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1994 Washington Slate Nonresidential Energy Code Compliance Form <br /> r . <br /> t07a WrtnmqlM scar Enapr Cone C9mpxr�r Pormr AMI 149, <br /> Protect Address 1'Lst Date*i <br /> Wqq <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 /> AppllcaDdlry Code Localbn Bmlding Department <br /> (circle one) Section Com nen) Information Required on Plans Notes <br /> GENERAL REQUIREMENTS Sections 1301-1314 <br /> 1301 Scope Unconditioned spaces identified on plans if allowed <br /> 1302 Space heat type <br /> no Electric resistance <br /> no n a Other Indicate on plans that electric resistance heat is not allowed <br /> no n a 1310.2 Semi-healed spaces Semi-healed spaces Identified on plans if allowed <br /> 1 211 Insulation <br /> no n a 1311.1 Instil.Installation Indicate denslties and clearances <br /> no in a 1311.2 Roof/ceiling Insult. Indicate R-value on roof sections for attics and other roofs; t <br /> Indicate clearances for attic insulation; <br /> Indicate baffles if eave vents Installed; <br /> Indicate face stapling of faced bans <br /> as no In a.l 1311.3 Wall Insulation Inc- Ae R value on wall sections; <br /> Indicate face stapling of faced bans; F <br /> Indicate above grade eAenor Insulation Is protected, <br /> Indicate loose-fill core insulation for masonry walls as necess; <br /> Indicate heal capacity of masonry walls <br /> if masonry option is used or if credit taken in ENVSTD; <br /> yes no a 1311.4 Floor Insulation Indicate R-value on Scor sections; <br /> Indicate sebstantial contact with surface; <br /> Indicate supports not more than 24"o c; <br /> Indicate that Insulation tices not block , <br /> airflow through foundation vents <br /> yesne n a. 1311.5 Slab-on-grade Ocer Indicate R-value on wall section or foundation detail; <br /> Indicate slab insulation extends down vertically 24-from top; <br /> Indicate above grade extenor insulation is protected <br /> yes no %Va. 1311.6 Radiant Door Indicate R-value on wail section or foundation detail, <br /> Indicate slab msulatun extends down vertically 35 from the top; <br /> Indicate above grade extenor Insulation is protected; <br /> Indicate insulation also under entire slab where read by Official <br /> nc n a 1312 Glazing and doors Provide calculation of glazing area(me udmg both vertical ,L <br /> vertical and overhead)as percent of oross wall area <br /> ye no n a 1312 1 U-factors Indicate glazing and door U-factors on glazing and door <br /> schedule(provide area-weighted calculations as necessary); tb 1/2. <br /> . <br /> Indicate if values are NFRC or default,if values are defaulti <br /> then specify frame type,glazing layers,gapwldth,lowe <br /> coatingsgas fillincs I <br /> CS) <br /> es no n 1312.2 SHGC 8 SC Indicate glazing solar heat gain coefficcent or shading r <br /> coefficient on glazing schedule(provide area-weighted Z <br /> calculations as necessary) i <br /> 1317 INImsture control <br /> ryeV no njj 13131 lvacor retarders Indicate vapor retarders on warm side <br /> Ws no 4 13132 Roof/ceiling vap ret. Indicate vapor retarder on roof section, <br /> Indicate vap retard with sealed seams for non-wood sbuc. <br /> Yes no na 11133 Wall vapor retarder Indicate vabor retarder on wall section <br /> vesno 13134 Floor vapor retarder Indicate vapor retarder on Door section <br /> ves no n a 1313 5 Crawl space vap ret Indicate sit mit black polvothvlene overlapped 12-on ground e <br /> oves1714 Aa leakage t <br /> no n a 12141 Bldg.envel seating Indicate seating,caulking,gaskeling,and weatherstnppmg t <br /> 13142 Glazino'door sea(rio Irdicale weatherstnMila <br /> no 13143 Assemb as ducts lindicatesealinct caulking and oasketlno <br /> P-SESCRIPTIVEICOMPONENT PERFORMANCE Sections 1320.23 or 1330.34 <br /> ye no Envelope Sum Fcrm Comple!ed and attachrf. <br /> Provide component performance worksheet if necessary <br /> Pronde ENVSTD screen 1 output if necessary <br /> no is circed or any question, provide explanation: <br /> �(, Slbl3 I, Flo {f46gL4 lj <br />