(PC-1r) RESIDENTIAL ADHESIVES, SEALANTS AND CAULKS - PRODUCT INFORMATION SHEET
Page _____ of _____ 1. Insert product information below. 2. Insert Item #'s for each product listed below into appropriate boxes on ROOM/LOCATION MATRIX. 3. Attach product specification sheets for each product used 4. Use additional sheets if necessary.
Item # 1
Description of Product
Color/Product #:
VOC grams/liter CALGreen Limit *
Series/Collection:
Proposed Product
Manufacturer: Other:
Item # 2
Description of Product
Color/Product #:
VOC grams/liter CALGreen Limit *
Series/Collection:
Proposed Product
Manufacturer: Other:
Item # 3
Description of Product
Color/Product #:
VOC grams/liter CALGreen Limit *
Series/Collection:
Proposed Product
Manufacturer: Other:
Item # 4 Color/Product #: Series/Collection:
Description of Product
VOC grams/liter CALGreen Limit *
Manufacturer: Other:
* See Section 4.504.2.1(1) and Table 4.504.1 for adhesives, sealants and caulks. See Section 4.504.2.1(2) for aerosol adhesives, sealants and caulks.
Proposed Product
(PC-1r) RESIDENTIAL ADHESIVES, SEALANTS AND CAULKS - PRODUCT INFORMATION SHEET
Page _____ of _____ 1. Insert product information below. 2. Insert Item #'s for each product listed below into appropriate boxes on ROOM/LOCATION MATRIX. 3. Attach product specification sheets for each product used 4. Use additional sheets if necessary.
Item #
Description of Product
Color/Product #:
VOC grams/liter CALGreen Limit *
Series/Collection:
Proposed Product
Manufacturer: Other:
Item #
Description of Product
Color/Product #:
VOC grams/liter CALGreen Limit *
Series/Collection:
Proposed Product
Manufacturer: Other:
Item #
Description of Product
Color/Product #:
VOC grams/liter CALGreen Limit *
Series/Collection:
Proposed Product
Manufacturer: Other:
Item # Color/Product #: Series/Collection:
Description of Product
VOC grams/liter CALGreen Limit *
Manufacturer: Other:
* See Section 4.504.2.1(1) and Table 4.504.1 for adhesives, sealants and caulks. See Section 4.504.2.1(2) for aerosol adhesives, sealants and caulks.
Proposed Product
(PC-1r) RESIDENTIAL ADHESIVES, SEALANTS AND CAULKS- ROOM/LOCATION MATRIX
Page _____ of _____
ADHESIVES Indoor carpet adhesive Carpet pad adhesive Outdoor Carpet adhesive Wood flooring adhesive Rubber Floor adhesive Subfloor adhesive Ceramic tile adhesive Vinyl composite title and rubber tile adhesive Drywall and panel adhesives Cove base adhesives Multi-purpose Construction adhesives Structural Glazing adhesives Single-ply adhesives Other Adhesive
Garage
Laundry
Utility
Hallway 2
Hallway 1
Bathroom 2
Bathroom 1
Bedroom 4
Bedroom 3
Bedroom 2
Bedroom 1 (master)
Den/Office
Informal Livingroom
Formal Livingroom
Dining Area 2
Dining Area 1
Kitchen and Pantry
LOCATION
Entryway
1. Insert product Item # (1,2,3, etc.) from PRODUCT INFORMATION SHEET in the boxes below to indicate the type of product used in each room or location. 2. Attach additional sheets if necessary.
(PC-1r) RESIDENTIAL ADHESIVES, SEALANTS AND CAULKS- ROOM/LOCATION MATRIX
Page _____ of _____
SPECIALTY APPLICATIONS PVC Welding CPVC Welding ABS Welding Plastic Cement Welding Adhesive Primer for Plastic Contact Adhesive Special Purpose Contact Structural Wood Member Top and Trim Adhesive SUBSTRAIGHT SPECIFIC APPLICATION Metal to Metal Plastic Foams/Porous Materials Wood Fiberglass SEALANTS & CAULKS Architectural Nonporous Architectural
Garage
Laundry
Utility
Hallway 2
Hallway 1
Bathroom 2
Bathroom 1
Bedroom 4
Bedroom 3
Bedroom 2
Bedroom 1 (master)
Den/Office
Informal Livingroom
Formal Livingroom
Dining Area 2
Dining Area 1
Kitchen and Pantry
LOCATION
Entryway
1. Insert product Item # (1,2,3, etc.) from PRODUCT INFORMATION SHEET in the boxes below to indicate the type of product used in each room or location. 2. Attach additional sheets if necessary.
(PC-1r) RESIDENTIAL ADHESIVES, SEALANTS AND CAULKS- ROOM/LOCATION MATRIX
1. Insert product Item # (1,2,3, etc.) from PRODUCT INFORMATION SHEET in the boxes below to indicate the type of product used in each room or location. 2. Attach additional sheets if necessary.
Contractor (Documentation Author's /Responsible Designer's Declaration Statement) I certify that this Certificate of Compliance documentation is accurate and complete. I certify that the features and performance specifications for the design identified on this Certificate of Compliance conform to the requirements of Title 24, Parts 11 of the California Code of Regulations. The design features identified on this Certificate of Compliance are consistent with the information documented on other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with the permit application. Signature: Company:
