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COMPLIANCE <br />REQUIRED <br />INSPECTION <br />APPflOVED <br />IMPORTANT: Please supply Information In the shaded boxes and check the appropriate <br />circles. Disregard topics that don't describe your building or equipment. QD NOT place <br />checks In the two left columns. <br />a Glazin Is II Ms b type ��" o See the Washl on Iazi directc <br />g kY g Y Yp r� ngt g ng cry t <br />x <br />No. Manufacturer Frame material # Layers Model # Area (Ft2) Uo value Tested? <br />KkV>OkW <br />t Y <br />2 <br />3;� <br />2 <br />U.� <br />es <br />U.� <br />es <br />U-A0— <br />Yes <br />U.� <br />es <br />U._ <br />es C <br />U._ <br />es <br />U._ <br />Yes C <br />U._ <br />Yes C <br />U._ <br />Yes <br />O <br />O <br />U._ <br />Yes C <br />r0 <br />SingleGlazing(NotwethenI%ofheatedfloorareabeforedoubring,$.602.72) <br />U._ <br />U._ <br />Yes <br />Yes <br />Type: — No: Area: X2 <br />Type: — No: Area X2 <br />U._ <br />Yes C <br />[] <br />� <br />rr <br />Untested Glazing detwh U�WuuhC <br />g (Uwonl y chapter 10, $. 1008.1) <br />F <br />Type: — No: Area: <br />U._ <br />Type: — No: Area: <br />U._ <br />y <br />TOTAL GLAZING AREA (Add entire column) --� <br />011M <br />Glazing %. <br />0119 <br />O C3 r!Glazing air leakage(S. 502.4.3 (c)) measures shall be met as follows <br />1) fixed site built: stops with sealant. <br />2) operating site built: weatherstripped with closer <br />p rs concealed Insulation shall be placed: 1) Behind shower/tub 2) Behind partition studs/corner <br />rs Standard air leakage caulking is complete and installed in the following locations (S. 502.4.3): <br />1) between Sole plate/subfloors 4) partition stud penetrations <br />2) wiring/plumbing/duct registerpenetr,tions 5) light fixture/ flue penetrations <br />3) rim joists/mud sills (heated lower floors) 6) around window and door frarr" <br />Page 3 of 6 <br />