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�� <br />COMPLIANCG <br />REOUIREO � <br />iNsrecnoN <br />APPROVED <br />LJILJ <br />IMPORTAN7: Plcasc supply Inlormallon In thc shaded boxcs and check thc appropriatc <br />cireies. Disrepard toplcs lhat don't describe your buildinfl or equipment. AQNQI piace <br />cliccks In tlic lwo Icll coiumns. <br />No. Manulaciurcr <br />L <br />Framc maleriai a► Layers Model If <br />O O� Jo � Slnfllcs Glazlnfl �No n+ma umo +x o� nemaa r,o« ao. no�wo ew,asn�, s. raz.z2) <br />� Type: No: Area: X2 <br />� Type: No: Area x2 <br />p p rr UntesledGlazinp�u.aodyaoio��w•�owa�cn,,P�ar+o,s.,00a» <br />r Type: No: Area: <br />;; Type: No: Area: <br />:r <br />i;r TOTAL GLAZING AREA (Add enlire column) —f <br />0�� <br />f�71L <br />Area (Fl2) Uo vaiuo Tcsled? <br />� �v U Ye� <br />U._ Yc� <br />U._ Yc�i <br />U._ Yes;� <br />Yes� <br />O O�4 Glazinfl air Icakapc(S. 502.4.3 (c)) mcasures shall bo mel as tollows : <br />1) lixed site builL' slops wilh sealanl. <br />2) operatinc� sile built: wealherstripped wilh closer <br />0 p rs Concealed Insulallon shall be piaced: 1) Behind shower/lub 2) �ehind paAilion sluds/corner <br />0 O�c Slandard air leakape caulkinc� is complale and installed in the tollowing locations (S. 502.4.3): <br />1) bclwcen Sole plale/subtloors 4) partilion slud pcnctrations <br />2) wi�ing/plumbing/duct regisler penetralions 5) lighl lixlure/ Ilue penelralions <br />3) rim joisls/mud sills (healed lower floors) G) around window and doo� irar' Pac�e 3 ot G <br />