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Permit M18-0102 - PROLIANCE BONE & JOINT URGENT - OFFICE DUCTS, BATHROOM FANS AND A/C UNIT
PROLIANCE BONE & JOINT URGENT CARE I5OANDOVERPARKV%I M18-0102 Parcel No: Address: Project Name: City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 96188 Phone: 206-431-3670 Inspection Request Line: 206-438-9350 Web site: http://www.TukwilaWA.gov MECHANICAL PERMIT 0223100010 Permit Number: 150 ANDOVER PARK W Issue Date: Permit Expires On: PROLIANCE BONE & JOINT URGENT CARE M 18-0102 9/5/2018 3/4/2019 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: OPEN FRAME LLC 14900 INTERURBAN AVE S #130 C/O 1SH PROPERTIES INC, TUKWILA, WA, 98168 PATRICK CONVERSE Phone: (425) 766-1941 PO BOX 70 , FALL CITY, WA, 98024 ALL STAR HEATING & A/C INC (CONST) Phone: (425) 222-7652 PO BOX 70 , FALL CITY, INA, 98024- 0070 ALLSTHA044JK Expiration Date: 4/12/2019 DESCRIPTION OF WORK: INSTALL NEW DUCT TO 2 EXISTING ROOF UNIT FOR NEW OFFICES. INSTALL 2 NEW BATHROOM FAN WITH DUCT WORK. INSTALL 1 TON A/C UNIT FOR SERVER ROOM. Valuation of Work: $32,550.00 Type of Work: REPLACEMENT Fuel type: ELECT Fees Collected: $656.36 Electrical Service Provided by: PUGET SOUND ENERGY Water District: TUKWILA Sewer District: TUKWILA Current Codes adopted by the City of Tukwila: International Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: International Fuel Gas Code: 2015 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: 2017 2017 2017 2015 Permit Center Authorized Signature:���'6��tN Date: I hearby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the performance of work. I am authorized to sign and obtain this development permit and agree to the co itions attached to this permit. Signature: Print Name: vvi c 1 Date:r9/I/T This permit shall become null and void if the work is not commenced within 180 days for the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. PERMIT CONDITIONS: 1: ***MECHANICAL PERMIT CONDITIONS*** 2: All permits, inspection record card and approved construction documents shall be kept at the site of work and shall be open to inspection by the Building Inspector until final inspection approval is granted. 3: Manufacturers installation instructions shall be available on the job site at the time of inspection. PERMIT INSPECTIONS (REQUIRED Permit Inspection Line: (206) 438-9350 1800 MECHANICAL FINAL 0701 ROUGH -IN MECHANICAL r CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Mechanical Permit No. Project No. Date Application Accepted: Date Application Expires: V1,1(6/0009 (For office use only) MECHANICAL PERMIT APPLICATION Applications and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mail or by fax. **please print** Site Address: King Co Assessor's Tax No.: 150 andover park w Tenant Name: proliance bone & joint urgent care 0223100010 building 1 Suite Number: Floor: 1 PROPERTY OWNER Name: patrick converse Name: open frame llc Address: po box 70 Address: 100 andover park w City: fall city State: wa City: tukila State: wa Zip: 98188 CONTACT PERSON — person receiving all project communication Name: patrick converse Address: po box 70 Address: po box 70 City: fall city State: wa Zip: 98024 Phone: (425) 766-1941 Fax: Phone: (425) 222-7652 Email: patrick@allstar-hvac.com New Tenant: m Yes ❑ ..No MECHANICAL CONTRACTOR INFORMATION Company Name: allstar heating Address: po box 70 City: fall city State: wa Zip: 98024 Phone: (425) 222-7652 Fax: Contr Reg No.: allstha044jk Exp Date: 04/12/2019 Tukwila Business License No.: bus -0994503 Valuation of project (contractor's bid price): $ 32,550 Describe the scope of work in detail: install new duct to 2 existing roof unit for new offices install 2 new bath room fan with duct work install 1 ton a/c unit for server room Use: Residential: New ❑ Replacement ❑ Commercial: New Replacement Fuel Type: Electric m Gas ❑ Other: H:\Applications\Forms-Applications On Line \2016 Applications\Mechanical Permit Application Revised 1-4-16.docx Revised: January 2016 bh Page 1 of 2 r� Indicate type of mechanical work being installed and the quantity below: Unit Type Qty Furnace <100k btu Residential, Nighttime Furnace >100k btu 68 Floor furnace 2 Suspended/wall/floor mounted heater 2 Appliance vent Commercial Repair or addition to heat/refrig/cooling system 1 Air handling unit 65 dB(A) <10,000 cfm 60 dB(A) Unit Type Qty Air handling unit Residential, Nighttime >10,000 cfin 68 Evaporator cooler 2 Ventilation fan connected to single duct 2 Ventilation system Commercial Hood and duct 1 Incinerator — domestic 65 dB(A) Incinerator — comm/industrial 60 dB(A) Unit Type Qty Fire damper Residential, Nighttime Diffuser 68 Thermostat 2 Wood/gas stove 57 dB(A) Emergency generator Commercial Other mechanical equipment 1 60 dB(A) 65 dB(A) Boiler/Compressor Qty 0-3 hp/100,000 btu 3-15 hp/500,000 btu 15-30 hp/1,000,000 btu 30-50 hp/1,750,000 btu 50+ hp/1,750,000 btu Noise: Mechanical units need to be in compliance with the Tukwila Noise Code. Maximum permissible sound levels are based on from where the sound is created and where the sound is heard. Additionally, if sound can be heard from within a house at night in a residential zone it may not be allowed. For more details, see TMC 8.22 District of Sound Producing Source District of Receiving Property Residential, Daytime* Residential, Nighttime Commercial Industrial Residential 55 dB(A) 45 dB(A) 57 dB(A) 60 dB(A) Commercial 57 dB(A) 47 dB(A) 60 dB(A) 65 dB(A) Industrial 60 dB(A) 50 dB(A) 65 dB(A) 70 dB(A) *Daytime means 7AM-10PM, Monday through Friday and 8AM-10PM, Saturday, Sunday and State -recognized holidays. A few sounds are exempt from the noise code, including: • Warning devices; • Construction and property maintenance during the daytime hours (lam -1 Opm); • Testing of backup generators during the day. PERMIT APPLICATION NOTES - Value of construction — in all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the permit center to comply with current fee schedules. Expiration of plan review — applications for which no permit is issued within 180 days following the date of application shall expire by limitation. The building official may grant one extension of time for additional periods not to exceed 90 days each. The extension shall be requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition). I HEREBY CERTIFY THAT ' AVE READ D EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJUR : Y , E LAWS OF TH STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING 0 i, , R O 'L' THORIZED AGENT: Signature: Print Name: Patrick converse Day Telephone: (425) 766-1941 Date: Mailing Address: Po box 70 H:\Applications\Forms-Applications On Line\2016 Applications\Mechanical Permit Application Revised I-4-16.docx Revised: January 2016 bh fall city wa 98024 City State Zip Page 2 of 2 /. CO TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA, WA 98188 206-433-1870 CITY OF TUKWILA 0017340000802374464500 Date: 08/20/2018 11:11:56 AM CREDIT CARD SALE VISA CARD NUMBER: **********3255 K TRAN AMOUNT: $656.36 APPROVAL CD: 03866G RECORD #: 000 CLERK ID: Rachelle X {CARDHOLDER'S SIGNATURE} I AGREE TO PAY THE ABOVE TOTAL AMOUNT ACCORDING TO THE CARD ISSUER AGREEMENT (MERCHANT AGREEMENT IF CREDIT VOUCHER) Thank you! Merchant Copy Page 1 of 2 https://classic.convergepay.com/V irtualMerchant/transaction.do?dispatchMethod=printTra... 8/20/2018 / . F \ CO TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA, WA 98188 206-433-1870 CITY OF TUKWILA Date: 08/20/2018 11:11:56 AM CREDIT CARD SALE VISA CARD NUMBER: **********3255 K TRAN AMOUNT: $656.36 APPROVAL CD: 03866G RECORD #: 000 CLERK ID: Rachelle Thank you! Customer Copy Page 2 of 2 https: //classic. convergepay. com/V irtualMerchant/transaction. do?dispatchMethod=printTra... 8/20/2018 i \ s h Register ; Rece i` City of Tukwila DESCRIPTIONS j PermitTRAK ACCOUNT QUANTITY PAID $656.36 M18-0102 Address: 150 ANDOVER PARK W Apn: 0223100010 $656.36 Credit Card Fee $19.12 Credit Card Fee R000.369.908.00.00 0.00 $19.12 MECHANICAL $612.73 PERMIT ISSUANCE BASE FEE R000.322.100.00.00 0.00 $33.15 PERMIT FEE R000.322.100.00.00 0.00 $457.03 PLAN CHECK FEE R000.322.102.00.00 0.00 $122.55 TECHNOLOGY FEE $24.51 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R15186 R000.322.900.04.00 0.00 $24.51 $656.36 Date Paid: Monday, August 20, 2018 Paid By: PATRICK N CONVERSE Pay Method: CREDIT CARD 03866G Printed: Monday, August 20, 2018 11:12 AM 1 of 1 INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 INSPECTION RECORD Retain a copy with permit M10 ao1 Pro'ect: Type of Inspe tion: Address: 4b ai. Prat_. aSpecial Date Called: I structions: Date Wanted: It ^ 9.19 p.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: iga . ,, REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 piig -O/OZ Project: P rip : 111 i Type of I spection: e AL 111 _A _ di ,� I r , Address: 150Awl / \K I sate Called: "NS Special Instructions: CAI li07L /yt-r-v,c j Date Wanted: — trq ' Z0> (a.m p.m. Req7---- Phone No: I/2 -c-- zz - 7&5Z 1'14-. ElApproved per applicable codes. Corrections required prior to approval. COMMENTS: /* d/A-Vil_c_f_ i L t, FA) i 04/6 91 -pp Lc C' "NS C✓►Ci nit CAI li07L /yt-r-v,c j z) JcIei uL Loo c k AlaT z�1 3s L,frPil.e `r -(J Oki /,0P• C'/AJL/1'cL is ii) (JSe . Lo_%1e/ ecc.C, C JZTtii _' 1'14-. Inspector: `2,c9 irv& Date REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. D INSPECTION NO. INSPECTION RECORD Retain a copy with permit All& 0/02, PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 (206) 431-3670 Proje : Type of Inspen ecctiio _ Addr ss: /519 4001/16 w' Date Called: Oma Uri tOS c-- f- i -E. Special Instructions: Date Wanted: /-Z' �_ C—a43._ p.m. Requester: o r' -i ?ro v tdir Ocd. r I S r Phone No: 0 Approved per applicable codes. 1511Correction, uired prior to ap COMMENTS: 41z x, _ �aory i�4L T A/671--- .74- 4 �r Di�»'vvc-f l A ' S t • , 2< O ISGonw 4-a m3avid I0e1L Oma Uri tOS c-- f- i -E. Co fvl' a t4 UJ ( C'DY-Y\e , 3, L lam. --"k) a IZTkA uv Se 4', rov tc - 0- rie-J a4\ V JcvC o r' -i ?ro v tdir Ocd. r I S r s' Loc -be L c . i,00r-i) uS 40 o ,pYt'prt Inspector: p..\)aAAti� Date: /- 2-"zo1S REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at -630 Q Southcen 1, lvv Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWWILA BUILDING DIVISION /Wig o%oz 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 (206) 431-3670 Project: frOLi /4" 4A47 Type of Inspection: '/+/,'?'L - , L i%/4i cs9t— Address: /SO 4A4alcrt, P4414- fir/ Date Called: Special Instructions: Date Wanted: 2'2%7 .m. p.m. i=wirefac._ Phone No: 42.5 Z u 76,52, ElApproved per applicable codes. LJ Corrections required prior to approval. COMMENTS: /fyCi� J�si✓r�C_-_ 4 ,ges4Ipe7 Inspector: Date: REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit se D/Oz INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: Pr?o /A vilr &r✓T3 "I e.Iar it Type of Inspection: /ij d JAG¢ _ ,' ',4t_ Address: /o?? rI /2.)2varL 4140 Al Dae Called: Special Instructions: Date Wanted: a-24 e0— p.m. Requester: Phone No: 0 Approved per applicable codes. Corrections required prior to approval. COMMENTS: i?tdi aryl - 7/✓4f flor &az va eLotiAito- 'r '`J i&q Inspector: Date: ? _ /6 REINSPECT ON FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 MIW-0102 P oject: VroLOVA/Cr n� t_ 1 of Inspection: ��` c -J -1V Date C d: ,� ^ J�/ril (� E Address: j l SO AIADVe - rw(L \Ill Special Instructions: Date Wanted: )2- 7- ZOt a.m. p.m. Requester: Phone No: pproved per applicable codes. Corrections required prior to approval. Inspector:C %/%�, Date: /2-7 Z2// REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection, INSPECTION NO. INSPECTION RECORD Retain a copy with permit Ai/g-d1O2. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: rR i-m-At'x Aar i ANT uR Type of Inspection: Tli1 -L I%1< — 6., , SIDE /l,(//7` DGL%7'a' tWLI Address: /50 411.06149,2 /»?k it 1. Date Called: Special Instructions: Date Wanted: ://--/ /e a.m., p.m. . 410116#i y McGl jCJt,-- Requester: Phone No: CIApproved per applicable codes. Corrections required prior to approval. COMMENTS: A - I%1< — 6., , SIDE /l,(//7` DGL%7'a' tWLI Roves -IN Crr)/cnz- N40s1- it e 7-- t, £w5 -77A1(3- »&77;-DRk ,0,-/--- EkAIG- use *4 G»P 46 Inspector: Date: k/4 —6 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. M -SERIES SUBMITTAL DATA: MSY GL12NA & MUY GL12NA I2000 BTU/H WALL -MOUNTED AIR-CONDITIONING SYSTEM /tkELECTRIC ANTSLEUSHI Job Name: System Reference' Indoor Unit: MSY-GL1 2NA Date: Outdoor Unit: Wireless Remote Controller MUY-GL12NA GENERAL FEATURES • Slim wall -mounted indoor units provide zone comfort control • The outdoor unit powers the indoor unit, and should a power outage occur, the system is automatically restarted when power retums • INVERTER -driven compressor and LEV provide high efficiency and comfort while using only the energy needed to maintain maximum performance • Multiple fan speed options: Quiet, Low, Medium, High, Super -high, Auto • Multiple control options available: - Hand-held Remote Controller (provided with unit) - kumo loud® smart device app for remote access - Third -party interface options - Wired or wireless controllers • Hot -Start Technology: no cold air rush at equipment startup or when restarting after Defrost Cycle • Quiet operation • Smart Set: recalls a preferred preset temperature setting at the touch of a button • Blue Fin anti -corrosion treatment applied to the outdoor unit heat exchanger for increased coil protection and longer life [1L1 REVIEWED FOR CODE COMPLIANCE APPROVED AUG 282018 City of Tukwila BUILDING DIVISION RECEIVED CITY OF TUKWILA Ali 2 0 2018 PERM T CENTER MI*0101- Specifications are subject to change without notice. ® 2018 Mitsubishi Electric Trane IIVAC US LLC. All rights reserved. SPECIFICATIONS: MSY GL12NA & MUY GL12NA Cooling I Efficiency Maximum Capacity Rated Capacity Minimum Capacity Maximum Power Input I Rated Power Input Moisture Removal Btu/h Btu/h Btu/h ------ - W---- W —,-�--- Pints/h - -- 13,600 12,000 1.500 1,300 829 2.5 Sensible Heat Factor Power Factor SEER EER1 o/0 0.77 —�-.--95 / 95 23.1 13 ENERGY STAR`S (ENERGY STAR products are third party certified by an EPA -recognized Certification YES Body.) Voltage, Phase. Frequency Guaranteed Voltage Range 208/230V, 1 phase, 60Hz V AC ----- .--- ---- 187 - 253 Voltage Indoor - Outdoor, S1-S2 V AC 208 / 230 Electrical Voltage: Indoor - Outdoor, S2 -S3 V DC 24 Voltage: Indoor - Remote controller V DC 12 Recommended Fuse/Breaker Size A i 15 Recommended Wire Size (Indoor - Outdoor) AWG 14 Indoor Unit MCA A 1 MOCP A 15 Blower Motor Full Load Amperage A 0.76 Blower Motor Output W 30 Airflow Rate at Cooling, Dry CFM Airflow Rate at Cooling, Wet I CFM 1 364-286-201-134-109 i Sound Pressure Level (Cooling) dB(A) 399-321-237-170-145 45-37-30-22-19 Drain Pipe Size In. (mm) 5/8 (15.88) Heat Exchanger Type Plate fin coil Extemal Finish Color Munsell 1.0Y 9.2/0.2 Unit Dimensions W: In. (mm) D: In. (mm) 31-7/16 (798) 9-1/8 (232) H: In. (mm) 11-5/8 (295) Package Dimensions W: In. (mm) 33-1/2 (850) D: In. (mm) 12 (300) H: In. (mm) 14 (350) Unit Weight Lbs. (kg) 22 (10) Package Weight Lbs. (kg) 26 (11.5) Indoor Unit Operating Cooling Intake Air Temp (Maximum / Minimum)' °F 90 DB. 73 WB / 67 DB, 57 WB Temperature Range Outdoor Unit MCA A I 7 MOCP A 15 Fan Motor Futi Load Amperage A 0.5 Specifications ale subject to change without notice. C 2018 Mitsubishi Electric Trane HVAC US LLC. All rights reserved. SPECIFICATIONS: MSY4L12NA & MUY-GL12NA Fan Motor Output Airflow Rate Refrigerant Control Defrost Method Heat Exchanger Type Sound Pressure Level, Cooling1 Sound Pressure Level. Heating2 Compressor Type Compressor Model Compressor Rated Load Amps Compressor Locked Rotor Amps Compressor Oil Type /1 Charge External Finish Color Base Pan Heater Unit Dimensions W CFM dB(A) dB(A) 55 1,229 --- LEV Reverse cycle Plate fin coil 49 DC INVERTER -driven SNB092FQAMT A 4,9 A 6.1 oz. FV5OS // 11.8 Munsell 3Y 7.8/1/1 N/A W: In. (mm) 31-1/3 (800) D: In. (mm) 11-1/5 (285) H: In. (mm) 21-5/9 (550) Package Dimensions W: In. (mm) 37 (940) D: In. (mm) 14-15/16 (380) H: In. (mm) 24-13/16 (630) Unit Weight Lbs. (kg) 81 (37) Package Weight Lbs. (kg) 88 (40) Outdoor Unit Operating Cooling Air Temp (Maximum / Minimum)' Temperature Range 115 / 14 Cooling Thermal Lock -out / Re -start Temperatures** 'F -1 / 3 Refrigerant Type R410A Charge Lbs, oz 2. 9 Piping Gas Pipe Size O.D. (Flared) In. (mm) 3/8 (9.52) Liquid Pipe Size O.D. (Flared) Maximum Piping Length Ft. (m) Maximum Height Difference Ft. (m) Maximum Number of Bends In. (mm) 1/4 (6.35) 65 (20) 40 (12) 10 AHRI Rated Conditions (Rated data is determined at a fixed compressor speed) 1Cooling (Indoor // Outdoor) 80 DB, 67 WB // 95 DB, 75 WB Notes 'Applications should be restricted to comfort cooling only, equipment cooling applications are not recommended for low ambient temperature conditions. • "System cuts out in heating mode to avoid thermistor error and automatically restarts at these temperatures. Specifications are subject to change without notice. 2018 Mitsubishi Electric Trane HVAC US LLC. All rights reserved. ACCESSORES; MSY4L12NA Anti -Allergy Enzyme Fitter Backlit, Wall -mounted, Wireless Controller Portable Central Controller Wired MA Controller Simple MA Controller Touch MA Controller Wired Remote Sensor Lockdown Bracket for Wireless. Hand-held. Remote Controller Wireless Temperature and Humidity Sensor Outside Air Sensor for MHK1 System Control Interface Wireless Interface Thermostat Interface kumo station® MAC-408FT-E MHK1 MCCH1 PAR-33MAA PAC-YT53CRAU — — PAR-CTO1 MAU-SB PAC-SE41TS-E RCMKPICB ▪ PAC-USWHS003-TH-1 MOS1 — — — — MAC -3331F -E1 ▪ PAC-USWHS002-WF-1 PAC-US444CN-1 ▪ PAC-WHSO1 HC -E USNAP Interface PAC-WHSO1 UP -E IT Extender BACnet® and Modbus Interface PAC-WHS01 IE -E PAC-UKPRC001-CN-1 Extemal Fan / Heater Control Relay Adapter CN24RELAY-KIT-CM3 Blue Diamond Sensor Extension Cable -15 Ft. C13-103 r Blue Diamond Alarm Extension Cable -6.5 Ft. _ C13-192 Blue Diamond MultiTank—collection tank for use with multiple pumps cl C21-014 Blue Diamond Rubber Foot Pads i 2 F10-010 Mini Condensate Pump -230V application ; SI30-230 MegaBlue Advanced Blue Diamond Condensate Pump w/ Reservoir & Sensor oX87-835-110to250V MaxiBlue Advanced Blue Diamond Mini Condensate Pump w/ Reservoir & Sensor (110V) up to 48.000 Btu/h 2 X87-711 - 110V [recommended] MaxiBlue Advanced Blue Diamond Mini Condensate Pump w/ Reservoir & Sensor (208/230V) up to 48.000 Btu/h X87-721 - 208/230V [recommended] MicroBlue Blue Diamond Mini Condensate Pump (110/208/230V) up to 18,000 Btu/h = X85-003 Fascia Kit for MicroBlue Pump — mounts the MicroBlue and sensor directly beneath the indoor unit _ T18-016 Drain Pan Level Sensor (Control for indoor unit shut off to prevent drain pan overflow) DPLS2 3 Pole Disconnect Switch (30A/600VUL) [fits 2"X4" utility] - Black TAZ-MS303 3 Pole Disconnect Switch (30A/600VUL) [fits 2"X4" utility] - White = TAZ-MS303W 1/4" x 3/8" x 15' / 1/2" Lineset (Twin -Tube Insulation) z MLS143812T-15 1/4" x 3/8" x 30' / 1/2" Lineset (Twin -Tube Insulation) 1/4" x 3/8" x 50' / 1/2" Lineset (Twin -Tube Insulation) 1/4" x 3/8" x 65 / 1/2" Lineset (Twin -Tube Insulation) 1 Allows M -Series indoor units to connect to an MA controller ▪ MLS143812T-30 MLS143812T-50 MLS143812T-65 Specifications are subject to change without notice. © 2018 Mitsubishi Electric Trane HVAC US LLC. All rights reserved. ACCESSORIES: MLIY-GL12NA Air Outlet Guide Drain Socket Hail Guard Outdoor Unit 3-1/4 inch Mounting Base (Pair) - Plastic Condensing Unit Mounting Pad 16" x 36" x 3" Outdoor Unit Stand -12" High MAC-881SG MAC-860DS HG -B4 DSD -400P ULTRILITEI QSMS1201M Outdoor Unit Stand -18" High QSMS1801M Outdoor Unit Stand -24" High .7 QSMS2401M Heavy Duty Wall Mounting Bracket for Outdoor Units—Coated Steel QSWB2000M-1 Heavy Duty Wall Mounting Bracket for Outdoor Units -316 Series Stainless Steel QSWBSS Specifications are subject to change without notice. © 2018 Mitsubishi Electric Trane HVAC US LLC. AN rights reserved. DIMENSIONS: MSY-GLI2NA 1116x1 Oblong hole Installation plate 3-1/8 8-7/8 8-7/8 Unit: inch 1116x13/16 Obloe hole 31-7/16 Indoor unit, .6-1/8 6-1/8 13-5/16 13.9/16 Air in all hole 43 Installation .late Drain hese Air out ce .GLiquid o. a Insulation 01 - 3/8 O.D line 01/4 19 - 11/16 (Flared connection 01/4) Gas line 03/8 16 -15/16 (Flared connection: 83/8 (GLOe/08/12NA), et2 (GLISNA)) Drain hose Insulation 01-1/8 O.D Connected part 05/8 0.0 Specifications are subject to change without notice. © 2018 Mitsubishi Electric Trane HVAC US LLC. All rights reserved. DIMENSIONS: [BUY-GL12NA 15-3/4 REQUIRED SPACE *1 4 in. or more when front and sides of the unit are clear Drain hole 01-21/32 (GL09112/15NA) Drain hole 01-5/161GL09112115NAHl AU out 2 -holes 3/8x13/16 11/16 rn N Unit: inch *2 When any 2 sides of left, right and rear of the unit are clear Service FORM* MSY-GL12NA / MUY-GL12NA - 201808 Liquid refrigerant pipe joint Refrigerant pipe (flared) 01/4 Gas refrigerant pipe joint Refrigerant pipe (flared) 0 3/8 (GL09/12) 01/2 (GL15) 5-11/32 6-23/32 MITSUBISHI /1 ELECTRIC COOLING & HEATING 1340 -Satellite Boulevard, Suwanee, GA 30024 Toll Free 800-4334822 www.mehvac.com Intertek Specifications are subject to change without notice. © 2018 Mitsubishi Electric Trane liVAC US LLC. All rights reserved. NuTone SPECIFICATION SHEET MODELS AEN50, AEN80, AEN11O INVENTTM SERIES FANS DESCRIPTION BLOWER: • Plug-in, permanently lubricated motor - engineered for continuous operation • Dynamically balanced centrifugal blower wheel for quiet, efficient performance • Low RPM for quiet operation HOUSING: • Rugged, 26 gauge, galvanized steel construction • Polymeric, 4" duct connector with tapered sleeve and no metallic clatter • 5-3/4" height allows for 2" x 6" ceiling installations • Sturdy, easy, four -point mounting directly to joist • Can be mounted in ceilings up to 7/12 pitch • Can be installed in a wall if mounted 8 -ft. or more above the floor GRILLE: • Polymeric construction • Innovative design - the result of extensive research with designers and consumers CONTROLS (Purchase separately): • Refer to NuTone's catalog for a complete line of accessories to effectively adapt these fans to your construction requirements. U.L. Listed for use over bathtubs and showers when connected to a GFCI protected branch circuit (ceiling mount only). U.L. Listed for use in insulated ceilings (TYPE I.C.) 3 -Year Warranty - AEN80, AEN110 1 -Year Warranty - AEN50 TYPICAL SPECIFICATION Fan shall be NuTone Model AEN50, (AEN80), (AEN110). Fan shall have corrosion resistant galvanized steel housing with four -point mounting capability. It shall be ducted to a roof or wall cap using 4" round ductwork. Blower assembly shall be removable, have a centrifugal - type blower wheel and a permanently lubricated motor designed for continuous operation. Non-metallic damper/duct connector shall be included. Air delivery shall be no less than the airflow values and no greater than the sound level values listed in the HVI Performance Specifications provided in this specification (see following chart). All air and sound ratings shall be certified by HVI. Ceiling Ventilator shall be U.L Listed for use in insulated ceilings (Type I.C.) and for use over bathtubs and showers when connected to a GFCI protected branch circuit. C US Model AEN80 2100 HVI CERTIFIED Broan Hartford, Wisconsin www.nutone.com 888-336-3948 Models AEN50, AEN110 ENERGY STAR REFERENCE QTY. REMARKS Project Location Architect Engineer Contractor Submitted by Date 81C 99045297E PERFORMANCE RATINGS INVENTrm SERIES FANS HVI PERFORMANCE Model 0.1 Ps - Static Pressure (in H20) 0.25 Ps Airflow (CFM) Sound (Sones) Power (Watts) AEN50 50 0.5 20.0 AEN80 80 0.8 AEN110 110 2100 HVI 1.0 26.9 23.4 Efficacy (CFM / W) 3.55 2.97 4.71 Airflow (CFM 37 60 92 HVI-2100 CERTIFIED RATINGS comply with new testing technologies and procedures prescribed by the Home Ventilating Institute, for off-the-shelf products, as they are available to consumers. Product performance is rated at 0.1 in. static pressure, based on tests conducted in a state-of-the-art CERTIFIED test laboratory. Sones are a measure of humanly -perceived loudness, based on laboratory measurements. ELECTRICAL & WEIGHT Model Volts AEN50 120 Hz 60 AEN80 AEN110 120 120 60 60 US Mod& AEN80 Amps 0.2 0.3 0.3 Models AEN50, AEN110 4441 Awl 16 1P.Vip. 16 4111! 1.5)/ 2' 4 NuTone Broan Shipping Weight 10.0 10.0 10.0 ENERGY STAR AIR FLOW PERFORMANCE 0.6 0.5 a cc; • 0.4 O 0.2 0.1 0.0 0.5 aa 0.4 ; 0.3 0.1 0.0 0.7 • 0.6 oi LI 0.5 ; 0.4 0.3 B 9, 0.2 47-• 0.1 0.0 0 Model AEN50 10 20 30 40 Air Flow (CFM - Cubic Feet per Minute) Model AEN80 50 60 0 10 20 30 40 50 60 70 Air Flow (CFM - Cubic Feet per Minute) Model AEN110 80 0 10 20 30 40 50 60 Hartford, Wisconsin www.nutone.com 70 80 90 100 110 Air Flow (CFM - Cubic Feet per Minute) 888-336-3948 90 120 2015 Washington State Energy Code Compliance Forms for Commercial, R2 and R3 over 3 stories and all R1 T ec anica ummary MECH-SUM 2015 Washington State Energy Code Compliance Forms for Commercial Buildings including R2 & R3 over 3 stories and all R1 Revised January 2017 Project Information Project Title: PROLIANCE BONE & JOINT URGENT CARE Date 8/20/2018 Applicant Information. Provide contact information for individual who can respond to inquiries about compliance form information provided. For Buiding Dept. Use Company Name: ALLSTAR HEATING Company Address: PO BOX 70 FALL CITY WA 98024 r""lb p rl Applicant Name: PATRICK CON Applicant Phone: REAMED D I -OR Project Description Briefly describe mechanical systems in the text box provided ❑Total Bldg Performance (TBP) This path includes all mandatory provisions per C401.2 Option 2. MECH-SUM, MECH-CHK, and C407 Energy Analysis forms required. ❑New Building 1) INSTALL NEW D 2) INSTALL 2 NEW 3) INSTALL 1 TON GC/P&G/PI" r�tl1/MI" Del CT woA BT.set TH ROOM FAN C UNIT F.0.13 fgV6R4 HUti ity of Tukwila sBUILDINQPIMaLC NC 'iant t E 1 Vl�Ip`System Changes p�C UU TUKWL,q 2 0 2018 CENTER heating, cooling or includes all applicable ' Imp ement • System l Y , , ROOF NIT CITY t7F DOM LU IU At I�+ U(� PERMIT Form Design Load Calculations ❑ Load calculatio Provide design loa ventilating needs. if compliance information ions or all mechanical systems and equipment serving the building a load calculation summary is provided with the permit documents that then the MECH-LOAD-CALC form is not required. Mechanical Schedules 4 Mechanical Plans ❑ MECH-EQ Forms (TBD) equipment compliance information. If provided on plans then MECH-EQ forms are not required, plans all applicable compliance information listed in MECH-EQ tables. Indicate location of however, include on Dedicated Outdoor Air System Requirements and High Efficiency VAV Alternate ❑ DOAS is required All occupied, conditioned not require space conditioning ❑ Ventilation provided ❑ Ventilation tand ❑ DOAS included in per C403.6 effective July 1, 2017 (office, retail, education, library and fire station occupancies) areas shall be served by a DOAS that delivers required ventilation air in a manner that does fan operation. Space conditioning fans cycled off when no heating or cooling is required. via natural ventilation per 2015 IMC in lieu of DOAS (C403.6, Exception 1) space conditioning provided by a HEVAV system per C403.7 in lieu of DOAS (C403.6, Exception project, although not required (occupancy not office, retail, education, library or fire station) included in project: vertical fenestration maximum area allowance increased to 40% per C402.4.t.4 with 100% of floor area in building served by DOAS. air economizer per C403.3 Exception 1, include MECH-ECONO form. • DOAS related allowances ❑ Prescriptive conditioned 4 Exception to Fan Power HVAC air distribution systems MECH-FANSYS -SUM systems, the total fan motor seperate MECH-FANSYS C403.2.11 and MECH-FANSYS-DOC that provide heating and/or cooling form. nameplate hp of all fans in HVAC system exceeds 5hp. form for each HVAC system exceeding the 5 horsepower threshold. for requirements and exceptions. .i Project includes If yes, provide a ❑ For one or more If yes, provide a Refer to Section HVAC Hydronic Systems ❑ Hydronic chilled ❑ Hydronic heating Water -loop heat pump ❑ No hydronic systems Geothermal water • water ❑ C406 Additional Efficiency Options - Mechanical ❑ 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 elflcient than minimum requirements. All stand alone supply, return, and exhaust fans over 1 hp must have FEQ a 71 and must be selected within 10% of maximum total or static pressure. ❑ C406.6 Dedicated outdoor air system (DOAS) 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. MIY#01C/7- 2015 Washington State Energy Code Compliance Forms for Commercial, R2 and R3 over 3 stories and all R1 Mechanical Summary, pg. 2 MECH-SUM 2015 Washington State Energy Code Compliance Forms for Commercial Buildings including R2 & R3 over 3 stories and all R1 Revised January 2017 Service Water Heating Systems Equipment Type (s) ❑ Hot water heating tank(s) ❑ Instantaneous ❑ No service water systems ❑ Dedicated boiler ❑ Heat exchange from space heat boiler or central hot water/steam 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 Space Type Location in Plan(s) Space(s)Area Served Served, square feet Heating Capacity, Btu/h (Note 4) Cooling Capacity, Btu/h (Note 5) Peak Space Conditioning Capacity, Btu/h-sf Compliance Check Notes Note 4 - Provide total installed heating ou put 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. En Note 6 - Refer to Section C402.1.1 Low Energy Building. lntalled peak space conditioning capacity, heating or cooling, may not exceed 3.4 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. electric resistance heating and no cooling are eligible for the wall insulation exception under semi -heated. er 0 if no cooling. Btu/h•sf. Only systems without 2015 Washington State Energy Code Compliance Forms for Commercial, R2 and R3 over 3 stories and all R1 - Page 1 of 7 Mechanical Permit Plans Checklist 2015 Washington State Energy Code Compliance Forms for Commercial Buildings including R2 & R3 over 3 stories and all R1 MECH-CHK • Revised January 2017 • •..cwt ttuo. rnvcwwcowns otdU11v1 UKutri1 l:At<t (Date 8/20/2018 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 (yes,no,na)Documents Code Section Code Provision Information Required -Must be inpermit documents Location in Building Department Notes Equipment - Sizing, Performance and Type O�C403.1 �j Exempt process equipment Identify equipment to be used in manufacturing, industrial or commercial processes that do not provide space conditioning; identify provisions applicable to this equipment per C403.1 exception ` N C403.2.1 Load calculations Provide load calculations performed perASHRAE Std 183 or equivalent, using design parameters per C302 and Appendix C; include load adjustments to account for energy recovery Nv C403.2.2 Equipment and system sizing Indicate that output capacities of heating and cooling equipment and systems are no greater than the smallest available equipment size that exceeds the calculated loads; note exceptions taken -/ C403.2.3 C403.2.3.2 C403.2.13.1 HVAC equipment performance requirements (efficiency) Provide equipment schedules on plans or complete MECH-EQ forms indicating type, capacity, rated and WSEC minimum efficiencies for all heating and cooling equipment include supply 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) NV C405.8 C403.2.14 Electric motor efficiency List all motors 2 1/12 hp (that are not integral to a rated piece of equipment) in the mechanical or electrical equipment schedules on plans; indicate hp, rpm, number of poles and rated 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 .L� 1� C403.2.11.1 For all HVAC fan systems that provide heating and / or cooling, provide system total nameplate hp in MECH-FANSYS-SUM form 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 ,,,,��� nr 1''� C403.2.11.2 Motor nameplate hp For all applicable HVAC systems with total fan motor hp > 5hp, indicate fan motorsspecified are the smallest available motor hp size greater than fan bhp, note exceptions taken 0403.2.11.3 Fan efficiency For all applicable HVAC systems with total fan motor hp > 5hp, identify in equipment schedule 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 0403.2.11.4 Group R occupancy exhaust fan efficacy For all exhaust fans < 400 cfm in Group R occupancies, indicate in equipment schedule the fan flow rate and efficacy (cfm/watt), or exception taken; refer to Table C403.2.11.4 (CE -57) C403.2.13 Variable flow capacity - fans For fan motors _2 7.5 hp, indicate method of variable flow control (VSD or equivalent method) in 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 capacity For chilled water plants and buildings with > 500 tons of cooling capacity, indicate air-cooled chiller capacity is 5 100 tons, or exception taken C403.4 Large capacity cooling systems For buildings with 2 300 tons of cooling capacity, indicate method of multi -stage or variable capacity control (VSD, multiple staged compressors, or max capacity of any single unit < 66% of the total) C403.2.3.1 Non-standard water-cooled centrifugal chillers For water-cooled centrifugal chillers not designed for operation at standard conditions, provide calculations documenting maximum full load and part load rated equipment performance requirements C403.2.13.1 C403.4.3.2 Centrifugal fan open -circuit cooling towers For open -circuit centrifugal fan cooling towers with 2 1,100 gpm capacity, indicate cooling towers comply with efficiency requirements for axial fan open circuit cooling towers C403.4.2 Large boiler For single boilers with > 500,000 Btu/h capacity, indicate multi -stage or modulating burner C403.4.2.5 capacity systems For boiler system (single or multiple) with > 1,000,000 Btu/h capacity, indicate turndown ratio per Table C403.4.2.5 and method (multiple single input boilers, modulating boilers, or combination) C403.2.13 Variable flow capacity - pumps For pump motors 2 7.5 hp, indicate method of variable flow control (VSD or equivalent 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 fumace Gas and oil -fired forced air and unit heaters For forced air fumaces with capacity 2 225,000 Btu/h and all unit heaters, indicate in equipment schedule intermittent ignition or IID, flue or draft damper, and rated jacket loss C403.2.4.8 equipment Combustion heating or For combustion heating equipment with output capacity > 225,000 Btu/h, indicate modulating staged combustion control C403.2.3.3 Packaged cooling electric heating / equipment heating Verify all packaged electric equipment with > 6,000 Btu/h cooling capacity and any amount of is a heat pump; include in equipment schedules C403.2.12 Heating outside a building Indicate systems; systems providing heating in non -enclosed outdoor occupied spaces are radiant refer to HVAC System Controls for additional requirements C403.2.7.1 Kitchen exhaust hoods Indicate System on plans the type, duty and exhaust air rate of each kitchen hood, refer to HVAC Controls for additional requirements Outdoor C403.2.4.3 and supply air, exhaust Indicate relief dampers whether rating, locations of OSA intake, and exhaust and relief outlet dampers on plans; indicate dampers are Class 1 motorized, or gravity and exception taken (include leakage cfm/sf); refer to HVAC System Controls for additional requirements for OSA dampers C403.2.4.3 Retum Indicate air dampers dampers eligible locations of retum air dampers that are integral to economizer operation; verify are motorized; indicate whether dampers are Class 1, or within packaged equipment for leakage rating exception (include leakage rating, cfm/sf) 2015 Washington State Energy Code Compliance Forms for Commercial, R2 and R3 over 3 stories and all R1 - Page 2 of 7 Mechanical Permit Plans Checklist MECH-CHK 2015 Washington State Energy Code Compliance Forms for Commercial Buildings incl - - - - - - ---_-- ---- _---- Project Title: PROLIANCE BONE & JOINT URGENT CARE ........,.,.....,,....,....,, Date 8/20/2018 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 (yes,no,na) Code SectionCode Provision Information Required -Must be lh permit documents Location in Documents Building Department Notes 1)0 0403.2.4.3 Stairway and shaft vert dampers Indicate location of stairway and shaft vent dampers on plans; verify dampers are Class 1 motorized; refer to HVAC System Controls for additional requirements 0403.2.4.4 Zone isolation dampers For systems serving areas > 25,000 sf or spanning more than one floor, that include areas that 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 C403.2.3.4 Humidification For cooling systems with humidification equipment that are also required to have air 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 ,tl N C406.2.1 0403.2.3 HVAC system selection To comply with additional efficiency package option, calculate the percentage of heating and 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 C406.2.2 C403.2.3 Minimum equipment efficiency To comply with additional efficiency package option, indicate that all listed heating and cooling equipment have a rated efficiency that exceeds WSEC listed efficiency by at least 15% I J C406.2.3 0403.2.11.3 Minimum fan efficiency To comply with additional efficiency package option, indicate rated FEG of stand alone fans is a 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 plans, including perimeter system zones YeS C403.2.4.1 Thermostatic controls (thermostats and humidistats) Where adjacent (neighboring) zones are controlled by separate thermostats (including perimeter systems used to offset heat gain or loss), and are connected by permanent openings > 10% of either zone sf area, indicate controls configured to prevent adjacent zones from operating in conflicting modes (one in heat, other in cool); applies to adjacent perimeter 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 .5403C403.2.4.1.1 Heat pump supplementary heat Indicate staged heating operation with compression as the first stage of heating and supplemental heating controlled with outdoor lockout temperature set to 40°F or less y,�pp,� W 0403.2.4.1.2 Deadband Indicate zone thermostatic controls configured with 5°F minimum deadband for systems that control both heating and cooling I p C 0403.2.4.1.3 Setpoint overlap restriction (thermostats) If separate heating and cooling systems with separate thermostatic control devices are used to serve a zone, indicate locations of both thermostatic control devices and the zone they serve on plans VIndicate a limit switch, mechanical stop or DDC control with programming to prevent simultaneous heating and cooling 1 / r C403.2.4.2 0403.2.4.2.1 C403.2.4.2.2 Automatic setback and shutdown Indicate zone thermostatic controls configured with required automatic setback and manual override functions, setback temperatures, and control method (automatic time clock or programmable controls); note exceptions taken ye- 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 �� Q*- W — C403.2.4.3 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 / exhaust 0403.2.4.3 Stairway and shaft vent dampers Indicate method of activation of stairway and shaft vent dampers (fire alarm or interuption of power) C403.2.4.4 Zone isolation controls For systems serving areas > 25,000 sf or spanning more than one floor, that includeareas that are expected to be occupied non -simultaneously; indicate controls that allow for independent space conditioning of isolation zones; or exception taken 0403.2.12 Heating outside a buildingIndicate occupancy sensing or timer switch controls configured to automatically shut off heating system when area served is unoccupied 0403.2.4.5 Snow melt systems Indicate automatic controls configured to shut off system when pavement temperature exceeds 50°F and no precipitation is falling, and when outdoor air temperature exceeds 40°F 0403.2.4.6 Freeze protection system controls Indicate automatic controls to shut off system when outdoor temperature exceeds 40'F, or conditions protect fluid from freezing C403.2.4.9 Group R1 hotel /motel guest rooms For hotels and motels with over 50 guest rooms, indicate automatic controls serving guest 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 2015 Washington State Energy Code Compliance Forms for Commercial, R2 and R3 over 3 stories and all R1 - Page 3 of 7 Mechanical Permit Plans Checklist MECH-CHK 2015 Washington State Energy Code Compliance Forms for Commercial Buildings including R2 & R3 over Project Title: PROLIANCE BONE & JOINT URGENT CARE Date 8/20/2018 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 (yes,no,na) Code Section Code Provision Information Required - Must be in permit documents Location in Documents Building Department Notes \l`� 11__ 0403.2.4.10 0403.2.4.11 Group R2 / R3 dwelling units, Group R2 sleeping units For primary space conditioning system, indicate 5-2 programmable thermostats capable of two setback periods per day; for all thermostats indicate purpose (heating only, cooling only, or both), required temperature range and at minimum a 10°F deadband; or exception taken Indicate method of ventilation air delivery (natural or mechanical) for each zone 0403.2.6 C403.2.11.4 Ventilation If mechanically delivered, indicate that systems are configured to provide not more than 150% of, but at least the minimum required volume of outdoor air to each zone per IMC, ASHRAE 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 C403.2.6.2 Demand controlled ventilation Identify spaces > 500 sf MO occupant bad > 25 people/1,000 sf per IMC; for each space indicate whether it is served by an HVAC system with total design OSA > 3,000 cfm, and / or the system has airside economizer or automatic modulating OSA damper, indicate OSA controls are configured to provide demand controlled ventilation or provide supporting documentation for applied exception 0403.2.6.3 Occupancy sensors For gyms, classrooms, auditoriums and conference rooms > 500 sf, indicate occupancy -based 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 0403.2.6.4 0403.2.6.4.1 Enclosed loading dock ventilation For enclosed loading docks, indicate ventilation / exhaust system method of activation (gas detection system for CO and NO2, or occupancy sensors), and control method (staged or modulating) C403.2.6.4 C403.2.6.4.2 Enclosed parking garage ventilation For enclosed parking garages, indicate ventilation / exhaust system activated by gas detection system for CO and NO2, and control method (staged or modulating); or exception taken 0403.2.7.1 Kitchen exhaust hoods 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, 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 C403.2.13 Variable flow capacity - HVAC system fans For HVAC fan motors 2 7.5 hp, indicate method of variable flow control (VSD, or equivalent control method that reduces design air volume by 50% at 1/3 static design pressure); note exception taken C403.3.1 DX air handler variable cooling control (Under Integrated For DX air handlers with economizer and cooling capacity 2 65,000 Btu/h, indicate number of cooling stages provided and method (multiple compressors and / or variable speed compressors); Indicate minimum displacement (capacity reduction) as % of full load 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 a 65,000 Btu/h and evaporative and chilled water air handling units with fan x 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) C403.2.11.5 Fan airflow control 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; indicate minimum fan speed is 5 66% of full speed drawing 5 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 5 30% of full speed fan power during periods of low cooling or ventilation only; or exception taken C403.2.4.12 DDC system capabilities Provide central and zone level DDC controls as required based on system application, 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 graphical display Ducting Systems ^ies C403.2.8.1 C403.2.8.3 Duct construction Indicate on plans that all ductwork is constructed and sealed per IMC 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 classifications Duct pressure Identify location of low, medium and high pressure ductwork on plans C403.2.8.3.3 High pressure duct leakage test Indicate high pressure duct leakage testing requirements on plans; provide test resuks to jurisdiction when completed 2015 Washington State Energy Code Compliance Forms for Commercial, R2 and R3 over 3 stories and all R1 - Page 4 of 7 Mechanical Permit Plans Checklist MECH-CHK 2015 Washington State Energy Code Compliance Forms for Commercial Buildings i Project Title: PROLIANCE BONE & JOINT URGENT CARE (Date 8/20/2018 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 (yes,no,na)Documents Code SectionCode Provision Information Required - Must be in permit documents Location in Building Department Notes For supply and retum ductwork located in unconditioned space or outdoors, indicate R -value of insulation on ductwork on plans; identify climate zone; note exceptions taken y C403.2.8.1 C403.2.8.2 Duct insulation For supply ductwork located in conditioned space, identify if design supply temperature Is < 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 . 00C403.2.9 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 weather Indicate method of protection of pipe insulation from damage / degradation on hydronic piping plans Economizers Identify in equipment schedules on plans or in MECH-EQ forms all cooling systems requiring air economizer controls N0403.3 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) 0403.3.1 Integrated economizer operation - air and water Indicate air and water -side economizers are configured for partial cooling operation even where additional mechanical cooling is required to meet the load 0403.3.2 Economizer heating system impact - air and water Verify control method of HVAC systems with economizers does not increase building heating energy usage during normal operation 0403.3.3.1 Air economizer capacity Indicate modulating OSA and retum air dampers are configured to provide up to 100% OSA for cooling 0403.3.1 0403.3.3.2 Integrated air economizer Verify mechanical cooling controls are interlocked with air economizer controls so the outside air damper remains in 100% open position when mechanical cooling is also required to meet the cooling load, until the leaving air temperature is < 45°F For systems with cooling capacity 2 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 controls Indicate high limit shut-off control method and 5required high limit per Table C403.3.3.3 C403.3.4.1 Water economizer capacity For eligible systems where water -side economizer may be provided in lieu of air economizer, indicate system is capable of 100% design cooling capacity at 50°F db / 45°F wb OSA temperatures 0403.3.4.2 Water economizer maximum pressure drop Indicate pressure drop across precooling coils and heat exchangers in water economizer system do not exceed pressure drop limit 0403.3.1 DX air handling equipment control For DX air handlers with economizer and cooling capacity a 65,000 Btu/h, refer to HVAC System Controls for requirements C403.2.4.7 DX equipment economizer fault detection and diagnostics For DX air handlers with economizer and cooling capacity 2 54,000 Btu/h, provide a fault detection and diagnostics (FDD) system to monitor economizer system operation and report faults Systems Requiring Energy Recovery 0° 1 C403.5.1 Energy recovery (ER) - ventilation / exhaust systems 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 For rooms served by multiple systems with aggregate design OSA > 5,000 cfm, or aggregate 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 2 50% based on delta between OSA and return air enthalpies at design conditions C403.2.7.2 Laboratory exhaust systems (energy recovery) For buildings with total lab exhaust > 5,000 cfm, indicate method of energy recovery used to pre -condition laboratory make-up air, ER effectiveness (min 25°F); or alternative method per exception (VAV exhaust, semi -conditioned makeup, or CERM calculation) C404.10.4 (under C404.11) Pools and permanent spas exhaust systems (energy recovery) For buildings with pools or spas with water surface area > 200 sf, indicate exhaust air ER method and use of waste heat (preheat ventilation air, pool water or service hot water); or exception taken Indicate ER system has the rated effectiveness and is configured to decrease the exhaust air temperature at design conditions by a 36°F 0403.5.2 Energy recovery - steam condensate systems For buildings with on-site steam heating systems, indicate condensate water ER For buildings that use off-site generated steam where condensate is not retumed to the source, indicate on-site condensate water ER 2015 Washington State Energy Code Compliance Forms for Commercial, R2 and R3 over 3 stories and all R1 - Page 5 of 7 Mechanical Permit Plans Checklist MECH-CHK 2015 Washington State Energy Code Compliance Forms for Commercial Buildings includ - Project Title: PROLIANCE BONE & JOINT URGENT CARE Date 8/20/2018 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 (yes,no,na) Code Section Code Provision Information Required - Must be in permit documents - Location In Documents Building Department Notes aj1 1 C� C403.5.3 Energy recovery - For buildings with food service, meat or deli departments that have 2 500,000 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) cooler / freezer condensers For buildings with 2 40,000 sf conditioned floor area and with 2 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 C403.5.4 Energy recovery - condenser systems For buildings with 24-hour operation and with > 1,500,000 Btu/h of heat rejection capacity and design service hot water load > 250,000 Btu/h, indicate condenser ER to pre -heat service 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 C403.2.13 C403.4.2.7 Variable flow control - hydronic system pumps For hydronic system pump motors a 7.5 hp, indicate method of variable flow control (VSD or equivalent method that requires 2 30% design wattage at 50% design fluid flow); note exception taken Identify whether hydronic coils have DDC controls and associated manner of pump speed control (differential pressure, zone hydronic demand, etc) For boilers that provide building heating, indicate controls that provide heating water temperature setback based on outdoor temperature C403.2.5 C403.4.2.4 Hydronic system setback and part load controls For heating and chilled water systems 2 300,000 Btu/h, indicate systems are configured to automatically reset supply water temperature based upon demand; or exception taken. If system pump motor hp 2 3 hp, also indicate controls automatically reduce flow by 2 50%. For chilled water systems (2 300,000 Btu/h, pump motor hp a 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 systems Indicate changeover deadband (min 15°F), heating / cooling mode scheduling and changeover temperature range (limit 30°F) C403.4.2.6 Chiller / boiler plant pump isolation Indicate controls are configured to automatically reduce overall plant flow and shut-off flow through individual chillers and boilers when not in use C403.2.13.1.1 C403.4.3.1.1 Heat rejection equipment - variable flow control For cooling towers with fan motors 2 7.5 hp, indicate VSD and method to adjust fart speed (adjusted based on leaving fluid temperature or condenser temperature / pressure of heat rejection device) C403.4.3.1.2 For multiple -cell heat rejection equipment with VSD, indicate controls that ramp all fans in unison 0403.4.3.3 Heat rejection equipment - cooling tower flow turndown Indicate open -circuit cooling towers with multiple pumps or VSD control are designed so all cells can be run in parallel C403.4.2.3.1 Water loop heat pump - deadband Indicate capability of central equipment to provide minimum 20°F water supply temperature deadband between heat rejection and heat addition modes; or exception taken C403.4.2.3.2.1 Water loop heat pump - heat rejection equipment,used Zone 4 Indicate type of cooling tower (open- or closed-circuit) in equipment schedule; indicate method to limit system heat loss when heat rejection is not needed C403.4.2.3.2.2 Water loop heat pump - heat rejection equipment Zone 5 For open- or closed-circuit cooling towers, provide a heat exchanger that separates the cooling tower and heat pump loop C403.4.2.3.3 Water loop heat pump - isolation valves For hydronic heat pump systems with total system power> 10 hp, indicate 2 -way isolation valves on each heat pump and variable flow system control Dedilated Outdoor Air Systems (DOAS) - Optional through 6/30/16, Prescriptive 7/1/2016 C403.6 C403.6.3 Dedicated outdoor air systems For buildings with office, retail, education, library and fire station spaces, identify these spaces on plans; indicate that ventilation air in each occupied space is provided via a DOAS system; 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) C403.6.1 Energy recovery ventilation with DOAS For all DOAS systems, indicate exhaust air ER method; or exception taken with supporting calculations. Indicate ER rated effectiveness that increases OSA enthalpy by 2 50% based on delta between OSA and retum air enthalpies at design conditions. Iperiods, C403.6.2 Heating / cooling system controls with DOAS Indicate equipment associated with the delivery of zone level heating and cooling (fans, hydronic pumps, primary air dampers, etc) are configured to shut off, and central equipment is configured to tum 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 include fan watts per cfm in equipment schedule 2015 Washington State Energy Code Compliance Forms for Commercial, R2 and R3 over 3 stories and all R1 - Page 6 of 7 Mechanical Permit Plans Checklist MECH-CHK 2015 Washington State Energy Code Compliance Forms for Commercial Buildings including R2 Project Title: PROLIANCE BONE & JOINT URGENT CARE (Date 8/20/2016 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 (yes,no,na) Code Section Code Provision Information Required - Must be in permit documents Location in Documents Building Department Notes �5 QC403.6 C402.4.1.4 Increased prescriptive maximum vertical fenestration area with DOAS Indicate that all occupied, conditioned spaces are served by a DOAS per C403.6 Additional Efficiency Package Option, Dedicated Outside Air Systems (DOAS) \.) 0 C406.6 Building provided with DOAS To comply with additional efficiency package option, indicate that 90% or more of all occupied, conditioned spaces are served by a DOAS per C403.6 Multiple Zone Air Systems 9C403.4.4 Air systems serving multiple zones Identify supply air systems serving multiple zones and the zones they serve on plans; indicate whether system is VAV and method of primary air control; or provide supporting documentation for applied exception to VAV Provide equipment schedules on plans or MECH-EQ form that list all VAV air terminals and types C403.4.4 VAV systems serving multiple zones For each air terminal include: maximum airflow rates for primary supply air during zone peak 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 units Indicate single duct terminal units are configured to reduce primary supply air before reheating or recooling C403.4.4.2 Dual duct systems - terminal units For systems with separate warm air and cool air ducts, indicate terminal units are configured to 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 51.2 inch w.g. C403.4.1.1 C403.4.1.2 VAV system static pressure sensors - sensors and DDC set points For systems with zone level DDC, indicate controls are configured to monitor zone damper 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 C403.4.4.3 Multiple -zone VAV system ventilation optimization controls For systems with zone level DDC controls, indicate controls are configured to automatically reduce outdoor airflow in response to changes in system ventilation efficiency; or exception 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 DOAS Exception 2, must comply with all 16 provisions t ` f1 jV v C403.7, Item 1 Air economizer Indicate system is configured for 100% air economizer operation and complies with all related economizer requirements per C403.3 (without economizer exceptions) C403.7, Item 2 Direct digital controls (DDC) Provide DDC controls for all components of system; identify all DDC system input / output control points; indicate capability for trending and graphical display C403.7, Item 3 Outdoor airflow measurement and reduction For systems with minimum OSA > 2,500 cfm, indicate outdoor airflow monitoring station that measures OSA intake under all load conditions; indicate control sequence that increases or 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, Item 4 Supply airflow measurement For systems with minimum OSA > 2,500 cfm, indicate supply airflow monitoring station capable of measuring supply air delivered to VAV terminals under all load conditions C403.7, Item 5 Zone isolation and maximum area served Verify maximum area served by a single HEVAV system is5 50,000 sf, or one entire floor, 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 0403 7 Item 6 Interior / exterior zone design supply air temperaturetemperature Verify that VAV terminals servinginterior cooling driven loads are sized 9per design supply air that is 5°F higher than VAV terminals serving exterior zones C403.7, Item 7 Maximum air terminal inlet velocity Identify air terminals with minimum primary airflow setpoints > 50% of maximum setpoint in equipment schedule or MECH-EQ form; indicate air terminal inlet velocity does not exceed 900 fpm C403.7, Item 8 Sequence of operation Indicate DDC system sequences of operation are designed and configured per ASHRAE GPC 36 C403.7, Item 9 Maximum allowable system brake horsepower Verify fan system bhp is 5 90% of the bhp limit per Option 2 equation in Table C403.2.11.1(1), provide MECH-FANSYS form for each system i C403.7, Item 10 Fan -powered terminal unit motor and control Indicate all series and parallel terminal fans have electronically commutated motors; indicate DDC control system is configured to vary air terminal fan speed as a function of the load; indicate fan speed during periods of low heating, low cooling, or ventilation only is 5 66% of peak design air flow or provide supporting documentation for applied exception 2015 Washington State Energy Code Compliance Forms for Commercial, R2 and R3 over 3 stories and all R1 - Page 7 of 7 Mechanical Permit Plans Checklist MECH-CHK 2015 Washington State Energy Code Compliance Forms for Commercial Buildings including R2 & R3 over 3 stories and all R1 Project Title: PROLIANCE BONE & JOINT URGENT CARE !Date 8/20/2018 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 (yes,no,na) Code Section Code Provision Information Required - Must be in permit documents Location in Documents Building Department Notes 0403.7, Item 11 Application of single duct1,0 fan -powered terminal units rtiY terminal units only serve perimeter Indicate VAV terminaltypesonplans; verify fan-poweredand zones with envelope bads; verify all other zones are served by single duct terminal units C403.7, Item 12 Fan -powered terminal unit primary air reset Indicate DDC controls are configured to automatically reset the primary supply air cfm setpoint 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 C403.7, Item 13 High occupancy space controls For spaces > 150 sf with occupant density 2 25 people / 1000 sf, indicate space is served by a dedicated terminal unit with DCV control that resets terminal unit ventilation setpoints also indicate occupancy sensor control that automatically reduces minimum ventilation to zero and sets back room heating and cooling setpoints by 2 5°F �/,o< I��V C403.7, Item 14 Dedicated HVAC systems For server, electronic equipment, telecom or similar spaces with cooling bads > 5 W/sf, indicate spaces are served by independent HVAC systems that are separate from HPVAV 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 or C403.7, Central plant efficiency 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 efficiency a 90%, air -to -water heat pumps, or heat recovery chillers Item 15 Ifcomplying 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 s 20% of total plant capacity, or provide thermal storage sized for s 20% of total plant capacity C403.7, Item 16 Fault detection and diagnostics Indicate DDC system includes a fault detection and diagnostics (FDD) system configured to 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 PHVAC C409.3.1 equipment energy use metering For new buildings > 50,000 sf and building additions > 25,000 sf, verify energy use metering of 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 `I C408.2 Scope of mechanical systems 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; For bu(kdings with 2 240,000 Btu/h total output cooling capacity or 2 300,000 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 ye C403.2.10 C408.1.1 C408.1.2 C408.1.4.2 C103.6 Commissioning requirements in construction documents Indicate in plans and specifications that Cx per C408 is required for all applicable mechanical systems; Include general summary with at a minimum of Items 1 thru 4 of the Cx plan per C408.1.2 including: narrative description of activities, responsibilities of the Cx team, schedule of activities including verification of project close out documentation per C103.6, and conflict of interest plan (if required); 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. O C408.2.2 Air system and hydronic system balancing in plans that air and fluid flow rates shall be tested and balanced within the tolerances defined in the specifications; indicate systems shall be balanced in a manner to first minimize throttling losses, then adjusted to meet design flow conditions N3 0408.2.2.1 Air system balancing devices Indicate devices that provide the capability to balance all supply air outlets, zone terminals and air handling equipment requiring system balancing 0 r� Jdevices C408.2.2.2 Hydron(c system balancing Indicate devices that provide the capability to isolate, balance and measure flow across all hydronic equipment requiring system balancing including heating and cooling coils and pumps N C408.2.3 Functional performance testing criteria Identify in plans and specifications the intended operation of all equipment and controls during all modes of operation, including interfacing between new and existing -to -remain systems Project dose Out Documentation yc.... C103.6 Documentation and project close out submittal requirements Indicate in plans that project close out documentation and training of building operations Personnel is required for all mechanical components, equipment and systems governed by this code; indicate close out documentation shall include: record documents, O&M manuals, applicable WSEC compliance forms and calculations 2015 Washington State Energy Code Compliance Forms for Commercial, R2 and R3 over 3 stories and all R1 - Page 1 of 2 Service Water Heating Permit Plans Checklist 2015 Washington State Energy Code Compliance Forms for Commercial Buildings including R2 & R3 over 3 stories and all R1 SWH-CHK Revised January 2017 rmulct nae; rrcWLIIm,CDUNtdrJVINI UKGtNI CARE (Date 8/20/2018 The following information is necessary to check a permit application for compliance with the mechanicial systems and equipment requirements of the Washington State Energy Code, Commercial Provisions. (yicable es,lno,na) Code Section Code Provision Information Required - Must be in permit documents Location in Documents Building Department Notes Equipment - Sizing, Performance and Type 0 ° I" C404.2 SWH equipment type and efficiency Provide equipment schedule on plans indicating type and capacity; indicate efficiency complies with required federal standard For individual SWH equipment serving an entire building with z 1,000,000 Btu/h capacity, indicate thermal efficiency a 90%; or exception taken - C404.2.1 High input -rated SWH systems For buildings with aggregate capacity of all SHW equipment -1,000,000 Btu/h (exclude < 100,000 Btu/h equipment from threshold calculation), indicate average capacity weighted eQ p thermal efficiency >_ 90%; or exception taken If applying Exception 1 for site -solar or site -recovered energy, provide calculations and source of annual service water heating energy use estimate C404.4 Heat traps Indicate piping connected to equipment have heat traps on supply and discharge 0404.5 Insulation under electric water heater For electric water heaters located in unconditioned spaces or on concrete floors, indicate R-10 insulation under equipment Piping ystems - OK) C404.6 Insulation of piping Indicate thickness of piping insulation on plans per Table C403.2.9; verify insulation is provided - from the water heater to the final fixture in a line, from the inlet / outlet piping at water heater to heat trap (up to 8 feet), and on piping that is heat traced; note exceptions taken C404.3 Efficient SWH supply piping Indicate method of compliance on plans for all piping runs connecting service hot water source to hot water fixture (maximum pipe length or maximum pipe volume method per Table C404.3.1); provide calculations for all piping runs documenting the total length and / or volume Service Water Heating System Controls C404.7.1 Heated -water circulating For circulation systems with dedicated retum piping, indicate controls are configured to automatically start pump based on demand for hot water and shut-off pump when there is no demand and when the desired water temperature is met C404.8 systems For circulation systems with cold water supply piping serving as the return, indicate controls are configured to automatically start pump based on demand for hot water and shut-off pump when there is no demand, or when temperature of water entering the cold water supply pipe is s 104°F C404.7.2 Heat trace system controls For heat trace systems provided to maintain temperature of service hot water in piping, indicate controls are configured to de -energize system when there is no demand for hot water and when the desired water temperature is met C404.7.3 Controls for hot water storage For systems with separate water heater and storage tank, indicate controls are configured to limit operation time of pump after end of heating cycle to 5 5 minutes C403.2.13 C403.4.2.7 Variable flow control -" pumps For SWH, pool / spa and pressure boosting pump motors a 7.5 hp, indicate method of variable control (VSD or equivalent method that requires >_ 30% design wattage at 50% design fluid flow); note exception taken Identify basis of pump speed control (differential or static pressure setpoint, pressure, zone load demand, etc) Pools and Permanent Spas - Equipment and Controls (Sections are under C404.11) s 1((1 'yi V C404.10.1 Pool heating equipment efficiency Provide equipment schedule on plans indicating type and capacity for all pool heating equipment indicate efficiency complies with required federal standard; for heat pump water heaters indicate COP t 4 C403.2.13 Variable flow control - Refer to Service Water Heating System Controls C404.10.1 C404.10.2 Pool heater on / off controls Indicate automatic on / off control based on scheduling and readily accessible on / off switch on heater that operates independent of thermostat setting; note exceptions taken C404.10.3 Pool For all pools and in -ground permanent spas, indicate a vapor retardant cover on plans covers For all pools and in -ground spas heated to > 90°F, indicate cover shall include insulation s R- 12 C404.10.3 Pool assembly insulation For all pools and in -ground spas heated to > 90°F, Indicate on plans that sides and bottom are provided with insulation a R-12 0404.12 Energy consumption of portable spas Indicate portable spa complies with Association of Pool and Spa Professionals APSP-14 2015 Washington State Energy Code Compliance Forms for Commercial, R2 and R3 over 3 stories and all R1 - Page 2 of 2 . tnergy.Recovery (ER) Systems - Service Water Heating and Pool Systems N(3under 0404.10.4 (Section Pools and permanent spas exhaust systems For buildings with pools or permanent spas with water surface area > 200 sf, indicate exhaust air ER method and use of waste heat (preheat ventilation air, pool water or service hot water); or exception taken 0404.11) (energy recovery) Indicate ER system has the rated effectiveness and is configured to decrease the exhaust air temperature at design conditions by a 36°F C403.5.3 Energy recovery - For buildings with food service, meat or deli departments that have 2 500,000 Btuth of remote refrigeration capacity for coolers / freezers, indicate if condenser ER will be used to pre -heat service water cooler / freezer condensers For buildings with 2 40,000 sf conditioned floor area and with 2 1,000,000 Btu/h of remote refrigeration capacity for coolers / freezers, indicate if condenser ER will be used to pre -heat service water C403.5.4 Energy recovery - condenser systems For buildings with 24-hour operation and > 1,500,000 Btu/h of heat rejection capacity and design SWH load > 250,000 Btu/h, indicate condenser ER to pre -heat service 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). C404.10 Drain water heat recovery units For systems incorporating drain water ER, indicate system design complies with CSA B55.2 (or CSA 55.1 for Group R); indicate potable waterside pressure loss at design flowis < 10 psi Service Water Heating Energy Use Metering No C404.9 SWH energy usage in dwelling units For Group R-2 multi -family buildings with central SWH systems, provide metering of hot water energy usage per dwelling unit; indicate metering and data reporting method 1 C409.3.2 SWH equipment energy use metering For new buildings > 50,000 sf and building additions > 25,000 sf, with total SWH equipment capacity 2 50 kW ( 2170,600 Btu/h), verfiy energy use metering of all SWH equipment will be provided per C409 Additional Efficiency Package Option, Reduced Energy Use In Service Water Heating - Must comply with both provisions to be eligible C406.7.1 Eligible building type To comply with additional efficiency package option, verify that 2 90% of the conditioned floor area of the building ds one or more of the occupancies identified in this section, OR; PO Provide whole building energy analysis per C407 that demonstrates the SWH load in the building is 210% of total building energy loads C406.7.2 To comply with additional efficiency package option, provide documentation that verifies 2 60% of building annual SWH energy is provided by high efficiency sources (heat pump water heater with COP 2 3, waste heat recovery, solar water -heating system); C403.5.4 Load fraction For buildings with 24-hour operation and with > 1,500,000 Btu/h of heat rejection capacity and design service hot water load > 250,000 Btu/h (per C403.5.4); provide documentation that verifies 2 100% of building annual SWH energy is provided by condenser energy recovery or other high efficiency source Doc mentation and Specific System Requirements to Supporting Commissioning C408.4 Scope of service water heating systems Indicate that all SWH equipment and controls for which the WSEC requires control functions and / or configuration to perform specific functions are required to be commissioned:4D7 tcommissioning For buildings where the largest SWH system has 7 200,000 Btu/h total output capacity, indicate that all SWH systems regardless of individual capacity are required to be commissioned. Scope of pool and Indicate that all pool and permanent spa water heating systems regardless of individual capacity are required to be commissioned; (� tv1 v 0408.4.1.3 permanent spa systems commissioning Indicate that energy recovery equipment that heats pool water regardless of capacity is required to be commissioned; Identify all pool heating and energy recovery equipment and controls that the WSEC defines as being capable of and / or configured to perform specific functions. Indicate in plans and specifications that Cx per C408 Is required for all applicable service water heating systems; V v C404.13 C408.1.1 C408.1.2 C408.1.4.2 C103.6 Commissioning requirements in construction documents Include general summary with at a minimum of Items 1 thni 4 of the Cx plan per C408.1.2 including: narrative description of activites, responsibilities of the Cx team, schedule of activities including verification of project close out documentation per C103.6, and conflict of interest plan (if required); 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. N0testing C408.4.1 Functional performance criteria Identify in plans and specifications the intended operation of all equipment and controls during all modes of operation, including interfacing between new and existing -to -remain systems Project Close Out Documentation tfil C103.6 Documentation and project close out submittal requirements Indicate in plans that project close out documentation and training of building operatbns personnel is required for all SWH components, equipment and systems govemed by this code; indicate close out documentation shall include: record documents, O&M manuals, applicable WSEC compliance forms and calculations PERMIT COORD COPY PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: M18-0102 DATE: 08/20/18 PROJECT NAME: PROLIANCE BOEN & JOINT URGENT CARE SITE ADDRESS: 150 ANDOVER PARK W X Original Plan Submittal Response to Correction Letter # Revision # before Permit Issued Revision # after Permit Issued DEPARTMENTS: NC a" -tg Building Division a Public Works MA NA- ciri=1\lK Fire Prevention Planning Division Structural ❑ Permit Coordinator PRELIMINARY REVIEW: DATE: 08/21/18 Not Applicable ❑ Structural Review Required (no approval/review required) REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved DUE DATE: 09/18/18 ❑ Approved with Conditions ❑ Corrections Required ❑ Denied ❑ (corrections entered in Reviews) (ie: Zoning Issues) Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire 0 Ping 0 PW 0 Staff Initials: 12/18/2013 ALL STAR HEATING & A/C INC c) Home Espanol Contact. Safety & Health 0 Washington State Department of Labor & Industries Claims & Insurance Search L&1 A -Z Index Help Workplace Rights ALL STAR HEATING & A/C INC Owner or tradesperson Principals CONVERSE, PATRICK NEAL, PRESIDENT Doing business as ALL STAR HEATING & A/C INC WA UBI No. 601 703 920 PO BOX 70 FALL CITY, WA 98024-0070 425-222-7652 KING County Business type Corporation Governing persons PATRICK NEIL CONVERSE PATRICK NEIL CONVERSE; 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. ALLSTHA044JK Effective — expiration 04/12/1996— 04/12/2019 Bond Great American Ins Co Bond account no. 2214136 Received by L&I 02/03/2014 Bond history Insurance Continental Western Ins Co Policy no. CWP6011429 Received by L&I 01/15/2018 $12,000.00 Effective date 01/24/2014 Expiration date Until Canceled $1,000,000.00 Effective date 01/15/2014 Expiration date 01/15/2019 Insurance history Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. Page 1 of 2 ARCH My Uzi: Trades & Licensing Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601703920&LIC=ALLSTHA044JK&SAW= 9/4/2018 ALL STAR HEATING & A/C INC L&I Tax debts No L&I tax debts are recorded for this contracterlicense during the previous 6 year period, but some dress may be recorded by other agencies. License Violations No license violations during the previous 6 year period. Workers' comp Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums. L&I Account ID 933,780-00 Account is current. Doing business as ALL STAR HEATING & AIR CONDITI Estimated workers reported Quarter 2 of Year 2018 "21 to 30 Workers" L&I account contact T1 / IDA HAYNES (360)902-5635 - Email: HAYN235@Ini.wa.gov Public Works Strikes and Debarments Verify the contractor is eligible to perform work on public works projects. 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 and health No inspections during the previous 6 year period. Page 2 of 2 ©Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington. Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601703920&LIC=ALLSTHA044JK&SAW= 9/4/2018 C:\Users\vernital\Documents\18003 PB&J Urgent Care-central_VLytle.rvt WV 9Z:iZ:Z(• 960Z/ZZ/9 SYMBOLS EXISTING DROPS EXISTING DROPS SUPPLY AIR GRILLS RETURN AIR GRILLS EXISTING DUCT WORK RETURN DUCT WORK SUPPLY DUCT WORK A HAND DAMPER 140 DUCT SIZE 10 GRILL SIZE 150 CFM FAN - NUTONE / MODEL # AEN110 / POWER -120 VOLTS 15 AMPS / 110 CFM / SONES 1.3 PROJECT NOTES REUSE 2 EXISTING 10 TON ROOF TOP UNITS WITH NEW DUCT WORK AND GRILLS, FOR ALL OFFICES . INSTALL 1 NEW 1 TON ( DUCTLESS ) NC UNIT FOR I. T. CLOSET WITH ROOF TOP UNIT IN EQUIPMENT WELL. C 215 SSC 2%15I O , LL N 1�rY S = I S ALL 'QTS, I L -EI F I CE LL E C CO O L 9 T, LL LL S T E ILL ' I ST PROJECT INFORMATION SCOPE OF WORK REMODEL OF EXISTING EXAM ROOMS & WAITING ROOM, INCLUDING ASSOCIATED MECHANICAL (HVAC), ELECTRICAL, AND PLUMBING SYSTEMS. NO STRUCTURAL WORK. NO EXTERIOR WORK. APPROX 6,136 SQ FT LEGAL DESCRIPTION ANDOVER INDUSTRIAL PARK #2 LOT 2 LESS RD PER DEED #20051130000405 OF TUKWILA BLA L05-025 REC #20050928900006 SD BLA BEG LOTS 1 & 2 OF ANDOVER INDUSTRIAL PARK #2 LESS WEST 10 FT OF LOT 2 & LOT 2 OF ANDOVER INDUSTRIAL PARK #1 LESS W 10 FT LESS POR FOR RD PER REC# 20130709001146 PLat Block: Plat Loi: 1 TAX PARCEL NUMBER 022310-0010 BUILDING 1 AUTHORITY HAVING JURISDICTION (AHJ) CITY OF TUKWILA APPLICABLE CODES EXISTING -BUILDING CODE: WA STATE EXISTING -BUILDING CODE (IEBC with amendments) - 2015 BUILDING CODE: WA STATE BUILDING CODE (IBC with amendments) - 2015 ENERGY CODE: WA STATE ENERGY CODE (IECC with amendments) - 2015 LIFE SAFETY CODE: NFPA 101 - 2012 FIRE CODE: INTERNATIONAL FIRE CODE (IFC) - 2015 MECHANICAL CODE: INTERNATIONAL MECHANICAL CODE (IMC) - 2015 PLUMBING CODE: UNIFORM PLUMBING CODE (UPC) - 2015 ELECTRICAL CODE: NATIONAL ELECTRICAL CODE (NEC) - 2014 ACCESSIBILITY CODE: ANSI A117.1 - 2009 (BY REFERENCE FROM IBC AND WSBC) AC -1 BRAND - MITSUBISHI MODEL - MUY-GL12NA-U1 TONNAGE - 1 TON SEER - 23.1 BTU OUTPUT - 13,600 BTU POWER - 208/ 15 AMPS WEIGHT INDOOR - 22 LB WEIGHT OUTDOOR - 81 LB NOISE - 49 dB PROJECT TEAM OWNER: OPEN FRAME LLC 100 ANDOVER PARK W TUKWILA, WA 98188 OWNER CONTACT: CONTACT NAME PHONE: (206) 246-5642 CONTACT EMAIL PROPERTY MANAGER: JSH 1 PROPERTIES, INC 14900 INTERURBAN AVENUE S. SUITE 130 SEATTLE, WA 98168 PROPERTY MANAGER: GARDNER ERICKSON, VP OF PROPERTY MANAGEMENT GARDNERE@JSHPROPERTIES.COM DIR: 425.440.7922 CELL: 206.348.3976 TENANT: PROLIANCE ORTHOPEDICS ASSOCIATES 4011 TALBOT ROAD RENTON, WA 98055 TENANT CONTACT: TONI BROSIO-WARD T.BROSIO-WARD@PROLIANCESURGEONS.COM DIR: 425.291.1464 CELL: 206.890.3244 ARCHITECT: TGB ARCHITECTS 21911 76TH AVE VI, SUITE 210 EDMONDS, WA 98026 PROJECT LEAD: VERNITA LYTLE PRINCIPAL IN CHARGE : KENT GREGORY 425-778-1530 VLYTLE@TGBArchitects.com GENERAL CONTRACTOR: FERRIS-TURNEY GENERAL CONTRACTORS PO BOX 31109 SEATTLE, WA 981D3 GENERAL CONTRACTOR CONTACT: TOM BENNETT - PROJECT MANAGER 425-623-7035 TOMB@FERRIS-TURNEY.COM ROD FERRIS 206-632-2797 RODF@FERRIS-TURNEY.COM LOW -VOLT: INTERFACE TECHNOLOGIES NORTHWEST 6825 216TH ST S1V, SUITE E LYNNWOOD, WA 98036 LOW -VOLT CONTACT: LISA WEIDMER (425) 774-1377 LISA@INTERFACETECHNW.COM MECHANICAL WALL 6 FEET TALL ON 4 SIDES AC -1 IN SIDE WALL ROOF FILE COPY Permit No. NA OMfi Plan review approval is subject to errors and omissions. Approval of construction documents does not cut hcrizo the violation of any adopted code or ordin nco. f cc pt of approved Field Copy and conditio i, ^ rtcva;usd: Date: O City of f uki ' Ha BUILDING DIVISION VICINITY MAP VKtor,a SEC re T. UPS Sore " iedE On ee ins G $h p aa'hten fears Back Or ..... 150 Andover Park W, Seattle, WA 98188 PROJECT LOCATION flat Or Ssra Video Ono/ 9 Srrander B:vd NORTH ELECTRICAL ENGINEER: DESIGN -BUILD REVISIONS No changes shall be made to the scope of work without prior approval of Tukwila Buit Jinq Division NOTE: Revisions wiil rcquiro a ne',', plan submittal and may in :ude cdd!tional plan review fess SITE MAP PROJECT LOCATION NORTH lb err ?Masnanical :••jrill:_ it ctr cat rf5iumbing ale as Piping BUMMM f" f�;1f iON r,- �. J ets PROLIANCE BONE & JOINT URGENT CARE 150 ANDOVER PARK W TUKWILA, WA 98188 GENERAL INFORMATION ISSUANCE No. REVIEWED FOR CODE COMPLIANCE APPROVED Date AUG 2 8 2018 ICity of Tukwila BUILDING DIVISION RECEIVED CITY OF TUKWILA AUG 2 0 2018 PERMIT CENTER PROJECT INFORMATION PROJECT NUMBER: PROJECT LEAD: DRAWN BY: ■ 140 wap PROLIANCE BONE & JOINT URGENT CARE 150 ANDOVER PARK W TUKWILA, WA 98188 CEILING PLAN ISSUANCE No. Description MI Date O' CODE-EOMPLIANCE APP C:\Users\vernital\Documents\18003 PB&J Urgent Care-central_VLytle. AUG 282018 city-ofTukwtl BUILDING DME RECEIVED N -- CITY OF TUKWILA AUG- -0--2018 PERMIT CENTER PROJECT INFORMATION PROJECT NUMBER: PROJECT LEAD: DRAWN BY: LAN 9£:tiZ:ZI. 8602/ZZ