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WMPLIANCE <br />RE�UIRED � <br />INSPECTION <br />pPPROVED <br />n�r� <br />01� <br />01� <br />���u <br />��u <br />IMPORTANT: Please supply Iniottnatlon In the shaded boxes and check the approprlate <br />circles. Disregard toplcs that don't descrlbe your buliding or equipment. DO.M4I P�ace <br />checks In ihe two left columns. <br />�'RAMING �HAS��(.`ontrnued) � _; <br />see <br />No. Manutacturer Frame material # Layers Model # <br />?tv+r,✓�r+ 2 o°`��aNi <br />� �oc4rz �rvDuSKrCS_ wr�� <br />e�c�sn�y �G�zrn�ri; /}2r�dN G�S <br />KY /�ca,u�' rN u5rx,i�5 <br />o� Single Glazhtg fNo �,ore m�^ �x ot n�e�d n�or aree n�iore ao�nn�, s. eo2.�s1 <br />Type; No: Area: %� <br />Type; No: Area � <br />� Untested Glazing �u�w,iraai�rtu•��..�+cnea��,o,s.�ooe.�) <br />Type: No: Area: <br />TyFe; No: Area: <br />TOTAL GLAZING AREA (Add entlre column) -�—♦ <br />Area i <br />,.ti <br />� = I (. <br />� y'c <br />Uo value Tested? <br />Glazing %_ <br />O p fa Glazlr.g alr leakage(S. 502.4.3 (c)) measures shall be met as tollows : <br />1) fixed site buift: stops with sealarrt. <br />2) operating site 6uift: weatherstripped with closer <br />0 p rs Concealed Insutatlon shall be placed: 1) Eiehind shower/tub 2) Behind partition studs/corner <br />� � is Standard air leakage caulking is complete and installed in the toltowing locations (S. 502.4.3): <br />1) between Sole platelsubfloors 4) partitfon stud penetrations <br />2) wiring/plumbing/duct register penetrations 5) light fixture/ tlue penetrations <br />3) rim joists/mud sills (heated lower tloors) 6) around window and door irar' �age 3 0! 6 <br />i <br />W <br />a <br />