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�In�v Attachment C <br /> '�ir <br /> cooE <br /> � �� � Plan� Examiner and Inspector Checklist <br /> H <br /> cy � H Permlt No. �7�-71 Address 47.'�' S�AN�/i'S"i Qvr <br /> Cxy <br /> y �� Plena Examiner: Check,write in N/A,or fill in value on shaded boxes. <br /> K y� Inspector: Check ofl boxes a1 teft as items are found lo comply. <br /> '�y H Compilance approach: (check one) ❑Systems analysis ❑Component pertormarce 0 Prescriptive path <br /> x Note:Some specifics on this lorm may not apply if <br /> H <br /> �r� t7 A) compliance approach is syslems anaiysis or component pertormance; <br /> H� �y B) compliance to minimum ventilation criteria is demonstrated througlj engineering calculations or performance testing. <br /> O <br /> H" � FOUNDATION PHASE <br /> Zy N <br /> C" y 2 �....... . ... <br /> H y ❑ Sleb:R•. f�(J(�,__I E�tedor down to IrosUlneisleb botlom;or Intedor 24"hodzonlai or vertical;or,II redlant,under entlre sleb <br /> g`� __ <br /> �..� ❑ B�low grode�xterlor well Insuledon: R-.. �(`[�..... I (tl Interlor—see Insulatlon Phase) <br /> c] C7 tA <br /> �U � ❑ Radon mltlgaUon:�_.(��f�._�I�locally requlred,or crawlspace venting<1fV3001t2 0l crawl,or vents Include an operade damper <br /> [+� <br /> ZHcn F��i� <br /> HON <br /> ❑ Freming: �✓�Stnndard ', , I Intermediate �� _ __ ,� Advanced <br /> �: ❑ Std elr asel:solepVsubflr,rlm�sVmud slll;wlndow 8 door tims;penetratlon-wlre,plumb,�uct,partltlon studs,flue,Ilght�Ixtures <br /> i ❑ Sourc�epaelllc�xheuel fene: Size requlremenl—bath.loundry(50cim);kllchen(100ctm) <br /> � �_ ❑ W holo housa exhaust fen j��c1tn Intermltlent system has manual 6 auto coNrols;Outdoot elr supply req.lor heblteble rms. <br /> ��� ❑ Integreted torced-elr syatem I� . �i outside ali duct(with damper)allowing between.35 end.5 ACH <br /> INSUlATION PHASE <br /> � r� ❑ p- �� .� Well Inauletlon(ebove grede) <br /> i — <br /> ❑ q. j�{]/a _ _j Wall Insulallon(below grnde):Interlor wall Insulation <br /> _ ❑ p• . IC� . ..__' Floor Ineulallon <br /> � � <br /> - -- <br /> � �� ❑ p- '3U _ j Celling Ineuletlon:Including attic hatch <br /> ❑ q.--�3J � I VeuHedcellinglnsuletlon <br /> ❑ Vapor reterders:walls,Iloors.celling <br /> �t� ❑ Heeling system type: I G�S_� �,�_, �' For heatpumps,Ilst slzo,HSPF,and COP 'i � I <br /> I FINAL PHASE <br /> \' <br /> �t � ❑ Rndon monHor on sfle:with Instructlons and general Informatlon <br /> ❑ ThermostnL•he�t range,55-75;AC iange.70-85:both,55-85.Backup'ieat contwls prevent simultaneous operellon ol pdma�y sys. <br /> ❑ Solld luel oppllnnees:glass or metal doors;direct comb.alr source,or 4"dia.,damperad.Indirect sourcu lor uncond.areas <br /> ❑ Flrepleces:6"combustlon alr supply duct w/damper direct l01lreboz;tight fitting gloss or metal doors. <br /> ❑ DHW healers:NAECA label;separale power or gas shu�-off;on fl-10 pad II electrlc and In uncond.area a II on conctele <br /> ❑ Mechenlcel ven111etlon ducls Insuleted to R-4:exhaust duqs In uncondllloned areas/supply duas In condNloned areas <br /> ❑ p__ Qf_ ..�.. I HVAC ducts/plenum Insuletlon:ducts In umm�dlUoned areas nre Insulaled nnd�olnls are seeled <br /> ❑ Plpe Insuletlon:R 9 for hot and cold water pipin�In uncondllloned areas(I�servlce or redreulating,seo Table 5-72) <br /> ❑ Qround cover.6 mll black polyelhyleno/approved equel lapped 12"et Jolnis and eMending to foundallon wall <br />