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E�-� ,., <br />Attachment C <br />c� <br />P�ans Examiner and Inspector Checklist <br />Pertnit No. 3 9 QD5 Address <br />Plana Exem ier: Check, write in WA, or lill in value on shaded boxes. <br />Inapector: Check ofl boxes at lefl as items are tound to comrly. <br />Compllance epproach: (check one) ❑ Systems anaiysls ❑ Component perlormance L7prescripl(ve peth <br />Note: Some spectffCs on this fortn mey not apply fl • � <br />Aj compliance approach Is systems analysis or component performance; <br />B) compllance to minimum ventilation crtferia is demonstrated thraugh engtneerfng calculatfona or per}ormence testinp, <br />� <br />■ <br />■ <br />FOUNDA�idVPFN.SE <br />Sl�b: �+:t ` F�Redor down to Irostllne/slab bottom� or IMador 24• hpdzontal or varUcal; or, N redient, under entlre aleb <br />B�low gnd� ���„or wNl In�ul�Uon: "' <br />� iN Interlor—see Insuladon Phaea) <br />R�don mltlp�tlon; <,�'���^�,',' If lacolly requlred, or uewlspece venting �1 W300ft2 0l aewl, or vents Indude an operade demper <br />FMM�ii PNASE <br />, ❑ Fremin8� �Stenderd 3 �> Intermedlete �<z� <br />` � Advanced <br />❑ Std alr ��el: solepVsubflr; rlm Jsvmud slll; wlndow 6 door Irms; penetratlon•wlre, plumb, duct, pertltlon etuds, flue, Ilght flxtures <br />❑ Sourc� �p�clflo �rh t <br />�u� hna. Slze raqulrement—beth, laundry (50c1m); kllchen (100cfm) <br />❑ Whol� hou�� �xh�u�t I�n � Intermltlent ayelem has menual d euto wntrols; Outdoor alr au I � la heblteble rms, <br />n �� PP Y eq• <br />Inl�pnt�d forc�d-��r sy�t�m � uutslde ely duct (with damper) ellowing behyeen .35 and .b ACH <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />i� : `� <br />Wdl In�ul�tlo�i (�bove pnd�) <br />V��II In�uletlon (b�loW pnd�): Interlor wall Inaulatlon <br />Floor Insuledon <br />CNllnp Insulatlon: Induding atllc hetch <br />V�ulbd c�lling In�uletlon <br />❑ Vepor ntard�n: walls, floora, celling <br />❑ Neating ay,tum typ�: ��4�+�+�.y,�.'"T--� <br />se�lC.E6i]r <br />For hoatpumps, Ilst slze, HSPF, and COp C u� <br />FINAI. PHASE <br />❑ Radon monitor on slle: wlth Instructlons and general Iniormatlon <br />❑ Thermoatet: heat range, 65•75; AC range, 70•B5; bolh, 55•85. Badcup heat controls prevent simultaneous operallon of prlmery sys. <br />❑ Solld fuel eppllancea: gless ar matal doors; dlraq comb, alr source, or 4" dla., dampered, Indireq source for uncond, arees <br />❑ Flreplacxa: 6• combustlon air supply duq w/damper dlraa to Ilrabax; tlght Otting glass or matal doors. <br />❑ DHW hantars: NAECA labal; aeperate power or gas shut•ofl; on R-10 pad II electrlc end In uncond, aree all on concrete <br />❑ Mechenlcel venlllatlon ducts Insuleled to R-4: axheust duqs in uncondltloned arees/supply ducts In condltlonad araes <br />��-� � HVAC ducta/plenum Insulatlon: duqa In uncondllloned ereas ere Insulated and Jolnls are sealed <br />❑ Plps Ineuletlon: F•31ar hol and cold weter plping In uncondltloned ereas (II servlca or redreulating, see Teble 5•12) <br />❑ Oround cover: 6 mll 61eck polyethylene/approvad equal lapped 12^ al �olnts and extending lo foundatlon wall <br />