The document outlines various mechanical, electrical, and plumbing design considerations for improving the energy efficiency of a building project. It recommends strategies like using VAV boxes and separate thermal zoning for HVAC systems, installing variable frequency drives and chilled water valve controls, optimizing duct sizing, selecting efficient VRF systems, incorporating daylighting and occupancy sensors for lighting, and implementing underdeck insulation. It also discusses the importance of active controls, tenant-level energy simulations, advanced energy metering integrated with the BMS, selecting energy efficient equipment, and structure, water, materials, and waste efficiency strategies. Indoor air quality testing and ensuring thermal comfort standards are also recommended.