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N 1 � • , <br /> C/TY OF EL/�RETT <br /> Bl//LD/N6 D/�//5/O/1/ <br /> 3200 CEOA/[ ' . EI�l�7T, M6I l�20/ (ZOi) tSl.Is/O <br /> • - � • . • <br /> 1 About thls form:Ttie form Isnt as Irnolved aa R boks,because you only use portbna oF k for a paRfailer <br /> dwsllinp project. Instead ol apendinp time�earchlnp throuph the WSEC,thi�fortn wip hetp orpanize and <br /> oondense the requkemente ihat appiy to your pmJect.ft Is also an excetlerrt tool tor leaminp ths residentlal <br /> W8EC requkemeMs. <br /> Requlromsnts are prouped by toundatbn,iraminp,Insulatbn,and Iinal Inepedbn phases.7rils not only lets <br /> you krpw what you need to do but also when the Inspector wpl be checkinp lor partialar requiremer�ta.Use <br /> the fam to claose complience optbns that best sua lhe eaonomics 8nd desipn of your projed. <br /> A desqnated departmer�enerpy speclailst can help you with your quesUons.This tortn wll!help you oompy <br /> � w!th ihe WSEC as quicicly and painlessy es possfble. <br /> Ra�ponslbility for Information:Atthouph staff inembers will help you wRh yeneral questlona about <br /> 2 completinp this tortn,p is uftimately your responslbiliry to provide detailed IMormatbn abc�t headtp aystems, <br /> plazinp,Insulalbn,and other bullding spedfications.Be sure to pet prbr approvel from the Depertment M you <br /> later wish to make chanpes in your proJect. For more requirement detail, refer to the Washirpton Stale <br /> Enerpy Code,1991 EdRbn. <br /> Pape 1, Compilence Optlons: Setect one oompllance optbn et the top ot the lable. <br /> 3 - <br /> Pepea 2 th�ouph 6, in fhe shaded bor eraes enlv: provide Iniormatbn and chedc citcles lhat <br /> q apply to your specHic projed.D.o_anlplace marks in the two leri side cotumns labeled"COMPLIANCE <br /> R�QUIRED'and 'INSPECTION APPROVED'or In boxes lo�ted In non-shaded areas (These arrl•tor <br /> depaAmerlt use). � <br /> Slnce this tortn will be evaluated for completeness and aocuracy,you can avoid unecessary pertni!delaya <br /> by careluily provfding all roqufred informallon.You may disrepnM ftems that don't address your partiariar <br /> lwildinp or equipmeM. <br /> 5 Compliance responslblllty:This torm will uitimately be used lor all WSEC 11eid Inspedions.When R Is <br /> retume d wtth your pertntt, relevant boxes under the"COMPLIANCE REQUIRED'column wlll have been <br /> checkud by the Building DepartmeM. This denotea wh�h WSEC requirements apply to your project.The <br /> inspector will inspect your dwelling against these checked items and, when deemed acceptebie,ptace a <br /> second chedc In the "INSPECTION APPROVED'column. <br /> A /l Residentia! Occupancies <br /> FI eC fl'1 C H@a f SO[I/'C@ (ezcluding hear pumps) � <br />