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! <br /> � <br /> � <br /> E? ,��-� At�IChnl9nt C <br /> ;, <br /> y�� r <br /> CODE � <br /> ��x � Plans Examiner and Inspe�tor Checklist <br /> "�� Pertnit No. ��� ���� Address /y� ��.�f=tiACt�Ct�� � I <br /> � y� Plens Exeminer: Check,write in NIA,or till in value on shaded boxes� �� <br /> � �� Inspector: Check oH boxes at lefl as iiems are tound to com Yy. ; <br /> � o� Compllance approech: (check one) �Systems analysis Component pedortnance ❑Prescripti��e path ' <br /> H C7 t <br /> Note:Some specitics on ihis lortn may not apply if { <br /> � �g A) compliance approach is systems analysis or component periormance; ( <br /> H" � B) compliance to minimum ventilation criteria is demonstrated through engineering calculations or pertormance testing. ( <br /> xH� <br /> C y z FOUNDATION PHASE <br /> i-+H ' <br /> N <br /> f"� ❑ Sleb:�-_-��Extedor down to Irostline/siab botlom;or Intedor 24"horizonlal or vertical;or,if radlanl,under entlre slab <br /> � C✓� <br /> �t+ ❑ Below grads exterior well Ineuletlon: �f4 � (Il interlor—see Insuiatlon Phesa) <br /> p7 <br /> yyo N ❑ don mlUgeQon:��II Iocaily requlred,or crawispece venting<i iV300112 of crawl,or venls Include en operable domper <br /> � � P ,� � <br /> i � , , � <br /> � roming: �Standard �Intermedlate u Advanced 1 � � , <br /> �p�Itd elr eeal:solepVsubflr,rlm JsVmud slll;wlndow 8 daor irms;penetratlon•wire,plumb d�ct,�ertitl n ctude,tl o�1 xtures, � � <br /> " Sourc�spaclflc�xheust fans: Slze requlrement—oath,laundy(50ctm);ki�chen(to�lm) ; <br /> ',�� d Whol�housa axhewt fen � __,ofm Intermittent system has manual&aulo cantrols;Outdoor elr suppiy req.lor heblteble rms. � <br /> 1 �� � <br /> �s ❑ Integrated}orc�d-aIr system C_� outsida aly duct(wllh damper)ellowing between.35 end.5 ACH <br /> 6 <br /> INSIILATION PHASE �{ <br /> ? 1 1 <br /> � ❑ p. —�_� Well Inauletlon(above grede) <br /> ❑ ���_�� Welllneuletlon(belowgrede):Intedorwalllnsuletlon � � <br /> �— ❑ j�.�T� W� Floor InaulaUon � � <br /> ❑ �{_ _� Csiling Ineuletlon:including attic hatch i <br /> ��� .�' ❑ A.—� Veuk�d call�ng Ineuletlon 1 <br /> �" � ❑ Vapor reterden:walls,lloors,celling � � <br /> ❑ Heating syatem type: ����� �� I For heetpumps,Ilst size,HSPF,and COP ��� i <br /> !A"� FINAL PHIlSE <br /> � �, � ❑ Radon monitor on slte:wlth instructions and ganeral Inlormetlon ' � <br /> iw� ❑ Thermostat:heat range,55-75;AC range,70-B5;both,55-&5.Backup heat controls prevent simultaneous operation of prlmary sys. � <br /> ❑ Solld tuel eppllenees:glass or metal doors;dlred comb.elr:�ource,or 4"dia.,dampered,Indirect source tor uncond.areas <br /> t <br /> ❑ Flrepleoes:6"combustlon alr supply duct w/damper dired to Lrebox;tlght Nting giess or metal doors. � ��, k <br /> ❑ DHW heeters:NAECA lubel;separale power or gas shu4ofl;on R•10 pad It electdc and In umm�d.area or II on concrele I �M <br /> ❑ Mechanlcel wnQletlon ducte Inauleted to R-4:exhaust duds In uncondlqoned areas/suppiy duds In conditloned eroas ; '.j <br /> ❑ 'p. _—� HVAC ducts/plenum insulotlon:ducts In uncandltloned areas are Insulated and Jolnls are sealed <br /> ❑ Plpe Insulatlon: R-31or hot and cold water piping In uncondltloned orens(II servlco or redreululing,seo Table 5-12) I �.' <br /> ❑ Qround cover:0 mll black potyethylene/opproved equel lopped 12'at Jolnts und extending to loundatlon wall I <br /> i <br /> � <br /> ,� <br /> r, <br />