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HomeMy WebLinkAbout540 N West Ave_BLD2908_2026 CITY OF ARLINGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:540 N West Ave NE Permit#:2908 Parcel#:00618100200300 Valuation: 11442.00 OWNER APPLICANT CONTRACTOR Name:STILLAGUAMISH SQUARE LLP Name:[Company Name] Name:EVERGREEN STATE HEAT&A/C Address:540 N WEST AVE Address:[Company Address] Address:2120 Pacific Ave City,State Zip:ARLINGTON,WA 98223 City,State Zip:Everett City,State Zip:Everett,WA 98201 Phone: Phone:4252523 l 14 Phone:425-252-3114 LIC:EVERGSS0220T EXP: 10/10/2021 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name:EVERGREEN STATE HEAT&A/C Name: Address:2120 Pacific Ave Address: City,State,Zip:Everett,WA 98201 City,State,Zip: Phone: 425-252-3114 Phone: LIC#:EVERGSS0220T EXP: 10/10/2021 LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Commercial Mechanical CODE YEAR: 2015 STORIES: I CONST.TYPE: DWELLING UNITS: OCC GROUP: BUILDINGS: 1 OCC LOAD: PERMIT APPROVAL I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY; NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC110/IRCl l0. ALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form and coc d C , 'Arlington#310t. ( Z/ cr Signal( Print l�. nr Daly Released By Dtc CONDITIONS ADHERE TO APPROVED APPLIANCE. PROVIDE SEISMIC BRACING AND ELECTRICAL DISCONNECT. LINES SHALL BE INSULATED AND THE USE OF ADHESIVE TAPES IS PROHIBITED. APPROVED JOB COPY SHALL BE ON SITE FOR INSPECTIONS. CALL FOR INSPECTIONS. THIS PERMIT AUTHORIZES ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION. PERMIT FEES Date Description Fee Amount 12/06/2019 Mechanical Plan Review Fee $250.00 12/06/2019 Credit Card Surcharge $7.50 12/06/2019 Mechanical Fee(Enter Fixture Fee) $25.00 12/06/2019 Mechanical Permit Base Fee $25.00 12/06/2019 Processing/Technology Fee $25.00 Total Due: $332.50 Total Payment: $257.50 Balance Due: $75.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: .� I Art 're,06�ra Z� 3/jam k" Permit#: 2908 Permit Date: 11/20/19 Project Name: Stillaguamish Square/ Site Address: ` +20 rarif c-Ave Company/Applicant Name: Evergreen State Heat& AC Company/Applicant Address: 2120 Pacific Ave City, State, Zip: Everett Contact: Ken Salo Phone: 4252523114 Email: ken@essmwa.com Permit Type: Commercial Mechanical Valuation: 11442.00 Square Feet: 0 Number of Stories: 1 Type of Construction: Occupancy Type: Proposed Use: New mini split heat pump system MIC/Opportunity Zone: Permit Issued: Permit Expires: DNU: Status: IN PROCESS Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00618100200300 540 N WEST AVE STILLAGUAMISH 539 Other Retail SQUARE LLP Trade NEC Contractors Contractor Primary Contact Phone Address Contractor Type License License# EVERGREEN STATE Mark Payne 425-252-3114 2120 Pacific Ave CONTRACTOR Labor&Industries EVERGSS0220T HEAT&A/C Plan Reviews Date Review Type Description Assigned To Review Status l 1/20/2019 Commercial Mechanical Building In Review Fees Fee Description Notes Amount Mechanical Plan Review Fee 345.83.00.00 $250.00 Credit Card Surcharge 001.369.90.00.03 $7.50 Mechanical Fee(Enter Fixture Fee) 322.10.00.00 $25.00 Mechanical Permit Base Fee 322.10.00.00 $25.00 Processing/Technology Fee 341.43.00.02 $25.00 Total $332.50 Payments Date Paid By Description Payment Type Accepted By Amount 11/20/2019 Darlene Salo 77980115 $250.00 [1/20/2019 Darlene Salo CC Surcharge Transaction $7.50 77980115 Outstanding Balance $75.00 1Y=..0.� COMMERCIAL MECHANICAL y > PERMIT APPLICATION �S'lING1® Department of Community&Economic Development City of Arlington • 18204 59th Ave NE •Arlington,WA 98223 • Phone (360)403-3551 THIS APPLICATION MUST BE ACCOMPANIED BY TWO (2) SETS OF CONSTRUCTION DRAWINGS AND ALL OTHER INFORMATION OUTLINED IN THE MECHANICAL PERMIT SUBMITTAL REQUIREMENTS, IF APPLICABLE. Type of Permit: [X-] New Installation Replacement Alteration Sqo qeZ�3 Project Address: :� W. D r y lS/ r9-,u �-r- Awwr-i N6rz>,Jw1t Parcel#: Project Description: 5� i '�-'PC-tT Valuation: 1/, V y 2— owner: D��C %�yy��,rJ �5T�l6v�uKrs� ���� phone#: 25 Zf�-5o 77L/ Address: f SOS C 5 S City:,zt�lIL&t`v� State: vL-f Zip: `l 5J Z22� Email Address: T r4 Contact Person: Phone#: Address: City: State: Zip: Email Address: r / Contractor Name: kUEfW90412>0 STAB Ai> L Phone#: Contractor Address: ZI20 PW-I,Fd- AUC City: 02�Ti" State: L-A Zip:' Zo1 Email: MIN* @ gjSwt Ic>A . COL-- Contact Person: ifol- COVIL'd Contractor License Number: kUCWG 50 7-20 T Expiration: A&I Oc3go Please indicate type of number of appliances: FURNACE CONDENSING UNIT GAS PIPING OUTLET BOILER HEAT PUMP(multi-split) —�— UNIT HEATER CHILLER HEAT PUMP(mini-split) �_ PAINT BOOTH COOLER HEAT PUMP(other) TYPE I HOOD AC(air cooled) HEAT REJECTION EQUIP TYPE II HOOD AC(water cooled) VENTILATION SYSTEM AST AC(evaporator) PACKAGED UNIT UST AC(VRF) DRYER OTHER I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above- described property will be in accordance with the laws, rules and regulation of the State of Washington. a� Applicants Signature: Date Applicants Printed Name: PAS Received FOR STAFF USE ONLY � NOV_2 0 2019 Permit# Accepted By Amount Received Receipt# Date Received 6/16LP Page 1 of 1 i i WasMng[on Slate PepaRw,Od Labor&Indus[ries_(3 S.�In s_�g2) Contractors EVERGREEN STATE SHEET MTL INC Owner or tradesperson 2120 PACIFIC AVE Principals EVERETT,WA 98201 KIMBALL,RUSSELL Dron,PRESIDENT 425-252-3114 SNOHOMISH County ■ KIMBALL,PAM,VICE PRESIDENT (End:09/27/2013) Doing business as EVERGREEN STATE SHEET MTL INC WA UBI No. Business type 601 724 357 Corporation Governing persons RUSSELL KIMBALL PAM KIMBALL; License Verify the contractor's active registration/license/certification(depending on trade)and any past violations. Construction Contractor Active Meets current requirements. License specialties GENERAL License no. EVERGSS022OT Effective—expiration 09/30/1998-10/10/2021 Bond RLI Ins Co $12,000.00 Bond account no. LSM0782384 Received by L&I Effective date 11/24/2015 11/25/2015 Expiration date Until Canceled Bond history Insurance Ohio Cas Ins Co $1,000,000.00 Policy no. BKS57111316 Received by L&I Effective date 08/14/2019 09/30/2016 Expiration date 09/30/2020 Insurance history Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or in No lawsuits against the bond or savings accounts during the previous 6 year period. L&I Tax debts No L&I tax debts are recorded for this contractor license during the previous 6 year period,but some debts may be recorded by other agencies. Help us improve License Violations No license violations during the previous ar period. Certifications & Endorsements OMWBE Certifications No active certifications exist for this business. Apprentice Training Agent Registered training agent.Check their eligible programs and occupations. Workers' Comp Do you know if the business has employees?If so,verify the business is up-to-date on workers'comp premiums. This company has multiple workers'comp accounts. Active accounts Account no. Account is current. 959,941-00 Doing business as EVERGREEN STATE SHEETMETAL Certificate of Workers'Comp Coverage Track this contractor Account no. Account is current. 959,941-01 Doing business as EVERGREEN STATE SHEET METAL Certificate of Workers'Comp Coverage Track this contractor Q Public Works Requirements Verify the contractor is eligible to perform work on public works projects Required Training—Effective July 1,2019 Exempt from this requirement. Contractor Strikes No strikes have been issued against this contractor. Contractors not allowed to bid No debarments have been Issued against this contractor. Workplace Safety & Health Check for any past safety and health violations found on jobsites this business was responsible for. No inspections during the previous 6 year period. ©Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the state of Washington. lutsa :. �lyaahinglort` Help us lmprove� MULTI-INDOOR INVERTER HEAT-PUMP • • Job Name: I J r System Reference: L� l( ��,I� — G v� 0fJ'� &45� Date: I(�(f// ACCESSORIES The outdoor unit is delivered with the base pan heater factory installed. ❑ Airflow Guide(PAC-SH96SG-E) ❑ 3/8"x 1/2"Port Adapter(MAC-A454JP-E) ❑ 1/2"x 3/8"Port Adapter(MAC-A455JP-E) Received ❑ 1/2"x 5/8"Port Adapter(MAC-A456JP-E) ❑ 1/4"x 3/8"Port Adapter(PAC-493PI) NOV 2 0 2019 ❑ 3/8"x 5/8"Port Adapter(PAC-SG76RJ-E) ❑ M-NET Adapter(PAC-IF01MNT-E) �� Outdoor Unit: MXZ-3C30NAHZ2 (For data on specific indoor units, see the MXZ-C Technical and Service Manual.) Specifications Unit .- Rated Capacity Btu/h 28,400/27,400 Cooling* Capacity Range(Non-ducted/Ducted) Cap g Btu/h 12,600-28,400 Rated Total Input W 2,272/2,661 Heating at 47°F* Rated Capacity Btu/h 28,600/27,600 (Non-ducted/Ducted) Capacity Range Btu/h 11,400-36,000 Rated Total Input W 2,096/2,187 Rated Capacity Btu/h 18,000/16,500 (Non-ducted/Ducted)Heating Maximum Capacity Btu/h 28,600/27,600 Rated Total Input W 1,991 /1,993 Heating at 5°F* Maximum Capacity Btu/h 28,600 Connectable Capacity Btu/h 12,000-36,000 Energy Star®(ENERGY STAR products are third-party certified by an EPA-recognized Certification Body.) Yes Power Supply Voltage,Phase,Hertz 208/230V, 1-Phase,60 Hz Electrical Requirements Recommended Fuse/Breaker Size A 40 MCA A 30.5 Voltage Indoor-Outdoor S1-S2 V AC 208/230 Indoor-Outdoor S2-S3 V DC±24 Compressor DC INVERTER-driven Twin Rotary Fan Motor(ECM) F.L.A. 2.43 Sound Pressure Level Cooling dB(A) 54 Heating dB(A) 58 External Dimensions(H x W x D) In 41-9/32 x 37-13/32 x 13 mm 1048 x 950 x 330 Net Weight J Lbs/kg 189 86 External Finish Munsell No.3Y 7.8/11 Refrigerant Pipe Size O.D. Liquid(High Pressure) In/mm 1/4/6.35 Gas(Low Pressure) In/mm A:1/2/12.7;B,C:3/8/9.52 Max.Refrigerant Line Length Ft/m 230/70 Max. Piping Length for Each Indoor Unit Ft/m 82/25 Max. Refrigerant Pipe Height If IDU is Above ODU Ft/m 49/15 Difference If IDU is Below ODU Ft/m 49/15 Connection Method Flared/Flared Refrigerant R410A Rating Conditions perAHRI Standard: Cooling I Indoor:80°F(27°C)DB/67°F(19°C)WB Heating at 47°F I Indoor:70°F(21°C)DB/60°F(16°C)WB Heating at l7°F I Indoor:70°F(21°C)DB Cooling I Outdoor:95°F(35°C)DB/W.B.23.9°C(75'F) Heating at 47°F I Outdoor:47°F(8°C)DB/43°F(6°C)WB Heating at 17°F I Outdoor:17°F(-8°C)DB/15°F(-9°C)WB Specifications are subject to change without notice. ©2019 Mitsubishi Electric Trane HVAC US,LLC • ' 's �1 �i 1 1 i EL SPECIFICATIONS: OPERATING RANGE: ENERGY EFFICIENCIES: Outdoor Indoor Unit Type SEER EER HSPF COP @ COP @ Cooling D.B.14 to 115'F[D.B.-10 to 46•C]*1 47°F 17°F Heating W.B.-13 to 65'F[W.B.-25 to 18'C] Non-ducted 18.0 12.5 11.0 4.00 2.65 (09+09+12) *1.D.B.5 to 115'F[D.B.-15 to 46°C],when an optional Air Outlet Ducted and Guide is installed. 17.00 11.40 10.40 3.85 2.58 Non-ducted Ducted 16.0 10.3 9.8 3.70 2.50 (09+09+12) NOTES: • Minimum of two Indoor Units must be connected to the MXZ-3C30NAHZ2. • Minimum installed capacity cannot be less than 12,000 Btu/h. • Total connected capacity must not exceed 130%of outdoor unit capacity. • System can operate with only one Indoor Unit turned on. • Information provided at 208/230V. • For Reference: - MXZ-C Technical&Service Manual for detailed specifications and additional information per Indoor Unit Combination- - MXZ Series Multi-Zone Indoor/Outdoor Combination Table for allowed unit combinations. MVZ CONNECTION RULES: • Only 1 MVZ may be used on any system. • When an MVZ is connected,total connected capacity must be 100%or less. • When an MVZ is connected,no P-Series indoor units can be used(PCA,PLA,or PEAD). NOTES: L Specifications are subject to change without notice. ©2019 Mitsubishi Electric Trans HVAC US,LLC r ti- I I 'I �y MXZ-3C30NAHZ2 OPERATIONAL PERFORMANCE NON-DUCTED: #of Total Nominal Total Indoor Unit Operational Performance for Cooling indoorCapacity(Btulh) ... .- unit 0i0 Btu/h) (Unit A+Unit B+Unit C) Unit A Unit B Unit C 1 6 6.000 6 6,000 7.400 7,400 1 9 9,000 9 9.000 11.000 11.000 1 12 12.000 12 12.000 14,400 14.400 1 15 14.000 15 14.000 18.000 18,000 1 18 17.200 18 17,200 21.600 21.600 1 24 22,500 24 22.500 22,600 22.600 2 12 12,000 6+6 6,000 6.000 14,800 7.400 7.400 2 15 15.000 6+9 6,000 9.000 18,400 7.400 11.000 2 18 18,000 6+12 6.000 12,000 22.000 7.500 14.500 2 21 20.000 6+15 6,000 14,000 22,000 6,400 15.600 2 24 23,000 6+18 5.900 17.100 23.000 5.900 17.100 2 30 24.000 6+24 5,100 18,900 24.000 5,900 18,100 2 18 18.000 9+9 9,000 9.000 22.000 11.000 11.000 2 21 20,000 9+12 8.600 11.400 22.000 9.500 12.500 2 24 23.000 9+15 9.000 14,000 23.000 8.700 14.300 2 27 24,000 g+18 8.200 15.800 24.000 8.100 15.900 2 33 24,000 9+24 6,900 17.100 24,000 7.900 16.100 2 24 23.000 12+12 11,500 11,500 23.000 11,500 11-500 2 27 24,000 12+15 11.100 12,900 24.000 10.700 13.300 2 30 24,000 12+18 9,900 14.100 24.000 9.600 14,400 2 36 24.000 12+24 8,300 15,700 24.000 9.300 14,700 2 30 24,000 15+15 12,000 12.000 24,000 12,000 12.000 2 33 24.000 15+18 10,800 13.200 24,000 10.900 13.100 2 36 24,000 18+18 12,000 12.000 24,000 12,000 12,000 3 18 18,000 6+6+6 6,000 6.000 6.000 22,000 7.300 7.300 7.300 3 21 21,000 6+6+9 6.000 6.000 9.000 25.800 7.400 7,400 11,000 3 24 24.000 6+6+12 6.000 6,000 12,000 28.400 7,200 7,200 14,000 3 27 26.000 6+6+15 6,000 6,000 14,000 28,400 6.400 6.400 15.600 3 30 28,400 6+6+18 5,800 5.800 16,700 28.600 5.800 5.800 17.000 3 36 28.400 6+6+24 4,900 4.900 18.500 28.600 5.700 5.700 17.300 Specifications are subject to change without notice ©2019 Mitsubishi Electric Trans HVAC US,LLC I f f � - _ o o � o � CL o WAIIIIAM r Q , Z � f0 w ry C .L t •1 Q v ca ��• co ly _N �: 41 a �� Cry��`��p,�l. ' Y' •w ly''' _I'.,�• y i i Permit Number,T. I Inspection being requested,and whether you preft ruing or afternoon . i 2015 Washington Stat -'\lergy Code Compliance Forms for Commercial,R, -\I R3 over 3 stories and all R1 Mechanical Summary MECH-SUM, 2015 Washington State Energy Code Com fiance Forms for Commercial Buildings including R2&R3 over 3 stories and all R1 Revised January 2017 Project Information Project Title: Duskin La Hacindia Date 4/3/2017 Applicant Information Provide contact information for individual who can respond to For Building Dept. Use inquiries about compliance form information provided. Company Name: Evergreen State Heat&A/C Company Address: 2120 Pacific Ave,Everett,WA 98201 Applicant Name: Mark Payne Applicant Phone: 425-252-3114 Project Description ❑New Building ❑Building Addition ❑Tenant Improvement System Retrofit ❑No System Changes Briefly describe mechanical systems in Space was heated by a system from the Pharamcy-end of run and controlled by different space.Replacing the the text box provided existing ducted system with a 2 zone ductelss for increased efficiency.All equipment is high efficiency 18Seer ❑Total Bldg Performance(TBP) and 4+COP This path includes all mandatory provisions per C401.2 Option 2. MECH-SUM,MECH-CHK,and C407 Energy Analysis forms required ❑ Load calculation summary ❑� MECH-LOAD-CALC Form Design Load Calculations Provide design load calculations for all mechanical systems and equipment serving the building heating,cooling or ventilating needs.If a load calculation summary is provided with the permit documents that includes all applicable compliance information then the MECH-LOAD-CALC form is not required. ❑J Mechanical Plans ❑ MECH-EQ Forms(TBD) Mechanical Schedules Indicate location of equipment compliance information.If provided on plans then MECH-EQ forms are not required, however,include on plans all applicable compliance information listed in MECH-EQ tables. ❑ DOAS is required per C403.6 effective July 1,2017(office,retail,education,library and fire station occupancies) All occupied,conditioned areas shall be served by a DOAS that delivers required ventilation airin a manner that does not require space conditioning fan operation.Space conditioning fans cycled off when no heating or cooling is required. Dedicated Outdoor Air ❑ Ventilation provided via natural ventilation per 2015 IMC in lieu of DOAS(C403.6,Exception 1) System Requirements and ❑ Ventilation and space conditioning provided by a HEVAV system per C403.7 in lieu of DOAS(C403.6,Exception High Efficiency VAV ❑ DOAS included in project,although not required(occupancy not office,retail,education,library or fire station) Alternate ❑ DOAS related allowances included in project: ❑ Prescriptive vertical fenestration maximum area allowance increased to 40%per C402.4.1 A with 100%of conditioned floor area in building served by DOAS. ❑ Exception to air economizer per C403.3 Exception 1,include MECH-ECONO form. Project includes HVAC air distribution systems that provide heating and/or cooling If yes,provide a MECH-FANSYS-SUM form. Fan Power ❑ For one or more systems,the total fan motor nameplate hp of all fans in HVAC system exceeds 5hp. If yes,provide a separate MECH-FANSYS form for each HVAC system exceeding the 5 horsepower threshold, Refer to Section C403.2.11 and MECH-FANSYS-DOC for requirements and exceptions. HVAC Hydronic Systems ElHydronic chilled water El Water-loopheat pump ElNo hydronic systems ❑ Hydronic heating water ❑ Geothermal ❑ C406.2 More efficient HVAC equipment and fan systems Requires 90%of heating and cooling capacity to be equipment listed in tables C403.2.3(1)-(9)or air-to-water heat pumps and heat recovery chillers.All equipment listed in tables C403.2.3(1)-(7)must be 15%more efficient than minimum requirements.All stand alone supply,return,and exhaust fans over 1hp must have FEQ>_71 and must be C406 Additional Efficiency selected within 10%of maximum total or static pressure. ❑ C406.6 Dedicated outdoor air system(DOAS) Options-Mechanical Requires 90%of conditioned floor area to be served by a DOAS per C403.6 that delivers required ventilation air in a manner that does not require space conditioning fan operation. ❑ C406.7 Reduced energy in service water heating Requires 90%of floor area be in occupancy types listed in C406.7.1 and that 60%of annual hot water energy use be provided by heat pump,waste heat recovery or solar water-heating systems. Received NOV t 0 2019 Acrx!" �� i; 1, _ i 2015 Washington Stat )ergy Code Compliance Forms for Commercial, R2 I R3 over 3 stories and all R1 Mechanical Summary, • • 2015 Washington State Energy Code Compliance Forms for Commercial Buildings including R2&R3 over 3 stories and all R1 Revised January 2017 Equipment Type(s) ❑ Hot water heating tank(s) ❑ Instantaneous ❑ No service water systems Service Water Heating ❑ Dedicated boiler ❑ Heat exchange from space heat boiler or Systems central trot waterlsteam Distribution Type(s) ❑ Circulation System ❑ On-demand Commissioning Commissioning is required for: ❑ Mechanical systems per C408.2 ❑ Service water heating systems per C408.4 If required,commissioning shall be performed for all applicable systems regardless of individual equipment capacity. Exceptions to commissioning requirements: Total output capacity of all mechanical space conditioning systems in the building do not exceed 240,000 Btu/h cooling or 300,000 Btu/h heating.Mechanical systems commissioning not required. ❑ Capacity of largest service water heating system in building does not exceed 200,000 Btu/h.Service water heating systems commissioning not required. Low Energy and Semi-Heated Spaces (Note 6 and 7) Peak Space Heating Cooling Conditioning Space Area Served, Capacity,Btu/h Capacity,Btulh Capacity, Compliance Type Location in Plan(s) Space(s)Served square feet (Note 4) (Note 5) Btu/h-sf Check Notes Note 4-Provide total installed heating output capacity of systems serving Low Energy or Semi-Heated space(s)in btuh. Note 5-Provide total installed cooling capacity of system serving Low Energy space(s)in Btu/h.Not allowed for semi-heated spaces.Enter 0 if no cooling. Note 6-Refer to Section C402 1.1 Low Energy Building.Intalled peak space conditioning capacity,heating or cooling,may not exceed 3.4 Btu/h`sf. Note 7-Refer to Section C402.1.1.1 and Semi-Heated Space definition in Chapter 2.Total heating output capacity may not exceed 8 Btu/h`sf. Only systems without electric resistance heating and no cooling are eligible for the wall insulation exception under semi-heated. � i� t. � 2015 Washington State Energy,f"le Compliance Forms for Commercial,R2 and R3 over 3,,",jes and all R1-Page 1 of 7 2015 Washington State Energy Code Compliance Forms for Commercial Buildings including R2&R3 over 3 stories and all R1 Revised January 2017 Project Title: Duskin La Hacindia Date 4/3/2017 The following information is necessary to check a permit application for compliance with the mechanical systems and equipment requirements of the Washington State Energy Code,Commercial Provisions. Applicable Code Section Code Provision Information na Required-Must be in permit documents Location in Building Department es,no, Documents Notes Equipment-Sizing,Performance and Type Identify equipment to be used in manufacturing,industrial or commercial processes that do not C403.1 Exempt process equipment provide space conditioning;identify provisions applicable to this equipment per C403.1 exception Provide load calculations performed per ASHRAE Std 183 or equivalent,using design C403.2.1 Load calculations parameters per C302 and Appendix C;include load adjustments to account for energy recovery Equipment and system Indicate that output capacities of heating and cooling equipment and systems are no greater C403.2.2 than the smallest available equipment size that exceeds the calculated loads;note exceptions sizing taken Per cut C403.2.3 HVAC equipment Provide equipment schedules on plans or complete MECH-EQ forms indicating type,capacity, sheets Tier Yes C403.2.3,2 performance requirements rated and WSEC minimum efficiencies for all heating and cooling equipment;include supply 2 C403.2.13.1 (efficiency) and OSA cfms and operating hours for all air systems;identify heating and cooling equipment that does not have a corresponding WSEC minimum efficiency(manufacturer rated) List all motors>_1/12 hp(that are not integral to a rated piece of equipment)in the mechanical C405.8 or electrical equipment schedules on plans;indicate hp,rpm,number of poles and rated C403.2.14 Electric motor efficiency efficiency,or exception applied For fractional hp motors(1/12-1 hp),indicate whether they are an electronically commutated motor,have rated efficiency of at least 70%,or exception taken For all HVAC fan systems that provide heating and/or cooling,provide system total nameplate hp in MECH-FANSYS-SUM form C403.2.11.1 Fan power limitation For all applicable HVAC systems with total fan motor hp>5hp,verify fan system motor hp or bhp complies with fan power limits per equations in Table C403.2.11.1(1),provide MECH- FANSYS form for each system C403.2.11.2 Motor nameplate hp For all applicable HVAC systems with total fan motor hp>5hp,indicate fan motors specified are the smallest available motor hp size greater than fan bhp,note exceptions taken For all applicable HVAC systems with total fan motor hp>5hp,identify in equipment schedule C403.2.11.3 Fan efficiency all fans required to comply with fan efficiency grade and indicate rated FEG is 2 67,or exception taken;indicate these fans are sized so total efficiency is within 15%of the fan maximum total efficiency C403.2.11.4 'Group R occupancy For all exhaust fans<400 cfm in Group R occupancies,indicate in equipment schedule the exhaust fan efficacy fan flow rate and efficacy(cfm/watt),or exception taken;refer to Table C403.2.11.4(CE-57) Variable flow capacity- For fan motors>7.5 hp,indicate method of variable flow control(VSD or equivalent method)in C403.2.13 fans equipment schedule,or exception taken;for equivalent method for an HVAC system refer to HVAC System Controls for additional requirements C403.2.3 Maximum air cooled chiller For chilled water plants and buildings with>500 tons of cooling capacity,indicate air-cooled capacity chiller capacity is<_100 tons,or exception taken Large capacity cooling For buildings with>_300 tons of cooling capacity,indicate method of multi-stage or variable C403.4 systems capacity control(VSD,multiple staged compressors,or max capacity of any single unit<66% of the total) Non-standard water-cooled For water-cooled centrifugal chillers not designed for operation at standard conditions,provide C403.2.3.1 centrifugal chillers calculations documenting maximum full load and part load rated equipment performance requirements C403.2.13.1 Centrifugal fan open-circuit For open-circuit centrifugal fan cooling towers with?1,100 gpm capacity,indicate cooling C403.4.3.2 cooling towers 'towers comply with efficiency requirements for axial fan open circuit cooling towers For single boilers with>500,000 Btulh capacity,indicate multi-stage or modulating burner C403.4.2 Large capacity boiler For boiler system(single or multiple)with>1,000,000 Btu/h capacity,indicate turndown ratio C403.4.2.5 systems per Table C403.4.2.5 and method(multiple single input boilers,modulating boilers,or combination) Variable flow capacity- For pump motors z 7.5 hp,indicate method of variable flow control(VSD or equivalent C403.2.13 pumps method)in equipment schedule,or exception taken;for equivalent method for a hydronic system refer to Hydronic System Controls for additional requirements C403.2 3 Gas and oil-fired forced air For forced air furnaces with capacity z 225,000 Btu/h and all unit heaters,indicate in furnace and unit heaters equipment schedule intermittent ignition or IID,flue or draft damper,and rated jacket loss C403.2.4,8 Combustion heating For combustion heating equipment with output capacity>225,000 Btu/h,indicate modulating equipment or staged combustion control C403.2.3.3 Packaged electric heating/ Verify all packaged electric equipment with>6,000 Btu/h cooling capacity and any amount of cooling equipment heating is a heat pump;include in equipment schedules C403.2.12 (Heating outside a building Indicate systems providing heating in non-enclosed outdoor occupied spaces are radiant systems;refer to HVAC System Controls for additional requirements C403.2.7.1 Kitchen exhaust hoods Indicate on plans the type,duty and exhaust air rate of each kitchen hood,refer to HVAC System Controls for additional requirements Outdoor supply air,exhaust Indicate locations of OSA intake,and exhaust and relief outlet dampers on plans;indicate C403 2.4.3 and relief dampers whether dampers are Class 1 motorized,or gravity and exception taken(include leakage rating,cfm/sf);refer to HVAC System Controls for additional requirements for OSA dampers Indicate locations of return air dampers that are integral to economizer operation;verify C403.2 4.3 Return air dampers dampers are motorized;indicate whether dampers are Class 1,or within packaged equipment eligible for leakage rating exception(include leakage rating,cfm/sf) . �'•:, r I I M 2015 Washington State Energy,'-de Compliance Forms for Commercial,R2 and R3 over 3 -ties and all R1-Page 2 of 7 PermitMechanical 2015 Washington State Energy Code Compliance Forms for Commercial Buildings including R2&R3 over 3 stories and all R1 Revised January 2017 Project Title: Duskin La Hacindia Date 4/3/2017 The following information is necessary to check a permit application for compliance with the mechanical systems and equipment requirements of the Washington State Energy Code,Commercial Provisions. Applicable Code Section Code Provision Information Required-Must be in permit documents Location in Building Department es,no,nal 1 1 1 Documents Notes C4032.4.3 Stairway and shaft vent Indicate location of stairway and shaft vent dampers on plans;verify dampers are Class 1 dampers motorized;refer to HVAC System Controls for additional requirements For systems serving areas>25,000 sf or spanning more than one floor,that include areas that C403.2.4.4 Zone isolation dampers are expected to be occupied non-simultaneously;identify isolation zone areas on plans and locations of associated isolation dampers in HVAC distribution system;refer to HVAC System Controls for additional requirements For cooling systems with humidification equipment that are also required to have air C403.2.3.4 Humidification economizer,indicate humidifier is adiabatic(direct evaporative or fog atomization),or exception taken Additional Efficiency Package Option,More Efficient HVAC Equipment&Fan Performance- Must comply with all 3 provisions to be eligible C406.2.1 To comply with additional efficiency package option,calculate the percentage of heating and C403.2.3 HVAC system selection cooling equipment in the project(based on output capacity)that do not have a corresponding WSEC listed efficiency;shall be less than 10%to comply C406 22 Minimum equipment To comply with additional efficiency package option,indicate that all listed heating and cooling C403.2.3 efficiency equipment have a rated efficiency that exceeds WSEC listed efficiency by at least 15% C406 2.3 To comply with additional efficiency package option,indicate rated FEG of stand alone fans is C403.2,11.3 Minimum fan efficiency >_71;indicate these fans are sized so the fan efficiency at design conditions is within 10%of the maximum total or static efficiency HVAC System Controls Indicate locations of thermostatic and humidity control devices and the zones they serve on Existing plans,including perimeter system zones location Where adjacent(neighboring)zones are controlled by separate thermostats(including perimeter systems used to offset heat gain or loss),and are connected by permanent Thermostatic controls openings>10%of either zone sf area,indicate controls configured to prevent adjacent zones Yes C403,2,4.1 (thermostats and from operating in conflicting modes(one in heat,other in cool);applies to adjacent perimeter humidistats) zones,adjacent nonperimeter zones,and adjacent perimeter and nonperimeter zones If applying Exception 2 to nonperimeter zones adjacent to perimeter zones,indicate that setpoints and deadband settings in these zones are coordinated so cooling in a nonperimeter zone does not occur until the temperature in that zone is 5°F higher than the adjacent perimeter zone temperature in heating C403.2.4.1.1 Heat pump supplementary Indicate staged heating operation with compression as the first stage of heating and heat supplemental heating controlled with outdoor lock-out temperature set to 40°F or less C403.2.4.1.2 Deadband Indicate zone thermostatic controls configured with 5°F minimum deadband for systems that Yes control both heating and cooling If separate heating and cooling systems with separate thermostatic control devices are used to Setpoint overlap restriction serve a zone,indicate locations of both thermostatic control devices and the zone they serve C403.2 4 1.3 (thermostats) on plans Indicate a limit switch,mechanical stop or DOC control with programming to prevent simultaneous heating and cooling C403.2.4.2 Indicate zone thermostatic controls configured with required automatic setback and manual C403.2.4.2-1 Automatic setback and override functions,setback temperatures,and control method(automatic time clock or C403.2.4.2.2 shutdown programmable controls);note exceptions taken C403.2-4.2.3 Automatic(optimum)start Indicate system controls that adjust equipment start time required to bring each area served up to design temperature just prior to scheduled occupancy C4032.4.3 Outdoor supply air dampers Indicate automatic controls configured to close OSA damper during unoccupied equipment operation;not including economizer cooling,night flush or IMC required OSA I exhaust C403.2.4.3 Stairway and shaft vent Indicate method of activation of stairway and shaft vent dampers(fire alarm or interruption of dampers power) For systems serving areas>25,000 sf or spanning more than one floor,that include areas that C403.2,4A Zone isolation controls are expected to be occupied non-simultaneously;indicate controls that allow for independent space conditioning of isolation zones;or exception taken C403.2 12 Heating outside a building Indicate occupancy sensing or timer switch controls configured to automatically shut off heating system when area served is unoccupied C403.2.4.5 Snow melt systems Indicate automatic controls configured to shut off system when pavement temperature exceeds 507 and no precipitation is falling,and when outdoor air temperature exceeds 40oF C403.2.4.6 Freeze protection system Indicate automatic controls to shut off system when outdoor temperature exceeds 40°F,or controls conditions protect fluid from freezing Group R1 hotel I motel For hotels and motels with over 50 guest rooms,indicate automatic controls serving guest C403.2.4.9 guest rooms rooms that are capable of setback(heating)and set-up(cooling)of temperature setpoint by at least 5°F;indicate control method-activated by room entry or occupancy sensor .- � �. �� �_, l V I 2015 Washington State Energy"Ae Compliance Forms for Commercial,R2 and R3 over 3"'jes and all R1 -Page 3 of 7 PlansMechanical Permit 2015 Washington State Energy Code Compliance Forms for Commercial Buildings including R2&R3 over 3 stories and all R1 Revised January 2017 Project Title: Duskin La Hacindia Date 4/3/2017 The following information is necessary to check a permit application for compliance with the mechanical systems and equipment requirements of the Washington State Energy Code,Commercial Provisions. Applicable Code Section Code Provision Information Required-Must be in permit documents Location in Building Department es no,na) Documents Notes Mitsu- Group R2/R3 dwelling For primary space conditioning system,indicate 5-2 programmable thermostats capable of two C403.2 4.10 wireless Yes units,Group R2 sleeping setback periods per day;for all thermostats indicate purpose(heating only,cooling only,or C403.2.4.11 units both),required temperature range and at minimum a 10OF deadband;or exception taken Indicate method of ventilation air delivery(natural or mechanical)for each zone mech If mechanically delivered,indicate that systems are configured to provide not more than 150% Set C403.2.6 Ventilation of,but at least the minimum required volume of outdoor air to each zone per IMC,ASHRAE C403.2.11.4 62.1 or other applicable code(WAC,OSHA,etc);or exception taken If delivered via natural ventilation,identify required elements per IMC including minimum openable area to the outdoors or qualifying adjoining spaces Identify spaces>500 sf with occupant load>25 people/1,000 sf per IMC;for each space None Demand controlled Indicate whether it is served by an HVAC system with total design OSA>3,000 cfm,and/or NA C403.2.6.2 the system has airside economizer or automatic modulating OSA damper;indicate OSA ventilation controls are configured to provide demand controlled ventilation or provide supporting documentation for applied exception For gyms,classrooms,auditoriums and conference rooms>500 sf,indicate occupancy-based C403.2.6.3 Occupancy sensors OSA control when space is unoccupied and method(closes OSA damper or shuts-off equipment);or alternate means provided to automatically reduce OSA when space is partially occupied C403.2.6.4 Enclosed loading dock For enclosed loading docks,indicate ventilation/exhaust system method of activation(gas C403.2.6.4.1 ventilation detection system for CO and NO2,or occupancy sensors),and control method(staged or modulating) C403.2.6.4 Enclosed parking garage For enclosed parking garages,indicate ventilation/exhaust system activated by gas detection C403.2.6.4.2 ventilation system for CO and NO2.and control method(staged or modulating);or exception taken Provide calculations that show a balanced accounting of total kitchen exhaust(include all hoods)with%of:supply air,transfer air from adjacent spaces,and make-up air;if applicable, C403 2 7 1 Kitchen exhaust hoods indicate that direct make-up air to each hood does not exceed 10°%of hood exhaust For kitchens with total hood exhaust exceeding 2,000 cfm,indicate exhaust air rate per Table C403.2.7.1 and compliance method(DCV,energy recovery,or transfer air that would otherwise be exhausted) C403 2.7.2 Laboratory exhaust systems Refer to Systems Requiring Energy Recovery for requirements Variable flow capacity- For HVAC fan motors z 7.5 hp,indicate method of variable flow control(VSD,or equivalent C403.2.13 HVAC system fans control method that reduces design air volume by 50%at 1/3 static design pressure);note exception taken DX air handler variable For DX air handlers with economizer and cooling capacity z 65,000 Btu/h,indicate number of cooling control cooling stages provided and method(multiple compressors and/or variable speed C403.3.1 compressors);indicate minimum displacement(capacity reduction)as%of full load Under 65K (Under Integrated Economizer) Indicate control method(cooling capacity controlled in response to space temperature,space temperature controlled by modulating supply airflow,or both) For DX air handling units with cooling capacity z 65,000 Btu/h and evaporative and chilled water air handling units with fan z 0,25 hp,indicate whether system is single zone or multiple zone and related control method(cooling capacity controlled in response to space temperature,space temperature is controlled by modulating supply airflow,or both) For mechanical cooling systems(includes DX and chilled water coils)that control cooling capacity in response to space temperature-Provide a minimum of two stages of fan control; C403 2 11 5 Fan airflow control indicate minimum fan speed is 5 66%of full speed drawing<_40%of full speed fan power during periods of low cooling or ventilation only For other mechanical cooling systems(includes DX and chilled water coils)that control space temperature by modulating airflow(in lieu of,or in addition to,controlling capacity in response to space temperature)-Provide fan controls for modulating supply airflow;indicate minimum fan speed is 5 50%of full speed drawing<_30%of full speed fan power during periods of low Fooling or ventilation only;or exception taken Provide central and zone level DDC controls as required based on system application, C403.2.4.12 DDC system capabilities capacity or size thresholds and other qualification per Table C403.2.4.12.1 Identify all DDC system input/output control points;indicate capability for trending and 1graphical display Ducting Systems C403.2.8.1 Indicate on plans that all ductwork is constructed and sealed per IMC C403.2.8.3 Duct construction For OSA ductwork,also indicate on plans that ductwork meets air leakage requirements per C402 5 and vapor retarder requirements per the IBC C403.2.8.3 Duct pressure Identify location of low,medium and high pressure ductwork on plans classifications C403.2.8.3.3 High pressure duct leakage Indicate high pressure duct leakage testing requirements on plans;provide test results to test 1jurisdiction when completed �_ .f 2015 Washington State Energy` ye Compliance Forms for Commercial,R2 and R3 over 3'--ies and all R1-Page 4 of 7 PermitMechanical 2015 Washington State Energy Code Compliance Forms for Commercial Buildings including R2&R3 over 3 stories and all R1 Revised January 2017 Project Title: Duskin La Hacindia Date 4/3/2017 The following information is necessary to check a permit application for compliance with the mechanical systems and equipment requirements of the Washington State Energy Code,Commercial Provisions. Applicable Code Section Code Provision Information Required-Must be in permit documents Location in Building Department ( es.no,na Documents Notes For supply and return ductwork located in unconditioned space or outdoors,indicate R-value of insulation on ductwork on plans;identify climate zone;note exceptions taken C403.2.8.1 For supply ductwork located in conditioned space,identify if design supply temperature is< C403.2.8.2 Duct insulation 55°F or>105°F and indicate R-value of insulation on this ductwork on plans;note exception taken For OSA ductwork,shafts and plenums,indicate R-value of insulation on these elements on plans per Table C402.1.3 for steel-framed walls;note exception taken Piping Systems C403.2.9 Piping insulation Indicate design temperature range of fluid conveyed in piping and thickness of insulation(in inches)on hydronic piping plans;or exception taken C403.2.9.1 Piping insulation exposed to Indicate method of protection of pipe insulation from damage/degradation on hydronic piping weather plans Economizers Identify in equipment schedules on plans or in MECH-EQ forms all cooling systems requiring air economizer controls yes C403.3 Air economizer required Provide MECH-ECONO form indicating systems utilizing air economizer exceptions,including those with water-side economizer in lieu of air economizer;indicate on plans eligible exception(s)taken and measures to comply with exception(s) C403.3.1 Integrated economizer Indicate air and water-side economizers are configured for partial cooling operation even operation-air and water where additional mechanical cooling is required to meet the load C403.3.2 Economizer heating system Verify control method of HVAC systems with economizers does not increase building heating impact-air and water energy usage during normal operation C403,3.3.1 Air economizer capacity Indicate modulating OSA and return air dampers are configured to provide up to 100%OSA for cooling Verify mechanical cooling controls are interlocked with air economizer controls so the outside C403.3.1 air damper remains in 100%open position when mechanical cooling is also required to meet C403.3 3.2 Integrated air economizer the cooling load,until the leaving air temperature is<45°F For systems with cooling capacity z 65,000 Btu/h,verify that control of economizer dampers is not based only on mixed air temperature;or exception taken C403.3 3.3 Air economizer high limit Indicate high limit shut-off control method and required high limit per Table C403 3.3.3 controls For eligible systems where water-side economizer may be provided in lieu of air economizer, C403.3.4.1 Water economizer capacity indicate system is capable of 100%design cooling capacity at 50°F db/45°F wb OSA temperatures C403.3.4.2 Water economizer Indicate pressure drop across precooling coils and heat exchangers in water economizer maximum pressure drop system do not exceed pressure drop limit C403.3.1 DX air handling equipment For DX air handlers with economizer and cooling capacity 2 65,000 Btu/h,refer to HVAC control System Controls for requirements DX equipment economizer For DX air handlers with economizer and cooling capacity z 54,000 Btu/h,provide a fault C403.2.4.7 fault detection and detection and diagnostics(FDD)system to monitor economizer system operation and report diagnostics faults Systems Requiring Energy Recovery For systems with design OSA>5,000 cfm,or design supply air cfm and%OSA exceeding the values in Tables C403.5.1(1)or(2),indicate exhaust air ER method;or exception taken with supporting calculations Energy recovery(ER)- — C403.5.1 ventilation/exhaust For rooms served by multiple systems with aggregate design OSA>5,000 cfm,or aggregate systems design supply air cfm and%OSA exceeding the values in Tables C403,5.1(1)or(2),indicate exhaust air ER method;or exception taken with supporting calculations Indicate ER rated effectiveness that increases OSA enthalpy by z 50%based on delta between OSA and return air enthalpies at design conditions Laboratory exhaust systems For buildings with total lab exhaust>5,000 cfm,indicate method of energy recovery used to C403.2,7.2 pre-condition laboratory make-up air;ER effectiveness(min 25°F);or alternative method per (energy recovery) exception(VAV exhaust,semi-conditioned makeup,or CERM calculation) For buildings with pools or spas with water surface area>200 sf,indicate exhaust air ER C404.10.4 Pools and permanent spas method and use of waste heat(preheat ventilation air,pool water or service hot water);or (under exhaust systems exception taken C404.11) (energy recovery) Indicate ER system has the rated effectiveness and is configured to decrease the exhaust air temperature at design conditions by z 36°F Energy recovery- For buildings with on-site steam heating systems,indicate condensate water ER C403.5.2 steam condensate systems For buildings that use off-site generated steam where condensate is not returned to the source,indicate on-site condensate water ER r � i �� 2015 Washington State Energy' 4e Compliance Forms for Commercial,R2 and R3 over 3'--' •ies and all R1 -Page 5 of 7 Mechanical Permit Plans ChWlist MECH-CHK 2015 Washington State Energy Code Compliance Forms for Commercial Buildings including R2&R3 over 3 stories and all R1 Revised January 2017 Project Title: Duskin La Hacindia Date 4/3/2017 The following information is necessary to check a permit application for compliance with the mechanical systems and equipment requirements of the Washington State Energy Code,Commercial Provisions. Applicable Code Section Code Provision Information Required-Must be in permit documents Location in Building Department s,eno.n a Documents Notes For buildings with food service,meat or deli departments that have Z 500,000 Btu/h of remote refrigeration capacity for coolers/freezers,indicate condenser ER and use of captured energy (service water heating,space heating,or dehumidification reheating) C403.5 3 Energy recovery- cooler/freezer condensers For buildings with z 40,000 sf conditioned floor area and with>_1,000,000 Btu/h of remote refrigeration capacity for coolers/freezers,indicate condenser ER and use of captured energy for service water heating and also for space heating,or dehumidification reheating For buildings with 24-hour operation and with>1,500,000 Btu/h of heat rejection capacity and C403.5 4 Energy recovery- design service hot water load>250,000 Btu/h,indicate condenser ER to pre-heat service condenser systems water;or exception taken.Provide calculations showing the amount of recovered heat that is utilized(60%of peak heat rejection load or pre-heat service water to 85°F), Hydronic System Controls For hydronic system pump motors z 7.5 hp,indicate method of variable flow control(VSD or C403-2.13 Variable flow control- equivalent method that requires>_30%design wattage at 50%design fluid flow);note C403A.2 7 hydronic system pumps exception taken Identify whether hydronic coils have DDC controls and associated manner of pump speed control(differential pressure,zone hydronic demand,etc) ror boilers that provide building heating,indicate controls that provide heating water temperature setback based on outdoor temperature For heating and chilled water systems z 300,000 Btu/h,indicate systems are configured to C403.2,5 Hydronic system setback automatically reset supply water temperature based upon demand;or exception taken. C403 4 2.4 and part load controls If system pump motor hp z 3 hp,also indicate controls automatically reduce flow by z 50%. For chilled water systems(>_300,000 Btu/h,pump motor hp z 3 hp)that serve water-cooled unitary air conditioners,indicate VSD or staged pumps in chilled water system and heat rejection loop that reduce pump flow so that one control valve is nearly wide open,or to maintain a minimum differential pressure;or exception taken C403.4.2 Boiler sequencing Indicate automatic controls that sequence operation of multiple boilers C403.4.6 Hot gas bypass limitation For cooling equipment with hot gas bypass,provide either multiple step unloading or continuous capacity modulation;indicate bypass capacity per Table C403.4.6 C403.4.2.2 Two-pipe changeover Indicate changeover deadband(min 15'F),heating/cooling mode scheduling and systems changeover temperature range(limit 30'F) C403.4.2.6 Chiller/boiler plant pump Indicate controls are configured to automatically reduce overall plant flow and shut-off flow isolation through individual chillers and boilers when not in use For cooling towers with fan motors>_7.5 hp,indicate VSD and method to adjust fan speed C403 2 13.1.1 Heat rejection equipment- '(adjusted based on leaving fluid temperature or condenser temperature/pressure of heat C403.4.3.1.1 variable flow control rejection device) C403.4.3.1.2 For multiple-cell heat rejection equipment with VSD,indicate controls that ramp all fans in unison C403.4.3.3 Heat rejection equipment- Indicate open-circuit cooling towers with multiple pumps or VSD control are designed so all cooling tower flow turndown cells can be run in parallel C403.4.2.3.1 Water loop heat pump- Indicate capability of central equipment to provide minimum 20'F water supply temperature deadband deadband between heat rejection and heat addition modes;or exception taken Water loop heat pump- Indicate type of cooling tower(open-or closed-circuit)in equipment schedule;indicate method C403.4.2.3.2.1 heat rejection equipment, used to limit system heat loss when heat rejection is not needed Zone 4 Water loop heat pump- For open-or closed-circuit cooling towers,provide a heat exchanger that separates the cooling C403.4-2.3 2- heat rejection equipment, Zone 5 tower and heat pump loop C403.4.2.3.3 Water loop heat pump- For hydronic heat pump systems with total system power>10 hp,indicate 2-way isolation isolation valves i valves on each heat pump and variable flows stem control Dedicated Outdoor Air Systems(DOAS)-Optional through 6/30/16,Prescriptive 7/1/2016 For buildings with office,retail,education,library and fire station spaces,identify these spaces C403.6 Dedicated outdoor air on plans;indicate that ventilation air in each occupied space is provided via a DOAS system; C403,6.3 systems 'or document compliance with C403.6.3 Impracticality;or exception taken(buildings complying with C402 4.1.4 or C406,6 may not utilize exceptions) Energy recovery ventilation For all DOAS systems,indicate exhaust air ER method;or exception taken with supporting C403 6.1 with DOAS calculations.Indicate ER rated effectiveness that increases OSA enthalpy by z 50%based on delta between OSA and return air enthalpies at design conditions. Indicate equipment associated with the delivery of zone level heating and cooling(fans, Heating/cooling system hydronic pumps,primary air dampers,etc)are configured to shut off,and central equipment is C403.6-2 controls with DOAS configured to turn down,when there is no call for heating or cooling in the zone they serve If applying Exception to heating/cooling fans used for air mixing in the space during deadband periods,include fan watts per cfm in equipment schedule � / �♦ 1�.,,/ � . � ,: I 2015 Washington State Energy' ie Compliance Forms for Commercial,R2 and R3 over 3 'Jes and all R1 -Page 6 of 7 PlansMechanical Permit 2015 Washington State Energy Code Compliance Forms for Commercial Buildings including R2&R3 over 3 stories and all R1 Revised January 2017 Project Title: Duskin La Hacindia Date 4/3/2017 The following information is necessary to check a permit application for compliance with the mechanical systems and equipment requirements of the Washington State Energy Code,Commercial Provisions Applicable I Code Section Code Provision Information Required-Must be in permit documents Location in Building Department ( es,no,na) Documents Notes C402A.1.4 Increased prescriptive C403.6 maximum vertical Indicate that all occupied,conditioned spaces are served by a DOAS per C403.6 fenestration area with DOAS Additional Efficiency Package Option,Dedicated Outside Air Systems(DOAS) C406 6 Building provided with To comply with additional efficiency package option,indicate that 90%or more of all occupied, DOAS conditioned spaces are served by a DOAS per C403.6 Multiple Zone Air Systems Air systems serving multiple Identify supply air systems serving multiple zones and the zones they serve on plans;indicate C403.4.4 whether system is VAV and method of primary air control;or provide supporting zones documentation for applied exception to VAV Provide equipment schedules on plans or MECH-EQ form that list all VAV air terminals and types VAV systems serving For each air terminal include:maximum airflow rates for primary supply air during zone peak C403.4.4 multiple zones heating and zone peak cooling;maximum airflow during reheating,recooling or mixing; minimum airflow rate to maintain required ventilation,and the basis for these values;if IMC or ASHRAE 62.1 multiple zone equation is basis for minimum flow rates,provide calculation on plans C403,4.4.1 Single duct VAV terminal Indicate single duct terminal units are configured to reduce primary supply air before reheating units or recooling C403.4.4.2 Dual duct systems-terminal For systems with separate warm air and cool air ducts,indicate terminal units are configured to units reduce the flow from one duct to minimum before mixing with air from the other duct Indicate locations of duct static pressure sensors on plans;include at least one sensor per major duct branch;verify controller setpoint pressure at each sensor is<_1.2 inch w.g. C403 4.1.1 VAV system static pressure sensors- For systems with zone level DDC,indicate controls are configured to monitor zone damper C403 4.1-2 sensors and DDC set points positions and reset static pressure setpoint based on the zone requiring most pressure; include control logic that automatically detects and generates an alarm if any zone excessively drives reset logic,and allows building operators to exclude zones from reset logic Multiple-zone VAV system For systems with zone level DDC controls,indicate controls are configured to automatically C403.4.4.3 ventilation optimization reduce outdoor airflow in response to changes in system ventilation efficiency;or exception controls taken C403.4.4.4 VAV system supply air reset Indicate controls automatically reset supply air temperature in response to building loads or outdoor air temperature;or exception taken Multiple Zone HVAC Systems,High Efficiency VAV-Required for systems utilizing C403.6 WAS Exception 2,must comply with all 16 provisions C403.7. Indicate system is configured for 100%air economizer operation and complies with all related Item 1 Air economizer economizer requirements per C403.3(without economizer exceptions) C403.7, Provide DDC controls for all components of system;identify all DDC system input/output Item 2 Direct digital controls(DDC) control points;indicate capability for trending and graphical display For systems with minimum OSA>2,500 cfm,indicate outdoor airflow monitoring station that C403.7, Outdoor airflow measures OSA intake under all load conditions;indicate control sequence that increases or Item 3 measurement and reduction reduces system OSA cfm based on VAV terminal feedback of ventilation efficiency(per C403.4.4.3 without exceptions)or DCV(per C403.2.6.2) C403.7, For systems with minimum OSA>2,500 cfm,indicate supply airflow,monitoring station Item 4 Supply airflow measurement capable of measuring supply air delivered to VAV terminals under all load conditions C403.7. Zone isolation and Verify maximum area served by a single HEVAV system is<_50.000 sf,or one entire floor, Item 5 maximum area served whichever is greater;in addition if a system serves>25,000 sf,that includes areas that are expected to be occupied non-simultaneously,indicate zone isolation controls per C403.2.4.4 C403.7, Interior/exterior zone Verify that VAV terminals serving interior cooling driven loads are sized per design supply air Item 6 design supply air temperature that is 5°F higher than VAV terminals serving exterior zones temperature C403.7. Maximum air terminal inlet Identify air terminals with minimum primary airflow setpoints>50%of maximum setpoint in Item 7 velocity equipment schedule or MECH-EQ form;indicate air terminal inlet velocity does not exceed 900 fpm C403.7, Indicate DDC system sequences of operation are designed and configured per ASHRAE GPC Item 8 Sequence of operation 36 C403 7. Maximum allowable system Verify fan system bhp is<_90%of the bhp limit per Option 2 equation in Table C403.2.11,1(1), Item 9 1 brake horsepower provide MECH-FANSYS form for each system Indicate all series and parallel terminal fans have electronically commutated motors;indicate C403.7, Fan-powered terminal unit DDC control system is configured to vary air terminal fan speed as a function of the load; Item 10 motor and control indicate fan speed during periods of low heating,low cooling,or ventilation only is<_66%of peak design air flow or provide supporting documentation for applied exception 2015 Washington State Energy 'e Compliance Forms for Commercial,R2 and R3 over?' ;es and all R1-Page 7 of 7 PlansMechanical Permit 2015 Washington State Energy Code Compliance Forms for Commercial Buildings Including R2&R3 over 3 stories and all R1 Revised January 2017 Project Title: Duskin La Hacindia Date 4/3/2017 The following information is necessary to check a permit application for compliance with the mechanical systems and equipment requirements of the Washington State Energy Code,Commercial Provisions. Applicable Code Section Code Provision Information Required-Must be in permit documents Location in Building Departmer' n es,no. a) Documents Notes C403.7, Application of single duct Indicate VAV terminal types on plans;verify fan-powered terminal units only serve perimeter Item 11 and fan-powered terminal zones with envelope loads;verify all other zones are served by single duct terminal units units C403.7, Fan-powered terminal unit Indicate DDC controls are configured to automatically reset the primary supply air cfm setpoint Item 12 primary air reset of all fan-powered terminal units to the minimum required to maintain ventilation during occupied heating or deadband,based upon the VAV air handling unit OSA ventilation fraction For spaces>150 sf with occupant density>_25 people/1000 sf,indicate space is served by a C403.7, High occupancy space dedicated terminal unit with DCV control that resets terminal unit ventilation setpoint;also Item 13 controls indicate occupancy sensor control that automatically reduces minimum ventilation to zero and sets back room heating and cooling setpoints by>_5°F For server,electronic equipment,telecom or similar spaces with cooling loads>5 W/sf, C403,7, indicate spaces are served by independent HVAC systems that are separate from HPVAV Item 14 Dedicated HVAC systems systems serving rest of building;indicate dedicated HVAC systems have air economizer controls or energy recovery per C403.3 Exception 9 Indicate whether systems are served by a high efficiency heating water plant,or a high efficiency chilled water plant If complying via high efficiency heating water plant:Indicate all VAV terminals have hydronic heating coils served by heating water system with either gas-fired boiler(s)with thermal C403.7, Central plant efficiency efficiency z 90%,air-to-water heat pumps,or heat recovery chillers Item 15 If complying via high efficiency chilled water plant:Indicate all VAV air handlers have cooling coils served by chillers with rated IPLV efficiency that exceeds WSEC listed IPLV by at least 25%per Table C403.2.3(7)(note water-cooled IPLV is max,all others are min);indicate smallest chiller or compressor in plant is<_20°%of total plant capacity,or provide thermal storage sized for<_20%of total plant capacity C403.7, Fault detection and Indicate DDC system includes a fault detection and diagnostics(FDD)system configured to Item 16 diagnostics monitor operation and provide fault reporting of required parameters for all VAV air handlers and VAV air terminal units in the HPVAV system HVAC Equipment Energy Use Metering HVAC equipment energy For new buildings>50,000 sf and building additions>25,000 sf,verify energy use metering of C409-3,1 use metering all equipment used to provide space heating and cooling,dehumidification and ventilation will be provided per C409:indicate equipment eligible for exception Documentation and System Specific Requirement To Support Commissioning Indicate that all mechanical systems,equipment,and controls for which the WSEC requires control functions and /or configuration to perform specific functions are required to be commissioned; C408 2 Scope of mechanical systems commissioning For buildings with z 240,000 Btu/h total output cooling capacity or z 300,000 Btu/h total output heating capacity,indicate that all mechanical systems regardless of individual capacity are required to be commissioned;or provide building heating/cooling capacity calculation demonstrating eligibility for exception Indicate in plans and specifications that Cx per C408 is required for all applicable mechanical systems; C403,2,10 Include general summary with at a minimum of Items 1 thru 4 of the Cx plan per C408.1.2 C408.1-1 Commissioning including:narrative description of activities,responsibilities of the Cx team,schedule of C408.1.2 requirements in construction activities including verification of project close out documentation per C103.6,and conflict of C408 14.2 documents interest plan(if required); C103.6 Include in general summary that a Cx project report or Compliance Checklist(Figure C408.1.4.2)shall be completed by the Certified Cx Professional and provided to the owner prior to the final mechanical inspection. Air system and hydronic Indicate in plans that air and fluid flow rates shall be tested and balanced within the tolerances C408,2,2 system balancing defined in the specifications;indicate systems shall be balanced in a manner to first minimize throttling losses,then adjusted to meet design flow conditions C408.2 2 1 Air system balancing Indicate devices that provide the capability to balance all supply air outlets,zone terminals and devices air handling equipment requiring system balancing C408.2.2.2 Hydronic system balancing Indicate devices that provide the capability to isolate,balance and measure flow across all devices hydronic equipment requiring system balancing including heating and cooling coils and pumps FC408.2.3 Functional performance Identify in plans and specifications the intended operation of all equipment and controls during testing criteria all modes of operation,including interfacing between new and existing-to-remain systems Project Close Out Documentation Documentation and project Indicate in plans that project close out documentation and training of building operations C103.6 close out submittal personnel is required for all mechanical components,equipment and systems governed by requirements this code;indicate close out documentation shall include:record documents,O&M manuals, applicable WSEC compliance forms and calculations \W/ _ 2015 Washington State Enerc ode Compliance Forms for Commercial, R2 a ,3 oNewver 3 stories and all R1 Ec • • Exceptions • • 2015 Washington State Energy Code Compliance Forms for Commercial Buildings including R2&R3 over 3 stories and all R1 Revised January 2017 Project Title: Duskin La Hacindia Date 4/3/2017 All cooling systems shall be configured to provide air economizer operation,regardless of For Building Dept.Use system capacity,for new construction and mechanical system alterations.Various exceptions to this requirement are available. Identify all systems that an economizer exception will be applied to and additional information as noted below. Economizer ECONOMIZER EXCEPTIONS-NEW CONSTRUCTION AND ADDITIONS Lighting+ Exception Exp 1 Cooling equipment serving spaces that are provided with a dedicated System ID Equipment outdoor air system(DOAS)per C403.6.Spaces served shall have year- Loads(W/sf) Summary round design cooling loads from lights and equipment less than 5 watts per square foot. Exp 2 Single zone unitary or package systems with dehumidification that affect System ID other systems such that air economizer would increase energy consumption. Refer to Section C403 3 for descriptions of Exp 3 High efficiency single zone unitary orpackaged systems.Equipment System ID economizer cooling efficiency shall be better than the WSEC required minimum provisions and efficiency by at least 64%in Climate Zone 4C and 59%in Climate Zone 5B exceptions. For per Table C403.3. alterations refer to Section Exp 4 Equipment that provides hydronic chilled water for chilled beams and System ID C503.4 and chilled ceiling systems that is served by a water economizer system per Table C503 4. C403.3.4 in lieu of air economizer. Exp 5 Water-source heat pumps with heat recovery. Heat pump efficiency shall System ID be 15%better than WSEC required minimum efficiency Provide at minimum 60%air economizer.Energy recovery to preheat OSA shall have at least 50%effectiveness.Additional system requirements apply Exp 6 Cooling equipment serving Group R occupancies.Per unit limit Equipment Cooling is less than 20,000 Btu/h cooling capacity for equipment installed System ID Location Capacity outdoors or in a meth room adjacent to the outdoors. For cooling (Btu/h) equipment installed in other locations the unit limit is less than 54,000 Btu/h.Efficiency shall be 15%better than WSEC required minimum efficiency. Exp 7 Variable refrigerant flow(VRF)systems with energy recovery.Outdoor Outdoor Unit Cooling unit shall be a reverse-cycle heat pump with variable speed System ID Capacity compressor(s)and condenser fan(s).Outdoor unit cooling capacity shall (Btu/h) be not less than 65,000 Btu/h.Energy recovery to preheat outdoor air shall have at least 50%rated effectiveness.System shall be capable of providing simultaneous heating and cooling by tranferring recovered energy from zone(s)in cooling mode to other zone(s)that are in heating mode. Exp 8 Cooling equipment serving Controlled Plant Growth Environments. System ID SEER,EER,& Equipment cooling efficiency shall be better than WSEC required IEER minimum efficiency by at least 20%.Not eligible:unitary and applied heat pumps. Exp 9 Cooling equipment with energy recovery.Spaces served shall have Lighting+ year-round design cooling loads from lights and equipment greater than System ID Equipment 5 watts per square foot.Energy recovery system shall utilize recovered Loads(W/sf) energy for on-site space heating or preheating of service hot water. Provide calculations to the code official that demonstrate the amount of recovered energy used for on-site heating purposes is equivalent to the annual energythat would be saved by the cooling system with air UNIT CAPAC�T�b�2�eS 't UJYQLJIRED BY CS I-XI.6 2015 Washington State Enerc" )de Compliance Forms for Commercial, R2 at' '3 over 3 stories and all R1 Economizer ExceptionT, cont. • • 2015 Washington State Energy Code Compliance Forms for Commercial Buildings including R2&R3 over 3 stories and all R1 Revised January 2017 Project Title: Date 4/3/2017 ECONOMIZER EXCEPTIONS-NEW CONSTRUCTION AND ADDITIONS,CONTINUED Economizer Exp 10 Cooling equipment for dedicated server,electronic equipment or Cooling Compliance telecom switch rooms.Per building limit for this exception is System ID O Capacity Exception 240,000 Btu/h cooling capacity or 10%of required building air ption (Btulli) Summary economizer capacity,whichever is greater. Part load control #1 Option a 48,000 required over 85,000 Btu/h.Additional requirements apply. Option a-Cooling equipment efficiency shall be 15%better than the WSEC required minimum efficiency.. Option b-Waterside economizer required.Cooling equipment efficiency shall be 5%better than the WSEC required minimum efficiency. Option c-Waterside economizer required All cooling equipment is subject to ASHARE Standard 127. Total Claimed Exempt Capacity: 48,000 Refer to Section Total building air economizer capacity(if claimed>240 kBtu/h): C403.3 for descriptions of Alternate Exp 10 Capacity Limit: economizer ECONOMIZER EXCEPTIONS-MECHANICAL SYSTEM ALTERATIONS OR REPLACEMENT provisions and System ID Alt.Strategy exceptions For C503.4 Pre-approved design alternative to full compliance with air economizer alterations refer Exp 1 requirement.An alternative for mechanical system alterations where existing to Section UNIT CAF ' (�` �� ` `� "� j1 ' '� `' j ' 'mequirement C503 4 and t c I. c o is i s nstrate the Table C503 4. UNIT CAP bTYd 0drAz% eT.IdAt*fgg-PidRfiD4WaC&dF4 R6vings to the UNIT CAPAM911u8 Mbng system with air economizer UNIT CAPAOPR"FIVL3I�`sS THAN REQUIRED BY CS EXP6 ECONOMIZER EXCEPTIONS-SIMPLE SYSTEMS Cooling C503.4 Qualifying small equipment. Per unit limit less than 33,000 Btu/h.Per System ID Capacity Exp 2 building limit for this exception is 72,000 Btu/h cooling capacity or 5%of (Btu/h) required building air economizer capacity,whichever is greater.Cooling equipment efficiency shall be 15%better than WSEC required minimum efficiency.Not eligible:non-unitary equipment,unitary equipment installed outdoors or in mech room adjacent to outdoors,equipment installed during new construction,shell-and-core construction,or initial tenant improvement. Total Claimed Exempt Capacity: Total building air economizer capacity(if claimed>72,000 Btu/h): Alternate C503.4 Exp 2 Capacity Limit: C503.4 Equipment that provides hydronic chilled water for chilled water terminal Cooling Exp 3 units.Equipment part load cooling efficiency(IPLV)shall be better than System ID Capacity WSEC required minimum efficiency by at least 25%.Per building limit (Btu/h) for this exception is 480,000 Btu/h cooling capacity or 20%of required building air economizer capacity,whichever is greater.Chilled water terminal units serving Group R occupancies are not included in the building capacity total. Total Claimed Exempt Capacity: Total building air economizer capacity(if claimed>480,000 Btu/h): Alternate C503.4 Exp 3 Capacity Limit: Table Compliance Options for alteration or replacement of existing Equipment Compliance C503.4 mechanical cooling equipment per Table C503.4. Refer to table System ID Type Path and all applicable table footnotes for full requirements.Applies to the following retrofit conditions: Option a-Any new or replacement equipment Option b-Replacement equipment of same type with same or 2a. Split smaller cooling output capacity. 1 Systems< Option B Option c-Replacement equipment of same type with large 54,000 Btu/h cooling output capacity. Option d-New equipment added to existing system or replacement equipment that is different than existing being replaced. _�� t{, , 2015 Washington State Enerc ode Compliance Forms for Commercial, R2 a, '3 over 3 stories and all R1 � 2015 Washington State Energy Code Compliance Forms for Commercial Buildings including R2&R3 over 3 stories and all R1 Revised January 2017 Project Title: Duskin La Hacindia Date 4/3/2017 For Building Dept. Use HVAC Air Distribution System Schedule List all HVAC systems that have the capability to provide heating and/or cooling to the spaces they serve. Fan Power System or System Total Calculation Primary Supply Speed Control Description Nameplate HP Required Fan ID (Note 1) (Note 2) (Note 3) (Note 4) Unit 1 CV Supply fan included in equipment cut sheet 1 No Note 1-Constant Volume(CV), Variable Air Volume(VAV),or Hospital/Lab CV system that qualifies for VAV budget per C403.2.11.1 Exception 1. Single zone VA systems shall comply as CV. Note 2-Describe system type and list all fans(or groups of fans)associated with the delivery and removal of conditioned air by the system.Include all supply,return/relief,exhaust and exhaust hoods(>1 hp),make-up air, dedicated outside air(DOHS),booster fans,and series fan-powered terminals. VA parallel fan-powered terminals and economizer relief fans do not need to be included if the fans do not operate at peak conditions. Note 3-Enter the total nameplate hp of all fans associated with the delivery and removal of conditioned air by the system. Note 4-This form automatically identifies whether a MECH-FANSYS form is required to demonstrate compliance with the fan power allowance(Yes), or this information is not required because the system has a combined total nameplate motor hp that is 5 hp or less(No) MECH-FANSYS Forms A MECH-FANSYS form shall be provided for each system with total nameplate hp greater than 5 hp. Select(Add Fan System Form)to generate an additional form. Added forms can be deleted with button in cell E32 of the added form. 2015 Washington State Enerc )de Compliance Forms for Commercial, R2 a,' 3 over 3 stories and all R1 Mechanical Fan Syste ■ ower Allowance IMF-2015 Washington State Energy Code Compliance Forms for Commercial Buildings including R2&R3 over 3 stories and all R1 Revised January 2017 Project Title: Duskin La Hacindia Date 4/3/2017 A separate MECH-FANSYS form must be completed for every HVAC system that exceeds the 5 hp threshold. For Building Dept. Use Fan System ID System Supply Fan Constant Volume(CV), Variable Air Y pp Y CV Volume(VAV),or HospitaULab CV Speed Control system that qualifies for VA budget per C403.2.11.1,Exception 1 Compliance is based upon either the fan motor nameplate horse power Compliance Option Nameplate HP (Option 1), the fan brake horsepower(Option 2), or C403.7 high efficieny VA fan brake horsepower(10%less than Option 2). The bhp calculation provides adjustments for special equipment per Table C403.2.11.1(2) In Fan Equipment Schedule below,provide maximum design supply airflow rate(CFM)of all supply fans serving the conditioned space in Fan Fan System Supply Equipment Schedule below. Fan System CFM Total is the supply airflow of Y pp y 2000 the central air handler at peak design conditions.Additional volumetric air , CFM Total flow provided at zone fan terminals,booster fans,or through induction is not included in the supply CFM total.However,the fan power of this equipment is included in the HP and BHP calculations.Fan System Supply CFM Total is automatically calculated by the form. Fan Equipment Schedule Total CFM Total Nameplate Total BHP Fan ID and Location Fan Type Quantity of Fan Type (Note 1) HP(Note 2) (Note 3) Unit 1-4 zone Supply 1 2,000 1.25 1.25 Note 1- Total CFM is the maximum CFM of the listed fan(s)when Total Proposed: 1.3 1.3 operating at peak design operating conditions. Note 2-Total namplate hp of the listed fan(s). Total Allowance: 2.2 1.9 Note 3-Total brake horsepower(bhp)of the listed fan(s)at peak design operating conditions. Not required if Nameplate HP compliance option chosen. Compliance Message:F COMPLIES Brake Horsepower Allowance Adjustments Assigned Pressure CalculatedAdjustment, Device Type Description and Location CFM thorough this Drop,PD in w.c. Pressure Drop, A in bhp device(CFMD) (Note 6) PD in w.c. (Note 8) (Note 7) Note 4-Bhp allowance for energy recovery devices and run around coil loops includes both air Total Adjustment(bhp): 0.00 streams,so the CFMD is the sum of the supply CFM and exhaust CFM if both go through the device. Note 5-Energy recovery effectiveness is defined as change in the enthalpy of the outdoor air supply divided by the enthaply difference between the outdoor air and return air at design conditions. Note 6-Assigned pressure drop(PD)adjustment per Table C403.2.11.1(2). Note 7-Pressure drop(PD)adjustment shall be calculated per the applicable method defined in Table C403 2.11.1(2)based on specific system conditions. Note 8-A=PD*CFMD14131 where A is the allowed system brake horse power adjustment,PD is pressure drop allowance,and CFMD is the cfm through the device. r � ' 2015 Washington State Eneec )de Compliance Forms for Commercial, R2 a- '.3 over 3 stories and all R1 General Instructions: A. Include all fans directly associated with the delivery and removal of conditioned air to the zones served by the system.Enter CFM and brake horsepower(bhp)of each fan at peak design conditions and the nameplate horsepower(hp). Include supply,return and relief fans,exhaust and exhaust hood fans(>1 hp),booster fans and fans included as part of make-up air units,dedicated outside air systems(DOHS),energy recovery ventilators(ERV),and series fan-powered terminal equipment. B. VAV parallel fan-powered terminals and economizer relief fans do not need to be included if the fans do not operate at peak conditions. C.Fans not directly associated with the delivery and removal of conditioned air,such as condenser fans,do not need to be included in the fan power total. D. Fan power calculations are not required for non-central air HVAC systems such as 4-pipe fan coils and variable refrigerant flow(VRF)systems unless individual fan systems are greater than 5hp. E. In the Brake Horsepower Allowance Adjustments table,if a Device Type is selected that has an Assigned Pressure Drop, this value will autofill into the Assigned Pressure Drop cell and the Calculated Pressure Drop cell will be write-protected. If the Device Type requires a Calculated Pressure Drop, then enter this value into the Calculated Pressure Drop cell and the Assigned Pressure Drop cell with be write-protected. F.Refer to FAQ section of MECH-FANSYS-DOC for additional instructions. ,� ' ,.� I 2015 Washington State Ener( ode Compliance Forms for Commercial, R2 a 13 over 3 stories and all R1 Design Load Calculation Summary qW MECH-LOAD-CALC 2015 Washington State Energy Code Compliance Forms for Commercial Buildings including R2&R3 over 3 stories and all RRevised January 2017 Project Title: Duskin La Hacindia Date 4/3/2017 The following information shall be included in the load calculation program summary submitted with For Building Dept Use the permit documents. If a load calculation summary is not available,provide the required information below. Heating Design Cooling Design Load in Btu/h(Note Load in Btu/h(Note Calculation Method Equip. ID Area(s)Served 1) 1) (Note 2) Notes 1 Entry and office 30,000 30,000 Existing units old unit provided sufficient Note 1-Design load shall account for the building envelope,lighting, ventilation and occupancy loads of the space(s)served by the mechanical system.Heating and cooling loads shall be adjusted to account for load reduction achieved by an energy recovery system,if applicable. Note 2-Computer load calculation program, worksheet(identify source),or equivalent computation procedure in accordance with ASHRAE Standard 183. �� r � 1'. � 9 1 1 �•" COMMERCIAL MECHANICAL • PERMIT APPLICATION ��il NG�O Department of Community&Economic Development City of Arlington • 18204 59th Ave NE•Arlington,WA 98223 • Phone(360)403-3551 THIS APPLICATION MUST BE ACCOMPANIED BY TWO (2) SETS OF CONSTRUCTION DRAWINGS AND ALL OTHER INFORMATION OUTLINED IN THE MECHANICAL PERMIT SUBMITTAL REQUIREMENTS,IF APPLICABLE. Type of Permit: F-v] [New Installation Replacement ElAlteration Project Address: �9 - (,�J- Div(SI 1 �� �2 i,tl�rty�J(� g z 2-3�t Parcel#: Project Description: .. �, j ►l-tl TS_t 5 Valuation: Owner: Dfij/C ",W6cc Phone#: '1Z5_ Z3Y-5o7V Address: ! City: ZicL l/L&Pl . State: PL-f Zip:_g 5i Z23 Email Address: T)A Duyl6��J6,�M2 Contact Person: Phone#: Address: City: State: Zip: Email Address: Contractor Name: tUE&Pa ,T.ATr-� f l i Phone#: 725-25'2 3// Contractor Address: Z12o PW_I-FcL AVC City: State: L-1-'1- Zip:9,�520/ Email: MIOV* @ 5,- j 5 t�JA , Coves Contact Person: MAW- �AVi'vD Contractor License Number: W,-Wf507_20T /\b(/ Zvoj Expiration: Please indicate type of number of appliances: FURNACE CONDENSING UNIT GAS PIPING OUTLET BOILER HEAT PUMP(multi-split) UNIT HEATER CHILLER HEAT PUMP(mini-split) _� PAINT BOOTH COOLER HEAT PUMP(other) TYPE I HOOD AC(air cooled) HEAT REJECTION EQUIP TYPE II HOOD AC(water cooled) .. VENTILATION SYSTEM AST AC(evaporator) PACKAGED UNIT UST AC(VRF) DRYER OTHER I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above- described property will b�ccordance with the laws, rules and regulation of the State of Washington. o� Applicants Signature: n _ Date Applicants Printed Name: Mst�GIG Rpr eiyed FOR STAFF USE ONLY Gib NOV_2® 2019 Permit# Accepted By Amount Received Receipt# Date Received 6/16LP Page 1 of 1 CITY OF ARLINGTON 238 N. OLYMPIC AVE - ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:540 N West Ave NE Permit#:2908 Parcel#:00618100200300 Valuation: 11442.00 OWNER APPLICANT CONTRACTOR Name:STILLAGUAMISH SQUARE LLP Name:[Company Name] Name:EVERGREEN STATE HEAT&A/C Address:540 N WEST AVE Address:[Company Address] Address:2120 Pacific Ave City,State Zip:ARLINGTON,WA 98223 City,State Zip:Everett City,State Zip:Everett,WA 98201 Phone: Phone:4252523114 Phone:425-252-31 l4 LIC:EVERGSS0220T EXP: 10/10/2021 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: EVERGREEN STATE HEAT&A/C Name: Address:2120 Pacific Ave Address: City,State,Zip:Everett,WA 98201 City,State,Zip: Phone: 425-252-3114 Phone: LIC#:EVERGSS0220T EXP: 10/10/2021 LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Commercial Mechanical CODE YEAR: 2015 STORIES: I CONST.TYPE: DWELLING UNITS: OCC GROUP: BUILDINGS: 1 OCC LOAD: PERMIT APPROVAL I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY; NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC110/IRC110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form and co d City 'Arlington#3101. ( Z/ cr Signatyr c Print gzdnc Date Released By D: c CONDITIONS ADHERE TO APPROVED APPLIANCE. PROVIDE SEISMIC BRACING AND ELECTRICAL DISCONNECT. LINES SHALL BE INSULATED AND THE USE OF ADHESIVE TAPES IS PROHIBITED. APPROVED JOB COPY SHALL BE ON SITE FOR INSPECTIONS. CALL FOR INSPECTIONS. THIS PERMIT AUTHORIZES ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION. PERMIT FEES Date Description Fee Amount 12/06/2019 Mechanical Plan Review Fee $250.00 12/06/2019 Credit Card Surcharge $7.50 12/06/2019 Mechanical Fee(Enter Fixture Fee) $25.00 12/06/2019 Mechanical Permit Base Fee $25.00 12/06/2019 Processing/Technology Fee $25.00 Total Due: $332.50 Total Payment: $257.50 Balance Due: $75.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: CITY OF ARLINGTON m238' e N. OLYMPIC AVE - ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:540 N West Ave NE Permit#:2908 Parcel#:00618100200300 Valuation: 11442.00 OWNER APPLICANT CONTRACTOR Name:STILLAGUAMISH SQUARE LLP Name:[Company Name] Name:EVERGREEN STATE HEAT&A/C Address:540 N WEST AVE Address:[Company Address] Address:2120 Pacific Ave City,State Zip:ARLINGTON,WA 98223 City,State Zip:Everett City,State Zip:Everett,WA 98201 Phone: Phone:4252523 1 1 4 Phone:425-252-3114 LIC:EVERGSS0220T EXP: 10/10/2021 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Naive:EVERGREEN STATE HEAT&A/C Name: Address:2120 Pacific Ave Address: City,State,Zip:Everett,WA 98201 City,State,Zip: Phone: 425-252-3114 Phone: LIC#:EVERGSS0220T EXP: 10/10/2021 LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Commercial Mechanical CODE YEAR: 2015 STORIES: 1 CONST.TYPE: DWELLING UNITS: OCC GROUP: BUILDINGS: 1 OCC LOAD: PERMIT APPROVAL I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY; NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC110/IRC110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form and coded City of Arlington#3101, Signature Print Name Date Released By D• e CONDITIONS ADHERE TO APPROVED APPLIANCE. PROVIDE SEISMIC BRACING AND ELECTRICAL DISCONNECT. LINES SHALL BE INSULATED AND THE USE OF ADHESIVE TAPES IS PROHIBITED. APPROVED JOB COPY SHALL BE ON SITE FOR INSPECTIONS. CALL FOR INSPECTIONS. THIS PERMIT AUTHORIZES ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION. PERMIT FEES Date Description Fee Amount 12/06/2019 Mechanical Plan Review Fee $250.00 12/06/2019 Credit Card Surcharge $7.50 12/06/2019 Mechanical Fee(Enter Fixture Fee) $25.00 12/06/2019 Mechanical Permit Base Fee $25.00 12/06/2019 Processing/Technology Fee $25.00 Total Due: $332.50 Total Payment: $257.50 Balance Due: $75.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon Permit#: 2908 Permit Date: 11/20/19 Permit Type: COMMERCIAL MECHANICAL Project Name: Stillaguamish Square Applicant Name: Evergreen State Heat&AC Applicant Address: 2120 Pacific Ave Applicant, City, State, Zip: Everett Contact: Ken Salo Phone: 4252523114 Email: ken@essmwa.com Scope of Work: New mini split heat pump system Valuation: 11442.00 Square Feet: 0 Number of Stories: 1 Construction Type: Occupancy Group: ID Code: Permit Issued: Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Kristin Foster Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00618100200300 540 N WEST AVE STILLAGUAMISH 539 Other Retail SQUARE LLP Trade NEC Contractors Contractor Primary Contact Phone Address Contractor Type License License# EVERGREEN STATE Mark Payne 425-252-3114 2120 Pacific Ave CONSTRUCTION COA 601-724-357 HEAT&A/C CONTRACTOR EVERGREEN STATE Mark Payne 425-252-3114 2120 Pacific Ave CONSTRUCTION Labor&EVERGSS0220T HEAT&A/C CONTRACTOR Industries Plan Reviews Date Review Type Description Assigned To Review Status 11/20/2019 COMMERCIAL BUILDING MECHANICAL Fees Fee Description Notes Amount Mechanical Commercial Plan Review Table 4-1 $250.00 Credit Card Service $7.50 Mechanical Fee(Enter Fixture Fee) $25.00 Mechanical Base Permit Fee $25.00 Processing/Technology $25.00 Credit Card Service $2.25 Total $334.75 Attached Letters Date Letter Description 11/20/2019 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 11/20/2019 Darlene Salo 77980115 $250.00 11/20/2019 Darlene Salo CC Surcharge Transaction $7.50 77980115 12/09/2019 Darlene Salo 78194765 $75.00 12/09/2019 78194765 CC Surcharge Raelynn Jones $2.25 Outstanding Balance $0.00 Uploaded Files Date File Name 12/06/2019 5959934-2908 Application.pdf