Residential Building Application
Washington State Energy Code
Date:
Planning and Building Department (360) 577-3330
Job Type: Classification:
o New Hom e
o A ti ddi on
Construction
Site Information
o Rem odel o M u lia m iy tf l
o Si g l Fa m iy (i cl des Du pl es ) n e l n u ex
Site Address: Legal Description: Lot___________________ Block__________ Plat_____________________________
Description of Improvement: Owner Information Owner: Address: City: Contractor: Estimated Valuation of Improvement: $_______________________________________ If New or Addition to Single Family Total Heated/Conditioned Floor Area (interior dimensions): Second Duplex Unit: sq. ft. If New or Addition to Multifamily Total Number of Buildings: Total Heated/Conditioned Floor Area (interior dimensions): Total Number of Units: sq. ft. sq. ft. State: Zip: Phone: Day Phone:
Window Schedule
Total of Glazed Rough Openings: sq. ft. Percentage of Heated/Conditioned Floor Area: % U – Value of Windows from Table 6-1 or 2: U._________________
Heat Source & Primary Space Heat Type
o Electric Zoned Resistance o Electric Forced Air Furnace o Electric Heat Pump o Other (specify) o Prescriptive Path o Sys tem A a l i n ys s o Com pon tPerform en
an ce Chapter 6 OR
Output: Size: Size: Input:
KW KW KW BTU HSPF: AFUE: %
WSEA Compliance Option (Method Proposed)
o Table 6-1, Option: _________________________________ o Table 6-2, Option: _________________________________
Chapter 5 (Heat Loss Worksheet Attached) Chapter 4 (Computer Model Attached)
Ventilation Compliance Option (Method Proposed)
Location o W hol Hou s e Fa n e o I t ra ted Forced Ar Fu rna ce Venia ti neg i tl on
Rev. 7/99
Size in CFM