1228 58TH PL SW 2016-01-01 MF Import

CSTY OF EYERETT <,Q " HIM MYVE I71YISIL7N E� 3200 CEDAR 5T. ENERETT, Wil 9820/ (206) 259-t7B/O 'TIF�01 �cq -rLr ' a —� � ,t;. � ,�tj, -P�Zv.AAi .t. 0„ Zz • e .tl�.< }a 1 About this form: This form isn't as involved as it looks, because you only use portions of it for a particular I? dwelling project. Instead of spending time searching through the WSEC, this form will help organize and a' "' condense the requirements that apply to your project. It is also an excellent tool for learning the residential :.� WSEC requirements. t v :. Requirements are grouped by foundation, framing, Insulation, and final inspection phases. This not only ` lets you know what you need to do but also when the Inspector will be checking for particular YY requirements. Use the form to choose compliance options that best suit the economics and design of your project. A designated department energy specialist can help you with your questions. This form will help you I� comply with the WSEC as quickly and painlessly as possible. Responsibility for Information: Although staff members will help you with general questions about completing this for..,, it is ultimately your responsibility to provide detailed information about heating ` 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 protect. For more requirement detail, refer to the Washington State Energy Code, 1991 Edition. X 3 Page 1, Compliance options: Select one compliance option at the top of the table. g H Pages 2 through 6, In the 3hade box eteaS only: Provide information and check circles that apply to a "s your specific project. Do -nal in the two left side columns labeled "COMPLIANCE REQUIRED" and "INSPECTION APPROVED' or In bones located in non-shaded areas (These are for department use). Since this form will be evaluated for completeness and accuracy, you can avoid un permit delays s' by carefully providing all required informatinn.You may disregard items that don't adadrescne ry s your particular building or equipment. 5 Compliance responsibility: This form will ultimately be used for all WSEC field Inspections. When it Is returned with your permit, relevant boxcs under the "COMPLIANCE REQUIRED" column will have been ' checked by the Building Department. This denotes which WSEC requirements apply to your protect. The Inspector will Inspect your dwelling against these checked items and, when deemed acceptable, place a a second check in the 'INSPECTION APPROVED column rw a`+.a ,:'.v 'f.+;si'.'4..4:c,• .. .„w y. e::A�` 3'fi.Y. R n`TS , All Residential Occupancies OTHER heat source (Gas, oil, propane, wood, heat pumps)