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C ice t Noz <br />Buiderfregistered design professional name: ((-2A 1= ,L-S C; N �-- <br />Buiiderireg, design Pro. signature: <br />Conditioned floor area: (y `f ?�) fP (per building permit) <br />R-Values R303.1.1 <br />Ceiling/ Vaulted R-� Floors: Over unconditioned space R-_� <br />Attic_ Attic R-1_i� Slab -on -grade floor R-_LL <br />' Walls: Above grade R-_2i_ Fully insulated slab? YIN (Circle one) <br />Below, Int. R- Doors: R-_ * R-_, R- <br />Below, ext. R-_ <br />U-Vahie of Windows, Skylights and Doors (R303.1.1.3) <br />Average area weighted U-value from Glazing Worksheet Average U- <br />Fuel Normalization abler R406.2 and Energy Credits <br />able R406.3 <br />System Type Number (1 to 5) I (Select one) <br />Energy Credits selected (1 to 7) <br />"Z.S = Total Credits <br />Fuel Normalization Credit r + Total Energy Credits <br />h9eafing, Cooling and Domesdc Hot Water <br />Efilchenc <br />�rstem T nufacturar and Model Number <br />Heating -t. a R ids t S <br />1 .rs A%p r <br />Cooling TS U l al r 44 c7WrPuM? <br />4ASr4L- <br />Drain wafer heat <br />recovery <br />onsite Renewable Energy Electric Power system <br />' system type System design capacity. kW <br />Rated annual generation kW hiyr <br />Appliances Energy Star? <br />Manufacturer and Model (Circle one) <br />Y or N <br />Ofsh washer <br />Y or N <br />p@(rigeretor <br />YorN <br />Washer Y or N <br />Dryer <br />ted unvented? Nvented CEFratin <br />I heating stove (Section R402.4.2) Fireplace efficiency (FE) <br />l3ae fireplace <br />_. nae^rative? (Clyde one) <br />HVAC System Duct Leakage Testing (R403.3) Circle one <br />All ductwork and air handler in conditioned space? (See Option 4.2) Y orW) <br />All ductwork in unconditioned spaces burled and tested at 31/ total leakage, and air Y oKl <br />handler In conditioned space? (See Option 4.1.) <br />All ductwork & air handler outside conditioned space Insulated to minimum R-8? Y orrw <br />Alt handler present at duct leakage teat? (Total leakage 4% if yes, 3% If no) Y orQ/ <br />HVAC leakage to outside test conducted at final? Y or' <br />Do HVAC duct leakage tests Include GPS and time stamp verification? Y or W, <br />HVAC system leakage test calculated design target: CFM @ 25 Pa <br />HVAC system leakage test measured results:'_. CFM @ 25 Pa <br />Building Leakage Testing (R402.4.1.2) <br />Dwelling unit leakage test calculated design target: 3 C7 ACH @ 50 Pa <br />Dwelling unit leakage test, measured results: - P- ACH @ 50 Pa <br />Whole Building Leakage test (R2 non -corridor only) design target: CFMlsf @ 50 Pa <br />Whole Building Leakage test (R2 non -corridor only) measured: CFMIsf @ 50 Pa <br />Do building leakage tests include GPS and time stamp verification? Y or N <br />Whole House Ventilation System Measured Flow Rates (M1505.4 IRC-WA) Circle one <br />Are the system controls correctly labeled? (jY>r N <br />The Whole House Ventilation (WHV) system operation and maintenance (0&M) Y or N <br />Instructions were provided to the building ownoR <br />Provided to: AU 0 C.t?,i Fes' v/ on <br />Whole House Ventilation System Type: (Circle one) <br />(1) Whole house exhaust fan, location <br />(2) Balanced HRVI ERV, location it <br />For R2 low-rise, serves more than one unit? Y or N <br />(3) Supply or HRV WHV Integral to the air handler. Describe system control sequence of <br />operations or reference to design submittal: <br />Specify run-time:_ hours per day I i C CFM <br />WHV calculated design minimum flow rate per plan submittal: ,/p <br />WHV measured min flow rate at commissioning: Exhaust 16 CFM, supply „I CFM <br />Do WHV flow tests include GPS & time stamp veriflcation7 Y o <br />HRVIERV sensible heat recovery efficiency. <br />Commissioning Notes: <br />Other Mandatory Requirements Ccle on° <br />Y orN <br />All other mandatory requirements of WSEC-R have been met? <br />neanuy �• ----- <br />