Fillable Ozercc-compliance-form 2019 Oregon Zero Energy Ready Commercial Code Compliance Form

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Ozercc-compliance-form 2019 Oregon Zero Energy Ready Commercial Code Compliance Form

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The Ozercc-compliance-form 2019 Oregon Zero Energy Ready Commercial Code Compliance Form form is 1 page long and contains:

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  • 7 check-boxes
  • 17 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Hood River

BROWSE CITY OF HOOD RIVER (OR) FORMS

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2019 Oregon Zero Energy Ready Commercial Code
Compliance Form
This form provides the required information to demonstrate compliance with Part I of the Oregon Zero Energy Ready
Commercial Code (Chapter 13 of the 2019 Oregon Structural Specialty Code) and must be provided to the building
official at the time of submitting the plan review documents.
BUILDING INFORMATION
Applicant name: Phone number:
Project name:
Address / location:
City: State: Oregon ZIP:
Primary building use (As indicated on ZERO Code Calculator report): Number of floors:
Part I COMcheck information
Compliance path: COMcheck (Standard 90.1) results:
Performance path Pass
Prescriptive path Fail *For performance path, submit the energy model report with this form.
Prepared by or under the supervision of: Date:
Part II Projected energy use
Enter the ZERO Code Calculator results for projected energy use.
Estimated building energy consumption: MBtu/yr
Part III Estimated available renewables for the building
Enter the ZERO Code Calculator results for offsets.
Total renewable energy to achieve Net Zero: MBtu/yr
On-site PV generational potential: MBtu/yr
Remaining off-site renewable energy: MBtu/yr
CHECKLIST AND APPLICANT SIGNATURE
COMcheck report and ZERO Code Calculator report must be submitted with this form.
COMcheck report is attached Energy model report is attached (if COMcheck failed)
ZERO Code Calculator report is attached
Print Name
Signature
Date
Electronic Signatures and Similar Markings are Recognized as a Legal Binding Signature by the City of Hood River and the State of Oregon. ORS 84.0001 to ORS84.061
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Ozercc-compliance-form 2019 Oregon Zero Energy Ready Commercial Code Compliance Form

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Completed 11 July 2020

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