HomeMy WebLinkAboutPRODUCT REVIEW AFFIDAVITPlanning-& Development Services Department
Building & Regulations. Division
Product Review Affidavit
Building Permit # Owners Name Applicant:
Product
Opening Design
Pressures _
Product Rated
Design Pressure
Manufacturer
Model Number
Product Approval
Number
Glass
Type
Method of Attachment
Windows
Mullions
TWESE PLO'S
AND AL Ift AD. (0)
0 E L)
Fixed Glass
ARE SUBJECT
TO ANY CORIECTIONS
%sj
Block Glass
REQUIRED
FIELD INSPECCORS
"' a 'r 11-4
THAT
Ov
Skylights
MAY BE
COMMY
,;4,JMV I VKL
MIALL APPI ICA
LK 1
ILE COMS
Sliding Glass Doors
Swing Type Doors
French Doors
Garage Doors
Hurricane Protection
Roof Ventilation
Roofing Material
J
[-A
0
C-L) to YL ij C, Ix— A, %-,Lr,. (Z-
e/kcp+ I .
I have reviewed the above components or cladding and I have approved their use in this s ucture. These products provide adequate re_sisiaftce to the
wind loads andforces specified by current code provisions.
Name:
C_ 4=� U(e'
- X\ I SignatuL__W,� seal
Design Prof- Gg oc_<.e_cA&S 6" LjCr
ElCert. No. K4C-9 Q -I"I Date: f 31 -A 00