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COMPLIANCE <br />REOUIRED � <br />INSPECTION <br />APPROVED <br />01� <br />No: <br />IMPORTANT: Please suppiy Infortnation In the shaded bozes and check the approprlate <br />clrcles. Disrepard topics that don't descrlte your building or equipment. DII1�QI place <br />checks in the two left columns. <br />Manufacturer <br />�www�:�' <br />„ .. <br />� -, <br />N c1 <br />See the <br />Frame material Model 1i Size <br />O O �] UntestedGlazingN�ooiydei�,nu•v�uesi�cnaPier�o,s.,00s.,� <br />' �� Type: No: Area: <br />�;', Type: No: Area: <br />. TOTAL GLAZING AREA (Add entire coiumn) —� <br />01� <br />Locatfon Uo value Tested7 <br />SF u _ ve� <br />�F u..�l: ves <br />u.�3 ves <br />� ,s u. Yas <br />U._ Yes <br />U._ Yes <br />U._ Yes <br />U._ Yes <br />U._ Yes <br />U._ Yes <br />U:_ Yes <br />C r� 5 <br />U �.� <br />U < � < <br />O O�a Glazing alr leakage(S. 502.4.3 (c)) measures shall be met as follows : <br />1) fixed site buitt: stops with sealant. <br />2) operating site buift: weatherstripped with closer <br />O O» Concealed Insulatlon shall be placed: 1) Behind showerttub 2) Behind partition studs/comer <br />p p �2 Standard alr leakage caulking is complete and installed in the foilowing locations (S. 502.4.3): <br />t) between Sole plate/subiloors 4) partition stud penetrations <br />2) wiring/plumbing/duct register penetrations 5) light (ixture/ ilue penetrations <br />3) rim ioists/mud sills (heated lower Iloors) 6) around window and door framer <br />_ _. ___ _ <br />__ <br />Page 5 <br />