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Insulation Certificate
114''Ci -ja BUILDING SOLUTIONS This form must be filled out and posted to comply with building code requirements. Meets IRC Chapter 11 Energy Efficiency Requirements and IECC Chapter 4, Commercial Energy Efficiency Requirements, The following spray polyurethane foam product(s) has/have been installed, Heatlok HFO PRO 2.0-2.4 lbs/fts Heatlok HFO High Lift 2.0-2.4 Ibs/ft3 El Heatlok XT High Yield (s) 2.23 lbs/ft3 El Heatlok XT High Lift (s) 2.23 Ibs/ft3 [] Foam-Lok 2000-4G 2.0-2.2 lbs/ft3 E] Foam-Lok 2000-3G 2.0-2.3 lbs/ft3 [:] Foam-Lok 2000 2.0-2.3 lbs/fV Ej Proseal HFO 2.0 lbs/ft3 Proseal LE 2,2 lbs/ft3 Ej Proseal 2.2 lbs/ft,9 E] Heatlok Eco 2.0 Ibs/ft3 IAPMO UES ER-0565 ICC-ES ESR-4073 ]CC -ES ESR-3824 (W) 2.17 lbs/ft3 ICC-ES ESR-3883 ICC-ES ESR-3824 (W) 2,17 lbs/ft3 ICC-ES ESR-3883 CCRR-1 025 [CC -ES ESR-4501 [CC -ES ESR-2629 CCRR-1 108 ICC-ES ESR-3500 ICC-ES ESR-3500 ICC-ES ESR-3198 Consult International Building Code, Chapter 26-Plastic and International Residential Code (IRC) R316 Foam Plastics for specific requirements. The spray polyurethane foam insulation system(s) has/have been installed in accordance with manu- facturer's processing guidelines to provide a thermal resistance of: Area Insulated Aged R-Value Thickness" Vented Attic Floor Area R- At inches invented Attic/Under Roof Deck Insulation R- At inches Sloped Ceilings / Cathedral Ceilings R- ALL inches Walls (Location: Ex+-P- r 1.0) R- At inches Walls (Location: �Ur(e'd bng R- I®At inches Floors (over an unheated crawl space) R- At inches Crawl Space Perimeter R- At inches Basement Walls R- At inches Other (Location: R- At inches "Nominal thir-W-iesses are representative of field, spray -applied foam material, Jobsite Address: MDate of Installation: Building Contractor., CO,015 Ion HBS Contractor: Ac_oumla irsL, ioA Phone: q70-"Zq/..23_7_j Installed By :1:47alu, Co -Post Near Electrical Panel- HOMEOWNER Chf15 Aor(ntb DATE_ 2Z 5/?— - ADDRESS qR0 COuP�� C0� CITY— C2rbbjj8a ? STATE (�o ZIP �1�Z3 1. ROOF DECK (INTERIOR/EXTERIOR) Material Thickness (inches) 2. ATTIC FLOOR Product Name Thermal Resistance (R-Value) Batt or Blanket 51a(\VJ Product Name Thickness (inches) 3.?��t Thermal Resistance (R-Value) Loose Fill Type CLti(,110511p- - Product Name 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 2AP A. Cavity Insulation Material Fi 6"e- Ict55 Thickness (inches) S. 5 B. Exterior Foam Sheathing Material Thickness (inches) Product Name 13a4, Thermal Resistance (R-Value) R'�3 Product Name Thermal Resistance (R-Value) 4. INTERIOR WALL (ACOUSTICS) Material Fi ba-C) lQf6 Product Name D:Z, S Thickness (inches) 3 • " Material R6!L,1-g 655 Product Name EnAs Thickness (inches) J .5 Thermal Resistance (R-Value) 6. SLAB FLOOR/PERIMETER Material Product Name Thickness (inches) Thermal Resistance (R-Value) Perimeter Insulation Depth (inches) 7. FOUNDATION WALL Material Product Name Thickness (inches) Thermal Resistance (R-Value) INSULATION CONTRACTOR SIGNATURE DATE COMPANY .ftC ura e rdl.Sl� (Gt'it l _ AD DOESS 717*3 IZiu2r 7,A— PHONE 470 -ZtII -` %q HOME BUILDER SIGNATURE DATE COMPANY ADDRESS PHONE Visit our website at www.JIVI.com or call 600-654-31031 Building Insulation Division P.O. Box 5108 Denver, CO 80217-5108 BID-393 04/21 © 2021 Johns Manville. All Rights Reserved.