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� 2012'Nashington State Ener Code Compliance Forms for Commercial, Grou R1, and > 3 story R2 and R3 <br />• • • <br />2072 Washin9;on Sr.i;e E^_igy Code Comphance Forms lor Commercial, Group Ri, and % 3 s(ory R2 and R3 H�'�� %�� ��.��� 7o» <br />PiOject In{o �'ro�ecl<,odress „oz se e.,�rrz.;..L:, war _ �a�� 11/a/zoii— <br />evene.j.rE, +A Fcr Bmlding Gepariment Use <br />Appl:wni Namc yp PMThRRS ✓ I y I('�`� Z <br />Appl��Wn�Address ��o� nxscovev+r ecw, ocmtxx, ox uoiv <br />ApplicantPhone 616-6J1-]000 <br />Project [lescription ❑ t�ewBwltl�ng ❑ Addinon ❑ Alteralion ❑ Planslndud�d <br />��.i�Ilfltt�'COIII(llldilCC �LioMmgPowerDensiryCalculations QTotalBwldingPedortnance <br />�P�t f7 (L' Tolal Building Pcrformanre then only LGT-CHK is reqwmd.J <br />t <br />Interior Lighting �,l Bwid:ng Arca Method Q S�ate-by-space MeNod � <br />Compliance Option <br />InEerior Lighting Systcm <br />Description <br />Bnefly descnGe 6ghhng <br />system rype antl Icalures <br />Additions and Change of Space Use (C101.4.3 & C101.4.4) <br />❑ Addilion area or Change of Space Use ar?a comol�,es wit� all applicable prov�sions as stantl alone pro�ect <br />� Atldition area or Ghange ol Space Use area is combined wilh existiny bui!tlmg hghtlnq syslems lo demonstrale <br />compliancc with all applicable prov:sions <br />Pmvide Bmldmg Area Mefhod (LiGINT�-DLD) or Spacr�y� Soace M1iethod (LTG-INT-SPACE) Compl�ance Form Document ma�imum <br />allowed and proposed (mciuding eai�hng r1 applrcab!eJ 6ghf.ng �vatlage ol Addrrion or Change o! Use scope. Provide appLcaDle <br />lightmg confrvls per C405 2 and commissioning o� h9hhng c�ntmis;ler C405 73. <br />�Vterations, Renovations and Repairs (C701.4.3.1) <br />U 50 % or more of luminaves m s�ace replacetl <br />Prowde BuJdmg Alea Mefhoel(L7G-INT-(3LDJ or Space-By-Space M1feU�od (LTG-INT-SPACE) Cumpl:anre Form Documenf maumum <br />allowed and proposed (including exi;6ng16ght�ng wattage ol pro�ecf scope <br />� less Ihan 6090 of luminartes in space rep�au�d <br />Prov�de Spacrby-space Method ILTG-INT-SPACE) Comp6ance Fomi Documml exisGny fotal a�attage m space and pmposed <br />(mcludmg exiShngJ I�ghhnq wa(fage o! pmject :cope <br />�� Wmp andlor ballast replacemem wnhin existing luminaur.s only — exrsting tulal intenor 6uud�ng wallage not mcreased <br />(� New winng in5ialletl to serve added IiAwe: on0lor fixtums relocaled lo new cucwt <br />Provide . pp6cable manual li9htin9 confrols (C405 2.1J. occupancy sensors (C405 2 2 2). day6ght zone confmis (C405? 2 J), speci(c <br />apphwhon confrols (Gf05 2.3). and commrssonmg ol L9htir.g confmis per Ga05.13 <br />U New or moved lightmg panel <br />Provide all apphcable I�ghhng confmis as noled !or New Wmng, aufomahc bme swdch conlrols (C40522.1). and mmmissioning ol <br />lighfmg controls per C405 13 <br />� Space is reconfigured - lummaires unchanged or moved onty <br />Pmade all applrcable IighLng contmis as noled 1or New LNinng and commasionmg o� lighting ccn�rols per C405. 73 <br />�] D:o changes are being made to Ihe interor Iiglning and space use nct chan ,ed <br />