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Jurisdicfion Lo�o hcro <br />About thls form: This torm isn't as fnvoived as it looks, becauso you oniy use portions ol il for a particular <br />dwolling projocl. Instoad ol spondinp limo scarchinfl lhrouph lho WSEC, ttiis lorm witl help orpanlzo and <br />eondonse Iho requiremenls Ihal appty lo your project. It fs also an excellenl tool for Iearninfl lhe residen;iai <br />WSEC rcquiremcnls. <br />Roquiremonls aro grouped by loundation, iraminfl, insuiation, and linal inspeclion phases. This not only tets <br />you kno�v whal you neod lo do but also when tho inspector will bo chocking tor particular requiremenls. Use <br />lhe iorm to chooso compliance oplions lhat besl suil the economics and desipn ol your projecl. <br />A dosignalod departmenl enorpy speciatisl can holp you wilh your queslions. 71iis form wilt holp you comply <br />w;lh ihe WSCC as quickiy and painlessiy as possible. <br />-�::. <br />�'��;, Rusponsibllity tor IntormaUon: Althouflh stall mombors will help you wilh fleneral queslions aboul <br />2- completing this form, it is ullimalely your responsibilily to provido detailed inlormation about heaUng systems, <br />��.� fllazing, insulalion, and olher buiidin9 specificalions. Bo suro lo gel prior approval Irom lho Dopartmenl ft you <br />z��lalor wish to mako changes in your project. For moro requiremenl delail, reler to tho Washinpton Sla;e <br />" Enorfly Code, 1991 Edilion. <br />'�p� Pago 7, Compliance OpUons: Seiocl ono complianco option at tho top ol ihe tabie. <br />„ <br />3 � <br />�:�:.� PaQos 2 through 6, ln the �h�ded hnx Arrac onlv_ Provide inlormalion and choekcirelos that <br />�q;: apply to your specilic projecL D�¢iplace marks in ihe two lelt side columns Iabeied COMPLIANCE <br />:� REQUIRED" and "INSPECTION APPROVED" or in boxes localed in non-shaded areas (These are tor <br />, �, deparlment use). <br />Sinco lhis lorm will be ovalualed for compleieness and accuracy, you can avo�d unecessary pormil delays <br />by carefuily providing all required inlormalion. You may disreflard items lhat don't address your particular <br />building or equipment. <br />Compilance responsiblllty: This lormwill ulUmalely bo used for all WSEC Iieid inspoclfons. When it is <br />relurned with youf permit, relevanl boxes under tho "COMPLIANCE REQUIRED" column will havo been <br />checked by the Duilding Departmenl. This denoles which WSEC requiromonls appiy to your projecl. Tho <br />fnspector will inspecl your dwelling againsl these checked ilems and, whon deemed acceplable, place a <br />second check in llie "INSPECTION APPROVED" eolumn. <br />All Residential Occupancies <br />��EIECf!'fC llG'8t SOUrCG (excluding heat pumps) <br />