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INSULATION CENTIFICATION <br /> ITHIS CAAD IS TO REMAIN►EIIMANINTLY POITEO INA HEADILY ACCEBBIBLE LOCATION) <br /> THIS IS TO CERTIFY THAT IN CONFORMANCE WITH THE CURRENT THERMAL PERFORMANCE STANDARDS <br /> H WASHINGTON STATE ENERGY CODE, CHAP. 61.14 WAC, REVISED 1066, AND APPROVED PLANS, I HAVE INSPEC- <br /> >yTn TED THE ENERGY PACKA4F. AND CERTIFY THAT IT HA3 SEEN INSTALLED IN ACCORDANCE WITH TIIOSE <br /> H STANDARDS IN THE SUIUIRG LOCATED AT: <br /> H <br /> O x O sea•••of aeo..ry cn,,.y ea o•,T•No. <br /> — <br /> tn H DEBt:RIPTION OF INSTALLATION <br /> O ROOFS <br /> y p Type of Material Mendleclurar Thlckneu . n Vetue_ <br /> O H (Or trade norM) <br /> EXTERIOR WALLS <br /> ~ �� r <br /> a. 0 Typo olMatcrlatFIBERGLR55 Manufacturer Thickness RVelue <br /> (Or trade memo) <br /> 9 y CEILINGS <br /> tC"y L.I y BATTS: <br /> ON Type of Material F ISERGLASS Manufacturer .5•� thickness ' RVelue.= `— <br /> H — <br /> o C N (Of eerie name) <br /> Sq.Ft.Covered <br /> BLOWN: r ,� <br /> y O fn T I Materlal I; U�il �. Manufacturer < - Thickness No.Bopk_.a'_- <br /> C WIJBoO �I tf 0 80.FI.Covered H Value <br /> FLOORS <br /> Typeof Melertel FIBERGLASS __ Manufacturer Thickness ''' RVelLe_ <br /> (Or trade name) <br /> BLAB ON GRADE <br /> Typo of Material __ Manulocluror Thickness R Value__ <br /> (Or trade morn) <br /> Width of Insulation Inches <br /> CZ ' <br /> FOUNDATION WALLS(11 required) <br /> Type of Material Manufacture_ Thickness RVelue_ <br /> I (Or trade name) <br /> f�sr DIJCT AND/On PIPE INSULATION �. <br /> Type of Materiel Manufacturer Thickness A Value_ <br /> (Or trade name) <br /> HEATING SYSTEM <br /> Type of System Manufacturer Input Output _ <br /> �Area, <br /> ❑ NIGHT SETBACK THERMOSTAT INSTALLED <br /> !pp ❑ HEATING SYSTEM INSTALLED TO NO MORE THAN 160%OF DESIGN LOAD <br /> Y ❑ GLAZING—ALL GLAZING INSULATED GLASS OR STORM WINDOWS PROVIDED <br /> ❑ WATER HEATERS—ABHRAE OOA•80 LABELED <br /> ❑ WATER FLOW RESTRICTORS—ALL SHOWERS LIMITED TO GPM <br /> =1 ❑ INFILTRATION—DOORS 6 WINDOWS WEATHERSTRIPPED OR APPROVED BY ASTM 283.73 <br /> I ❑ 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 /> ❑ VAPOR BARRIERS—INSTALLED PER CODE <br /> I REMARKS(11 desired) <br /> t <br /> f ICERTIFY UNDER PENALTYOFPERJURYUNDERTHELAW80FTHESTATE OFWASHINGTONTHATTHEFOREGOING IS <br /> TRUE AND CORRECT. <br /> Genefal Contractor(Builder) Contractors Rep.No. _ <br /> By-- Title <br /> Dole and Piece <br /> Sub contrecto (f sulaltti Applicator) Contractors Rep.No. <br /> (Insulsll ,M e t (Slate"SAME"11 same as General Contractor)' <br /> �� <br /> Title <br />