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" i <br /> I <br /> . -, . <br /> CoLOnIY t_.�aF7 ��S�c �=k ! 6b pt�achmeMC <br /> � <br /> A �� <br /> x � Plans Exa�ine� and Ins�ector Checklist <br /> � �H Permlt No._,I� � �JZ Address_ S�'I'I 3 �y(z1C 1✓/�J.✓ L���• • � � <br /> ox o Plene Exeminer: Check,write in N/A,or fill in value on shaded hoxes. <br /> � y H Inspector: Check oH boxes at lett as ifems are tound to comply. <br /> yx �-✓ � : <br /> Compllance approech:(check one) �Syslems analysis ❑Component pertormunce L7 Prescriptive pelh � � � `���f 1 <br /> � � � _, , <br /> � �, , . <br /> Note:Some specitics on this form may nol apply il -;�,ri�•• � <br /> � � g A) compliance approach is systems analysis or component pertormance; ':�:;;;�aa' <br /> H" � 0) compliance to minimum ventilation�.riteria is demonsirated through enginoering calculations or pertortnance testing. <br /> � �'� FOIRiDATION PFIASE <br /> hi y <br /> �N <br /> d y ❑ Sleb:b-__(,O____�Extedor down lo Irostllne/slub bottom;or intedor 24"hodzontel or vertical;or,fl redient,under entire s e <br /> `— 111nterlor—saelnsulatlonPhase) <br /> � � t, ❑ Bdowgreds�xterlorwell—ln�euleQon: �.(0_—.� ( <br /> y� y f�i� ❑ ppdon mlGgetlon:C���I�f locally requlrod,or crawlspace venting<11V300ft2 0l crawl,or vents Indude an oparade damper <br /> HOVi � -r �"� <br /> F��� . , . :,'� '� I <br /> � r.. _ I� ---� Advancad � . <br /> ❑ Freming: I �Standard llntermedlate � <br /> �� P � rtltlon studs,tlue,I ht tlxtures � -"� ` <br /> � ❑ Std elr»al:sole Vsubfir,rim st/mud slll;wlndow 8 door irms;penetratlon-wire,plumb,duct,pe �9 � . � , � <br /> � �� ❑ Sourc�ap�clllc�zhaust tane: Slze requlrement—balh,laundry(50c1m);kllchen(700c1m) - ���'� �'�� '�� <br /> � , <br /> � ❑ Whol�hous��xheuet ten j (03 o/m Intermlttant system has manual 6 euto wntmis;Outdoor e�r supply req.lw hablteblo rms. ,. <br /> or ��-r - <br /> ❑ I�egreted torced-elr system r � outslde aly duct(wlth damper)allowing bntween.35 end.5 ACH . . <br /> IN�lLATION Pia.SE �_ <br /> � �� <br /> � �._ (q � Well Inaulatlon(ebove grede) <br /> ' ❑ q. �a__ . � V�all Inaulntlon(below grede):Intedor wall Insuiatlon <br /> 'I `'= ❑ p__..�.4.___.J.� Floor Ineulatlon _, '-:,;. '- . . , <br /> __ _ ... <br /> ❑ R-_�O _ � CsIIIng IneuleUon:inciuding etlic halch ���`"':- � 4 <br /> ' r#.. <br /> Veulbd cslling Inauletlon ,�� �� <br /> ' . <br /> �-- <br /> ❑ R-_ � _ — <br /> � ��� ❑ Veporretarden:walls Iloors,celling _______ ___-_� ,!# R��' ' <br /> ❑ HeaUng syetem type � / For heetpumps,Iist size,HSPF,and COP i . '�; i7 � <br /> I G4s... . PiA ..___.� , .:.,�.,:. . . .� <br /> aFve > .�g FINALPHASE «'� - <br /> ��. _ <br /> - � - � ❑ Redon monitor on sHe:wlth instrucllons and general informetlon <br /> ❑ Thermostet:heat rango,55-75;AC renge,70-85;Lolh,55•B5.Backup heat conlrols prevenl slmultaneous operntlon ot pdmary sys. <br /> ❑ Solid tuel eppllenees:glass or meta�coois;Alred comb.alr source,cr 4'dla.,dampered,indlrect source lor uncond.ereas <br /> ❑ Flraplaces:6"combustlon alr supply�uct wldamper direcl to Ilrebox;tlght fllting glass or metal doors. <br /> �] DHW hsetero:NAECA labei;soparate power or gas shu4ofl;on R-10 pad II electrlc and In uncond.erea or II on concrete <br /> ❑ Mechenlcel ventlletlon ducls Insuleled to Rrl:exhaust duds In uncondllloned areas/supply duds In conditloned areas <br /> ❑ p.$... _.. ____f HVAC ductalplenum Insulatlon:duds In umm�dltloned areas ure insulnled and�olnts are seeled <br /> ❑ Plpe Insulello�:R-31or hot and cold wnter plping In unctmdltloned erens(It servlce or redreulaling,see Taole St2) <br /> ❑ Oround cover:6 mll block polyethylene/npproved equal lapped 12"at�olnis nnd eMending to loundatlon woll <br />