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a,,,� �`, <br /> ,�,��,,,� Attaclme�C <br /> �....��— <br /> �`err� <br /> � �� c`� Plans Examiner and Inspector Checklist <br /> �' y y �J g 4�' '� Address �'8� G LEIII(,�Oc7 D <br /> � Pertnit No. <br /> � H � <br /> Plans Exr'niner: Check,writo in WA, or fill in value on shaded boxes. <br /> � y H Inspector: Check oH boxes at left as items are tound to comply. <br /> �y. �" Comptlance approech: (check one) 0 Syslems analysis ❑Component pertortnance LJ Prescriptive path <br /> q� t� <br /> O H d Note: Some specitics on this fortn may not apply if <br /> A) compliance approach is systems analysis or component per(ortnance; <br /> H� g 8) compliance to minimum ventilation criteria is demonstrated through engineering calculntions or pertortnance testinc�. <br /> � y� FouNoano�r� <br /> HH <br /> gy i..i ❑ Steb:���a�or down to froslline/slab botlom;or Inledor^.d"hodzonlal or vertical;or,fl radlant,under eNlre slab <br /> OCy <br /> �c� r ❑ B�low gred��xt�rlor well InauleGon: A - (II Intedor—see InsulaUon Phase) <br /> x y y ❑ p�don mltlgetlon: .��.N A.:. ��localty requlred,or aawlspace venting<1fV300R2 at crawl,ar vents Include an operede damper <br /> H O fA FMM�lG�•PHA� <br /> � ❑ Froming: �Stenderd �IMermedlete u Advanced <br /> i ❑ Std elr s�al:solepVsubilr;rlm JsVmud slll;wlndow 6 door Irms;penetraUon-wlre,plumb,duct,partltlon stude,tlue,Ilght flxlures <br /> I � ❑ Sourc�ap�clflc�zhau�t t�na: Slze requlremenl—bath,laundry(SOctm);kltchan(t00dm) <br /> . �� ❑ Whol�houa�ozheuet 1�n ��olq��Mermlttenl syslem has manual&auto coatrots;Outdoot alr supply req.lor habllabte rms. <br /> or <br /> ❑ Int�gnt�d forc�Nlr sy�t�m N�► oWslde ely duct(wlth damper)allowing batween.35 end.5 ACH <br /> � �_i n�uu►noN�xa� <br /> — <br /> ; � �"�� Wall Ineulellon(ebov�grods) <br /> � �] Well Insuietlon(bdow 9rads):intedor well Insula�un <br /> �� ❑ �"'�"Q_ J Floor InsuleUon <br /> � � C�IIIng In�ulatlon:Including etlic halch <br /> ❑ ����� Vault�d cdling Inaulatlon <br /> �..�'� ❑ Vapor ntard�n:walls,iloors,cell�ng ,.. <br /> _. �; �,t � �.i::r> ;�,� � <br /> ❑ Hsatlag�y�tem type: ���,sG7�[/G � For heatpumps,Ilsl slze,HSPF,end COP _y4 <br /> FINAL PHASE <br /> �..��I — <br /> ❑ Redoa monitor on slte:with Irstrudlons and general Inlormatlon <br /> ❑ Th�rtnostnl:heal range,55-75;AC ranqe,70-85;both,55-85.Backup hout wntro�s prevent simultaneous operallon ol prlmary sys. <br /> ❑ Solld tue�eppllences:glass or metal dcors;direct comb.alr source,or 4"dla.,dampered.Indlrect source lor uncond.areas <br /> ❑ Flropleces:6'combustion air=_upply dud w/damper dlrect to tlrebox;tight titting gless or metal doors. � <br /> ❑ DHW heetere:NAECA label;seperata power or gas shut-otl;on R-70 pad tl elec�ric end In uncond.aree orll on corxrete <br /> ❑ Mechenlcel v�nllletion duata InsulalW to R�4:exheust ducls In uncondltioned areesJsupply ducls in condltloned areas <br /> ❑ '�.�( 7�.� HVAC ductslp!snum Ineuletlon:ducts In uncondltloned areas ere insulated and Jolnts ere seeled <br /> ❑ Plpe Insuletlon:R-31or hot end cold waler plping In uncandltloned arens(tl service or redreulating,sae Toblo 5-12) <br /> � ❑ clround cover:6 mll bleck polyelhyteneJapproved equal Inpped 12'nl�olnls end e�ending to toundation wnll <br />