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� r� <br /> �N� Attachnent C <br /> couE <br /> �oc-�ann <br /> Pla�r�s Examiner and I��ctor Ch�vklist <br /> Fermlt No. �I- ! Z S 3 � qddress <br /> Plans Examiner: C�eck,write in WA, or Till in va�ue on shaded boxes. <br /> Inapector: Check oH 5oxes at lek as items are found to comply. <br /> Compltance epproach: (check one) �Systems analysis ❑Component peAortnance tl�Prescriptive path <br /> Note:Some speci;ics on this fortn may not apply ii <br /> A) compliance approach;s systems analysis or component performance; <br /> • B) compliance to minimum ventilation aiteria is demonstrated through engineering calculF":ns or perfortnance test�ng. <br /> FouNnnnoN� <br /> ❑ Slab: ` Exterlor down to frostllne%�ab bottom;or hiterlor 24'horizcntal or vertical;or,If radlanf,under enlire slab <br /> ❑ Bdow grad��xbHo�wdllnsul�Uon: ` '.': (II Irderlor—see Insulatlon Phase) <br /> ❑ Radon mlUgetlon: �,.,`�.,.�, it Iocaliy requlred,or cmwlspa:e ventlng<1 W300f12 of crawl,or vents indude en operada dampar <br /> FRAMIMG PHASE <br /> � ❑ Fnminp: Standard r�� Intermecllate ��k. � Advanced <br /> ❑ Std alr esal:solepVsubflr;rim JsVmud sill;window&door fmis;penetratlon-wlre,plumb,duct,partltlon�tuc!:ti,Oua,Ilght BMwes <br /> ❑ Sourc�ap�clfic�xheust t�ns: Slze requlrement—bath,laundry(50cfm);kltchen�1o0clm) <br /> ❑ Whoi�hous��xhwat f�n , , ,. "' " Intertnirtent system has manual 6 auto controls;Outdoor air suppiy rec{.for habltaWe rms. <br /> ❑ Int�gnt�d forc�d..N�syst�m � outslde ely duct(wlth damper)allowing between.35 and.5 ACH <br /> Q�SULATION PHASE <br /> p z.. - . <br /> �,'• .: :::'"_�,`" Wall Insul�Qon(�bov�ynd�) <br /> � ��`. ���'� Wdl lnsulatlon(b�loJr gnd�):Interlor N�ll lnsulatlon ' <br /> ❑ �°+; '•-•�.���,° Floor Inaul�Uon <br /> � �`�� �:i`u CNling Ineulatlon:Induding atllc hatch <br /> � ="_ ' V�ulbd cdling InaulsUon <br /> I ,. � :.:'•�: <br /> I ❑ Vapor rotardm:walis,floors,celling <br /> ❑ H�etinp syetsm typ�: ae' ' x; For hnatp�mps,Iist slze,HSPF,and COP ����F`���` ' <br /> FI'?#AL PHASE <br />, ❑ Redon moNtoron elte:wNh Instrudlons and gene�al Informatlon <br /> ❑ Th�rtnostat:heat range,55-75;AC range,"o-B5;botl�,55-85.Badcup heat controls prevent slmultaneous operatlon ot prlmary sys. <br /> ❑ Soild fuel eppllances:glass or metal doors;dlrect croinb.alr source, or 4•dla.,d�mper�d,Indlrect source for uncond,arees <br /> ❑ Fireplaces:6'combustlon alr supply duct w/damper dlrecl to Iirebox;Ught fitpng glass or metal doors. . <br /> ❑ DHW hsatara:NAECA lat�el;separate power or gas shut-ofh on r1-10 pad II elecVlc and In uncond,area or if on concrete <br /> ❑ Mechenlcai v.�Uletlon ducta Insuleted to R�4:exhaust duas In uncuMltloned areas/supaiy duds In wndlUoned areas <br /> ❑ •�^: . <�<?::�;§'�' HVAC ducls/plenum Insuletion:ducts In uncondlponed areas are Insulaled and)olNs are sealed <br /> ❑ Plpe Insulatlon: R-3 lor hot and cold waler plping In uncondltloned areas(If servlce or redreula�ing,see Teble 5-12) <br /> ❑ Oround �over:6 mll black polyethylene/approved equal lapped 12"at Jolnts and eMen�fing to loundatlon wall <br />