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e LY G A 2 M EM Attachment C <br /> CODE <br /> PROGRAM <br /> Plans Examiner and Inspector Checklist <br /> Permilt No. 382.-7 2 Address fo 17 ' 557V FL SE <br /> Plans Examiner: Check, write in N/A, or fill in value on shaded boxes. <br /> Inspector: Check off boxes at left as items are found to comply. <br /> Compliance approach: (check one) ❑Systems analysis ❑Component performance R Prescriptive path <br /> Note: Some specifics on this form may not apply if <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 /> FOMTM PHASE <br /> ❑ Slab: Ex,erlor down to hosillnL6e/slab bottom;or Interior 24'horizontal or vertical;or,If radiant,under wdlre slab <br /> C1 Below grade exted�or�wall IK <br /> Insulation: yJA::] (If Interior—see Insulallon Phase) <br /> ❑ Radon mitigation:L.LJl1.y:J If locally required,or crawlspace venting<1 1113001t2 of crawl,or vents Include an operable damper <br /> _ FP MNG PHASE <br /> ❑ Framing: standard Intermediate J Advanced <br /> ❑ Std air seal:soleptsubfir;rim jsVmud sill;window&door frms;penetration-wire,plumb,duct,partition studs,flue,light fixtures <br /> ❑ Source specific exhaust fano: Size requirement—bath,laundry(50cfm);kitchen(loocfm) <br /> ❑ V,hole house exhaust fan &TO ofn� Intermittent system has manual&auto controls;Outdoor air supply req.for habitable rms. <br /> or <br /> ❑ Integrated forced-air system outskle alr dud(with damper)allowing between.35 and.5 ACH <br /> WSU 7m PHASE <br /> ❑ � _- Wall Insulation(above grade) <br /> ❑ Well Insulation(below grade):interior well Insulation <br /> ❑ Floor Insulation <br /> ❑ Gelling Insulation:Including attic hatch <br /> ❑ <br /> K_T=0 Vaulted coiling Insulation <br /> ❑ Vapor retarders:walls,floors,telling <br /> ❑ Heating system type: [_� _._.�' ,I For heatpumps,list size, HSPF,and COP <br /> e a wG FINAL PHASE <br /> ❑ 90 Ion monitor on site:with Instructions and geograi Inlormatlon <br /> ❑ Thermostat:heal range,55-75;AC range, 70-e5;both,55-65.Backup heat controls prevent simultaneous operation of primary sys. <br /> ❑ Solid fuel appliances:glass or metal doors;direct comb.air source,or 4"dia., dampered,Indirect source for uncond.areas <br /> ❑ Flrepiaces:6'combustion air supply dud w/damper direct to firebox;tight fitting glass or metal doors. <br /> ❑ DHW heaters:NAECA label;separate power or gas shut-off;on R-10 pad If electric and In uncond. area or If on concrete <br /> ❑ Mechanical ventilation ducts Insulated to R-4:exhaust ducts In unconditioned areas/supply ducts In conditioned areas <br /> ❑ �j.7} HVAC ducts/plenum Insulation:duds in uncondltloned areas are Insulated and joints are sealed <br /> ❑ Plpe Insulation: R-3 for hot and cold water piping In unconditloned areas(if service or recirculating,see Tab;e 5-12) <br /> ❑ Ground cover: 6 mll black polyethylene/approved equal Ir Aped 12"at joints and extending to foundation wall <br />