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�N�ro�, �tt��r�,amr c <br />� <br />�� <br />�� <br />F�� Plans Ex�miner and I���ecto� Ch^�.;kii�t <br />Permlt No. �� 8� 3 __Address �y3o /7T�1 ,�1VE 5 � _ <br />Plans Exeminer: Check, write in N/A, or fill in value on shaded boxes. <br />Inspector: Check off boxes at left as items are tound io comply. <br />Compllance approach: (check one) ❑ Systems analysis ❑ Component perlormance l�Prescriplive path <br />Note: Some specifics on this form may not apply i( <br />A) compliance approach is systems analysis or component performance; <br />B) compliance to minimum ventilation criteria is demonstrated through engineering calculations or performance testing. <br />FOUNDATION PHASE <br />❑ Slab: �f�`` Extedor down to Irostllno/slab bottom; or Intedor 2G" horizontal rn vertlral; or, If radlant, under enUre slab <br />❑ Below grede exterlorwalllnsuleUon. �(If Interfor—see insuladon Phase) <br />❑ Redon mltlgetlon � If locally requlred, or crawlspace venting <ifV3001t2 of crawl, or vents Include an operaWe damFer <br />FRAMING PHASE <br />❑ Framing. �Siandard �Intermedlate � Advanced <br />❑ Std alr aeal: solepUsubflr; rlm }sUmud slll; wlndow & door frms; penetrallon•wlre, plumb, duct, partitlon studs,llue, Ilght Ilxtures <br />❑ Source speclflc exhaust fans: Slze requlramenl—bath, laundry (SOcfm); kllchon (t00dm) <br />❑ Whole houae exheust fan �� Intermittent system has manual & auto controls; Outdoor aIr supply req. lor habitable rms. <br />or <br />❑ Integrated forced-alr system -� outslde aly duct (wllh dampar) allowing between .35 and .5 ACH <br />INSULATION PHASE <br />❑ '��_• • �W�� �. Wall Insulatlori (ebove grade) <br />❑���'�� Y✓all insulailon (beloJ� grade): Interlor wall lnsulatlon <br />❑ ��,� Floor Insuleilon <br />❑� Ceiling Insuletlon: Including at1lc hatch <br />❑ � {Q� Vaulted ceiling Insuletlon <br />❑ Veporretarders walls floors celling <br />❑ Henting system type �'� �E ,� ((„ ;l For heatpumps, Ilst slze, HSPF, and COP ��T�� <br />����� i �:T.� � <br />❑ Rndon monitor on slte: with Instrudlons and generai Intormatlon <br />❑ Thermostot: heat range, 55-75; AC range, 70•B5; both, 55-85. Backup heat controls pravent slmultaneous cperallon o( prlmary sys. <br />�� Solld fuel opplla�.cos: glass or metal doors; dlred comb. alr source, or 4" dla., dampered, Indlreci source for uncond. areas <br />❑ Flreplacos: 6" combustlon alr supply duct w/damper dlreC� to tlre6ox; ilght fitting glass or metal doors. <br />❑ DHW henters: N.AECA labol; separate power or gas shut-oti; on R-10 pad if electrlc and In uncond. area orlf on concrele <br />❑ Mechanicnl ventllatlon ducts Insulntod to Rll: exhausl duds In uncondltloned areasJsupply duds In condltloned areas <br />❑���� HVAC ducte/plenum Insulntlon: ducts In uncondltloned areas are Insulalod and Jolnts are sealed <br />�_� Plpo Insulotlon: R-3 for hot and cold walar plping In uncondlUoned areas (fl servlce or redreulatlng, see Table 5-12) <br />r] C3round covor: 6 mll black polyethylene/approvod equal lapped 12" at Jolnts and eMending to foundatlon wall <br />