Laserfiche WebLink
ACtivlty/P� �mit # <br />FORM IN�TRUCTIONS: <br />TE <br />NAM <br />Please read before comptetlnp form <br />FIII in all shaded Infortnation boxes that apply to your project. �auGi p�ace marks in the iwo left side <br />columns labeled " COMPLIANCE RE�UIHeD" and "INSPECTION APPROVED". Since lhis torm <br />wlll be evaluated for comp!etenese, you can avoid unecessary pertnfl delays by carefuily providinp all <br />required Information. You may disregard IMormallon requestes that don't address your particular <br />buildirp or equipmeM. <br />StaM members will help wtth general questions about filling out thls form. However, it is your <br />reponsibilfty to provide specific Infortnation tor heatinp systems, glazing, Insulation, and other <br />buildfnp specBications. For speci(fc requirements, re(er to the Northwest Energy Code. 7987 Edit(on. <br />Thts form will ultlmately be the basis (or all NWEC field inspections. You can avofd problems by <br />seekinp approval for any substitutions before incorporatfng them into the proJed. The buildfng ofticial <br />may requfre that you substantiate compllance clafms about buiidinp products or techniques by <br />providinp documentation from approved testfng agencies or code authoritles such as ICBO. <br />When your permit is issued, you will receive a copy of this torm. Boxes H�ill be checked under <br />"COMPLIANCE REOUIRED" Indicating NWEC requirements that must be i�corporated into this <br />proJecl. Each checked requirement wfll be evaluated by the building Inspector and , when deemed <br />acceptable, marked approved in tha "INSPECTION APPROVED" column. <br />BUILDING TYPE: <br />❑ New <br />❑ Hemodel <br />�Addition <br />nty <br />LDING ADDRESS �o a� ��r�PL-�-t �oT « <br />rrreee��� COMPLIANCE PATH: <br />Residential: �,a�Single Fam. Chapter 6(< 5000 Ft2) <br />❑ Mult! Fam. Component PeAormance Chq5 <br />❑ p Stories_ (s 3) Systems Analysis Chk 4 <br />� Pofnts System Chk7 <br />Heating System Type: <br />Electric: <br />�Base board �Forced air furnace <br />�Heat pump one heaters <br />❑other_ <br />NOTE: All non•electrlcally heated <br />dwelllnps muat comply wlth the <br />1986 WashlnDton State Enerpy <br />Cod� and other ordlnences of thla <br />lu�dctlon. <br />WEEB �PRIL 00 <br />NWEC plan Ievlew: (Departmant use only) <br />Approved by Dete � <br />Pepe 1 of 7 <br />