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Activity/Penult # <br />NWEC Lowrise Residential Compliance Check list <br />Electrically heated dwellings, s 3 stories, Zone 1, Western Washin <br />FORM INSTRUCTIONS: <br />Please read before completing form <br />.. <br />1 � Fill in all shaded Information boxes that apply to your project. Donotplace marks in the two left side <br />columns labeled " COMPLIANCE REQUIRED" and "INSPECTION APPROVED'. Since this form <br />will be evaluated for completeness, you can avoid unecessary permit delays by carefully providinV all <br />required information. You may disregard information requestes that don't address your particular <br />building or equipment. <br />2 Staff members will help with general questions about filling out this form. However, it is your <br />x reponsibillty to provide specific information for heating systems, glazing, Insulation, and other <br />building specifications. For specific requirements, refer to the Northwest Energy Code, 1987 Edition. <br />This form will ultimately be the basis for all NWEC field Inspections. You can avoid problems by <br />seeking approval for any substitutions before Incorporating them Into the project. The building official <br />may require that you substantiate compliance claims about building products or techniques by <br />providing documentation from approved testing agencies or code authorities such as ICSO. <br />3 ` When your permit is Issued, you will receive a copy of this form. Boxes will be checked under <br />s "COMPL!ANCE REOI11REu" Indicating NWEC requirements that must be incorporated Into this <br />project. Each checked requirement will he evaluated by the budding inspector and , when deemed <br />acceptable, marked approved in the "INSPECTION APPROVED" column. <br />DATE r.1U City 2�r County <br />NAMElin � 1 �w',_BUILDING ADDRES4 OT #_ <br />BUILDING TYPE: COMPLIANCE PATH: <br />❑ New Residential: ❑ Single Fam. ❑ Chapter 6 (< 5000 Ft2) <br />❑ Remodel ❑ Multi Fam. ❑ Component Performance Ch#5 <br />❑ Addition ❑ # Stories_ (s 3) ❑ Systems Analysis Chit 4 <br />(J Points System Chit? <br />Heating System Type: <br />Electric: <br />❑ Base board <br />❑Heat pump <br />❑ Other_ <br />Forced air furnace <br />I Zone heaters <br />NWEC plan review: (Department use only) <br />Approved by. Date <br />NOTE: All non -electrically heated <br />dwellings must comply w:th the <br />1986 Washington State Energy <br />Code and other ordinances of this <br />jurisdiction. <br />wEre APRIL 10 <br />Page 1 of 7 <br />