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COMPLIANCE <br />REQUIRED <br />INSPECTION <br />AIMPORTANT: Please supply Information In the shaded boxes and check the appropriate <br />PPROVED <br />Ed <br />circles. Disregard toplcs that don't describe your building or equipment. <br />checks In the two left columns. DO NOT placeVam <br />Awqll� <br />' See the Wasl <br />No. Manufacturer Frame material # La ers Model # y Area <br />A enry .,,N �L PIL <br />7- h�7A <br />i� Ullt'coAf-i7 •;itiYL /Sufs� -� <br />matzo <br />EZI [:1 10 Single Glazing IN. more than 1% of heated floor area beroredoublirq•s.602.7.2) <br />Type: No: Area: <br />J Type: No: Area X2 <br />0 O 11— UntestedGlazingfuaaonlYdefanu.�a eatichaptar10,s.1006,1) <br />Uo value <br />U. <br />U. •� i <br />U. • 5 <br />U. ` r <br />U.__ <br />U.— <br />U.— <br />U.— <br />U. <br />U._ <br />U._ <br />U._, <br />U.— <br />�' -- " ' Ft2 and dividing by the tofef conditioned floorrt IV area oftocal g azing area <br />Multiply (his number by 100. This value can't exceed the glazing percentage for your seladf <br />s 1 <br />Q 0% (Option 1) Q s 12`yo (Option II) s 21% (Options 1(t; fV, V) <br />eCt <br />Q s 25°1° (Option VI) 0 s 30% (Option Vll) <br />L 1 p rs ocumematlon Insufficient, U-values shall be Justified by Mfr. testing report <br />th <br />Yes Q <br />Yes Q <br />Yes Q <br />Yes Q <br />Yes Q <br />Yes Q <br />Yes Q <br />Yes Q <br />Yes Q <br />Yes Q <br />Yes Q <br />Yes Q <br />l� QGlazin <br />Ora <br />g air leakage(S. 502.4.3 (c)) measures shall be met as follows: <br />❑ fixed site built: stops with sealant. <br />Q ❑ operating site built: weatherstripped wi <br />1s th closer <br />Concealed Insulation shall be placed: [I behind shower/tub (3 behind partition studs/comer <br />O 0 rs Standard air leakage (S. 502.4.3) caulking is complete and installed in the following locations <br />1) between Sole plate/subfloors <br />2) wiring/plumbing/duct register penetrations 4) Partition stud penetrations <br />5) light fixture/ flue penetrations <br />3) rim joists/mud sills (heated lower floors <br />6) around window and door (•----- <br />Page 3 of 6 <br />