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� M <br /> b <br /> bC � <br /> Y N <br /> " � � Attachment C <br /> M <br /> r� <br /> A � � � <br /> x C��� ■ <br /> � � � `� plans Fxaminer and �nspector Checklist <br /> H � Address L.>7 �2 �P � 7_�z 1`+ -9��_-- <br /> L � Pertnil No. 3�P� Z�t <br /> '�' y <br /> H plane Ezeminer: Check,write in N/A,or till in value on shaded boxas. <br /> � � y Inepector: Check oH boxes al IAH as items are found to comply. <br /> � � Comp!ience epproecli: (check one) �Systems analysis ❑Cornponent perlormence I�Prescri?tiva peth <br /> I�ote: Some specilics on Ihls form may not apply H <br /> A) compliance app�oach is syslems analysis or componer,i pe�'ormance; <br /> B) compliance to minimum ventilalion aiteria�s demon�'�ra�ou through engineering calculations or peAormance tesling. <br /> FOUNDp.ilOn PHASE <br /> ._. <br /> i1_.,�Eicledor down to Irostllne/sleb bonom;or Intedor 2a'hodzontal ur verllc+d;or,11 redlenL under entlre sleb <br /> ❑ sien:k• N� _ <br /> ❑ Bdow gred��xUrlor wall Imuleqon: � N�A._. � ( <br /> tl Intedor—see Insulatlon Phese) <br /> ❑ Redon mltlpeHon:�.,.N�_......I If locally reqWred,rn crewlspece ventlng<11V3001t2 0l crawl,or veNs Include en operede dempei <br /> ; <br /> FR�MING PHASE — <br /> I �� ❑ Froming: ! Y Stenderd � Ilntermedlete � �I Advenced <br /> ❑ Std alr s�al:solepVsubilr;rlm�sUmud slll;wlndow 6 door irnc�;penetretlon-wlre,plumb,duct.pert���on eWdv,tlue,Ilght ilxtureo <br /> I <br /> I � ❑ Sourc��p�clllo�zhauN lenc Slze requlrement—belh.laundry(50c1m);kilchen(1 W m <br /> � � y PPY a9• <br /> ��� ❑ Whol�houo�eahaud 1en �$� o�m In�ermltlent s stem has menual 6 auto contro�s:Outdoor elr su I r la heWte e rms. <br /> or <br /> ❑ Integrol�d brc�d-alr ry�bm ��A�i Wtslde aly ducl(wllh demper)allowing between.35 end.5 AC <br /> �-�.� <br /> ltiSULATION PIIASE <br /> � ��� <br /> , ___... <br /> ❑ �� 19 <br /> - � � Well Insuleilon(abow grod� <br /> � q. N�A � .,: Wdl Insulallon(b�low grod�):Inte�br well Insulnt on <br /> _ � �; �3p .... ' Floorin�ul�tlon <br /> w <br /> �"� � ' C�Iling ImuleUon:Including ntllc hetch <br /> n a. �� <br /> ❑ b•. N/n � Vaulbd celling In�ulaQon <br /> ��� <br /> 1 � ❑ V.por rderderr.wells,floors,celling -I <br /> ❑ Heetlnp�ystem typr. �i��„ �.,�n{L <br /> � For heatpumps.Ilst slze,HSPF,and COP � <br /> ' ueA��s FINAL PNASE <br /> �' '`' ❑ Radon monitor on slts:wlth Instrucllons end generei Inlormetlon <br /> ❑ Thertnoetat:heot rnnge,55-75;AC mnge.70-�5:both.55-85.Backup heat mMrols prevent simultaneous opemllon ol pdmnry sys• <br /> ❑ golld tcel appllences:gless or metol doors;dlred comb.nlr source.or 4"dla..dampeied.Indlrecl source br vncond erens <br /> ❑ Flnpl�coe:6'combustlon alr supply ducl widampor direci to flrebox;tlqM Iitting gless or metnl doors. <br /> ❑ DMW heat�n:NAECA label;snpnrnte power or ges shut-ofl;on R-10 pnd I1 e'sctdc end In uncord.erea w II on corxrute <br /> ❑ Mschanlcsl wnQletlon ducts InwlN�d lo R-0:exheust dude�n uncordltloned ereas/supply duds Im m�dltloned ereas <br /> �] A. �/q ' HVAC ducts/plmum Imulallon:ducts in unoondltloned ereas ere Insulated arW�olnts ere aeeled <br /> � ❑ plpe Insulallon: R-3 br hot end cold wnter plping In uncondltloned nreas(II servlce a rodreulating,see Teble r 12) <br /> ❑ Oround eover.6 mll b!nck polynihyleneinpprovad equal Inpped 1 T nt�olnts nnd n�tendlry lo IoundFltlon well <br />