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<br /> � � � � � � � � shin ton Staie Ene Code Com Iiance Forms for Commercial Bufldfngs includfng R2,R3,R4 over 3 s,ories and all R1 Revfsed Nov 2017 2015 Washington Sta{e Energy Code Compliance Forms for Commercia!Buildings induding R2,R3,ft4 over 3 stories and aIl R1 Revised Nov 2017 � �: �
<br /> 2015 Washington State Energy Code Compliance Forms for Commerciai Buildi�gs including R2,ft3,ft4 over 3 stories and all R1 Revised Nov 2017 2015 Washin ton State Energy Code Compliance Forms for Commercial 8udd�ngs including ft2,R3,R4 over 3 stories and all R1 Rewsed Nov 2017 2015 Wa g �'gY P � -
<br /> ProjectTitle: MOD Pizza Evergreen Way Oate 9/27/2019 ProjectTitle: MOD Piaa Evergreen Way Date 9/27/2019 ProjectTitle: MOD Piaa Evergreen Way Date 9/27/2019 MOD Piaa Evergreen Way Date 9/27/2019
<br /> ' I uirements in the The following information is necessary to check a permit applica6on for compliance with the lighting,motor,and electrical requirements in the The tollowing information is necsssary to check a permit application for compliance with the lighting,motor,and electrical requirements in the
<br /> ��� The folbvving information is necessary to check a permit application for compliance with the lighting,motor,and electrical requirements in the The following information is necessery to check a permit application for compliance with the lighting,motor,and electrtca req
<br /> Applicability Location in Building Dapartment Applicability Location in Building Department Applicability Location in Building Department ����������Z��
<br /> Applicability Location in Building�epartment {yes,no,na) Code Seclion Component Compliance infprmetion required in permit documents Documents Notes (yes,no,na) Code Seclion Component Compliance information required in permit documents Documents Notes (yes,no,na) Code Section Component Compliance information required in pertnit documeMs Documents Notes
<br /> (yes,no,na) Code Section Component Compliance information required in permit documents Documents Notes Indicate meihod otautomatic controi-vacancy or captive key INTERIOR LIGHTING POWER 8�EFFICACY LIGHTING ALTERATIONS SUIt2 2��
<br /> C405.2.5- HoteUmotel guest
<br /> LIGHTING CONTROLS Np' item 3 rooms �nirol ofall instailed luminaires and switched receptacles in InGude aIl iumiraires in lighting focture schedule;indicatefixture Bellevue WA 98008
<br /> guest room rypes,lamps,ballasts,and manufact�rer's rated watts per 60211,E502,E- Where Z 50%of existing luminaires in interior space(s)or �
<br /> Li htin controis, Fpr ali lighting fixtures,indicate lighting control method on plans E-111,E502,E- indicate method and location of autome6c shut-offi vacancy parking garage are repiaced;indicate compliance path(building
<br /> . . . fixture _--__- _. __ -- --- ----= q 1 Ear02 E- - - --- - ----- p y p ) include all naw and exisiing-t E-002,E-111,E-
<br /> Yea C405.2 9 g C405.2.5- Su lemental task erea or s ece-b -s ace method,
<br /> F general tor spaces and hghting zone(s)served,or exception taken 602 NA pP control inr supplemeMal task IigFr6ng,�ncluding under-shetf or ldenby spaces eligible for lighting power exemption on plans E 1 , , remain luminaires in comphance form(LTG-INT-BLD or LTG 802,E�02 ARCHTECT6FRECORU
<br /> Luminaire level Indicate on plans ell fixtures provided with LLLC in lieu of Item 4 lighting
<br /> under-cabinet IigMing C405.4.1 Total connected and in compiience forms;indicate the exception applied; 602 INT-SPACE);indicaie proposed lighting wattage does not
<br /> E-111,E-502,E• Indicate on plans eligible non-�isual lighting epplications, Y� C405.4.2 interior lighting pov�rer�dentiTy lighting equipment eifgible fw lighting power exemp6on
<br /> Yes C405.2 lighting controls C4�5.2 lighting controls;provide description of control �Q E-111,E502,E- Interior and parking exceed meximum ailowed per compliance path
<br /> 602 include sq.ft.area of each lighting control zone; in fixiure schedule end In compliance forms;indicate the __.__ ___ _ ____ _____ ____
<br /> (LL�C) capabilities and performance paremeters _ ___--- --.- -_-_- - - 602 Yes G503.6 gerage lighting -
<br /> For permanently installed lighting fixtures in dwelling units, C405.2.5- Lighting for non- �ndicate on plans thet non-visual ligh6ng are controiled� exception applied; fixture elterations Where<50%of existing luminaires in intenor space(s)or
<br /> Li htin in dwellin indicate II htin control method on lans tor s ces and � independently irom both general area Iighting and other lighting Indicate thai exempt lighting equipment is m eddRion to general E-111,ES02,E-
<br /> NA C405.1 9 9 9 9 g P P� Item 5 visual applications parking garage are repleced;fndicate total ewsting ligh6ng _
<br /> units lighting zone(s)served,ordemonstrate oomplienos with high epplications within ihe same space; __ � _ ___� � _____ area lighting and is coritrolied independentl 602 _
<br /> wattage in each spece prior to alteration;indude ali new and ;��, � , �' �: ,�.
<br /> effice exception Indieate method of manual IigMing controi and applicable Indicate location af ebt si ns on lans and rated watts per E-111,E�02,E- existing-to-remaln luminaires in LTG-INT-SPAGE form;indicate � � `�k ��" �r `�� �`,
<br /> cy 9 P �:
<br /> C405.2.3 automBtiC lighting control Yes G405.3 Exit signs fixture in lighting fixture schedule(ma�imum 5 wetts per side} 802 proposed totsl lighting wattsge in alteration area does not "` � � �� : � ,a.
<br /> C405.2.1.1 Indicate on plens the method of manual Iighting control(whethe Indicate on plans that lighting equipmerrt for saie or
<br /> combined with occupancy sensor,automatic light reduction, E-111,E502,E- demonstration are controlled inda endent hom�th eneral If hi h effiCa exce tion is a lied to ermanentl installed exceed total existing lighting wattege prior to eReration � � �� p , �,
<br /> Yes C405.2.2.2 Manual controls Lighting equipment P ry 9 g � p pp p y � �� �
<br /> daylight responsive or specific application controls),location of 602 C405.2.5- erea Ilghting and other lighting applieations within the same lighting fictures in dwelling units,indicate in lighting fature Where z 50%of existing sxterior IigMing wattage is replaced; >tn y„K
<br /> C405.2.4 manual oontrol device and area or specific appiicatlon it serves Lighting in dwelling , '
<br /> NA Item 6 f°r sale or space, NA C405.1 . schedule if lamps in fixtures are high e�icacy per R404.1. include all new and existing-to-remain luminaires in LTG-EXT E-111,E-502,E- �� �� ,
<br /> C405.2.5 demOnStr8ti0n ------ ---- ----- ---- --- - --- - ------ - ` - unds-18mp efficaCy ����ate ercenie e Of fixturES with hi h 6fficec 18m S in fOrm;indicate proposed tota�extenor iighting wattage does not 602 � ',�� .�� �„�� �g�$:
<br /> C4o522.1 Indicate on plans which method of manual 50%,lighting load E•111,Es02,E- Indicate meihod of manual lighting control and applicable P 9 9 Y P '
<br /> Manual interior light - ----
<br /> Yes C405.2.2.2 reductfon is provfded,or whether lighting load is reduced via automatic Ilghting control project(min 75%to comply with e�cceptionj. excesd maxfmum allowed � `T'`� `r � � ��
<br /> reduction contrals �2 ������ � �� �� ��}
<br /> Identity on pians egress fictures that function as both normal Interior Li htin Power Calculation-Indicate com liance ath taken Exterior lighting � �� : `�„ <�'�, �'��'" ,,�`;"���
<br /> Y 503_6 < erior li htin watta e is re laced'
<br /> C405.2.3 oocupancy sensors or daylight�sponsive wntrols es C Where 50%of existing ext g g g p ,
<br /> Indicate on plans the method of automatic shut-off control and emergency means of egress illuminaiion; Building Area �mplate required compliance forms-proposed wattage per fXture alterations 9 9 9 g prior to alteraiiorr,include
<br /> E-111,E5D2,E- Provide calculation of lighting power densRy of total egress NA C405.4.2.1 building area does not exceed maximum allowed wattage per indicaie total existin 6 htin watta a � � A � H I T E
<br /> during unoCCupied penodS(oCCupanCy Sensor,time switch or B�Z Method all new and existing-to-remain luminaires in LTGEXTform;
<br /> Method of automatic digital timer switch)for ali lighting zones; C405.2.5- Means of egress lighting; 6uilding area;ideniify locations of building areas on plans
<br /> ____, ____ ____ ___ ___ indicate proposed total exterior lighting wattage does not excee
<br /> Yes C405.2.2 ---- -------- -- . -�-����� --"'" ---'-'�- ------"'"" NA Item 7 lighting If iotal egress lighting power density is greater than OA2 Wlsq.
<br /> shut-off cantrol Indicate locstions where autornatic shutoff is pro�ded by other E-111,E-502,E- Complete required compliance forms-total proposed wattage total existing watiage prior to akeration Graphite Design Group, LLC
<br /> methods{occupancy sensor or digital timer switch)or which �Z R,indicate on plans egress fixtures reqwnng automatic shut-off
<br /> Space-By-Space does not exceed mauimum ailowed wattage;identify locations o E 002
<br /> during unoccupied periods; Yes C405.4.2.2 1809 Seventh Ave��7��
<br /> time switch control exception applies ______T__ __ __.____� ___�.______.�__________�_____ _____�._ ________�-_ _______ Method space types on plans,induding retail display areas,lobby art 8 Where new wiring is installed 10 serve new interior luminaires .
<br /> indicate method of automaiic shut-off control
<br /> E-111,E�502,E- exhibit display areas,and ceiling heights as applicable and lor luminaires are relocated to a new arcuit;indicate
<br /> Indicate on plans the spaces served by occupancy sensors; Indicate on exterior li htin Ians and fiacture schedules the Intenor IigMing winng E-111,E502,E-
<br /> 602 9 9 P Yes C503.fi lighting controls are provided(as applicabie)-manual 60z Seattle,WA 981�1
<br /> C405.2.1 Occupancy sensor -- ------ ------ ----- ----------- --- ---------- auromatic IigMing control method,control sequence,and ADDITI�NAL EFFICIENCY PACKAGE OPTION-REDUCED INTERIOR LIGHTING POWER DENSITY alterations
<br /> Yes Indicate whether occupancy sensor controis are configured io
<br /> C4052.1.1 controls E-111,E-502,E-
<br /> be manual-on,automatic 50%-on,cr serve a space eligible for �2 locaiions served; To comply with additionel efficiency peckage option, (C405.2.3);occupancy sensor(C405.2.t);daylight responsive
<br /> � (C4052.4);specific appfication(C405.2.5);exit signs{C405.3) 206224.3335
<br /> autornatic 1 00%-on per exception For building facade and landscape lighting,indicate&utomaiic dernonstrate in compliance forms thet total connected interior
<br /> Controls Shut Off lighting as a iunCtipn pf dawn/dusk 2�nd fix@d Reduced lighting
<br /> Occupancy sensor Indicate aisleways and open areas in warehouse spaces Exterior lighting NA C406.3 lighting wattage is 25%less than the total mawmum aliowed Where new wirmg is installed io serve new extenor luminaires E-111,ESD2,E- CONSULTAM
<br /> power density Exterfor Ifghting
<br /> NA C405.2.1.2 caontrols- provided with occupancy sensor controls that reciuce lighting NA C405.2.7 openinglGosing time: lighting wattage via Building Area Method or Space-By-Space Yes C503.6 and/or lumfnaires are relocated to new circwt;fndfcate extenor 602
<br /> E conirois
<br /> For all other e�Rerior lighting,indicate automatic controls shui o wiring aRerations li htin controls ere rovided C405,2J
<br /> warehouses power by 50% Method 9 9 P � J
<br /> Automatic time Indicate locations of override switches on plans and the lighting E-111,E502,E- lighting es a funclion of aveila6le daylight;indude control Where a new lighting panel is instatied or an exsting panel is
<br /> Yes C405.2.2.1 $,�,itch controls zone(s)served,include area sq.ft. 602 sequence that also reduces lighting power by et least 30% Reduced Iighting For project with dwelling units,to comply with additional
<br /> efficienc package option indicate in li hfing fixture schedule if �ighting penel moved(ali new raceway end conduetor wiring);indicete lighting E-111,E-502,E-
<br /> Indicate digital timer switch control includes:manual onloff,time between 12am-Bam,or from 1 hour after closing to�hour power density- y g Yes C503.6 controis are provided(as applicable)-same provisions as
<br /> NA C405.2.6 Digitai timer switch delay,audible and visual indication of impending time-oul before opening,or based upon motion sensor NA C406.3 lamps in interior fixtures have efficacy rating of 60 lumens per alterations 602
<br /> dweiling unft lamp wa8 or more.Calculate perceMage of fixtures with lamps that wiring alterations;tfine switch controls end manual Iight
<br /> Indicate primery and secondary sidelight daylight zone arEas on . For building grounds fixtures greater than 100 watts,indicate on etficacy , reduction controls(C405.2.2)
<br /> Extenor building heve this efficacy rating(min 95/o to comply with option) Where interior space(s)is reconfigured(permanently insfalled
<br /> _, plans,include sq.ft.; NA C405.5.1 grounds lighting Plans tvhether fixt�res have efficacy greater lhan 80 lumens or;
<br /> Indicate taplight daylight zone areas on plans,include sq_ft.; �___ ___ __ ___ ____ conirols are controlled by motion sensor,or are exempt lightlng per EXTERIOR LIGHTING POWER&EFFICACY Intenor space walls or ceiling-height partitions);indicate lighting controls are
<br /> C405.2.4.2 Daylight zones- C405.5.2
<br /> NA For smaii vertical fenestration assemblies(rough opening less NA C5o3.s
<br /> C405.2.4.3 Sidelight and toplight Include all luminaires in lighting focture schedule',indicate fixture reconfiguration provided(as applicable)-same provisions as�ighting panel
<br /> than 10 percent of primary daylight mne)where dayligM Indicate IocaUon(s}of master cronVol switch(ea)intended to types,lamps,ballasts,and manufecturer's rated wetts per E-111,E502,E- elterations
<br /> Aree controls- E-1'11,ES02,E- 602
<br /> responsive controls are not required,provfde fenestration area C405.2.5 conirol multiple independent switches;circuit breaker may not fixture; Identify existing luminaires heing upgraded with bulb and!or
<br /> Master control 602 Sehnaekel
<br /> to daylight zone calculation(s) Yes (listed after gyyjtches and circuit be used as a master control switch; IdenUfy exterior applications eligible tor lighting power NA C504.2 Lighting repeirs bellest replecement;indicate fixture alteration does noi increese
<br /> ------------------- -__- ----- ------------- -__-------- Total connected E-111.E-502,E-
<br /> C405.2.7) Venfy that no 20 amp circuit coMrolled by a single switch or E-111,ES02,E- exem tion on lans and in com liance forms',indicate exce o existing fixture wattage •
<br /> Indicate on pians lighting zone(s)served by daylight responsrve ower limit
<br /> P o Yes C405.5.2 e�erior lightin P p p � 602 �
<br /> controls; automatic control is loeded be ond 8010 602 g epphed; �dentiry spaces on plans where the building area type or space �5•
<br /> --- -------- ------ -----__ ------- --��---- --- --- __
<br /> power ------------------------- -- ------- -- ---
<br /> Identify sidelight and toplight daylight zones that are not ADDITIONAL EFFICIENCY PACKAGE OPTION-ENHANCED DIGITAL LIGHTING CONTROLS . use type is being changed from one type to another per Tables ����v������H0"0�O
<br /> provided with daylight sensing controls and the exception(s) Irdicate that exempt exterior lighting is controlled independently E-111,E502,E- C405.4.2(1)or(2) ___.__„__ _____,_ ___.________ 8(�5$��3 w1Nw.f[t�lid�l+eDR1
<br /> To comply with additional efficiency package option,indicate on from non-exempt exterior lighting;inGude exception dafined for Indicate com Ifence eth buildfn area or s ace-b -s ece
<br /> NA C405.2.4 Daylight responsive thet apply_ ___
<br /> ___ --_--_---.-- -_------- .--- ---- ---- plans ail interior lighting fixtures that are individualty addressed P p � 9 P Y P SE JOBN: '190978
<br /> each fixture or group o(fxtures under exception category 802 NA C505.1 Change of space use
<br /> method);include all new and existing-to-remein luminaires in
<br /> coMrols Indicate on plans the lighting load reduction method-
<br /> Enhanced di i and provided with conUnuous dimming,or exception taken; compliance form(LTG-INT-BLD pr LTG INT-SPACE);indicate
<br /> wntinuous dimming,or stepped dimming that provides at least 9�� _____ ______ _ Table
<br /> NA C406.4 �------------- ---------- ------ Yes 6cterior lighting zone Indicate building euterior iighfing zone as defined by the AH.1 E-002 proposed lighting wattage does not exceed maximum allowed
<br /> two even steps between 0°h-100%of rated power; __ _ ____ __ __ __ _ ,______..___..._.,_ .,__.___.. lighting controls Include caiculation of percent total inskailed interior IigMing C405.5.2(1)
<br /> -----------------------------------------------------------------�--- - -
<br /> Indicate thet daylight sensing controls are configured to power that is confgured with required enhanced lighting conVol
<br /> completely shut off all controlled lights in the lighting zone Exterior building For building grounds fixtures rated at greater than 100 watts per comphance pa
<br /> tunctions(min 90%to comply with edditionai efficiency padca9e NA C4D5.5.1 that are complying based on eHicacy,indicate rated lamp RECEPTACLES
<br /> Additional cOntrois- op6on) grounds ligh[ing Bf{cacy(in lumens per watl)in fi�cture schedule
<br /> NA C405.2.5 Specific apphcation �dentify spaces and lighting fixtures on plans that require Identify all controlled and unconVolled recsptades on electrical
<br /> lightin controls specific epplication lighting controls per this section Complete required compliance fortn-proposed wattage for plans in each space in which they are reyuired;inGude E-119,ES02,E-
<br /> Exterior lighting
<br /> Indicate on plans that displey end accent lighting,and display Yes C405.5.2 exterior iighting plus base site allowed does not exceed E-002 receptacle configuration such as spacfng between controlled B�Z-�T-'- ___,_�_�
<br /> power ralculations ma�dmum allowed Controlled
<br /> cese lighting are controlled indepandently from both general Yes C405.10 �� tecles i�i�`8 ntrola s whPther�the meth y of automatic coMrol for 5�
<br /> P �_P ^
<br /> Ca05.2.5- Dispiay and accent p E-111,ES02,E-
<br /> NA area lighting and other lighting applications within the seme each conlrolled recs tade zone is b occupant sensor or y ROY SC
<br /> Items 1&2 lighting
<br /> � S��' 602
<br /> - ----------------------- ----------.._ ��--- -----__��_._.
<br /> Indicate menual and automatic lighting control method programmabie 1ime-of-day control
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<br /> COA #2609 Dote: 09/27/19
<br /> � � � � � , _ . � End of Lighting,Motor&Transformer Permit Documents Checklist
<br /> 2C�5 Washington State Ene y Code Compliance Forms for Commercial Buildings including R2,R3,R4 over 3 stor:es and all Rt Revised Nov 20�7
<br /> MOD Pizza Evergreen Way Date 9/27/2019
<br /> The foilowing infarmation is necessary to check a permit applica6on inr wmpliance with the lighting,motor,and elecfical requirements in the
<br /> Applicability Location in Building Department
<br /> (yes no,na) Code Sedion Component Compliance information required in permit documents Documents Notes �
<br /> MOTORS,TRANSFORMERS,ELECTRIC METERS,INTERIOR TRANSPORTATION
<br /> NA C405.6 Electrical Include electricai transformer schedule on electrical plans;
<br /> transfarmers indicate transformer size,efficiency,or exception taken
<br /> ' Dwelling unit �ndicate an electncai plans that each dwelling unit in Group R-2
<br /> � NA C405.7 electncal energy has a separate electrical energy meter
<br /> consumption
<br /> Electric motor �nclude all motors,inciuding fractional hp mators,in electric
<br /> NA C405.8 efficiency motor schedule on electncel plans;mdicate hp,rpm,rated
<br /> � efficiency,or exce tion applied .
<br /> For luminaires in each elevator cab,provide calculated average
<br /> efficacy of combined fiMures that indicates efficacy�s not less
<br /> than 35 lumens perwatt; __�
<br /> ----- ----------------- --. ____ --�----
<br /> NA C405.9.1 Elevator cabs �ndicate rated watts per cfm for elevetor cab ventilation fans do
<br /> not BxCe2d 0.33 watts p2r Cfm;
<br /> Indicate automatic cantrols that de-energize lighting and � �
<br /> ventilation fsns when elevator is atopped and unaxupied for a �
<br /> period of 15 minutes or more Z CV
<br /> Esralators and �ndicats escalators compty with ASME A77.1/CSA 644; OO
<br /> NA C405.9.2 moving walks automatic controls are configured to reduce operational speed � ��
<br /> to the minimum permitted when not in use �/
<br /> NA C405.9.3 Regenerative drive �ndicate all one-way down or reversible escalators are provided
<br /> LL �
<br /> with a variable frequency regenerative drive �
<br /> DOCUMENTATION AND SYSTEM REQUIREMENTS TO SUPPORT COMMISSIONING(Cx} �
<br /> � �_
<br /> Indicate that all eiectricel systems(receptacles,transiormers, �
<br /> motors,vertical and horizontal transportation)forwhich the � �'
<br /> 1NSEC requires oontrol Tunctions and/or�nfgura6on to
<br /> Scope of electrical perform apecific functions are required to be commissionad; w �
<br /> � �, ��
<br /> NA C408.3 Power and lighting �e�total building lighting load is>20 kW,or where total ^ Q �
<br /> systems
<br /> commissioning lighting load of luminaires requiring daylight sensing and/or
<br /> occupancy control a 10 kW,indicate that all automatic lighting � �.�.J
<br /> control systems are required to be commissioned,or provide �7
<br /> �-
<br /> building lighting power czlculation demonstrating eligibility for
<br /> exception;
<br /> Indicate Cx requirements in plans and specifications for all
<br /> applicable electrical and lightlng control systems per C408;
<br /> g Include general summary with at minimum Items 1 thru 4 of the �
<br /> C405.13 Cx plan per C408.1.2 including:narrative description of
<br /> Commissioning
<br /> C408.1.1 . activities,responsihilities of the Cx team,schedule of activities
<br /> NA C408.1.2 �4uirements in including verification of project close out documentation per
<br /> C408.1.4.2 LOnstruction C103.6,and conflict of interest plan(if required);
<br /> C103.6 documents
<br /> Include in genera�summary that a Cx project report or
<br /> Compliance Checklist(Figure C408.1.4.2}shall be compieted
<br /> by the Certified Gx Protessional a�d provided to the owner prior
<br /> to the final eledrical inspedion '
<br /> Functionai Identiiy in pians and specifications the intended oparetion of all E-111,E-502,E-
<br /> Yes C408.3.1 performance testing equipment and controls during all modes oi operation,including �2
<br /> criteria interfacing between new and e�dstin0-to-remain systems
<br /> PROJECT CLOSE OUT DOCUMENTATION
<br /> Indicate in plans that project ciose out documentation is
<br /> ISSUED!REVISED DAT
<br /> Project close out requirad induding WSEC lighting compliance forms and
<br /> NA C103.6.3 doc�mentation calculations that document all interior and exterior lighting area
<br /> PERMIT SET 01.12.19
<br /> requirements and f ar surface types,lighting power allowances and installed
<br /> densities
<br /> REVISION 1 � 09.27.19
<br /> If"no" is selected for any question,provide explanation:
<br /> A
<br /> . : ... '�..i ��� �
<br /> " ,�'��: i ':' . - . ... . . . .
<br /> PERMIT SET 7. .
<br /> ENERGY
<br /> COMPLIANCE
<br /> E-003
<br /> MOD Super-Fast Piva,LLC re�aias ownership of CAD documents � CopydgM�2019 Graphite Design Group,LLC
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