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, � Activity/Pe tit # <br /> NWEC Lowrise Residential Compliance Check Iist <br /> Electricelly heated dwellings, s 3 stories, Zone 1, Western Washington <br /> .; ,,.,�, , . , ;.: <br /> _� g��`��` <br /> FORM INSTRUCTIONS ,,; p�eaee read betore complednp torm <br /> a ` ' <br /> 3 :> ,n xc. <br /> 3 . �". . ..., . .. . ...... .a. <br /> � Fill in ail shaded Inlormation bozea that apply to your project.�Gl place marks in the two left side � � <br /> columns labeled 'COMPLIANCE RE�UIRED' and "INSPECTION APPROVED`. Since this torm <br /> wlll be evaivated for completenese, you can avold unecessary permlt delays by carelully providing all <br /> requtred Informatlon. You may disregard informatbn requestes that don't address your particular <br /> buildirp or equipment. <br /> 2 Stafl membere will hetp with general questlons about filiing out this form. However, it is your <br /> reponsibility to provide specilic Iniormation lor heating systems, glazing, Insulation, and other <br /> building specifications. For specitic requirements, refer to Ihe Northwest Energy Code, 1987 Edition. <br /> This form will ultimately be the basis for ali NWEC Ifeld Inspections. You can avoid problems by <br /> seekinp approval lor any substitutlons belore Incorporating them into the pro�ect.The buildinp ollicial <br /> may requlre ihat you substantlate comp�iance claims a�out building products or techniques by <br /> providlnp documentation Irom approved testing agencles or code authodtles such as ICBO. I <br /> 3 When your permit is Issued, you will recefve a copy of this lorm. Boxes will be checked under <br /> 'COMPLIANCE RE�UIRED" Indicating NWEC requirements that must be Incorporated Into this <br /> proJect. Each checked requlrement will be evaluated by the building inspector and ,when deemed <br /> acceptable, marked approved In lhe "INSPECTION APPROVED'column. <br /> � ,. :,��_. � � c �x;�. . <br /> .:: ,.. ; I <br /> , . .. . ..�..: ,. <br /> DATE — � Clty County n°ti•M'�� � <br /> NAME.�-+'ah ih l70N(P1 BUILDING ADDRESS � LOT N_ I <br /> v 8/Y� � <br /> BUILDINO TYP : COMPLIANCE PATH: I <br /> � Residentlal: ❑ SI le Fam. ❑ Chapler 6 (< 5000 Ft2) <br /> [; Remodel ultl Fam. �Component Perlormance ChM5 <br /> ❑ Addltion ❑ M Stories_(s 3) ❑ Systems Analysls Cht14 <br /> � Points System Ch#7 <br /> , _r ,,.. � �.. <br /> . �. <br /> > . _�• <br /> ; Heating System Type: �; NOTE: AU non•elactrlcally heated <br /> 4P .wi'' <br /> Electria a , • dwelllnps must comply w/fh the <br /> OBaseboard OFor ed airiumace 1986 Waahlnpton State Enerpy <br /> �Heat pump one heatera Code and other ordlnancea of thls <br /> [)Other )uNadicHon. <br /> atr�d.:: �:a.� »r�..::s::�--azwm ...�:.::< , .�-' �3.�`�`°�,'�.�.�e�>'t����. <br /> s. v . ,e <br /> i <br /> W�wIL�0 <br /> NWEC plan revlew: (Depahment use only) � <br /> Approvad by Date � 'z6- 9� <br /> ___ Page 1 of 7 <br />