Laserfiche WebLink
�� <br />Activity/Pe'" ;tit # <br />. � ,� � <br />° � � � £¢ �; rn.� .� a� . . . . . . � . • : • � - a� �'� a <br />. � � Y' � . <br />�� 3�,� .. � � <br />, 4 � � a�.i"YY 3 rF iE..;� " . . - " . ..... ........ :... . .. n>,�.«�..r..«..:.m..,s wvvo�°S�w�`�'a`�.'�d?�lli,` <br />Fill in all shaded Information 5oxes that apply to your proJect. DnnQt p�ace marks in the two lett slde <br />columns labeled " COMPLIANCE REOUIRED" and "I�SPECTION APPROVED", Since this torm <br />will be evaluated tor completeness, you can avoid unecessary permit dels,+s by carefully providing all <br />required information. You may disregard inlormation requestes that don't address your paAicular <br />buildfng or equipmeM. <br />Staff members will help with general questions about filling out lhis torm. However, it is your <br />reponsibility to provide speciiic information ior heating systems, glazing, insulation, and other <br />buiiding specifications. For specitic requirements, refer lo the NoAhwest Energy Code, 1987 Editfon. <br />ThiF form will ultimately be the basis for all NWEC (ield inspections. You can avoid problems by <br />soeking approval for any substitutions be(ore IncorporaUng them into tFie project. The building of(icial <br />may require that you substarniate compliance claims about building products or techniques by <br />providing documentation irom approved testing agencies or code authoritfes such as ICBO. <br />When your permit fs issued, you will recefve a copy of this torm. Boxes will be check»d under <br />"COMPLIANCE REQUIRED" Indicating NWEC requlrements that must be incorporated into thfs <br />project. Each checked requirement wfll be evaluated by the building inspector and , when deemed <br />accsptable, marked approved in the "INSPECTION APPROVED" column. <br />DATE '� /3-Y` <br />NAME � C• Cot�/}�I BUILDING ADDRESS S1S Mf}d/�o�.l S%• LOT # <br />BUILDING 3YPE: <br />�� New <br />❑ Remodel <br />[j Addition <br />COMPLIANC� PATH: <br />Residen,lal: ❑ Single Fam. �L4 1eX <br />� Multi Fam. � <br />❑ # Storiee y (s 3) <br />Heating System Type: <br />Electric: <br />j�Base board <br />�Heat pump <br />[] Other_ <br />[�Forced air turnace <br />�¢'Zone heater5 <br />NWEC p/an revlew: <br />Approved by <br />�Chapter 6 (< 5000 Ft2) <br />Component PeAormance Gh#5 <br />Systems Analysis Ch# 4 <br />� Points System Ch#7 <br />NOTE: All non-electricelly hetated <br />dwellings must comp►y wlPh the <br />1986 Washington State Energy <br />Code and othar ordlnances o/ thls <br />Ju►iadlctlo2 <br />Y<Es <br />WEES APRIL VO <br />USe Only) <br />D8f9 page 1 ot 7 <br />