1407 MADRONA AVE 2016-01-01 MF Import

-:4 � y� �� T cirr oF Ev��rr BU/LD/NG O/I//5/ON 3200 CEOAR ST. EYERETT, i4i7 9920/ (206J 259.BB/O About ihis lortn: This lorm isn't as involved as i� looks, be:ause you only use portions of it 1or a paAicular dwelling projecL Instead of spending lime searching through ihe 6'JSEC, this form will help o�ganize ac� condense the reqWremenls ihat apply to your pro�ecl. II Is also an excellent tool lor Iearning ihe resii�nUal WSEC requlrements. Requirements are grouped by loundation, lraming, Insulation, and finai Inspectlon phases. This not only lets you know what you need to do but also when ihe Inspoctor will be t�hecking lor particuiar requiremenis. Use �ho lorm to choose compliance options Iha� best sutt the economics and design o� your project. A designated department energy specialist can heip you wilh your questions. This form wlll help you comply w%h the WSEC as quickiy and painlessly as possiblo. 1 Responslbliity lor Inlormatlon: Although staff inem6ers wlll help you with general queslions about comploting this form, it is ultimately your responsibility to provtde detailed informalton aboul heating systems, glazing, Insuiallon, and other bullding specillcalions. Be sure to get prior approval lrom the Department il you later wish �; r�3ke changes In your proJect. For more requfrement detail, reler to ihe Washington�S!ate Energy Code, 1991 Edition. Page 1, Compllance Optlons: Select one compliance oplion at the top ot Ih� table. Pages 2lhrough 6, In fhe �haded box area� onw: Provido inlormalion and check clrcies that apply lo >our specific project. �n�otplacamarks In Ihe hvo lelt side columns labeled'CAMPLIANCE REuUIRED" and 'INSPECTION APPROVED' or in boxes located fn non•shaded areas (These are lor department use). Since Ihis lorm will be evaluated lor compieteness and accuracy, you can avold unecessary pertnil delays by carefully provtding all required Inlormalion. You may dlsregard 0ems �hat don't address your parllcuiar building or equipment. Compllance responslblllty: This torm will ullimately be used lor all WSEC Ileid inspeclions. When It is . returned wilh your permit, relevant boxes under the "COMPLIANCE REQUIRED" column wili have been checked by tha Buflding Department. This denotes which WSEC requlrements apply to your project. The Inspedor will inspect your dwelling against ihese checked Items and, when deemed acc:ptahle, place a secand check fn the 'INSPECTION APPROVED" column. All Residenfial Occupancies OTHER heaf source �Gas, oil, propane, wood, heat pumps)