7110 WETMORE AVE 2016-01-01 MF Import

�� T 3 ciTr oF �vE�rr BU/LD//V6 D/L//5/ON 32Q0 CEOAR ST. EYERETT, fNi7 �IB20/ (206) 259•9B/O About this fortn: This form isn't as involved as it looks, because you only use portions ot ft for a p>Aiculai dwelling project. Instead of spendinp time searchfng th�ough the WSEC, this (orm will help organize an.r. condense the requirements that apply to your pro(ect. It Is also an excellerrt tool for learntng the residentfa! WSEC requirements. Requirements are grouped by (oundation, framing, insulation, and tinal inspection phases. This not only lets you know what you need to do but also when the Inspector wilt be checking for particuiar requfrements. Use the form to choose compliance options ihat best suft the economics and design of your projed. , A designated department energy specialist can help you with your questions. This lorm wili help you comply wilh the WSEC as quickly and painlessly as possible. Rasponslblllty for Intormetlon: P'though statf inembers wlll help you with general questions about completing this form, it is ultimately your responsibility to provide detailed information about heating systems, glazing, Insulatfon, and other bui�ding speci(fcations. Be sure to get prior approval from the Department it you later wish to make changes in your project. For more requirement detail, reler to the Washinglon State Energy Code, 1991 Edition. Page 1, Compliance Optlons: Salect one compliance option at the top ol the table. Pages 2 through 6, ln the shaded box areas oniv: Provide intormation and check circles that apply to your specific projecl. D�t placamarks in the two lett side columns labeled'COMPLIANCE RECUIRED" and "INSPECTION APPROVED" or fn boxes localed in non-shaded areas (These are for department use). Since this form will be evaluated for completeness and accuracy, you can avoid unecessary pertnit delays by carefutly providing all required Information. You may disregard 'Rems that don't address your particular building or equipment. Compllance responsiblllty: This torm will uitimately be used for all WSEC field inspections. When it is returned with your permit, relevant boxes under the "COMPLIANCE REQUIRED" column will have been checked by the Building Department. This denoles which WSEC requiremonts appiy to your project. The fnspector will f�:spect your dweliing against these checked items and, when deemed acceptable, place a second check in the "INSPECTiON APPROVED" column. All Residential Occupancies OTHER heat source �cas, oil, propane, wood, heat pumps)