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ti <br /> INSULATION CERTIFICATE IC-1 <br /> ro .26 c0C.SVNo(N+vim <br /> Number and Street City <br /> noVY-)r-.. s1� <br /> County Subdivision Lot Number <br /> Description of Installation <br /> 1.ROOF � <br /> Material Brand Name <br /> Thickness(inches) Thermal Resistance(R-Value) -- <br /> 2.CEILING <br /> Batt or Blanket Type-6\ 15 ri Brand Name <br /> Thickness(inches) lot IS Thermal Resistance(R-Value) 1-4-9 <br /> Loose Fill Type Brand <br /> Contractor's min installed weight/ft2 I. 5'\ lb. Minimum thickness tr4 IS inches <br /> Manufacturer's installed weight per square foot to achieve Thermal Resistance(R-Value) <br /> 3. EXTERIOR WALL <br /> Frame Type <br /> A.Cavity Insulation <br /> Material C - (aBrand Name <br /> Thickness(inches) `1 Thermal Resistance(R-Value) <br /> B. Exterior Foam Sheathing <br /> Material Brand Name <br /> Thickness(inches) Thermal Resistance(R-Value) <br /> 4.RAISED FLOOR <br /> Material 77;76-5I(ta,,a' �l� Brand Name <br /> Thickness(inches) G " Thermal Resistance(R-Value) <br /> 5.SLAB FLOOR/PERIMETER <br /> Material Brand Name <br /> Thickness(inches) Thermal Resistance(R-Value) <br /> Perimeter Insulation Depth(inches) <br /> 6.FOUNDATION WALL <br /> Material Brand Name <br /> Thickness(inches) Thermal Resistance(R-Value) <br /> Declaration <br /> I hereby certify that the above insulation was installed in the building at the above location in conformance with the current <br /> Energy Efficiency Standards for residential buildings(Title 24,Part 6,California Code of Regulations)as indicated on the <br /> Certificate of Compliance, ere applicable. Z' <br /> i r o Et-o�54 <br /> \1(-?'3-I(4" "�5 cv�t� utg 1-1.- <br /> Item#s Signature 1 Date Installing Subcontractor(Co.Name)OR <br /> General Contractor(Co.Name)or Owner <br /> Item#s Signature Date Installing Subcontractor(Co.Name)OR <br /> General Contractor(Co.Name)or Owner <br /> Item#s Signature Date Installing Subcontractor(Co.Name)OR <br /> General Contractor(Co.Name)or Owner <br /> 09/16/2011 <br /> 01/2 <br />