2015, 02-12 Permit: BLD-2014-2549 Energy Compliance Cert.Property Address: /6 --.,,, i: rVek-e-/ •
Conditioned Floor Area: / V& . Date:
Builder or registered design profess *1:
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Signature:
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Ceiling:
Vaulted R- 610( Floors: Over unconditioned
space
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rating (or) Windows U- , SHGC- N/A
72 Default rating (Appendix A WSLC 2012) Skylights U- SHGC- N/A
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( yes / o Insulation R -
Air handler present ( yes / no)
Test Target bi lo (,7 CFM®25Pa Test Result kSr..)--- CFM(0,25Pa
Building air leakage target: ACH50 < 5.0 - Tested leakage: ACH50= . ,
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System type:
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Rated annual generation Kwh
PART 1 Residence Address
1:fits
LOOSE -FILL SPECIALIZED
11115 ULRTIONINr.
INSULATION CERTIFICATE
Date Installed
RESIDENTIRL • COMMERCIRL
509.489.3512
584 E. CDZZA DRIVE
SPOKANE, WA 99208
CONT. L—IC. # SPEC111988D7
PART 2 Ceiling Areas Insulated (Loose Fill)
Square Feet
Existing
R -Value
Added R -Value
'77
No. Bags
Lbs. Bag
Total Depth
Combined
R -Value
Insulation
Type
2.
3.
PART 3 ❑Wall Area Ire_ •mated -;ose Fill) ❑ Floor Areas Insulated
Square Feet
1.
Existing
R -Value
Added R -Value
No. Bags
Lbs. Bag
Total Depth
Combined
R -Value
Insulation
Type
2.
This certified that the above residence identified in Part 1 was insulated as specified in Part 2, or 3 and the installation was
conducted in conformance to applicable codes, standards and regulations at the time of installation.
WHITE COPY TO CUSTOMER • YELLOW COPY TO CONTRACTOR • HARD COPY TO ATTIC
(AUTHORIZED SIGNATURE)