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2012 Wash�ngton Slale Energy Code Compliance Forms lor Commercial Buildings including R2 8 R3 over 3 slories and ail Rt Revised Jan 2014 <br />Project Info °'oject nderess SU[bucke - E�e[e[t c=.a�c.�� Plexe Date e/19/zo14 <br />Compllanec 515 SE Eveze[t Mall u.y For Building Depanment Use <br />lorms do nol <br />ICQII�IBB �ece[t, HA 98708 <br />passwmdfo AppiicaniName: ne�,cn e�ymeectnq <br />usc. <br />InsfruCfionaland ApplicantAddress. iii a�.. c, s�ace �oa, s�ono�isn, xn sezso <br />ca/cWafing cells <br />arewrife- AppiicaniPhone: 3ca-es3-cevv <br />Project DescripHon ❑ New Building ❑ Addition � Alleralion ❑ Plans IndudM <br />LighBng Compliance Path � Lighting Power Density Calcuialions Q Tota18uiltling PeAormance <br />�ll Tofal Bui!drng PeAcrmance then onry LGT•CHKis required.) <br />Light�ng Power Allowance Q Building Area tlelhod Q Space�By-Space �dethod <br />Method Selec(ionrequi�edro <br />enable LPA lorms <br />Interior LighHn� System Replacing less than 60% of existing fixture on existing lighting system. <br />DescripHon <br />Qiielty describe i�gh6ng <br />system type and lealu�es. <br />AddiHons and Change of Space ilse (C101.4.3 & C101.4.4) <br />❑ Atldition area or Change of Space Use area complies with all applicable provisions as stand aione project <br />� Addition area is combined with exisling building lighting systems to demonstrate compliance with all applicable <br />prov�sions per C�01.4.3 <br />Provide Building Area Methotl I�TGdNT�BLD) or Space•BySpace Method (LTG•INT•SFACE) Compliance Form. Document maximum <br />aliowed and proposed 1����uding exisfing i! applicabfe) ligh(ing waltago o! Addition or Change o! Use space. Provide app�icable ligh(ing <br />con(rals per C4052 and commissioning o! lighfing confrols pe� C405J3. <br />AlteraHons, RenovaHons and Repairs (C101.4.3.1) <br />❑ 60 % oi more ol luminaires in space mplaced � <br />Provide Buiiding Area Melhod RTGINT�BLDJ or Space�By�Space Melhod (LTG-INT-SPACE) Campliance Farm. Documenl marimum <br />ailowed �vatlage wilhin the lighting refrolit space in Marimum Allawed Wattage hble and proposed /including exisling) lighting waffage in <br />Proposed Wat(age lable. Retro�i� and nomrelrolif spaces sharl be documenled sepa�afely using multiple lorms <br />Q Less than 60 % ol luminaires in spaco replaced <br />Provide a separate Spaco-Qy�Space fdelhod (LTG-INT-SPACE) Compliance Form !or fhis retroGl area. Documenl existing tolal walfage <br />within fhe lighfing retrohl space in celf provided in Ihe hlaximum Aliowed WaBage 1�61e. Document proposed (inc/uding exisfingJ Gghting <br />watfage in Ihe PropuseAWaftage fa61e. <br />� lamp andror ballast replacement wilhin e.isting luminaires onlv - oxisting to�al interior huildmg wanage no� mcreased <br />� New wiring installed lo serve added 1«tures antl/or hxlures relocated �o new circuit <br />P�ovide applicable manwi 6ghNng cnntrols /C4052.1). occupancy sensors �C4052 22). daylighl zane controls (C40522.3�, specilic <br />applicafion conhols (C405.251. �nd conmissioning ol lighfing confrols per Ca05.73 <br />� New or moved lighling panel <br />Piovide all apppcable lighting con(rols as noted Por New Winng, aufomalic time switch con(rals (C4052.2.1). and commissioning a! hghfinr� <br />conbols per C605.73. <br />� Space is reconligured - luminaires unchanged or moved only <br />Provide a�l applicable lighting confrols as noled lor New Wiring and commissioning ol Iighiing conhnls per C405.73. <br />� No changes are being made to Ihe interior lighting and space use not changed. <br />