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''.��'�''�'� z^ � x��� �S 3i. .. V: <,� `_N{"�+ r �. �n s^�,.... r�":;Ra a. i.h:^',; � ' .;> 3 i ..�, . .,� <br /> a <br /> COMPLIANCE �' Q Ra,�.*,�'y,�'��a` � ' � ' ' � <br /> REOUIRED � �y� .�"n :� g.�SC�+� ' 4'>�:�� �� � .� 3c " 3�"t � <br /> >x�ti aJ s� . �t3'1't� Ci j{j � ;���� Y � <br /> � �;,: <br /> '� :"%� a< a � ��:i�'��������� �� •. u. .a. <br /> INSPECTION � <br /> APPROVED IMPORTANT:Please supply Infortnatlon In the shaded bo�ces and check the appropriate <br /> � circles. Dlsregard topics that don't describe your bullding or equipment.p.QNQt place <br /> checks In the hvo left coiumns. <br /> ,'�. ,,ag;:,a, <br /> r� � i� . <br /> Y� , , < , � , ;r <br /> ❑ ❑ QQ Exterior slab Insulation, i/not located on the inte�ior, shall be R-10 (Table 6-2). <br /> p p Qi Exterlor slab Insulation, i/presenf, shall approved (or betow grade use and protected above grade. <br /> ❑ ❑ QWalls, inc(uding rim joists, shall be ' sulated without compression to(Tabfe 6-2}: ' <br /> �R-15 hait (Options I,i� R-19 (C�piion 111, IV,V, Ui,UII) ` <br /> ❑ ❑. Qlnterlor below gt�ade walis shal�nsulated without compression io {Table 6•2J:; <br /> QR-�5,(Options I; 11) �R-19{Options tlt, !V, V,VI,VII) ' <br /> ❑ ❑ QVaulted celUngs shall be insulated withoui compression to R-30 jTable fi-2, Ati options) <br /> ❑ p Qi Skylight wall Insulatlon is installed and equivalent to the requireci wall R-values above. <br /> ❑ ❑ �z Vapor retarders shal{be Instailed toward the warm surface as represented be�ow{502,1.6Jr; <br /> Select one option for iloors;walls, and appropriate'ceiiings: ` <br /> ' Floors: Q Plywood W/ezterior giue �Poly(z 4 Mil) � Backed batts <br /> Walls: ' �Poty piastic(z 4 Mil) � Face-stapled, backed batts ; � PVA`paint <br /> Ceilings: Not required where verttilation space averages >12"above insulation. <br /> Face stapled backed batts QPoty plasC�c (z 4 mii) 0 PUA pair3t . <br /> ❑ ❑ �Heaitng system afflciency and s(zing reqWremertts shall 6e met as represented below: <br /> ❑ ❑ Heat Pump eff�lency shall be met underthe toliowing compifance path (S. 503.4): <br /> Q Split system, afr Source heat pump:HSAF2 6.8, COP>3.0 <br /> ; Q 5ingle package, air source heat pump:HSPE z 6.6, COP>3.0 ' <br /> ; Q WaCer source heat pump:'COP 2 3:8 <br /> " (� Ground source heat pump COP Z 3A ' <br /> ❑ ❑ Q Central forcrair fumace AFUE rating, as listed in the GAMA'Directory, shalt be: <br /> �i •ZS taPUons'!, ll, 1V,VI;'VII) �z ,88 (Option III}} j�2 7q (Option V� ' <br /> ❑ ❑ e Non-central, combustion heating systems shali have intermitent ignition <br /> ❑ ❑ � Maximum heating system output {150°lo:of design heat foad)',is B7'Gfir. (S. 503.22} <br /> ❑ p s Hlgh efficlency forced-air furnace (s 56,000 BTU/hr.output)may may exceed 150%ot AHG: <br /> because: ;�GAMA listed AFllE is z 78 + t per each 500D BTU/hr output that it ezceeds lfie;OHL. <br /> WSEC Insulation phase requfrements: <br /> Inspected by: Date <br /> , : � �; , <br /> ❑ ❑ �Envelope Floors shall be insulated without Compressun, and.with support s 24"O.C.to: <br /> �Rt9 (Optfons I, II, III, lV, V) (�R25(Opiions VI, Vii} <br /> p � �o Non•vaulted,attic cellings shail he insulated without compression to: See Table 6-2 <br /> QR-30 {Optlons 1, II, III;iV,V, VII) ' �R38 (Opt(on VI} �� <br /> ❑ p �i Ooor systems shali meet:Q U.40 (AU options) <br /> 'boortypes are (1) (2) (3) ' <br /> _ <br /> Page 5 of 6 <br /> � <br />