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� y <br /> b� H <br /> �Htn <br /> �� � , , Activity/Pe it # <br /> ��� .�� <br /> yy NWEC Lowrise Residential Complf�nce Check list <br /> �� � <br /> �� g Elect�lcally heaied dwellings, s 3 stories, Zone 1, Western Washington <br /> CHJY (] <br /> zH <br /> y y ...... ........ . . ..... . �: �n.:- � s:�`�.r...n.at s s "L'„'�z:e n es•>a . . . •:: .-:' a.�... <br /> t"MH <br /> FORM INSTAUCTIONS: ° , please read betore compleUng torm � <br /> g� . ,,.,.....�_ ._.,.�.�..— _ � ;.. ._ <br /> ���' � Fill In all shaded informatlon boxes thal apply to your pro�ect.➢anol place marks in the two lelt slde <br /> columns labeled" COMPLIANCE RE�UIRED' and 'INSPECTION APPROVED". Since this foim <br /> y o� will be evaluated ior completeness, you can avoid unacessary permit delays by carelully providinp all <br /> required Information.You may disregard Inlormalion requesl�s ihat don't addreas your oarlicular <br /> building or equipment. <br /> 2 Stalf inembers will help with general questions abaut fflling out ihis form. However, it is your <br /> reponslbllity to provide specific inlormatlon lor heatlng systems,glazing, insulatlon,and other <br /> bullding specilications. For specilic requirements, relor to the Northwest Energy Code, 1987 Edilion. <br /> This form will ultimately be the basis lor atl NWEC field Inspections.You can avold problems by <br /> � seekinp approval lor any subslitullons belcre Incorporaling them into the pro�ect.The buildinp of�ic�al <br /> � may require Ihal you substanliate compliance clalms about building producls or Iechniques by <br /> providing documentation�rom approved testing agencies or code aulhoritles such as ICBO. ,_. <br /> }�r 3 ; Whan your permit is issued, you will receivr. a copy ol lhis lorm. Boxes will bo:iiecked under <br /> "` 'COMPLIANCE REOUIRED" indicalin9 NWF.0 requiremonts Ihat musl be Inccrporaled into Ihis <br /> '�' projecL Each checkod reyuir�rnont v ill be ovaluatad by the building inspector and ,when deemed � <br /> acceplable marked app�oved in tha "INSPECTION APPROVED"column �� <br /> 1�' .8`�'ja"��v &.. �c Y.�• ..j.,: :i�. `:'5��,. . �"�w�C �„0a.4 +ae ��e��� <br /> ' 1 <br /> '�' . . ... .. . ..�._�... :, .. .,., . . <br /> , ,._.�.. . .. ,.. <br /> �x <br /> '�' DATE�City v County � � <br /> ��I NAME <br /> ���'� `l BUILDING ADDRESS�5ZZ � Ca�?� �_LOT p_ : <br /> ' \ BUILDING TYPE; COMPLIANCE PATH: <br /> ' �New Resldential: � Single Fam. ❑ Chapler 6(< 5000 F12) <br /> ❑ Romodel ❑ Multl Fam./ � Componenl PeAormance ChA5 � <br /> '� ❑ Addition ❑ N Slories—(s 3) ❑ Systoms Analysis ChM 4 r <br /> � � Points Syslem ChA7 <br /> ' �� <br /> �� &� <br /> qg• e g,���:. a , . _. , .0 r ��^," s YEd .�i �' ri.��: o +_. . �e,ca' <br /> �' 4u,.���; e z.. .. . . .. <br /> � �x Heating System Type: ' ; NOTE: All non electrlcally haated <br /> � �.. <br /> � � Electric: a4 .� dwel!InBa muaf comply wlfh the <br /> r' ❑Baseboard OForcod airfumace 1988 N'ashlnpton Stete Enerpy <br /> � �Heat pump �Zone heaters Code and ofher ardlnances ot thls <br /> �Olher _ Iurtadlction <br /> :.»*.'�.�8 3. T`. ?:4a,ixEai.`a �':: <br /> _._.. ,._..-_. . <br /> WEEB►YNIL�C <br /> NWEC plan revlew: (oepanmen�uso oniy) <br /> Approved by Date_ p�pe � o� � <br />