HomeMy WebLinkAboutInsulation CertificateJEFFERS,$N Building Safety
I NSU LATION CERTI FICATION
100 Jefferson County Pkwy, Gotden CO 80419-3540
303-27 1 -8260- buitdi ngsafety@jeffco.us
www.j eff co. us/bu i td i ng-safetyCOUNTY COLORADO
ADDRESS:
BUILDING PERMIT NO.€,L?Z .n?_.?B .qo-7 I
2018IECC Path M One:
S erescriptive In u Factor Att I tr Performance In enl In oesigned System
Check if comptiant with ResCheck tr Check if comptiant with ComCheck tr
lf ERI is used, provide futt rating document with this sheet.
STATEM E NT OF COM PLIANCE
This is to certify that insutation of the unit identified above has been instatted in
conformance with the requirements of the z}ls lnternationat Energy Conservation Code
This must be signed by one of the parties Listed betow.
1
DATE COMPANY NAME (Buitder)BUILDER SlGNATURE
-7
lnstatted Vatue Location Type of Material
R-5D Ceiting 8yrtf l^tor,s,J Ftwbv\55
R-?3 ExteriorWatt Tl,qebJcr,t-
R-15 r-lo Exterior Basement Wall ?'yr,Worz/F'^m&Aqt
R-3C Floors bArT-/ ?tP/%u95 '
R-Crawt Space
R-MassWatt
R-Fenestration (Average Vatue)
DATE
L
COMPANYNAME(Appticator) APPLICATORSIGNATURE