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��r� AttacCment C <br /> �' Plar�s Ex�miner and Inspector Checklist <br /> P.�„�u r,o. 39650 Address �S� D� S� <br /> Pl�ne Ex�min�r: Check,wrile in WA,or fill in value on shaded bozes. <br /> Insp�ctor. Check ofl boxes at lelt as%ems are found to compiy. �_/ <br /> Compllance approach:(check one) ❑Syslems anetysis ❑Componenl peAortnence L7Prescriptiva palh <br /> NoM:^ome specilks on lhis iortn mey not eppiy il <br /> A) romplience approa�fs syslems enalysis or component peAormence; <br /> B) :ompliance to minimum venlitation criteria is demonslreted through enginearing calculetions or peAortnence testlng. <br /> ��A��.� <br /> ❑ el�b:��ExtNla dovm to ho�lhusleh bottom:w IMadw 24'Mdzontal a ve�qce�;or,II redlent.undar endre eleb <br /> ❑ Bdow�ll�d�qMdorvnllln�ul�tlon: � (IIIMador—ecalnsuletlonPhesa) <br /> ❑ R�don mltlp�don:�II locelty requlred,cr aawlapece venting dIV3001t2 0l aewl,or vanta Indude en opareda dem{wr <br /> �� <br /> ❑ Fnminp: � �:; Standerd �Intermetlleta u AdvenceC <br /> ❑ ste Nr.a�:so�epuwonr,r�m�evmud sm;vnraow a aoor hms;peiwvanomwlro,punn.duc�,pen�non nmde,nua,�gm nauan <br /> ❑ Soure��p�eNle�xh�u�ll�nr. Siza raqulremenl—bath.laundry(SOc1m�;kltchen(t00c1m) <br /> � ❑ Whob hous��ah�u�l lm�Interml�.nl system hes manual 8 auto mntrols;Outdaor alr suppty raq.la heEMede rms. <br /> ar <br /> ❑ IM�pniW IorcMalr�yN�m � autsWa a!r Cuc1(wlth demper)ellowing 6etwaan.35 end.5 ACH <br /> ����� <br /> ❑ �� Wd11mulNlon(�6on pnd�) <br /> ❑ ��� W�Illn�ul�tlon(Wlcwgnd�):Intarlo�welllnsuletlon <br /> ❑ `}_[g�_?� Floorin�ul�tlon <br /> ❑ ti-3S—� CN�Inplmu6�lon:krclufingetllchalch <br /> ❑ ��� VwItM c�lllap In�ul�tlon <br /> ❑ V�por nUrd�n:walle,lloora,wlling <br /> � Pre 1 �__�� <br /> ❑ H�eting ry�bm typ�: For heatpumps,Ilst sizo,HSPF,entl COP __� ,_J _ <br /> FINAL PHASE <br /> ❑ Redon monitor on sIU:vAM Irehutllons end general Intormetlon <br /> ❑ Th�rmost�t:heat renge,55-75;AC renge.70�85;both,55�85.Bedup heat wnVols prevent slmullaneous operallon ol{xlmery sys. <br /> ❑ Solld fuN eppllenna:plass or metal tloors;dhect com�.alr source,or 4'tlla.,dampnred,Intllreq sou:cc lor uncond.ereas <br /> [� Finpl�cu:6'canbusllon alr supply ducl w/damper tllren tn Iire6ox;tigh�9Wng glnss or m;tal d.wrs. <br /> ❑ DHW h�d+n:NAECA labal;eaparele po.ver or gas shubotl;on A4o paC i7 xlectn^anE in uncond.erea arll on connata <br /> � 1Mehonlnl v�nlll�llon duet�In�W�1W lo R�4:exheusl ducts In uncondlllonad areas'supply ducta In wndlllonad eroea <br /> ❑ Q{-� HVAC dueh/pbnum Inaul�tion:ducls In uncondNoned ersas ere Inwlated and fdnLS are seelatl <br /> O PIp�Inai�l�tlon:R31or hot end roIE water plping In uncorWltloned ereas(II saMca a redreulatl,ig,eee TeWe b12) <br /> ❑ Oround cover:B mll 61eck polyethylene/eppoved equel leppetl 12'et�olnta and e�lxMing to loundetlon wall <br />