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11 <br />,ter <br />y O/Ty OF EVERETT <br />/LD//!/G D/y/T/D/V <br />3200 CEDAR 5T. EYERE77, W 98201 (206) Z59-P610 <br />1 About this form: This form isn't as Involved ash looks, because you only use portions of it for a particular <br />dwelling project. Instead of spending time searching through the WSEC, this form will help organize and <br />condense the requirements that apply to your project. It is also an excellent tool for learning the residential <br />WSEC requirements. <br />Requirements are grouped by foundation, framing, Insulation, and final Inspection phases. This not only lets <br />you know what you need to do but also when the Inspector will be checking for particular requirements. Use <br />the form to choose compliance options that best suit the economics and design of your project. <br />A designated department energy specialist can help you with your questions. This form will help you comply <br />w1th the WSEC as quickly and painlessly as possible. <br />Responsibility for Information: Although staff members will help you with general questions about <br />2 completing this form, it is ultimately your responsibility to provide detailed information about heating systems, <br />glazing, Insulation, and other building specifications. Be sure to get prior approval from the Department H you <br />later wish to make changes in your project. For more requirement detail, refer to the Washington State <br />Energy Code, 1991 Edition. <br />Page 1, Compliance Options: Select one compliance option at the top of the table. <br />3 . <br />Pages 2 through 6, In the shaded box areas only: Provide information and check circles that <br />4 apply to your specific project. not place marks In the two felt side columns labeled "COMPLIANCE <br />REQUIRED' and 'INSPECTION APPROVED' or In boxes located non -shaded areas (These arafor <br />department use). <br />Since this form will be evaluated for completeness and accuracy, you can avoid unecessary permit delays <br />by carefully providing all required information. You may disregard items that don't address your particular <br />building or equipment. <br />4 <br />S, Compliance responsibility: This form will ultimately be used for all WSEC field inspections. When H is <br />returned with your permit, relevant boxes under the "COMPLIANCE REQUIRED' column will have been <br />checked by the Building Department. This denotes which WSEC requirements apply to your project. Tha <br />Inspector w;il inspect your dwelling against these checked items and, when deemed acceptable, place a <br />second chcdc In the -INSPECTION APPROVED' column. <br />All Residential Occupancies <br />Electric Heat source_ (excluding heat pumps) <br />