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�N� Attachmer�t C <br />conE <br />�� <br />Plans Examiner and In�pector �h� �klist <br />Perm�tN�._ 37 _qadress 5912 ��.rZiME2 Qp <br />Plans Examiner: Check, write in WA, or fiil in value on shaded boxes. <br />Inspector: Check oft boxes at leR as items are found to comply. <br />Compiiance approach: (check one) ❑ Systems analysis ❑ Componen; performance L"7PrescriptivE paih <br />Note: Sume specifics on this form may not apply if <br />A) compliance approach is systems analysis or component performa�cr,; <br />H) compliance to minimum ventilation criteria is demonstrated thrc�gh angineering caiculations or performance testing. <br />FOUNDATION PNASE <br />❑ Sleb ��edor down to frostllne/slab bottom; or inledor 24" horizontai or verticai; or, II radiant, under eMlre slab <br />❑ Below greda exterlor well Insuletlori: �(If Intedor—see InsulaUon Phase) <br />❑ Redon mltlgetion <i � If locally requlra;, nr crawlspace venting <1 W300112 0l crawl, or vents Inciude an operable damper <br />FRAMING PHASE <br />❑ Framing: �Standard �Intermedlate � Advanced <br />❑ Std elr seel: solepUsubflr; rlm jsVmud sill; ;vindow & dcor 1rms; uenelratlon-wlre, plumb, duct, partitlon studs, Oue, Ilght flxtures <br />❑ Source apecltic exheust fano: Slze requlrement— bath, laund:y (SOcfm); kitchen (to0cim) <br />❑ Whole houaa exhaust fen �{jr Intermlttent system has manual & auto controls; Outdoor air supply req. lor hebltable rms. <br />or <br />❑ Integrated forced-air system �"', c�tslde aly duct (wlih damper) allowing between .35 and .5 ACH <br />INSULATNDN PHASE <br />❑ � Well Ineulatlon (above grado) <br />❑� Wall Inauletlon (belo 'w grede): Interior well Insulatlon " <br />❑ �:� � Floorinaulatlon <br />❑� Celling ineidetlon: Including atlic hatch <br />❑ � Veulted celling Insuletlon <br />❑ Vepor retardera: walls, Iloors, ceiling <br />❑ Heeting syntem �ype: ���� For heatpumps, Iist size, HSPF, end COP ���� � <br />wA�d' M'�2 FINAL PHASE <br />❑ Redon monitor on slte: wlth Instrudions and c,erera! ;;itormatlon � <br />� Thertnostet: heat range, 55-75; AC range, 70-85; boL'i, 55•85. 3ackup heat controls prevent slmultaneous operatlon ot prlmary sys. <br />❑ Sclld fuel eppllences: gla;s or metal doors; dired comb. alr source, or 4" dla., dampered, Indlrect source lor uncond. areos <br />❑ Flrapleces: 6" combustlon air supply duct w/damper dlred to firehox; Ught tlttlng glass or metal doors. <br />❑ DHW heaters: NAECA label; s�parate power or gas shut•ott; on R-10 pad if eleclrlc and I� uncond. area orll on concrele <br />❑ Mechen�cal ventlletlon ducts Insuleted to R�4: axhaust duds In unconditloned areas/supply duds In condltloned areas <br />❑�� HVAC ducia/plenum InsulaUon: duds In uncondltloned areas are Insulated and Jolnts are sealad <br />❑ Plpe Insuletlon: R-31or hot and cold water plping In uncondltloned areas lll sarvlce or rsdreulating, see Tabls &12) <br />❑ Qround cover: 6 mll black polyelhylene/approved equal lappod 12" at Jolnls and extending to foundatlon wall <br />