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` ` - ��`; Activity/Permii # <br /> l.- � � CJ <br /> �. <br /> �„y NWEC Lowrise R�siva��tial Comp: iance Check list <br /> >.� <br /> m�w <br /> �xy Electrically heatEd dwellings, s 3 stAries, Zone 1, Western Washington <br /> H r"�3 <br /> ti z� <br /> �e c� <br /> H�1 � � � .. . .. .. .. . ..: . <br /> �-�.y �� FORM INSTRUCTION1i: � please read betore completing torm ; <br /> - � ` .'.� . , .. <br /> � o h � Fill in all shaded intormation boxes that apply to your projecL DQnQt place marks in the two Iett side <br /> o H d L •� columns labeled " C:OMPLIANCE REQi)IRED" and "INSPECTION APPROVED". Since this form <br /> � n o �: will be evaluated lor completeness, you can avoid unecessary permit delays by carefully providing all <br /> c�� o s�' ��, required inlorma�ion. You may disregard inlormation requestes that don't address your particular <br /> H xx <br /> z �.,� ��t .� ,,, building or equipment. <br /> � y z ,y + �-�.;: <br /> �"'� � �^ Staff inembers will help with general queslions about filling out this form. However, it is your <br /> o �H , > > reponsibility to provido specific information for heating systems, glazing, insulalion, and other <br /> � �� �k ��,' . building specilications. For specific requirements, refer to �he Northwest Energy Code, 1987 Edition. <br /> z �� �,��* This form will ultimately be the basis for all NWEC field inspections. You can avoid problems by <br /> y p� ,,,�� seeking approval for any substilutions before incorporating Ihem into the projecL The building ollicial <br /> x, F:,' . may require that you subslantiate compliance claims about building products or techniques by <br /> � � ,:, providing documentation 1rom approved testing agencies or code authorities such as ICBO. <br /> � <br /> .� x� � When your permit is issued, you wdl receive a cupy ol lhis form. Boxes will be checked under <br /> °�3FFs`O "COMPLIANCE REOUIRED" indicatin NWEC re uiremenls that must be incor rated into this <br /> �z 9 4 Po <br /> projecL Each checked requirement will be evaluated by the building inspecror and , when deemed <br /> (�'� ""'� � � acceptable, marked approved in thz "INSPECTION APPROVED"column. <br /> a <br /> i <br /> � DATE J_S' Jv Clty_�_V�"11ti�� Counly���'orfc�'n I�H <br /> �' NAME���� C/�u�'T �-�i�Ht.S gUILDING ADDRESS Z2 � ����/�7 � LOT �_ <br /> '. �4 BUiLDING TyPE: COMPLIANCE PATH: <br /> �New !7esidential: Single Fam. Chapter 6 (< 5000 Ft2) <br /> d Remodel �Multi Fam. � Component Perlormancs Ch#5 <br /> ,1 � Addition ❑ q Stories_(s 3) 0 Syslems Analysis Chii 4 <br /> � Points System ChN7 <br /> I ;; � __ <br /> Heating System Type: NOTE: All non-electNcally heated <br /> Electric: dwellings must compty wlth the <br /> �Baso board [7Forced air lurnace '986 Washingfon State Energy <br /> OHeal pump R1Zonc heaters ��', Code and other ordlnances ol thls <br /> � <br /> �Other_ T jurisdiction. <br /> .�.�.�....�.. <br /> vrces nvm�eo <br /> NWEC plan revlew: (Department use only) <br /> Approved by Date <br /> Page t ot 7 <br />