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PERIODIC INSPECTION REPORT
All requested information must be completed. State the reasoning if the information is not
available or not applicable. Use additional pages if necessary.
Date Time Frequency of Inspections
D M Year in Out Monthly Quarterly BI-Annually Yearly
I lei l l/
client•.
Applicant Name(if necessary):
Factory Address:
j Tom;
Report Number(s): Product(s):
Factory Representative: /)'JAj
jintertek Representative: R z W)//�?r
Telephone Number 2 15� d !c►36)G
i Facsimile Number g�tf'
E-Mail Address: P!
DOCUMENTATION
(If NO to#1.or#2.or YES to#3,provide client with Customer Service Request document)
1.Are Client's company name,address,contact,phone#,fax#on the Authorization to Mark
Page current?
NIA❑ Yesp( No❑If any Incorrect,please circle the incorrect item(s)
2.Are listin reports and/ r pedftcations of the latest edition?
N/A�j YesX No❑
3. Has there been a change to the key—personnel?
N/A❑ Yes 0 No
MANUFACTURING PROCESS—Inspector: Review and Initial all records,.forms,
checklists and certificates for completeness and traceability. N client Is a it+lachirter on&
check here❑and skip to question number 16:
(if NO to any question complete a Variance Report)
4, is the production flowchart or description of production methods contained in the manual
representative of actual pm-duction flow and process?
N/A❑ Yes No❑
SO 16.3.14(formerly MIDPIR100) .�" tntertek REV 4/12/10
Mandatory Distribution:Original Intertek Copy Client Copy inspector
Page 2 of
Inspector's Initials: Date:
Client/Location:
5. Do the incoming raw manaffsmatch those noted in the manual?
N/A[I Yes
jK No F1
6. Does the client conduct the required tests and/or inspections on incoming material as
specified Inthe Listing Report?
NIA Q Yes p No 0
7.Are files of Test Reports/Inspection Reports up to date?
N/A[:] Yes 9? No C]
8.Are non-verified of non impliant materials appropriately segregated?
N/A 0 . yesm No
9. Is the client conducting inspections and tests required In the Listing Report for In-process
quality control? No
NIA Yes
10.Does the client maintain.records of necessary or required Inspections and tests?
NIA F1 Yes No
11.Are the records up to date and Initialed by an Intertek Field Representative?
NIA[I Yes NoEl
12. 1s ment used for QC testing calibrated El verified[3 or checked goino go[]?
A ch rtificate if calibrated.Describe procedure otherwise.
13. Isntment used for manufacturing calibrated[I verified 0 or checked golno go Q?
Attach
Attach rtificate if calibrated.Describe procedure otherwise.
14.If calibrated, can you trace the calibration of equipment back to a 17025 tra able lab?
Certificate Attached at least annually jgoi Next calibration due date-t Nk"affe2wkv.
or %
15.Does the client have new equipment for manufacturing and/or testing?
NIA[]. Yes 0 No
If so then record the new Kent.
LABELING—INSPECTOR—INITIAL AND DATE LABEL LOG BOOK]
(if NO to any question complete a Variance Report)
10.Are Product Markin I A rIAU rdance with the Listing Report?
N/A E] Yes cooNo 10
17. Labeling Method:
8 Separable Labels(Supplied by Intertek) F1-Direct Imprint(by Client)
Both WNelther
18. Is label Mprity adequate? 19.Are log Shasta properly completed?
N/A Yes U No C] K Yes 0 No 0
SD 16.3.14(formatly MIDPIR100) Intertek REV 4/12110
Mandatory Distribution:Original Intertek Copy Client Copy Inspector
Pa 3 of
Inspector's Initials: Date:.
Client/Location: (z4&;W-f ey
err M . 0
PRODUCTS
(if NO to any question complete a Variance Report)
20.Does the Listing Report contain a product description,specifications,assembly drawings
and manufacturing toles s?
NIA[I Yes PnopNo❑
21. Istheclient conducting the final Inspections or tests required In the Listing Reports,prior to
final approval and labeling of the finished product?
NIA[I Yes X No[]
22.Do the finished ;meet the requirements found In the listing reports?
N/A❑ 'Yes 1Z No[]
23.Are nonconforming products segregated from conforming products as directed In the Listing
Report?
N/A❑ YeSKI No❑
24.Are you able to trace the product from raw materials or supplier to a finished product with
the production I quality ireng s?
NZA 0 Yes No❑
25.Is there a specific area for quarantine of noncompliant material(whether It Is raw material,
In-proceNIA ss material or finis d ma its that did not meet the minimum specifications?
Yes No
SAMPLINGWOMPLAINT TRACKING
26.Were amples collected?
NIA[Z rwpa(N sampling Is not required at this location)
Yes[I if samples were collected provide details of the samples here:
No[I(only If sample Is required and not selected,otherwise please check N/A) if
sample is required and no sample was collected explain:
27.Does the ent have a method of tracking all complaints from customers?
Yes If If new or revised describe,
ew
No C] Please complete a Variance Report
28. Did you Leyiew all complaints since last audit?
Yes X No Complaints to Review❑
Managed at Corporate or other location❑
No 0 if complaint method not reviewed,please explain why
SO 16.3.14(formerly MIDPIRiOO) IntertREV 4112/10
ek
Mandatory Disbibution,Original Intertek Copy Client Copy Inspector
MMUZ
Paw 4 of
Inspectors Initials: Date:
Cifentil-ocation:
r--Aoy o
CLOSING
29.Was CSR document provided to client? Yes E] No W] (if provided to client for future use
and no changes are requested today please check No)
30.Were variances noted during this inspection/audit? Yes 0 No
If no skip to#31,if yes(complete the following and a Variance Report):
30,a.was it Product or Label Related? Yes C] No C]-
30.b.was it related to an administrative change to a Quality Control Manual?Yes 0 No
31. Have previnils technical variances been corrected?
N/A
Ejoir.
N if no previous variance)
Yesattach proof of correction)
No Siattach copy of original Variance Report)
COMMENTS(DO tj0T USE THIS§ECTIQN IQ ISEPOR-T YMIAKQES OR C.§Rs):
I acknowledge receipt of a copy of this inspection report jokuedl by the lnteQpk Repre�enta#".
F ory Representative's Signature Intertek RepresentativW011SIgnature
Reviewed by: Date
This Report is to the exdUWW use of lafttek's OW and is proWded pursuat to the Cwwatfon a"wm*between liftnek and
Its Client InfeitoWs mdpoiWWAY and flabligY are llmftd to the terms and wWftns of the agreement,intsitek assutnee no IAW#y
to any paity,odw MW to the CMW In accarda"WM the agreement,for any los%UP01750 or damage o=6wW by the use of
this report Only the C#wg Is aftfixed to pemilt copying or d(MbWon of this Report and Men only In ft antftW.Any use of Me
InfeM*nam or one Bibs ROM for the sale or advaWsement of the 1nVftftRWsdmstedW,prod ict or service must Jird be
approved in writing bY1M6d*k This Report AYitself does not demonstrate that the material.product,or sWWW is,or had ow been,
efiggge to bow an InWakcaftstion mark India!FadoryAssessirants and Follow up serykes are for the purpose of assuring
spompdats usage Of Un Ceitifficaffon mark In accordance KOM the agravirwit,they are not 1br the purposes o1productlon quality
control and do not MOM the Clard of thwir obligation In thin respect
SD 16.3.14(formerly MIDPIR100) REV 4/12/10
Intertek
Mandatory Distribution:Original Intertek Copy Client Copy Inspector
Report prepared for:Scott Hamilton(Clopay Building Products Co.,Inc.(CBPC))on 3/7/2012 2:41:08 PM SJ2CDIRECT aut'lEREJ)Br
Intertek '
LISTING INFORMATION OF Clopay WINDCODE®W6 Sectional Doors
SPEC ID: 27355
Clopay Building Products Co., Inc. (CBPC)
8585 Duke Blvd.
Mason, OH 45040
This report is for the exclusive use of Intertek's Client and is provided pursuant to the agreement between Intertek and its Client.
Intertek's responsibility and liability are limited to the terms and conditions of the agreement. Intertek assumes no liability to any party,
other than to the Client in accordance with the agreement,for any loss,expense or damage occasioned by the use of this report.Only
the Client is authorized to permit copying or distribution of this report and then only in its entirety.Any use of the Intertek name or one
of its marks for the sale or advertisement of the tested material,product or service must first be approved in writing by Intertek.The
observations and test results in this report are relevant only to the sample tested.This report by itself does not imply that the material,
product,or service is or has ever been under an Intertek certification program.
Clopay Building Products Co.,Inc.(CBPC)127355 1 Rev:Mar 7 2012 1:53PM I Uncontrolled Copy Page 1 of 4
Report prepared for:Scott Hamilton(Clopay Building Products Co:,Inc.(CBPC))on 3/7/2012 2:41:08 PM ecDIRECT POWERED By
WIND LOAD RESISTANT DOORS
Clopay WINDCODE®W6 Sectional Doors
Clopay WINDCODE®W6
Sectional Doors
Impact Max. Design Design
Rating Width Pressure Pos. Pressure Neg.
Single Car Double Skin EPS N/A j 9' - 0" I +37 PSF -37 PSF I
Single Car Double Skin EPS 73 Yes 9' - 0" +37 PS_F -40 PSF
Single Car Double Skin EPSNo 9' - 0- +37 PSF -40 PSF I
Single Car Double Skin EPS + i
Yes
Gallery/Artistry/ Expressions I 9' - 0" +38 PSF -42 PSF Nmm i
Sin _gle Car Double Skin EPS No 9�T-1-
—+3-8-F-;-7----
38 PSF L-7---i
42 PSF
'Gallery/Artistry/ Expressions J
Single Car Double Skin EPS with Yes 9' - 0" +38 PSF -42 PSF
Overlay-
Single Car Double Skin EPS withNo 9' - 0" +38 PSF -42 PSF
Overlay 1
Sin le Car Double Skin PUR 79 r N/A 9' - 0" �- +37 PSF ___3_77SF
Single Car Double Skin PUR 80 9' - 0" +37 PSF -40 PSF
Single_Car Double Skin PUR 81 _ _No�J 9'JO" �V +37 PSF -40 PSF_
Single Car Double Skin PUR with Yes 9' - 0" +38 PSF -42 PSF
Overlay_82
Single Car Double Skin PUR withI i
Overlay 83 No j 9' - 0" +38 PSF -42 PSF
- �e _
Single Car Steel Pan 84 �- Yes_j 0" +38 PS 1 -42 PSF
Single Car Steel Pan 85No _ 9' - 0" +38 PSF -42 PSF T�
Single Car Steel Pan 86
Gallery/Artistry/ Expressions Yes 9' - 0" +37 PSF I -37 PSF
i Single Car Steel Pan 87 j�
No 9' - 0 +37 PSF -37 PSF
Gallery/Artistry/ Expressions �
Single Car Steel Pan with Overlay No 9' - 0" 1 +37 PSF _-37 PSF
Single Car Steel Pan with Overlay . �, Yes 9' - 0" _+37 PSF -37 PSF �
Single Car Custom Wood _ _� N/Ai_ 9' - 0" 1 +39 PSF
Double Car Double Skin EPS No-—IF16' 2"_� +37 PSF -40 PSF _
Double Car Double Skin EPS Yes16' 2" J +37 PSF -40 PSF
Clopay Building Products Co.,Inc.(CBPC)127355 Rev:Mar 7 2012 1:53PM Uncontrolled Copy Page 2 of 4
Report prepared for:Scott Hamilton(Clopay Building Products Co.,Inc.(CBPC))on 3/7/2012 2:41:08 PM eclCIMECT poen€Rett BY
�IDouble Car Double Skin EPS I Yes +37 PSF -40 PSF
Gallery/Artistry/ Expressions. M I�I�
Double Car Double Skin EPS No ][16' 2" +37 PSF -40 PSF
Gallery/Artistry/ Expressions 96
Double Car Double Skin EPS with
Overla Y _ Yes 16' 21' +37 PSF -40 PSF
. _
Double Car Double Skin PUR.(98) Yes 16' 2" +37 PSF -40 PSF
Double Car Double Skin PUR (99) : 1 No _16' 2" +37 PSF �-40 PSF
Double Car Double Skin PUR with Yes 42"_ +37'PSF -40 PSF
Overlay (100)
Double Car Steel Pan (101) . —1_ Yes— _16'.2" _+37 PSF _ -41 PSF J
Double Car Steel Pan (102) No 16' 2°�L +37 PSF I -41 PSF_
o
Double Cajr§teel Pan (103) I` Yes 16' 2"_j_ +37 PSF�� -41 PSF _
Double Carr Steel Pan (104) Yes F16' " +37 PSF -41 PSF
Gallery/Artistry/ Expressions �F
ub�IeCar Steel Pan (105) �62
uArtistry/ Expressions No +37 PSF -41 PSF I
_�
Double Car Steel Pan (108)with
I
Overla Y No 16' 2" +37 PSF -37 PSF
Double Car Steel Pan (109)with Yes 16' 2" +37 PSF -37 PSF
Overlay _ s _
Double Car 18' 2" Double Skin EPS Yes 18'72" +37 PSF -37 PSF
(110) _ �I _ _ I
Double Car 18' 2" Double Skin EPS
No 18' 2" +37 PSF -37 PSF
�
Double Car 18' 2" Double Skin EPS _ , „ I
Yes � 18 2 +37 PSF -37 PSF ,
Gallery/Artistry/ Expressions
Double Car 18' 2" Double Skin EPSYes 18' 2" +37 PSF -37 PSF
with Overlay !�
Double Car 18' 2" Double Skin PUR
114 � Yes 1[718' 2- +37 PSF -37 PSF
( : ) � --
Double Car 18' 2" Double Skin PUR
(115) 18'� 2 _-
(115) " +37 PSF -37 PSF
Double . 18'2" Double Skin PUR i �„
with Overlay (116) Yes 18, 2 +37 PSF -37 PSF
Double Car 18' 2" Steel Pan _�L Yes I 8' 2v' __ +37 PSF 1 39 PSF
Double Car 18' 2" Steel Pan No 18' 2" +37 PSF I -39 PSF i
Double.Car 18' 2" Steel Pan (119) jlYe F 18' 2::"7 j +37 PSF
Clopay Building Products Co.,Inc.(CBPC)127355 1 Rev:Mar 7 2012 1:53PM Uncontrolled Copy Page 3 of
Report prepared for:Scott Hamilton(Clopay Building Products Co.,Inc.(CBPC))on 3/7/2012 2:41:08 PM SpecDIRECT -MERED BY.
Double Car'18' 2" Steel Pan (120) No 18' 2" +37 PSF 1 -37 PSF
Double Car 18' 2" Steel Pan Yes 18' 2" +37 PSF -39 PSF
Gallery/Artistry/ Expressions (1-21) i�� _
Double Car 18' 2" Steel Pan I No 172"1__( +37 PSF -39 PSF
Gallery/Artistry/ Expressions (122) �
Attribute Value
CSI Code 08 30 00 Specialty Doors and Frames
Listed or Inspected LISTED .
Report Number 100487442MID-002
Criteria ASTM E330 (2002)
Criteria ASTM E1886 (2002)
Criteria ASTM E1996 (2002)
Static Load Test - Design See Table
Pressure
Intertek Services Certification
Listing Section WIND LOAD RESISTANT DOORS
Test Original Issue Date 2012-01-26
Clopay Building Products Co.,Inc.(CBPC) 27355 1 Rev:Mar 7 2012 1:53PM Uncontrolled Copy Page 4 of 4
Florida Building Code Online 1I .0��'� Page 1 of 6
v
Hadda Npartm nt! BCIS Home ;'Log In ; User Registration Hot Topics ; Submit Surcharge Stats&Facts i Publications FBC Staff BCIS Site Map Links ; Search
Busines ,
Professir�al PApproval
USER:Public User
Reguiation
n :t Product Approval Menu>Product or Aoolication Search>Application List>Application Detail
FL# FL15279-R2
Application Type Revision
Code Version 2010
Application Status Approved
*Approved by DBPR.Approvals by DBPR shall be reviewed and ratified
by the POC and/or the Commission if necessary.
Comments
Archived ❑
Product Manufacturer Clopay Building Products Company
Address/Phone/Email 8585 Duke Blvd.
Mason,OH 45040
(513)770-6062
mwesterfield@clopay.com
Authorized Signature Scott Hamilton
shamilton@clopay.com
Technical Representative
Address/Phone/Email
Quality Assurance Representative
Address/Phone/Email
Category Exterior Doors
Subcategory Sectional Exterior Door Assemblies
Compliance Method Certification Mark or Listing
Certification Agency Intertek Testing Services NA Inc.-ETL/Warnock Hersey
Validated By Gary Pfuehler
® Validation Checklist-Hardcopy Received
Referenced Standard and Year (of Standard) Standard Year
ANSI/DASMA 108 2005
ANSI/DASMA 115 2005
ASTM E1886 2002
ASTM E1996 2002
ASTM E330 2002
Equivalence of Product Standards
Certified By Florida Licensed Professional Engineer or Architect
FL15279 R2 Eauiv 20140603-FBC- DASMA 115 eauiv.odf
Product Approval Method Method 1 Option A
Date Submitted 05/30/2014
http://www.floridabuilding.org/pr/pr app_dtl.aspx?param=wGEVXQwtDgv3yVVKJZIQ... 6/24/2015
06/24/2015 10:15 7725670894 ABCO DOS PAGE 02/03
Date Submitted 05/30/2014
Date Validated 06/09/2014
Date Pending FBC Approval
Date Approved 06116/2014
Date Revised 02/26/2015
Summary of Products
Go to Pape e
0 0 Pages/80 0
PL-9 Model,Number or Name Description
15279.81 081 W6-09 DSIV-1F171:9200, Double-skin Insulated PVR(exterior skin 27 ga. min,; interior
9201,9203,HDP20, HDPF20,, skin 27 ga.min.)Single-Car(up to 9'00 wide)WINDCODEO
HDPL20,7200,7201,7203, 5200, W6 Garage Door
8201,8203
Limits of Use Certification Agency Certificate
Approved for use In HVHZ:No FL15229 R2 C CAr. Letter with ptWL of contracts d oroof
Approved for use outside HVHZ,Yes of insoWlon.odf
Impact Resistant:No FLI5279 R2 C CAC W6 Listino laiLgi�df
Design Pressure: +37 P5F/-40 PSF Quality Assurance Contract Expiration Date
Other-The standard glazing available for this product meets 05/21/2028
the wind load requirements of the building code but DOES Installation Instructions
NOT meet the impact resistant requirement for windborne FLt5W R2 II I0_4a4!!B-Rev01.p6_f
debris regions. Verified 13y:Intertek Testing Services NA Inc, -ETL/Warnock
Hersey
Created by Independent Third Party,
Evaluation Reports
Created by Independent Third Party;
15279.82 082 W6-09 DSWO-1K479, Canyon Double Skin Insulated PUR(exterior skin 27 ga. min.; interior
Ridge/Brookstone skin 27ga,min.)with Overlay Single-Car(up to 9'01 wide)
WINDCODE@ W6 Garage Door
Limits of Use Certification Agency Certificate
Approved for use in IMM No FL C CAC I Ptrpr with pro-f of gpptract and 12roof
Approved for use outside HVHZ:Yes Vf inspection-ptif
Impact Resistant:Yes FLIS279 R2 C CAC We UsQa intertek.12df
Design Pressure;+36 PSF/-42 PSF quality Assurance Contract Expiration Date
other,Solld doors(no standard glazing)are impact- 05/2112025
resistant(large missile impact). Installation Instructions
FL15279 U_2_104265-A=ftY,,0Z_pdf
Verified By: Intertek Testing Services NA Inc. -ETL/Warnock
Hersey
Created by independent Third Party,.
Evaluation Reports
Created by Independent Third Party:
15279.83 083 W6-09 DSIUO-IK479: Canyon Double Skin Insulated PVR(exterior skin 27 ga. min.; Interior
Ridge/Brookstone skin 27ga. min.)with Overlay Single-Car(up to 9'0'wide)
WINDCODEO W6 Garage Door
Limits of Use Certification Agency Certificate
Approved for use In HVHZ,No fij279 R2 C C&C_Letber with proof of contract and proof
Approved for use outside KVHZ,.Yes of Insnection-P&
Impact Resista nt.No FLI527Q_22 C CAC W6 Usting Inter:WLad
Design Pressure:+38 PSF/-42 PSF Quality Assurance Contract Expiration Date
other.The standard glazing available for this product meets 05/21/2028
the wind load requirements of the building code but DOES installation Instructions
NOT meet the Impact resistant r El i i279TnT 10 65-B-Ftev02.odf
debris regions. Verified By: n e rVICO'"A Inc.-ETVWarnork
Hersey
Created by Independent Third Party:
livaluation Reports
Created by Independent Third Party:
15279.54 084 W6-09 PAN-21"1531 73,75,84A, Steel Pan(min. 25 ga,)Single-Car(up to 910"wide)
94,42,43,42B,4811,4RST,511ST, WINDCODES W6 Garage Door with optional Impact asistant
GDSS, CRSS,ARSS, EMS Lites
Limits of Use Certification Agency Certificate
Approved for use In MVHZ.Na EU!;279 RZ C .4.;,A_C Letter with Dro f ofc ntra Zind nr
Approved for use outside MVHZ.Yes of Insj2faion,Pdf
impact Resistant,Yes FL1527-9—Eg C C stin
Design Pressure: +38 PSF/-42 P5F quality Assurance Contract EXPI - n Date
Other. Solid doors(no standard glazing)or doors with 05/21/2028
optional impact-resistant standard glazing are Impact- Installation Instruc
resistant(large missile impact). FLISZZ9 .
V y; Intertek Testing Services NA Inc. -ETL/Warnock
ersey
Created by Independent Third Party-
MODELS 2'THICK STYRENE
116 DOOR MLS M b'fEIDS 11E OFSIMI 1ltfl3 ECR 11E M/ MTC ®IMI
I%IFHW wID SPBDS USIED BkLOE ACOOAMp TD TOE ROwOA (4)/14 SHEET NEPAL SCREWS OD /D/15/07 INIIAL RELEASE
NFO1D CCM OR IIHE NIr10N1101ML fx O CtDE 01 5 ON LHR 70P BRACKET Ol OB 14 OB ADDED CASING TEXT AND B DRAWING NUMBERS
Alm-ICAO POR 11[NOIDIwo COIg110N5:f)[NOaSfO DWBLE HORIZONTAL 02 f0 21 OB ADDED PUSHNUIS
ID IXPRESSIONS ED2SP m2LP µrImorO>tGFc A p q jLyLN NNIO[a1uVaE E�mt TRACK os 02/10/12 UPDATED WINDCODE CHART
SHORT PANEL LONG PANEL EFE w wr�awT%tl1d1A1D's m A°wESFn
OPTIONAL WINDOW LITE DSB CLASS OR 1/8•ACRYLIC A' Am E OhFNO� = ISO M 177 C
OPTIONAL ACRYLIC GLAZING IS PIASKOUTE OPTIC OR LUCITE CP TA'MtCK (4)1/4 DM.SELF TAPPING SCREWS IOW OPneN
APPROVED CC2 PLASTIC IN ACCORDANCE WITH IBC FBC 2606 uTv:a,r s.G n!G n n,a s,c %
/ to GA END HINGE 1g DA uIN INTERMEDIATE HINGE �0009N Fts�vAlEfA'C-
�
(SEE SECTION B-B) 1---I Ns is - is
(SLgRf ALL4 SNDWN,MONO)RFS AI50 A`d6.) END _
(LIVID AIE FRAIE NOT 70 F]lC®fY wOE%76•
TALL) SIRE
A
yl�M 13 H QALY.STEEL FUO BRACKET.WITH
I 11 I I I END TOCK ENRAGES (3,5%186x1,5%B WOOD SCREW-
SEE
END HINGE OUTSIDE SIDE IMID VERTICAL
I I I 1 1 I I I DETAIL HANDLE TRAM ONE DOOR
LOCKL______J-L______J L______J L _____J EACH SIDE NOM-FOR DOORS OVER 1Y-0• NFK:Hf t•
LOCK BNL OF DOOR HCH,TRACK CONFIGURATION SRW_ -0 g
_ 4 ENGAGES IN NOTE THE DESIGN OF THE !E NOT EXCEED MAXIMUM SPACING
ITT===�1 I�=== 1 I�