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
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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
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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
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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
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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
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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
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Yes
NA
Yes Yes
NA NA
Yes
NA
Yes
NA
Yes
NA
Yes Yes
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Yes
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Yes
NA
NA Yes
NA
Yes
NA
Yes
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Yes
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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
