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OS' p � C�/� Activity/Pe ;it #
<br /> NVIIEC Lowrise Residential Compliance Check Iist
<br /> Electriceli heated dwellln s, s 3 storles, Zone 1, Western Washin ton
<br /> �
<br /> FORM INSTRUCTION:a: Please read betore completlnp lorm
<br /> � Fill in all shaded Inlormation boxes that apply to your project.�GI p�ace marlcs in th�� two lefl side
<br /> culumns labeled ' COMPLI.4NCE REQUIRED' and 'INSPECTION APPROVED". Since�th(s torm
<br /> will be evaluated for completeness, you can avoid unecessary permit delays by caretully pi:vid(ng all
<br /> required information. You may disregard iniormation requestes that don't address your particul�r
<br /> buildiog or equipment.
<br /> � Statf inembers will help v,fth general questions about filling out this torm. However, it is your
<br /> reponsibiliry to provide sp��cit(c intormation for heating systems, glazing, insulation, and other
<br /> building specitications. For specitic r�quirements, reler to the NoAhwest Energy Code, 1987 Edition.
<br /> This form wiil ultimately be the basis tor all NWEC tield inspections. You can avoid problems by
<br /> seekfng approval h,r any substitutio�s batore Incoiporating them into the project. The building oflicial �
<br /> may reGuire that you substantlate compllance claims about building products or techniques by
<br /> providii�g documentation from approved testing agencies or code authorities such as ICBO.
<br /> 3 When your permit is issued, you wiil receive a copy ol this torm. Boxes will be checked under ��
<br /> ;x:- ' "COMPLIANCE REQUIRED" Indica0r� NWEC requlremenis that must be incorporated into this
<br /> project. Each checked requirement will be evaluated by the building inspecto� and ,when deemed
<br /> �`" acceptable, marked approved in the "INSPECTION AF'PROVED"column.
<br /> � . „.
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<br /> DATE V ^ City Co�nly_ ���t-ILrflStl
<br /> < NAME 11�13Ut;�a� <<"" r BUILUING ADDRESS_`-��%s J`����u��7 � LOT k -3
<br /> �:.
<br /> BUII.DING TYPE: �-{ COMPLIANCE PATH: � -
<br />� �New Residential: yr� Single Fam. ❑ Chapter 6 (< 5000 Ft2) ^
<br /> Remodel ❑ Multi Fam. �(, Component Periormance Ch#5 �>
<br /> ❑ Addition ❑ N Stories_(s 3) ❑ Systems Analysis Gh# 4 ..��
<br /> � Points System Chq7
<br /> c � c.:::>� i ;S _. �.q :,�� x yA`�'+<, �s�. <�.�.�'a' :':.Eyb�;.`
<br /> �� x"�..�. �.�' ��',���, �'..,, _£.; s �. '�r., x? r.,>
<br /> ` ..
<br /> Heating System Type: NOTE: All non-electrlcaNy heated
<br /> • Electric: dwalNngs must comply wlth the
<br /> »; �Base board �Forced air furnace ` 1986 Washln8fon State Energy ,c ;,
<br /> � .:,..
<br /> �,;, � "` Code end other ordlnances ot thls �;
<br /> ,K; OHeat pump �Zone heaters �, j����� ��i
<br /> �, DOlher "� �
<br /> Ac^ y1 � jrli� „
<br /> t� C ��J 1 ����g
<br /> ..:x::9M< a^.N.: C . ...'.A:n .::..q`.1 `"31�' .'�MG..
<br /> WEEe APRR i0 .
<br /> NWEC plan revlew: (oepanment use oniy) - l \
<br /> Approved by Date pape t of_7
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