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„ Activity/� �rmit #
<br /> NWEC Lowrise Residential Compliance Check list
<br /> Hc�Fi
<br /> � � '� Electrically heated dwellings, s 3 stories, Zone 1, Western Wash ng on
<br /> ay
<br /> O � x
<br /> � � � .. .:. :�.. . ,�.; . .... :;: , ... , , .
<br /> � � FORM INSTRUCTIONS: Piease read betore completing lorm
<br /> I to our ro ecL I2n_IInl p�ace marks in the iwo left side
<br /> p�H � O Fill in all shaded information boxes that app y Y p I
<br /> y �..� columns labeled” COMPLIANCE RE�UIRED" and "INSPECTION APPROVED". Since Ihis form
<br /> will be evaluale d tor completeness,you can avcid unecessary permit delays by carefully providmg all �
<br /> � y � requirei intormalion.You may disregard inlormatiun requestes that dodl address your parlicular
<br /> H �g building or equipmenl.
<br /> �" � j z � Staff inembers will help with general questions aboul filling out this lorm. However, it is your
<br /> z M � L•�� reponsibilily to provido specific informalion for heating syslems,glazing, insulalion,and olher ,,
<br /> F' y z =�.
<br /> H y " ' ; " building specilications. For specitic requiremenis, refer to the Norlhwest Energy Code, 1987 EdiUon '
<br /> gcn This form will ultimately be lhe basis lor all NWEC field inspeclions.You can avoid problems by �
<br /> c� ty�~i, ,eeking approvai 1or any substitutions belore incorporating them into the project.Tho building official
<br /> ��t, may require Ihat you substantiate compliance claims about buiiding producls or techniques by
<br /> x y y providing documenlation irom approved tesling agencies or code authorities such as ICBO.
<br /> HO (n
<br /> � O VJhen your permit is issued, you will receive a copy of Ihis lorm. �oxes will be checked urder
<br /> "COMPLIr�,NCE REQUIRED" indicating NWEC requiremenls lhat musl be incorporated inro this
<br /> project. Each checked requiremunt will be evaivated by lhe building inspeclor and ,when deemed
<br /> � acceptable, marked approved in the "ItJSPECTION APPROVED"column.
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<br /> �� x.,� .. , r; x,, -
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<br /> 1�� ;
<br /> i `�I DATE ...: , 1 Cllyy'C County '�e�o-t�r.�-Q�_ ,i:
<br /> ,;,: NAME �J�� ` ^- �'�BUILDING ADDRESS 1 ��U �����-�''�� � ILOT !! `-:
<br /> i+'
<br /> :i
<br /> �� � BUILDING TYPE:
<br /> COMPLIANCE PATH: ''
<br /> �' ❑New ResidentiaL dSingle Fam. Chapter 6 (< 5000 Ft2)
<br /> ❑ Remodel ❑ Multi Fam. � Component Pedormance Ch#5 ^
<br /> � [$lAddition ❑ # Stories_(s 3) ❑ Systems Analysis ChN 4 zi ,
<br /> ��� � Points System ChN7 �,�,:
<br /> �Yx•
<br /> • s u
<br /> w,?a .. ,,, .�-:, .,. , tis�"T'�.e'� ;TS,?A�i°d� �; ,% ; r. . • � ' ::
<br /> r� a�,2�
<br /> !��1 ,
<br /> � Heating System Type: <,� NOTE: All non•electrlcalry heated f �
<br /> r� z ` dwellings must comply wlfh the �-•. -
<br /> � Electric: 1986 Washingfon State Energy � ::
<br /> ❑Base board [�Forced air�urnace Code and ofher ordlnances of this
<br /> ❑Heat pump y�Zone heaters V '': jurisd(ction.
<br /> 0 Other ` ` �
<br /> .a���s,� >�:; .�
<br /> WEES APPIL YO
<br /> (Department use only)
<br /> NWEC plan review:
<br /> Approved by Date page t ot 7
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