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ti n � <br /> � r � <br /> � � � <br /> c <br /> � � � �� Attachmem;C <br /> o � <br /> � � CODE <br /> � � � � plans �caminer and ! ectoc Checklist <br /> � � , � , ��- � �'1 ` i� � '' r - <br /> '? Address�— <br /> � H Pertnit No. �-� ,'�- � —� <br /> � H <br /> � plane Examiner: Check, rile in N/A,or till in value on shaded boxes. <br /> � o y I�apector: Check aH boxes a�ieH as items are found to comply. <br /> � �a Compllence epproech:(check one) �Syslems analysis �Componenl perlormanc� L)Prescriptive palh <br /> N <br /> Note:Scme specllics on this form may nol apply if <br /> A) compliance approach Is systems analysis or component perlormanco; <br /> B) compliance to minimum ven111ation afierfa Is cinmonstreted lhrough engineering calculations or pertormance testing. <br /> FOUNDATION PH�E - <br /> ❑ Sleb:�+-_....._,_�Exterlor down to Iros�llnelalab botlom;or IrAerlor 24'horizontel or vertical;or,N redlent,under enUre sleb <br /> ❑ B�low grad��M�rlor we�l Insu�aGon: __.______ ( <br /> If Irderlor—see Insule0on Phese) <br /> ❑ padon mltigatlon:���locally requlred,or aawlspece venLng<7tV300112 0l aawl,ar venta Indude en operede dnmper <br /> FMMM6 PIIASE -_ <br /> C� F �Slanderd C�Inte�medlete L_�Advenced <br /> � ,nminp: --_-- <br /> Q�Std alr��al:solepVaubflr;rlm�eVmud slll;wlndow 8 door frms;penetretlon•wlre,plumb,duct,pertitlon studs,Ilue,Ilght flxtures <br /> � L�L�Souro��p�cllle�xhau�t tem: Slze requlremenl—be1h,leundry(50cim�;kltchen(100c1m) <br /> I I� �7 imarmmern s tem hes mnnual 6 auto wntrols;Outdaor elr supply req.la hnbltebin rms. <br /> _�a (�� W hol�houw�xh�u�t Im � }._. drt� 1re <br /> ❑ IM�pnt�d loro�d-alr sy�Hm C� atslde ely ducl(wlth demper)ellowing Getween.35 end.6 ACH <br /> W�lLATION PHA.S� <br /> f�s <br /> i ��� <br /> � �,—�_� Well In�ulallon(�bow Bnd�) <br /> � �____�� Wdl In�uletlon(bdow gnd�):IMerlor well Insulatlon <br /> ❑ �,...._.."J.."�`;'„] Floorin�uletlon <br /> ��' � C�Illnp Insuletlon:Induding etllc hetch <br /> �� <br /> ❑ �--� VeuH�d c�lling In�ulatlon <br /> d '��_ <br /> _, 1 ❑ Wpor rN�td�n:wells.tloora.celling .. _. _..-----. _ <br /> ❑ Hwtinp�y�t�m typ�: � � For heetpumps,Ilst size,HSPF,end COP L . _ . ___� <br /> C___.-__--- <br /> FINAL PFIASE <br /> � � <br /> ❑ padon monllor on�flr wlth Instrudlons and general Intormatlon <br /> ❑ Try�rmoNat:heat renge,55-75;AC renge.70�85;bolh,55-85.Backup heat conlrols prevent slmutteneous oparetlon ol prlmnry sys. <br /> ❑ Shcd fud appllancn:gless or metel doors;dlred comb.elr source,or 4'dla.,demperod.Irxllrect source lor unrnnd.erens <br /> ❑ Flnpl�c��:6'combustlon alr supply ducl wldamper direa to Ilreboz;tight Iliting gless or metal doore. <br /> ❑ DHW h�N�n:NAECA lebel;aeperete power or ges shut-ofl;on R-10 ped II elecirlc and In uncond.eree a II on concrete <br /> ❑ hNchanlcsl v�nUlNlon duct��nsul�t�d lo R�4:exheust ducie In uncond�tloned areaslsupply duds In oondNloned erees <br /> � � _ ____] MVAC ducldpienum Imul�Uon:ducla In uncondltloned erees ere Ireuleted end�olnts are seeled <br /> . ❑ Plp�In�ulNlon:R-3 lor hot erd cold weter plping In uncondltloned erees(II servlce a redreuleting,eee TuMe 5-12) <br /> ❑ Oround cov�r:6 mll bleck po�yethylene/epproved eqval lepped 12'at�olnts end eztending to Iwndatlon wnil <br />