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�� � � Activity/F mit # <br />NWEC Lowrise Residential Compliance Check list <br />Electrlcellv heated dwelli <br />FORI`A INSTRUCTIONS: <br />3 stories, Zone 1, Western Weshln <br />� .,�.. :,.:�,z���r.m�.x:x.:.. <br />Please read belore compleilnp torm <br />Fil` In ell shaded Intormation boxes that apply to your proJecl. i]n�ot place merks in iha two left side <br />columns labeled " COMPLIANCE REQUIRED" and "INSPECTION APPROVED". Since ihis form <br />wlll be evaluated for completeness, you can avoid unecessary permit delays by carefully providing all <br />required Inlormation. You may disregard iniormation requestes that don't address your particular <br />building or equfpment. <br />2 A Stafi members will help with general queslio�is about filling out this (orm. However, it is your <br />reponslbility to provide specilic inlormatlon for heating systems, glazfng, Insulation, and other <br />building specilications. For specilic requirements, refer to the NoAhwest Energy Code, 1987 Edition. <br />Thfs torm wfll ultimatoty be the basis for all NWEC field �nspectfons. You can avoid problems by <br />aeeklnp approval tor any substitutions betore Incorporating them into tho pro�ect. The bullding olficial <br />may requlre that you substanllate compllance ctalms aboul building praducts or techniques by <br />provlding documentation irom approved testing agencies or code aulhoritles such as ICBO. <br />3� When your permit is issued, you wlll receive a copy ot this form. Boxes will be checked under <br />"COMPLIANCE REQUIRED" indicating NWEC requlremenis that must be incorporated into ihis <br />' proJect. Each checked requlrement wlll be evaluated by tho building Inspector and , when deemed <br />acceptable, marked approved In the "INSPECTION APPROVED" column. <br />DATE �"v 5� Clty LUCJr�=// County ��'it�r�,»i7 <br />NAME ne��LT�ti`� Co�,sr BUILDING ADDRESS y5 �S S `� t� /�1% LOT it_ <br />BUILDING TYPE: <br />� New <br />❑ Remodel <br />❑ Additlon <br />COMPLIANCE PATH: <br />Residentiai: � Single Fam. <br />❑ Mu111 Fam. <br />❑ # Stories_ (s 3) <br />Heating System Type: <br />Eleciric: <br />�Base board [�Forced air furnace <br />[]Heat pump �]Zone lieaters <br />�Other � <br />NWEC p/an revlew: <br />Approved by <br />�Chapler 6 (< 5000 f-'t2) <br />Component Perlormance Chp5 <br />Systems Analysls Ch# 4 <br />(] Poinis System Ch#7 <br /><� NOTE: All non-electrlcally heated <br />�`.k� dwe11►ngs must comply wlth the <br />� �3� 1986 Washington State Energy <br />��. Coda end other ordlnances ol thls ar�' <br />�� luri�dtctlon ,f <br />nsx�:,.2 �E �w��€�A,", . �'S.�n'3m'X���$+��iwf' �. �Ayk"is;:,. �f.% <br />� .�. <br />WEEB APRIL Yo <br />USB OfllY� <br />DB�B Page 1 01 7 <br />