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Property address: 3614 Shore Ave, Everett <br />Builder/registered design professional name: Cascade General Contracting <br />Builder/reg. design pro. signature: <br />Conditioned floor area: 3300 ft' (per building permit) <br />R-Values (R303.1.1) <br />Ceiling/ Vaulted R- Floors: Over unconditioned space R--W— <br />Attic: Attic R- 49 Slab -on -grade floor R- <br />Walls: Above grade R- 21 Fully insulated slab? Y/N (Circle one) <br />Below, int. R- Doors: R- R- R- <br />Below, ext. R- <br />U-Value of Windows, Skylights and Doors (R303.1.1.3) <br />Average area weighted U-value from Glazing Worksheet Average U- - <br />Fuel Normalization (Tables R406.2) and Energy Credits (Table R406.3) <br />System Type Number (1 to 5) (Select one) <br />Energy Credits selected (1 to 7) <br />Fuel Normalization Credit + Total Energy Credits = Total Credits <br />Heating, Cooling and Domestic Hot Water <br />System <br />Type Manufacturer and Model Number <br />Efficient <br />Heating <br />Cooling <br />• DHW <br />Drain water heat <br />recovery <br />Onsite Renewable Energy Electric Power System <br />System type System design capacity kW <br />Rated annual generation kWh/yr <br />Appliances <br />Energy Star? <br />Manufacturer and Model <br />(Circle one) <br />Dish washer <br />Y or N <br />Refrigerator <br />Y or N <br />Washer <br />Y or N <br />Dryer <br />Y or N <br />Vented or unvented? If vented, CEF rating <br />Gas fireplace / heating stove (Section R402.4.2) Fireplace efficiency (FE) <br />Heating or Decorative? (Circle one) <br />HVAC System Duct Leakage Testing (R403.3) <br />Circle one <br />All ductwork and air handler in conditioned space? (See Option 4.2) Y or N <br />All ductwork in unconditioned spaces buried and tested at 3% total leakage, and air Y or N <br />handler in conditioned space? (See Option 4.1.) <br />All ductwork & air handler outside conditioned space insulated to minimum R-8? Y or N <br />Air handler present at duct leakage test? (Total leakage 4% if yes, 3% if no) Y or N <br />HVAC leakage to outside test conducted at final? Y or N <br />Do HVAC duct leakage tests include GPS and time stamp verification? Y or N <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 ACH @ 50 Pa <br />Dwelling unit leakage test, measured results: 1.8 ACH @ 50 Pa <br />Whole Building Leakage test (R2 non -corridor only) design target: <1500 CFM/sf @ 50 Pa <br />Whole Building Leakage test (R2 non -corridor only) measured: 1038 CFM/sf @ 50 Pa <br />Do building leakage tests include GPS and time stamp verification? Y or N <br />Whole House Ventilation System Measured Flow Rates (1141505.41RC-WA) Circle one <br />Are the system controls correctly labeled? Y or N <br />The Whole House Ventilation (WHV) system operation and maintenance (O&M) Y or N <br />instructions were provided to the building owner? <br />Provided to: on (date) <br />Whole House Ventilation System Type: (Circle one) <br />(1) Whole house exhaust fan, location <br />(2) Balanced HRV/ ERV, location <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 CFM <br />WHV calculated design minimum flow rate per plan submittal: <br />WHV measured min flow rate at commissioning: Exhaust CFM, Supply CFM <br />Do WHV flow tests include GPS & time stamp verification? Y or N <br />HRV/ERV sensible heat recovery efficiency: <br />Commissioning Notes: <br />Other Mandatory Requirements <br />circle one <br />All other mandatory requirements of WSEC-R have been met? <br />Y or N <br />