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�� AttacfineM C <br />��n '�',Aslc. #Zol <br />Plar�s Examiner and In.spector Checklist <br />Permlt No. Address <br />Plane Examiner: Check, write in N/A, or fill in value on shaded boxes. <br />Inepector: Check oH bozes at IeN as ilems are found to comply. <br />Complience approach: (chack one) � Systems analysis L•J Componenl perlarmnnce ❑ Prescriplive palh <br />Note: Some specifics on Ihis lorm may not apply tt <br />A) compliance approach is syslems analysis or componenl pertormance; <br />B) compliance to minimum ventilation criteria fs demonslralo,llhrough engineering calculatlons or paAormance testing. <br />Fouxoanon Pxnse <br />❑ Slnh: � Fxtedor dawn to trostlh�e/slab b�otlwn; er Intedor 24' hodzontel or venical; or, II redlant, untler en11re sleb <br />❑ BNowgred��xbdorw�lllmulellon: r��y1�.—� ��, (Nlnterlor—seel�ssulatlonPhase) <br />❑ R�don mltlgWon: � Il locally reqWred, or crewispace venting <1tC3a0fl2 0l crawl, ar vants Indude un opetadn demper <br />FRAMING PHASE <br />❑ Freminp: - Smndartl �Intermodiate ��� Advanced <br />❑ Std elr sael: solapVsu611r, dm �sCmud slll; wlrMow 8 door Irms; penetratlon•nire, plurr�b, dutl, pnNtlon sNds, Ilue, Ilghl OMmes <br />❑ Soum ap�ctllc �xheusllnna: Slze roqulremont—balh, laundry (SOCImJ; kltchan (100tlm) <br />❑ Whol� howa eah�uaf len 0� Interminenl system has manunl 6 auto mntrols; Outtloor alr suppiy req, lor hnNUNe rms. <br />ar <br />❑ Integrel�d furc�dair ayeUm � ou;slde alr tluct (wllh dampei) allowing t»lwecn .35 and .5 ACH <br />INSUiATION PHASE <br />❑ �3 �—� Welllneolellon(ahowgreda) <br />❑ �R-�-�%l� � W��Ilnaatellon(6elowgrede):Inteilorwalllnsu':alc� <br />❑ j'j_���%i.� Floorinaulallon <br />❑ ����D-1 Caillnalrouletion:lndudingsttichulch <br />❑ �g _] VeulUd n;iing Insulnllon <br />❑ Yepor rNerden: walls, lloors, celling <br />_—__ <br />❑ Heeting eyalam type: q!� � For hearoumps, Ilst slze, HSPF, nnd COP C_., ,� .. .;_ <br />pf�E ,�e n�u FINALPHASE - ---- <br />❑ Fiedon monllor on elte: with In;Vunlcns and ganaral Inlortnatlon <br />❑ ThermosleC t__t ranga, 55•75; AC range, 70�05; bolh, 55�05� Badcup heal wnVols p�evanl simullanaous opeia0on ol pdmnry sys. <br />❑ So�ld /uel eppllnnee�: glass or metal Aoors; direcl com6. a.r wurco, ot 4' dla.. dampared, In0lroct wurca tor uncrond. amas <br />❑ Flraplac�a:6' cnmbustlon alr supply duct w/damper diroq to Ilra6o:;115,d OWng pla,s or matal doors. <br />❑ DHW h�etan: NA[CA label; separate pcvrar or gev chui.�fl; on R40 pad il el��c,dc o�tl In uncord. c•ea all om m�crete <br />❑ M1lechenlcel vonllletlon ducla Imuleted lo R-0: exhaust duqs In uncondlllonad areas/supply ducls Im m�dltoned ewes <br />❑�$� HVAC ducla�pinnum inaule(lon: dutl^! � amm�dltloned oreas aw Insulaled antlfol�l, ore snaled <br />❑ Plpe Insulnlloo: R-31or hot and coltl wator plping In i.ncrondltloneo nrees (II .:ervlce or redreulaling, sae Teblo 5-12) <br />❑ �round cover. G mll bla�Y polyethylene�appiwed oq�al la�er112' a: iolnls and e�tending to loundatlon woll <br />