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<br /> COI,IPLIANCE � � ' �
<br /> flEOUIRED
<br /> INSPECTION IMPORTANT: Please supply Information In the shaded boxes and check the appropriate
<br /> APPROVED PP Y
<br /> circles. Disregard topics that don't describe your building or equipment. DO NOT place
<br /> checks In the two left columns.
<br /> a
<br /> n
<br /> ❑ ❑ ©Extarlor slab Insulation, it not located on the interior, shall be R-10(Table 6-2).
<br /> ❑ ❑ ©i Exterior slab Insulation, it present,shall approved for below grade use and protected above grade.
<br /> ❑ ❑ ©e Walls, ncfuding F Joists,shallbo insulated without compression to(Table 6.2)
<br /> t�R-15 batt (1J t }Is I,Iq %. �i-19(Option III, IV,V,VI,VII)
<br /> ❑ ❑ Qlnlerlor below grade walls sh@li be insulated without compression to (Table 6.2):
<br /> QR-15(Options I,it) R-19(Options III,IV,V.VI,VII)
<br /> ❑ ❑ QVaulted Collings shoal he Insulaled without Compression to R•30(Table 6.2,All oplions)
<br /> ❑ ❑ Q Skylight wall Insulation is installed and equivalent to the required wall R-values above.
<br /> ❑ ❑ Q Vapor retarders shall be Installed toward the warm surface as represented below(502.1.6):
<br /> Select one option for floors,walls,and appropriate ceilings:
<br /> Floors: Plywood Wi exterior giuo 0 Poly(> 4 Miq O Backed balls
<br /> Walls: Poly plastic(x 4 Mil) O Face-stapled,backed balls O PVA.paint
<br /> Ceilings: I Not required where ventilatio,l space averages>12'above insulation.
<br /> Face stapled backed balls [Poly plastic(>- 4 ml) PVA paint
<br /> ❑ ❑ Healing system efficiency and sizing requirements shall be met as represented below:
<br /> ❑ ❑ Heat Pump efficiency shall be mal under file following compliance path{S.503.4):
<br /> O Split system, air source heat pump:I•ISPF i 6.8, COP>3.0
<br /> O Single package, air source heat pump:HSPF i 6.6, COP>3.0
<br /> Q Water source heat pump:COP a 3.8
<br /> 0 Ground source heat pump COP> 3.0
<br /> ❑ ❑ QQ Central force-air furnace AFUE rating,as listed in the GAMA Directory, shall be: -
<br /> 9Z .78(Options I, 11, IV,VI,VII) O a .88 (Option III)) , Ok,74(Option V)
<br /> ❑ ❑ a
<br /> Non-central, combustion heating systems shall have inlarmilent Ignition
<br /> ❑ ❑ 7 Maximum heating system output (150%of design heat load) is BTUIhr. (S.503.22)
<br /> ❑ ❑ e High efficiency forced-alr furnace (s 56,000 BTU/hr,outpul)may may exceed 150°/,ot DHL
<br /> because: OGAMA listed AFUE is, 78+ 1 per each 5000 BTU/hr output that it exceeds the DHL..
<br /> L
<br /> SEC lnsulatlon phase requirements:
<br /> pected by: .__ Date
<br /> G ❑ 0 Envelope Floors shall be Insulated without compression, and with support s-24"O.C.to:,-
<br /> C)1`119(013001181, 11,
<br /> orQR19(OptionsI, li, III,IV,V) , Q R25(Options VI, Vlq
<br /> ❑ ❑ Jo Non.vaultod,attic Collings shall be Insulated without compression to See Table 6.2
<br /> OR-00(Options I, ll,ill, IV,V,Vlq Q R38 (Option VI)
<br /> ❑ ❑ Q Door systems shall meet:0 U.40(Ali options)
<br /> Door types are (1) (2) (3)
<br /> Page 5 of 6
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