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Q , Activity/F�mit # <br />C Lowrise Residential Compllance Check II <br />heated dwellinga, s 3 <br />FORM INSTRUCTIONS: <br />1. Western <br />Ploas� read betor� complatinp torm <br />FIII In all aheded Infortnetion boxes that apply to your project. �anot place marks in the two lett side <br />columns labeled' COMPLIANCE REDUIRED' and 'INSPECTION APPROVED". Since this form <br />will be evaluated for completeness, you can avoid unecessary pertnft deiays by carefully providlnp all <br />required (nformation. You may disregard iniormation requestes that don't address your particular <br />buildirp or equfpmem. <br />2 StaB members will help with generai questions about filling out this form. However, it is your <br />reponsibility to provide specific infortnation for heating systems, glazing, insulation, and other <br />bulldinp specRicalions. For specBic requirements, refer to the Northwest Enerqy Code, 7987 Edition. <br />This fotm wiil uRtmetely be the basis for all NWEC field inspections. You can avoid probtems by <br />seekfnp approval for any substitutfons betore fncorporating them into the project. The buildinp otticial <br />may reguire thal you substantiate compliance claims about building products or techniques by <br />provlding documentation trom approved testfng agencies or code authorities such as ICBO. <br />� <br />3 �fien your permit is issued, you wlll receive a copy of ihfs form. Boxes wili be checked under <br />'COMPLIANCE RE�UIRED" Indfcating NWEC requirements that must be incorporated into this <br />pro�ect. Each checked requirement will be evaluated by the 6uilding inspector and , when deemed <br />accepfable, marked approved in the "INSPECTION APPROVED" column. <br />DATE <br />unt <br />vrt���-- -- ••-- <br />NAM � = u UILDING ADDRESS �✓/.� G�%�1"hov� h✓ LOT N <br />I ' ' <br />BUILDING TYPE: ,�,( COMPLIANCE PATH: <br />❑ New Residentfal: � Single Fam. � Chapter 6(< 5000 Ft2) <br />❑ Remodel Multi Fam. Component Pertormance Chif5 <br />�Additlon ❑# Stories_ (s 3) Systems Analysis Gh# 4 <br />� Points System Ch#7 <br />Heating System Type: NOTE: All non•alectrlcally heated <br />Electric: dwelllnps must comply wlth the <br />�Base board Forced air furnace 1988 Washlnpton Sfate Eneryy <br />�Heat pump Zone heaters Coda nnd other ord/nencaa of thla <br />� Other lu���� <br />dRG`. <br />WEE� APHIL �0 <br />NWEC plen revlew: (oepartment use oniy) <br />Approved by Date . aape t ot � <br />