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INSULATION CERTIFICATION <br />(THIS CARD IS TO REMAIN PERMANENTLY POSTED IN A READILY ACCESSIBLE LOCATION) <br />THIS IS TO CERTIFY THAT IN CONFORMANCE WITH THE CURRENT THERMAL PERFORMANCE STANDARDS <br />WASHINGTON STATE ENERGY.. CODE, CHAP. 151.12 WAC, REVISED 19e6, AND APPROVED PLANE, I HAVE INSPECI <br />TED THE ENERGY PACKAGE AND CERTIFY THAT IT HAS SEEN INSTALLED IN ACCORDANCE WITH THOSE <br />STANDARDS IN THE UILDING LOCATED AT: <br />110$ P(k4et &Z - 1CM4 & <br />AOOml d <br />DESCRIPTION OF INSTALLATION <br />ROOFS � / <br />Type of Material _ Manufacturer Thickness <br />R Value <br />(Or trade name) <br />EXTERIOR WALLS ��,, his., <br />Type of Material �dK6 Manufacturer t�sw�i �+ u+s+ i��1 Thickneaa� <br />R VaIwi <br />fOr trade name) o <br />CEILINGS <br />BATTS <br />Type of Material Manufacturer ten+ s ft 1anS'^'41irickness <br />Value <br />(Or trade name) <br />Sq. Ft. Covered <br />BLOWN Lj L.% ����un ��[: /f <br />�j Type 9ff Material vmanufacl4rer '-�^�AS ��ckness /�yNo. Bags._ <br />.731Li0 WI./Bag 1 Sq. Ft. Covered8_ R Value <br />FLOORS �n/� rs /r <br />Type of Malarial Anufactureri! �� � -�� Thickness � R Value <br />(C. trade name) <br />SUB ON GRADE <br />Type of Material <br />Manufacturer <br />_ Thickness _ _-- <br />R Value <br />(Ortrade name) <br />Width of Insulation inches <br />FOUNDATION WALLS (it required) <br />Type of Material <br />Manufacturer _ <br />— Thickness <br />R Value <br />(Or trade name) <br />DUCT AND/OR PIPE INSULATION <br />Type of Material <br />Manufacturer <br />Thickness <br />R Value <br />(Or trade name) <br />HEATING SYSTEM <br />Type of Syslem <br />Manufacturer _ <br />Input <br />Output <br />NIGHT SETBACK THERMOSTAT INSTALLED <br />HEATING SYSTEM INSTALLED TO NO MORE THAN 150%OF DESIGN LOAD <br />GLAZING —ALL GLAZING INSULATED GLASS 0 - STORM WINDOWS PROVIDED <br />WATER HEATERS—ASHRAE 9OA-80 LABELED <br />WATER FLOW RESTRICTORS—ALL SHOWERS LIM "i ED TO 3 GPM <br />INFILTRATION —DOORS & WINDOWS WEATHERSTRIPPED OR APPROVED BY ASTM 283.73 <br />INFILTRATION —ALL OPENINGS IN EXTERIOR WALLS CAULKED OR SEALED <br />FIREPLACES —OUTSIDE AIR VENT (SIX SQUARE INCHES) WITH DAMPER TO FIREBOX <br />SLAB THERMAL BREAK CREATED <br />VAPOR BARRIERS —INSTALLED PER CODE <br />REMARKS (d desired) <br />I CERTIFY UNDER PENALTYOF PERJURY UNDERTHE LAWSOFTHE STATE OFWASHINGTON THATTHE FOREGOING IS <br />TRUE AND CORRECT. <br />General Contractor (Builder) <br />By — — <br />Date and Place — <br />Contractor's Reg. No. <br />Title <br />Sub-contraclor(Insulation . Applicator) Quality Plus Insulation, InCentractor's Reg. No. QUALIPI 101 QE <br />(Insulation, Masonry, etc.) (State "SAME" if same as General Contractor) <br />By <br />Date and Place__ <br />Title <br />CO )2 <br />