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: <br />t� y <br />q�l-+ <br />��� <br />�tl � �tl <br />H� <br />x <br />o�d <br />�€�g <br />t+y� <br />��H <br />W <br />� <br />�O� <br />: �� INSULATION CERTIFICATION <br />+ QHIS CAflD IS TO REMAIN PERMANENTLV POSTED IN A READILV ACCESS�BLE LOCATION) <br />THIS IS TO CERTIFY THAT IN CONFORMANCE WITH THE CURRENT THERMAL PERFORMANCE STANDARDS <br />WASHINGTON STATE ENERGY CODE, CHAP. 5� i2 WAC, REVISED �986, AND APPROVEO PLANS, 1 HAVE INSPEC- <br />TED THE ENERGY PACKAGE AND CERTIFY THAT IT HAS BEEN INSTAlLEO IN ACCORDANCE WITH 7HOSE <br />STANDARDS IN THE BUILDING LOCATED AT: <br />DESCRIPTION OF INSTALLATION <br />ROOFS <br />Type ol Malerial __ ___. ManufaCWrer _____.— ___ ThiCkness H ValUe— <br />IOr Irade namel <br />E%TERIOR WALLS / �) � ��� � � /% <br />Type ol Malerial _ L�=+' Manulacturer ��-�. ���{( bickness � R Value� <br />�Or �retle namel � <br />CEILINGS <br />BATTS: <br />Type ol Malenal _._ _._. _ . _ _ . . Manulacturer . . . .. _. _ _____ . _. _. __ T�ickness R Value— <br />IOr irade namel <br />Sq.Ft. Covere0 <br />BLOWN: ��L, /�,,,,1/ ,(1� • <br />� �;Ty�p�e"oiMateria ZuJ-���*-�+� _ Manulac}yrer_CS�{G�C.C,�JJ �3_znrnC;Thickness ��2 No.Bags� <br />�iLX� WtJBag _�1.� _ Sq. Ft. Coveretl ._���� __ R Value � <br />FLOORS '/ /� �� ,� � � 1 /� ��� �) �O <br />Type o� Malenal 9iU.K��� _l.t..'!u� ManulacNrei IS/�C�/U1L_�fl_L��S��}-Thickness �n R Valuel L— <br />(Or irade namel �/ <br />SLAB ON GRADE <br />Type ol Material __._____ _ Manulaclurer _.__ <br />�Or irade namel <br />Witllh oi Insulalion __.___ inches <br />FOUNDATION WALLS (il reawretll <br />TypeolMaterial__.- ._ ..._ ManWaclure�.. _ <br />IOi tratle name� <br />DUCT AND/Ofi PIPE INSULATION <br />Type of Malerial ____. ___ Manufacturer _— <br />�Or ��atle namel <br />HEATING SVSTEM <br />Type ol System __ Manulacturer _ <br />ThiCkne55 <br />___. . __ .. _ .. _ _ ThiCkn¢55 <br />Thickness <br />R Value_ <br />R Value— <br />R Value_ <br />Inout. Outpul <br />❑ NIGHTSETBACKTHERMOSTATINSTALLED <br />❑ HEATING SYSTEM INSTALLED TO NO MOPE THAN i50�c OF pESiGN LOAD <br />❑ GLAZING—ALL GLAZING INSULATED GLASS OR STORM WINDOWS PROVIDED <br />❑ WATER HEATERS—ASHRAE 90A-80 LABELED <br />O WAT[R FLOW RESTRICTORS—ALL SHOWERS LIMITED TO 3 GPM <br />❑ INFILTRATION—DOORS 8 WINDOWS WEATHERSTRIPPED OR APPROVED BY ASTM 283-73 <br />❑ INFILTRATION—ALL OPENINGS IN EXTERIOR WAlLS CAULKED OR SEALED <br />❑ FIREPLACES—OUTSIDE AIR VENT �SIX SOU�RE INCNESI WITH DAMPER TO FIREBOX <br />❑ SLAB THERMAL BREAK CREATED <br />❑ VAPOR BARRIERS—INSTALIED PER CODE <br />REMARKS (il desiredl <br />CD 33 <br />ICERTIFYUNOEflPENALTVOFPERJURYUNDERTHELAW50FTHESTATEOFWASHINGTONTHATTHEFOREG0INGIS <br />TRUE AND CORRECT. n � ._--. <br />Generai ntrector (B �itleq %�/\ � l. � �% . �� j � • ..1��� _ Contractor's Reg. No/i/3�� �4y / T <br />/ �' �--U� � 'c���.� <br />Bv _ _. � �_ _J �__ .�,.. _.. _ . l:�.C� .. --y T�Ue -��..�C � <br />Date and Place"�' LC�(���z�Sf �C,__�Z�i-U�� --- _�_yZ__y�–� Z— <br />Sub-comracior �insuiation nppiicatoqQuality Plus Insulation, Ingomrac�or's Reg. No. QUALIPI 101 QE <br />(InsWatio�n, Masonry, etcd ISlale "SAME" il ame as General Contractor) '2__� ' <br />BY--N%e/�Cl ������ Tnie _.1CJ��/�'C���C2C�l� <br />Dale and Place. _. 7�j�r��/�Z . _ . . <br />