ONTARIO BUILDING CODE AND SUPPLEMENTARY STANDARD SB-10 PROJECT INFORMATION. Mechanical Designer Information*

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ONTARIO BUILDING CODE AND SUPPLEMENTARY STANDARD SB-10 PROJECT INFORMATION Project: Building Permit Application No.: DETAILED FORMS Location: Date: Architectural Designer Information* Mechanical Designer Information* Electrical Designer Information* Name Name Name Address Address Address City Signature Province Date(YY/MM/DD) City Signature Province Date(YY/MM/DD) City Signature Province Date(YY/MM/DD) *IF MORE DESIGNERS ARE INVOLVED, PROVIDE ADDITIONAL COPIES OF THIS FORM. THIS CHECKLIST IS A CONVENIENCE DOCUMENT ONLY AND IS BASED ON THE ENERGY EFFICIENCY REQUIREMENTS DESCRIBED IN THE ONTARIO BUILDING CODE SUPPLEMENTARY STANDARD SB-10 DIVISION 3. THIS CHECKLIST IS NOT A SUBSTITUTE FOR COMPLYING WITH THE REQUIREMENTS OF THE ONTARIO BUILDING CODE. WHILE CARE HAS BEEN TAKEN TO ENSURE ACCURACY OF THIS CHECKLIST, DESIGNERS AND BUILDING OFFICIALS MUST REFER TO THE ACTUAL WORDING AND REQUIREMENTS OF THE ONTARIO BUILDING CODE (O.REG. 332/12 AND AMENDMENTS). NOTE: THESE FORMS HAVE BEEN UPDATED TO REFLECT THE REQUIREMENTS OF MMAH SUPPLEMENTARY STANDARD SB-10 (SEPTEMBER 14, 2012) FOR WHICH A PERMIT HAS BEEN APPLIED FOR AFTER DECEMBER 31, 2016. THESE FORMS ARE ONLY VALID FOR PERMITS APPLIED FOR BETWEEN JANUARY 1 AND DECEMBER 31, 2017. A NEW VERSION OF SB-10 (DECEMBER 22, 2016 UPDATE) CONTAINS COMPLIANCE PATH OPTIONS THAT ARE NOT INCLUDED IN THESE FORMS. PROJECTS FOLLOWING THE SB-10 DECEMBER 22, 2016 UPDATE MUST USE NEW FORMS PROVIDED BY THE MMA. PLEASE FILL IN THE ACTUAL VALUES INSTALLED AND CHECK BOXES AS THEY APPLY. OBC SB-10 COMPLIANCE SUMMARY Energy Efficiency Design: There are four energy compliance options to meet the requirements of OBC SB-10 Division ϯ. Please select the conformance option selected for this project. The energy efficiency of all buildings must be designed to: Compliance Path (A-1) Exceed by not less than 35% the energy efficiency levels attained by conforming to the CCBFC, Model National Energy Code for Buildings (MNECB). Note that this compliance path requires that the proposed building is shown to consume at least 35% less energy than the MNECB reference building when modelled according to the procedures outlined in Part 8 of the MNECB. (A-2) Exceed by not less than 17.5% the energy efficiency levels attained by conforming to the ANSI/ASHRAE/IESNA 90.1-2010 Energy Standard for Buildings Except Low-Rise Residential Buildings. Note that this compliance path requires that the proposed building is shown to consume at least 17.5% less energy than the ASHRAE 90.1-2010 reference building when modelled according to the procedures outlined in Chapter 11 of ASHRAE 90.1-2010. Note that this path cannot be used for a building with electric space heating. Refer to SB-10. (B) Achieve the energy efficiency levels attained by conforming to the ASHRAE 90.1-2010, Energy Standard for Buildings Except Low-Rise Residential Buildings and Division 3 of SB-10. This compliance path includes both prescriptive and performance path options. Please proceed to Form B. (C) Exceed by not less than 13% the energy efficiency levels attained by conforming to the NECB-2011 National Energy Code of Canada for Buildings and Division 2 of SB 10. Only the performance path option will be accepted. Please proceed to NECB Forms Note: Numbering is based on SI edition of ASHRAE 90.1-2010. Forms to Complete FORM A FORM A FORM B NECB Forms DNovember 18, 2016

OBC SB 10 COMPLIANCE (1) EXCEED MNECB BY NOT LESS THAN ϯ5% (2) EXCEED ASHRAE 90.1 2010 BY NOT LESS THAN ϭϳ 5% FORM A Please select which of the two options pursued for compliance: PROPOSED BUILDING IS SHOWN TO CONSUME AT LEAST 35% LESS ENERGY (GJ or kwh) ANNUALLY THAN THE MNECB REFERENCE BUILDING. ENERGY CONSUMPTION VALUES ARE DETERMINED ACCORDING TO THE MODELLING PROCEDURES IDENTIFIED IN PART 8 OF THE MNECB. PROPOSED BUILDING IS SHOWN TO CONSUME AT LEAST 17.5% LESS ENERGY (GJ or kwh) ANNUALLY THAN THE ASHRAE 90.1 2010 REFERENCE BUILDING. ENERGY CONSUMPTION VALUES ARE DETERMINED ACCORDING TO THE MODELLING PROCEDURES OUTLINED IN CHAPTER 11 OF ASHRAE 90.1 2010. Project: Modeller Name: Annual Energy Summary Occupancies Floor Area Assembly Health/Institutional Hotel/Motel Light Manufacturing Multifamily Office Restaurant Retail School Warehouse Other Total Proposed Building Description (1) Annual Consumption Summary Reference Building Energy Proposed Building Energy Units Space Heating Space Cooling HVAC Auxiliary Misc. Electrical Service Hot Water Interior Lighting Other Other > Total Annual Energy Percentage less energy used by proposed building: Total Annual CO2e Emissions >.. Percentage less CO2e emissions by proposed building.. Peak Electric Demand.. > or Building components specified in Sentence 1.1.2.3.(2) of Chapter 1 of Division 3 of SB 10 comply with the prescriptive requirements of ASHRAE 90.1 2010 Reference Building Energy and Proposed Building Energy Consumptions are calculated by: Please specify modelling software: HVAC System Descriptions Reference Building Design Energy Efficiency Features in Proposed Building Design (2) Proposed Building Design The reference building and proposed building design are modelled in accordance with the requirements of the SB 10 and the applicable standard specified above Yes The information submitted above is accurate to the best of my knowledge. Signature: Notes: Name/Title: (1) A full modelling report is required to be submitted. (2) Explain major energy saving features utilized to achieve modelled savings. Note: Numbering is based on SI edition of ASHRAE 90.1 2010. D November 18, 2016

OBC SB 10 AND ASHRAE 90.1 2010 COMPLIANCE SUMMARY Form B Project: Building Permit Application No.: Location of Project: Climate Zone: ASHRAE 90.1 2010 COMPLIANCE AS MODIFIED BY OBC SB 10 DIVISION The building design complies with the mandatory provisions of the following sections regardless of the compliance path: ASHRAE 90.1 2010 Standard Section Compliance Form Column 5.4 BUILDING ENVELOPE AND SB 10 DIVISION 3 FORM 5.4 6.4 HEATING, VENTILATING AND AIR CONDITIONING AND SB 10 DIVISION 3 FORM 6.3 or FORM 6.4 7.4 SERVICE WATER HEATING SYSTEMS AND EQUIPMENT AND SB 10 DIVISION 3 FORM 7.4 8.4 POWER AND SB 10 DIVISION 3 FORM 8.4 9.4 LIGHTING AND SB 10 DIVISION 3 FORM 9.4 10.4 OTHER EQUIPMENT AND SB 10 DIVISION 3 YES FORM 10.4 METHOD OF COMPLIANCE Building Design must comply with either the Prescriptive Requirements or the Energy Cost Budget Method. Indicate which method was selected. Compliance Method Compliance Form Column PRESCRIPTIVE COMPLIANCE COMPLETE SECTION B 1 ENERGY COST BUDGET METHOD COMPLETE SECTION B 2 B 1: PRESCRIPTIVE COMPLIANCE ASHRAE 90.1 2010 AND OBC SB 10 The building design complies with the Prescriptive Compliance of the following sections: Standard Section Compliance Form Reference Column Sec 5 BUILDING ENVELOPE Prescriptive Requirements (5.5 of 90.1) Building Envelope Trade Off (5.6 of 90.1) FORM 5.5 or FORM 5.6 Sec 6 HVAC SYSTEMS Simplified Approach for HVAC Systems Mandatory + Prescriptive Path Option FORM 6.3 or FORM 6.4 Sec 7 SERVICE WATER HEATING Prescriptive Path Option FORM 7.4 Sec 9 LIGHTING Prescriptive Requirements FORM 9.5 B 2: ENERGY COST BUDGET METHOD ASHRAE 90.1 2010 AND OBC SB 10 Compliance The building design complies with the provisions of Section 11 of ASHRAE 90.1 2010, based on the provisions of Division 3 of SB 10. Column Form FORM 11 Note: Numbering is based on SI edition of ASHRAE 90.1 2010. D November 18, 2016

5.4.1 Insulation ASHRAE 90.1 2010 AND OBC SB 10 DIVISION 3 MANDATORY PROVISIONS Detailed Form 5.4 Insulation materials are installed in accordance with the manufacturer s recommendations and in such a manner as to achieve the rated R value of insulation.11 Loose fill insulation is not used in attic roof spaces when the slope of the ceiling is more than three in twelve. Attic eave vents have baffling to deflect the incoming air above the surface of the insulation. Insulation is installed in a permanent manner in substantial contact with the inside surface. Batt insulation installed in floor cavities is supported in a permanent manner by supports no greater than 24 in. o.c. Lighting fixtures, HVAC, and other equipment are not recessed in ceilings in such a manner to affect the insulation thickness. Exception: The recessed area is less than 1%. Exception: The entire roof, wall, or floor is covered with insulation to the full depth required. Exception: The effects of reduced insulation are included in calculations using area weighted averages. Roof insulation is not installed over suspended ceiling with removable ceiling panels. Exterior insulation is covered with a protective material to prevent damage. Insulation is protected in attics and mechanical rooms where access is needed. Foundation vents do no interfere with the insulation. Insulation materials in ground contact have a water absorption rate no greater than 0.3%. N/A N/A 5.4.2 Fenestration and Doors U factors have been determined in accordance with NFRC 100 or CAN/CSA A440 2.2 Exception: U factor has been taken from ASHRAE 90.1 2010 A.8.1 for skylights. Exception: U factor has been taken from ASHRAE 90.1 2010 A.8.2 for other fenestration products. Exception: U factor has been taken from ASHRAE 90.1 2010 A.7 for opaque doors. Exception: U factors are derived from DASMA 105 for garage doors. Solar heat gain coefficient (SHGC) has been determined in accordance with NFRC 200 or CAN/CSA A440 2. Exception: SHGC is determined by multiplying the shading coefficient by 0.86. Shading coefficient is determined using spectral data file determined in accordance with CAN/CSA A440 2. Exception: SHGC for the centre of glass is used. SHGC is determined using a spectral data file determined in accordance with NFRC 300. Exception: SHGC is taken from ASHRAE 90.1 2010 Section A8.1 for skylights. Exception: SHGC is taken from ASHRAE 90.1 2010 Section A8.2 for vertical fenestration. 1 N/A N/A allowable exceptions noted N/A N/A N/A N/A N/A N/A N/A allowable exceptions noted N/A N/A N/A N/A allowable exceptions noted N/A N/A N/A N/A Exception: Where metal building roof or wall insulation compressed between roof or wall skim and the structure. 2 U-factors shall be determined for a slope of 20 degrees above the horizontal. Note: Numbering is based on SI edition of ASHRAE 90.1 2010. November 18, 2016

5.4.3 Air Leakage All conditioned spaces have been designed with a continuous air barrier meeting the requirements of 5.4.3.1. Specified Fenestration and Doors have certified air leakage rates lower than the allowable under ASHRAE90.1 2010 Section 5.4.3.2. Exception: Field Fabricated windows and doors.* Exception: Metal coiling doors in semiheated spaces. Cargo doors and loading dock doors are equipped with weather seals. Building Entrances separating the conditioned space from the exterior include a vestibule. allowable exceptions noted N/A N/A allowable exceptions noted Exception: Revolving doors. Exception: Non entrance doors. Exception: Doors opening from dwelling unit. Exception: Entrances less than 90m² in area. Exception: Doors opening from a space less than 280 m² that is separate from the building entrance. N/A N/A N/A N/A N/A *Note that field fabricated fenestration does not include stick built curtain wall and storefront systems that are assembled on site. This exemption only applies when the frame is made on site of materials that were not previously designed to be used as part of a fenestration system such as using dimensional lumber to manually create a window or door frame.

ASHRAE 90.1 2010 & SB 10 SECTION 5.5 PRESCRIPTIVE ENVELOPE OPTION Detailed Form 5.5 1 Overall Building Envelope Design Requirements The building design must comply with the following general requirements. If any of these requirements are not met, the prescriptive path cannot be pursued. Consider the building envelope trade off compliance or the Energy Cost Budget Method Described in Chapter 11 of ASHRAE 90.1 2010: Identify SB 10 Table used for maximum U Factors or minimum RSI Values : Gross Wall Area: m² Vertical Fenestration Area: m² Vertical fenestration area is less than 40% of the gross wall area. Gross Roof Area: m² Skylight Area: m² Total skylight area does not exceed 5% of the gross roof area. Where the main entrance door is located on the south orientation and south wall area is larger than west wall area and also larger than east wall area, the total east vertical fenestration area is less than south vertical fenestration area and total west vertical fenestration area is less than south vertical fenestration area. South vertical fenestration area: m² East vertical fenestration area: m² West vertical fenestration area: m² Please specify if any exception is used: If electric space heating is used, Table SB5.5 7 has been used regardless of climatic location. For Climate Zone 5, minimum skylight fenestration area conforms to the requirements of ASHRAE 90.1 20105.5.4.2.3. N/A N/A N/A Complete the table on Form 5.5 2 to show compliance for all envelope components. Attach as many copies of this form as required to ensure that all envelope components are represented. For all opaque surfaces, compliance must be demonstrated by meeting either: 1. The minimum R values of insulation added in framing cavities and continuous insulation as specified in Tables SB5.5 5 to SB5.5 7. 2. The maximum U factor, C factor, or F factor for the entire assembly as specified in Tables SB5.5 5 to SB5.5 7. U factor is to be determined from tables in Appendix A of ASHRAE 90.1 2010 or through calculation methods described in ASHRAE 90.1 2010 Appendix Section A9. For all fenestration products, compliance with U factors and SHGC must be determined for the overall fenestration product. 1. Fenestration shall have a U factor and SHGC not greater than those specified in SB 10 Tables SB5.5 5 to SB5.5 7. 2. U factor to be determined through CSA or NFRC ratings or by using ASHRAE 90.1 2010 Appendix A default values.

ASHRAE 90.1 2010 & SB 10 SECTION 5.5 PRESCRIPTIVE ENVELOPE OPTION Form 5.5 2 Please complete the following table to include information on all walls, roofs, doors, and floors used in the design. OPAQUE BUILDING ENVELOPE COMPONENTS Opaque Element (1) Description Space Conditioning (2) Category Class of (3) Construction (4) Criteria Max. U Value or Min RSI Value (4) Design U Value or RSI Value Area Weighted (5) Average Used? Please complete the following table to include information on all fenestration products used in the design. FENESTRATION ENVELOPE COMPONENTS Fenestration (1) Description Space Conditioning (2) Category Class of (3) Construction (4) U Value Criteria Design (6) SHGC Criteria Design Area Weighted (5) Average Used? (1) Indicate if Element is a Wall, Roof, Floor, Door, Window or Skylight and a Tag or Description (eg Wall W1). (2) Select from Non residential (NR), Residential (R), or Semiheated (SH). (3) Select from the subclasses of roofs, walls, floors, doors and fenestration provided in Tables SB5.5 5 to SB5.5 7 (eg. Steel Framed for walls). Note that curtain wall systems are considered a steel framed wall. (4) F Factors can be used for floors and C Factors for below Grade Walls as applicable. (5) Elements of the same type, space category, and class of construction can be averaged using area weighting to show compliance only if U Values are used. (6) Design SHGC may be higher than the criteria if the one of the exceptions from ASHRAE 90.1 2010 5.5.4.4.1 is applicable. Please use the space below to identify the fenestration elements (if any) which an exception for SHGC is being claimed: SHGC EXCEPTIONS Fenestration Element Note: Numbering is based on SI edition of ASHRAE 90.1 2010. SHGC Exception from ASHRAE 90.1 2010 5.5.4.4.1 November 18, 2016

ASHRAE 90.1 2010 & SB 10 SECTION 5.6 ENVELOPE TRADE OFF OPTION DETAILED Form 5.6 Note that this option may only be pursued if the procedure as described in ASHRAE 90.1 2010 section 5.6 has been modified with the requirements of Division 3 of SB 10. Complete only Section A or Section B Section A (Complete only where software report contains the percentage of difference between budget and design buildings) A software program incorporating the envelope requirements of ASHRAE 90.1 2010 as modified by SB 10 has been used to demonstrate compliance with SB 10 in accordance with rules set by Section 5.6 of ASHRAE 90.1 2010. State the percentage by which the envelope performance of the proposed building is better than the budget building. A report from this software is attached. Name of software: %, or Equal Section B (Complete only where software report contains envelope performance factors for the budget and design buildings) The compliance calculations are based on the envelope requirements of ASHRAE 90.1 2010 as modified by SB 10. Envelope performance factor (EPF) for proposed building is less than or equal to the envelope performance factor of the budget building. Calculated EPF for proposed building: Calculated EPF for budget building: The envelope performance factor considers only the building envelope components. Schedules of operation, lighting power, equipment power, occupant density, and mechanical systems are the same in both the proposed and budget building. Calculations from ASHRAE 90.1 2010 Appendix C have been attached, and include the modifications from SB 10.

ASHRAE 90.1 & SB 10 SECTION 6.3 HVAC SIMPLIFIED APPROACH Detailed Form 6.3 If simplified HVAC method is used complete this form, otherwise proceed to Form 6.4. Number of Stories: Gross floor area: m² SECTION 6.3 HVAC SIMPLIFIED APPROACH OPTION Detailed Form 6.3 Part I Reference Standard Compliance 6.3.1 The building is 2 stories or less in height and has a gross floor area less than 2,323 m². 6.3.2 All of the requirements in Form 6.3 Part II must be met by each HVAC system in the facility. Level 2 requires one form filled out per system. System Name Area Served System Name Area Served System Name Area Served System Name Area Served System Name Area Served System Name Area Served System Name Area Served System Name Area Served Building dimensions and all mechanical systems meet the Simplified Approach requirements.

SECTION 6.3 HVAC SIMPLIFIED APPROACH OPTION Detailed Form 6.3 Part II Reference Standard Compliance 6.3.2.a System serves a single HVAC zone. 6.3.2.b The equipment meets the variable flow requirements of Section 6.4.3.10. 6.3.2.c If a cooling is installed, it is provided by a unitary packaged or split system air conditioner that is either air cooled or evaporatively cooled and meets the efficiency requirements shown in Tables 6.8.1A, 6.8.1B, and 6.8.1D. 6.3.2.d The system has an air economizer with outside airflow capacity and controls as required per Section 6.5.1. Exception: The system cooling capacity is less than 16 kw for comfort cooling or 40 kw for computer room cooling. Exception: The cooling efficiency meets or exceeds the requirement in Table 6.3.2. Exception: Condenser heat recovery capacity, residential and computer room sizing, operating hour limits, etc. listed in section 6.5.1. 6.3.2.e Heating is provided by a unitary packaged or split system heat pump, a fuel fired furnace, an electric resistance heater or a baseboard system connected to a boiler. All heating equipment meets the efficiency requirements shown in Table 6.8.1 B, 6.8.1D, 6.8.1E, 6.8.1F and Table SB 6.8.1. 6.3.2.f System meets the exhaust air energy recovery requirements of Section 6.5.6.1. Exception: Systems that provide less airflow than the values listed in Table 6.5.6.1 based on climate zone and outside air fraction. Exception: Laboratory systems meeting 6.5.7.2, commercial kitchens, cooling energy recovery, spaces heated to less than 16 C, etc. listednin section 6.5.6.1. 6.3.2.g The system is controlled by a manual changeover or dual setpoint thermostat. 6.3.2.h Heat pumps equipped with auxiliary internal electric resistance heaters (if any) have controls to prevent supplemental heater operation when the heating load can be met by the heat pump alone. 6.3.2.i The system controls do not permit reheat or any other form of simultaneous heating and cooling for humidity control. 6.3.2.j Systems are provided with a time switch that (1) can start and stop the system under different schedules for seven different day types per week; (2) is capable of retaining programming and time setting during a loss of power for a period of at least 10 h; (3) includes an accessible manual override that allows temporary operation of the system for up to 2 h; (4) is capable of temperature setback down to 13 C during off hours; and (5) is capable of temperature setup to 32 C during off hours. Exception: System serves hotel/motel guest rooms. Exception: System operates continuously. Exception: System has both a cooling or heating capacity less than 4.4 kw and a supply fan motor power greater than 0.56 kw. 6.3.2.k Piping is insulated in accordance with values given in Table 6.8.3A and 6.8.3B. Insulation exposed to weather is suitable for outdoor service (i.e. protected by aluminum, sheet metal, etc. or painted with a coating that is water retardant and provides shielding from solar radiation.). 6.3.2.l Ductwork and plenums are insulated in accordance with Tables 6.8.2A and 6.8.2B and sealed in accordance with Section 6.4.4.2.1. 6.3.2.m Specifications call for ducted air systems to be balanced. 6.3.2.n Outdoor air intake and exhaust systems meet the controls requirements of Section 6.4.3.4. 6.3.2.o Where separate heating and cooling equipment serve the same temperature zone, thermostats are interlocked to prevent simultaneous heating and cooling. 6.3.2.p Systems with a design supply air capacity greater than 5,000 L/s have optimum start controls. 6.3.2.q In spaces larger than 50m² and with design occupancy of more than 40 people per 100m², the system complies with the demand control ventilation requirements in Section 6.4.3.9. Exception: Systems with exhaust air energy recovery as per Section 6.5.6.1. Exception: Systems with design outdoor airflow less than 600 L/s. Exception: Spaces where the supply airflow minus any transfer air requirement is less than 600 L/s. All of the simplified requirements are met Note: Numbering is based on SI edition of ASHRAE 90.1 2010. November 18, 2016

SECTION 6.4 HVAC MANDATORY PROVISIONS Detailed Form 6.4 Part I Reference Standard Compliance Mandatory Provisions Complete only if simplified HVAC method is not used. 6.4.1 Equipment shown in Tables 6.8.1A through 6.8.1K meets minimum performance at the specified rating conditions in accordance with the test procedures in the tables or those referred to in Division 3 of SB-10. 2 of SB 10. 6.4.2.1 Load calculations for heating and cooling systems are done in accordance with ASHRAE Standard 183 2007 or other good design practices for selection of all equipment and systems. 6.4.2.2 Pressure drop through each hydronic device and pipe segment in the critical circuit at design conditions has been calculated in accordance with generally accepted engineering standards and handbooks. 6.4.3 Mandatory controls requirements are met by all the equipment in the building as outlined in Form 6.4 Part II and Part III. 6.4.4.1.2 Duct and plenum insulation meets or exceeds the requirements of Tables 6.8.2A and 6.8.2B with 6.4.4.1.3 the exceptions noted in the standard. Piping insulation meets or exceeds the requirements of Tables 6.8.3A and 6.8.3B with the exceptions noted in the Standard. 6.4.4.1.4 All thermally ineffective radiant heating panel surfaces including U bends and headers are insulated with a minimum of RSI 0.62. 6.4.4.2.1 6.4.4.2.2 Construction documents require seal class A construction of ductwork and plenums with pressure class ratings to satisfy testing as outlined in Section 6.4.4.2.2. All mandatory provisions are met

SECTION 6.4 HVAC MANDATORY PROVISIONS Detailed Form 6.4 Part II SECTION 6.4.3 MANDATORY CONTROLS REQUIREMENTS FOR HVAC SYSTEM Reference Title Check Appropriate Box Reference Title Check Appropriate Box 6.4.3.1.1 Zone Thermostatic Controls Zones controlled Individually by thermostats within the zone. 6.4.3.4.4 Ventilation Fan Controls Complying automatic controls provided. N/A Independent perimeter system. N/A Fan motor 0.56kW. N/A Continuous operation. 6.4.3.1.2 Dead Band Deadband at least 3 C for dual setpoint control. Manual change over control. 6.4.3.2 Setpoint Overlap Restriction 6.4.3.3.1 Automatic Shutdown N/A Special occupancy (requires approval). N/A Heating or cooling only. Where heaɵng and cooling to a zone are controlled by separate thermostats, heating and cooling setpoint overlap is automatically prevented. Programmable 7 day schedule control with manual override. Residential 2 day schedule control with manual override. Occupant sensor up to 30 mins. Manually operated timer. Interlock to security system. 6.4.3.4.5 Enclosed Parking Garage Ventilation 6.4.3.5 Heat Pump Auxiliary Heat 6.4.3.6 Humidification Preheat Ventilation stages automatically when contaminants are low. Ventilation modulates down when contaminants are low. N/A Garage is less than 2,800m² and has no mechanical heating or cooling. N/A Garage area to ventilation motor kw ratio exceeds 187m²/kW and has no mechanical heating or cooling. Controls prevent resistance heating when heating load can be met by the heat pump alone. N/A System is not a heat pump. N/A Auxiliary is not electric or is not provided. N/A Heat pump covered by NAECA and meets efficiency rating in Table 6.8.1B. Automatic shutoff valve provided for humidifiers mounted in the airstream. Preheat is shut off when humidification is not needed. N/A No humidifier. 6.4.3.3.2 Setback Controls N/A Continuous operation. N/A Less than 4.4 kw. heat/cool capacity with manual on/off. Heating setback provided (down to 13 C). N/A Continuous operation. N/A Less than 4.4 kw. heat/cool capacity with manual on/off. N/A Radiant heating. N/A No heating. 6.4.3.7 Humidification and Dehumidification Controls prevent simultaneous humidification and dehumidification. N/A No humidification and/or dehumidification. N/A Desiccant dehumidifier and direct evaporative cooling in series. N/A Specific humidity levels required (museum, hospital, etc. approval required).

SECTION 6.4 HVAC MANDATORY PROVISIONS MANDATORY CONTROLS REQUIREMENTS FOR HVAC SYSTEM 6.4.3.3.3 Optimum Optimum start provided. Start Controls N/A Continuous operation. N/A Less than 4.4 kw heat/cool capacity with manual on/off control. N/A Radiant heating no heating air. N/A Supply airflow less than 5,000 L/s. 6.4.3.8 Freeze Protection and Snow/Ice Melting Systems Detailed Form 6.4 Part III The following controls are provided: i) Heat tracing automatically shuts off above 4.4 C outside temp or when the fluid will not freeze. ii) Snow melt automatically shut off when pavement is above 10 C and automatic or manual shutoff above 4.4 C outside temp. 6.4.3.3.4 Zone Isolation Isolation zones provided with isolation device. 6.4.3.4.1 Stair and Shaft Vents 6.4.3.4.3 Shutoff Damper Control N/A All zones on same schedule. N/A Continuous operation. N/A Less than 4.4 kw. heat/cool capacity with manual on/off. N/A Fan system supplies less than 2,400 L/s. Motorized dampers on stair and elevator shafts. Normally closed, open on fire alarm. Motorized shutoff dampers on all OA and EA shut off during preoccupancy and when system or space is not in use, except freecooling. Backdraft dampers on EA for buildings less than 3 stories. Backdraft dampers on system with design OA or EA 140L/s. 6.4.3.9 Ventilation in High Occupancy Area N/A No freeze protection systems. Demand control ventilation (DCV) provided. N/A Design occupancy is less than 40 people per 100m². N/A High occupancy space is smaller than 50m². N/A Design outdoor airflow is below 1,400L/s and system has no air side economizer or modulating control of outdoor air damper. N/A Exhaust air energy recovery as per Section 6.5.6.1. N/A Multiple zone system without central control panel. N/A Outdoor airflow less than 600 L/s. N/A Supply airflow minus makeup or transfer air is less than 600 L/s. 6.4.3.4 Damper Leakage N/A Unconditioned space. N/A System serves type 1 Kitchen exhaust hood. OA, EA dampers meet leakage rates listed on Table 6.4.3.4.3. 6.4.3.10 Single Zone VAV Controls At cooling demands of less than 50% of design, supply airflow is reduced. Airflow is reduced to 50% for chilled water coils or 66% for direct expansion coils or to the minimum ASHRAE 62.1 ventilation amount through the use of: Supply fan two speed motor. Supply fan variable speed drive. N/A Supply fan less than 4kW for chilled water coils. N/A Less than 32kW capacity for direct expansion coils.

SECTION 6.5 HVAC PRESCRIPTIVE REQUIREMENTS Detailed Form 6.5 Part I Reference Item Standard Compliance Prescriptive Requirements Complete this section if not using Energy Cost Budget Method 6.5.1 Economizers Each cooling system that has a fan employs either airside or waterside economizer unless exempt from the economizer requirements. Specify economizer exemptions if N/A (provide section reference to ASHRAE 90.1 2010): 6.5.1.3 6.5.1.4 6.5.1.1 6.5.1.1.1 6.5.1.1.2 6.5.1.1.3 6.5.1.1.4 6.5.1.1.5 6.5.1.2 6.5.1.2.1 6.5.1.2.2 6.5.2 6.5.2.1 6.5.2.1.1 6.5.2.2 6.5.2.3 6.5.2.4 6.5.3 6.5.3.1 6.5.3.2.1 6.5.3.2.2 6.5.3.2.3 6.5.3.3 Economizer systems are integrated with the mechanical cooling systems and capable of providing partial cooling even when additional mechanical cooling is required to meet the remainder of the cooling load. Controls are provided such that economizer operation does not increase the building heating energy use during normal operation. Exception: Economizers on VAV systems that cause zone level heating to increase due to reduction in supply air temperature. Airside Economizers All airside economizers are capable of modulating outdoor air dampers to provide up to 100% design airflow for cooling. Economizer dampers are sequenced with the mechanical cooling equipment and not by only mixed air temperature. Economizer high limit shutoff is activated when outdoor air intake will no longer reduce cooling energy usage. Controls are chosen from Tables 6.5.1.1.3A and 6.5.1.1.3B. Return, exhaust/relief, and outdoor air dampers meeting the requirements of Section 6.4.3 System provides relief for up to 100% design airflow in outdoor air. The relief air outlet is located to avoid recirculation into the building. Waterside Economizers Waterside economizers are capable of cooling supply air up to 100% of the expected system cooling load at the conditions listed under Section 6.5.1.2.1 Waterside economizer systems with pressure drop greater than 45kPa are isolated from main cooling loop to reduce pumping input in the normal cooling mode. Simultaneous Heating and Cooling Zone controls prevent a) reheating, b) recooling, c) mixing or simultaneously supplying heated air with cooled air, and d) other simultaneous operation of heating and cooling systems to the same zone. Specify controls exemptions if N/A (provide section reference to ASHRAE 90.1 2010): Where reheat is permitted, zones that have supply and return/exhaust air openings higher than 2m above floor are limited to supply heating air no more than 11 C above the space temperature setpoint. Simultaneous heating and cooling is limited in hydronic systems in accordance with Sections 6.5.2.2.1 through 6.5.2.2.3. Dehumidification controls prevent reheating, mixing of hot and cold airstreams, or other means of simultaneous heating and cooling of the same airstream. Systems that employ hydronic cooling and have humidification use a waterside economizer that complies with Section 6.5.1. Air System Design and Control Fan systems exceeding 4kW nameplate power meet prescriptive fan power limitations as per Table 6.5.3.1.1A and Section 6.5.3.1.2. Variable air volume (VAV) fan controls comply with the requirements of Section 6.5.3.2.1. Static pressure sensors controlling VAV fans are placed such that the setpoint is less than one third of the total design fan static pressure. Systems with DDC of individual zone boxes and central control feature static pressure setpoint reset such that the setpoint is reset lower until one zone damper is nearly wide open. Multiple zone VAV systems with DDC of individual zone boxes and central control feature automatic reduction of outdoor air intake flow below design rates in response to changes in system ventilation efficiency as defined in ASHRAE Standard 62.1 Appendix A. Note: Numbering is based on SI edition of ASHRAE 90.1 2010. N/A N/A November 18, 2016

SECTION 6.5 HVAC PRESCRIPTIVE REQUIREMENTS Detailed Form 6.5 Part II Reference Item Standard Compliance 6.5.3.4 Multiple zone VAV systems include controls that automatically reset the supply air temperature in response to representative building loads, or to outdoor air temperature as per Section 6.5.3.4. 6.5.4.1 Hydronic System Design and Control Pumping systems greater than 7.5 kw employ variable flow controls, with differential pressure sensor located at the most remote heat exchanger, unless exempt. 6.5.4.2 Chilled water plants with more than one chiller and boiler plants with more than one boiler reduce loop water flow automatically whenever a chiller or boiler is shut down. 6.5.4.3 Hydronic systems exceeding design capacity of 88 kw include controls to reset supply water temperature based on building loads or outdoor air temperature. Exception: Variable flow systems as per 6.5.4.1. 6.5.4.4 Hydronic heat pumps and unitary air conditioners include automatic water shutoff when the compressor is off. Hydronic heat pumps and unitary air conditioners having total pump system power greater than 3.7 kw have variable speed control. 6.5.4.5 Chilled water and condenser water pipe is sized according to Table 6.5.4.5. 6.5.5 Heat Rejection Equipment All heat rejection equipment with fan motors > 5.6 kw is capable of operating the fan at two thirds of full speed or less and employs variable speed controls that comply with Section 6.5.5.2. 6.5.5.3 Unducted centrifugal fan open circuit cooling towers meet the energy efficiency requirement for axial fan open circuit cooling towers listed in Table 6.8.1G. 6.5.6 Energy Recovery 6.5.6.1 Exhaust air energy recovery is provided for all fan systems that meet the design supply air flows listed on Table 6.5.6.1 based on their climate zone and outside air fraction. These systems have at least 50% energy recovery effectiveness and are able to bypass recovery system to permit air economizer operation as per Section 6.5.1.1. Specify exemptions if N/A (provide section reference to ASHRAE 90.1 2010): 6.5.6.2 6.5.7.1 6.5.7.1.1 6.5.7.1.2 6.5.7.1.3 6.5.7.1.4 6.5.7.1.5 6.5.7.2 6.5.8.1 6.5.9 Condenser heat recovery system for heating or preheating service hot water is provided. Exception: Not a 24h facility. Exception: Total heat rejection capacity below 1,800kW. Exception: Service water heating load below 300kW. Exhaust Systems Replacement air introduced to kitchen hoods does not exceed 10% of the hood s exhaust capacity Conditioned supply air delivered to any space with a kitchen hood does not exceed the greater of a) supply flow required to meet space heating/cooling loads or b) hood exhaust flow minus the available transfer air from adjacent spaces. Kitchens with total exhaust flows > 2,360 L/S use hoods meeting exhaust rates listed on Table 6.5.7.1.3 and have one of the following: At least 50% of all replacement air is transfer air. Demand ventilation system on at least 75% of the exhaust air. Listed energy recovery devices with sensible effectiveness over 40% on at least 50% of the exhaust airflow. Specifications call for performance testing of kitchen exhaust systems. Laboratory fume hoods with a total exhaust system flow > 2,360 L/S comply with the variable air volume control requirements of 6.5.7.2. Heating of unenclosed spaces is done by radiant heating, except loading docks with air curtains. The cooling equipment with hot gas bypass controls is designed with multiple steps of unloading or continuous capacity modulation. The capacity of the hot gas bypass is limited as indicated in Table 6.5.9. Exception: Unitary packaged systems with cooling capacities below 26 kw. All prescriptive requirements are met. Note: Numbering is based on SI edition of ASHRAE 90.1 2010. November 18, 2016

ASHRAE 90.1 & SB 10 SECTION 7 SERVICE WATER HEATING Detailed Form 7.4 SECTION 7 SERVICE WATER HEATING 7.4 MANDATORY PROVISIONS AND 7.5 PRESCRIPTIVE REQUIREMENTS Reference Item 7.4.1 Load calculations for heating and cooling systems are done in accordance with manufacturer s published sizing guidelines or generally accepted engineering standards and handbooks for selection of all equipment and systems. 7.4.2 Equipment used solely for heating potable water, pool heaters, and hot water storage tanks meets or exceeds the efficiency requirements of Table 7.8. or those referred to in Division 3 of SB 10, Table SB 6.8.1. Standard Compliance 7.4.3 The following service hot water piping is insulated to levels shown in Table 6.8.3. a. recirculating system piping, including piping of a circulating tank type water heater. b. the first 2.4m of outlet piping for a constant temperature non recirculating storage system. c. inlet pipe between storage tank and heat trap in a non recirculating storage system. d. pipes that are externally heated (e.g. heat tracing). 7.4.4.1 All water heating systems have temperature controls that are adjustable down to 49 o C or lower. Exception: Equipment that must be protected from corrosion, as per manufacturer s installation instructions. 7.4.4.2 Systems designed with pipe heating systems such as heat trace have temperature or time controls to disable during extended periods without hot water demand. 7.4.4.3 Public lavatories have outlet temperature controls that limit the discharge temperature to 43 o C. 7.4.4.4 Tanks with remote heaters have circulation pump controls to limit operation of circulation pumps to a maximum of five minutes after the end of the heating cycle. 7.4.5.1 Pool heaters have readily accessible ON/OFF switch without adjusting the thermostat setting. Gas fired heaters do not have standing pilot lights. 7.4.5.2 Heated exterior public pools and public spas shall be equipped with insulated covers, unless heated by site recovered or solar energy. 7.4.5.3 Pool heaters and circulation pumps have time switches, unless exempt. 7.4.6 Heat traps are provided to all vertical risers serving storage water heaters and storage tanks. Prescriptive Requirement Complete this section if not using Energy Cost Budget Method 7.5 Boiler systems that provide space heating as well as service water heating meet the conditions of Sections 7.5.1 and 7.5.2. and Table SB 6.8.1 in Division 3 of SB-10. All mandatory and prescriptive provisions are met.

ASHRAE 90.1 & SB 10 SECTION 8,9 &10 POWER, LIGHTING AND OTHER EQUIPMENT Detailed Forms SECTION 8 POWER MANDATORY PROVISIONS CHECKLIST Detailed Form 8.4 Reference Item Standard Compliance 8.1.2 Low Voltage Dry Type Distribution Transformers meet nominal efficiencies shown in Table 8.1. Exception: Special purpose applications (see 8.1.2 exceptions for list). Exception: Not likely to be used in general purpose applications. Exception: Transformers with multiple voltage taps where the highest tap is at least 20% more than the lowest tap. Exception: Relocation or reuse of existing equipment at the same site. 8.4.1 Feeder conductors are sized for a maximum voltage drop of 2% at design load. Branch circuit conductors are sized for a maximum voltage drop of 3% at design load. 8.4.2 Automatic receptacle controls are provided for at least 50% of all 125 volt 15 and 20 Ampere receptacles installed in computer classrooms as per Section 8.4.2. Exception: Does not apply to private and open offices per Division 3 of SB-10 Exception: Receptacles designated for equipment requiring 24 hour operation. Exception: Spaces where an automatic shutoff would endanger safety or security. All mandatory provisions are met.

SECTION 9 LIGHTING MANDATORY PROVISIONS CHECKLIST Detailed Form 9.4 Reference Item Standard Compliance 9.4.1 Any automatic control devices used are manual ON or multi level where the automatic ON function provides no more than 50% power unless exempt. 9.4.1.1 Automatic lighting shutoff controls are provided for all interior spaces based on either a scheduled basis or controlled by an occupant sensor unless exempt. Schedule based control devices are provided with independent schedules for areas of no more than 2,323m² but no more than one floor. Occupancy based control devices turn lights off within 30 minutes of all occupants leaving the space, or a signal from another control or alarm system that indicates the area is unoccupied. 9.4.1.2 Each space enclosed by ceiling height partitions has at least one readily accessible control device that independently operates general lighting within the space in such a way that occupants can see the controlled lighting. 9.4.1.2a The controlled lighting has at least one control step between 30% and 70% of full lighting power in addition to 0% (all OFF) unless exempt. 9.4.1.2b Occupant sensors or timer switches that automatically turn lighting off within 30 minutes of all occupants leaving the space are provided in variable occupancy spaces such as classrooms, conference rooms, and storage rooms. See spaces listed under section 9.4.1.2b. 9.4.1.2c For spaces not included in 9.4.1.2b smaller than or equal to 929 m 2, a separate space control is provided for each 232 m 2 of area. For spaces not included in 9.4.1.2b larger than 929 m 2 a separate space control is provided for each 929 m 2 of area. Occupant controlled override of the time of day schedule is limited to no more than two hours. 9.4.1.3 Lighting for parking garages is controlled by automatic shutoff controls meeting the requirements outlined in Section 9.4.1.1. Lighting for parking garages is controlled by one or more devices that reduce lighting power by at least 30% when there is no activity within a zone for at most 30 minutes. Each lighting zone for this requirement cannot exceed 334 m², unless exempt. Daylight transition zones in parking garages are controlled separately. These are automatically turned on during daylight hours and off at sunset. Parking garage luminaires within 6m of perimeter walls that have a net opening to wall ratio of at least 40% automatically reduce power in response to daylight, except daylight transition zones. 9.4.1.4 Automatic daylighting controls are provided for separate control of general lighting in primary sidelighted areas greater than 23m² in an enclosed space. Multilevel photocontrol device complies with 9.4.1.4c unless exempt. 9.4.1.5 Automatic daylighting controls are provided for separate control of general lighting in daylight areas where the total daylight area under skylights plus the total daylight area under rooftop monitors in an enclosed space exceeds 84m². Multilevel photocontrol device complies with 9.4.1.5c unless exempt. 9.4.1.6 Additional control is provided to the applications listed in Section 9.4.1.6 and Division 3 of SB 10 9.4.1.7 Exterior lights are shut off by an automatic photosensor when available daylight is sufficient, unless exempt. All building façade and landscape lighting is automatically shut off overnight as per 9.4.1.7b. Exterior lighting not for façade or landscape lighting or uncovered parking areas, including advertising signage, is automatically controlled to reduce lighting power by at least 30% overnight or during inactive periods. 9.4.2 Exit signs do not exceed 5 W per face. 9.4.4 Third party functional testing of all lighting control devices and systems is specified in the construction documents. All mandatory provisions are met.

SECTION 9 LIGHTING INSTALLED LIGHTING POWER COMPLIANCE CHECKLIST* DETAILED Form 9.5 Reference Standard Compliance 9.4.3 Exterior Lighting Zone (Table 9.4.3A) Total Installed Exterior Lighting Power exterior LPA W * List any exemptions that apply: W value of Prescriptive Requirements Complete if not using Energy Cost Budget Method 9.5, 9.6 METHOD OF INTERIOR LIGHTING ALLOWANCE CALCULATION Building Space 9.5 INTERIOR LIGHTING POWER ALLOWANCE BY BUILDING TYPE Calculation of Interior Lighting Power Allowance (ILPA) by Building Type based on Table SB 9.5.1.* Building Type Gross Lighted Area m² Lighting Power Density W/m² Total Installed Interior Lighting Power interior LPA W * W value of 9.6 INTERIOR LIGHTING POWER ALLOWANCE BY SPACE FUNCTION Calculation of Interior Lighting Power Allowance (ILPA) for each space based on Table SB 9.6.1. * Total Installed Interior Lighting Power Interior LPA W * List any exemptions that apply: W value of Total installed interior and exterior lighting power allowances are met. * Calculation worksheets (FORM 9.5.2 and FORM 9.5.3) are required. Where a software program is used to calculate compliance with Sections 9.4, 9.5 and 9.6, the software report may be submitted in lieu of FORM 9.5 and worksheets. SECTION 10 OTHER EQUIPMENT MANDATORY PROVISIONS Detailed Form 10.4 Reference Item Standard Compliance 10.4.1 Electric motors comply with Table 10.4.1.A(a) and Table 10.4.1.A(b) of Division 3 of SB 10 10.4.2 Service water pressure booster pumps have pressure sensor to vary pump speed and/or start and stop pumps. N/A No devices are installed to reduce the pressure of all of the water supplied by any booster system or pump, except for safety devices. N/A Booster pumps shut off when there is no service water flow. N/A All elevator cab lighting systems have efficacy of not less than 35 lumens per Watt. N/A Elevator cab ventilation fans for elevators without air conditioning consume less than 0.7 W s/l 10.4.3 at maximum speed. N/A Cab interior light and ventilation is disabled when elevators are stopped and unoccupied with doors closed for over 15 minutes. N/A All mandatory provisions are met.

ASHRAE 90.1 & SB 10 SECTION 9 LIGHTING COMPLIANCE WORKSHEET Project: FORM 9.5.2 Designer Name: Interior Power Allowance (Building Area Method) Table ^ 9.5.1 Building Type Lighting Power Density Allowance (W/m²) Gross Lighted Floor Area (m²) Lighting Power Allowance (W) (LPDxGLFA) Total Power Allowance Interior Lighting Power Allowance (Space by Space Method) Table SB 9.6.1 Building Type Common/Specific Space Type Lighting Power Density Allowance (W/m²) Space Area (m²) Lighting Power Allowance (W) Total Power Allowance Interior Connected Lighting Power Space ID Luminaire Description (including number of lamps per fixture, watts per lamp, type of ballast, type of fixture) Number of Luminaires Watts/ Luminaire Total Watts Total Interior Lighting Power * If additional space is required to provide further information, please attach a separate sheet(s) of paper. ** If additional interior lighting power, trade offs or exceptions are used attach calculations. Note: Numbering is based on SI edition of ASHRAE 90.1 2010. November 18, 2016

ASHRAE 90.1 & SB 10 SECTION 9 LIGHTING COMPLIANCE WORKSHEET FORM 9.5.3 Project: Designer Name: Exterior Building Lighting Power Allowance Location / Application Allowance Area or Length (m² or m) Tradable Power Allowance Exterior Lighting Zone Base Site Allowance Tradable Power Allowance ID Exterior Installed Lighting Power Luminaire description (including number of lamps per fixture, watts per lamp, type of ballast, type of fixture) Number of Luminaires Watts/ Luminaire Total Watts Total Exterior Lighting Power * If additional space is required to provide further information, please attach a separate sheet(s) of paper. ** If trade offs or exceptions are used attach calculations.

ASHRAE 90.1 2010 & SB 10 ENERGY COST BUDGET (ECB) COMPLIANCE REPORT FORM 11 Project: Occupancies Assembly Health/Institutional Hotel/Motel Light Manufacturing Multifamily Office Restaurant Retail School Warehouse Other Total Proposed Building Description Floor Area Designer Name: Annual Consumption Reference Building Proposed Units Summary (1) Energy Building Energy Space Heating Space Cooling HVAC Auxiliary Misc. Electrical Service Hot Water Interior Lighting Other Other Total Annual Energy Total Annual Energy Cost $ > $ Total Annual CO 2e Emissions >... Peak Electric Demand >.. or Building components specified in Sentence 1.1.2.3.(2) of Chapter 1 of Division 3 of SB-10 comply with the prescriptive requirements of ASHRAE 90.1-2010 Reference Building Energy and Proposed Building Energy Consumptions are calculated by: Please specify modelling software: HVAC System Descriptions Energy Efficiency Features in Proposed Building Design (2) Reference Building Design Proposed Building Design Building is in compliance with mandatory requirements of sections 5.4, 6.4, 7.4, 8.4, 9.4, and 10.4 Compliance Result The design detailed in the above referenced plans complies with the mandatory requirements of the ASHRAE 90.1-2010 Standard and the additional requirements of Supplementary Standard SB-10. The calculated proposed building energy cost (design energy cost), CO 2 emissions and peak electric demand do not exceed the calculated reference building energy cost (energy cost budget) CO 2 emissions and peak electric demand. Therefore, this design DOES COMPLY with the ASHRAE 90.1-2010 ECB compliance methodology and the additional requirements of Supplementary Standard SB-10. The information submitted above is accurate to the best of my knowledge. Signature: Name/Title: Notes: (1) Verify with building official whether full modelling report is required to be submitted. (2) Explain major energy saving features utilized to achieve modelled savings. Note: Numbering is based on SI edition of ASHRAE 90.1-2010. November 18, 2016