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� <br />w <br />COMPLIANCE <br />HE�U�RED � <br />INSPEC"iION <br />I APPROVED <br />_71C <br />IMPORTANT: Please supply Infortnatlon In the shaded boxes and check the approprlete <br />c'rcles. DtsreBard ta�lcs that don't describe your bullding or equlpmeM. D.OSlQ2 piace <br />cher.ks in the two left columns. <br />No. Manufacturer <br />✓ <br />✓ <br />by type <br />Frame material # <br />✓ <br />✓ <br />�yers Model # <br />Z SL�DE2$ <br />✓ 'i�� CTUeE <br />p I I[� 70 SIIIQIB GI8ZIIIQ (No rtwre Ihan 1%oF heated flow area be(a <br />:� <br />'" Type: No: Area: <br />� <br />� Type: No: Area <br />Q p 1t Untested Glazing N�oniyaeiw,icu-va�ueatncnePier�a <br />`� � Type: No: Area: <br />„ Type: No: Area: <br />t' TOTAL GLAZINi� AREA (Add entire column) <br />��� <br />��� <br />� doubfinp, 5.60272) <br />X2 <br />s.ioos.�� – <br />�� <br />Aroa (Ft2) <br />33.� <br />Uo vaiue <br />U..� <br />U._ <br />U._ <br />U._ <br />u._ <br />u._ <br />u.._ <br />u._ <br />U._ <br />U.� <br />U._ <br />e� <br />� <br />O O 1< Glaztng air IeakaDe(S. 502.4.3 (c)) measures shall be met as follows : <br />❑ fixed site built: slops with sealant. <br />❑ operetfng site builL• weatherstripped with cioser <br />O O rs Concealed Insuiatfon shall be placed: ❑ behind showedtub p behind partition studs/comer <br />Yes U" <br />Yes � <br />Yes � <br />Yes Q <br />Yes � <br />Yes Q <br />Yes O <br />ves O <br />YBS U <br />Yes (J <br />Yes � <br />p � p�B Standard afr Ieakage (S. 502.4.3) caulking is complete and installed in the icllowing locations : <br />—1 1) belween Sole plate/subiloors 4) partition stud penetrations <br />2) wiring/plumbing/duct register penetrations 5) light tixture/ flue penetrations <br />3) rim joists/mud sills (heated lower iloors) 6) around window and door f�--" <br />Page 3 of 6 <br />