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<br />COMPLIANCE
<br />RE�UIRED �
<br />❑
<br />❑
<br />❑
<br />❑
<br />�
<br />n
<br />R�
<br />0
<br />❑
<br />❑
<br />n
<br />0
<br />u
<br />INSPECTION
<br />APPROVED IMPORTANT: Piease supply infortnation In the shaded boxes and check the appropriate
<br />� clrcles. Disregard topics that don't descrlbe your bullding or equipment. D_Qt�i place
<br />checks In the two teft columns.
<br />r�rsut,ano�r�NAS�z ,Y,;
<br />❑� Exterior sieb Insulation, il not located on the interio� shall be R-10 (Table 6-2).
<br />❑ Qi Exterlor slab Insulatlon, il piesent, shall approved tor below grade use and protected above grade.
<br />❑ 2�e Walls, incfuding rim joists, shall be insulated wfthout compression 46 (Table 8-2}:
<br />OR-15 batt (Options l,iq �R-19 (Opiion ill, IV, V, Vi, VII)
<br />❑ Qinterto� betow yrade wails shall be insulated'without compression Io (Tabie B•2J:
<br />QR•15 (Op[ia�s i, 11) :', �R-19 {Options IIl, iV, V. VI, Vlij '
<br />❑ Qo Vaulted ceilings shall be insulated without compression ro R-30 (Table S-2, Ail options�
<br />❑ Qi Skylight wail Insulatlon is instailed and equivaient to the required wall R-values above.
<br />❑ Q Vapor retarders shall be insfalled toward the warrn su�tace as represented bi
<br />Select one option for iloors, walis, and appropriate ceilings:' '` ' '
<br />Floors: Q Plywood W! exterioi glue '�Poly (Z 4 Mil) � Backed l
<br />Wails: � Poty piastic (a 4 Mil) C Face-stapled, backed batts QJ
<br />Ceilings: X Not required wheie'verttile�tioa space averages >12" above in:
<br />�� Face stapied backed batts ; QPoly plastio (z 4 miq
<br />❑�Heaiing system eNlGency and slzing requlrements shall be met as represen
<br />❑ Heai Pump eH�lency shati be met undarthe foliowing compliance path (S. 5�
<br />� Split system, alr souroe heat pump: HSP,Fa 6.8, COP> 3q
<br />� Single package, air source heat pump: HSPF a 6.6; COP> 3:0
<br />Q Water source heat pump: COP a 3.8
<br />�.�� r-. '..,..:.,a ��...�....,.`ti...:. _.�r__�...�,n ., .. ..
<br />I❑ I�Centraltorce-al�furna�
<br />�
<br />■
<br />■
<br />_ �z .7a (Options
<br />Maxlmum heating system
<br />High efticlency torced•al�
<br />,lt'{150% of desi
<br />�ce (s 56,000 B'
<br />i� �. 78 + t per �
<br />WSEC Insulation phase requirements:
<br />lnspected by:
<br />�the
<br />S02.i;6j: ,
<br />paint
<br />„ �,N����. �.
<br />i below:
<br />d,:
<br />fOptioh V)
<br />fir. (S. 503.22)
<br />Sn>i„�t nHr
<br />❑ � Envelope Floors shall be insulated without compression, and with support s 2b" O.C. toi
<br />: QR79 (OptfonsJ,il, III, IV, V) QR25 (Opiions VI, Vlij
<br />p�o Nomvaulted, attic cellings shall be Insulated withoul compression Eo: See Table 6-2
<br />�•30 tOptions I, II, III, IV,b,bll} � F38 (Optfon VO ; �
<br />❑� Door systems shall meet: � U.40 (All options)
<br />Doortypes are (i) ussc�t S�z (2) _.,: (31
<br />Paae 5 of 6
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