HomeMy WebLinkAboutInsulation cert.INSULATION INSTALLATION CERTIFICATE
TO:
JOB#: JOB NAME:
LOT BLOCK: SECTION:
JOB ADDRESS:
The undersigned hereby certifies that insulation has been
follows:
installed at the above described property as
1. Exterior CBS walls have been insulated with ............................Check one ( ) Spray on cellulose
to a thickness of N/A inches, which thickness, according to the ( ) Fiberglass blankets
manufacturer, ( ) Aluminum Foil
Density N/A will yield an "R" value of ( ) Riaid
Exterior Frame walls have been insulated with ............................Check one ( ) Spray on cellulose
to a thickness of inches, which thickness, according to the ( ) Fiberglass blankets
manufacturer, ( ) Aluminum Foil
Density N/A will yield an "R" value of ( ) Other Spray Foam
2. Main Ceilings have been insulated with .........................Check one ( ) Fiberglass blankets
to a thickness of inches, which thickness, according to the ( ) Fiberglass loose fill
manufacturer, ( ) Aluminum Foil
Density N/A will yield an "R" value of ( ) Other I Cellulose
Ceilings Cathedral have been insulated with .........................Check one ( ) Fiberglass blankets
to a thickness of inches, which thickness, according to the ( ) Fiberglass loose fill
manufacturer, ( ) Aluminum Foil
Density N/A will yield an "R" value of ( ) Other Cellulose
Interior knee walls have been insulated with.................................Check one ( ) Fiberglass blankets
to a thickness of inches, which thickness, according to the ( ) Polyurethane
manufacturer, ( ) Spray on cellulose
Density N/A will yield an "R" value of ( ) Other Spray Foam
4. Garage partition walls of conditioned living areas have been
insulated with................................................................................Check one ( ) Fiberglass blankets
to a thickness of inches, which thickness, according to the ( ) Spray on cellulose
manufacturer, ( ) Polyurethane
Density N/A will yield an "R" value of ( ) Other Aluminum Foil
MULTI FAMILY RESIDENTIAL CONSTRUCTION ONLY: The common (party) walls separating
different tenants shall be insulated as follows - Frame/Metal stud walls R-1 l (Min.); CBS or Concrete walls
R-3 (Min.); by Energy Code requirements. See Energy Code Rev. I/87, paragraph 903.2(b), on page 9-17,
latest edition. These "minimums levels of insulation" are not included in the Energy Calculations, but shall
be installed in the field.
NOTE: Densities of sprayed on, loose fill, or any other composed -on site insulation shall be the P.C.F.
(lb/ft3) average of three (3) "DRY SAMPLES" of actual installation.
Insulation Contractor Insulation Contractor Signature
Insulation Contractor's CC#
Builder's Name - Builder's CC#
Date of Certification
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