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Z 1 � �,w,k�GKh,o <br />Nv���� 1� �� 'NAt-BA'CR CONSTRUCT�ION <br />C/TY OF <br />BU/LO/N6 <br />3200 CEOAR 5T. EYERbTT, <br />� za,sz x•bcxr.en,�u}�� x�r+�.l.',' <br />EL/E �� nrrn � i7�s"�'4l��YY <br />.N�� <br />D/L//S/ON <br />w.o sszoi �sos) zss.ssio <br />1 About this torm: This fortn isn't as involved as R boks, because you only use portbns ot k tor a partta�ter <br />dwetlinp proJect. lnstead of spending time searohinp lhrouph the WSEC, this tortn will help oryanlze and <br />oondense the requirements that apply to your pro�ect. lt Is also an exceltent tool for learnirp the �esldeMtal <br />WSEC requlremeMe. <br />;aequirements are flrouped by toundatbn, framirp, Insulatbn, and iinal Inspedbn phases. This not onty lets <br />you know whal you need to do but also when the Inspedor will be checkinp tor paRicular requirements. Use <br />the iorm to claose comptlance opQons that best sutt the eoonomks 8nd desipn of your proJect. • <br />A desipnated depaRmern enerpy spectaUst can help you wrih your questtons. This fortn wlll help you oompy <br />w:th the WSEC as qukky and painlessly as possible. <br />Rasponslblllty tor Intormatton: Althouyh staH members witl help you wlth yeneral questiona about <br />2 oompletinp lhis tortn, ft is uttimetely your responsibiliry to provide detailed in(ortnation about heatinp eystems, <br />plazinp, insulatbn, and other buildinp speditcations. Be sure to pet prbr approval trom the DepartmeM M you <br />laterwlah to make chanyes In your project. For more requirement detail, reterto the Washinpton State <br />Eneryy Code,1991 Edllbn. <br />Pap� 1, Compilanca Options: Select one oompliance optbn at the top of the table. <br />u • <br />Pap�s 2 throuph 6,1n�ha.Bhsded boz areea onw: Provide Intormation and checkcirc es t et <br />4 applyto your specttic project. D�atP�ace marlcs In the two teit side columns labeted "COMPLIANCE <br />R�OU.IRED• and 'INSPECTION APPROVED' or in boxes lo�ted in non-shaded areas (These a�i.ior <br />depaAment use). ' , , <br />Since this (ortn witl be evaluated tor completeness and aacuracy, you can avoid unecessary parmft delays <br />uy ca�efully providing atl requirad information. You may disrepard Items that don't address your particular <br />buildinp or equipmeM. <br />5 Compllance responslbllity: This fortn will ultimately be used tor all WSEC field inspedions. When ft is <br />retumed wlth your permtt, relevant boxes under the'COMPLIANCE REQUIRED' col•�mn will have been <br />chedced by the Buflding Department. This denotes which WSEC requirements apply to your proJect. The <br />inspector will Inspect your dwellinp agalnst these checked Items and, when deemed acceptable, place a <br />seoond chedc in the 'INSPECTION APPROVED' column. <br />AII Residentia! Occupancies <br />L�/@CfC%C l'�eaf SOlJI'C@ (ezcluding heat pumps) <br />