Instructions: Complete this form and submit it to the serving electric utility. Boxes with bold outlines indicate BPA requirements. If the building has more than four air handling units, submit multiple forms. Incentive only available for retrofits and does not apply to new construction. BUSINESS AND SITE INFORMATION Business Name Address, City State Zip BUILDING INFORMATION Office Retail Grocery Lodging Building type (select one) Warehouse Food Service Hospital School Residential Care Assembly Other (describe): Year built Building size (approximate square feet) Less than 2,000 (If less than 2,000 hours, project is not eligible for incentives) Number of occupied hours per year 2,000-4,000 hours 4,001-8,760 hours EXISTING EQUIPMENT INFORMATION Existing Equipment Information AHU 1 AHU 2 AHU 3 AHU 4 Yes Yes Yes Yes AHU has a variable flow-based HVAC No (If project is No (If project is No (If project is No (If project is “No”, “No”, “No”, “No”, system (e.g. VAV; constant volume not eligible for not eligible for not eligible for not eligible for systems are not eligible) incentives) incentives) incentives) incentives) Yes Yes Yes Yes No (If project is No (If project is No (If project is No (If project is “No”, “No”, “No”, “No”, The AHU has a constant speed fan not eligible for not eligible for not eligible for not eligible for incentives) incentives) incentives) incentives) Electric Electric Electric Electric Heating type Other Other Other Chiller Chiller Chiller Chiller Cooling type DX DX DX DX Other Other Other Other AHU manufacturer AHU model number AHU fan size (horsepower) AHU design conditions (e.g. 5,000 CFM at 0.75 inches WC) Area of building served by AHU NEW EQUIPMENT INFORMATION Retrofit Information VFD 1 VFD 2 VFD 3 VFD 4 VFD manufacturer VFD model number VFD horsepower Yes Yes Yes Yes Retrofit adds a VFD and controller for No (If project is No (If project is No (If project is No (If project is “No”, “No”, “No”, “No”, variable speed fan operation not eligible for not eligible for not eligible for not eligible for incentives) incentives) incentives) incentives)
Instructions: Complete this form and submit it to the serving electric utility. Boxes with bold outlines indicate BPA requirements. If the building has more than four air handling units, submit multiple forms. Incentive only available for retrofits and does not apply to new construction. BUSINESS AND SITE INFORMATION Business Name Address, City State Zip BUILDING INFORMATION Building type (select one) Office Retail Grocery Lodging Warehouse Food Service Hospital School Residential Care Assembly Other (describe): Year built Building size (approximate square feet) Number of occupied hours per year Less than 2,000 (If less than 2,000 hours, project is not eligible for incentives) 2,000-4,000 hours 4,001-8,760 hours EXISTING EQUIPMENT INFORMATION Existing Equipment Information AHU 1 AHU 2 AHU 3 AHU 4 AHU has a variable flow-based HVAC system (e.g. VAV; constant volume systems are not eligible) Yes No (If “No”, project is not eligible for incentives) Yes No (If “No”, project is not eligible for incentives) Yes No (If “No”, project is not eligible for incentives) Yes No (If “No”, project is not eligible for incentives) The AHU has a constant speed fan Yes No (If “No”, project is not eligible for incentives) Yes No (If “No”, project is not eligible for incentives) Yes No (If “No”, project is not eligible for incentives) Yes No (If “No”, project is not eligible for incentives) Heating type Electric Other Electric Other Electric Electric Other Cooling type Chiller DX Other Chiller DX Other Chiller DX Other Chiller DX Other AHU manufacturer AHU model number AHU fan size (horsepower) AHU design conditions (e.g. 5,000 CFM at 0.75 inches WC) Area of building served by AHU NEW EQUIPMENT INFORMATION Retrofit Information VFD 1 VFD 2 VFD 3 VFD 4 VFD manufacturer VFD model number VFD horsepower Retrofit adds a VFD and controller for variable speed fan operation Yes No (If “No”, project is not eligible for incentives) Yes No (If “No”, project is not eligible for incentives) Yes No (If “No”, project is not eligible for incentives) Yes No (If “No”, project is not eligible for incentives)
Commercial_AHU_VFD_PIF_Apr2017.docx