Laserfiche WebLink
WAS TON STATE UNIVERSI'I"Y <br /> Energy <br /> EXI SI3N ENERGY PROGRAM <br /> S u p o r t <br /> 2(pog V f r9 ' Y1'a ,:. phit T e w e <br /> Insulation Certificate for Residential New Construction ,6 4//- <br /> Permit <br /> Permit#: � `/� � , , O C? -C)\ <br /> House address or lot number: ��` �►"—" `Z. t/`�C W Y� tJ� <br /> Walls Blown or Sprayed Fiberglass or Cellulose -Walls <br /> Type of insulation: •j'1111111111 R-Value per Inch: )6A??" <br /> !_ <br /> Manufacturer: .g 4,,_; Coverage Area: <br /> R-Value: I Bag Count: <br /> Floor Blown or Sprayed Fibergi•ss or Cellulose -Ceiling <br /> Type of insulation: R-Value per Inch:., <br /> Manufacturer: I Coverage Area: <br /> R-Value: Bag Count: <br /> Flat Ceiling/Attic. Sprayed Polyurethane Foam (SPF) <br /> Type of insulation: f Density: <br /> Manufacturer: 1(,./(1(kt),.."6Installed Thickness: <br /> R-Value: t4L R-Value of Installed Thickness <br /> Building Component Installe.• walls floor ceiling <br /> Single Rafter Joist Vaulted Ceiling <br /> Type of insulation: <br /> Manufacturer: <br /> R-Value: <br /> Insulation Installer: ((�� (],)�1L <br /> Company Name: (J1I1�Installer: C� I�— "� "'`f" <br /> Installer Signature: 1-t.(ei D� (Z)C4 Date: ( I J <br /> Phone Number: 3U)U .) \--t� <br /> Washington State Energy Code Reference http:llwwww.enerev.wsu.edu/Documents!2012%20Res%20Enercty.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 />