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Property Address: I ���� ��—� , t �\ Property Address: <br /> Conditioned Floor Arca: Date: Conditioned Floor Area: l�� 1 Al" Date: <br /> Builder or registered design professional: Builder or registered design professional; <br /> _ �-\•��C\� CLO � �U�M�cJ I�,��C\�- � � <br /> Signature: Signature: <br /> . . • � :Jlt-Values• . <br /> 2 <br /> Ceiling: Vaulted R-OM floors: Over unconditioned space R- ",��-' � ••Ceiling: Vaulted R-i floors: Over unconditioned sP ace R- <br /> - <br /> -n <br /> Attic R-�{� Slab on grade floor R- + Attic R-L4" Slab on grade floor R- <br /> Wnlls: Above grade R-Z 'Doers. R- 1 Ni'nlls: Above grade R- 2 Doors: <br /> R- <br /> Beiow,ii>t. R- <br /> R- Below,int, R- R <br /> Below,ext. R- <br /> R- Below,ext, R- R- <br /> U-Tactors and SIIGC, <br /> • •U-Tactors andSIIGC <br /> NERC rating(or) Windows U- SHGC- NIA - NFRC rating(or) Windows U- SHGC- N/A <br /> Default.;'ating(Appendix A MSEC 2012) Skylights U- SHGC- NIA Default rating(Appondix A wSEC 2012) Skylights U- SHGC NIA <br /> Table 406.2 Ojtfion(s) Totn1406:2 Credi.ts.' Table 406.2 Opfian(s) Tofrrl406.'Z Credifs•' ' <br /> -Heatiirg;Coaling&,Domestic7/bt,li'ater••: lleatlllg;Cooling&•DomesticlWot FF'aier.• <br /> System Type Efficiency System Type <br /> _ Efficiency <br /> Heating d� � �(L L. C HeatingC1�� <br /> � l <br /> Cooling <br /> Cooling <br /> DHW T N�— .�� DH W <br /> nrrct,&I3irila'itrgAirLealcnge Drrci&BilildingtlirLeakage <br /> All ducts&HVAC in conditioned (Y space es <br /> P v" Insulation R- C.J 'All ducts 3c HVAC in conditioned space (yes <br /> no)) 1.nsuIation R-� <br /> Air handler present yes no) v <br /> _ Air handlcr,prescnt yes no) -y <br /> Test Target U CFM@25Pa Test Result I s ` CFM`t✓a 25Pa Test Targct`� CFM cr 25Pa Test Result L��, 4 C <br /> CFM a 25Pa <br /> Building air leakage target:ACI-Iso<5.0-Tested leakage:ACM,= ` 1 \ Building air leakage target:ACI-IS0<5.0-Tested leakage:ACI35o= <br /> Oirsite teneivaLleEtie'rgli;Elecbicl'o'liier'Sysfent :Oirsite:RenewableErie*MiEleclric.poliidr'Systent•. <br /> System type: Rated annual generation Ktvlt System type: Rated annual generation ICwle <br />