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ffiNG(D(V Attachment C <br />COM <br />PROGRAM Plans Examiner and Inspector Chi,, Uklist <br />Permit No. _Address Iq Z3 73 QZC ST 6`1E <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: (chock one) ❑ Systems analysis ❑ Component performance $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 />FOUNDATION PHASE <br />❑ Slab: ERrerlor down to frostllne/slab bottom; or Interior 24" horizontal or vertical; or, II radiant, under entire stab <br />❑ Below grade exterior well Insulation: (If Inledor— see Insulation Phase) <br />❑ Radon mitigation: TiTocally required, or crawtspace venting <tft/300ft2 of crawl, or vents Include an operable damper <br />FRAMING PHASE <br />❑ Framing: Standard Intermediate EJ Advanced <br />❑ Sid air seal: solept/sublir; rim (et/mud sill; window G door frms; penetratlon-wire, plumb, duct, partition studs, flue, light fixtures <br />❑ Source specific exhaust fans: Size requirement — bath, laundry (50cfm); kitchen (100cfm) <br />❑ Whole house exhaust ten _G of Intermittent system has manual & auto controls; Outdoor air supply req. for habitable rms. <br />or <br />❑ Integrated forced -air system = outside air duct (with damper) allowing between .35 and .5 ACH <br />INSULATION PHASE <br />❑__- Wall Insulation (above grade) <br />❑ -----T] Visit Insulation (below grade): Intorlor wall,lnsulatlon <br />❑ Fn �] Floor Insulation <br />❑ Calling insulation: Including attic hatch <br />❑ JK:7� Vaulted ceiling Insulation <br />❑ Vapor retarders: walls, floors, calling _ <br />❑ Heating system type: �6f (,' A44r_ l For hoalpumps, Ilsl size, HSPF, and COP <br />wa « vN r rf FINAL PHASE <br />❑ Radon monitor on site: with Instructions and general Information <br />❑ Thermostat: hoal range, 55-75; AC range, 70.85; both, 55-85. Backup heat controls prevent slmultaneuus operation of primary sys. <br />❑ Solid fuel appliances: glass or metal doors; direct comb. air source, or 4' dla., damperod, Indirect source for uncond. aroas <br />❑ Firnplacos: 6' combustion air supply duct w/damper direct to firebox; tlghl fitting glass or metal doors. <br />❑ DHW healers: NAECA label; separate power or gas shut-off; on R-10 pad If electric and In uncond. area orll on concrete <br />❑ Mechanical ventilation ducts Insulated to R-4: exhaust duds In unconditioned areas/supply ducts In condilloned areas <br />❑ �.__�-1v- ��7 HVAC ducts/plenum Insulation: ducts In una ndlilunod areas are Insulated and Joints are sealed <br />❑ Pipe Insulation: R-3 for hot and cold water pping In unconditioned areas (If service or recirculating, see Table 5-12) <br />❑ around cover: G mll black polyethylone/approved equal lapped 12" at Joints and extending to foundation wall <br />