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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 2205 BROADWAY Date 5/13/2016 <br /> Compliance EVERETT,WA For Building Department Use <br /> forms do not <br /> require a <br /> password to <br /> use. Instructional Applicant NameWalgreens Co.-Brant Heflin <br /> y -.CGS- <br /> and calculating Applicant Address: 106 Wilmont Rd.MS#1640,Deerfield,IL 60015 <br /> cells are write- <br /> protected. Applicant Phone: (847)315-4595 <br /> Project Description ❑ New Building ❑ Addition 0 Alteration ❑ Plans Included <br /> OQ Lighting Power Density Calculations 0 Total Building Performance <br /> Lighting Compliance Path <br /> (If Total Building Performance then only LGT-CHK is required.) <br /> Lighting Power Allowance <br /> O Building Area Method OO Space-By-Space Method <br /> Method Selection required to <br /> enable LPA forms <br /> Interior Lighting System Spaces are provided with a dimmer switch and ceiling mounted occupancy sensor,or a wall <br /> Description mounted occupancy sensor switch. <br /> Briefly describe lighting <br /> system type and features. <br /> Additions and Change of Space Use (C101.4.3 &C101.4.4) <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 d 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-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 table.Retrofit and non-retrofit spaces shall be documented separately using multiple forms. <br /> F,1 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 /> 0 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 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 /> i � <br /> � i <br />