HomeMy WebLinkAboutMiscellaneous Specifications 2005-3-23
Mar 23 05 11:36a
,
F.RE B HOMES
CertainTeed II
Builders Statement
~
,<-r;of''' B tlom "'.;
Homeowner Name I Jobsite Name
6169.",..,...
Home Address
~;\ 10"1/0"
Installer/Contractor ~sign)
Builder (sign)
Inspected By (sign if required)
'~
R~VAlUE
To obtain 8
Thermal Resistance
0001:
60
49
"
38
30
28
22
19
13
11
541-744-0116
.
p.2
Company Name
MAXIMUM
SQ. FT. PER BAG
Contentsoloog
should not cover
morelhlln:(sq,ll]
27
34
38
...
5.
65
n
90
12.
151
R~VALUE THICKNESS
CEILINGS ,1dh8
<38 j if '3/"
WAllS
011
FlOORS
.;l-r-
~
InsulSafe@4
Fiber Class Blowing Insulation
KNI) JI
;/A -"Ie .L/J!:.J 1a11tJi/I 4
Company Name
BAGS PER
1000 SQ. fT.
Bags per
1000 sq. fL
olnetartB:
38,5
29.6
26.4
22,8
18.0
15.5
13.1
11.1
7,7
6.8
AREA (SQ. FT.)
a1~rd. J3. ;;"005
Date
.i
Date
Date
MINIMUM WEIGHT-
POUNOS PER SQ. FT.
Weight peT$q. flat
inSla!Jed insu!ation should
nOll1elesslhan:(lbs.)
0.966
0,800
0.712
0.615
0.485
0.418
0,353
0.301
0.209
0.179
."
INST.' i:-
MINIM If ,IICKNESS
':ulI...notbe
lesslhlln:
pn.}
22
la'",
16~'.
14+.
12
10~~
9
n~
5'h
4~
INSUlSAFE. (11')
BAns)RO~ ,
V
BAGS USED
/'
y'
./
c/
./"
V
THERMAL.PERFORMANCE-AmC BLOWING APPLICATION
In accordance w~h the chart above, you must install th'e minimum number of bags per 1,000 sq. It of net area for each
R-Value listed.
The maximum net coverage must not exceed that specified for each R-Value.
The installed insulation must be at or above the specified minimum thickness for each R-Value,
Failure to install the required minimum weight per sq, It of Insulation at or above the minimum thickness will result in
reduced R-Value,
This product should not be mixed w~h other blown insulations or the thermal claims will become Invalid.
DANGER: RECESSED LIGHT FIXTURES-TO PREVENT OVERHEATING, DO NOT INSULATE ON TOP OR WITHIN 3" OF
- SUCH DEVICES. DOES NOT APPLY TO TYPE IC LIGHT FIXTURES OR TO FLUORESCENT FIXTURES WITH
THERMALLY PROTECTEO BALLASTS.
30-24-233 Builders Statemont
A Sainl-Gobaln Company
02003 CertalnTeed Corporallon 10103
,~I '1~1 · ·
225 FIFfH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-38$~~-o '
;0 ~ ~
ELECTRICAL PERMIT APPLICATION ,0 'O"'~ '" a%;
/ J '"'9.~/- ~/"i9
City Job Number COvtlloo'l,_ 0 0 '171 Date 1 2. Z >/0 '1 % ~ e' "'~"'-o
'I ~'.. ~ ~~
~":';-''"_~'-''''~'''''-'~;:~~_~A'l''''''~'~''''':'~~ ""~~.''6.'=1:')lt'l!i~-:o;;;C!:;:F!fl,- :.a~"~...?i~~_~k'''!'fH~
3. ~COMP1iETE-'FEESt:-nb:v' ELlJ'W.",,':<<,~4'?,\,;l;,.~!.~~'li..~
~.U\C.~:,~..a*~~~:lU..:':";;:U;:,;."'ia:.i~;;':;" "1-':"";'; ~cPi~~..3~~~
<P~ 9~,B<?
~~ ? ~
A. ~f~~Ji~:~~f:.1~~5f1~f\1i~:t,~,-~ "~~"~~~~rll~~~~1~
.t-"~~~cJ.t1=n<i.~.1"',,,, ,_l:I_",'\l~.;I;:.t.l,:. ""J~.;.;; ~,,' ""~()..k1j!~L~!'~b'lo......~'k'1.:
" 'b ~
Service Included ~ ~"
"0' 0-::
06.00 ",,-0,,-.,
'>. .. .,
U, <P
PermitS are non-transferable and expire if work is Each Manufact'd Home or
not started within 180 days of issuance or if work is Modular Dwelling Service or
Suspended for 180 days, Feeder
~~~ "'}1..l'4~, ','l~,''''''''','''_,'-~':'':''''' ...,'''..fI'':,',',,!-+~v, ....O<(;',...~,=, ...,_~~" ~_',;,!'.''''~,_ ~.t'-l._~,-,.'~:-',,-'-;~:C""~',"\~, ',.:R~'*1'ji1. .".~li'..~,~~,-_'t.."~':.
'~n'''\):..;~, ..,,~,_:"'~~,w~
2. ~~W$J:J}B-:1!i~!~r:~r1:~~~~e~.gy:;1 B. ~~~~~t?~~~~rJ,~~!~~~t~!~~;~l\Jt~~ill2PJ.;gr;~~at\~~
Electrical Contractor ~ \l'& ~ll<t'(Q r.D~ C,.iJ 200 Amps or less $ 63,00
u 201 AmP.tIOfpO'AmPs . $75,00
Address? D'\2:,uf-- 4 ()~H-i< 401 Anl~s tJ, 66d7t=I1S SHAll E)(PIRF IF T$i'iisl61i1HK
I HI::' t'tnlVIo I ":I' 'e' '10 I
601 Amp.sjtoJOOOAmPSINDER THIS PERt-.$1163,00
1\1 ll1unl~~w U ,,,,,cClD
Over 100?;,t,/;,Rtt'{eitu OR IS ABANDONE$~hWO
Reconne'Rt<f1T'BO OF\Y PERIOD. $ 50,00
c. tT~~~~arY1S~6ices!ifrJF~~1fS):;'~i'~~i~Sl;;~~'*f:~l3'~M~~ ~:"!?"
~i.il,<.!\"~~~'""-".'~"" ~~~...~~~~..;1o,"ll':t.'~1tt..~~ "'~
New Alteration or Extensio.n.l'~{J'anel
_1"ft/'IlM. a ."""n law reqUires yuu
~, 11:'" """ue'l"lfmllt 0 e on Utllil\'
~now ru~(.\'31!l!lo1a)(IV3If~~r~\\Iet forth
..1 ",~otificatlo~ev..r~~h'orAR952'Ov;' $ 3.00
I.. OAR 952.!?-o,1~~a~BAl~,;:;:m,"ll~I~S'.tJV':;::;'l!iJ :~,,~.--'"J!!"~';""';'779
^090 v.,_l<._"';ij!bwtrn:v""It$J,ffl.:eJfeeaer, uofmcluded) -Each InstaUation'
... cailln;th~~nter. 'lNOie:1\;e teleflM':&o>""--~ .'-'--'<~ ,- ,...-~
l1umber lfii'l1i'ePOrtigl!llblJtility3N04t}'flcatlon $ 50.00
~f)il:llln8~1li1ri'g2 4 . $ 50,00
Limited EnergylResidential / $ 25,00
Limited Energy/Commercial $ 45.00
~':~~A'/"!o<,....;m:.ti~';).;J:~,r.....'7.x':"",' ~~~~~~~i'~~".~t;!:.\.,,~,
1. :C;OE-Jlf1~g!YJ!'I,ff[..#!':~:!JM-i~i;:;~-'JJi'f.tl
<i? I 8' ;2.. "" t <L IC-v+ 0 ( I
LEGAL DESCRIPTION
/703, '23Lf3
JOB DESCRIPTION"
J / 00-0
Low Vo'M~ co- ~ J ,A-c..................... 5yS
City
~
Phone ~"l,
Supervisor License Number 311 q :) L 9 A-
Expiration Date 111 - 0 \ - D lo
Constr. Conll, Number
I L\ 4 le.-q ~
-
Expiration Date 010 . ?~ - O'X
~[rtXJ''"
-G.+,^~ K
Address ? 0 &:,,,, 71( 2- <)
City t:;Vl6-ErVc:.~
Owners Name
Phone
'-"
"
OWNER li'lSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
1000 sq, ft. or less
Each additional 500 sq. ft, or
portion thereof
$50,00
Installation, Alteration or Relocation
200 Amps or less
201 Amps to'400 Amps
40 I Amps to 600 Amps'
$ 50,00
$ 69,00
$100,00
O~~r 6~2.. Amps or 1000 Volts see "B" above,
~.,~..,..,;~""'~"''''. " . ~,",,","" ..... 't '4.1,":-'00 '1':'""'-''''''''''''. . .'Q<"' .t:'r~
D. ~Br.an'di'CH~cuitS ~ ;>_,~,.~;'t-s;~, ;';~.j.H_~'€'2''''';-i&'':'AE~:(~~,,~~<:,,~,J
~,~~_.,.... ._,h_",".~.( ,.'\;:..-"'"."~'.._ ~"""_,,~.__..,w.,,...."\: . "~~'''?~.''1
$ 43,00
2\
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
~.1f?';-:J~~{J;')'\l \"'. _'~~'l;)~;,.,?i:~:J!::rof:.~:I~~",~;,:~" -I~'-:~!
4. '!kS&7JTOT.AI:,OF-MOVE.'" ;,').':';;""K~o'*,';:;'i
r ..,.y.,.....tt>:- .', 1~~1._T1-., !j~..._~-',-:;.;'rj~i;Jf.~~~
'-I~
7% State Surcharge
10% Administrative Fee
0-
3
l{ro
'5 Z bl
TOTAL
Shared Drive(T:)lBuilding Fonns/Electncal Permit Application 1-D3.doc