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Tj�M�-s Dva�o <br />- 7`�3-�(7�Y <br />�IpCY7q Mq�NOLrR RVb�� <br />C/TY OF EL/E�'ETT <br />BU/LD/NG D/L//5/ON <br />3200` CEOA/2 5T. Ef�E/�EiT, iVi� 9B20/ (Z06J 259.8B/O <br />About thls torm: This form fsnY as involved as ft boks, because you only use portions of R for a particular <br />dwelling project. Instead of spending time searching through the WSEC, this fortn will help organize and <br />condense the requirements that apply to your proJect. It is also an excellent tool for learning the residential <br />WSEC requiremems. <br />Requirements are grouped by foundatlon, framing, Insulation, and final Inspectlon phases. This not only lets <br />you knoµ° what you need io do but also when the Inspector wilt be checking (or particuiar requirements. Use <br />the (orm ta choose compliance options that best suit ihe economics 2nd design of your proJect. <br />A designated department energy specialist can help you with your questi�ms. This form will help you compty <br />w�h the WSEC as quickiy and painlessly as possible. <br />Responslbllity for Intormation: Although staff members will help you with general questions about <br />2�` completing this fortn, ft is uftimately your resoonsibilfty to provide detailed Information about heating systems, <br />glazing, insulation, and other building speGticalions. Be sure to get prior approval from the Department K you <br />later wlsh to make changes in your proJect. For more requirement detafl, refer to the Washington State <br />Energy Code,1991 Edition. <br />Page 1, Compl(ance Options: Select one compliance option at the top ot the tabie. <br />3 .. - <br />Pages 2 through 6, In the shaded box_areas enlv: Provide information and checkcircles that <br />q" appiy to your specitic project. D.n__o.e2place marks in the rivo left side columns labeled "COMPLIANCE <br />R�GiU,IRED' and 'INSPECTION APPROVED" or in boxes logated in non-shaded areas (These afa.ior <br />department usej. <br />+ Since this fortn wiil be evaluated for completeness and accuracy, you can avoid unecessary permit delays <br />by care(ully providing all required information. You may dfsregard iiems that don't address your particular <br />building or equipment. <br />Compilance responsiblllty: This for.m will ultimately be used tor all WSEC ileld inspections. When tt is <br />retumed wkh your permit, relevant boxes under the "COMPLIAP�CE REQUIRED" column will have been <br />checked by the Building Department. This denotes which WSEC requfrements apply to your project. The <br />inspector will inspect your dwelling against these checked items and, when deemed acceptable, place a <br />second check in the 'INSPECTION APPROVED" coiumn. <br />All Residential Occupancies <br />F�(.'Ct/'IC f'fG'at SOUCCf' (ezcluding heat pumps) <br />