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It <br />C 4 4 C) &-04 <br />G� <br />C/TY OF EYERETT <br />BU/LO/NG O/y/S/ON <br />3200 CEDAR 5T" EMERETT, WA 9820/ (206) 259.l79/O <br />About this form: This form Isn't as involved as it looks, because you only use portions of it for a particular <br />dwelling project. Instead of spending time searching through the WSEC, this forth will help organize and <br />condense the requirements that apply to your project. It is also an excellent tool for learning the residential <br />WSEC requirements. <br />Requirements are grouped by foundation, framing, Insulation, and final inspection phases. This not only <br />lets you know what you need to do but also when the Inspector will be checking for particular <br />requirements. Use the form to choose compliance options that best suit the economics and design of your <br />project. <br />A designated department energy specialist can help you with your questions. This form will help you <br />comply with the WSEC as quickly and painlessly as possible. <br />Responsibility for Information: Although staff members will help you with general questions about <br />completing this form, it is ultimately your responsibility to provide detailed information about heating <br />systems, glazing, insulation, and other building specifications. Be sure to get prior approval from the <br />Department if you later wish to make changes in your project. For more requirement detail, refer to the <br />Washington State Energy Code,1991 Edition. <br />3 ` Page 1, Compliance Options: Select one compliance option at the top of the table. <br />q Pages 2 through 6, In the shaded box areas only: Provide information and check circles that apply to <br />your specific project. Do not place -marks in the two left side columns labeled "COMPLIANCE REQUIRED" <br />and "INSPECTION APPROVED" or in boxes located in non -shaded areas (These are for department use). <br />Since this form will be evaluated for completeness and accuracy, you can avoid unecessary permit delays <br />by care!ully providing all required information. You may disregard items that don't address your particular <br />building or equipment. <br />Compllance responsibility: This form will ultimately be used for all WSEC field inspections. When it is <br />returned with your permit, relevant boxes under the "COMPLIANCE REQUIRED" column will have been <br />checked by the Building Department. This denotes which WSEC requirements apply to your project. The <br />Inspector will Inspect your dwelling against these checked items and, when deemed acceptable, place a <br />second check in the "INSPECTION APPROVED" column. <br />All Residential Occupancies <br />OTHER heat source (Gas, oil, propane, wood, heat pumps) <br />