Form 482-0651 - 0720114A "Ul Assembly Ratings Matrix 4a" - Illinois

What Is Form 482-0651 - 0720114A?

This is a legal form that was released by the Illinois Department of Public Health - a government authority operating within Illinois. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • The latest edition provided by the Illinois Department of Public Health;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of Form 482-0651 - 0720114A by clicking the link below or browse more documents and templates provided by the Illinois Department of Public Health.

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Download Form 482-0651 - 0720114A "Ul Assembly Ratings Matrix 4a" - Illinois

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UL assembly ratings matrix 4A
IDPH number
Number of stories
GSF/floor
Height in feet
NFPA 220 structural classification
Testing lab (other than UL)
Structural component
Assembly rating
U L classification number*
Roof
Floor
Add Page
Beams
Columns
Girders
Page
of
Bearing walls
Hazardous area walls
Smoke and fire walls
Corridor walls
Exterior walls
Doors
Vertical shafts
All assemblies must be identified. If multiple systems are used or different construction types are present, use multiple forms.
I certify to the best of my knowledge, the above listed ratings are true and correct.
Architect's name
Signature of architect
Date
*Identify other means, if used, to determine assembly rating.
Form # 482-0651 - 0720114A
UL assembly ratings matrix 4A
IDPH number
Number of stories
GSF/floor
Height in feet
NFPA 220 structural classification
Testing lab (other than UL)
Structural component
Assembly rating
U L classification number*
Roof
Floor
Add Page
Beams
Columns
Girders
Page
of
Bearing walls
Hazardous area walls
Smoke and fire walls
Corridor walls
Exterior walls
Doors
Vertical shafts
All assemblies must be identified. If multiple systems are used or different construction types are present, use multiple forms.
I certify to the best of my knowledge, the above listed ratings are true and correct.
Architect's name
Signature of architect
Date
*Identify other means, if used, to determine assembly rating.
Form # 482-0651 - 0720114A