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INSUTATION�ERTIFICATION <br />(THIS CARD IS TO REMAIN PERMANENTLY POSTED IN A READILY ACCESSIBLE LOCATION) <br />THIS IS TO CERTIFY THAT IN CONFORMANCE WI7H THE CURRENT THERMAL PERFORMANCE STANDARDS <br />WASHINGTON STA7E ENERGY CODE, CHAP. 51-12 WAC, REVISFD 1986, AND APPROVED PLANS, I HAVE INSPEC- <br />TED THE ENERGY PACKAGE AND CERTIFY THAT IT HAS BEEN INSTALLED IN ACCORDANCE WITH THOSE <br />STANDARDS IN THE BUILDING LOCATED AT: <br />L�3t /l�-rl PL S�� F�����_ l�, I <br />ROOFS <br />Typc of Material <br />DESCRIPTIQN OF INSTALLATION <br />Manufacture�_ <br />(Or tradc name) <br />Thickness R Vslue_, <br />EXTERIOR WALLS <br />TypcolMetenalF���'aii Menufenu�erJohtuMarrville � f3 �� <br />ThitYncr,s �RValue <br />(Or Vede nemc) <br />CEI�INGS <br />BATiS: <br />TypcolMaterlal FibcrRlass MenufedurcrJohnSManville <br />� � �� (Ortradename) — TAicaness ��- 0.yelue_� <br />..t_LL_ Sp. FI. Covcretl / <br />BIOWN: „�/ <br />, e of Malcrial � Menuledurner� T <br />WVBag �_ Sq. FI. Cpvofed �CL R V�lue <br />FLOORS <br />7ype ol Material F���G�ss Monuficlurer f�� M87tvl�e <br />SIAB ON GRADE (Orlrade n�me) <br />Type ol M�leriol <br />Wieth er ��w�aaon <br />FOUNDATION WALLS (if �eyuned) <br />TyDt o( Malenel <br />fIUCT ANO/OR PIPE INSULATION <br />7ype o/ Matcrlal <br />HEATING SYSTEM <br />Type of System <br />/! i <br />Thickne� ' � No. Bag� <br />Thlckness �_ R V21Ue_ LL <br />—LT <br />— Manufacturor 7nickness RValue_ <br />(Or Iratic name) <br />Inches <br />Munufodurer Thickness RVelue,__ <br />(Or trndc name) <br />MOnuhtlurCt_ <br />(Or trade name) <br />Manuhdurer <br />TnlUcnoss RValue` <br />Input Oulpul _. <br />0 NIGHT SETBACK TMERMOSTAT INS7ALlED <br />O HEATING SYSTEM IN&TALLED TO NO MORE 7HAN 160% OF DESIGN LOAD WASHINGTON INSULATION INC. <br />❑ GLAZING—ALL GLAZING INSUTATED GIASS OR STORM WINDOWS PROVIDED 16120 WOODINVILLE REDMOND RD. N.E. <br />❑ WATER HEATERS—ASNRAE 90A•80 LABElEO SUITE IS <br />❑ WA7FR FLOW RESTRICTORS—ALL SHOWERS LIMITED TO 3 GPM WOODINVILLE, WA – 7 2 <br />❑ INFI LTRATION—DOORS 8 WiN DOWS WEA7HERSTRIPPED OR APPROVED OY ASTM 283- 7 3 <br />❑ INFILTRATION—ALL OPENINGS IN EXTERIOR WALLS CAI;IKED OR SEALED <br />❑ FIREPLACES—OUTSIDE AIR VEN7 (SIX SpUARE INC11E5) WITH DAMPER TO FIREBOX <br />❑ SLAB Th1ERMAL BREAK CREATED <br />O VAPOR BARRIERS—INSTAlLEO PER COOE <br />REMARKS if desired) <br />I CERTIFY UNDER PENALTY OF PERJURY UNDER THE LAWS OFTHE STA7E OF WASHINGTON TNAT THE FOREGOIN� IS <br />7RUE AND CORRECT. <br />General Contractor (Buildeq Contractors Reg. No. <br />By <br />TiUe <br />Dola and Placa <br />Sub-conlractor(InsulationApplicator) WA��GTONIICSIILA'lION ContrettoYsReg.No. WASH-III-134hfl <br />B(InSulation, Masonry, e!e )(State "SAME" if same as General Cont2dor) <br />Y.._.__ .M. n'') � �,_ <br />Date and Place <br />Tille j�]pi.)pG� <br />