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. �
<br /> COMPLIANCE
<br /> � � • ' ' i
<br /> �. itFaUiRED .
<br /> l �'
<br /> iNsaecnoN • �MPORTANT:Please suppiy Inlortnation In the shaded boxes end check the approptiate �
<br /> APPROVED� clrcles.Disregerd topics that don't descNbe your buliding or equipment.D�1QI piace
<br /> checks In the two leR columns.
<br /> . , . , , , �� '
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<br /> ... ..... .. ..... . ..._.
<br /> .. ...,
<br /> �
<br /> p a � Glazlnp/skyllpM.s by type ��,��s�'��,a���`Q� See the Washington giazirp directory ���
<br /> .. ...H�.. , �...,_,.,,..>>�i..r..„D`.3 G.°.0,,z.,. .a ;.^ ,u c ., ..:., ...., ,z,:v�...,. . x x w . .. !��.
<br /> y�e'�e�C�.� �..,......�...�wi. �� '
<br /> I ;� No. Manrfacturer Frame mate�ial #Layers Model# Area(Ft2) Uo vatue Tesled? � ,
<br /> �f U._ es Q�
<br /> I � U.� es 'a'�,�<�,.
<br /> ��: � °� s� _.
<br /> � �� U,� es � .�'
<br /> �3 ;,7Q u.� es �'
<br /> � � ��(/
<br /> ? u.� es Q :�;>
<br /> � - � U...� es ,�
<br /> a: - 2 U. es Q',:
<br /> ' 0 O u•3L es
<br /> �: >�
<br /> h U. es <r:
<br /> u._ es
<br /> O O m : Single Glazing trro m«e m.�,+x o�i».��a n��..n.�a.a�,nu�,s.cox.�s� U._ es ``
<br /> ; Type; No: Area: X2 U._ Yes
<br /> � U es :�
<br /> � Type; No: Area ;, �a,��Z; ��,a�M��� ��
<br /> O p �� Untested Glazinp t��r�elwh U�nA+ea N Clupur 10,s.�ooe.» _ � _,� �: �� ,t�
<br /> � "��'�.° `
<br /> � Ty�; . No: Area: U'—' �������� �.:
<br /> N; U ��r� -m�. .:
<br /> �;: No: Area:
<br /> '� T�� ``"�����:Z r4
<br /> � TOTAL GL.AZING AREA(Add entire column) �► �j �
<br /> � - ,: _ ';� ;,�,�,�; �.� �'xi F
<br /> - a�� : �: .. . .;
<br /> ` •. � � i
<br /> p �s tuTaximum.Xlioweti gtazinp area(S so2 7 i`�Is der�vetl by taking the ihe t�tai gtaz` ��i��R k "'�` _
<br /> �� �� � �iSanddividinghythel�lat�cantldioned#I�oorareaot �,
<br /> 0
<br /> � :;�Anlapty�ihi�� mb�rbysaa Tn�sv�uet;en�texc��c[�negtazing��rcentaga�oryci,ur =8p�or���F...
<br /> < t'J s;�o��i�uni}�� � y2ro��Ntins�l,tti}`� " s t�tt�twii�i+� , ;iao����N��� l �zr ��
<br /> � �:� s t8le(C�liOl�,lt� (� s'�y°hd��4�`1fl} " � � 25�p{C�lpttUil) , Glazing%�
<br /> .,: \ V � . i :� _ � ' : i.. � 3 `�'. .
<br /> � O �s� lazirtp tlWctlm�nt8t(tllLinsutlaeilt,U�v2ii�es sha�6e�stlt�@rlbyMir test(ng repo�t $3������� ; .
<br /> p �� Glazlnp alr leakege(S.502.4.3 (c)) measures shall be met as tollows :
<br /> 1) flxed srie buitt:stops wilh sealam.
<br /> 2) operating site buiR:weatherstripped with closer
<br /> p �a Conceaied insulatlon shall be placed: 1) Behind showerttub 2) Behind partition studslcorner
<br /> � �s Standard air teakage cauiking is complete and installed in the following locations (S. 502.4.3):
<br /> 1) between Sole piate/subfloors 4) partition stud penetrations
<br /> 2) wiring/plumbinglduct register penetrations 5) light fixture/itue penetrations
<br /> 3) rim joists/mud siils(heated lower iloors) 6) around window and door irar�Page 3 of 6
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