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� � � <br /> H <br /> C H <br /> � Hti <br /> H � � <br /> FC C] <br /> H � <br /> x0 <br /> y z H . �� g As�C�"# l� 9 Attachne�C <br /> � �� <br /> �`�g c� 'n r and I ector Checkl�s� <br /> x H Plans Exami e r�sp <br /> N� <br /> � � y Pertnit No. Address <br /> gd y Plans Exeminer: Check,write in N/A, or fill in value on shaded boxes. <br /> �� � Inspector: Check oH boxes at lett as items are found to comply. <br /> '� ��' Compllance approech: (check one) ❑Systems analysis ❑Component periormance Prescriptive palh <br /> Note:Some spec tics on this form may not appty il <br /> A) compliancc�approach is systems analysis or component peAormance; <br /> B) complfance to minimum ventilation criteria is demonstreted through engineering calculations or periormance testing. <br /> FourmanoN� <br /> ❑ Sleb: i�-}���Enterlor down to lrostilne/siab botlom;or Interlor 24"horizontal or vertical;or,II redlant,under entlre slab <br /> ❑ Be/lowgrad��zteriorwalllnauletlon: ��jG,1�1 (Iflnterlor—seelnsuletlon�Nhase) <br /> ❑ 5don mlHgetlon:C�.,Q,_..�II Iocally requlred,or crawlspace vanting<11V300it2 ot crawl,or venls Include an aperaWe dampar <br /> FRMAING PHASE <br /> f�1 Froming: �Standard �Intermedlete u Advanced <br /> 1_' Std alr eeal:solepVsubllr;rlm jsVmud slll;window 8 door Irms;penetratlon•wlre,plumb,duct,parttllon studs,ilue,Ilght 1lxtures <br /> ' ' �Source speclllc exheust tens: Size requlrement—bath,laundry(Soclm);kltchen(t00clm) <br /> Whole houaa exheust tan �Q;�.of�Intermitlenl s�stem has manual&auto controis;Oul e�alr supply r Iteble rms. <br /> ' ' or <br /> � ❑ Integreled torced-elr eystem n outside aly dud(wllh dampor)allowing bet�en�.�en A I � <br /> ����P� L i <br /> � 1 <br /> '�� ❑ __�� Well IneuleUon(e6ove gmda) � <br /> � ❑ �-�—[�(_y�] Well In�uletlon(Lelow prede):Interlor wa�l Insulatlon <br /> I ❑ �:�:�c��yT��] Floorineulatlon . <br /> e ❑ �pr—� Celling Ineulet�on:Inciuding attic hatch <br /> '� ❑ �.—30� Veulted celling Inaulatlon <br /> �j ❑ Vepor raterdere:walls,Ilaors,celling <br /> � ❑ Heating system type: �s ��yA� For heatpumps,Ilst slzo,HSPF,nnd COP �.�- .—� <br /> �� AFuE .�8 FINAL PHASE <br /> '� ❑ Redon monitor on�Ite:with instrucilons and general Informatlon <br /> ❑ Thermostat:heat range,55-75;AC range,70-85;bo�h,55-B5.Backup hea�controls prevent simultaneous operatlon ol primary sys. <br /> ❑ Solld fuel eppllences:glass or metal doors;dlrect rnmb.alr source,or 4^dia.,dampered,Indlrect source for unrnnd.areus <br /> ❑ Flrepleces:6"combustlon alr supply duct w/damper dired to firebox;tight litting glass or metal doors. � <br /> ❑ DHW heatero:NAECA label;separate power or gas shut-oH;on R-10 pad II elactrlc and In uncond.area orll on concrete <br /> ❑ Mechenlcel ventlletlon ducts Insuleted to R�4:exhaust duds In unconditloned areas/suppiy duds In condltloned xrees <br /> -- - <br /> ❑ p_ $ _ .f HVAC duclslp�enum Insulotlon:ducts In uncondltioned ereas are insulated and�olnts are sealo <br /> ❑ Plpe Insuletion:R•31or hol und cold water ulping In uncandltloned areas(II service ar radreulating,see Table 5-12) <br /> ❑ Oround cover:6 mll bleck polyethyiene'approved equai lapped 12"ut�olnts and e�ending to loundatlon wali <br /> _.----- _....----�--�-. . � , <br />