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p�fiaclrnent C <br /> �� �� '���,�=�.��u <br /> �,xi � '�t F'ROCa?4N1 � . ' <br /> A � x Plans Examiner and Inspector Chedclist <br /> � yy PenaltNo. 3�S �I' � Address. 793D ME�ID/A1.1 G�/� - <br /> � Plans Exeminer: Chedc,wrife in N/A,or fill in value on slrede�boxes. <br /> � M ,d Inepectur: Check ott 6oxes at left as items are tound lo comply. <br /> V7 M <br /> � x� Complience approech:(check one) �Syslenis analysis Componenl pertormance ❑Prescriptive pa t h <br /> p ryi b Note:Some specifics on this form may not apply i1 <br /> A) compliance approach is systems analysis or component pertormance; <br /> M:� g B) campliance to minimum venlilation aiteria is demonstreted through e�gineering calculations or peAortnance testi�g. <br /> > y � FOIIIDATION PHA.SE <br /> r�� � <br /> Vi y _ . . <br /> gH ❑ Sleb:�1-..��___�,__. .�Extedor down to irostllne/slab botlom;or IMedor 24'horizontei or verticel;or,If redlent,under entlre sleb <br /> � �N - ........_...._._ <br /> ;__._._.--- <br /> � ❑ B�low gred��xt�rlor w�ll Insulatlon: Rr __ (n�medor—see Insu�eUon Phase) <br /> � y ❑ pedon mltlg�Uon:I__ ___.��I1 locally requhed,or crawlsper.e venting<1fV300t12 ot crxwl,or venla Indude en operade damper <br /> y F���� <br /> � /Freminp: I Jl .IStandard '�_ Ilntermedlate I._ _ � Advenced <br /> I <br /> � l�,�0,�/Std elr ual:solepVsubflr,rlm�sVmud slll;wlndow 6 door Irms;penetratlon-wire,plumb,duct,pertttlon studs,tlue,Ilght flxtures <br /> I �� L"JI S/ouro��p�cfllc�aheuN f�ns: Slze requirement—balh.laundry(SOc1m);kltchen(t00dm) �/ � .��.\ , <br /> � Mhol�heus��Khau*1 ien � oftn Intermltlen�system has manual 8 euto controis;Ouldoor elr su y i�,.tbr habl�� e rms. <br /> �°f ' outside aly dud(wlih damper)allowing between.35�en �1 <br /> ' � IM�pnt�d 1oro�d+lr sy�Um � J; � I � �� ��;I�l � <br /> ��� I � � � ; <br /> I � p.. (��� � �� Well In�uleilon(ebow grody <br /> � `j.__�'___._____] Well lmuletlon(b�low grod�):IMedonvall insulatlon <br /> , �_ ❑ k{......�L�.., ......_i FloorinsuleUon <br /> ' ❑ p;-3p-- Cdling Insuletlon:Including atlic hetch <br /> ❑ �:.�',�CJ �--�����-�'�. Veult�d cdling Imuletlon <br /> �1� <br /> � ❑ Vepor nt�rd�ro:walls,1loors wlling _. .____-1 <br /> � ❑ H�etlnp syst�m type: `Gqs , .,��A ._ �.,I For heatpumps,llst slze,HSPF,end COP � � , � <br /> � 78% �f�c��cs FNAL PIWSE <br /> � ❑ padon monllor on slts:wlth Insirudlons and generel Informatlon <br /> ❑ Thermostat:heat range,55-75;AC range,70-85;both.55-85.Backup heal controls prevent�nmultaneous operatlon of pdmery sys. <br /> ❑ Solld fuel eppltencse:glass or metal doors;dired comb.alr source,or 4'dia.,dampered. :idlrect source for uncond.areas <br /> ❑ Flrep�eces:6'combustlon alr suppty duct w/damper direcl to tirebox;tigM fltting glass or metal doors. <br /> ❑ DHW hset�rs:NAECA label;separete power or gas shutofl;on R-10 pad It electric and In uncond.area a N on concreta <br /> [i Mschsnlcsl wnUlet�on ducta InsulaUd to R-0:exhaust duds in uncorxfltloned arees/supply ducis im m�dltloned areas . <br /> ❑ p., 8___.._,___.�, HVAC ductalplenum Insuletlon:ducts In uncondltloned areas are Insulated and jolnls are sealed <br /> ❑ Plp�Ineu�etlon: R-3 tor hot end cold water plping in uncondltloned areas(I1 service rn�radreulating,see Table 5•12) <br /> � Qround eover.6 mll black polyethylene�approved equal la�ed 12'et�olnts and extend�ng to tvundatlon wall <br />