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����'� Attachmeni C <br />� '�Asic, #Zol <br />Plans Fxaminer and Inspector Checklist <br />Pertnit No. _ Address <br />Plana Ezaminer: Chedc, write in N/A, or till in value on shaded boxes. <br />Inspector: Check off boxes at left as items are tound to comply. <br />Compifance approach: (check one) 0 Systems analysis IrJ Component performance ❑ Pres�:,riptive peth <br />Nqte: Some specifics on this fortn 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 perfortnence testlng. <br />_ �ourmnnan � <br />❑ Slab R++ i� EMador down to frostllne/slab bottom; or Intedor 24" horizontal or verticel; or, If redlent, under entlre slab <br />❑ Bd�>w gred� �xNrlorwdl Insuladon: �(N IMedor—see Insulatlon Phase) <br />❑ Nedon mlUpaUon. „�,,i� If locally requlred, or crawlspace venting <1fV300f12 0l crawl, or vents Indude an operede demper <br />❑ Fnming �Stenderd �Intermedlate U Advanced <br />❑ Std elr seal: solepVsubflr; rim JsVmud s1il; wlndow 3 door 1rms; penetratlon-wire, ptumb, duct, pertttlon studs, flue, Iight flMures <br />❑ Sa�rca sp�cltic �xhaust tans: Slze requlrement — bath, laundry (SOc1m); kltchen (100cfm) <br />❑ Whoi� houa� �ahaust ten �ir� Irrtermlrient system has menual & auto controls; Outdoor eir supply req.lor heWteWe rms. <br />or <br />❑ Inbgnbd fom�d-dr aytt�m � outslde aly duct (wlth damper) allowing between .35 and .5 ACH <br />■ <br />■ : '�T/_ <br />■ • �. <br />■ '� ,� <br />INSULATION PHASE <br />Well Inwlutlon (ebow gnd�) <br />W�II inaulatlon (b�low gnd�): Interior weil Insu'atlon <br />Flcorinsuletlon <br />CHling Insulatlon: Including attic hetch <br />❑ �� Veult�d celling Insuletlon <br />❑ Vepor nterd�n: walls,lloo�s, celiing <br />❑ HeaUng systsm typc � � � �, , ._ <br />For heatpumps, Ilst slze, HSPF, and COP <br />pfub ,'78 r'►i�l FWALPHASE <br />❑ Radon monitor on alts: wlth Instrudions and genaral Infortnatlon <br />❑ Th�rtnostet: heat range, 5!;-75; AC range, 70•85; bolh, 55-85: Badcup heat controls prevent slmultaneous operatlon of prlmary sys. <br />❑ Solid fusl eppllenees: gless or metal doors; direci comb. air source, or 4" dla., dampered. Indlred sourca 1or uncend. areas <br />I..� Flnpleces: 6" combustion air supply dud w/damper dlrecl to tirebox; tight tltting gless or metal doors. <br />❑ DHW h�ataro: NAECA label; seprsrete power or gas shut-ofl; on R•10 pad I� electric and In uncond. erea or II on rnncrete <br />❑ MNchenlcal v�nUletlon ducts Insuleted to R�i: exhaust duds in unconditloned areeslsupply ducls Im m�dlfioned ereas <br />❑�.� HVAC duMa/plenum Insuletlon: duds In uncondltioned ereas ere Insulated and �olnts are seeled <br />❑ Plpe Inoulatlon: R-3 for hal and cold water plping In uncondltioned areas (II service or redreuleting, see Table 5-12) <br />❑ Qround cover: 6 mll black polyethytene/approved equal lapped 12' at �olnts and extending to loundatlon well <br />