Form Ucc-F392 - Air Barrier And Insulation Checklist Page 2
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1
2PERMIT # __________
LOT: __________ BLOCK: __________
C
C
Y, N,
N/A
C
I
D
OMPONENT
RITERIA
OR
OMMENTS
NITIALS
ATE
Ceiling/Attic
(continued)
General
AB
Air barrier in any dropped ceiling/soffit is substantially aligned with
insulation and any gaps are sealed.
Attic access (except unvented attic), knee wall door, or drop down
AB
stair is sealed.
Recessed light fixtures penetrating the thermal envelope are air tight,
Recessed
I
IC-rated, and sealed to drywall.
lighting
Other/All
Air barrier and
I
Exterior thermal envelope insulation for framed assemblies is
thermal barrier
installed in substantial contact and continuous alignment with building
envelope air barrier.
AB
Breaks or joints in the air barrier are filled or repaired.
I
Air-permeable insulation is not used as a sealing material.
AB
Air-permeable insulation is inside of an air barrier.
AB
Duct shafts, utility penetrations, knee walls and flue shafts opening to
Shafts,
exterior or unconditioned space are sealed.
penetrations
Narrow cavities
I
Batts in narrow cavities are cut to fit, or narrow cavities are filled by
sprayed/blown insulation.
HVAC register
AB
HVAC register boots that penetrate building envelope are sealed to
boots
subfloor or drywall.
CODE OFFICIAL: _______________________________________________ SIGNATURE: ______________________________ DATE: _________
CODE OFFICIAL: _______________________________________________ SIGNATURE: ______________________________ DATE: _________
CODE OFFICIAL: _______________________________________________ SIGNATURE: ______________________________ DATE: _________
CODE OFFICIAL: _______________________________________________ SIGNATURE: ______________________________ DATE: _________
NAME & COMPANY: ____________________________________________ SIGNATURE: ______________________________ DATE: _________
NAME & COMPANY: ____________________________________________ SIGNATURE: ______________________________ DATE: _________
NAME & COMPANY: ____________________________________________ SIGNATURE: ______________________________ DATE: _________
NAME & COMPANY: ____________________________________________ SIGNATURE: ______________________________ DATE: _________
U.C.C. F392-2 (12/15)
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Parent category: Life