appendix-c-plan-review-model-calculations-ae-1.xls

	A	B	C	D
1	Food Establishment Plan Review Formulas
2	Print this sheet and collect the following information from plans. Information will be used to perform calculations.
3	Facility Name & Address: ___________________________________________________________________________
4	Hot Water
5	List each type of plumbing fixture that uses hot water	# proposed
6	____________________________________________	______________
7	____________________________________________	______________
8	____________________________________________	______________
9	____________________________________________	______________
10	____________________________________________	______________
11	____________________________________________	______________
12	____________________________________________	______________
13	____________________________________________	______________
14	____________________________________________	______________
15	____________________________________________	______________
16
17	Proposed Size: __________ KW or __________ BTU’s
18
19	Proposed Storage capacity: __________ gallons	Thermal Efficiency: _________%
20
21	Proposed (for instantaneous water heaters): __________ gallons per minute (gpm) @ ______ degree rise
22
23	Proposed dishmachine booster heater:
24
25	Refrigerated Storage
26	By seats: # seats: __________ # meal periods: ___________		Drive-Up Window: Y N
27
28	By # meals: # meals between deliveries: ____________________
29
30	Walk-in # or Name	Interior Height (ft)	Interior Length (ft)	Interior Width (ft)
31	___________________________________________	___________________	______________	______________
32	___________________________________________	___________________	______________	______________
33	___________________________________________	___________________	______________	______________
34	___________________________________________	___________________	______________	______________
35	Reach-In # or Name	Interior Depth (in)	Interior Width (in)	Interior Height (in)
36	___________________________________________	___________________	______________	______________
37	___________________________________________	___________________	______________	______________
38	___________________________________________	___________________	______________	______________
39	___________________________________________	___________________	______________	______________
40	___________________________________________	___________________	______________	______________
41	___________________________________________	___________________	______________	______________
42	Dry Storage
43	By seats: # seats: __________ # meal periods: ___________		Drive-Up Window: Y N
44
45	By meals: # meals between deliveries: ____________________
46
47	Storage Rooms
48	Interior Length (ft)	Interior Width (ft)	Usable room height (ft)
49	________________________________	___________________	______________
50	________________________________	___________________	______________
51	________________________________	___________________	______________
52	________________________________	___________________	______________
53	Or
54	For full height shelves
55	Total Shelving Length (ft)	Shelving Width (ft)	Usable room height (ft)
56	_______________________________	___________________	______________
57	Ventilation
58
59	Proposed make-up air (MUA) fan volume
60	MUA1= _______ cfm, MUA2=_______cfm, MUA3=_______cfm
61
62	Proposed hood exhaust: hood 1=_______, hood 2=_______, hood 3=_______, hood 4=_______, hood 5=_______ cfm
63
64	Required hood exhaust:
65	Horizontal open perimeter & vertical distance from equipment to hood for each piece of equipment under each hood
66	Hood 1	Alternate Formula		Main Formula
67	Equipment	Vertical Distance (ft)	Open Perimeter (ft)	Area of hood over equip.(sq. ft.)
68	___________________________________________	_________________	______________	______________
69	___________________________________________	_________________	______________	______________
70	___________________________________________	_________________	______________	______________
71	___________________________________________	_________________	______________	______________
72	___________________________________________	_________________	______________	______________
73	___________________________________________	_________________	______________	______________
74
75	Hood 2
76	Equipment	Vertical Distance (ft)	Open Perimeter (ft)	Area of hood over equip.(sq. ft.)
77	___________________________________________	_________________	______________	______________
78	___________________________________________	_________________	______________	______________
79	___________________________________________	_________________	______________	______________
80	___________________________________________	_________________	______________	______________
81	___________________________________________	_________________	______________	______________
82	___________________________________________	_________________	______________	______________
83
84	Hood 3
85	Equipment	Vertical Distance (ft)	Open Perimeter (ft)	Area of hood over equip.(sq. ft.)
86	___________________________________________	_________________	______________	______________
87	___________________________________________	_________________	______________	______________
88	___________________________________________	_________________	______________	______________
89	___________________________________________	_________________	______________	______________
90	___________________________________________	_________________	______________	______________
91	___________________________________________	_________________	______________	______________
92
93	Hood 4
94	Equipment	Vertical Distance (ft)	Open Perimeter (ft)	Area of hood over equip.(sq. ft.)
95	___________________________________________	_________________	______________	______________
96	___________________________________________	_________________	______________	______________
97	___________________________________________	_________________	______________	______________
98	___________________________________________	_________________	______________	______________
99	___________________________________________	_________________	______________	______________
100	___________________________________________	_________________	______________	______________