1216 58TH PL SW 2016-01-01 MF Import

J� CITY 4OF EVE12ETT BU/L®//VG Ad71YIS/ON 3200 rwwR sr EVERETT, W4 55201 (206) 259-0514U .l:r �"�l�n•/&t>a It1dw•F(Q�S/ Solc .- tt 3N� About this form:This form Isn't as involved as it looks, because you only use portions o1 it for a particular ;• t" dwelling project. Instead of spending time searching through the WSEC, this form will help organize and condense the requirements that apply to your project. It Is also an excellent tool for learning the residential WSEC requirements. s Requirements are grouped by foundation, framing, Insulation, and final inspection phases. This not only lots you know what you need to do but also when the Inspector will be checking for particular + requirements. Use the form to choose compliance options that best suit the economics and design of your Project. IF �� y A designated deparl,nent energy specialist can help you with your questions. This form will help you comply with the WSEC as quickly and painlessly as possible. t 2 l Responsibility for Information: Although staff members will help you with general questions about completing this form, it Is ultimately your responsibility to provide detailed information about healing systems, glazing, Insulation, and other building specifications. Be sure to get prior approval from the Department if you later wish to make changes in your project. For more requirement detail, refer to the JJ Washington State Energy Code, 1991 Edition. 3 Page 1, Compliance Options: Select one compliance option at the top of iho table. q Pages 2 through 6, In the shaded box areas_=y: Provide Information and check circles that apply to N ' your specific project. D-o nat placamarks In the two left side columns labeled "COMPLIANCE REQUIRED" and "INSPECTION APPROVED"or in boxes located in non-shaded areas (These are for department use). Since this form will be evaluated for completeness and accuracy, you can avoid unecessary permit delays by carefuCy providing all required Information. You may disregard items that don't address your particular €> building or equipment Compliance responsibility: Th(s form will ultimately be used for all WSEC field Inspections. When It Is returned with your permit, relevant boxes under the 'COMPLIANCE REQUIRED"column will have been checked by the Building Department. This denotes which WSEC requirements apply to your project. The inspector will Inspect your dwelling against these checked items and,when deemed acceptable, place a ` second check in the "INSPECTION APPROVED"column, ,. {dlik tY .t .4.w EM •i_N6rfA ;Yt� ..�.iFS1x,: . - :>t�'.e±estt'aatiw T<:..lx=�cu»HT"C`ci All Residential Occupancies OTHER heat source (Gas, oil, propane, wood, heat pumps)