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. . <br />, <br />� - <br />.. <br />'r:��. _:�u <br />Attachmer�t C <br />Plans Examiner and In�pector Ch�:.�klist <br />PermltNo. S Address 5�03 S �� Qy� <br />Plens Examiner: Chock, write in N/A, or fill in vaiue on shaded boxes. <br />Inspector: Check ott boxes at IeR as items are iound to comply. <br />Compllence approach: (check one) ❑ Systems analysis ❑ Component performance <br />�Prescriptive pafh <br />Note: Some specifics on this form may not apply if <br />A) compliance approach is systems analysis or component performance; <br />B) compliance to minimum ventilation criteria is demonstratea through engineering calculaiions or perfortnanco testing. <br />FOUNDATION PHASE <br />❑ Sleb � k i EMedor dovm to irostllne/sleb bo om; or Intedor 24" horizontal or vertical; or, If radlant, under entire slab <br />❑ BNow gred� �xterlorwNl nsulatlon: � '' Qi Intedor—sae Insulatlon Phase) <br />❑ Redon mltlgetlon If locally requlred, or crawlspace venting <tfV300tt2 of crawl, or vents Includa an operaWe dampar <br />FiiAMING PHASE <br />❑ Froming �Slandard �Inlermadlate �,;,,,;� Advanced <br />❑ Std elr eeel: solepUsubflr; rlm �SVmud slli; wind�w & door Irms; penetratlon-wire, plumb, duct, pertitlon studs, flue, Ilght IlMures <br />❑ Sourco ap�clllc exheuat fens: Slze requlrement — bath, laundry (SOclm); !<Itr�en (t00c1m) <br />❑ Whole housa �xhauat fen � Intermlttenl system has manual & auto controls; Outdoor alr suppiy teq. lor hebilable tms. <br />or <br />❑ Integretod }orcedalr eystem outslde aly duct (with damper) allowing between .35 and .5 ACH <br />_ INSULATION PNASE - - -- <br />❑ �,:� Well Inauletlori (ebov� gred�) <br />❑�] Y�all In�u'etlen (beloJv prade): Inlerlor well Insulatlon <br />❑ �� Floor ineuletlon <br />❑�� Celling Insulation: Including atllc hatch <br />❑ �,� Yeulted celling Ineuletlon <br />❑ Vepor reterdere: vnlls, floors, celling <br />❑ Heating ayetem type: <br />For heatpumps, Ilst size, HSPF, and COP <br />FINAL PHASE <br />❑ Redon monitor on slte: with Instrudlons and general inlormatlon <br />❑ Thertnostet: heat range, 55•75; AC range, 70-85; both, 55-85. Backup heal controls prevc�nt slmuflaneous operaticn ol prlmary sys. <br />❑ Solld tual appliences: glass or metal doors; dlred comb. 21r source, or 4" dla., Aampered, indlrect source tor uncond. areas <br />❑ Flrepleces: 6" coinbusilon alr supply duct w/damper dlrecl to Iirobox; tlght titting glass or metal doors. • <br />❑ DHW heetars: NAECA label; separate power or gas shul•oK; on R-10 pad 11 electrlc and In uncond. area or�l on concret� <br />❑ Mechanlcal ventlletlon duets Insulated lo R-4: exhausl duds In uncondltlonad area:Jsupply duds In coi�dltlonud areas <br />❑�:�� HVAC ducls/plenum InsuleUon: duds In uncondit�oned areas are Insulated and Jolnts aro sealed <br />❑ Pipe Insulatlon: R3 for hot and cold water plping In uncondlUoned aroas (II service or redreulallrn�, sae Tablo 612) <br />❑(3round covor: 6 mll black polyethyiene/approvod equal lapped 12" ai Jolnts and extending to fou idallon wall <br />