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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