Residential Plans Examiner Review Form for HVAC System Design (Loads, Equipment, Ducts)

County, Town, Municipality, Jurisdiction Header Information

Contractor Mechanical License # Building Plan # Home Address (Street or Lot#, Block, Subdivision) REQUIRED ATTACHMENTS1
Manual J1 Form (and supporting worksheets): or MJ1AE Form2 (and supporting worksheets): OEM performance data (heating, cooling, blower): Manual D Friction Rate Worksheet: Duct distribution system sketch:

Form RPER 1.01 8 Mar 10

ATTACHED
Yes Yes Yes Yes Yes No No No No No

HVAC LOAD CALCULATION (UMC 1106.1)

Design Conditions
Winter Design Conditions
Outdoor temperature Indoor temperature Total heat loss

Building Construction Information

Building

F F Btu F F Gr @ % Rh Btu Btu Btu

Orientation (Front door faces)

North, East, West, South, Northeast, Northwest, Southeast, Southwest

Number of bedrooms Conditioned floor area Number of occupants

Summer Design Conditions

Outdoor temperature Indoor temperature Grains difference Sensible heat gain Latent heat gain Total heat gain

Sq Ft

Windows
Eave overhang depth Internal shade
Blinds, drapes, etc

Ft

Number of skylights

HVAC EQUIPMENT SELECTION

Heating Equipment Data
Equipment type
Furnace, Heat pump, Boiler, etc.

Cooling Equipment Data

Equipment type
Air Conditioner, Heat pump, etc

Blower Data
Heating CFM Cooling CFM

CFM CFM

Model Heating output capacity

Model

Btu Btu CFM IWC IWC IWC

Sensible cooling capacity Latent cooling capacity Total cooling capacity

Heat pumps - capacity at winter design outdoor conditions

Auxiliary heat output capacity

Btu Btu Btu Ft Ft Ft IWC

Duct Materials Used (circle) Trunk Duct: Duct board, Flex, Sheet metal, Lined sheet metal, Other (specify) Branch Duct: Duct board, Flex, Sheet metal, Lined sheet metal, Other (specify)

HVAC DUCT DISTRIBUTION SYSTEM DESIGN (UMC 601.2)

Design airflow External Static Pressure (ESP) Component Pressure Losses (CPL) Available Static Pressure (ASP)
ASP = ESP - CPL

Longest supply duct: Longest return duct: Total Effective Length (TEL)

Friction Rate:
Friction Rate = (ASP 100) TEL

I declare the load calculation, equipment selection, and duct system design were rigorously performed based on the building plan listed above, I understand the claims made on these forms will be subject to review and verification. Contractor's Printed Name Contractor's Signature Date

Reserved for use by County, Town, Municipality, or Authority having jurisdiction.

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The AHJ shall have the discretion to accept Required Attachments printed from approved ACCA software vendors, see list on page 2 of instructions. If abridged version of Manual J is used for load calculation, then verify residence meets requirements, see Abridged Edition Checklist on page 13 of instructions.