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AttachneM C <br />Plans Examiner and I�pector Chp vklist <br />PertnitNo. AZIB4' Addross��OS W SEECN 57 <br />Plans Examiner: Chedc, write in WA or Iili In value on shaded boxes. <br />Inepedor: Check oH boxes al lefl as items are found to comply. <br />Compllanca epproaeh: (check one; ❑ Syslems anatysis ❑ Companent peAortnence �Prescriptive pelh <br />Nols: Some spediks on lhis lorm may not eppy II ' <br />A) compliance epproach is sysleme anaiysis or cromponent perlormanco; <br />8) comptlance to minimum ventilatlon crileria ls demonstrated through englneering calculations or peAarmence lesdnp. <br />FOUNUATION PHASE <br />❑ Blnb: �� Extarbr down to Iroallinvslab botlan; or IMada 26' Mtlzanlel or wrfkel; or, A redlenl, uM�� mtlro eiab <br />(] Bdow pnd� �xUdor w�ll In�ul�tlon: �(M Intalor—eu Iroulatlon PMeo) <br />i� R�don mltlp�Uan � II IocaAy rpulrad, a n�wLpeca vanting dIV3001@ ol a�wl, or vanb Indud� an operada Oempar <br />FRAMBHi PHASE <br />❑ Fnminp: .��r 6tandard �.[;�'�'.� InlamWlele � Advenced <br />❑ Std dr uN: wlepVsubllr, rlm faVmud alll; wlndaw 8 door Irms; panalretlomwlre, plumb, duct, peNtlm e1Ws, Auo, Ilght Axtvoe <br />❑ 8ourn �p�elllo �xh�u�t f�na: Slze rpWromant— Wlh, IeunOy (5alm); kltchan (t Wclm) <br />O Whol� houw �ah�us� hn '.'�d Imertnlnent nystan hea menual 6 auto wmrde; Outdoor elr supply raq. la heMteda nro. <br />ar <br />❑ Inbprd�d Tom�d�lr �y�t�m � oulslda aly ducl (wlth dampar) allowing betwaan .35 and.6 ACH <br />�N�IUITION PHASE <br />❑ � Wdllmulellan(�6ov�pnd�) <br />❑ "��� Wdl In�ul�llon (bdo�Y pnd�): Ima�r wal� Ineulntlon <br />❑ ����_] FloorinsWd�on <br />❑�_� Cdilnp Insul�tlon: Yxludlnq etlic held� <br />❑ ��%l� v.ult.a e.11lnp Iroul.tlon <br />❑ Vapor nt�rd�ra: walle, llooro, cal�ing <br />[] H�eling �ysUm typ�: i'�'T' �'�'7�� <: For haatpmnpa, An! elza, HSPF, end COP ;.+;•�� <br />FINAL PHASE <br />C� Redon monitor on dtr. wlth Iruuutllona end generel Infamatkn <br />❑ Th�rmod�l: haal m'+pe, 56-75; AC renge, 70�85; ba�h, 55�85. Backup heat wntm'e provenl slmWlanaoue operatlon ol plmuy aye. <br />1] solld fwl eppll�r,en; plasa or motel daors; tllroct canb. etr aouroa, or 4' Ala., desyvad, Ir�ract eourn lor uncrond. anea <br />I. ) Flnpl�c��: 6' combustkn alr eupply ducl wJdamper dlraa lo Ilrabaz;llgM Iltling glans or mmel daore. � <br />i) DHW h��bn: NAECA labai; aapntela power or �es shut-otl; an R•lo ped II olacVlc and In un:orid. �ra� wll on concralc <br />� � M�chmlcnl vmllldlan duct� In�uld�d lo R�: oxhe�nl du�1a In uncoMltlonad eraas/supply euds Im m�dltlonad e�ae� <br />�. ]�.��� HVAC duct�lpl�num Insui�llon: ducU In umm�dltloned ereas era Insulolyd end �alnb ere seeled <br />[.] Plp� Ineuldlon: R�31or hot end mld water plping In uncorMl�hned eraaa QI ea�vlce or ratlrculeling, sae Teble S12) <br />❑ Oround eov�r:8 mll blacN paly�thylenWepproved �quel IeppW 12' el �omi� end ezlanAing lo Icurnlatlon well <br />