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�Doti�,�u E M��L�U..,HLI►J pt�hnentC <br />Plans Examiner and Inspector Checklist <br />PermR No. 3 S I%�i" Address 33 I 5 ��E�Q(� <br />Plans Ezaminer: Chedc, write in WA, or fill in value on shaded boxes. <br />Inapector: Check oH boxes at left as Nems are found to comply. <br />Compllance epproach: (chedc one) � Systems analysis ❑ Component perfortnance <br />I(dPrescriptive path <br />NoN: Some specHics on this form may not eppy N <br />A) complience approach is systems analysis or �nmponent peAortnence; <br />B) compliance to mtnfmum ventiladon aite►fa is demonstrated through engineering calculetions or peAortnance testlng, <br />FOI�D�TION PHABE <br />❑ Sl�b: ��� 6cterlor down to froatllndaleb bottom; or Intarlor 24." horizanal a wrMcal; a. tl radlent. urdx eMhe slab <br />❑ sdow pnd. •xbrlor rrdl I�sut.tlon: �(If Irderbr—sea Insuletlo� Phasa) <br />❑ R�don mlflp�tlon: � H locally raqulrad, or aawispace vendng <1 W300ff2 of aawi, or vente Indude en oparada drmpar <br />i� : ��: ,.�i���:�3 <br />❑ Fnminp �Sfenderd �IMxmedlete � Advanced <br />❑ Std Nr wal: solepvsubllr; dm �Svm�w sm; w�raow s door frmg; panetranon-„nre, pumb, duct, permion sn,ds, nua, iqm nxnras <br />❑ Sourty sp�cMo �xh�ust hnt: Slza raqWrartwnt— bath, iaundry (�m�; knawn ��ooc�m� <br />❑ Whol� hous� �xh�wt hn �� Irtlartnittent syatem has menual 8 auto oontrols; Outdoor alr supply req. fa heMhda rms. <br />or <br />❑ IMpnt�d forc�d-Nr sy�bm � outalde ely duct (wlth demper) allowing belwean .35 end .5 ACH <br />❑ � WNI In�ul�tlon (�bov� pnd�) <br />❑� WNI ImulNbn (bNow ynd�): Irderlor well Insulatlon <br />❑ ��] Floor Imul�tlon <br />❑ .��,: CNllnp Insulatbn: k�duding an� hatch <br />❑ � Vwlt�d cNling Insul�tlon <br />❑ V�por nt�rtNn: walls, Ilooro, celling <br />❑ Nptlnp sysNm typ�: <br />For heatpumps, Ilst slze, HSPF, and COP <br />FYiAI. PIIASE <br />❑ Radon monitor on sltr. with Instrudlons and general Informatlon <br />❑ Th�rmostet: heat renge, 55-75; AC range, 70-85; both, 55-85. Badcup heat conVols prevent simuRaneous operetlon ol prlmery sys. <br />❑ Shcd fud appllanc�s: glass or metal doors; dired cromb. alr source, or 4' dia., dampered, Indlrect source for uncond. erees <br />❑ Flnplao�s: 6" combustlon alr supply duct w/damper dlred to (Irebox; tight 1ltting glass or metal doors. <br />❑ DHW h�ebn: NAECA label; seperate power or gas shui-ott; on R-10 pad if elecVic end in uncond. aree or N on concrete <br />❑ 6Mch�nlcd v�ndl�tlon ducts In�ulat�d to R�: exhaust duds In uncorxlitlonai araes/supply duds I� condltlonad ereas <br />�� <br />HVAC ducts/pl�num Insul�Uon: ducts In unwndlGoned ereas are Insulated and �olnts are saaled <br />❑ Plp� Insulatlon: R-3 for hot and cold water piping In uncondltioned areas (It servlce a redreulating, see Table 5-12) <br />❑ Oround cover: 6 mll black polyethylene/approved eaual lapped 12" et Jolnts and eMending to foundetlon well <br />