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�Ncrorv � � Attaclment C <br /> cooE <br /> � Plans Examiner and In�ector Chp�klist <br /> PermltNo. 4�57� Address �9 �E.GKS D�2 <br /> Pl�ns Ezaminer: Chedc,write in WA,or till in value on shaded boxes. <br /> Inapector: Check olt boxes al laR as items are tound to comply. <br /> Compllencs approech:(check one) 0 Systems analysis ❑Component peAortnance L7 Prescriptive peth <br /> Note:Some specifip oo this torm mey not eppiy i1 � , � �- � .. � <br /> A) compliance approach is syslems analysis or component pe�formance; <br /> B) compliance to minimum ventilation criteria is demonstrated through enpineering calculatfons or perlortnance tesHng. <br /> FOI�DAiION PHA.SE <br /> ❑ SI�b:�Exledor dovm to IrostllnUsleb botlom;or IMetlor 24'horltontel or verNcel;a,II redlent,under emlre elab <br /> ❑ BNowpod��xUtlorwdlln�W�tlom � (MlMedor—saelr�sulaAonPhesa) <br /> ❑ Redon mltlg�Uon:�If localty requlred,or aawlapace veming<1Waoott2 0l aewi,or venU Induda an operada demper <br /> ��� <br /> ❑ Fnminp: :��. Stendard �Intermedlate L_,__,Advanced <br /> ❑ Std elr a�d:5olepVsuhtlr;rlm�eVmud slll;wlndow 8 tloor Irms;penetratlan•wlre,plumb,dutl,pertlllm stude,llue,Ilgh�Ilzlwes <br /> ❑ Soure��p�Nfle�xh�uri Ln�: Slze raqulrement—beth,laundry(5alm);IJtchan(taocfm) <br /> ❑ W bob hou���zh�usl I�n �dtr imermlrient system has manual 6 auto mnimis;Outdoor elr supply req.la hebltade tms. <br /> ar <br /> O InbgnUd forc�d-dr aysbm .�� outsMa ely duct(wlth damper)allowing batween.35 ernf.5 ACH <br /> p�IlATION PfNSE <br /> ❑ ��'��-1 Wallln�ul�poe(�hav�pnd�) . .. <br /> ❑ R--�17�� W.II Insul�Non(b�low pnd�):Inledor well Insulatlon � <br /> ❑ ����_� Floorin�uldlon <br /> ❑ � CNIInglrouletlon:InGWingetlbhetch � <br /> ❑ � VnulNd c�lling In�ulHlon <br /> ❑ Vapor rdud�n:walls,lloors.celling <br /> ❑ H�alingeyabmYyp�: �r,c::,[ '•1 Forheetpumps,Ils�slze,HSPF,endCOP ,,,�� � <br /> FINAL PIIASE <br /> ❑ Redon monllor on elts:wllh InsVucllons and generai Inlottnatlon <br /> ❑ Thartnoatet:hent range,55•75;AC range,7aB5;bolh,55-85.Backup heat conVols pravent slmultaneous operallon ol prlmery sys. <br /> ❑ Solld fuel eppllnncaa:glass w melal doors;tllreA comb.xlr wurce,or 4'dia.,dampered,I�dlreM source lor unrond.araes <br /> ❑ Flrepieces:6'combustlon alr supply duct w/damper diraq ta Ilrebox;tlaht tltting gless or metal doors. � <br /> ❑ DHW h��bn:NAECA Iabei;eeparate power ar gas shutbfl;on R-to pad II electdc and�n umm�d.erea orll om m�crele <br /> ❑ Mechenlcel v�nlll�llon ducla In�ulet�d lo p.4:ezheust ducts In uncoMllloned areas/supply dups Im m�dlllonad areas <br /> ❑ �i�� HVAC duclalpbnum Imuletlon:ducts In uncondltloned areas ere Insulated end)oink are sealed <br /> ❑ Pipe Ineuletlon:R-31or hot nnd mld waler plping In unrnndltioned areas(II sarvlce or redreuleting,sae Tebie b12) <br /> ❑ Oround cover:6 mll bleck polyethylene/opproved equal lepped 12'el�olnts and ezlending to loundatlaf wall <br />