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; <br /> � ' f; � Activity/Pi ; .nit # <br /> � . <br /> NWEC Lowrise Residential Compliance Checklist <br /> ' Electricall heatad dwellin s, s 3 stories, Zone 1, Western Washln ton <br /> i � <br /> FORM INSTRUCTIONS: I Pless� ned before completlnp torm <br /> 1 Fill in all shaded infortnatic,n boxes that apply to your pro�ecl.��t place marks in the two lett side <br /> columns labeled' COMPI_IANCE REOUIRED"and "INSPECTION APPROVED'. Since this form <br /> will be evaluated for completeness, you can avoid unecessary permit delays by caretully providing all <br /> required inlormatlon.You may ipnore Coxes that don't address your particular building or equipmeM. <br /> 2 Statt members wfll help with general questions about fllling out ihis form. However, it is your <br /> reponsibilKy to provide sp��cific iniortnation for heating systems, glazing, Insulation materials, and <br /> other bufldirp specifications. For specific requirements, refer to the Northwest Energy Code, 1987 <br /> Edltion. Thfs lorm wili ultim,ately be the basis 1or all NWEC field inspections.Yo� can avc�id problems <br /> by seeking approvai for any substitutions be(ore incorporating them irno the project.The buildfng <br /> oHlcial may require that you substarriiate compliance claims about building products or techniques by <br /> providing documentation from approved testing agencies or code authorities such as ICBO. <br /> 3 . When your permit is issued, you will recefve a coay of th(s torm. Boxes will be checked under <br /> "COMPLIANCE REQUIRED" indfcating NWEC requirements that must be incorporated into this <br /> proJect. Each checked requirement will be evaluated by the building inspector and ,when deemed <br /> accepiable, marked approved fn the "INSPECTION APPROVED"column. <br /> 4 � When using either a Chapter 4 or 5 approach, addilional documentatfon must accompany this form. : <br /> ' Chapter 5 calculaticn wortcsheets are available irom your building department. <br /> � a <br /> x <br /> :h,'a�. -. i �c. .' r " . sF ' � e`.$:P- <br /> ��.� ��� T A�� 4�v �a`� Fd ,x� i��' <�: ..e, i � �h�� x fE R�u�yew..,; <br /> � ....a:.. e .....• .4Tfi .� .. �"r,��` ....,.xtx .:..., ,f •.h�:. ... . ...:ii.�r� .,. �� ;. .x.ta.: 4+f.„.^. �a <br /> ,..,rrr',.". . ..,:. <br /> DATE �f' S-`1C% Clty �'L��`�'<< COUnty <br /> NAME �t�FW� Sh�"rH BUILDING ADDRESS SN/z- S�jlt�+i�S� /}'i�LOT #_ � <br /> BUILDING TYPE: COMPLIANCE PATH: <br /> �New Res(dential: ❑ Single Fam. Chapter 6 (<5000 Ft2) <br /> ❑ Remodel � Multi Fam. Component Pertormance Ch#5 " <br /> ❑ Addition ❑ # Storfes �- Systems Analysfs Ch# 4 <br /> ._.. .. .., <br /> �� .. .. <br /> ,,,.., _.,. <br /> ,k <br /> _ . M ., <br /> Heating System Type: ` NOTE: AI► non•electrlca►ly heated <br /> dwelllnpa must comply wlth the <br /> Electric: � 1986 Washington Stete Enerpy <br /> �Base board � orced air furnace ��<s� Code and other ordlnances of fh.ls <br /> ❑Heat pump �Zone heaters k �',°� ;; jurlsdlcNon. See the WSEC <br /> �Other ' � " f,�; Inspectlon Check Llsf. <br /> �: ,:� „x,, <br /> WEE9 F�0 YO <br /> • PeQe 7 0f B <br />