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w wGrav 8 A 5 i c. }� 2ZD Attacfuneirt C <br /> �a� 'TizEpwAY Co�P <br /> r�c�� <br /> Plans Examiner and I���ector Ch�vklist <br /> Peimit No. 4 I2lV _qddress <br /> Plans Examiner: Check, write in WA, or fiil in value on shaded boxes. <br /> Inspector: C;heck oH boxes at left as items are found to comply. <br /> Compltance approach: (c.ieck one) ❑Systems analysis ❑Component performance LJ Prescriptive paih <br /> Note: Some specitics on this form may not epply if <br /> A) compliance approach is systems analysis or component performance; <br /> B) compliance to minimum ventilation Giieria is demonstrated through engineering caiculaiions or performance iesiing. <br /> FOUNDATION PHASE <br /> ❑ Sleb ��edor down to irostline/slab bottom;or Intedor 24"horizontal or vertical;or,If radlant,under antire slab <br /> ❑ Below grede eMerlor wall Insulatlon: �� �If Intedor—see Insulatlon Phase) <br /> ❑ Redon mltlgatlon �If locally requlred,or crawlspaco vunAng<1fV3CO1t2 of crawl,or vents Include an operaWe damper <br /> FRAMING PHASE <br /> ❑ Framing: �Standard � •;� Intermedlale I , ' Advanced <br /> (.: :: � <br /> n Std alr seal:solept/subllr;rim�Vmud slll;window&door frms;peneiratlon-wlre, plurb, duct, portltlon studs, Ilue, Iight IlMures <br /> L7 Source specltic exheust tan:J: Slzo requlrement—bath,Iaundry(50c1m);klichen (100c1m) <br /> ❑ l'hole house exheust fan �(�� Intermlttent syslem has manual& auto controls;Outdoor alr supply req. lor habilable rms. <br /> ❑ integreted forced-alr system � outslde aly duct(wllh damper) allowing between .35 and .5 ACH <br /> INSULATION PHASE <br /> � � Well Insuletlori (above grade) <br /> � �!`�� Y✓all Ineulatlon (bolow grado):Inlerlor wall Insulatlon " <br /> � �� Ffoor Insulollon <br /> � �__:__„? � Cellinfl Insulation:Inducfing attic hatch <br /> � � Vaulted celllnfl Insulntlon <br /> ❑ Vapor retarders:walls, Iluors, celling <br /> ❑ Hoating system type: �i ,� C� For heatpumps, Ilst slze, HSPF,and COP C �,^� <br /> k..�. <br /> FINAL PHASE <br /> ❑ Redon monitor on site:wlth Instrucllons and general Inlormatlon <br /> ❑ ThermostnL•hoat rango,55-75;AC ranga, 70-85;�th,55-85. Backup heat controls prevent z,multaneous operatlon of prlmary sys. <br /> ❑ Solld luol oppllnnr.as:glass or metai doors;dlrect comb.alr sou�ce, or 4"dla.,dampered, Indirect source for uncond,aroas <br /> ❑ Flruplecos;6"combustlon alr supply dud w/damper dlred to Ilre6ox;tlght fitting glass or metal dcors. <br /> ❑ DHW hentors:NAECA Iaboi;soparato po�ver or gas shut-off;on R-10 pad II electrlc and In uncond. area orlf on concroto <br /> U Mochonlcnl ventlfatlon ducls Inaulnted to R-4: oxhaust duds In uncondltloned areas/supply duds In condllloned aroas <br /> � �-�_� HVAC ducts/plencm Insulntlon:duds In uncondllloned areas aro Insulatad and)olnts are sealod <br /> ❑ Plpe In�c;ntlon: R-3 lor hot and cc�d water plping In uncondltlonod areas Qf servlce or redreulating, seo Tablo 5-12) <br /> �� c+roun� r.- vor. G mil bl.ick Fotyethylene/apprcv�d oq�.�.l lappad 12'at Jolnts and oMondF�g to toundailon wall <br />