Laserfiche WebLink
ynH <br />��� <br />A � x <br />C H <br />�HN <br />H�3 <br />H H <br />ft n <br />H� <br />� H ��+J <br />yy��z <br />H t7 <br />H�S <br />�w n <br />�H� <br />HH <br />�N <br />� <br />C�C� <br />��� <br />zycn <br />HOcn <br />A�ctivity/Pe �it # <br />NWEC Lowrise Residential Complian�e Gheck list <br />Electricelly heated dwellin <br />FORM INSTRUCTIONS: <br />s 3 stories, Zone 'I, Wester� Washfngton <br />_��. �... - :� �...,-�� � -:.. �.�__ <br />F Please read before completlnp lorm �`<i <br />Fill in all shaded iniormation boxes lhat apply to your proJect. pn�ol place marks (n lhe lwo lell side <br />columns labeled "COMPLIANCE REOUIRED" and "INSPECTION APPROVED". Since this torm <br />wili be evaluzted for completeness, you can avoid unecessary permfl delays by carefully providing all <br />required information. You may disregard fntormation requestes ihal don'1 address your particular <br />building or equipment. <br />Stafl members will help wilh general queslions about filling out lhis torm. However, it is your <br />reponsibility lo provide specilic Informalion for heating syslems, gluing, insulalion, and other <br />building specifications. For specific requiremenis, refer te the Norihwest Energy Cede, 1987 Edition. <br />This lorm will ullimalely be the basis 1or all NWEC field inspoctions. You can avoid problems by <br />seeking approval for ary subslltutions belore incorporating them into the project. Tho building official <br />may requ(re lhat you suhslantiato compliance claims about buiiding products or techniques by <br />provlding documen�ation lrom appruved testing agencies or code aulhorities such as ICBO. <br />3�' When your permit is issued, you will receive a copy of lhis lorm. Boxes will be checked under <br />`—J "COMPIIANCE RE�UIRED" (ndicaling NWEC requirements that musl be incorporated into this <br />project. Each checked requirement will be evaluated by Ihe building inspector and , when deemed <br />acceptable, marked approved in the "INSPECTION APFROVED" column. <br />��. ,s ,,. _ , , ,<> <br />.��,s��a��, ��;:�:..���,,,a� r ,.:� ,,,.Y ,,, ,,,,;; ,,, ;, , :Y: <br />DATE <br />nt <br />NAMEJ�_�L1�'�BUILDING ADDRESS LOT #_ <br />BUILDING TYPE: <br />❑ New <br />❑ Remodel <br />0 Addition <br />Residenlial: ❑ <br />❑ <br />❑ <br />COMPLIANCE PATH: <br />Single Fam. ❑ <br />Multi Fam. Q <br />if Stofi05_ (s 3) ❑ <br />❑ <br />Chapter 6 (< 5000 F12) <br />Component Performance Chq5 <br />Syslems Analysis Ch# 4 <br />Painls System ChN7 <br />Heating System Type: � NOTE: All non•o/ectrlcalty heated I'� - <br />�" dwelll�gs musf compty wlth fhe � <br />Electric: u • <br />� �Base board [�Forced air lurnace <br />138G Washington State Energy " ; <br />.�� OHeat pump �Zone heators Cods and other ordlnances o/ this <br />�': �Other luriadictlon. <br />,� <br />„ <br />F „ <; > <br />� ,. :.. . � �„ , � <br />WEE9 ACRIL f0 <br />NWEC plan revlew: (�epanmem use onty) <br />Approve " by _Date — Pape � of � <br />