Worksheet 1: Mall Bldg

Worksheet #1:

Characteristics, Energy Sources, and Equipment (Strip Shopping Centers)

2012 Commercial Buildings Energy Consumption Survey

Sponsored by the U.S. Energy Information Administration

Conducted by Westat

The following are some of the topics that will be discussed in the upcoming interview. Completing this worksheet and having it available will facilitate and shorten the interview.

Thinking of calendar year 2012, please provide the following for the building listed above.

Box 1. Gross/Total Square Footage of Building

(Both finished and unfinished, including basements, hallways, lobbies, stairways, elevator shafts, and indoor parking levels.)

Year of Construction of Building

(If there have been major additions, provide the year the largest portion of the mall building was constructed.)

Box 2. Number of Tenant Spaces in Building Including Vacant Spaces

Box 3. Heating Energy Sources

Which energy sources, if any, were used for heating during 2012?

Check all that apply:

	Electricity
	Natural Gas
	Fuel oil/Diesel/Kerosene
	Bottled Gas/LPG/Propane
	District Steam
	District Hot water
	Other (specify)

Which of these was the main energy source for heating? (Please circle the energy source used to heat most of the square footage in the building most of the time.)

Box 4. Heating Equipment

Check all that apply:

	Furnaces that heat air directly
	Packaged central units
	Boilers inside (or directly adjacent
	to) the building to produce
	steam or hot water
	District steam or hot water piped
	into the building from outside the
	building
	Heat pumps for heating
	Individual space heaters
	Some other type (specify)

Box 5. Type of Packaged Heating (if applicable)

Check all that apply:

Type of Packaged Unit(s)
	Factory-assembled unitary unit
	Custom built-up unit
Heating Component of Packaged
Unit(s)
	Furnace
	Heat pump
	Heating coil
	Powered induction unit (PIU)
	Duct reheat

Box 6. Boiler or District Steam/
Hot Water Distribution System
(if applicable)

Check all that apply:

	Radiators
	Fan coil units
	Induction units
	Water loop heat pump
	Central air handler (hydronic/steam
	coils)
	Packaged unit (hydronic/steam coils)
	Duct reheat (hydronic/steam coils)

Go to Box 7

Form EIA-871G OMB No.: 1905-0145 Expires: 09/30/20xx

Box 7. Type of Heat Pump Used for Heating (if applicable)

Check all that apply:

Heat Pump System
	Packaged unit
	Split system (residential-type)
	Individual room heat pump
	(packaged terminal heat pump)
	Ductless mini-split system
	Variable refrigerant flow (VRF)
Type of Heat Pump
	Air source
	Ground source or ground water
	(geothermal)
	Dual source (combination of air
	source and geothermal)
	Water loop

Box 8. Individual Space Heater
(if applicable)

Check all that apply:

	Infrared radiant heater (permanent)
	Baseboard heater (permanent)
	Portable space heater
	Wall heater
	Individual furnace
	Unit heater
	Heating element in packaged
	terminal air conditioner (PTAC)

Box 9. Cooling Energy Sources

Which energy sources, if any, were used for cooling during 2012?

Check all that apply:

	Electricity
	Natural Gas
	District Chilled Water
	Other (specify)

: heating only;erng to

Box 10. Cooling Equipment

Check all that apply:

	Residential-type central air
	conditioners (other than heat pumps)
	Packaged air conditioning units
	(other than heat pumps)
	Central chillers inside (or directly
	adjacent to) the building that chill
	water for air conditioning
	District chilled water piped into the
	building from outside the building
	Heat pumps for cooling
	Individual room air conditioners
	(other than heat pumps)
	“Swamp coolers” or evaporative
	coolers
	Some other type (specify)

Box 11. Type of Packaged Cooling (if applicable)

Check all that apply:

Type of Packaged Unit(s)
	Factory-assembled unitary packaged
	unit
	Custom built-up unit

Box 12. Type of Chiller

(if applicable)

Check all that apply:

Type of Chiller
	Air-cooled
	Water-cooled
	Absorption
	Check if absorption chiller
	can operate as a “heater chiller”

Box 13. Chiller or District Chilled Water Distribution System (if applicable)

Check all that apply:

	Central air handler (hydronic coils)
	Fan coil units
	Induction units
	Water loop heat pump
	Chilled beam
	Packaged unit (hydronic coils)
	Duct reheat

Box 14. Type of Heat Pump Used for Cooling (if applicable)

Check all that apply:

Heat Pump System
	Packaged unit
	Split system (residential-type)
	Individual room heat pump
	(packaged terminal heat pump)
	Ductless mini-split system
	Variable refrigerant flow (VRF)
Type of Heat Pump
	Air source
	Ground source or ground water
	(geothermal)
	Dual source (combination of air
	source and geothermal)
	Water loop

Go to Box 15

Box 15. Ventilation and Distribution Equipment for Heating and Cooling

Indicate all that apply:

B—heating and cooling

H—heating only

C—cooling only

	Central air handling unit(s) with
	constant air volume (CAV) control
	Central air handling unit(s) with
	variable air volume (VAV) control
	Underfloor air distribution
	Dedicated outside air system
	(DOAS)
	Demand controlled ventilation
	None of these types

Does the building use either of the following?

	Air-side economizer
	Water-side economizer

Box 16. Water Heating Energy Sources

Which energy sources, if any, were used for water heating during 2012?

	Electricity
	Natural Gas
	Fuel Oil/Diesel/Kerosene
	Bottled Gas/LPG/Propane
	District Steam
	District Hot Water
	Other (specify)

Box 17. Cooking Energy Sources

Which energy sources, if any, were used for cooking during 2012?

	Electricity
	Natural Gas
	Fuel Oil/Diesel/Kerosene
	Bottled Gas/LPG/Propane
	District Steam
	District Hot Water
	Other (specify)

: heating only;erng to

Box 18. Sources for On-Site Electricity Generation

Which energy sources, if any, were used for on-site electricity generation during 2012?

Check all that apply:

	Natural Gas
	Fuel Oil/Diesel/Kerosene
	Bottled Gas/LPG/Propane
	Wood
	Coal
	Solar
	Other (specify)