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. � <br />, <br />�- <br />.. <br />. � ., <br />AttaCf�te� C <br />Plar�s Examiner and In��ector Ch�.�klist <br />Permit No. �f �� O � _Address �?iI �' ?7%� JT <br />Pians Examtner: Check, write in N/A, or tiil in value on shaded boxes. <br />Inspector: Check oN boxes at leR as items are tound to comply. <br />Compliance approach: (check one) ❑ Systems analysis ❑ Component periormance <br />LSPrescriplive path <br />Note: Sc;ne specitics on this (orm may not apply if <br />A) i:ompliance approach is systems analysis or component per(ormance; <br />B) �ompliance to minimum ventilation criteria is demonstrated ihrough engineering calculations or performance tesiing. <br />FOUN�ATION PHASE <br />❑ Sleb: ��erlor down to Irosillne/slab bottom; or Interior 24" horizontal or vertical; or, II radlant, under entlre slab <br />❑ Below grede exterlarwall Insulatlon: �(If Interlor—see Insula0on Phase) <br />❑ Redon mltigetlon � If locally requlred or crawlspace venting <tfV3o0112 of crawl, or verits Include an operaWe damper <br />FRAMING PHASE <br />❑ Framing �Standard �Intermedlate � Advanced <br />❑ Std elr seal: solepUsubllr; rIm JsUmud sill; wlndow & door frms; penetratlon-wire, plumb, duct, partltlon studs, tlue, Ilght flMures <br />❑ Source sp.cHlc exheust fans: Slze requlrement—bath, laundry (50cfm); kltchen (100c1m) <br />❑ iMIw1rM+�w exha�ust f� � Intermlttent system has manual & auto controls; Outdoor alr suppiy req. for habltabie rms. <br />or <br />❑ Integrated forced-alr system � outside aly duct (wlth damper) allowing behveen .35 and .5 ACH <br />� � :� . � � <br />■ - � <br />■ - ��� <br />■ ; �as <br />Well Insulatlori (above grede) <br />YJall Insuletlon (below grade): Interlor wall Insulatlon <br />Floor Insulatlon <br />❑�� Celling insulatlon: Including attic hatch <br />❑ � Vaulted ce!Iing Ineulatlon <br />❑ Vapor retarders: walls, floors, celling <br />❑ Heating system type �.- ,�; For heatpumps, Ilst slze, HSPF, and COP �� _�� ' <br />� <br />FINAL PHASE <br />❑ Radon monitor nn site: wlth Instrudlons and general Informatlon <br />❑ Thertnostat: heat range, 55-75; AC range, 70•85; both, 55-85. Backup heat conirols prevent slmullaneous operatlon of primary sys. <br />❑ Solld fuel appllnnces: glass or metal doors; direct comb. alr source, or 4" dla., dampered, Indlrect source for uncond. areas <br />❑ Flreplaces: 6" combustlon alr supply duct w/damper direct lo Ilrebox; tlght fitting glass or matal doors. <br />❑ DHW heeters: NAECA label; separate pcwer or gas shul-off; on R-10 pad II eiectrlc and In uncond, area or II on concrete <br />❑ Mechenical venllletlon ducts Insuleted to R-4: exhaust duds In uncondltloned areas/supply duds In conditloned areas <br />❑�i��� HVAC ducts/plenum Insulsllon: ducts In unconditloned areas are Insulated and Jolnls are sealed <br />❑ Pipe Insulatlon: R-31or hot and cold wator piping In uncondltloned areas (I1 servlce or redreulating, see Table 5-12) <br />❑ around covor. 6 mll black polyethylene/approved equal lapped 12" at Jolnts and extending to loundapon wall <br />