1991, 06-11 Permit 91002395 Energy Code RequirementsNORTHWEST ENERGY CODE Organization of File for Project No. Q l 1 - Z39
Site Address N . ( `h + /" i4/1j (_�
DESCRIPTION
COMMENT SHEET
ONE SET OF APPROVED
PLANS
ONE COPY OF THE
BUILDING PERMIT
THE PLAN REVIEW
CHECKLIST
PLAN REVIEW NOTES
WATT -SUN SUMMARY
REPORT
ORIGINALS OF
CORRECTION NOTICE
ONE COPY OF THE
INSPECTION REPORTS
DATE FILED
- INITIAL
VERIFIED AT/
CLOSE OUT - INIT
— (
c
C,-<<—fir
rr
THE INSPECTION
CHECKLIST
ORIGINAL OF THE
SIGNED PERMIT HOLDERS
CERTIFICATION
VERIFICATION OF RADON
MONITORING OFFER
ORIGINAL OF THE
REQUEST FOR
INCENTIVE PAYMENT
1e
/c/30./q/
PERMIT HOLDER'S CERTIFICATION
The undersigned verifies that they were made aware of and advised
of the Northwest Energy Code requirements at the time of issuance
of permit number qr- 2 ?1 1- for the residential building
located at /Af /1/4 f my4y,2_
Further, the undersigned certifies that the building stated above
meets the requirements of the Northwest Energy Code pertaining to
formaldehyde emissions of structural panels.
Further, the undersigned certifies that no incentive payment has
been or will be received from any Super GOOD CENTS Program for
this building.
Permit Holder Signatua
Witness:
(-
A thorized Officer
Department of Building & Safety
//o
Date
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
trr_IRESS IIf ?I 41(
o PERMIT
0
0
o -
0 r>
0
0
0
0
0
0
•
RESIDENTIAL ENERGY CODE INSPECTION CHECKLIST
• APPROVED FOR COVER BY /2' (.y
DATE
WINDOWS & DOORS PER PLANS ,oWINDOWS & DOORS BAULKED 'VAPOR RETARDERS:
ADVANCED FRAMING: .. _-- y S_OLEPLATE CAULKED
WALLS
CEILINGS l-- - -.
WALL INSULATION:
/-VAULTED CEILING: R-
BAIT INSTALLATION
TECHNIQUES
o PLUMBINGIIELECIfRICAL
PENETRATIONS CAULK ED 7— -
--....o SEALED DUCTWORK"'"_
• . EXHAUST FANS/DUCTS
INSTALLED
•
WALL L-
• 1-CEILING-
TTIC VENT BAFFLES
_o COMBUSTION AIR DUGS
INSTALLED _
o PACE VENTILATION
APPROVED FOR COVER BY ~ �, CCZIC
-MECHANICAL SYSTEMS - --
BATH EXHAUST
KITCHEN EXHAUST
kAUTOMATIC WHOLE HOUSE
EXHAUST
¢MAKE-UP AIR INTAKES
o DUCTWORK
o EQUIPMENT INSTRUCTIONS
o HEATING SYSTEM:
ERGY-CODE-FI
.- WEATHERSTRIPPING
q_DOORS & WINDOWS ,
}4_ATTIC & CRAWL ACCESSES
o SWITCH & OUTLET COVER
PLATES
INSULATION
o FLOOR R- iy//i
>ATT1C R- 3 -
BELOW -GRADE WALLS R- /v
q`BATT INSTALLATION
TECHNIQUES
DATE
_ PLUMBING .. _ .
*WATER HEATER LABEL
/
' . SHOWER FLOW
FIREPLACE/WOODSTOVE
o FIREPLACE DOORS
O FLUE DAMPER
o COMBUSTION AIR
$CRAWLSPACE GROUND COVER
(CRAWLSPACE VENTILATION
T� C OcLI /t-sS--
REQUEST FOR INCENTIVE PAYMENT
The file has been reviewed for project number �/� 2 3qc . The
building is a Pultr X residential building located at
nl' 14/4 morn4,0
The necessary information is in the file and the permit holder
has qualified to receive a builder incentive payment.
The total area of conditioned floor area is N/A The
payment amount calculation is:
F/eSr VNfT
A-10zzonJAte- unJrT
/S2o -'
eQ
oo
The permit holder is
�o . /JX 2-o3
2, l zo tla
oar o f~f i 604 - '? 02_ 7
Tax I.P. Nu./Social Security No.
*****************************************************************
Request by JaJ J OJACA DC}
Building and Safety.
Please pay $ 2L /Z-o 0o To: /)i/L A L/</-LlL/,_
Check No. ` LQ, 3
, staff, Spokane County
Date: 16 -? 6 --q