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��., Attachment C <br /> cooE <br /> Q�x �� Plans Exarn�ner and In�pector Ch^;klist <br /> H <br /> � '� ti Pertnit No. 4'O'Zg S _Address �O�O/ /� Dn SG <br /> K � � Plans Exeminer: Check,wrile in N/A, or fill in value on shaded boxes. <br /> o x o �nspector: Checic otf boxes at IaH as ilems are tound to comply. <br /> '� ri htl � <br /> y� �� Compllance approech:(check one) �Sys;ems analysis ❑Component perform2nce �Prescriptive pa!h <br /> o H d Note:Some specifics on this form may nol appiy if <br /> H � r� A) compliance approach is systems analysis or component pedormance; <br /> �„ � B) compliance to minimum ventilation criteria is demonstraled through ongineering calcuiations or podormance tesling. <br /> �y � FOUNDATION PHASE <br /> x <br /> HH <br /> gy ❑ SIe6:�i,����Extedor down to Irostllnelslab bottom;or Intedor 24'hodzontal or vertical;or,II radiant,under entlre slab <br /> n d y ❑ B�low greda exterlror well IneuleUon: �L .J�3J (Il lntedor—see Insulaqon Phase) <br /> �� r ,I '����f Iowli 9 P 9 � � <br /> x y y ❑ Radon mltlgetlon: y re ulrod,or crawls ace ventin <11V300ft2 0l crawl,or vents Include an o ra6le dam r <br /> y o y FRAMING PHASE <br /> � ❑ Freming: .:� Standard �Intermedlate u Advanr.ed <br /> ❑ Std alr eeel:solepVsubllr;rlm�sVmuc'slll;wlndow&door irms;penetratlon-wlre,plumb,duct,partltlon studs,ilue,Ilght IlMures <br /> � <br /> ! ❑ Source apecNlc ezheuat lans: Slze requlrement—bath,Iaundry(50cfm1;kllchen(100ctm) <br /> �� � ❑ N�hole houaa eahwat lan � Ocftq Inlermlflent systam has manual&auto o�ntrols;Outdoor alr supply req.for habllable rms. <br /> or <br /> ❑ Integreted forced-elr eyst�m � outslde aly duct(with damper)allow�ng between.35 und.5 ACH <br /> �� <br /> ��� INSULATIQN PHASI9 <br /> I �� <br /> ❑ ���] Wall Ineulatlon(ebovs grede) <br /> ❑ '��$� Wall IneuleUon(beloW grsde):Interlor wall Insulallon <br /> �'� <br /> � ❑ ��_�_� Floo�lneuletlon <br /> ❑ �-� Celilnp Inauletlon:Including attic hatcn <br /> ❑ �A� Voulted celling Insulallon <br /> �� ❑ Vepor relardere:walls,Iloors,colling <br /> ❑ Heoting system type: �.�j;���s,__.��� For haatpumps,Ilst sizo,HSPF,and COP �--�-.� <br /> FINAL PHASE <br /> ��. <br /> ❑ Redon monitar on site:wlth Instructlons and general Inlormatlon <br /> ❑ Thartnostot:hoat range,55•75;AC range,70-85;bolh,55-05.Backup heat conlrois prevent sirt�:ittaneous oporallon ol prlmnry sys. <br /> ❑ Solid luol oppllnncas:glass or metal doorc;dlrocl comb.alr sourca,or 4"dla.,dampered,Indlrect source for uncond,areas <br /> ❑ FUaplocos:6'combustlon alr supply ducl wldamper dlrect to Ilrebox;�Ighl filtlng glass or metal doors. � <br /> ❑ DHW heeters:NAECA Iaboi;separate power or gas shut-ofl;on R•70 pad II electrlc and In uncond.area orll on concreto <br /> ❑ Mechnnicel venlllatlon ducts Insuleted to R-4:ezhaust duas In uncondllloned areas/sup�ly duCs In condltloned area, <br /> ❑ �__a���� HVAC duclsfplenum insulotlon:ducis In uncondltloned areas are InsNated and Jolnts are sealed <br /> . U Plpe In�ulotlon: R-3 tor hot and mld wator plping In uncondltloned areas(II service or redreulating,see Tablo 5•1.'.) <br /> ❑ Oround covor.G mll black polyothylano/appwvod oqual lapped 12"al�olnts ard oztonding to founditlon wall <br />