__ _ _ ._
<br /> _ ,
<br /> �s�i�'G�,�� Attacfunent C
<br /> F���
<br /> GL)UE
<br /> FF�CC'=,Plvt
<br /> �9an� E���ane� and l�a�r�e�or G���kga�
<br /> Perm�tNo._�3S%� _Adaress _l�7 I( � i"1 p�A� oF P�nl�.t+UILs7
<br /> (1+oYJ�a� .�vE
<br /> Plans Examinar: Check, wri!e in N/A, or fill in valua on shaaed 6oxes.
<br /> Inspector: Check off boxes at left as items are iound to comply.
<br /> Complfance approach: (check one) ❑Systems analysis ❑Component performance �Prascriptivo paih
<br /> Note: Some specifics on this form may nol apply it • �
<br /> A) compliance approach is systems analysis or component performance;
<br /> B) compliance to minimum ventilaiion criieria is demonstrated through engineering calcul�ticns er periormance te,iing.
<br /> FOUNUqTIDN PHASE
<br /> ❑ Slub: �Exterlor do�m to Irostllne/slab bottom;or Intedor 24"horizontal or ver;la�l;or, it radlznt,urder antlro slab
<br /> r—
<br /> ❑ Below grade exterlor well Insulatlon: � � (II interlor—ser Insulapon Phase)
<br /> ❑ fledon mltlgatlon:�II locally requlred,or crawlspace venting<1fV300tt2 of eran�i, or ven;� h�c;udo an c�.ra�lo damFer
<br /> FRAMING PKASE
<br /> L�, Froming: �Standard �Intermedlate j� .� Advanced
<br /> � Std alr�eol:solepUsubflr,rim JsL'mud sill; �vindow&door trrs;pane;rztlornwlre, piumb,dud, partitlen studs, flue,Ilght 1lkures
<br /> �J Source speclllc exhnus2 f❑ns: Slzo roqulrement—Fath.laund'y(5Cctm); kltchen(t00c1m)
<br /> � Whole house exheust 1an `�O ctm Intermlttent syslam ha=manual &auto coc -cls;Outdoor alr supply rc�G. '_r hzbltab!e rms.
<br /> or
<br /> � Integratod forced-elr systom � cutside aly duct(wllh damper)allowing beRveen.35 and .5.�CH
<br /> IHSULATION PHAS�
<br /> � Fi-_��-� Wall Insulnllori (n6ove groda) �
<br /> L R-�� VJuI! InsulnUon (below gmdo):Ir,L;rlcr v;all Irsulaticn ��
<br /> ❑ 'U^ Fioor In�ulailon
<br /> R_...�—�
<br /> L.' 'R-_1_�� Celling Insuletlon: Includ!ng arlc hatch
<br /> �� R�- �G� Vaulted celling Insulntlon
<br /> ❑ Vapor roturders:walls,1loors,ceiling
<br /> ❑ Hooting system typo: ����'�� J i cr I�o�L..�r�ns 'Ist cc�,, i ISPF, c:;,�' COr �.__._�..—,- ---,J� .
<br /> ZoU�-�' FINALPHASE
<br /> � Rodon monitor on slte:wlth instructlons and general Informatlon
<br /> ❑ Thartnostnt: heal renge, 55-75;,4C range, 70-85;both, 55-85. Backup heat conlrols prevent slmullaneous operatlon o(prlmar/s;�s.
<br /> � Solld lual oppllnnces:glass or metal doors;dlred comb.alr source,or 4"dla., dampered, Indlrect sourca for uncond ar�as
<br /> � Firaplacos: 6'combustlon alr supply duct w/damper dlrect to(Irebox;tlant Ottlrg 51ass or matal doors. -
<br /> ,_i DHW hoators:NAECA labol;separ�te powor or gas shut-ott;on R•10 pad II alee,rlc and In uneond:ar�aa a�lf on cor,aeto
<br /> __' Mechonlcul venUfatlon ducts Ins�!leted io R-4: oxhaust duds In uncondliloned areaslsup�ly ducts In condltlonad arezs
<br /> :_i �-�� HVAC ducts/plenum Insulation:ducts in unconditloned areas are Insulated and Jolnts are sealed
<br /> � .� Plpo Insulntlon: R-3 (or hot and cold water plping In uncondltlonad areas(II servlce or redreulaUng,see Table 5-12) .
<br /> ❑ �_,round covor: 6 mil black polyethyleneiapproved oqual lappod 12'at Jnlnt_and er,tonding to fcurdatlon wzll
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