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C/TY OF EL/E/�iETT <br />BU/LD/NG D/L//5/ON <br />3200 CEDAR 5T. Ef�ERETT, Wi4 9820/ (206) 259-BB/O <br />,� ...._. __. .___._._ _ _ <br />About this tortn: This torm isn't as invoived as it looks, because you only use portions oi it lor a particular <br />dwelling project. Instead oi spending lime searching throuc�h the 1h'SFC, this torm will help organize and <br />condense the requirerrents that apply to your project. It i� so an ea.:ci;c�nt tool for leaming the residenUal <br />WSEC requirements. <br />Requirements are grouped by toundation, traming, insulation, and iinal inspection phases. This not only <br />lets you know what you need to do but also wh�n the Inspector will be checking for particular <br />requirements. Use the fortn to choose compliance opticros that best suri the economics and design of your <br />projecL . <br />A designated department energy specialist can help you wilh your questions. This torm wfll help you <br />comply with the WSEC as quickly and painlessly as possible. <br />Responsiblllty tor Intormatton: Although stati members wlll lielp you with general questions about <br />completing this torm, it is ultimately your responsibility to provide detailed information about heating <br />systems, glazing, insulatfon, and other buiiding specificatfons. Be sure to get prior approval from the <br />Department ii you later wish to make changes in your project. For more requirement detail, reter to tne <br />Washington State Energy Code,1991 Edition. <br />Page 1, Comptiance Optlons: Select one compliance option at the top ot the table. <br />4�� Pages 2 through 6, In the shaded hox arpac onlv: Provide intormation and check circles that apply to <br />y�ur specific project. ��Clplac �narks in the rivo lefl side columns labeled'CAMPLIANCE REuUIRED" <br />and 'INSPECTION APPROVED" or in boxes located in non-shaded areas (These are tor department use). <br />Since this form will be evaivated for completeness and accuracy, you can avoid unecessary permit delays <br />by caretully providing all required iniormation. You may dfsregard ftems that don't address your particular <br />building or equipment. <br />5' Compllance responsiblllty: This torm will ultimately be used tor all WSEC field tnspections. When it is . <br />retumed with your permit, relavant boxes under the "COMPLIANCE REQUIRED" column wili have been <br />checked by the Building Department. Thls denotes which WSEC requirements apply to your project. The <br />ins�ector wiil inspect your dwslling against these checked items and, when deemed acceptab;, place a <br />second check in the "INSPECTION APPROVEO" �iu�;.n. <br />AII Residen�►al Occupancies <br />OTHER heat source �Gas, o;l, propane, wood, heai pumps) <br />