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• • • • • • � ' � • <br />2012 Washington State Energy Code Compliance Forms for Commercial Buildings including R2 8 R3 over 3 stories and all R1 Revised Nov 2013 <br />ProjectAddress Washington CenterforPain Management: Everett Date 5/21/2013 <br />The following information is necessary to check a permit application for compliance with the lighting, motor, and transformer requirements in the W ashington <br />State Energy Code, Commercial Provisions. <br />Applicability Location in Building Department <br />(yes,no,na) Code Section Component Compliance information required in permit documents Documents Notes <br />Indicate that exempt lighting equipment is in addition to general <br />area lighting and is controlled independently <br />C405.4 Exit signs Provide exit sign types and rated watts per fxture in fixture <br />schedule (maximum 5 watts per fixture) <br />C405.10 Cooler and freezer For lighting in walk-in coolers and freezers, and refrigerated <br />C405.11 lighting warehouse coolers and freezers, provide rated lamp efficacy (in <br />lumens per watt) in fixture schedule <br />Lighting Power Calculation - Indicate compliance path taken <br />Complete required compliance forms — proposed wattage per <br />C405.5.2 Building Area Method building area does not exceed maximum allowed wattage per <br />building area. Identify locations of building areas on plans <br />Space-By-Space Complete required compliance forms — total proposed wattage <br />C405.52 Method does not exceed maximum allowed wattage. Identify locations of <br />space types on plans, including retail display areas as applicable <br />EXTERIOR LIGHTING POWER & EFFICACY Section C405.6 <br />Provide fixture schedule with fixture types, lamps, ballasts, and <br />rated watts per fixture; <br />C405.62 Total connected Identify exterior applications eligible for lighting power exemption on <br />exterior lighting power plans and in compliance forms; <br />Indicate that exempt exterior lighting is controlled independently <br />from non-exempt exterior lighting <br />Table Exterior lighting zone Indicate building e�erior lighting zone as defined by the AHJ <br />C405.62(1) <br />C405.6.1 Exterior building For building grounds fi�ures rated at greater than 100 watts, <br />grounds lighting provide rated lamp efficacy (in lumens per watt) in fixture schedule <br />Exterior lighting power Complete required compliance form — proposed wattage for <br />C405.6.2 calculations exterior lighting plus base site allowed does not exceed maximum <br />allowed <br />MOTORS & TRANSFORMERS (Sections C405.8, C405.9) <br />C405.8 Electric Motors For motors not part of an HVAC system, provide electric motor <br />schedule on electrical plans with hp, rpm, and rated effciency <br />C405.9 Transformers Provide distribution transformer schedule on electrical plans with <br />transformer size and e�ciency <br />If "no" is selected for any qu_estion,provide explanation: <br />