 155.8 (e) (3) A certificate of Occupancy, a temporary certificate or a building permit may be denied or revoked for … violation of … health or safety standards, imposed by law or regulation, which indicate that a building is not suitable for occupancy or intended use. Page 2 CODE REVIEW CHECKLIST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Page 3 STRUCTURAL RESPONSIBILITY CHECKLIST and CERTIFICATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Page 4 ARCHITECTURAL REVIEW CHECKLIST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Page 5 STRUCTURAL DESIGN CHECKLIST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Page 6 ENERGY CONSERVATION CODE CHECKLIST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Page 7 FIRE & ELECTRIC CODE REVIEW CHECKLIST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Page 8 MECHANICAL REVIEW CHECKLIST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Page 9 PLUMBING & GAS REVIEW CHECKLIST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes Yes Yes

NA

Yes

NA

Yes

NA

Yes

NA

Yes

NA

Yes

NA

It is not necessary to provide pages noted as "NA". If the page does apply and is erroneously not provided, the project will not be reviewed until the page is provided with an addendum.

CODE REVIEW CHECKLIST

FP-CCC 12/2006

page 2 of 9

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

SED Project Number

Building Identification #

District BEDS Code

SED Control Number

Project number

0 District Name

Building Name

Building Information:

E

Use and Occupancy Classifications: (check all that apply)

B

A-

For Existing Buildings check all that apply:

NA

( * check the definitions in Appendix K)

I-4

S-1

R-2

M

S-2

Other -

Change of Occupancy

Relocation

Repair*

Alteration*

Renovation*

U

Historic-K10 report required Reconstruction*

Addition*

* Provide Key Plans demonstrating distinct work areas list drawing numbers

Type of Construction: (check all that apply) Existing bldg: New building(s):

I-A

I-B

II-A

II-B

III-A

III-B

IV

V-A

V-B

I-A

I-B

II-A

II-B

III-A

III-B

IV

V-A

V-B

Building Height and Area for New Buildings and Additions: (If additional space needed, provide on Code Compliance Drawings.) Permitted: Height in feet: Number of stories: Square feet / floor* Actual:

Height in feet:

Number of stories:

NA

Square feet / floor*

Provide calculations on a Code Compliance Drawing.

Special Features: (check all that apply)

Mezzanine

Parapet

Catwalk

Stage

Courtyard

NA*

For All Projects* Provide Code Compliance Drawings: (*excludes site, roof, district-wide and energy performance projects)

Is a Sprinkler System provided? Building Information: Occupancy Classification Construction Classification - Existing Construction Classification - New Key Plan with building sides accessible Building Areas

list drawing numbers

No

Yes, full

Yes

NA

Yes

NA

Yes

NA

Yes

NA

Yes NA (Provide numbered Building Areas (existing and new), construction types, number of stories, number of sides accessible, allowable fire areas and actual fire areas with calculations. Show locations of fire walls and fire barriers.)

Accessory Assembly Areas:

Yes, partial

Yes, in new construction only

Egress Information: Room Use Designations Room Square Footages Room Occupancy Loads Room Exit & Corridor exit width Calculations Exit Travel Distances incl. Common Path Stair & Exit Door exit width Calculations Accessibility for Exist and New Smoke only Corridor/Exit Enclosures

(If additional space needed, provide on Code Compliance Drawings.)

Yes

NA

Yes

NA

Yes

NA

Yes

NA

Yes

NA

Yes

NA

Yes

NA

Fire rated

NA

Code requirements: Gymnasium: Auditorium: Cafeteria: Library: Other:

area in sq. ft. area in sq. ft. area in sq. ft. area in sq. ft. area in sq. ft.

SED (MPS) requirements:

Occupant load Occupant load Occupant load Occupant load Occupant load

Required E.W. Required E.W. Required E.W. Required E.W. Required E.W.

Provided E.W. Provided E.W. Provided E.W. Provided E.W. Provided E.W.

Reminder: Exit unit = 22", half units are permitted at 12" per half unit.

Gymnasium: area in sq. ft. Gymnasium: bleacher sq. ft.

/ 600 sq. ft / 250 sq. ft

added equals

Req'd exit units

Provided exit units

Auditorium: area in sq. ft. Stage/Platform area in sq. ft. Cafeteria: area in sq. ft.

/ 600 sq. ft / 1200 sq. ft / 600 sq. ft

equals equals equals

Req'd exit units Req'd exit units Req'd exit units

Provided exit units Provided exit units Provided exit units

Natatorium: bleacher sq. ft remaining area including the pool in sq. ft.

/ 250 sq. ft / 1500 sq. ft.

added equals

Req'd exit units

Provided exit units

STRUCTURAL RESPONSIBILITY CHECKLIST and CERTIFICATION

FP-CCC 12/2006

page 3 of 9

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

SED Project Number

Building Identification Number

District BEDS Code

SED Control Number

Project number

0 District Name

Building Name

The architect/engineer for each project which requires approval by the Commissioner, shall complete and sign this form and submit it together with the final plans and specifications for the project.

A. STRUCTURAL ELEMENTS Are there any structural elements involved with this project a. If no, go to Section D and sign the Certification. b. If yes, complete Sections B, C, and D, seal and sign the Certification

Yes

No

B. STRUCTURAL LOADING Structural loading shall meet at least the requirements of the Uniform Fire Prevention Yes and Building Code. Page 5, the Structural Design Checklist, is appropriately filled in and attached

No

C. STRUCTURAL DESIGN IMPORTANT:

IMPORTANT:

Check who is responsible for the design of each element

ARCH

Check applicable for each element

ENGR

Present In Work

STRUCTURAL ELEMENT 1. Foundation a. Footings b. Walls c. Piles (type)

Not Present In Work

2. Floor Framing Systems a. Mechanical/Special Framing 3. Columns 4. Walls a. Exterior Bearing 1. lintels 2. veneer attachment 3. reinforcing b. Exterior Nonbearing 1. lintels 2. veneer attachment 3. reinforcing c. Interior Bearing 1. lintels 2. reinforcing d. Interior Nonbearing 1. lintels 2. reinforcing 5. Roof Framing Systems a. Mechanical/Special Framing 6. Stairs and Stairways 7. Bridges 8. Catwalks 9. Railings 10. Bleachers/Grandstands 11. Retaining Walls 12. Chimney Stacks 13. Parapet Walls 14. Other

D. CERTIFICATION I, the undersigned, do hereby certify that: (Check appropriate box) There are no structural elements involved in the project, or I have designed the structural elements of this project, as noted above, in accordance with at least the criteria listed in the New York State Uniform Fire Prevention and Building Code. Seal of R. A. licensed in New York State

Signature - Architect

Seal of P. E. licensed in New York State

Date

Signature - Engineer

Date

FP-CCC 12/2006

SED Project Number

ARCHITECTURAL REVIEW CHECKLIST

page 4 of 9

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Building Identification Number

District BEDS Code

SED Control Number

Project number

0 District Name

Building Name

LOCATION in Documents

Dead End Corridors less than 1 1/2 times the width, max 20 ft. . Smoke Zone Exiting all student spaces over 500 sq. ft. . . . Rescue Windows located on Construction Documents . . . Rescue Window Clear Opening Size on Construction Document(s) . Class A finishes in Corridors and Assembly Spaces . . . Assembly Area Maximum Occupancy Sign . . . . . Electrically Powered Moveable Partition Sign . . . . . Fire Extinguishers . . . . . Safety Glazing in Doors, Exterior Corridor Windows, and Stair Windows Partition/Wall Fireproofing Design Number of Rated Partitions/Assemblies Corridor enclosure . . . . . . . . . Rated interior Corridor Windows . . . . . . . . Elevator Equipment Room enclosure 2 hour . . . . . Stairways, riser and tread sizes are indicated . . Classroom Ceiling height 9'-0" . . . . . Secure Exam Storage . . . . . . Fire Blankets in Laboratory Rooms . . . . Door Schedules . . . . . . Hardware Schedule . . . . . . Window Schedules . . . . . . Roof System UL Class A or FM Class 1 . . . Carpet, Radiant Floor Panel Test Class 1 . . . Assembly Area Seating meets NFPA 701 . . . Truss/Joist Identification Signs . . . Site and floor plans showing separations during construction

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

Accessibility Parking . . . . . Exterior Accessible Route . . . . Signage . . . . . Accessible Exits / Entrances . . . . Accessible Toilets . . . . Accessible Work Stations in all classrooms . Door Approach Clearances . . . . Interior Accessible Route to major spaces . . Door Hardware . . . . . Wheelchair Viewing Spaces in assembly spaces Auditorium ambulatory seats . . . . Assistive Listening Devices . . . . Public Telephones . . . . . Elevator . . . . . Elevator Signage . . . . . Interior Accessibility Signage . . . . All Program Spaces are Accessible . . . There is an Accessible Toilet Room on Every Floor

. . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . .

Yes

not applicable

Yes

not applicable

Yes

not applicable

Yes

not applicable

Yes

not applicable

Yes

not applicable

Yes

not applicable

Yes

not applicable

Yes

not applicable

Yes

not applicable

Yes

not applicable

Yes

not applicable

Yes

not applicable

Yes

not applicable

Yes

not applicable

Yes

not applicable

Yes

not applicable

Yes

not applicable

Yes

not applicable

Yes

not applicable

Yes

not applicable

Yes

not applicable

Yes

not applicable

Yes

not applicable

Yes

not applicable

Yes

NA

Yes

NA

PENC PENC

Yes

NA

PENC

Yes

NA

PENC

Yes

NA

PENC

Yes

NA

PENC

Yes

NA

PENC

Yes

NA

PENC

Yes

NA

PENC

Yes

NA

PENC

Yes

NA

PENC

Yes

NA

PENC

Yes

NA

PENC

Yes

NA

PENC

Yes

NA

PENC

Yes

NA

PENC

Yes

NA

PENC

Yes

No

Yes

No

FP-CCC 12/2006

SED Project Number

STRUCTURAL DESIGN CHECKLIST

page 5 of 9

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Building Identification Number

District BEDS Code

SED Control Number

Project number

0 District Name

Building Name

1604.5 Prior to structural design, the District / BOCES has been consulted to determine if this facility is currently or will be considered for use as an emergency shelter facility? Will this building be used as an emergency Shelter? Yes

Yes

The New York State Uniform Fire Prevention and Building Code Section 1603 requires, "The design loads and other information pertinent to the structural design required by Sections 1603.1.1 through 1603.1.8 shall be clearly indicated on the construction documents for parts of the building or structure." Conventional light-frame construction: Floor and roof live loads

NA list drawing numbers

Ground snow load list drawing numbers

Basic wind speed (3-second gust), miles per hour and wind exposure list drawing numbers

Seismic Design Category and Site Class list drawing numbers

1603.1.1 Floor live load list drawing numbers Exceeds 10 pounds / sq. ft.

1603.1.2 Roof live load

list drawing numbers

1603.1.3 Roof snow load list drawing numbers

1603.1.4 Wind load list drawing numbers

1603.1.5 Earthquake design data list drawing numbers

1603.1.6 Flood load

1603.1.7 Special loads

Not in flood hazard area per Section 1612.3 Flood certification provided per Section 1612.5

list drawing numbers

Not applicable applicable code sections

list drawing numbers

1603.1.8 System and components requiring special Not applicable inspections for seismic resistance list drawing numbers

Soils 1802.6 Soil classification & design load bearing capacity list drawing numbers

Soil investigation report

Available

list specification numbers

Not applicable

1621.2 and 1621.3 have been reviewed and coordinated with architect and engineers

Yes

1704 Special Inspection requirements, where are they located in the documents? list drawing or specification numbers

Print name:

Signature:

Date: Seal of P. E. or R. A. licensed in New York State

Telephone:

FP-CCC 12/2006

SED Project Number

ENERGY CONSERVATION CODE CHECKLIST 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Building Identification Number

District BEDS Code

page 6 of 9 SED Control Number

Project number

0 District Name

Building Name

The 2002 Energy Conservation Code of New York State Section 104.2 states "Compliance with specific provisions of this code shall be determined through the use of computer software, worksheets, compliance manuals and other similar materials when they have met the intent of this code." (www.eren.doe.gov/buildings/tools_directory/software/comcheckez.htm) Section 104.3 requires " Construction documents shall be of sufficient clarity to indicate the location, nature and extent of the work proposed and show in sufficient detail pertinent data and features of the building and the equipment and the systems as herein governed, including, but not limited to, design criteria, exterior envelope component materials, U-factors of the envelope systems, Ufactors of fenestration products, R-values of insulating materials, size and type of apparatus and equipment, equipment and systems controls and other pertinent data to indicate conformance with the requirements of this code and relevant laws, ordinances, rules and regulations."

(check the definitions)

New Building Additions

Substantial alterations Historic Building

Exempt Building:

Low Energy Usage Building

Unconditioned Building

Thermal Design Parameters: Outdoor design temperature Degree days (heating / cooling)

Per ASHRAE Handbook of Fundamentals

Applicability:

Climate Zone:

Change in occupancy

Per ASHRAE Handbook of Fundamentals 4

5

6

Glazing percentage:

10% or less

between 10% and 25%

Design Approach:

Chapter 7 - Prescriptive Chapter 7 - System

14A

between 25% and 40%

between 40% and 50%

Chapter 8 - Acceptable Practice

DOE software used

Chapter 7 - Energy Cost Budget

802 Building Envelope Requirements:

In compliance

Worksheets available

U-factors of the envelope systems

Not applicable

or list drawing numbers

U-factors of fenestration products

list specification sections

or list drawing numbers

R-values of insulating materials

list specification sections

or list drawing numbers

803 Building Mechanical Systems: Design Load

803.2 Applicable

804 Service Water Heating:

Applicable

805 Lighting and Power Systems: Interior lighting power

Applicable Entire building method

803.3 Applicable

list specification sections

Not applicable

list drawing number

806 Design By Total Building Performance: Applicable Provide a full detailed analysis of the entire building and all systems.

Not applicable Not applicable Portion of building method Not applicable list drawing number or specification section

FP-CCC 12/2006

FIRE & ELECTRIC CODE REVIEW CHECKLIST 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

SED Project Number

Building Identification Number

District BEDS Code

page 7 of 9

SED Control Number

Project number

0 District Name

Building Name

NA = Not Applicable

FIRE SERVICE Access Roads Access Openings Stairway Identification Premises ID Hazards Firefighters Water Supplies Fire Hydrants Fire Command Center

= LOCATION in Construction Documents NA

. . . . . . . .

. . . . . . . .

BUILDING SYSTEMS Emergency Power . . Electrical Eqpt, Wiring & Hazards. Mechanical Refrigeration . . Elevator Recall . . Battery Systems . . FIRE PROTECTION SYSTEMS . Automatic Sprinkler System . Alternative System . . Hood Fire Suppression . . . . Standpipe System . . Fire Extinguishers Fire Alarm . . Automatic Detection System . Emergency Alarm System . Smoke Control System . . Smoke & Heat Vent . . Municipal FA Station . . Explosion Control . . . . Fire Dept. Connections Fire Pumps . . AH Units & Fans shutdown w/ FA

ELECTRICAL Telephone . . NEC (NFPA 70) Electric Work . Panel/Circuits Identified . . Artificial Light . . Explosion Proof Equipment . Shop Emergency Shunts . . Dust Proof Shop Outlets . . Shielded Shop Light Fixtures . Closed Elec. Htg. Elements & UL Underground Electric Service . Elevator Code A17.1 . . Electric Operated Partition . . . Plenum Cable HID Self Extinguishing . . . Other ________________

Yes

NA

Yes

NA

Yes

NA

Yes

NA

Yes Yes

NA NA

Yes

NA

Yes

NA

MEANS OF EGRESS New Buildings Corridor Plenum . Exit Enclosure Ventilation Exit Signs . . . Egress Illumination . Emergency Power . Area of Refuge . . Boiler/Furnace/Refrig. Rms

NA

Fire Code Section 1010

Yes

NA

Yes

NA

Yes

NA

Yes

NA NA

Yes

NA Yes

NA

Yes

NA

Yes

NA

Yes

NA

Yes

NA

Yes

NA

Yes

NA

Yes

NA

Yes

NA

Yes

NA

Yes

NA

Yes

NA

Yes

NA

Yes

NA NA

Yes

NA Yes Yes

NA

Yes

NA

Yes

NA

Yes

NA

Yes

NA

Yes

NA

Yes Yes

NA

NA

Yes

NA NA

Yes

NA

Yes

NA

Yes Yes

NA

Yes

NA

NA

NA

. . . . . .

Yes Yes

NA

Yes

NA

Yes

NA

Yes

NA

Yes

NA

Yes

NA

NA

NA

Renovations, alterations, reconstructions, additions, and changes of occupancy

Exit Signs . . Egress Illumination Emergency power

. . .

. . .

. Combustible Dust . Fire Safety During Construction Flammable Finishes . Service Stn. & Repair Garage

GENERAL - FIRE Acceptance Testing/Inspection Training . . . . Equipment Listed/Labeled . Fire Stopping . . . Identification . . . Equipment Location . .

GENERAL - ELECTRIC Acceptance Testing/Inspection Training . . . . Equipment Listed/Labeled . Fire Stopping . . . Equipment Location . . Access/Clearances . . Identification Lines/Mtl./Eqpt. Instruction Manual / Video Material/Eqpt Reuse . Unsafe System Rehab/Rmvl. .

Yes

NA

Yes Yes

NA

Yes

NA

Yes

NA

Yes

NA

Yes

NA

Yes

NA

Yes

NA

Yes

NA

Yes

NA

Yes

NA

Yes

NA

Yes

NA

Yes Yes

NA NA

Yes

NA

Yes

NA

Yes

NA

Yes

NA

Yes Yes

NA NA

Yes

NA

NA

MECHANICAL REVIEW CHECKLIST

FP-CCC 12/2006

page 8 of 9

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

SED Project Number

Building Identification Number

District BEDS Code

SED Control Number

Project number

0 District Name

Building Name

NA = Not Applicable

BOILER ROOM Fuel: Oil

= LOCATION in Construction Documents NA

Gas

Electric

Other

Other Low Water Cutoff . Combustion Air . Clearance . Safety Burner Switch . Chimney/Vent . Standards . Electronic Flame Safeguards Safety Valves & Controls . 12NYCRR4 (Ind. Code Rule 4) Remote Burner Shutoff Valves Fuel Train Standards . Scald Protection Domestic HW ASME Vessel . MECHANICAL Ventilation Intake Openings & Protections Ventilation Rate . Common System . Balancing . Uninhabited Spaces . Exhaust . Independent Systems . Toilet/Locker/Janitor Closets Hazardous Areas . Laboratories . Shops . Kitchen Domestic . Kitchen Commercial . Kitchen Commercial Makeup Mechanical Equipment Rooms Elevator Equipment Rooms Other ________________ Subslab . GENERAL Acceptance Testing/Inspection Training . Equipment Listed/Labeled . Fire Stopping . Equipment Location . Access/Clearances . Controls .

. . . . . . . . . . . .

Yes Yes

NA

Yes

NA

Yes

NA

Yes

NA

Yes

NA

Yes

NA

Yes

NA

Yes

NA

Yes Yes

NA NA

Yes

NA

Yes

NA

NA

NA NA

. . . . . . . . . . . . . . . . . .

. . . . . .

Yes

NA

Yes Yes

NA

Yes

NA NA

Yes

NA NA

Yes Yes

NA NA

Yes

NA

Yes Yes

NA

Yes Yes

NA NA

Yes

NA

Yes

NA

Yes

NA

Yes

NA

Yes

NA

Yes

NA

Yes

NA

Yes

NA

Yes Yes

NA NA

Yes

NA NA

Yes

NA

Duct Systems Plenum . . . Construction . . Insulation . . . . . Filters Smoke Detection Systems Fire Dampers . Smoke Dampers . Appliances Cooling Towers . Forced Air Furnace . Engine/Turbine . Other ______________ Other ______________ Refrigeration ASHRAE 15 . . Refrigerant type . Machinery Room . . . Piping Hydronic piping . . Material . Insulation . . . Valves . . . Installation requirements Fuel Oil Materials . . . Piping . . . Storage . . . Valves . . . Solar Systems

. . . . . .

Yes

NA NA

Yes

NA

Yes Yes

NA

Yes Yes

NA

Yes

NA NA NA NA

. . . . .

Yes

NA

Yes

NA

Yes Yes

NA

Yes

NA

. . . .

Yes

NA

Yes

NA

Yes

NA

Yes

NA

. . .

Yes

NA

Yes

NA

Yes Yes

NA

NA NA

NA

NA NA

. . . . .

Yes

NA

Yes Yes

NA

Yes Yes

NA

Sequence of Operations . Identification Lines/Mtl./Eqpt. Instruction Manual / Video Material/Eqpt Reuse . Unsafe System Rehab/Rmvl. Condensate Disposal . No Direct Fired Heaters .

Yes

NA

Yes Yes

NA NA

Yes

NA

Yes

NA

Yes

NA

Yes

NA

NA NA

FP-CCC 12/2006

SED Project Number

PLUMBING & GAS REVIEW CHECKLIST

page 9 of 9

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Building Identification Number

District BEDS Code

SED Control Number

Project number

0 District Name

Building Name

NA = Not Applicable

= LOCATION in Construction Documents

PLUMBING Rodent proofing . . Protection plumbing systems . Structural Safety . . Piping Support . . Floodproofing . . Fixtures/Faucets/Fittings Fixture Adequacy . . Accessible Facilities . . Emergency Shower/Eyewash . Drinking Fountains . . Sink - Bubbler Separated . Lavatories . . Showers . . Sinks . . Urinals . . Water Closets . . Water Saving Fixtures . . Water Heaters DHW Heater ASME Tank . Location . . Controls . . Safety Devices . . Insulation . . Water Supply and Distribution Protect Water Quality . . Size/Material Piping . . No Lead Solder . . Disinfection . . Sanitary Drainage Sanitary Discharge Permits . . Storm - Sanitary Separated . . Size/Material Piping Sumps/Ejectors . . Indirect/Special Waste . . Vents . . Traps/Interceptors/Separators Storm Drainage . . Swimming Pool . . GENERAL - PLUMBING Acceptance Testing/Inspection Training . Equipment Listed/Labeled . Fire Stopping . Equipment Location . Access/Clearances .

. . . . .

NA Yes

NA

Yes

NA

Yes

NA

Yes

NA

Yes

NA

Yes Yes

NA NA NA

Yes

NA

Yes

NA

Yes

NA

Yes Yes

NA NA

Yes

NA

Yes

NA

Yes Yes

NA

Yes Yes

NA NA NA

Yes

NA NA

Yes

NA

Yes

NA NA

Yes

NA

Yes

NA

Yes

NA

Yes

NA

GAS Low pressure 1/2 psig or < . No gas lines in corridors Master Gas Valve for Outlets Pipe Size/Material . . Valves . . . . Enc. of Pressure Regulation Eq. PSC Distribution Service . Liq. Petroleum Gas NFPA 58 Vent/Chimney . . . Appliances Shown . . Other ______________ . Other ______________ . GENERAL - GAS Acceptance Testing/Inspection Training . . . . Equipment Listed/Labeled . Fire Stopping . . . Equipment Location . . Access/Clearances . . Controls . . . . Sequence of Operations . Identification Lines/Mtl./Eqpt. Instruction Manual / Video . Material/Eqpt Reuse . . Unsafe System Rehab/Rmvl. Condensate Disposal . No Direct Fired Heaters .

NA Yes

NA

Yes

NA

Yes

NA

Yes

NA

Yes

NA

Yes

NA

Yes

NA

Yes

NA

Yes

NA

Yes

NA

Yes

NA

Yes

NA

Yes

NA

Yes

NA

Yes

NA

Yes

NA

Yes

NA

Yes

NA

Yes

NA

Yes

NA

Yes

NA

Yes

NA

Yes Yes

NA NA

Yes

NA

Yes

NA

Yes

NA

Yes Yes

NA

Yes

NA

Yes

NA

NA Yes

NA

Yes

NA

Yes

NA

Yes

NA

Yes

NA

Yes

NA

Yes

NA

Yes

NA

Yes

NA

Yes Yes

NA

Yes

NA

Yes

NA

Yes

NA

Yes

NA

NA

Identification Lines/Mtl./Eqpt. Instruction Manual / Video Material/Eqpt Reuse . . Unsafe System Rehab/Rmvl. Condensate Disposal .

NA