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COMPLIK <br />`.T`;.n. l'SA117-1.REQUIRIMPORTANT: Please supply Information In the shaded boxes and check the appropriate <br />circles. Disregard topics that don't describe your building or equipment. DO NOT place <br />checks In the two left columns. <br />"J <br />11W <br />o f=1 <br />ED I-] <br />O <br />E3 <br />O <br />O <br />type. See the <br />glazing directory <br />Aln AAonnloNnrnr Framn mninrinl Model # Size Location Uo value Tested? . <br />ilt�t•t <br />JI•�� I: <br />Ll-Ux`I- - <br />-cjI4,U+I <br />U.-�_ <br />Yes <br />III�t ut- <br />v i, <br />4-Oxi-p <br />mow ' <br />U. 1- <br />Yes <br />U.— <br />Yes <br />U.— <br />Yes <br />U._— <br />Yes <br />U.— <br />Yes <br />U.— <br />Yes <br />U.— <br />Yes <br />U.— <br />Yes <br />U.— <br />Yes <br />U.— <br />Yes <br />u.— <br />U.— <br />Untested Glazing (Use only default U-valuos In Chap1a( 10. S. 1000.1) <br />Type: No: Area: U.— <br />Type: No: Area: U.— <br />TOTAL GLAZING AREA (Add entire column) —> <br />]Glazing documontatlot>_insufficient, U-values shall be Justified by Mir. testing report. <br />O Io Glazing air leakage(S. 502.4.3 (c)) measures shall be met as follows: <br />1) fixed site built: slops with sealant. <br />2) operating site built: weatherslripped with closer <br />= Ir Concealed Insulation shall be placed: 1) Behind shower/tub 2) Behind partition studs/corner <br />O r2 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 register penetrations 5) light fixture/ flue penetrations <br />3) rim joists/mud sills (heated lower floors) G) around window and door frames <br />p rs Recessed lighting fixtures (S. 502.4.4) shall comply w/ one or more of the following: <br />0 IC rated, no slots or holes In cans, caulked or sealed Ietween can and ceiling <br />O IC rated with table certifying an ASTM E203 tested airleakage s 2.0 CAM <br />U Any UL listed fixture enclosed by a 1/2" gypboard lox or other manufactured box <br />Page 5 <br />