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20140197 Permit Pkg 07242014 r ',!/o� THEA,� City of Yelm Permit ►vo.: 20140197 w , � � Community Development Department Issue Date: 7/24/2014 a. ee (Work must be completed within 180 days) Building Division Phone: (360)458-8407 YEL '.a"'"`=°" Fax: (360)458-3144 Applicant: Name: RITE AID CORPORATION Phone: 866-322-4547 Address: P.O. BOX 8435 HARRISBURG PA 17105 Property Information: Site Address: 909 YELM AVE E Owner: RITE A�D CORP Assessor Parcel No.: 22730121200 Subdivision: Lot: Contractor Information: Name: RITE AID CORPORATION Phone: Address: :ACCOUNTS PAYABLES P.O. BOX 8435 HARRISBURG PA 17105 Contractor License No.: Expires: 0/00/0000 Project Information: Project: COMMERCIAL REMODEL Description of Work: CONSTRUCT CONSULTATION ROOM AND INTERIOR UPGRADES Sq. Ft. per floor: First Heat Type(Electric, Gas, Other): Second Third Garage Basement Fees: Item Contractor Fees BUILDING RITE AID CORPORATION $1,028.85 TOTAL FEES: $ 1,028.85 Applican 's Affidavit: OFFICIAL USE ONLY I certify t at I h and examined the information contained within the application and know the same to be tru a correct. I o certify that the proposed structure is in conformity with all applicable City of #Sets of Prints: Yelm re�ulations includin those gov rning zoning and land subdivision,and in addition, all covenants, easemer�ts and strictio s f r cor . If applyi as a contra or,I further certify that I am currently Final Inspection: registere in th tate s ng 5� Date: Signature Date By: Firm cmr o��u� COMMERCIAL BUILDING�ERMI�APPLICATION FORM Project Address: '��?��:rh .�'��. Parcel#: 2 2°I� +�l Z-P 22.�� Zoning; G � Cunent Use: �e��/ Proposed Use: 1��%7`�r�,� �� P1ew CansErucfion '?�i��R�=�! nan Tmproveme � Plumbing "� Mechanical � Fire Prevent/SuppresslAfarm ^ Other Project Description/Scope af Work: ��`��' ��S�v'1�tj ��+�r Project Vaiue: ��', ��U � Building Area �sq.ft) Parking Garage 15`Ftoor 3?'g "d Floor ^-- 3`�Floor-- Buifding Height ��'t�'" Are there any environmentaily sensitive areas located on the parce!. #yes,a � � completed environmental checklist snus#accompeny permit appiication. ��q� v � ADDRES 4 r^'�E: LltZ,�t J�!'v� f EMA1L CITY f� S a ATE�ZIP d's'' TELEPHONE � ,��r» r ldCE1dSE# S�l�+� �oo�ESS � � S��r En+w�� ,�r�•��:�,��` C}�"'f 14en�tsh STATE_�ZIP�OS�' TELEPH��r� 4�.2.1"��?.�- J�'3SS�' ,, � ' o TELEPHONE AuDR�SS EMAfL I C1TY STATE ZIP 1=AX CUNTRACT4R'S LICENSE# EXP DATE____CITY LIGENSE# TELEPHONE ADDRESS EMAtL GITY STATE ZIP FAX CONTR6�GTOR'S LICENSE# EXP DA�i'E_CITY LICENSE# ,. v TELEPNONE ADDRESS EMAl� C1TY STATE ZIP FAX CONTF2ACTOR'S l.{CENSE# EXP DATE_Ci3Y LlCENSE# Copy af City Mitigation doc�xneMatiort{TFC). t hereby certify that the above i»fo+mation is correct and that d►e co�structton on,and tlie occupancy and tfie use ot the above described�roperty will be in accor'dance with the laws,rules and regulations of the State af Washington and the City of Yetm. .��--�"""�� A �ca�t's Si n re Date Owner �,a�'�ictor/Owner's Agent I Contractor's Agent 1 Tenant (Piease circle one.) d All permits are non-transferahie and will�xpire if work autl�orized by such permit is not begun within 180 days of issuance,vr if work is suspended or abandoned for a period�f 180 days (.�so)�ss-as3� 105 Yelm Aue W (360)�458-3X44 FA% _ Yelm,VYA 98597 wwzu.ci.yelm.raa.us � �,..f P;�+� R/�,�'_..r� MAY 4 5 ��1� �°Y: ��p� TH�A�� City of Yelm Permit No.: 20140197 7 � �7� Community Development Department Fee Calculation Worksheet 6 � � *'�� - Building Division '-� `e� Phone: (360)458-8407 YELM Fax: (360)458-3144 Applicant: Name: RITE AID CORPORATION Phone: 866-322-4547 Address: P.O. BOX 8435 HARRISBURG PA 17105 Property Information: site,4ddress: 909 YELM AVE E Owner: RITE AID CORP Assessor Parcel No.: 22730121200 Subdivision: Lot: Project Information: Project: COMMERCIAL REMODEL Description of Work: CONSTRUCT CONSULTATION ROOM AND INTERIOR UPGRADES Sq. Ft. per floor: First Heat Type(Electric, Gas, Other): Second Third Garage Basement Fees: Item Units Fees BUILDING PERMIT ESTIMATED VALUE 48,000 $ 623.55 BUILDING PLAN REVIEW 0 $ 405.30 TOTAL FEES: $ 1,028.85 PAYMENTS MADE: $ 0.00 BALANCE DUE: $ 1,028.85 Cit� of Y�lm (36 ) 458-8402 REC#; 00167175 7/24/2Q14 4:15 PM OPER: GU TERM: 001 REF#: 7765 TRAN: 33.()000 BUILQING PERMTTS 20140197 1,028,85CR RITE AID CORPORATION 909 YELM AVE E BLDG l,r)28.85CR (ENDERED; 1,028.85 CHECK APPLIED: 1,028.85- CHANGE: 0.00 ;�'�o� TH�p,� City of Yelm Permit No.: 20140197 � � �� Community Development Department Issue Date: 3/26/2015 a �++ (Work must be completed within 180 days) Building Division Phone: (360)458-8407 ELM w�6N�ry4T4M Fax: (360)458-3144 Applicant: Name: RITE AID CORPORATION Phone: 866-322-4547 Address: P.O. BOX 8435 HARRISBURG PA 17105 Property Information: site Address: 909 YELM AVE E Owner: RITE AID CORP Assessor Parcel No.: 22730121200 Subdivision: Lot: Contractor Information: Name: RITE AID CORPORATION Phone: Address: : ACCOUNTS PAYABLES P.O. BOX 8435 HARRISBURG PA 17105 Contractor License No.: Expires: 0/00/0000 Project Information: Project: COMMERCIAL REMODEL Description of Work: CONSTRUCT CONSULTATION ROOM AND INTERIOR UPGRADES. Install new EIFs wall and replace damaged wall sheathing Sq. Ft. per floor: First Heat Type(Electric, Gas, Other): Second Third Garage Basement Fees: Item Contractor Fees BUILDING RITE AID CORPORATION $ 1,028.85 COMMERCIAL ALTERATION RITE AID CORPORATION—3/26/2015 $1,921.38 TOTAL FEES: $ 2,950.23 Appli anYs Affidavit: OFFICIAL USE ONLY I certi that I have read and examined the information contained within the application and know the same to be rue co ct. I also certify that the proposed structure is in conformity with all applicable City of #Sets of Prints: Yelm regul ions in luding those governing zoning and land subdivision,and in addition,all covenants, ease ents nd res ictions of record. If applyi g as a contractor, I further certify that I am currently Final Inspection: regist red i the S te of W h gto . Date: Signa re �— Date Firm By H.G.KI MU RA :�RCHiTECT, f LLC Howard G.Kimura>Principal Date: March 23,2015 To: Attn.Ms.Karen Bennett City of Yelm 105 Yelm Avenue West Yelm,WA 98597 From: Howard G.Kimura,AIA HG Kimura Architect PLLC 18012 W.Lake Desire Dr.SE Renton,WA 98058 Tel.425-271-1875 Fax 425-271-2383 RE: Rite Aid 5286—Exterior Elevation—EIFS Replacement Fee 909 E.Yelm Avenue Yelm,WA 98597 Transmitting: Dear Karen: Please find enclosed a check in the amount of$1921.38. I would appreciate a receipt sent to the following email address: flcimura@comcast.net. Thank you, Florence Cit� of Y�lm (36 ) 458-3244 REC#: 00190569 3/26/2015 11 :26 AM OPER: CO TERM: 001 REF#: 7867 PAID BY: TRAN: 33.0000 BUILDING PERMITS 20140197 1,921 ,38CR RITE AID CORPORATION 909 YELM AVE E BLD-COM3 1,921 .38CR TENDEREQ: 1,921 .3B CHECK APPLIEQ; 1,921.38- CHANGE: 0.00 18012 W.Lake Desire Dr.SE■Renton,WA 98058■425.766.5000■Fa�c:425.271.2383■email:hgkimura@comcast.net o��'�.�� City Of Yelm Permit No.: 20140197 �`� � � Community Development Department Fee Calculation Worksheet Building Division Phone: (360)458-8407 L �*$ Fax: (360)458-3144 Applicant: Name: RITE AID CORPORATION Phone: 866-322-4547 Address: P.O. BOX 8435 HARRISBURG PA 17105 Property Information: Site Address: 909 YELM AVE E Owner: RITE AID CORP Assessor Parcel No.: 22730121200 Subdivision: Lot: Project Information: Project: COMMERCIAL REMODEL Description of Work: Install new EIFs wall and replace damaged wall sheathing Sq. Ft. per floor: First Heat Type (Electric,Gas, Other): Second Third Garage Basement Fees: item Units Fees BUILDING PERMIT ESTIMATED VALUE 130,000 $1,161.75 BUILDING PLAN REVIEW 0 $ 755.13 STATE BUILDING FEE 1 $ 4.50 TOTAL FEES: $ 1,921.38 PAYMENTS MADE: $ 0.00 BALANCE DUE: $ 1,921.38 . CITY OF YELM COMMERCIAL BUILDING PERMIT APPLICATION FORM Project Address: `l09 � Xp�m �-ve_ Parcel#: d�27,3 Q!Z!ZDo Zoning; ' C,,,[ Current Use: I� Proposed Use: Rp_ i.l New Construction Re-Model/Re-Roof enant Improvemen Plumbing Mechanical Fire PrevenU uppress arm Other Project Description/Scope of Work: �:'?'L�9"t� �111� �J�"�.�%�►- �?^/. -13C.�''��!'e�O�L- Project Value:� ��, o� � �. Building Area(sq.ft) Parking Garage `– 1St Floor ��79 2nd Floor — 3rd Floor — Building Height ± z�+ Are there any environmentally sensitive areas located on the parcel? �� If yes, a completed environmental checklist must accompany permit application. �D�ve�cPec�� , ��.C}�+C��i��`�, :: ' ADDRESS `I U�I C 1��1 m � f�Y2- EMA L CITY � vn STATE.�j�ZIP 9S5 "�TELEPHONE CHI'T�C' �Kar�� LICENSE# 5-/03 / A . _ , O� EMAIL � ' c�S�• I7t?fi CITY R�n-k�,� STATE�ie�ZIP go5$ TELEPHO Hr�?5�. a?l• is'7S" . ; ��A,L�C?�`�4�'�#�R ""�'$p TELEPHONE ADDRESS EMAIL CITY STATE ZIP FAX CONTRACTOR'S LICENSE# EXP DATE CITY LICENSE# �.U�$��r1,�''a�; , � , ,,, TELEPHONE ADDRESS EMAIL CITY STATE ZIP FAX CONTRACTOR'S LICENSE# EXP DATE CITY LICENSE# ��t��.._.... ;..____. �. :. TELEPHONE ADDRESS EMAIL CITY STATE ZIP FAX CONTRACTOR'S LICENSE# EXP DATE CITY LICENSE# Copy of Clty MltlgaUon documeMaUon(TFC). I hereby certify that the above InformaUon Is correct and that the constructlon on,and the occupancy and the use of the above described property wlll be In accordance wlth the laws,rules and regulaUons of the State of Washington and the Clty of Yelm. �v 1 lli�/S�' Appli Ys Signat Date Owner I I Owner's Agent/Contractor's Agent I Tenant (Please circle one.) All pertnits are non-transferable and will expire if work authorized by such permit is not begun within 180 days of issuance,or if worlc is suspended or abandoned for a period of 180 days _._ _. � ��.�'.A� �_: � °�11HR l ?0''� (360)458-3835 105 Yelm Aue W (360)458-3144 FAX Yelm,WA 98597 www.ci.yelm.wo.u8 H.G.KIMLJRA :�RCHITECT, I'LLC. Howazd G.Kimura,Principal Date: March 16,2015 To: Attn. Mr.Gary Carlson,Plans Examiner City of Yelm 105 Yelm Avenue West Yelm,WA 98597 From: Howard G.Kimura,AIA HG Kimura Architect PLLC 18012 W.Lake Desire Dr.SE Renton,WA 98058 Tel.425-271-1875 Fax 425-271-2383 RE: Rite Aid 5286-Exterior Elevation-EIFS Replacement 909 E.Yelm Avenue Yelm,WA 98597 Transmitting: Dear Gary: As discussed,the attached plans show the replacement of the EIFS finish. We decided to replace the same siding only this EIFS will have a drainable backing with a fluid applied air&moisture barrier. Attached,please find 3 sets of plans showing the scope of work for the exterior finish replacement. The project includes removing the existing EIFS and inspecting the sheathing,potentially removing the sheathing if found with rot,the replacing it with new to match. The new look should essentially match the existing. Please let us know when we can obtain the permit to begin this. We anticipate starting on the outside of the building and drying the building in before starting on the interior remodel portion. Thank you, Howard G.Kimura,Architect ��g �� i ? MaR 1 s 2ot5 18012 W.I,ake Desire Dr.SE■Renton,WA 98058■425.766.5000�Fax:425.271.2383■email:hgkimura@comcast.net = i i �� H.G. KI MU RA ARCHITF.CT.PLLC Howard G.Kimura,Principal Date: July 23,2014 To: Attn.Mr.Gary Carlson,Plans Examiner City of Yelm 105 Yelm Avenue West Yelm,WA 98597 From: Howard G.Kimura,AIA HG Kimura Architect PLLC 18012 W.Lake Desire Dr.SE Renton,WA 98058 Tel.425-271-1875 Fax 425-271-2383 RE: Rite Aid 5286 909 E.Yelm Avenue Yelm,WA 98597 Transmitting: Dear Gary: Please find attached • Fee Calculation Worksheet • Check in the amount of$1,028.85 Let me know if you need any additional information. Thank you, Howard G.Kimura,Architect 18012 W.Lake Desire Dr.SE■Renton,WA 98058■425.766.5000■Fax:425.271.2383■emaiL•hgkimura@comcast.net • • ! 2012 Washington Staie Energy Code Compliance Forms for Commercial Buildings including R2&R3 over 3 stories and a(I R' Revised Jan 2014 Project Info Project Address g09 East Yelm Ave Date 5/5/2014 Comp/iance Yelm,WA 98597 For Buiiding Department Use forms do not require a usesword to Applicant Name: Rite Aid Corporation-Attn Howard G.Kimura AIA Instructional and Applicant Address: pp gox 59415 Renton,WA 98058 calculating ce/ls are write- Applicant Phone: 425-271-1875 Project Description ❑ New Buiiding � Addition _'; .4lteration � Plans Included Ligh#ing Compliance Path �'Lighting Power Density Caiculations �� Totai Building Performance (ff Tota!Bui(dfig Performance then only LGT-CHK rs requirsd.) Lighting Power Allowance ,� ,.., ., _ Buiiding Area Method � 5pace-By-Space Method Method Se%ction required to enable LPA forms Interior Lighting System Removing(2}8'fluorescent fixtures with 432w,t 8,elec bailast and(1)4'fluorescent fixture DeSCTiption with 2-32w lamps and replacing with: (2)2x4, 2-32w lamps,T-8, Elec Ballast (1)1x4, 2-32w(amps.T-8, Elec Bailast. Brrefly describe lightrng Net Decrease in lighting by(260w-168w=92 watts descrease} system type and features. Additions and Change of Space Use (C101.4.3 & C101.4.4) � P.ddition area or Change of Space Use area complies with all applicable provisions as stand alone project -� .4ddition area is combined with ewsting buiiding lighting systems to demonstrate compiiance with all applicable `� provisions per C101.4.3 Provide 8uilding Area Method(LTG-INT-BLDj or Space-By-Space Method(LT6-lNT-SPACE)Compfiance Form.Document maximum a!lowed and proposed(including existing rf applicabte)lighting wattage of Addition or Change of Use space.Provrde applicable lighting controls per C4052 and commissroning of lighting controls per C405.93. Alterations, Renovations and Repairs (C101.4.3.1) C o0°la or more of luminaires in space repiaced Provide Building Area Method(LTG-/NT-BLD)or Space-By-Space Method{LTG-/NT-SPACE)Comp/iance Form.Document maximum allowed wattage wrthin the lighfing retrofif space in Maximum Allowed Wattage ta61e and proposed(incleding existing)lighfing wattage in Proposed Wattage table. Retrofrt and non-retrofit spaces shall be documented separately using multipfe forrns. '^ Less than 60%of luminaires in space replaced Provide a separafe Space-By-Space MeEhod(LTG-INT-SPACE)Compliance Form for this retrofrt area. Document existing tota/wattage wrthin fhe lighting retrofit space in ceil provided in the Maximum Allowed Wattage table.Document proposed(including existing)lighting wattage in the Proposed Wattage table. � Lamp andior ballast repiacement within existing luminaires only-existing total interior building wattage not increased [ New wiring installed to serve added fixtures and/or fixtures relocated to new circuit Provrde applicab/e manual lighting controts{C405.2.1),occupancy sensors{C405.2.22),day/igirt zone controls{C405.2.2.3),specific application controls(C405.2.3);and rommissioning of lightrng controls per C405.13 ;_ New or moved lighting panel Provide a!i applicable lighting contro/s as no'red for New Wiring,automatic fime swrtch controls(C405.2.2.1),and commissiorting of/ightrng controls per C405.93. � Space is reconfigured-luminaires unchanged or moved only Provide a!(applicaBle lighting controls as noted for New Wiring and commissionrng oflrghting controls per C405.13. � �!o changes are being made to the intenor iighting and space use not changed. • • • • • • � • r � � 2012 Washington State Energy Code Compliance Forms for Commercial Buildings including R2&R3 over 3 stories and all R1 Revised Jan 2014 ProjectAddress RiteAidTenantlmprovement Date 2/9/2015 Lighting Alterations, Renovations & Suilding Additions For Building Department Use � Less than 60% � 60%or more � Stand alone a Addition Notes: a.Lighting fixtures in a building addition may comply as a stand alone project, or they may be combined wiih the overall existing bldg lighting to demonstrate compliance. Refer to C101.4.3. b.For retrofits and building additions,provide Space Types and gross interior areas in ihe Marimum Allowed Lighting table. If a builidng addition wifl comply as combined with the overafl existing builidng,include all applicable existing Space Types and gross interior areas. c.Document new fixtures and all exisiing to remain fixtures in the Proposed Lighting table. d. If less than 60%of exisiing fixtures will be replaced,provide total existing lighting wattage (prior to reirofit)in the space provided in the Maximum Allowed Lighting table. Maximum Allowed Li htin Watta e Location(plan#, owe ross ntenor atts owe room#) Space Type* Watts per ft2 Area in ft2 (watts/ftZ x area} consult rooms Health care clinic/hospital:Exam/treatment 1.66 622 Atrium** En#er Hei ht: Exkstirt� Li�h�in Enter Exisi.Wat�s: , �x��,� Retail Display Allowance frorn LTG-lNT-DISPLAY * Select Table C405.5.2(2)category from drop down menu. Area Allowed Watts ** For atriums,indicate height.Allowed wattage for first 40 feet is 0.03 W/ft.ht., Total 622 above 40 feet is 0.02 W/ft.ht. �, � �',�+✓'1" ,alU� a"�c:. G.6' Proposed Lighting Wattage Location(plan#, Number of Watts/ Watts room#) Fixture Description*** Fixtures Fixture Proposed Consult.Rooms 2x4 LED ECO-T Recessed Troffer 6 55 330 Reception 47w LED Can Light 6 47 282 Retai!C�#�rpte�y�€g�rting from t,TG-!NT E�lS�LAY Total Proposed Watts may not sxceed Total Allowed Watts for Interior Lighting Total Proposed Watt 612 ***Include exisiing to remain lighting fixtures and exempt lighting equipment per notes below. Notes: 1. include ALL proposed lighting fixtures. 2. For proposed Fixiure Description,indicate fixture fype,lamp type(e.g. T-8),number of lamps in the fixture,and ballast type(if included).For track lighting,list the length of the track(in feet)in addition to the fixture,lamp,and ballast information. 3.For proposed Watts/Fixture,use manufacturer's listed maximum input wattage of the fixture(not simply the lamp wattage)and other criteria as specified in Seciion C405.5.1.For line voltage track lighting,list the greater of acfual luminaire wattage or length of track multiplied by 50, or as applicable,the wattage of cument limiting devices of the transformer. For low voltage track lighting list the transformer rated wattage. 4. For lighting equipment eligible for exemption per C405.5.1,note excepiion number and leave Watts/Fixiure blank. 5.Document existing to remain fixtures in Proposed Lighting table in the same manner as new fixtures.Identify as existing in fixture description. 6. If#NA appears in Retail Display cells,information on LTG-INT-DISPLAY is incomplete. Interior Lighting Power Allowance DQES NC)T COMPLY � �Y�� -` ��3nv v/�t�-- fv �l CC�,o j'�7�v s��. S--��T � fi��z�.-�'��-- G 2 2-r.�✓ _.,� _��► FEB 09 20i5 � ��'. _ • • • . i • • � ' . • • � � 2012 Washington State Energy Code Compliance Forms for Commercial Buildings including R2&R3 over 3 stories and all R1 Revised Jan 2014 Project Address Rite Aid Tenant Improvement Date 2/9/2015 Lighting Alterations, Renovations &Building Additions For Building Department Use � Less than 60% �60%or more �Stand alone � Addition Notes: a. Lighting fi�ciures in a building addition may comply as a stand alone projeci,or they may be combined with the overall exisiing bldg lighting to demonstrate compliance.Refer to C101.4.3. b.For retrofits and building additions,provide Building Area types and gross interior areas in the Maximum Allowed Lighting table. If a builidng addition will comply as combined with the overall existing builidng, include all applicable existing Building Area types and gross interior areas. c.Document new fixtures and all existing to remain fixtures in ihe Proposed Lighting table. d. If less than 60%of existing fixtures will be replaced,use LTG-INT-SPACE form. Use LTG-INT-SPACE farrn for Iess than 60% lighting retrofit. Location (plan#, owe ross ntenor atts owe Building Area* room#,or ALL) Area Description Watts per ft2 Area in ft2 (watts/ftZ x area) Health care clinic A101,A103 Clinic Rooms 0.87 622 Unlit Health care clinic 0.87 Unlit * Select Table C405.5.2(1)Building Area from drop down menu. Total 622 Use LTG-INT-S�'ACE form for Iess than 60% lighting retrvfik. Location(plan#, Number of Watts/ Watts Building Areax room#) Fixture Description** Fixtures Fixture Proposed * Select Table C405.5.2(i)Building Area from drop down menu. **Include existing to remain lighting and exempt lighting equipment per notes below. Cornpliance by Building Area Total Allowed Total Proposed Interior Lighting Power Buiiding Area Warnings Watts Watts Allowance Confirm ali fixtures are reported under proposed lighting-low watts Health care clinic relative to maximum allowed. UNLlT Total Notes: 1.Proposed Wattage for each Building Area type shall not exceed the Allowed Wattage for ihai Building Area type. Trading wattage between Building Area types is not allowed under the Building Area Method compliance path. 2.Proposed fixtures must be listed in the building area in which they occur. Include ALL proposed lighting fixtures. 3. For proposed Fixture Description,indicate fixture type,lamp type(e.g. T-8),number of lamps in the fixture,and ballast type(if included).Fo� track lighfing, list ihe length of the track(in feet)in addition to the fixture,lamp,and ballast information. 4. For proposed Watts/Fixture,use manufacturer's listed maximum input wattage of the fixture(not simply the lamp wattage)and other criteria as specified in Section C405.5.1.For line voltage track lighting,list the greater of actua/luminaire wattage or length of track multiplied by 50, or as applicable,the wattage of current limiting devices or of the iransformer.For low voltage irack lighting list the transformer rated wattage. 5.For lighting equipment eligible for exemption per C405.5.1,note exception number and leave Watts/Fixture blank. 6.Document existing to remain fixtures in Proposed Lighiing table in the same manner as new fixtures.Ideniify as existing in fixture descripiion. • • • • • . • � ' � • ' 2012 Washington State Energy Code Compliance Forms for Commercial Buildings including R2&R3 over 3 stories and all R1 Revised Jan 2014 Project Address Rite Aid Tenant Improvement Date 2/9/2015 The following information is necessary to check a permit application for compliance with the lighting,motor,and transformer requirements in the Washington State Energy Code,Commercial Provisions. Applicability Location in Building Department (yes,no,na) Code Section Component Compliance information required in permit documents Documents Notes LIGHTING CONTROLS(Section C405.2) Indicate on plans the manual control type&locations served; C405.2.1.1 Manual interior YES Indicate of plans the 50%lighting load reduction method C405.2.1.2 lighting controls A103 provided or identify exception taken Indicate lighting system automatic shut-off capability-identify A_103 lighting zone areas served on plans; Automatic time Indicate locations of override switches on plans and the areas C405.2.2.1 switch controls and override switching served,include area sq.ft.; Indicate locations where automatic shutoff is provided by other methods(occupancy sensor,daylight controls,etc) Yes C405.2.2.2 Occupancy sensors Indicate on plans the locations served by occupancy sensors A703 Daylight zones- Indicate vertical fenestration primary and secondary daylight NA C405.2.2.3 Vertical fenestration zone areas on plans,include sq.ft.; and skylights Indicate skylight daylight zone areas on plans,include sq.ft. Indicate on plans the locations served by daylight zone controls; NA C405.2.2.3.2 Daylight zone controls Indicate in plans the lighting load reduction(dimming)method- stepped or continuous dimming Specific application Indicate on plans the locations served by specific application Yes C405.2.3 Iighting controls- A103 General lighting controls Indicate lighting control method for display and accent lighting, and display case lighting; NA C405.2.3- Disptay and accent Items 1&2 lighting Indicate these fixtures are controlled independently from both general area lighting and other lighting applications within the same space C405.2.3- Hotel/motel guest Provide a lighting control device at each guest room entry for all NA Item 3 rooms permanently installed fixtures in guest room; Indicated whether lighting control is manual or automatic NA C405.2.3- Supplemental task Provide automatic shut-off vacancy controls for supplemental Item 4 lighting task lighting,inciuding under-shelf or under-cabinet lighting Identify eligible non-visual applications and method of lighting control; NA C405.2.3- Lighting for non- Item 5 visual applications Indicate these fixtures are controlied independently from both general area lighting and other lighting applications within the same space Indicate lighting control method for lighting equipment for sale C405.2.3- Lighting equipment or demonstration; NA for sale or Indicate these fixtures are controlled independently from both Item 6 demonstration general area lighting and other lighting applications within the same space If egress lighting power density is greater than 0.05W/ft2, C4052.3- Means of egress �ndicate method of automatic shut-off during unoccupied NA Item 7 lighting periods; Identify on plans the egress fixtures that function as both normal and emergency means of egress illumination C405.10 Cooler and freezer Provide vacancy device or timer to turn off fixtures within 15 NA C405.11 lighting minutes of unoccupancy for cooler and freezer lighting fixtures with lamp efficacy less than 40 lumens per watt NA C405.2.4 Exterior lighting Indicate on exterior lighting plans the automatic lighting control controls method and locations served Exterior building Provide motion sensor controls for building grounds fixtures NA C405.6.1 grounds lighting rated at greater than 100 watts with lamp efficacy less than 60 controls lumens,or identify exception taken Identify applicable commissioning documentation requirements per Section C408 or eligibility for exception; NA C408.3 Lighting system Provide written procedures for functional testing of all automatic functional testing controls and describe the expected system response; Identify in construction documents the party responsible for functional testing of automatic lighting controls INTERIOR LIGHTING POWER & EFFICACY Sections C405.5,C405.10,C405.11 � • • 2012 Washington State Energy Code Compliance Forms for Commercial Buildings including R2&R3 over 3 stories and all R1 Revised Jan 2014 ProjectInfo ProjectAddress RiteAidTenantlmprovement Date 2/9/2015 Compliance 909 E.Yelm Avenue For Building Department Use forms do not require a Yelm,WA password to Applicant Name: q_This address line will copy onto other forms use. lnstructional and Applicant Address: calculating cells are write- Applicant Phone: Project Description ❑ New Building ❑ Addition � Alteration �✓ Plans Included Lighting Compliance Path � Lighting Power Density Calculations (,�Total Building Performance (If Total Building Performance then only LGT-CHK is required.) Lighting Power Allowance O guilding Area Method Q Space-By-Space Method Method Selection required to enable LPA forms Interior Lighting System Add 3 consultation rooms, modify hallway,add reception room total Description area 622 sf Briefly describe lighting system type and features. Additions and Change of Space Use (C101.4.3 & C101.4.4) � A,ddition area or Change of Space Use area complies with all applicable provisions as stand alone project � Addition area is combined with existing building lighting systems to demonstrate compliance with all applicable provisions per C101.4.3 Provide Building Area Method(LTG-INT-BLD)or Space-By-Space Method(LTG-INT-SPACE)Compliance Form.Document maximum allowed and proposed(including existing if applicable)lighting wattage of Addition or Change of Use space.Provide applicable lighting controls per C405.2 and commissioning of lighting conirols per C405.13. Alterations, Renovations and Repairs (C101.4.3.1) ❑ 60%or more of luminaires in space replaced Provide Building Area Method(LTG-INT-BLD)or Space-By-Space Meihod(LTG-INT-SPACE)Compliance Form.Document maximum allowed wattage within the lighting retrofit space in Maximum Allowed Wattage table and proposed(including existing)lighting wattage in Proposed Wattage table.Retrofit and non-retrofit spaces shall be documented separately using multiple forms. Q Less than 60%of luminaires in space replaced Provide a separate Space-By-Space Method(LTG-INT-SPACE)Compliance Form for ihis retrofit area.Document existing total wattage within the lighting retrofit space in cell provided in ihe Maximum Allowed Wattage table.Documeni proposed(including existing)lighting wattage in the Proposed Wattage table. [] Lamp and/or ballast replacement within existing luminaires only—existing total interior building wattage not increased � New wiring installed to serve added fixtures and/or fixtures relocated to new circuit Provide applicable manual lighting controls(C405.2.1),occupancy sensors(C405.2.2.2),daylight zone controls(C405.2.2.3),specific application controls(C405.2.3),and commissioning of lighting controls per C405.13 � N�ew or moved lighting panel Provide all applicable lighting conirols as noted for New Wiring,automatic time switch controls(C405.2.2.1),and commissioning of lighting controls per C405.13. � Space is reconfigured-luminaires unchanged or moved only Provide all applicable lighting controls as noted for New Wiring and commissioning of lighiing controls per C405.13. � N�changes are being made to the interior lighting and space use not changed.