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QAs<< # 2�- <br />� <br />��°" Attacfrnent C <br />�°�c�n� <br />Plans Exa�niner and Ir�pector Ch��klist <br />Permit No. Q'�Sq'3 Address LOT Z•(a E/Sta,A/N 04/ LQ O(JRT <br />Ple�s Ezaminer: Check, write tn WA, or fili tn value on ahaded boxes. <br />Inapector: Check oll boxes at lefl es items are found to comply. <br />Compllancs epproech: (check one) 0 Systems analysis ❑ Component peAortnence <br />LrfPrescrfplfve peth <br />Notr Some specilbs on this form may nol apply M <br />A) complience approach Is systems enalysis or componenl peAormance; <br />B) compilance to minimum ve�lilation crNerie Is demonaireted through enpineerinp calculetiona or perlonnence teetlnp. <br />FOIM��TION PNASE <br />❑ 81�b: Ezlalor dovm to hoatllnUaleb botlan; or IM�rbr 24' horizontel or wrtical; or, M radlant, und�r entlro slab <br />❑ BNow pnd� �xN►lor wdl In�uldion: :(H Irrtedor — ea� Insulatlon Phaea) <br />❑ R�don mltlp�Gon: Ii locally rrqulred, or aewlapace vendng <1 W300ft2 0} aavW, or verita Induda an opnred� demper <br />FA�M�Ni PNASE <br />❑ Fnminp: Standerd Intarmedlete Advanced <br />❑ Btd tlr ��el: solapVaubllr; �im bVmud alll; wlndow 8 door frms; penatratlon•wlre, plumb, duet, pertltlon atuda, llus, IIgM Ilxturea <br />❑ eourc� �p�cl}lo �zh�u�t f�n�: Slze requlrement—beth, leundry (6oc1m); kitchen (loocfm) <br />❑ Whol� how� �xhw�t f�n Imermment ayetem hea menuel d auto oontrole; Outdoor alr supply req. ►a heMlsWe mre. <br />er <br />O Im�pnt�d rom�d.�tr �y�t�m i�: ='' autalda aly ducl (wlth dampar) allowing betwaen .3b and .6 ACH <br />NSULATION PIIABE <br />❑ Wdl Imul�tlor, (�bov� pr�d�) • <br />❑ Wdl In�ul�tlor� (b�loJ! pnd�): Intarlor wall Ineuledon ',' <br />u <br />Floor Imulotlon <br />❑ r,�lllnp InsulNlon: hduding arilc hetch <br />❑ � Vwlt�d c�lling In�uletlon <br />❑ V�por M�rrl�n: walla, flaore, celllnp <br />❑ H�aQng syat�m typr. �� s��:x,. For heetpumps, Ilst slze, HSPF, end COP '" �°� `�u r,�� <br />�'id AfuE M��. FMIALPHASE <br />❑ Re ion monHor on slts: wlth Instrudlons end generel Informallon <br />❑ Th��noatet: heat range, b5-75; AC renge, 70•85; both, 55-85. Beckup heet mnlrols prevent almufleneoue operallon of prlmery sys. <br />❑ Bolla fu�l epplleness: gless or metel doora; dlred comb, elr aource, or 4• dla., dempered, Indireq source for uncond. ereas <br />❑ Flrepla ^ss: 6' canhustlon elr aupply dud W/damper dlrecl ta Ilrebax; tight IltUng glass or metel dooro. ' <br />❑ DHW h�eien: NAECA lebel; aeperate power or ges ehut-oH; on R-10 ped II elecUlc end In uncond. aree aH on concreta <br />❑ Mechanlcel v�nlllatlon duct� In�ulet�d to R-4: sxheust ducie In uncordltloned areas/supply duda In condltloned araes <br />❑�,' '�: �:. e,•, �{VAC ducle/pl�num Insulation: duds In uneandlUoned ereae ere Insuleted andJolnts ere seeled <br />❑ Plpe Inauletlon: R-31or hot end cold water plping In uncondllloned ereas (If servlce oi redreulating, eee Teble S72) <br />� Oround cover: 6 mll binr.k poiyelhylnne/approved equnl lapped 12 et Jolnls nnA oztending to loundatlon wall <br />