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1994 Washington Slate Nonresidential Energy Code Compliance Form <br /> BLdIding Permit Planr� 'Chlaicktist '4�'-,:_­_- ENV-CHK <br /> ilrve w..4+.pian Sui. Compurce form. /Prir r W. <br /> Prolepl Address Dale <br /> 1111 64reet 40 vve# WA oz/o9 /oo <br /> The following Information is necessary to check a building permit application for compliance with the building envelope requirements In the <br /> Washington State Nonresidential Energy Code. <br /> Arpbcabiaty Code Location Building Department <br /> (circle one) Secllon Com rent Information Required on Plans Notes <br /> GENERAL REQUIREMENTS Sections 1301-1314 <br /> 1301 1 Scope Unconditioned spaces identified on plans II allowed <br /> 1302 Space real type <br /> es no dL3: Electric resistance -- _ <br /> yW no n.a. Other Indicate on plans that electric resistance heat is not allowed -r- 1 <br /> es no AM 1310.2 Semi-healed spaces Semi-healed spaces Identified on plans if allowed <br /> 1711 Insulation <br /> jfp no n.a. 1311.1 Insul.Installation Indicate densities and clearances T-f <br /> yes--no n.a 1311.2 Roof/ceiling insul. Indicate R-value on roof sections for attics end other roofs; -r-•1 <br /> Indicate clearances for attic Insulation; <br /> Indicate baffles If eave vents Installed; <br /> Indicate lace stapling of faced baits <br /> rs' no n.a. 1771.3 Wall insulation Indicate R-value on vrall sections; <br /> Indicate face stapling of fazed bans; 7-- <br /> Indicate above grade enenor Insulation is protected; -T-r/ <br /> Indicate loose-fill core Insulation for masonry walls as recess; <br /> Indicate Lest capacity of masonry Walls <br /> if masonry option is used or it credit taken in ENVSTD; <br /> yes no aT 1311.4 Floor insulation Indicate R-value on floor sections; <br /> Indicate substantial contact woh surface; <br /> Indicate supports not more than 24-o.c.; <br /> Indicate that insulation does not block , <br /> airflow through foundation vents <br /> no n.a. 1311.5 Slab-on-grade noor Indicate R-value on wall section or foundation tlelad; <br /> Indicate slab Insulation extends down vertically 24-from top; T'f <br /> Indicate above grade edenor insulation is protected <br /> Yes no ifi.a. 1311.6 Radiant floor Indicate R-value on Wall section or foundation detail; <br /> Indicate slab insulation extends Gown vertically 36 from the lop; <br /> Indicate above grade exterior insulation is protected; <br /> Indicate insulation also under entire slab where r 'd.by Official <br /> YSs' no n.a. 1312 Glazing and doors Provide calculation of glazing area(including both vertical 7.1 <br /> vertical and overhead)as percent of gross wall area <br /> ff no n a 1712.1 1.1-factors Indicate glazing and door U-factors on glazing and door <br /> schedule(provide area-weighted calculations as necessary); "r Z <br /> Indicate If values are NFRC or default if values are default <br /> then specify frame type,glazing layers,gapwldth.Iovl-e <br /> coatings,gas fillings <br /> es no he 1312.2 SMGC&SC Indicate glazing solar heal gain coefficient or shading 7%1 <br /> coefficient on glazing schedule(provide area-weighted <br /> calculations as necessary) <br /> 1313 Moisture control <br /> 6e7j>no n.a. 1313.1 Vapor retarders Indicate var`or retarders on warm side <br /> yIW no n.a 1313.2 Rooffceil ng vap ret. Indicate vapor retarder on root section. <br /> Indicate vap retard with sealed seams for non-wood strut. T-/ <br /> is no n a 1313.3 Wall vapor retarder Indicate vapor retarder on wall section 7--y <br /> Yes no 4T.A. 13134 Floor vaDor retarder Indicate vapor retarder on floor section <br /> s no n a. 1313.5 CravAs ace vaD.rel. Indicate six mil black Dol lhvlene overlapped 12"on round <br /> 1314 Ae k. e <br /> !s`no n.a. 1314.1 Bldgenvel.seating 11ndicale sealing,caulking,gasketing,and weatherstripping <br /> 3 no n a 13142 Glazm /door sealingIndicale"atherstmo in T-f <br /> s no 4t-b- 13143 Assembas ducts Indicate sealing.Caulkino and gaskeling <br /> PRESCRIPTIVE/COMPONENT PERFORMANCE Sections 1320-23 or 1330-34 <br /> a no Envelope Sum. Form Completed and attayhed. <br /> Provide component performance worksheet if necessary <br /> Provide ENVSTD screen I output it necessary <br /> nciIs circled or any question, Provide exp avatlon' <br />