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Insulation Certificate for Residential New Construction <br /> Permit#: <br /> House address or lot number: Benton Square (Nolan) Unit C- Benton Square Bldg D Unit 18 <br /> Walls Blown or Sprayed Fiberglass or Cellulose—walls <br /> Type of insulation: Fiberglass R-Value per Inch: <br /> Manufacturer: O.C. _ Coverage Area: <br /> R-Value: 21 Bag Count: <br /> Floor Blown or Sprayed Fiberglass or Cellulose—Ceiling <br /> Type of insulation: Fiberglass R-Value per Inch: <br /> Manufacturer: O.C. Coverage Area: c <br /> R-Value: N/A Bag Count: - <br /> Flat Ceiling/Attic Sprayed Polyurethane Foam (SPF) <br /> Type of insulation: Fiberglass Density: <br /> Manufacturer: O.C. Installed Thickness: <br /> R-Value: 49 R-Value of Installed Thicknessi: <br /> Single Rafter Joist Vaulted Ceiling Building Component Installed: walls floor ceiling <br /> Type of insulation: <br /> Manufacturer: <br /> R-Value: <br /> Insulation Installer: <br /> Company Name: Eco Therm Insulation - Installer: <br /> Installer Signature: ` Date: <br /> Phone Number: 5.233.9931 <br /> Washington State Energy Code Reference h wwv�.enerev,wsu.edu/b®currents/2012%20ReS%20Eneray odf <br /> R303.1 Identification.Materials,systems and equipment shall be identified in a manner that will allow a determination of compliance with the <br /> applicable provisions of this code. <br /> 303.1.1 Building thermal envelope insulation.An R value identification mark shall be applied by the manufacturer to each piece of building thermal <br /> envelope insulation 12 inches(305 mm)or greater width.Alternately,the insulation installers shall provide a certification listing the <br /> type,manufacturer and R-value of insulation installed in each element of the building thermal envelope.For blown or sprayed <br /> insulation(fiberglass and cellulose),the initial installed thickness,settled thickness,settled R-value,insulation density,coverage area <br /> and number of bags installed shall be listed on the certification.For sprayed polyurethane foam(SPF)insulation,the installed <br /> thickness of the areas covered and R-Value of installed thickness shall be listed on the certification.The insulation installer shall <br /> sigh,date and post certification in a conspicuous location on the job site. <br />