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INCTO v Attaclment C <br />MOM <br />Plans Examiner and Inspector Checklist <br />PermitNo._ 38750 Address /74/ MS00VUl_ <br />Plans Examiner: Check, write in N/A, or fill in value on shaded boxes. <br />Inspector: Check off boxes at left as items are found to comply. <br />Compliance approach: (check one) ❑ Systems analysis (9omponent performance iorescriptive path <br />Not&: Some specifics on this form may not apply if <br />A) compliance approach is systems analysis or component performance; <br />B) compliance to minimum ventilation criteria is demonstrated through engineering calculations or performance testing. <br />FOMTM PHASE <br />❑ Slab: k—WA J Exterlor down to frostllne/slab bottom; or Interior 24' horizontal or vertical; or, If radiant, under entire slab <br />❑ Below grade exterior wall Insulation: (If Interior — see Insulation Phase) <br />❑ Radon mitigation: r0 If locally required, or crewlspace venting <1 fV300ft2 of crawl, or vents Include an operable damper <br />❑ Framing: Standard =Intermediate u Advanced <br />❑ Slid air seal: solepVsubflr; rim ist/mud sill; v lndow 6 door firms; penetratlon-wire, plumb, duct, partition studs, flue, light fixtures <br />❑ Source specific exhaust fans: Size requirement — bath, laundry (50cfm); kitchen (100c!m) <br />❑ Whole house exhaust fan F66 01iri Intermittent system has manual S auto controls; Outdoor air supply req. for habitable rms. <br />or ❑ �� 7� Integrated forced-elr system P—M outside air dud (with damper) allowing between .35 and .5 ACH <br />G—i ,�-- NSULATION PHASE <br />❑ n•—ram Wall Insulation (above grade) <br />❑ Well Insulation (below grade): Interior wall Insulation <br />❑ �ir..A W Floor Insulation <br />❑ Calling insulation: Including attic hatch <br />❑ Vaulted ceiling Insulation <br />❑ Vapor retarders: walls, floors, ceiling <br />❑ Heatingsystem ;� ������1 -- <br />Y tYPe � S For heatpumps, list size, HSPF, end COP <br />FKAL PHASE <br />❑ Radon monitor on site: with Instructions and general information <br />❑ Thermostat: heat range, 55-75; AC range, 70-85; both, 55-85. Backup heat controls prevent simultaneous operation of primary sys <br />❑ Solid fuel appliances: glass or metal doors; direct comb. air source, or 4" dla., dampered, indirect source for uncond. areas <br />❑ Flreplaces: 6` combustion air supply duct w/damper direct to firebox; tight fitting glass or metal doors. <br />OHW heaters: NAECA label; separate power or gas shut-off; on R•10 pad if electric and In uncond. area orlf on concrete <br />❑ Mechanical ventilation ducts Insulated to R•4: exhaust ducts In unconditioned areas/supply ducts In conditioned areas <br />❑ p __ — HVAC ducts/plenum Insulation: ducts In unconditioned areas are Insulated and Joints are sealed <br />❑ Pipe Insulation: R-3 for Trot and cold water piping In unconditioned areas (If service or recirculating, see Table 5-12) <br />❑ Ground cover: 6 mil black polyethylene/approved equal lapped 12" at Joints and extending to foundation wall <br />