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INSULATION CERTIFICATE IC-1
Number and Street City RECEIVED
County Subdivision Lot Nuthbgr
Description of Installation 6t.Lucmi County
1. ROOF
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Material Brand Name
Thickness (inches) Thermal Resistance(R-Value)
2. CEILING I
Batt or Blanket Type 15 Brand Name J h�
Thickness (inches) (�, Thermal Resistance (R-Value) 30
Loose Fill Type Brand
Contractor's min installed weight/ft2 lb. Minimum thickness inches
Manufacturer's installed weight per square foot to achieve Thermal Resistance (R-Value)
3. EXTERIOR WALL 01)
Frame Type
A. Cavity Insulation
Material Brand Name •r`t
Thickness (inches) — ) I Thermal Resistance(R-Value) 19
B. Exterior Foam Sheathing
Material Brand Name
Thickness (inches) Thermal Resistance (R-Value)
4. RAISED FLOOR
Material Brand Name
Thickness (inches) Thermal Resistance (R-Value)
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5. SLAB FLOOR/PERIMFTFR
Material Brand Name j
Thickness (inches) Thermal Resistance (R-Value)
Perimeter Insulation Depth (inches)
6. FOUNDATION WALL
Material Brand Name
Thickness (inches) Thermal Resistance(R-Value)
Declaration
I hereby certify that the above insulation was installed in the building at the above location in conformance with the current
Energy Efficiency Standards for residential buildings(Title 24,Part 6,California Code of Regulations)as indicated on the
Certificate of Ci a ompliance,where applicable.
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Item#s Signature Date Installing Subcontractor(Co. Name)OR
General Contractor(Co.Name)or Owner
Item#s Signature Date Installing Subcontractor(Co.Name)OR
GeIheral Contractor,(Co.Name)or Owner
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Item#s Signature Date Installing Subcontractor(Co.Name)OR
General Contractor(Co.Name)or Owner
09/16l2011
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