HomeMy WebLinkAboutINSULATION CERTIFICATE - 23-00669 - Tagg N Go - Car WashINSULATION CERTIFICATE IC-1
Site Address Permit Number
Compliance Forms August 2001 A-36
Number and Street City County Subdivision Lot Number Description of Installation
1. ROOF
Material ___________________________ Brand Name ________________________________
Thickness (inches) ____________________ Thermal Resistance (R-Value) ___________________
2. CEILING
Batt or Blanket Type __________________ Brand Name ________________________________
Thickness (inches) ____________________ Thermal Resistance (R-Value) ___________________
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
Frame Type _________________________
A. Cavity Insulation
Material _________________________ Brand Name ________________________________
Thickness (inches) _________________ Thermal Resistance (R-Value) ___________________
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) ___________________
5. SLAB FLOOR/PERIMETER
Material ____________________________ Brand Name ________________________________
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 Compliance, where applicable.
__________ ___________________________ _____________________________________
Item #s Signature, Date Installing Subcontractor (Co. Name) OR
General Contractor (Co. Name) OR Owner __________ ___________________________ _____________________________________
Item #s Signature, Date Installing Subcontractor (Co. Name) OR
General Contractor (Co. Name) OR Owner __________ ___________________________ _____________________________________
Item #s Signature, Date Installing Subcontractor (Co. Name) OR
General Contractor (Co. Name) OR Owner