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� AttachmeM C <br />� <br />Plans Examiner and Inspector Checkiist <br />Permlt No._ q00�p Address <br />Plans Ex�miner: Chedc, write in WA, or Iill in value on shaded boxes. <br />Inapector: Check oN boxes at lefl as items are found lo comply. <br />Compllence approach: (check one) � Systems enalysis ❑ Component performance L'7Prescriptive pelh <br />Nots: Some specitics on this lorm mey not appiy il • � • <br />A) compliance approach ts syslems analysts or component performance; ' <br />B) compliance to minlmum ventflation criteria ts demonstrated through engineer(ng calcuiations or perlormence testfng. <br />Fou�nanoN � <br />❑ 81�b �.:�' Y; <�erlor down to }roelllne/sleb bottom; or Interlor 24• hprizontel or verticel; or, If redlent, under enUre alab <br />❑ B�low pnd� �xtalor w�ll In�ul�Uon �(H Interlor— sea Insuletlon Phaeo) <br />❑ p�don mltlp�Non =� >s �} �ocapy requlred, or crawlapace venting c1 W3001t2 of crawl, or venta Include an operade dempnr <br />� FMMpiG pHASE <br />, <br />❑ Fnminp �; ;;� Standard `:i:: Intermedlete � <br />" � • Advenced <br />❑ Std elr ��al: eolepVeubflr; rlm JsVmud sill; window 8 door irms; penetrapon•wlre, plumb, duct, pertltlon atuds, flua, Ilght Ilxtures <br />❑ <br />3ourc� �p�clflo �xh�ust f�n�: Slze requlrement—beth, laundry (SOc1m); kltchen (100cfm) <br />❑ Whol� houu �xhw�t hn �� Intermittent aystem has manual 6 auto controls; Outdoor alr aupply req. lor hebtteble rms. <br />n or <br />IM�pnt�d toro�d-dr �yst�m � outslde ely dud (wlth damper) allowing between .35 end .6 ACH <br />■ <br />■ <br />■ <br />■ <br />■ <br />,,� � , . <br />:�i: <br />:� r///, <br />V��, <br />.�{v <br />"l�1��1! <br />W�II InsulNloh (�bov� pnd�) <br />V��II In�ul�flon (b�loW pnd�): Interloi well Inauletlon <br />Floor In�ulaUon <br />CNling In�ulatlon: Including enic hetch <br />V�ult�d c�lllnp Insul�tlon <br />❑ Vapor ntad�n: walle, lloora, celling <br />❑ H�eting ey�bm typ�. ��=� -"'1 For heatpumps, Ilst slza, HSPF, end COP�'-''''^-�-^^^-- ^�^ <br />L� ';_:._,.. '�� <br />FIPIAL PNASE <br />❑ Redon monitor on sll�: wlth Instrudlons and general Inlormatlon <br />❑ Ths�moetaL• heat range, 65-75; AC renge, 70-85; both, 55•85. Backup heal oontrols pievent slmultaneous aparetlon ol pdmery sys. <br />❑ Solld lusl eppllences: pless or matel doore; dlred comb. alr sourca, or 4" dla., dampered, lndlrect source for uncond. erees <br />❑ Flreplac�a: 6" combustlon elr supply duct w/dai �iper direq to Ilrebox; tlght Iltting glass or matal doore. <br />❑ DHW h�afars: NAECA labal; sopareto power or {Jes shut•ofl; on R-to pad II electrlc end In uncond. eraa wll om m�crete <br />❑ Mechenlcel ventllatlon ducts Insuleted to R-q: exheusl duds In uncondllloned ereas/supply ducls In condllloned erees <br />��� HVAC ducts/plmum Insulellon: duds In uncondllioned ereae ere Insulated end Jolnts are sealed <br />❑ Plpe Insulntlon: R-3 lor hot and cold watar plping In uncondltloned ereas (II servlce or redreulating, sea Teble 5-12) <br />❑ Oround cover: 8 mll bleck polyethylene/approved equat lepped 12' at �olnts nnd extending to loundallon wall <br />