6830 BEVERLY LN 2016-01-01 MF Import

cirr oF Ev��rr BU/LD//1/!s O/d�5/O/`I 3200 LEOA? ST, Ef�ERETT, {Vq 9820/ (206) 259-BB/O About this fortn: This (orm isn't as involved as it Iooks, because you only use portions of it� lor a particular �_;. dwelling project. Instead of spend(ng t(me searching through the WSEC, this torm will help organize and condense the requirements that apply to your proJect. It is also an excellent tool (or Iearning ihe resideni(al WSEC requirements. Requirements are grouped by loundation, framing, insulation, and ilnal inspection phases. This not only lets you know what you need to do but also when the Inspector will ba checking for particular requlrements. Use the fortn to choose compl(ance options ihat best suft the economics and design ol ycur project. A designated department energy specialfst can heip you with your questions. Thts form w(II help you comply with the WSEC as quickly and painlessly as possible. Responsiblllty for Intormatlon: Although staff inembers will help you wfth general questions about completfng thts form, it is ultimately your responsibility to provide detalled iMormation about heating systems, glaztng, fnsulation, and other buildfng spec(f(cat(ons. Be sure to get prlor approval from the Oepartment fl you later wfsh tc make changes In your proJect. For more requirement detail, reler to the Washington State Energy Code,1991 Edition. Page Y, Compliance Optlons: Select one compliance option at lhe top of the tabte. Pages 2 through 6, In thgshaded 6ox ar ^c n��; provide intormatfon and check circles that apply to your specific project. Do notplac�;narks in the two left side columns labeled "COMPLIANCE REu^UIRED" and 'INSPECTION APPROVED" or in boxes located in non-shaded areas (These are for department use). Since this form wiil be ovaluated for completeness and accuracy, you can avoid unecessary permit delays by carelully providfng all required information. You may dfsregarJ items that don't address your particular buiiding or equipment. Compllance responsiblllty: Thfs form will ultimately be used for all WSEC ffeld inspectfons. When (t is . returned with your permit, relevant boxes under the "COMPLIANCE REQUIRED" column will have been checked by the Bu(idinp Department. This denotes which WSEC requlrements apply to your project. The inspector will inspect your dwelling against lhese checked items and, when deemed acceptable, place a second check (n ihe "INSPECTION APPROVED" column. �i !.l 13esiden tial Occupan cies OTHER he�it source �cas, oil, propane, wood, heat pumps)