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i <br /> , <br /> � <br /> � <br /> INSULATION CERTIFICATION I <br /> . RHIS CARD IS TO REMAIN PERMANENTLY POSTED IN A fiEADILY ACCESSIBLE LOCATION) <br /> � 'fHIS IS TO CERTIFY THAT IN CONFORMANCE WITH THE CURRENT THERMAL PERFORMANCE STANDARDS <br /> WASHINGTON STATE ENEHGY CODE, CHAP. 51•t2 WAC, REVISED 1986, ANO APPROVED PLANS, I HAVE INSPEC• I <br /> 7ED THE ENERGY PACKACE AND CERTIFY THAT IT HAS BEEN INSTALLED IN ACCOROANCE WITH 7HOSE <br /> STANDAHDS IN THE BUILOING LOCATED AT: <br /> �. <br /> IG 1 � �l`�> ' l?G � li � ', <br /> /WCina ai PopaM ��N BiE Mime No. � <br /> DESCRIPTION OFINSTALLATION I <br /> HOOFS i <br /> Type ol Material Manulaclurer Thickness H Value_ I <br /> (Or tratle namel _.. <br /> EXTERIORWALLS -�i �. <br /> , , � 1 ::�. <br /> Type ol Material ��� Manufacmrer Thickneas R Value_ <br /> � (Or�ratle name) <br /> CEILINGS <br /> BATTS: . . .� .. . <br /> Type ol Material � Manulacturer Thickness R Value - -_ <br /> - (Or iraCe namel <br /> Sq.FI.Coveretl <br /> BLOW N: � -`� <br /> i <br /> TypeolMaterial '�� � Manulacturer Thickness No.Bags�-��� <br /> - WVBag °����- Sq.FI.Coveretl � R Value <br /> i <br /> FLOORS � � ' � <br /> Type ol Malerial � - � � ManulacNrer Thickness � %� R Value— � <br /> (Or Iratle name� <br /> SLAB ON GRADE �I <br /> Type ol Matenal __ Manulaclurer Thickness R Value— � <br /> �Oi trede namel I <br /> Witlth ol InSulation inche5 <br /> FOUNDATION WALLS lil reQuhetl) � <br /> Type ot Matenal __-- Manulacturer Thickness -- R Value— i <br /> (Or lratle name) � <br /> DUCT AND/OR PIPE INSULATION j <br /> Type ol Maleriai ManulacNrer Thickness R Value— �� <br /> �Or tratle name� I' <br /> HEATING SYSTEM I� <br /> Type ol System _ Manulacturer _ — Inout Outpul — �,, <br /> � <br /> ❑ NIGHTSETBACKTHERMOSTATINSTALIED i <br /> ❑ HEATING SYSTEM INSTALLED TO NO MORE THAN t50%OF DESIGN LOAD '. <br /> ❑ GLAZING—ALLGLAZING INSULATED GLASS OR STORM WINDOWS PROVIDED � <br /> ❑ WATER HEATERS—ASHRAE 90A-80 LABELED ', <br /> ❑ WATER FLOW RESTRICTORS—ALI.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 SOUARE INCHES)WITH DAMPER TO FIREBOX <br /> ❑ SLAB THERMAL BREAK CREATED � <br /> Y9 VAPOR BARRIERS—INSTALLED PER CODE <br /> REMARKS(it tlesired) <br /> I CERTIFYUNDER PENALTYOFPERJURI�UNCERTHE LAWSOFTHESTATEOFWASHINGTONTHATTHEFOflEGOING IS <br /> TRUE AND CORRECT. <br /> General Conlractor(Buildeq Contractor's Reg. No. <br /> gY Title <br /> Date and Place <br /> Sub-contracror(Insulation Applicalor) - � Contractor's Reg. No. � <br /> (Insulation.Masonry,e1c.11Stale"SAME" it same as General Contractor) <br /> ��i <br /> BY ,- � ' ��. '� i i � ��, _ " _ ' / .. Ti�10 ' <br /> Date and Place � � � �� � <br /> co az <br /> i <br /> � <br />