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3uijdt'In PeP,�;1''* (i/ CooV-O6 7 <br /> c , 5 <br /> Property Address: 3 a / 31 <br /> Conditioned Floor Area: i t a 44 Date: $ / 7 / LI <br /> Builder or registered design professi_on/al: <br /> -..)••••"") <br /> Signature: l/ ` ry, <br /> • <br /> . . • a-Vaues.. <br /> :%•:'"2,.... Ceiling: Vaulted R- Moors: Over unconditioned s ace R3.0 <br /> - <br /> w' ` p <br /> Attic R 7? • Slab on grade floor R- /'t) <br /> Walls: Above grade R-a( 'Doors: R - <br /> C Below,iitt. R- R_ • <br /> Below,ext. R- R <br /> C� ' <br /> ,t7-meters and• SHOO• <br /> 6q NFRC rating(or) Windows U- IC) SHOC- N/A <br /> N Default acing(Appendix A wsirc2o12) Skylights U- SHOE- N/A <br /> C• ...Table 4062Option(s) • ••••••••••yota1406:2 Credits.'• ' • <br /> .444 :. .. Heating,Cooling&,DonresticHot,Waler.: , • <br /> •N System , Type Efficiency <br /> y <br /> 1Z4Heating • <br /> L) <br /> Cooling <br /> DHW <br /> Duet,&BttildiugAirLeakage• <br /> N <br /> All ducts&HVAC in conditioned space (yes/no) Insulation R---.-- <br /> Air <br /> Air handler present (yes/no) <br /> Test Target 5,0 CFMC3a 25Pa Test Result CFM@25Pa <br /> Building air leakage target:ACH30 a 5.0-Tested leakage:ACHso a .SA <br /> ' •OirsiteRenewable Energy EleciricTo'iiidr System.•. •. . <br /> System type: Rated annual generation Kwh <br /> , i. <br />