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• <br /> KAER <br /> PER ANENTE <br /> Project <br /> Kaiser Permanente Everett <br /> Lighting, • • and Electrical Permit Checklist, ' • <br /> MOB Backfill <br /> 2015 Washin ton Slate Enerov Code Compliance Forms for Commercial Buildin s includintoR2,R3 R4 over 3 stories and all R1 Revised Nov 2017 <br /> KAISER PERMANENTE EVERETT BRIDGING Date 10/10/2022 2929 PINE STREET <br /> The following information is necessary to check a permit application for compliance with the lighting,motor,and electrical requirements in the EVERETT,WA 98201 <br /> Applicability Location In DI Ing epa e0 <br /> (yes,no,na) Code Section Component Compliance information required in permit documents Documents Notes Prepared for <br /> MOTORS,TRANSFORMERS,ELECTRIC METERS,INTERIOR TRANSPORTATION KAISER FOUNDATION <br /> NA C405.6 Electrical Include electrical transformer schedule on electrical plans; HEALTH PLAN, INC. <br /> transformers indicate transformer size,efficiency, r exc Dillon taker NATIONAL FACILITIES SERVICES <br /> Dwelling unit Indicate on electrical plans that each dwelling unit in Group R-2 POST OFFICE BOX 12916 <br /> consumption NA C405.7 electrical energy has a separate electrical energy meter OAKLAND,CA 94604 <br /> Electric motor Include all motors,including fractional hp motors,in electric <br /> NA C405.8 efficiency motor schedule on electrical plans:indicate hp,rpm.rated <br /> ,fficiency.or exception appliec <br /> For luminaires in each elevator cab,provide calculated average <br /> efficacy of combined fixtures that indicates efficacy is not less <br /> than 35 lumens per watt; <br /> N A 0405.9.1 Elevator cabs Indicate rated watts per chin for elevator cab ventilation fans do <br /> not exceed 0.33 wafts per dm <br /> Indicate automatic controls that de-energize lighting and <br /> ventilation fans when elevator is stopped and unoccupied for a , <br /> nanod of 15 minutes or more <br /> Escalators and Indicate escalators comply with ASME A17.1/CSA 944; <br /> NA C405.9.2 automatic controls are configured to reduce operational speed <br /> moving walks <br /> to the m In mum permitted when not in u&E <br /> NA ICA05 9 3 Regenerative drive Indicate all one-way down or reversible escalators are provided <br /> v ri I f(eOUencv rananerative drivF <br /> Hellmuth,DOCUMENTATION AND SYSTEM REQUIREMENTS TO SUPPORT COMMISSIONING Cx 1218Thir Avenbata ue, <br /> Suite 315um,Inc. <br /> 1218 Third Avenue,Suite 1315 <br /> Indicate that all electrical systems(receptacles.transformers Seattle,WA 98101 USA <br /> motors,vertical and horizontal transportation)for which the t+1 206 493 1771 f+1 206 493 1778 <br /> WSEC requires control functions and/or configuration to SEE SPECS <br /> Scope of electrical All rtroa ion e,mt-llecmal Pr rty rights rees-sti <br /> op perform specific functions are required to be commissioned s <br /> 2020 <br /> Yes C408.3 power and lighting Where total building lighting load is>20 kW,or where total In Association with <br /> systems lighting load of luminaires requiring daylight sensing and/or <br /> commissioning occupancy control>10 kW,indicate that all automatic lighting Mortensen <br /> control systems are required to be commissioned;or provide General contractor <br /> building lighting power calculation demonstrating eligibility for 10230 NE Points Drive,Suite 300 <br /> Kirkland,WA 98033 <br /> Indicate Cx requirements in plans and specifications for all SEE SPECS Mazzetti <br /> applicable electrical and lighting control systems per C408; MEP+FP Engweehng <br /> Include general summary with at minimum Items 1 thru 4 of the 2013 4th Avenue,Suite 200 <br /> C405.13 Commissioning Cx plan per C408.1.2 including:narrative description of Seattle,WA 98121 <br /> C408.1.1 activities,responsibilities of the Cx team,schedule of activities <br /> Yea C408.1.2 requirements in including verification of project close out documentation per <br /> C408.1.4.2 construction <br /> documents Include.and general <br /> conflict interest plan(if reject re <br /> C103,6 Include in general summary that a Cx project report or <br /> Compliance Checklist(Figure C408.1.4.2)shall be completed <br /> by the Certified Cx Professional and provided to the owner prior <br /> I Ito the final electrical msnectior <br /> Functional Identity in plans and specifications the intended operation of all <br /> Yes C408.3.1 performance testing equipment and controls during all modes of operation,including SEE SPECS <br /> criteria interfacing between new and existing-to-remain systems <br /> PROJECT CLOSE OUT DOCUMENTATION Key Plan <br /> n Icate in plans that project close out ocumen a ion is <br /> Project close out required including WSEC lighting compliance forms and <br /> Yes C103.6.3 documentation calculations that document all interior and exterior lighting area NREC FORM <br /> requirements and/or surface types,lighting power allowances and installed <br /> M"no"Is selected for any question,provide explanation: <br /> Daylight zones were not provided because of exception 1 from C405.2.4. <br /> Professional Seals <br /> ♦G C. Ski <br /> 4 of eAS �t <br /> a <br /> 0 <br /> End of Lighting,Motor&Transformer Permit Documents Checklist <br /> .pt� 40g49 �V� <br /> P�C{LgeQ)STE ' <br /> 70NAL <br /> No. Description Date <br /> MOB BACK FILL ISSUED FOR PERMIT 2022/10/14 <br /> KIP Project No: CAP022248 <br /> HOK Project No: 20.05003.00 <br /> Sheet Title: <br /> NREC FORMS <br /> a <br /> Original is <br /> 2 Sheet Number <br /> a <br /> B 1 E004 <br />