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�j � — � � ✓ �' . Activity/Permit # <br /> NWEC Lowrise Resid�ential Complianc+� Chec�c Iist <br /> v <br /> Elec4ricall heated dwellln s, s 3 storles= 2one 9, Wester�� Weshington <br /> FORM INSTRUCTIONS: Plea�e read belore completlnp torm i <br /> � Fill in all shaded informetlon boxes that apply to your proJec�.IInnQt place marks in the two left slde <br /> columns labeled"COMPLIANCE REQUIRED" and "INSPECTION APPROVED". Slnce this form <br /> will be evaluated tor completeness, you can avoid unecessary pertnil delays by careblly providing all i <br /> required informatior.You may disrepard IMormatbn requestes that don't address your particular <br /> buildinp or equlpmeM. �, <br /> 2 Staff inembers will help with general questions about tfllinp out thls(orm. However, it is your I <br /> reponsibility to provide specific Iniarmation for heating systert�s, glazing, lnsulation, and other <br /> building specitications. For specitic requireTents, refer to the Norihwest Energy Code, 1987 Edition. <br /> This icrm will ultimately be the basis(or atl NWEC field inspect�ons. You can avoid problems by <br /> seeking approval for any subetit�tlons betore incorporating them into the project.The building ofl(cial <br /> may require that you substantiate compliance claims about bufiding products or techniques by <br /> providing documentation irom approved testing agencies or code authorities such as ICBO. <br /> 3 When your permit is issued, you will recoive a copy oi this torm. Boxes will be checked under <br /> "COMPLIANCE REQUIRED" Indfcating NWEC requirements that must be incorporated into ihis <br /> projeq. Each checked requfremenl will be evaluated by the buildfng inspector and ,when deemed <br /> acceptable, marked approved In the "INSPECTION APPROVED"cotumn. <br /> ;.. _ ,�, �.. <br /> I <br /> DATE '23'"��`�Ity `UC� :� County 5��1�''MIS/� N I <br /> NAME��r+`) �� ��y� BUILDING ADDRESS�ISO? n � �7 V1�/u�� OT #_ . �, <br /> BUILDING TYPE: COMPLIANCE PATH: I <br /> �New Residential: �I Single Fam. pyP�eal � Chapter 6 (< 5000 Ft2) <br /> Remodel 0 # Sro les_(s 3) Sys ems Analysis Ch#4ChT15 ':,; ! <br /> [] Addltion <br /> � Points System Chq7 <br /> „ ,�.: . <br /> �r..,ya�s«� =a;�, r,., x �. <br /> Heating System Type: NOTE: A11 non-electrlcally heated <br /> Electric: dwelllnps must comply wlth the <br /> []Base board �Forced afrtumace 1986 Weshinglon State Enerpy <br /> []Heat pump Zone heaters Code and other ordlnances of thls <br /> �Other lurisdctlon. <br /> ,,,, . <br /> ..'� - .'W. '. ..`A'R. 5 YAL�Ti'� <br /> WEEB APPIL YC <br /> NWEC plan r9vlew: (Department use only) <br /> Approved by Date _ / Page 1 of 7 <br />