Name     
E-mail   
Tel      
FAX       
FLOOR AREA (FT2)   
ASPECT RATIO (E-W WIDTH / N-S WIDTH)      
NUMBER OF STORIES       
BUILDING AZUMUTH (DEGREES)        

UTILITY RATES  choice of four

ELECTRICITY     

ENERGY COST PER KWH      
DEMAND COST PER KW       
MINIMUM DEMAND COST PER KW   
FIXED COST PER MONTH      
MINIMUM COST PER MONTH       
MAXIMUM EFFECTIVE RATE PER KWH        

NATURAL GAS     

ENERGY COST PER THERM      
FIXED COST PER MONTH       
MINIMUM COST PER MONTH   
MAXIMUM EFFECTIVE RATE PER THERM           

OCCUPANT DENSITY
NUMBER OF OFFICES   
     

LIGHTING     

INDOOR OCCUPANCY SENSORS(checkmark for YES)   
     

INDOOR LIGHTING (W/FT2)     
OFFFICES  

OUTDOOR LIGHTING

TYPE     

MERCURY VAPOR      

HIGH PRESSURE SODIUM LAMPS      

METAL HALIDE LAMPS      

ELECTRICAL EQUIPMENT

OFFICES  

THERMOSAT SETTING (F)

HEATING SETBACK      
COOLING SETBACK       
HEATING OFFICES   
COOLING OFFICES     

ENVELOPE

CEILING/ROOF INSULATION (R-VAL)       
ROOF ABSORPTANCE   

AIR CURTAIN ENTRANCE 

ADJACENT SHADING YES/NO (CHOOSE IF APPLICABLE)

NORTH  EAST SOUTH  WEST  

WINDOW AREA (FT2)
NORTH      
EAST       
SOUTH   
WEST      

WINDOW SETBACK
NORTH      
EAST       
SOUTH   
WEST      

WINDOW SHADING
NORTH      
EAST       
SOUTH   
WEST      

WINDOW GLASS TYPE
NORTH      
EAST       
SOUTH   
WEST      

EQUIPMENT
EFFICIENT OFFICE COPIERS  

DOMESTIC HOT WATER
DHW HEATER TYPE-CHOOSE ONE
    GAS 
    ELECTRIC 
    POINT OF USE 
    HEAT PUMP 

DHW HEATER EFFICIENCY =DEFAULT=.8  

DHW TANK INSULATION 
  
DHW PIPE INSULLATION 
     
DHW CIRCULATION PUMP TIMECLOCK 
    

AIR DISTRIBUTION
AIR HANDLER TYPE
   CONSTANT VOLUME REHEAT 
   VARIABLE AIR VOLUME 
   POWERED INDUCITON UNITS 

VENTILATION RATE   

OVERSIZED COILS 
 
DUCT INSULATION 
   
AIR SIDE ECONOMIZER 
   

HVAC CONTROL
HVAC SYSTEM CLOCKS 
  
ENERGY MANAGEMENT SYSTEM 
   
DEADBAND THERMOSTATS 
    

HVAC SYSTEM

HEATING SYSTEM 
   GAS FURNACE 
   ELECTRIC FURNACE 
   ROOM HEAT PUMPS 
   CENTRAL HEAT PUMP 
   GAS HEAT PUMP 

COOLING SYSTEM
CHOOSE ONE:
   NONE 
   CENTRAL DX A/C 
   PACKAGED TERMINAL A/C 
   

COOLING TOWER
   NONE 
   CENTRIFUGAL FANS 
   PROPELLER FANS 
   TWO SPEED PROPELLER FANS 
   VARIABLE SPEED PROPELLER FANS 

HEATING PLANT EFFICIENCY (DEFAULT .75) 
COOLING PLANT EFFICLIENCY (DEFAULT 2.3)   

INFRARED SPACE HEATERS 
 
INDIRECT EVAPORATIVE PRE-COOLING