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j -- (., , ),.C.� . Activity/Peri'. i # <br />NWEC Lowrise Residential Compliance Check iis;t <br />Electrlcelly heated dwellln <br />FORM INSTRUCTIONS: <br />3 stories, Zone 1, Western Washin <br />� <br />. . . .. . kv , y � . ._< . . . <br />Pleaoe read belore completing Jorm <br />n <br />FIII in all ahaded Intormation boxes that apply to your proJect. t�n.IIIIfll place marks fn fhe two left side <br />columns labeled " COMPLIANCE REQUIRED" and "INSPECTION APPROVED". Since thls icrm <br />will be ��valuated for completeness, you can avold unecesssry permit �elays by care(ully providing all <br />required Inlormalion. You may dfsregard In(ormation requestes that don't address your particular <br />building or equipment. <br />Sta(( members will help with general questions about (flling ou"r this form. I lowever, it is your <br />reponslbility to provide speci(ic Inlormatlon (or healing systems, glazing, insulallon, and olher <br />building specifications. For specific requiremenis, reler to the Northwest Energy Code, 1987 Edition. <br />This form will ultfmateiy be the basis for all NWEC Iieid inspections. You can avoid problems by <br />seeking approval for any subslitulions betore incorporating them inlo the proJect. The building olliclal <br />may require that you substantiate compliance claims aboul buildfng products or techniques by <br />providing documentation (rom approved testing agencies or code authoripes such as ICBO. <br />When your perc;�ft Is issued, you will receive a copy o1 this (orm. Hoxes will be checked undar <br />"COMPLIANCE REQUIRED" Indicating NWEC requlrements that must be Incorporaled into lhis <br />proJect. Each checked requirement will be evaluated by the buildfng inspeclor and , when deemed <br />acceptable, marked approved in the "INSPECTION APPROVED" column. <br />DATE_7'/5'/� CIt <br />NAME_ 1` • C—. ��L�7�ii1rJ BUILDING ADDRESS S�S %%� U/S��iJ S LOT # <br />BUILDING T PE: COMPLIANCE PATH: <br />New Residential: � Single Fam. D��/(�f � Chapter 6(< 5000 Ft2) <br />Remodel D.Multi Fam. Compononl Perlormance Ch;t5 <br />❑ Addltlon [] N Stories �— (s 3) Systems Analysis Ch8 4 <br />[� Points Systam C!h#7 <br />Heating System Type: <br />Electric: <br />C] Base board <br />C] Heat pump <br />�j Other_ <br />�Forced air furnace <br />Zone heaters <br />NWEC p18n revlew: (Department use only) <br />Approved by Date <br />NOTE: All non-electr/cally heated <br />dwelfings must comply wlth the <br />1986 Washington Stafe Energy <br />Codm and other ordlnances o/ thls <br />�uriadlctlon. <br />WEE9 APpIL YO <br />Ppge 1 ot 7 <br />