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COMPUANCE <br />RE�UIRED � <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />0 <br />� <br />�� <br />0 <br />� <br />� <br />■ <br />�1 <br />JI <br />n <br />INSPECTION <br />APPROVED �MPORTANT: Please supply Inf�rtnatlon In the shaded boxes and check the approprlate <br />� clrcles. Dlsrepard toplcs that don't descrlbe you� butlding or equlpment. DO NOT place <br />checks In the two left columns. <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />I�G <br />rNsutanoNptr,as� <br />�„ 6JJ Exterlor slab Insutetion, il not located on the interior, shall be R-10 (Table 6-2). <br />] Exterlor slab Insulation, il present, shall approved lor below grade use and protected above grade. <br />��Wells, including rim joists, shali be insulated wfthout cOtnpreSsiott to 'Teble 6-2): <br />{�ii-15 batl (Options l,lq �R-19 (Option lll, IV, V, VI, VII) + <br />]Intet(or betow grade waiis shall be insula[�d wiihout compression to (Ta61e 8•2): <br />QR•15 (Options I, Iq ' �R•19 (Optionslil, IV, V, Vl, VA} <br />��Vaulted cellings shali be insulated without compression to R-3D (Table &2, All optia ,) <br />Skylight wall insulatlon is installed and equivalent to ihe required wall R-values above. <br />❑ Q Vepor retarders shall be Installed toward tfie warm surface as represented be�wv (502>t:sjc <br />Seiect one option tor iloors, walis, and appropriate ceiiings: <br />Floors: � Plywood W! exterior glue �j Yoly (z 4 Mil) � BaCked batts <br />Walis: Poty p�astiC (� 4 Mil) � Faa.-slapled, backed betts � PVA peint ` <br />Ceilings: Not required where verriiiatio� space averages >72" above insulation. <br />Face stapied backedbatts �jPoly piasC�c (a 4 mii) � PVA paiM <br />❑ 3 Hoating system efficiency and sizlnp requirements shall be met as represented below: <br />❑ g Heat Pump efilclency shail be met under the following compliance path (5. 503.d): <br />� Split system, alr Source heat pump: HSPF2 6.8, COP > 3A <br />O Singie packa9e, air source heatpump: HSPF a 8.6; COP > 3.0 <br />� Water source heat pump: COP a 3.8 <br />�• Ground source heat pump COP 2 3A ` <br />❑ QQ Central force•alr furnace AFUE rating, as listed in the GAMA pirectory, shall be: <br />��� a.78 (Options I, II, IV, VI, Vlq � z.88 (Option Iil}} 02„74 (Option Vj <br />❑ Qe Non-central, combustlon heating systems shau have intermhent ignition <br />❑ p�]Maximum heaQng system output {150%of design heat Ioad} is_ BT'Umr. (5.5032.2) <br />❑�e Hlgh efllclency forcetl•air furnace (s 56,900 BTU/hc output)may may exceed ]50°Ioot-0Hl <br />because: QGAMA listed AFUE is 2 78 + t per each 5000 BTU/hr output Ihat it exCeeds the pHL <br />WSEC lnsulation phase requirements: <br />lnspected by: <br />����e€� .����x� x"� °`� �, <br />W ,� � � ..,.'v ��F� ' ;r,�»'�v„ <br />Date <br />❑ � Envelope Floors shaH be insulated witlwut compression, and with support s z4" O.C. to� <br />{QR79 (Options 1,JI, III, IV, V) Q R25 (Options VI, Vtlj <br />❑ �o Non•vaulted, attic cellings shall be insulatod without compresslon to: ` <br />QR•30 (Optlons I, II, III, IV, V, Vlp C, n3g �pptlon VIj See Table 6-2_ <br />❑ Q Door systems shall meet:Q U.40 (Aii options) <br />Door types are (1) {2) �3) <br />Page 5 cf 6 <br />