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4. <br /> . \11SHINGTON STAFF F UNIVERSITY <br /> 5 �� �� ,� `/. �t., Ex1EN lO�i FrvER,Y rcw,R NM <br /> . <br /> / �}Insulatiion Certificate for Residential New Construction <br /> Permit#:C L b Q 0- /f0 /Y � / •f i D Q �( ' <br /> House address or lot number: 7 / /Cj lG� f. Ce(t ' V - <br /> Walls `s ✓ Blown or Sprayed Fiberglass or Cellulose-Walls <br /> Type of insulation: 0Ue C. R-Value per Inch: <br /> 13 <br /> Manufacturer: CrCC -�- e\c ec Coverage Area: <br /> R-Value: ',21- Bag Count: <br /> FloorC 1 Blown or Sprayed Fiberglass or Cellulose-Ceiling <br /> Type of insulation: U t^fir{C�c R-Value per Inch: <br /> Manufacturer: C<C.( v(-e C Coverage Area: <br /> R-Value: `C Bag Count: <br /> Flat Ceiling/AtticU Sprayed Polyurethane Foam(SPF) <br /> Type of insulation: C(� Density: <br /> ( <br /> Manufacturer: Cet>(1Gv.. P.t[� Installed Thickness: 2..�� f ` <br /> R-Value: K 'I q R-Value of Installed Thickness R i' A- \pn1�-S <br /> Building Component Installed: walls floor ei' <br /> Single Rafter Joist Vaulted Ceiling <br /> Type of insulation: CC G + tC` 'n <br /> Manufacturer: e eC. <br /> R-Value: R13 (Cro.o \-- 3O 14 5 <br /> 15 <br /> Insulation Installer: <br /> i <br /> Company Name: ■.$4 i I, ftf ti Installer: S e1US 0kYr e Z <br /> sA� d J <br /> Installer Signature: r"- Date: OZ/ �/ <br /> Phone Number: Z.7` T 7 0' 7 Z7 <br /> Washington State Energy Code Reference http://www.energy.wsu,edulDocuments/2012%20Res%20Enercsr.pdf: <br /> R303.1 Identification.Materials,systems and equipment shall be identified in a manner that will allow a determination of compliance with the applicable <br /> provisions of this code. <br /> R303.1.1 Building thermal envelope insulation.An R-value identification mark shall be applied by the manufacturer to each piece of building thermal <br /> envelope insulation 12 inches(305 mm)or greater in width.Alternately,the insulation installers shall provide a certification listing the <br /> type,manufacturer and R-value of insulation installed in each element of the building thermal envelope.For blown or sprayed <br /> insulation(fiberglass and cellulose),the initial installed thickness,settled thickness,settled R-value,installed density,coverage area <br /> and number of bags installed shall be listed on the certification.For sprayed polyurethane foam(SPF)insulation,the installed <br /> thickness of the areas covered and R-value of installed thickness shall be listed on the certification.The insulation installer shall <br /> sign,date and post the certification in a conspicuous location on the job site. <br /> 3/ <br />