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OS-O!?r;: <br />Activity/P��it # <br />NWEC Lowrise Residential Compliance Check list <br />Electrlcally heated dwellt <br />FORM INSTRUCTIONS: <br />s 3 storles, 2one 1, Western Washi <br />Pleasa read bafore completlnp form <br />Fill in all shaded Information boxes that apply to your project. �a�ut place marks in the two tett eide � <br />columns labeled' COMPLIANCE REQUIRED" and 'INSPECTION APPROVED". Since thfs form <br />will be evaluated for completeneas, you can avoid unecessary pertnit delays by carefully providing all <br />required iniormation. You may disregard IMormatbn requestes that don't address your partkular <br />building or equipmeM. <br />2 Statt members will help wRh gene�al questions about filling out this form. However, it is your <br />reponslbility to provide speciilc Infortnalion for heating systems, glazing, Insuiatlon, and olher <br />building specNications. For specHtc requirements, reter to the NoAhwest Energy Code,1987 EdiUon. <br />Th(s form will uRimately be the basis for all NWEC field inspections. You can avoid problems by <br />seekinQ approval for any substitutions beiore Incorporating them into the project. The building ofticial <br />may require that you substarnlate compliance claims about building products or technfques by <br />providlny documentation from approved testing agencies or code authorities such as ICBO. <br />3 When your permit is issued, you wili receive a copy ot thfs form. Boxes will be checked under <br />"COMPLIANCE REQUIRED" indicating NWEC requiremems that must be incorporated into this <br />pro�ect. Each checked requirement will be evaluated by the building inspector and , when deemed <br />acceptable, marked approved In the "INSPECTION AFaROVED" column. <br />DATE io-�f-�a G�ty ��...-- - w..��.� -- - - <br />NAME B�M C���STA+A�1r''� BUILDING ADDRESS � S�� �''��� �' lOT /_ <br />BUILDIN�YPE: <br />New <br />Remodel <br />❑ Additlon <br />COMPLIANCE PATH: <br />Residential: Single Fam. <br />Multi Fam. <br />❑ # Storles_ (s 3) <br />Heating System Type: <br />Electric: <br />0 Base board orced air fumace <br />OHeat pump Zone heaters <br />oo�he� <br />NWEC plan revlew: <br />Approved by <br />�Chapter 6 (< 5000 Ft2) <br />Component Perlormance Ch#5 <br />Systems Analysis Ch# 4 <br />� Points System ChN7 <br />a,�y��,�Z� � 'M� � <br />\��� i <br />,� � <br />i: � � � <br />, r <br />� ��� ,' <br />�y����� � <br />< <br />R�Y��\� • • � : : C�i.i <br />�P y <br />t(�L .Q.. . , �i.� \.�L.����ia.�Sc � V`<i���Qg� �a 'i $: <br />_ � �� � ��..�.. � <br />.: : <br />