Retail Buildings and Areas—Systems to Commission

Chapter 1

Project: _____________________________________________ Address: _________________________________

Owner: _____________________________________________ Email/Phone: ______________________________
Owner’s Project Manager: ______________________________ Email/Phone: ______________________________
Cx Provider: _________________________________________ Email/Phone: ______________________________
Date Initiated: ______________________ Date Revised: ______________________
System Integrated System
Chapter 2

Commissioning
Commissioning Commissioning
Item Equipment/System Completed—
Required— Required—
Date
Y/N Y/N
1. Air-conditioning and ventilation systems
2. Domestic hot-water systems
Chapter 3

3. Plumbing systems
4. Lighting and control systems
5. Electrical power systems
6. Energy monitoring and management systems
Chapter 4

7. Outdoor air and energy recovery systems

8. Special communication systems
9. Fire protection and fire sprinkler systems
10. Fire alarm systems
11. Vertical transportation (elevators, escalators)
12. Building enclosures
13. Roofing systems
14. Computer rooms and data systems
Appendix A

15. Security systems

16. Telephone and communication systems
Appendix B

The approval section that follows can be used if applicable to the planning process.
Appendix B

I have reviewed the required items and plans and verified that they meet the project requirements:
Owner or Owner’s Representative Name: ____________________________________________________________
Company Name: _______________________________________________________________________________
Signature: _____________________________________________ Date: __________________________________

Revision:
Appendix B

Owner or Owner’s Representative Name: ____________________________________________________________

Company Name: _______________________________________________________________________________
Signature: _____________________________________________ Date: __________________________________