HomeMy WebLinkAboutInsulation Certificatef3UII.C)iNG G 1-tj1'01 c
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This form roust be filled nut and poster.) to comply with building code requirements, Meets IRC Chapter 11 Energy
Efficiency Requirements and IECC Chapter 4, Commercial Energy Efficiency Requirements.
The following spray polyurethane foam product(s) has/have been installed.
❑ Heatlok HFO PRO
2.0-24 Ibs/ft3
RHeatlok HFO High Lift
2.0-2A Ihs/ft3
❑ Heatick XT High Yield
(s) 2.23 Ibs/ft3
❑ Heatlok XT High Lift
(s) 2,23 Ibs/ft3
❑ Foam-Lok 2000-4G
2.0-2.2 Ibs/ft3
❑ Foam-Lok 2000-3G
2.0-2.3 I1bs/ft3
❑ Foam-Lok 2000
2.0-2.3 Ibs O
❑ Proseal HFO
2.0 Ibs/ft3
❑ Proseal LE
2.2 Ibs/ft-,
❑ Proseal
2.21bs/ft3
❑ Heatlok Eco
2.0 Ibs/ft3
IAPMO UES ER-0565
ICC-ES ESR-4073
ICC-ES ESR-3824 (w) 2,17 IbS O ICC-ES ESR-3883
ICC-ES ESR-3824 (w) 2.17 Ibs O ICC-ES ESR-3883
CCRR-1025
IGC-ES ESR-4501
ICC-ES ESR-2629
CCRR-1108
ICC-ES ESR-3500
ICC-ES ESR-3500
CC -ES ESR-3198
-.XJnSUIt lnternarona': BUllding Code Ohapter 26-P asticc and Iritematlonal Rcsidellu<"u Code G") ! - P J 1e (I;�^✓I R,'.1 O roan} Id5Ji :5 GJI
Specific requlferrients, The spray poiyureti}ane has/have beet} iriSf?_1 _:d In ancordanc'e w;t l! nanii-
.nC.UI"eI �S processing C;U16:;! nea t0 pr0'•lld<: a thernlai resi,>I ance of;
Area Insulated
Aged R-Value
i hickness-,
Vented Attic Floor Area
R-
At
Inches
Unvented Attic/Under Roof Deck Insulation
R-
At
inches
Sloped Ceilings /Cathedral Ceilings
R-
At
inches��
Walls (Location: )
R-
At
inches
Walls (Location: )
R-
At
inches
Floors (over an unheated crawl space)
R-
At
inches
Crawl Space Perimeter
R-
At
inches
Basement Walls
R
At
inches
Other (Location: )
R-
At
inches
"Piontlnal Inlcknr3sns {eia IEpYosontalNe of ri[;10, SF)fa/-ajl(ilf^.d foam maleria`I,
JobsiteAddress: tl (,C)Lkvl r1c)
Building Contractor: PGy) ghi5 P\,eS �caiCV
nn ,,,
I-IE1S Contractor: cC.,l1° 'ham
Installed By
Date of Installation:
t" u �
Phone: ` t ? 0 `04 C)L `?
-Post Near Electrical Panel-
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1. ROOF DECK (INTERIOR/ExTERIOR)
Material
Thickness (inches)
WITS K4011TW
BUIL(ANG INSULATION
Insulation celli icate
DATE �L1 1 "' z
STATE C- U ZIP e� 1 6; 0
Product Name
Thermal Resistance (R-Value)
Batt or Blanket Product Name
Thickness (inches) Thermal Resistance (R-Value)
Loose Fill Type Product Name
Contractor's min installed weight/ftz lb. Minimum thickness
Manufacturer's installed weight per square foot to achieve Thermal Resistance (R-Value)_
1 WERIOR (WALL X
Frame Type.
A. Cavity lnsulati 1
Material `gybes Wow;
Thickness (inches)i
B. Exterior Foam Sheathing
Material
Thickness (inches)
4. INTERIOR WALL (ACOUSTICS)
Material
Thickness (inches)
S. RAISED FLOOR
Material
Thickness (inches)
6. SLAB FLOOR/PERIIVIETER
Material
Thickness (inches)
Perimeter Insulation Depth (inches)
Product Name 01 mC "-' P f-C)
Thermal Resistance (R-Value) Z
Product Name
Thermal Resistance (R-Value)
Product
Product Name
Thermal Resistance IR-Value)
Product Name
Thermal Resistance (R-Value)
inches
7. FOUNDATIV WALL
Material 1 Product Name
Thickness (inches) i • Thermal Resistance (R-Value) S�
INSULATION CONTRACTOR SIGNATURE / OYIWZGk - �L �s ' DATE ZfI��I__L _
COMPANY �CCrti� cV} e �nScnlr �t*uriADDRESS 21")''� ivec 114+ 6- S PHONE 70 —61 Cf % - -710-j
HOME BUILDER SIGNATURE DATE
COMPANY ADDRESS PHONE
Visit our website at ww11j.JM,c0m of call 808-S5i 3103I Building lnsula?ion Division P.D. Box 5108 ) Denver, CD 80217-5108
31D-393 OA; ^_1 c.' 9021 Johns Manville. All Rights Reserved