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��� <br />ry � H <br />7 H N <br />y � r�+ <br />� '3 � <br />�°cH°m <br />V1 M�+ <br />G Zp i�p <br />� H C <br />O F+ <br />z n o <br />��°R <br />� <br />t� y <br />ri H <br />N <br />M <br />O tn <br />�y�y0ro <br />H O N <br />' e,�, <br />'w'y� <br />{ 'r � <br />`r s� <br />cirr oF EVE�rr <br />BU/LD/NG D/I//5/ON <br />3200 CEOAR ST. EYE/zETT, Wi4 9920/ (Z06) Z59-9B10 <br />� ".�..��i'tivfh2' r.......v4..-. _ _. . <br />About thls torm: This torm isnY as involved as lt bok,, because you only use portions of fl lor a partialar , <br />dwelling proJecL Instead ol spending timo searching �hrough the WSEC, this lortn will help organize and : <br />condense the requirements that app�Y lo your pro�ect. Il is also an excellent tool lor learning the residential .. <br />WSEC requlrements. <br />Roquiremenls are grouped by loundation, Iraming, Insulatlon, and final Inspection phases. l'nis not only lels ' <br />you know what you need lo do but aiso when tho Inspedor will bo checking lor particuiar reoulrements. Use � <br />the fortn to choose compliance oplions that besl suit the economics and design ol your project. <br />A designated department energy specialist can help you wilh your questions. This torm will heip you comply <br />w3h tho WSEC as quickly and painlessly as possi'+le. <br />Responslblllty tor Intormnllon: Allhough slafi members will help you with general questions about <br />compieling this lortn, il is ultimately your responsibility to provide detaiied inlormation about heating systems, <br />glazing, Insulalion, and other 6uilding speciticalions. 7e sure to get prior approvai from the Departmenl M you <br />later wlsh to make changes in ytur projecL For more requirement delail, re(er to Ihe Washingion Slate <br />Energy Code, 1991 Edition. <br />page 1, Compllance Options: Select one compliance oplion at the top ol the table. <br />Peges 2 through 6, �n th sh^�Ad hox ereas onlv: Provide inlormalion and check circies lhat <br />appiy to your specific projed. Qo_aolPlace marks in the two left side columns labeled'COMPLIANCE <br />qEOUIRED' and 'INSPECTION APPROVED' or in 6oxes Io�aled in non-shaded areas (These ara�.for <br />deparlment usa). <br />Since Ihis fortn will be evaluated 1or completeness and accuracy, you can avoid unecessary permit delays <br />by caretuily providing all required intormation. You may disregard items that don't address your particular <br />building or equipment. <br />Compllance responslbllity: This lorm will ultimately be used tor all WSEC lield Inspeciions. When it is <br />retumed wflh your permit, relevant bozes under lhe'COMPLIANCE REDUIRED' ooWmn��will oae��The <br />checked by the Building Department. This denotes which WSEC requirements app y y P 1 <br />inspector will inspecl your dweliing against these checked items and, when deemed acceptable, place a <br />; second checfc In the 'INSPECTION APPROVED' column. <br />All F�esideniiaf Occupancies <br />EIECfI'!C Fl@�f SOLIPCe (excluding heat pumps) <br />