7112 WETMORE AVE 2016-01-01 MF Import

C/TY OF BU/LO/N6 EL/E�T�' O/I//5/ON C �� '� 3Z00 CEOAR ST. EYERETT, fNiO 4a120/ (206) 259-BB10 Aboid this tortn: This form isn't as involved as it looks, because you oniy use portions of ft for a particular dweiling project. Instead of spendinfl time searching through the WSEC, this form wfll heip organize and condense the requirements that apply to your project. It Is also an excellent tool for learning ihe residential WSEC requirements. Requirements are grouped by (oundation, framing, insulation, and final inspection phases. Th(s not only lets you know what you need to do but also when the Inspector will bo checking for particular requfrements. Use the (orm to choose compliance options that best sutt the economics and design ol your projed. , A desiynated department energy specialfst can help you with your queslions. This torm wiil help you comply with the WSEC as quickly and painlessly as possible. Responstblllty for Informatlon: Although staff inembers wlll help you wfth general questions about completing this 1orm, it is ultimately your responsibility to provide detailed iniormalion about heating systems, glazing, insulation, and other building speciifcations. Be sure to get prior approval irom the Department if you later wfsh to make changes in your project. For more requirement detail, reter to the �Vashington State Energy Code, 1991 Edition. Page 1, Compilance Optlons: Select one compliance option at the top o( the table. Pages 2 throuph 6, ln the �haded box area� QIILyC: Provide information and check circles that apply to your specitic project. D.�at plac�Tarks in the two left side columns labeled "COMPLIANCE REuUIRED" and 'INSPECTION APPROVED" or in boxes located in non-shaded areas (These are for departmenl use). Since this form will be evaluated for completeness and accuracy, you can avoid unecessary permit delays by carefully providing all required informalion. You may disregard 'Aems that don't address your particular buiiding or equipment. Compllance responsibiilly: This torm will ultimately be used for all WSEC field inspectfons. When it is returned with your permit, relevant boxes under the "COMPLIANCE REQUIRED" column will have been checked by ihe Building Department. This denotes which WSEC requirements appiy to your proJect. The inspector will inspect your dwelling against these checked items and, when deemed acceptable, place a second check in the "INSPECTION APPROVED" column. All Residential Occupancies OTHER heat source �Gas, oil, propane, wood, heat pumps)