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� � � � <br />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 gray International Date 9/12/2014 <br />Compliance 80th Street Venture For Building Department Use <br />forms do not 834 80th Street <br />require a <br />password to Everett, WA <br />use. Instructional Applicant Name: Lance Mueller Architects <br />and calculating <br />cells are write- Applicant Address: 130 Lakeside, Suite 250 <br />protected. <br />Applicant Phone: 206-325-2553 <br />Project Description ❑ New Building ❑ A,ddition � Alteration ❑ Plans Included I <br />Lighting Compliance Path <br />Lighting Power Allowance <br />Method Selection required to <br />enable LPA forms <br />Interior Lighting System <br />Description <br />Briefly describe lighting <br />system type and features. <br />Q Lighting Power Density Calculations <br />� Building Area Method <br />� Total Building Performance <br />(If Total 8uilding Performance then only LGT-CHK is required.) <br />QQ Space-By-Space Method <br />New flourescent and incandescent lighting within existing building. Tenant space has not <br />been occupied before. New ceiling and light fixtures will be provided per this permit. <br />All lighting controls, occupancy sensors and commisioning will be by electrical contractor. <br />Additions and Chan�e of Snace Use (C101.4.3 & <br />❑ Addition area or Change of Space Use area complies with all applicable provisions as stand alone project <br />� Addition area is combined with existing building lighting systems to demonstrate compliance with all applicable <br />provisions per C101.4.3 <br />Provide Building Area Method (LTG-INT-BLD) or Space-By-Space Method (LTG-INT-SPACE) Compliance Form. Document 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 confrols 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-INT-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 tab/e. 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-SPACE) 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 (including 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 and/or fixtures relocated to new circuit <br />Provide applicable manual lighting controls (C405.2.1), occupancy sensors (C405.2.2.2), daylight zone controls (C405.2.2.3), specific <br />application controls (C405.2.3), 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 controls (C405.2.2.1), and commissioning of lighting <br />controls per C405.13. <br />� Space is reconfigured - luminaires unchanged or moved oniy <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 />