CCAD Admin Ph1 Spec Section 019113.01, PFC and FPT.pdf

Powertrain Administrative Annex WON1358348

Section 01 91 13.01

Total Building Commissioning

Sample PFCs and FPTs attached for reference only. Project specific checklists and test procedures will be developed by the CxG after 100% design completion.

HVAC Systems

PROJECT:

LOCATION:

CCAD Admin Annex Corpus Christi, TX

DATE:

CONTACT:

SYSTEM/UNIT: Air Side/AHU AREA: Mech Room 170 Model Verification - Air Side/AHU

Verification Response Notes By Date/Time

1 Specified Manufacturer 2 Installed Manufacturer 3 Specified Model # 4 Installed Model # 5 Serial # 6 Specified Airflow 7 Specified Static Pressure General - Air Side/AHU

Verification Response Notes By Date/Time

1 Inspection and Access doors are operable

2 Casing Undamaged 3 Equipment has been cleaned and finish touched up if necessary.

4 Manufacturer's required maintenance clearance provided for service.

5 Specified unit mounting requirements

6 Verify unit is mounted per plans and specs

7 Specified access doors 8 Verify access doors are provided per plans and specs 9 Access doors are installed so no air leaks through door 10 Access doors open against air pressure Ductwork - Air Side/AHU

Verification Response Notes By Date/Time

1 Access doors installed and labeled at fire / smoke dampers, fire dampers, and smoke detectors

SSRCx

Sam ple

LOCATION:

CCAD Admin Annex Corpus Christi, TX

DATE:

CONTACT:

SYSTEM/UNIT: Air Side/AHU AREA: Mech Room 170 Controls - Air Side/AHU

Verification Response Notes By Date/Time

1 Supply duct smoke detector is installed after supply fan

2 Specified return air sensors are installed per the controls schematic

3 Verify return air sensors are installed per the controls schematic

4 Specified mixed air sensors are installed per the controls schematic

5 Verify mixed air sensors are installed per the controls schematic

6 Specified discharge air sensors are installed per the controls schematic

7 Verify discharge air sensors are installed per the controls schematic

8 Specified automatic dampers are installed per the controls schematic

9 Verify automatic dampers are installed per the controls schematic

Verification Response Notes By Date/Time

1 Permanently fasten labels are on each major item of mechanical equipment. Labels are located in accessible and visible areas.

Insulation - Air Side/AHU Verification Response Notes By Date/Time

1 Specified Air Duct Insulation requirements:

2 Verify Air Duct Insulation requirements:

SSRCx

Labeling - Air Side/AHU

LOCATION:

CCAD Admin Annex Corpus Christi, TX

DATE:

CONTACT:

SYSTEM/UNIT: Air Side/AHU/CHW Coil Model

Verification - Air Side/AHU/CHW Coil Verification Response Notes By Date/Time

1 Specified air temperature in/out 2 Specified Water temperature in/out 3 Specified water flow Installation - Air Side/AHU/CHW Coil

Verification Response Notes By Date/Time

1 Water flow through coil is piped for counter flow. (Coolest water to coolest air)

2 Piping is arranged with unions/flanges to allow for coil removal with minimal interference

3 Hydronic piping supported independently of coils

4 Specified pipe hanger requirements

5 Verify pipe hangers are installed per plans and specs

6 Control valve is accessible for service/repair

7 Any damage to coil tubing or fins has been repaired and coils are clean .

Piping - Air Side/AHUCHW Coil Verification Response Notes By Date/Time

1 Specified coil piping requirements per detail (supply line to coil):

2 Verify coil piping requirements per detail (supply line to coil):

3 Specified coil piping requirements per detail (coil to return line):

4 Verify coil piping requirements per detail (coil to return line):

5 Coil drain connection provided at low point

6 Coil air vent is installed at high point

7 Specified condensate piping requirements per detail:

8 Verify condensate piping requirements per detail:

9 Specified thermometers are installed

10 Verify thermometers are installed per plans and specs

11 Specified pressure gauges are installed

12 Verify pressure gauges are installed per plans and specs

SSRCx

LOCATION:

CCAD Admin Annex Corpus Christi, TX

DATE:

CONTACT:

SYSTEM/UNIT: Air Side/AHU/CHW Coil

Labeling - Air Side/AHU/CHW Coil Verification Response Notes By Date/Time

1 All piping is labeled with contents and flow direction in viewable location.

Insulation - Air Side/AHU/CHW Coil Verification Response Notes By Date/Time

1 Specified piping insulation requirements:

2 Verify piping is insulated per the requirements

3 Specified condensate piping insulation requirements:

4 Verify condensate piping is insulated per the requirements:

SSRCx

LOCATION:

CCAD Admin Annex Corpus Christi, TX

DATE:

CONTACT:

SYSTEM/UNIT: Air Side/AHU-1-1/HW Reheat Coil

Model Verification - Air Side/AHU-1-1/HW Reheat Coil Verification Response Notes By Date/Time

1 Specified air temperature in/out 2 Specified Water temperature in/out 3 Specified water flow Installation - Air Side/AHU-1-1/HW Reheat Coil

Verification Response Notes By Date/Time

1 Water flow through coil is piped for counter flow. (Coolest water to coolest air)

2 Piping is arranged with unions/flanges to allow for coil removal with minimal interference

3 Hydronic piping supported independently of coils

4 Specified pipe hanger requirements

5 Verify pipe hangers are installed per plans and specs

6 Control valve is accessible for service/repair

7 Any damage to coil tubing or fins has been repaired and coils are clean .

Piping - Air Side/AHU-1-1/HW Reheat Coil Verification Response Notes By Date/Time

1 Specified coil piping requirements per detail (supply line to coil):

2 Verify coil piping requirements per detail (supply line to coil):

3 Specified coil piping requirements per detail (coil to return line):

4 Verify coil piping requirements per detail (coil to return line):

5 Coil drain connection provided at low point

6 Coil air vent is installed at high point

7 Specified thermometers are installed

8 Verify thermometers are installed per plans and specs

9 Specified pressure gauges are installed

10 Verify pressure gauges are installed per plans and specs

Labeling - Air Side/AHU-1-1/HW Reheat Coil Verification Response Notes By Date/Time

1 All piping is labeled with contents and flow direction in viewable location.

SSRCx

LOCATION:

CCAD Admin Annex Corpus Christi, TX

DATE:

CONTACT:

SYSTEM/UNIT: Air Side/AHU-1-1/HW Reheat Coil

Insulation - Air Side/AHU-1-1/HW Reheat Coil Verification Response Notes By Date/Time

1 Specified piping insulation requirements:

2 Verify piping is insulated per the requirements

SYSTEM/UNIT: Air Side/AHU-1-1/Supply Fan

Model Verification - Air Side/AHU-1-1/Supply Fan Verification Response Notes By Date/Time

1 Specified Electrical Data 2 Specified Motor Efficiency Installation - Air Side/AHU-1-1/Supply Fan

Verification Response Notes By Date/Time

1 High pressure lubrication lines are extended to accessible location

2 Flexible duct connections are installed between duct and fan

3 Fan & motor are internally isolated with spring isolators

4 Clearance is provided for service and removal of fan motor

Electrical - Air Side/AHU-1-1/Supply Fan Verification Response Notes By Date/Time

1 Disconnect is provided

SYSTEM/UNIT: Air Side/AHU-1-1/Final Filter

Model Verification - Air Side/AHU-1-1/Final Filter Verification Response Notes By Date/Time

1 Specified Filter Rating/Efficiency 2 Specified Filter Pressure drop clean/dirty Installation - Air Side/AHU-1-1/Final Filter

Verification Response Notes By Date/Time

1 Magnehelic pressure gauge is installed at filter and viewable

2 Filter is installed with no gaps for air to bypass filter

3 Filter is installed with clearance for service and removal

4 Filters are clean

SSRCx

LOCATION:

CCAD Admin Annex Corpus Christi, TX

DATE:

CONTACT:

SYSTEM/UNIT: Air Side/AHU-1-3C/Pre-Filter

Model Verification - Air Side/AHU-1-1/Pre-Filter Verification Response Notes By Date/Time

1 Specified Filter Rating/Efficiency 2 Specified Filter Pressure drop clean/dirty Installation - Air Side/AHU-1-1/Pre-Filter

Verification Response Notes By Date/Time

1 Magnehelic pressure gauge is installed at filter and viewable

2 Filter is installed with no gaps for air to bypass filter

3 Filter is installed with clearance for service and removal

4 Filters are clean

SYSTEM/UNIT: Air Side/AHU-1-1/Supply Fan VFD

General - Air Side/AHU-1-1/Supply Fan VFD Verification Response Notes By Date/Time

1 Hand-Off-Auto switch is provided and is switchable from keypad controller

2 Door-interlocked non-fused disconnect switch is provided

3 Adequate working clearance is provided for VFD.

4 VFD screen display is functioning properly and is viewable

5 Power available to VFD 6 Drive capacity matches motor 7 Drive securely mounted 8 Drive location not subject to temperatures outside of range (32 - 104°F)

Labeling - Air Side/AHU-1-1/Supply Fan VFD Verification Response Notes By Date/Time

1 Permanently fasten labels on each VFD describing equipment served.

Labels are located in accessible and visible areas.

SSRCx

LOCATION:

CCAD Admin Annex Corpus Christi, TX

1844029.0PROJECT #:

DATE:

CONTACT:

AUTHOR:

10/28/2019 Rusty Ross

SYSTEM/UNIT: SAMPLE PFCs/ Boiler Sample

Model Verification - SAMPLE PFCs/ Boiler Sample Verification Response Notes By Date/Time

1 Specified Manufacturer 2 Installed Manufacturer 3 Specified Model # 4 Installed Model # 5 Serial # 6 Specified Fuel Type 7 Installed Fuel Type 8 Specified Capacity 9 Installed Capacity 10 Specified ASME Safety Relief

Valve Pressure 11 Installed ASME Safety Relief Valve

Pressure General - SAMPLE PFCs/ Boiler Sample

Verification Response Notes By Date/Time

1 Casing Undamaged 2 Equipment has been cleaned and finish touched up if necessary.

3 Manufacturer's required maintenance clearance provided for service.

4 Specified unit mounting requirements

5 Verify unit is mounted per plans and specs (See comment for project specific requirements)

Installation - SAMPLE PFCs/ Boiler Sample Verification Response Notes By Date/Time

1 Specified boiler flue requirements per plans and specs

2 Verify boiler flue requirements per plans and specs (See comment for project specific requirements)

3 Flue gas piping includes condensate piping to Condensate Neutralization Basin

4 Condensate Neutralization Basin is piped to floor drain

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Sample

LOCATION:

CCAD Admin Annex Corpus Christi, TX

1844029.0PROJECT #:

DATE:

CONTACT:

AUTHOR:

10/28/2019 Rusty Ross

SYSTEM/UNIT: SAMPLE PFCs/ Boiler Sample

Piping - SAMPLE PFCs/ Boiler Sample Verification Response Notes By Date/Time

1 Specified boiler piping requirements per detail (Return line to boiler):

2 Verify boiler piping requirements per detail (Return line to boiler - See comment for project specific requirements):

3 Specified boiler piping requirements per detail (Boiler to supply line):

4 Verify boiler piping requirements per detail (Boiler to supply line - See comment for project specific requirements):

5 Specified fuel train piping requirements per detail:

6 Verify gas train piping requirements per detail (See comment for project specific requirements):

7 Pressure regulator and Normally Open vent valve properly routed outside the boiler room

8 Safety relief valve is installed and terminated per plans and specs:

9 Specified thermometers are installed

10 Verify thermometers are installed per plans and specs (See comment for project specific requirements)

11 Specified pressure gauges are installed

12 Verify pressure gauges are installed per plans and specs (See comment for project specific requirements)

13 Piping is arranged with unions/flanges to allow for boiler removal with minimal interference

14 Hydronic piping supported independently of boiler

Electrical - SAMPLE PFCs/ Boiler Sample Verification Response Notes By Date/Time

1 Disconnect is provided 2 Power is available to unit Controls - SAMPLE PFCs/ Boiler Sample

Verification Response Notes By Date/Time

1 All control devices and wiring is complete

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LOCATION:

CCAD Admin Annex Corpus Christi, TX

1844029.0PROJECT #:

DATE:

CONTACT:

AUTHOR:

10/28/2019 Rusty Ross

SYSTEM/UNIT: SAMPLE PFCs & FPTs/Boiler Sample

Labeling - SAMPLE PFCs/ Boiler Sample Verification Response Notes By Date/Time

1 Permanently fasten labels are on each major item of mechanical equipment. Labels are located in accessible and visible areas.

Insulation - SAMPLE PFCs/ Boiler Sample Verification Response Notes By Date/Time

1 All piping is labeled with contents and flow direction in viewable location.

2 Specified piping insulation requirements:

3 Verify piping is insulated per the requirements (See comment for project specific requirements):

SSRCx Page 18 of 25

LOCATION:

CCAD Admin Annex Corpus Christi, TX

1844029.0PROJECT #:

DATE:

CONTACT:

AUTHOR:

10/28/2019 Rusty Ross

SYSTEM/UNIT: SAMPLE PFCs/ Chiller Sample

Model Verification - SAMPLE PFCs/ Chiller Sample Verification Response Notes By Date/Time

1 Specified Manufacturer 2 Installed Manufacturer 3 Specified Model # 4 Installed Model # 5 Serial # 6 Specified Capacity 7 Installed Capacity 8 Specified Condenser water flow 9 Installed Condenser water flow 10 Specified Evaporator water flow 11 Installed Evaporator water flow General - SAMPLE PFCs/ Chiller Sample

Verification Response Notes By Date/Time

1 Casing Undamaged 2 Equipment has been cleaned and finish touched up if necessary.

3 Manufacturer's required maintenance clearance provided for service.

4 Specified unit mounting requirements

5 Verify unit is mounted per plans and specs (See comment for project specific requirements)

6 Evaporator has water side air vents and drains

7 Condenser has water side air vents and drains

8 Evaporator refrigerant relief valve is installed and vented to atmosphere

9 Condenser refrigerant relief valve is installed and vented to atmosphere

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LOCATION:

CCAD Admin Annex Corpus Christi, TX

1844029.0PROJECT #:

DATE:

CONTACT:

AUTHOR:

10/28/2019 Rusty Ross

SYSTEM/UNIT: SAMPLE PFCs/ Chiller Sample

Piping - SAMPLE PFCs/ Chiller Sample Verification Response Notes By Date/Time

1 Specified chiller chilled water piping requirements per detail:

(return piping to chiller)

2 Verify chiller chilled water piping requirements per detail: (return piping to chiller - See comment for project specific requirements)

3 Specified chiller chilled water piping requirements per detail:

(chiller to supply piping)

4 Verify chiller chilled water piping requirements per detail: (chiller to supply piping - See comment for project specific requirements)

5 Specified chiller condenser water piping requirements per detail:

(supply piping to chiller)

6 Verify chiller condenser water piping requirements per detail:

(supply piping to chiller - See comment for project specific requirements)

7 Specified chiller condenser water piping requirements per detail:

(chiller to return piping)

8 Verify chiller condenser water piping requirements per detail:

(chiller to return piping - See comment for project specific requirements)

9 Specified thermometers are installed

10 Verify thermometers are installed per plans and specs (See comment for project specific requirements)

11 Specified pressure gauges are installed

12 Verify pressure gauges are installed per plans and specs (See comment for project specific requirements)

13 Piping is arranged with unions/flanges to allow for chiller removal with minimal interference

14 Hydronic piping supported independently of chiller

Electrical - SAMPLE PFCs/ Chiller Sample Verification Response Notes By Date/Time

1 Disconnect is provided 2 Power is available to unit

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SYSTEM/UNIT: SAMPLE PFCs/ Chiller

Controls - SAMPLE PFCs/ Chiller Sample Verification Response Notes By Date/Time

1 All control devices and wiring is complete

2 Refrigerant monitor is mounted in chiller room w/ visual & audible alarms

Labeling - SAMPLE PFCs/ Chiller Sample Verification Response Notes By Date/Time

1 Permanently fasten labels on mechanical equipment. Labels are located in accessible & visible areas.

2 All piping is labeled with contents and flow direction in viewable location.

Insulation - SAMPLE PFCs/ Chiller Sample Verification Response Notes By Date/Time

1 Specified chilled water piping insulation requirements

2 Verify chilled water piping is insulated per the requirements (See comment for project specific requirements)

3 Specified condenser water piping insulation requirements

4 Verify condenser water piping is insulated per the requirements (See comment for project specific requirements)

5 Specified Chiller barrel insulation requirements

6 Verify Chiller barrel is insulated per the requirements (See comment for project specific requirements)

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LOCATION:

CCAD Admin Annex Corpus Christi, TX

1844029.0PROJECT #:

DATE:

CONTACT:

AUTHOR:

10/28/2019 Rusty Ross

SYSTEM/UNIT: SAMPLE PFCs/ Cooling Tower Sample

Model Verification - SAMPLE PFCs/ Cooling Tower Sample Verification Response Notes By Date/Time

1 Specified Manufacturer 2 Installed Manufacturer 3 Specified Model # 4 Installed Model # 5 Serial # 6 Specified Electrical 7 Installed Electrical General - SAMPLE PFCs/ Cooling Tower Sample

Verification Response Notes By Date/Time

1 Casing Undamaged 2 Equipment has been cleaned and finish touched up if necessary.

3 Manufacturer's required maintenance clearance provided for service.

4 Specified unit mounting requirements

5 Verify unit is mounted per plans and specs (See comment for project specific requirements)

Installation - SAMPLE PFCs/ Cooling Tower Sample Verification Response Notes By Date/Time

1 Bird screen is installed on intake louvers

2 Bird screen is installed on fan discharge

3 Ladder w/ extension and safety cage is provided for access to top of tower w/ handrails at top

4 Doors are provided on both sides of unit with internal walkway & ladder w/ safety cage is provided for access inside unit

5 Integral drift eliminators are installed on tower

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SYSTEM/UNIT: SAMPLE PFCs/ Cooling Tower Sample

Piping - SAMPLE PFCs/ Cooling Tower Sample Verification Response Notes By Date/Time

1 Specified chiller condenser water piping requirements per detail:

(supply piping to CT)

2 Verify chiller condenser water piping requirements per detail:

(supply piping to CT - See comment for project specific requirements)

3 Specified chiller condenser water piping requirements per detail: (CT to system piping)

4 Verify chiller condenser water piping requirements per detail: (CT to system piping - See comment for project specific requirements)

5 Specified makeup water piping requirements per detail:

6 Verify makeup water piping requirements per detail (See comment for project specific requirements):

7 Specified water treatment requirements per detail:

8 Verify water treatment requirements per detail (See comment for project specific requirements):

9 Hydronic piping supported independently of CT

10 Equalizer line is installed between each sump

Electrical - SAMPLE PFCs/ Cooling Tower Sample Verification Response Notes By Date/Time

1 Disconnect is provided 2 Power is available to unit Controls - SAMPLE PFCs/ Cooling Tower Sample

Verification Response Notes By Date/Time

1 All control devices and wiring is complete

2 Vibration cutoff switch is installed on tower

3 Basin heater is installed with thermostat and low water cutoff

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LOCATION:

CCAD Admin Annex Corpus Christi, TX

1844029.0PROJECT #:

DATE:

CONTACT:

AUTHOR:

10/28/2019 Rusty Ross

SYSTEM/UNIT: SAMPLE PFCs/ Cooling Tower Sample

Labeling - SAMPLE PFCs/ Cooling Tower Sample Verification Response Notes By Date/Time

1 Permanently fasten labels on mechanical equipment. Labels are located in accessible & visible areas.

2 All piping is labeled with contents and flow direction in viewable location.

Insulation - SAMPLE PFCs/ Cooling Tower Sample Verification Response Notes By Date/Time

1 Specified condenser water piping insulation requirements:

2 Verify condenser water piping is insulated per the requirements (See comment for project specific requirements)

3 Heat trace provided for exposed water piping

SSRCx Page 6 of 25

LOCATION:

CCAD Admin Annex Corpus Christi, TX

1844029.0PROJECT #:

DATE:

CONTACT:

AUTHOR:

10/28/2019 Rusty Ross

SYSTEM/UNIT: SAMPLE PFCs/ CRU Sample

Model Verification - SAMPLE PFCs/ CRU Sample Verification Response Notes By Date/Time

1 Specified Manufacturer 2 Installed Manufacturer 3 Specified Model # 4 Installed Model # 5 Serial # 6 Specified Electrical 7 Installed Electrical General - SAMPLE PFCs/ CRU Sample

Verification Response Notes By Date/Time

1 Casing Undamaged 2 Equipment has been cleaned and finish touched up if necessary.

3 Manufacturer's required maintenance clearance provided for service.

4 Specified unit mounting requirements

5 Verify unit is mounted per plans and specs (See comment for project specific requirements)

SSRCx Page 19 of 25

LOCATION:

CCAD Admin Annex Corpus Christi, TX

1844029.0PROJECT #:

DATE:

CONTACT:

AUTHOR:

10/28/2019 Rusty Ross

SYSTEM/UNIT: SAMPLE PFCs/ CRU Sample

Piping - SAMPLE PFCs/ CRU Sample Verification Response Notes By Date/Time

1 Specified piping requirements per detail: (Condensate Line to receiver)

2 Verify piping requirements per detail: (Condensate Line to receiver - See comment for project specific requirements)

3 Specified piping requirements per detail: (Condensate discharge piping)

4 Verify piping requirements per detail: (Condensate discharge piping - See comment for project specific requirements)

5 Verify vent is properly piped and is vented to atmosphere

6 Verify the overflow has proper trap depth and is piped to floor drain

7 Specified pressure gauges are installed

8 Verify pressure gauges are installed per plans and specs (See comment for project specific requirements)

9 Receiver sight glass is installed 10 Hydronic piping supported independently of pump 11 Specified pipe hanger requirements 12 Verify pipe hangers are installed per plans and specs (See comment for project specific requirements)

Electrical - SAMPLE PFCs/ CRU Sample Verification Response Notes By Date/Time

1 Disconnect is provided 2 Power is available to unit Controls - SAMPLE PFCs/ CRU Sample

Verification Response Notes By Date/Time

1 Pump package is provided with disconnects (HOA), switches and pilot lights as specified

Labeling - SAMPLE PFCs/ CRU Sample Verification Response Notes By Date/Time

1 Permanently fasten labels on mechanical equipment. Labels are located in accessible & visible areas.

2 All piping is labeled with contents and flow direction in viewable location.

SSRCx Page 20 of 25

LOCATION:

CCAD Admin Annex Corpus Christi, TX

1844029.0PROJECT #:

DATE:

CONTACT:

AUTHOR:

10/28/2019 Rusty Ross

SYSTEM/UNIT: SAMPLE PFCs/ CRU Sample

Insulation - SAMPLE PFCs/ CRU Sample Verification Response Notes By Date/Time

1 Specified piping insulation requirements:

2 Verify piping is insulated per the requirements (See comment for project specific requirements)

SSRCx Page 21 of 25

LOCATION:

CCAD Admin Annex Corpus Christi, TX

1844029.0PROJECT #:

DATE:

CONTACT:

AUTHOR:

10/28/2019 Rusty Ross

SYSTEM/UNIT: SAMPLE PFCs/ EF Sample

Model Verification - SAMPLE PFCs/ EF Sample Verification Response Notes By Date/Time

1 Specified Manufacturer 2 Installed Manufacturer 3 Specified Model # 4 Installed Model # 5 Serial # 6 Specified Electrical Data 7 Installed Electrical Data 8 Specified Motor Efficiency 9 Installed Motor Efficiency 10 Specified Airflow 11 Specified Static Pressure General - SAMPLE PFCs/ EF Sample

Verification Response Notes By Date/Time

1 Casing Undamaged 2 Equipment has been cleaned and finish touched up if necessary.

3 Manufacturer's required maintenance clearance provided for service.

4 Specified unit mounting requirements

5 Verify unit is mounted per plans and specs (See comment for project specific requirements)

6 Specified access doors per plans and specs

7 Verify access doors are provided per plans and specs (See comment for project specific requirements)

8 Belt is properly aligned 9 Unit is equipped with a bird screen 10 Inspection and Access doors are operable Ductwork - SAMPLE PFCs/ EF Sample

Verification Response Notes By Date/Time

1 Ductwork is connected to unit with flexible connections

2 Duct installation is complete Electrical - SAMPLE PFCs/ EF Sample

Verification Response Notes By Date/Time

1 Disconnect is unit-mounted or located within line of sight of the Fan

2 Power available to Fan

SSRCx Page 24 of 25

LOCATION:

CCAD Admin Annex Corpus Christi, TX

1844029.0PROJECT #:

DATE:

CONTACT:

AUTHOR:

10/28/2019 Rusty Ross

SYSTEM/UNIT: SAMPLE PFCs/ EF Sample

Controls - SAMPLE PFCs/ EF Sample Verification Response Notes By Date/Time

1 All control devices and wiring are complete

Labeling - SAMPLE PFCs/ EF Sample Verification Response Notes By Date/Time

1 Permanently fasten labels on mechanical equipment. Labels are located in accessible & visible areas.

2 Duct is labeled with contents and flow direction

SSRCx Page 25 of 25

LOCATION:

CCAD Admin Annex Corpus Christi, TX

1844029.0PROJECT #:

DATE:

CONTACT:

AUTHOR:

10/28/2019 Rusty Ross

SYSTEM/UNIT: SAMPLE PFCs/ FCU Sample

Model Verification - SAMPLE PFCs/ FCU Sample Verification Response Notes By Date/Time

1 Specified Manufacturer 2 Installed Manufacturer 3 Specified Model 4 Installed Model 5 Serial # 6 Specified Electrical 7 Installed Electrical 8 Specified Filter 9 Installed Filter General - SAMPLE PFCs/ FCU Sample

Verification Response Notes By Date/Time

1 Equipment has been cleaned and finish touched up if necessary.

2 Manufacturer's required maintenance clearance provided for service.

3 Casing is undamaged 4 Specified unit mounting requirements 5 Verify unit is mounted per plans and specs (See comment for project specific requirements)

6 Specified auxillary drain pan under the unit:

7 Verify auxillary drain pan is installed under the unit (See comment for project specific requirements)

8 Clearance for replacing filters is provided

9 Filters fit tightly in the racks where air cannot bypass the filters

Electrical & Controls - SAMPLE PFCs/ FCU Sample Verification Response Notes By Date/Time

1 Disconnect is unit-mounted or located within line of sight of fan

2 Power available to FCU 3 All control devices and wiring are complete 4 Zone thermostat properly located and installed per plans.

Labeling - SAMPLE PFCs/ FCU Sample

Verification Response Notes By Date/Time

1 Permanently fasten labels on each major item of mechanical equipment. Labels are located in accessible and visible areas.

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LOCATION:

CCAD Admin Annex Corpus Christi, TX

1844029.0PROJECT #:

DATE:

CONTACT:

AUTHOR:

10/28/2019 Rusty Ross

SYSTEM/UNIT: SAMPLE PFCs/ FCU Sample

Insulation - SAMPLE PFCs/ FCU Sample Verification Response Notes By Date/Time

1 Specified Indoor Supply Air Duct Insulation requirements:

2 Verify Indoor Supply Air Duct Insulation requirements (See comment for project specific requirements):

3 Specified Indoor Return Air Duct Insulation requirements:

4 Verify Indoor Return Air Duct Insulation requirements (See comment for project specific requirements):

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LOCATION:

CCAD Admin Annex Corpus Christi, TX

1844029.0PROJECT #:

DATE:

CONTACT:

AUTHOR:

10/28/2019 Rusty Ross

SYSTEM/UNIT: SAMPLE PFCs/ Hydronic System Sample

Model Verification - SAMPLE PFCs/ Hydronic System Sample Verification Response Notes By Date/Time

1 Specified Expansion Tank Manufacturer

2 Installed Expansion Tank Manufacturer

3 Specified Model # 4 Installed Model # 5 Specified Air Charge 6 Installed Air Charge 7 Specified Tank Volume 8 Installed Tank Volume 9 Specified Air Separator

Manufacturer 10 Installed Air Separator

Manufacturer 11 Specified Make-Up water system manufacturer 12 Installed Make-Up water system manufacturer 13 Specified Model #:

14 Installed Model #:

15 Serial # 16 Specified Electrical 17 Installed Electrical

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LOCATION:

CCAD Admin Annex Corpus Christi, TX

1844029.0PROJECT #:

DATE:

CONTACT:

AUTHOR:

10/28/2019 Rusty Ross

SYSTEM/UNIT: SAMPLE PFCs/ Hydronic System Sample

General - SAMPLE PFCs/ Hydronic System Sample Verification Response Notes By Date/Time

1 Casing Undamaged 2 Equipment has been cleaned and finish touched up if necessary.

3 Manufacturer's required maintenance clearance provided for service.

4 Specified unit mounting requirements (Expansion Tank)

5 Verify expansion tank is mounted per plans and specs (See comment for project specific requirements):

6 Specified unit mounting requirements (Air Separator)

7 Verify air separator is mounted per plans and specs (See comment for project specific requirements)

8 Specified unit mounting requirements (Make-Up water)

9 Verify make-up water piping is mounted per plans and specification (See comment for project specific requirements)

10 Air Separator is supported according to manufacturer's requirements and not supported by piping or lifting lugs

Piping - SAMPLE PFCs/ Hydronic System Sample Verification Response Notes By Date/Time

1 Specified piping requirements per detail: (Make-Up water, ET, and

AS)

2 Verify piping requirements per detail: (Make-Up water, ET, and AS

- See comment for project specific requirements)

3 Thermal trap is installed between system and expansion tank

4 Specified pressure gauges are installed

5 Verify pressure gauges are installed per plans and specs (See comment for project specific requirements)

6 Piping is arranged with unions/flanges to allow for equipment removal with minimal interference

7 Hydronic piping supported independently of equipment

8 Safety relief valve is installed and piped to floor drain

SSRCx Page 11 of 25

LOCATION:

CCAD Admin Annex Corpus Christi, TX

1844029.0PROJECT #:

DATE:

CONTACT:

AUTHOR:

10/28/2019 Rusty Ross

SYSTEM/UNIT: SAMPLE PFCs/ Hydronic System Sample

Labeling - SAMPLE PFCs/ Hydronic System Sample Verification Response Notes By Date/Time

1 Permanently fasten labels on mechanical equipment. Labels are located in accessible & visible areas.

2 All piping is labeled with contents and flow direction in viewable location.

Insulation - SAMPLE PFCs/ Hydronic System Sample Verification Response Notes By Date/Time

1 Specified piping insulation requirements:

2 Verify piping is insulated per the requirements (See comment for project specific requirements)

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LOCATION:

CCAD Admin Annex Corpus Christi, TX

1844029.0PROJECT #:

DATE:

CONTACT:

AUTHOR:

10/28/2019 Rusty Ross

SYSTEM/UNIT: SAMPLE PFCs/CW/HW Pump Sample

Model Verification - SAMPLE PFCs/ Pump Sample Verification Response Notes By Date/Time

1 Specified Manufacturer 2 Installed Manufacturer 3 Specified Model # 4 Installed Model # 5 Serial # 6 Specified Electrical 7 Installed Electrical 8 Specified Motor Efficiency 9 Installed Motor Efficiency 10 Specified Waterflow 11 Installed Waterflow General - SAMPLE PFCs/ Pump Sample

Verification Response Notes By Date/Time

1 Casing Undamaged 2 Equipment has been cleaned and finish touched up if necessary.

3 Manufacturer's required maintenance clearance provided for service.

4 Specified unit mounting requirements

5 Verify unit is mounted per plans and specs (See comment for project specific requirements)

6 Metal Coupling Guard provided and securely installed

SSRCx Page 7 of 25

LOCATION:

CCAD Admin Annex Corpus Christi, TX

1844029.0PROJECT #:

DATE:

CONTACT:

AUTHOR:

10/28/2019 Rusty Ross

SYSTEM/UNIT: SAMPLE PFCs Pump Sample

Piping - SAMPLE PFCs/ Pump Sample Verification Response Notes By Date/Time

1 Specified piping requirements per detail: (Return Line to Pump)

2 Verify piping requirements per detail: (Return Line to Pump - See comment for project specific requirements)

3 Specified piping requirements per detail: (Pump to Supply Line)

4 Verify piping requirements per detail: (Pump to Supply Line - See comment for project specific requirements)

5 Specified pressure gauges are installed

6 Verify pressure gauges are installed per plans and specs (See comment for project specific requirements)

7 Piping is arranged with unions/flanges to allow for pump removal with minimal interference

8 Hydronic piping supported independently of pump

9 Specified pipe hanger requirements

10 Verify pipe hangers are installed per plans and specs (See comment for project specific requirements)

11 Blow down connection is installed on bottom of suction diffuser / strainer.

12 Suction diffuser / strainer is supported by adjustable support stand

13 Air vent cock is installed on top of pump volute

Electrical - SAMPLE PFCs/ Pump Sample Verification Response Notes By Date/Time

1 Disconnect is provided 2 Power is available to unit Controls - SAMPLE PFCs/ Pump Sample

Verification Response Notes By Date/Time

1 All control devices and wiring is complete

SSRCx Page 8 of 25

LOCATION:

CCAD Admin Annex Corpus Christi, TX

1844029.0PROJECT #:

DATE:

CONTACT:

AUTHOR:

10/28/2019 Rusty Ross

SYSTEM/UNIT: SAMPLE PFCs Pump Sample

Labeling - SAMPLE PFCs/ Pump Sample Verification Response Notes By Date/Time

1 Permanently fasten labels are on each major item of mechanical equipment. Labels are located in accessible and visible areas.

2 All piping is labeled with contents and flow direction in viewable location.

Insulation - SAMPLE PFCs/ Pump Sample Verification Response Notes By Date/Time

1 Specified piping insulation requirements:

2 Verify piping is insulated per the requirements (See comment for project specific requirements)

3 Specified pump housing insulation requirements:

4 Verify pump housing is insulated per the requirements (See comment for project specific requirements):

SSRCx Page 9 of 25

LOCATION:

CCAD Admin Annex Corpus Christi, TX

DATE:

CONTACT:

SYSTEM/UNIT: Sample VAV

Model Verification - Sample VAV Verification Response Notes By Date/Time

1 Specified Manufacturer 2 Installed Manufacturer 3 Installed Model # 4 Specified Inlet Size Installation - Sample VAV

Verification Response Notes By Date/Time

1 Box is supported independently of duct system

2 Verify unit is mounted per plans and specs

3 Adequate clearance is maintained on control side of box

4 Access panel is provided on entering side of coil

Electrical & Controls - Sample VAV Verification Response Notes By Date/Time

1 Unit mounted disconnect switch provided

2 A wall mounted thermostat is installed for each unit

Ductwork - Sample VAV Verification Response Notes By Date/Time

1 Specified minimum duct diameters of straight inlet duct the same size as the inlet is installed

2 Verify minimum duct diameters of straight inlet duct the same size as the inlet is installed

Labeling - Sample VAV Verification Response Notes By Date/Time

1 Permanently fasten labels on each major item of mechanical equipment. Labels are located in accessible and visible areas.

Insulation - Sample VAV Verification Response Notes By Date/Time

1 Specified Air Duct Insulation requirements:

2 Verify Air Duct Insulation requirements:

3 Insulation is vapor sealed on inlet & outlet of box.

SSRCx

LOCATION:

CCAD Admin Annex Corpus Christi, TX

DATE:

CONTACT:

SYSTEM/UNIT: Sample VAV/Reheat Coil Model

Verification - Sample VAV/Reheat Coil Verification Response Notes By Date/Time

1 Specified air temperature in/out 2 Specified Water temperature in/out Installation - Sample VAV/Reheat Coil

Verification Response Notes By Date/Time

1 Waterflow through coil is piped for counterflow. (Coolest water to coolest air)

2 Piping is arranged with unions/flanges to allow for coil removal with minimal interference

3 Hydronic piping supported independently of coils

4 Control valve is accessible for service/repair

5 Any damage to coil tubing or fins has been repaired and coils are clean .

Piping - Sample VAV/Reheat Coil Verification Response Notes By Date/Time

1 Specified coil piping requirements per detail (supply line to coil):

2 Verify coil piping requirements per detail (supply line to coil):

3 Specified coil piping requirements per detail (coil to return line):

4 Verify coil piping requirements per detail (coil to return line):

5 Coil drain connection provided at low point

6 Coil air vent is installed at high point

Labeling - Sample VAV/Reheat Coil Verification Response Notes By Date/Time

1 All piping is labeled with contents and flow direction in viewable location.

Insulation - Sample VAV/Reheat Coil Verification Response Notes By Date/Time

1 Specified piping is insulated per the specification:

2 Verify piping is insulated per the specification

SSRCx

Electrical Systems

LOCATION:

CCAD Admin Annex Corpus Christi, TX

1944029.0PROJECT #:

DATE:

CONTACT:

AUTHOR:

10/30/2019 Rusty Ross

SYSTEM/UNIT: Sample PFCs/Sample Transfer Switch

Documentation - Sample PFCs/Sample Transfer Switch Verification Response Notes By Date/Time

1 Voltage - Specified:

2 Voltage - Installed:

3 Ampacity - Specified:

4 Ampacity - Installed:

5 Neutral Configuration - Specified:

6 Neutral Configuration - Installed:

7 Transition Type - Specified:

8 Transition Type - Installed:

9 Priority - Specified:

10 Priority - Installed:

11 Close and Withstand Rating -

Specified:

12 Close and Withstand Rating -

Installed:

13 Manufacturer and Model 14 Serial Number

SSRCx Page 1 of 18

LOCATION:

CCAD Admin Annex Corpus Christi, TX

1944029.0PROJECT #:

DATE:

CONTACT:

AUTHOR:

10/30/2019 Rusty Ross

SYSTEM/UNIT: Sample PFCs/Sample Transfer Switch

Installation - Sample PFCs/Sample Transfer Switch Verification Response Notes By Date/Time

1 Bypass/ isolation switch is installed 2 Equipment interiors are complete and clean 3 Equipment is secured to concrete housekeeping pad 4 Working clearance: 120/208V - 36" to grounded surface; 36" to exposed live parts

5 Working clearance: 277/480V - 42" to grounded surface; 48" to exposed live parts

6 Switch provided with test switch to simulate failure of normal source

7 Switch provided with pilot lights to indicate normal and emergency position of transfer switch

8 Switch provided with pilot lights to indicate availability of normal and emergency sources

9 Switch provided with terminal blocks labeling all external connections

10 Transfer switch provided with transfer override switch to cause switch to remain connected to emergency source regardless of condition of normal source

11 Transfer switch provided with a retransfer switch to bypass retransfer time delay

12 Remote annunciation is provided and wired to the transfer switch (annunciator panel, BAS)

Instrumentation - Sample PFCs/Sample Transfer Switch Verification Response Notes By Date/Time

1 Specified metering requirements 2 Verify metering provided as specified 3 Display and control unit are mounted flush or semiflush in instrument compartment door

SSRCx Page 2 of 18

LOCATION:

CCAD Admin Annex Corpus Christi, TX

1944029.0PROJECT #:

DATE:

CONTACT:

AUTHOR:

10/30/2019 Rusty Ross

SYSTEM/UNIT: Sample PFCs/Sample Transfer Switch

Identification - Sample PFCs/Sample Transfer Switch Verification Response Notes By Date/Time

1 Specified material and items to be included on label

2 Specified color coding 3 Verify label installed as specified 4 Bypass/isolation operating instructions are provided on the front of the unit

5 Specified additional labeling requirements

6 Verify additional labeling is complete

7 Specified conductor color coding 8 Verify conductors are properly color coded Torque - Sample PFCs and FPTs/Sample Transfer Switch

Verification Response Notes By Date/Time

1 Documentation of torque completion has been provided

SSRCx Page 3 of 18

LOCATION:

CCAD Admin Annex Corpus Christi, TX

1944029.0PROJECT #:

DATE:

CONTACT:

AUTHOR:

10/30/2019 Rusty Ross

SYSTEM/UNIT: Sample PFCs/Sample Comm

General - Sample PFCs and FPTs/Sample Comm Verification Response Notes By Date/Time

1 Access to electrical equipment is not denied by an accumulation of communications wires and cables that prevents removal of panels, including suspended ceiling panels

2 Communications circuits and equipment are installed in a neat and workmanlike manner

Identification - Sample PFCs/Sample Comm Verification Response Notes By Date/Time

1 Each item of equipment and equipment rack has a nameplate.

2 Specified labeling requirements 3 Verify labels are installed as required Cabling - Sample PFCs/Sample Comm

Verification Response Notes By Date/Time

1 Specified category for data cabling 2 Verify data cables are of the required category 3 Pathway separation is maintained from power and lighting 4 Exposed cables are secured by hardware designed and installed so as not to damage the cable

5 Cable is not run through structural members or in contact with pipes, ducts, or other potentially damaging items

6 No cables contain unterminated elements

7 Cables are not spliced except where cable lengths are limited by maximum reel capacity

8 Unshielded twisted pair and fiber optic cables have a slack cable loosely coiled into the telecom outlet boxes

9 Cable shield is grounded at all points of termination

10 Specified intervals for securing cables to tray

11 Verify vertical and horizontal cable runs are properly secured

12 Area is sealed around cables passing through fire-rated elements

13 Barriers are installed to separate cables of different systems, such as power, communications, and data processing

SSRCx Page 4 of 18

LOCATION:

CCAD Admin Annex Corpus Christi, TX

1944029.0PROJECT #:

DATE:

CONTACT:

AUTHOR:

10/30/2019 Rusty Ross

SYSTEM/UNIT: Sample PFCs/Sample Comm

Cable Tray - Sample PFCs/Sample Comm Verification Response Notes By Date/Time

1 Flexible connections are installed in runs of raceways, where they cross seismic joints, where adjacent sections or branches are supported by different structural elements, and where they terminate with connection to equipment that is anchored to a different structural element

2 Cable trays are installed with enough workspace to permit access for installing cables

3 There are no intruding items such as pipes, hangers, or other equipment in the cable tray

4 Dust deposits, process materials, trash, or any sort of blockages of tray ventilation have been removed from cable tray.

SSRCx Page 5 of 18

LOCATION:

CCAD Admin Annex Corpus Christi, TX

1944029.0PROJECT #:

DATE:

CONTACT:

AUTHOR:

10/30/2019 Rusty Ross

SYSTEM/UNIT: Sample PFCs/Sample Generator

Documentation - Sample PFCs/Sample Generator Verification Response Notes By Date/Time

1 Manufacturer - Specified 2 Manufacturer - Installed 3 Capacity / Power Factor - Specified 4 Capacity / Power Factor - Installed 5 Voltage - Specified 6 Voltage - Installed 7 Engine Model 8 Engine Serial # 9 Generator Model 10 Generator Serial # Installation - Sample PFCs/Sample Generator

Verification Response Notes By Date/Time

1 Generator installation is clean and clear of debris

2 Generator is secured to concrete housekeeping pad

3 Generator installed on steel base 4 Generator installed on vibration isolation equipment 5 Generator mounted on spring isolators 6 Provided with flex connection between radiator and exhaust plenum

7 Flexible fuel lines provided for connection to generator

8 Provided with flex connection at exhaust silencer

9 All conduit connections consist of flex conduit

10 Generator installed to provide access for periodic maintenance

11 Provided with electrically powered, thermostatically controlled jacket water heater(s) to maintain a minimum specified water jacket temperature under ambient temperatures

12 Critical grade exhaust silencer provided and installed per design

13 Provided with gas proof, stainless steel, flexible exhaust bellows with threaded NPT or flanged connections

14 Silencer provided w/ condensate drain

15 Rain cap and bird screen provided for exhaust pipe

SSRCx Page 6 of 18

LOCATION:

CCAD Admin Annex Corpus Christi, TX

1944029.0PROJECT #:

DATE:

CONTACT:

AUTHOR:

10/30/2019 Rusty Ross

SYSTEM/UNIT: Sample PFCs/Sample Generator

Installation - Sample PFCs/Sample Generator Verification Response Notes By Date/Time

16 A lube oil drain is extended beyond the skid base

17 Provided with engine mounted combustion air intake filter with a "blocked filter" indicator

18 Emergency stop pushbutton is installed outside of generator enclosure

19 Remote annunciation is provided and wired to the generator (annunciator panel, BAS)

20 Equipment grounding conductor is installed from generator to grounding electrode system.

Flexible jumper is provided between base and isolated generator

21 Specified system grounding 22 Verify system is grounded as specified Display - Sample PFCs/Sample Generator

Verification Response Notes By Date/Time

1 Specified display requirements 2 Verify display provided as specified 3 Display shock mounted to genset Starting System - Sample PFCs/Sample Generator

Verification Response Notes By Date/Time

1 Correct number of starting motors are provided

2 Specified starting system and battery accessories

3 Verify starting and battery accessories are provided

4 Automatic battery charger is provided

5 Specified battery charger features and options

6 Verify battery charger features are provided

SSRCx Page 7 of 18

LOCATION:

CCAD Admin Annex Corpus Christi, TX

1944029.0PROJECT #:

DATE:

CONTACT:

AUTHOR:

10/30/2019 Rusty Ross

SYSTEM/UNIT: Sample PFCs/Sample Generator

Generator Room \ Enclosure - Sample PFCs/Sample Generator Verification Response Notes By Date/Time

1 Room / enclosure is complete (including doors)

2 Room / enclosure is provided with thermostatically operated space heater

3 Louver / damper installation is complete

4 Room / enclosure provided with bird / rodent screens

5 Room / enclosure provided with emergency lighting

6 Convenience receptacles provided 7 Required fire protection system rating installed 8 Specified sound attenuation provisions 9 Verify sound attenuation provisions are provided Torque - Sample PFCs/Sample Generator

Verification Response Notes By Date/Time

1 Documentation of torque completion has been provided

SSRCx Page 8 of 18

LOCATION:

CCAD Admin Annex Corpus Christi, TX

1944029.0PROJECT #:

DATE:

CONTACT:

AUTHOR:

10/30/2019 Rusty Ross

SYSTEM/UNIT: Sample PFCs/Sample Switchboard

Documentation - Sample PFCs/Sample Switchboard Verification Response Notes By Date/Time

1 Main - Specified 2 Main - Installed 3 Bus Rating - Specified 4 Bus Rating - Installed 5 Voltage - Specified 6 Voltage - Installed 7 Manufacturer - Specified 8 Manufacturer - Installed 9 Model - Specified 10 Model - Installed 11 Fault Current Rating - Specified 12 Fault Current Rating - Installed Installation - Sample PFCs/Sample Switchboard

Verification Response Notes By Date/Time

1 Equipment interiors are complete and clean

2 Working clearance: 277/480V - 42" to grounded surface; 48" to exposed live parts

3 Working clearance: 5kV Class - 4' to grounded surface; 5' to exposed live parts

4 Working clearance: 15kV Class - 5' to grounded surface; 6' to exposed live parts

5 No taps or splices were created in panel

6 Filler plates installed on unused spaces

7 Future extensions from either end are provided with pre-drilled bolt holes and connecting links for the main phase, neutral and ground bus

8 Barriers are installed between sections

9 Equipment is secured to concrete housekeeping pad

10 Specified enclosure options 11 Verify enclosure options provided per specification 12 Surge arresters are installed in cable termination compartments and connect in each phase of circuit

13 Specified bus material and options 14 Verify bus installed as specified

SSRCx Page 9 of 18

LOCATION:

CCAD Admin Annex Corpus Christi, TX

1944029.0PROJECT #:

DATE:

CONTACT:

AUTHOR:

10/30/2019 Rusty Ross

SYSTEM/UNIT: Sample PFCs/Sample Switchboard

Instrumentation - Sample PFCs/Sample Switchboard Verification Response Notes By Date/Time

1 Specified metering requirements 2 Verify metering provided as specified 3 Display and control unit are mounted flush or semiflush in instrument compartment door

Accessories - Sample PFCs/Sample Switchboard Verification Response Notes By Date/Time

1 TVSS is installed with specified features

2 TVSS is remotely monitored 3 Specified maximum lead length for

TVSS

4 Verify maximum lead length is not exceeded 5 Breaker lifting / racking provisions and accessories are provided 6 Specified additional accessories/options to be installed 7 Verify accessories are provided Identification - Sample PFCs/Sample Switchboard

Verification Response Notes By Date/Time

1 Specified material and items to be included on panelboard label

2 Specified color coding 3 Verify label installed as specified 4 Operating instructions are framed and mounted under clear acrylic plastic on the front of the switchgear

5 Specified additional labeling requirements

6 Verify additional labeling is complete

7 Specified conductor color coding 8 Verify conductors are properly color coded Torque - Sample PFCs/Sample Switchboard

Verification Response Notes By Date/Time

1 Documentation of torque completion has been provided

SSRCx Page 10 of 18

LOCATION:

CCAD Admin Annex Corpus Christi, TX

1944029.0PROJECT #:

DATE:

CONTACT:

AUTHOR:

10/30/2019 Rusty Ross

SYSTEM/UNIT: Sample PFCs and FPTs/Sample Switchboard/Sample Breaker

Documentation - Sample PFCs/Sample Switchboard/Sample Breaker Verification Response Notes By Date/Time

1 Model - Specified 2 Model - Installed 3 Frame - Specified 4 Frame - Installed 5 Trip - Specified 6 Trip - Installed 7 Trip Unit/ Relay - Specified 8 Trip Unit/ Relay - Installed Installation - Sample PFCs/Sample Switchboard/Sample Breaker

Verification Response Notes By Date/Time

1 Settings are installed per coordination study

2 Verify that metering functions are operational

Identification - Sample PFCs/Sample Switchboard/Sample Breaker Verification Response Notes By Date/Time

1 Breaker has been provided with nameplate

2 Specified additional labeling requirements

3 Verify additional labeling is complete

SSRCx Page 11 of 18

LOCATION:

CCAD Admin Annex Corpus Christi, TX

1944029.0PROJECT #:

DATE:

CONTACT:

AUTHOR:

10/30/2019 Rusty Ross

SYSTEM/UNIT: Sample PFCs/Sample Transformer

Documentation - Sample PFCs/Sample Transformer Verification Response Notes By Date/Time

1 Size - Specified 2 Size - Installed 3 Primary Voltage - Specified:

4 Primary Voltage - Installed:

5 Secondary Voltage - Specified:

6 Secondary Voltage - Installed:

7 Rating - Specified 8 Rating - Installed Installation - Sample PFCs/Sample Transformer

Verification Response Notes By Date/Time

1 Grounding electrode is sized appropriately; bonding jumper is sized appropriately with grounding electrode

2 Equipment interiors are complete and clean

3 Equipment is secured to concrete housekeeping pad

4 Working clearance: 120/208V - 36" to grounded surface; 36" to exposed live parts

5 Working clearance: 277/480V - 42" to grounded surface; 48" to exposed live parts

6 Transformer provided with adequate ventilation clearance

7 All knockouts are covered 8 Insulated ground conductor installed from secondary neutral to building steel or to the nearest grounded metal water pipe

9 Shipping bolts have been loosened 10 Transformer enclosure is properly bonded

SSRCx Page 12 of 18

LOCATION:

CCAD Admin Annex Corpus Christi, TX

1944029.0PROJECT #:

DATE:

CONTACT:

AUTHOR:

10/30/2019 Rusty Ross

SYSTEM/UNIT: Sample PFCs/Sample Transformer

Identification - Sample PFCs/Sample Transformer Verification Response Notes By Date/Time

1 Specified material and items to be included…