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� <br />COMPWINCE <br />REpUIHED <br />� <br />iNSPEcnoN �MppRTANT: Please supply Intortnation In th0 shaded boxes and check the anpropHate <br />APPROVED CIrC!@S. DIS <br />re8ard taalt� that don't descrlbe your bullding ar equlpmer�t. DO uOT place <br />checks In the two lett columns. <br />•�l��� <br />01� <br />No. Manufacturer <br />� <br />�IC <br />�8 ����"�"'��"`�"s`�:1 See the Wast <br />,;::z,�a��>��,����.�,:, T- <br />Frame material # Layers Model # Area <br />mon tlun t%of Mated Ilaor vsa bafora doubOnp, <br />Type: �.�rey�y��; �--�otea; �� <br />Type: No: Area <br />O O » t UntestedGlazinpN..o�ye.r.�,nu-�.h,..hcn.,u��o,s. <br />� TYPa�!✓ S No: � Area: �j-/ G <br />Type: No: Area: <br />` TOTAL GLAZING AREA (Add entire column) <br />01� <br />m <br />L71� <br />X2 <br />C: <br />Ft2) Uo value Tested i <br />� U.�2 Y� S <br />U.�� Yes � <br />U.._ Yes � <br />U..— Yes Q <br />U.—. Yes O <br />U._ i(es Q <br />U._, _ Yes � <br />U._ Yes � <br />U._ Yes Q <br />U.._ Yes � <br />U._ Yes Q <br />u._. Yes Q <br />U._ Yes � <br />��`w�'�� �a,�`�< �`�: x <br />���� .« <br />U. 7 <br />U._ <br />O O�� Glazlnp air leakage(S. 502.4.3 (c)) measures shall be met as foliows : <br />❑ tixed site bufft: stops with sealarrt. <br />❑ operating site butlt: weatherstripped with cbser <br />O O �s Conceaied Insulation shall be placed: p behind showerttub p behfnd part(tion studs/comer <br />p O ts Standard air Ieakage (S. 502.4.3) caulking is complete and installed in the tollowing locations : <br />1) between Sole piate/subiloors 4) partition stud penetrations <br />2) wiring/plumbing/duct register penetrations 5) light fixture/ ilue penetrations <br />3) rim joists/mud sills (heated lower iloors) 6) around window and door f•--�-- <br />Page 3 of 6 <br />u <br />