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2012 Washington State Energy Code Compliance Forms for Commercial Buildings including R2 & R3 over 3 stories and all R1 Revised Jan 2014 <br />Project Info Project Address DOLLAR TREE (DEAL #8641) Date 4/20/2015 <br />Compliance Cascade Plaza For Building Department Use <br />fo�ms do not <br />require a Everett, WA <br />password to Applicant Name: DOLLAR TREE �` C� ('�._�� � <br />use. v L <br />lnstructional and Applicant Address: <br />calculating cells <br />are write- Applicant Phone: <br />IProj ect Description I❑ New Building ❑ Addition ❑ Alteration � Plans Included <br />Lighting Compliance Path <br />Lighting Power Allowance <br />Method Selection required to <br />enable LPA forms <br />� Lighting Power Density Calculations <br />� Building Area Method <br />� Total Building Performance <br />(If Total Building Performance then only LGT-CHK is required.) <br />� Space-By-Space Method <br />Interior Lighting System New T8 fluorescent lighting utilizing strip lighting with reflectors;�nd,cQntrolled <br />Description with a combination of an energy management system (E(ul5j,�nd.!motion,sei�sors in <br />areas as shown on plans. ";.., <br />Briefly describe lighting �=� i �" � � �' �� � � � <br />%,_' � <br />system type and features. : .; <br />, ��` � `�` <br />Additions and Change of Space Use (C101.4.3 & C101.4.4) _�'"' "''��-'' <br />_ r;. <br />❑ Addition area or Change of Space Use area complies with all applicable provisions as stand alone pro�e � 2;` � <br />� Addition area is combined with existin g buildi n g l i g h t i n g s y s t e m s t o d e m o n s t r a t e c o m p l i a n c e w i t h a l l a p p l i c a b l e ''"` "-' ��, �' <br />provisions per C101.4.3 �` <br />Provide Building Area Method (LTG-INT-BLD) or Space-By-Space Method (LTG-INT-SPACEJ Compliance Form. Documeni maximum <br />allowed and proposed (including existing if applicable) lighting wattage of Addition or Change of Use space. Provide applicable lighting <br />controls per C405.2 and commissioning of lighting controls per C405.13. <br />Alterations, Renovations and Repairs (C101.4.3.1) <br />� 60% or more of luminaires in space replaced <br />Provide Building Area Method (LTG-lNT-BLD) or Space-By-Space Method (LTG-INT-SPACE) Compliance Form. Document maximum <br />allowed wattage within the lighting retrofit space in Maximum Allowed Wattage table and proposed (including existing) lighting wattage in <br />Proposed Wattage table. Retrofit and non-retrofit spaces shall be documented separately using multiple forms. <br />� Less than 60% of luminaires in space replaced <br />Provide a separate Space-By-Space Method (LTG-INT-SPACEJ Compliance Form for this retrofit area. Document existing total wattage <br />within the lighting retrofit space in cell provided in the Maximum Allowed Wattage table. Document proposed (incfuding existing) lighting <br />wattage in the Proposed Wattage table. <br />❑ Lamp and/or ballast replacement within existing luminaires only — existing total interior building wattage not increased <br />� New wiring installed to serve added fixtures andlor fixtures relocated to new circuit <br />Provide applicable manual lightinq controls (C405.2.1), occupancy sensors (C405.2.2.2), daylight zone controls (C405.2.2.3), specific <br />application controls (C405.2.3J, and commissioning of lighting controls per C405.13 <br />� New or moved lighting panel <br />Provide all applicable lighting controls as noted for New Wiring, automatic time switch contiols (C405.2.2.1), and commissioning of lighting <br />controls per C405.13. <br />� Space is reconfigured - luminaires unchanged or moved only <br />Provide all applicable lighting controls as noted for New Wiring and commissioning of lighting controls per C405.13. <br />❑ No changes are being made to the interior lighting and space use not changed. <br />