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20120329 Permit Pkg 01092013 o�rtHF�.� City of Yelm Permit►vo.: 20120329 � S Communit Develo ment Department Issue Date: 1/09/2013 ` � y p (Work must be completed within 180 days) Building Division Phone: (360)458-8407 L Fax: (360)458-3144 Applicant: Name: EVERGREEN STATE BUILDERS Phone: 253-475-6622 Address: P.O. BOX 39753 LAKEWOOD WA 98499 Property Information: site Address: g969 JENSEN DR SE 31 Owner: EVERGREEN STATE BUILDERS Assessor Parcel No.: 78640103100 Subdivision: TAHOMA TERRA Lot: 31 Contractor Information: Name: EVERGREEN STATE BUILDERS Phone: 253-475-6622 Address: P.O. BOX 39753 LAKEWOOD WA 98496 Contractor License No.: EVERGS6980PB Expires: 10/02/2006 Project Information: Project: NEW RESIDENTIAL BUILDING Description of Work: LOT 31, PLAN 3153-3T Sq. Ft. per floor: Heat Type(Electric, Gas, Other): GAS First 1344 Second 1809 Third Garage 468 Basement Fees: Fees Item Contractor $��,895.53 NEW RESIDENTIAL BUILDING EVERGREEN STATE BUILDERS $ g4.75 MECHANICAL NUCCIOS HEATING PLUMBING TOP NOTCH PLUMBING INC $ 139.00 TOTAL FEES: $18,119.28 ApplicanYs Affidavit: OFFICIAL USE ONLY I certify that I have read and examined the information contained within the application and know the same to be true and correct.I also certify that the proposed structure is in conformity with all applicable City of #Sets of Prints: Yelm regulations including those governing zoning and land subdivision,and in addition,all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am currently Final Inspection: registered in the State of Washington. Date: Signatu Date I— �" � � By: Firm � .�� Cit �4�e8�0z (36�) ��:52 AM OU115614 1I��I2a13 REC#� -�ERM: 001 OPER� 329�11 �EF#: 3;�.00OU BUILti�� RMiTS TRAN: 1g,119.28CR 20120329 51ATE BUZLQERS EVERGREEN 9969 JENSEN ��a95,53CR BLD-RES1 gq,�5CR MECN 139.00CR PL �ENDERED: 18,119.28 CHECK APPLIED; 18,119.28- �_----�.u CHANGE: � ' aqnpu9 saanb�.�,S3l�n�ag. �.yaea ua s��d�ag � ?', � �i: ; N +�I f. Y�LM �Oi�MU�iiTY.SCHOOLS , N Z � i YELM WR 98597 t� a ,,� F � Q � � C;lerk: Cr�y � '� Terminal : 1 '' Recei pt; 19�948(Reqrint) � ;¢ '�. �� Manua l F�ece i pt: �� i� EVERGRE�N. ' :g 2534756�2'1 I DERS LLC ':~' EVERGRErN ST,4TE, BU L � ;Q a r o a ;� , Y�, � f m� � \ '', 12/12./1�12 11:06 A�1 a u� �; i _ �o � . ; v- " ��t�_.._._I t em--------_ ____ __---___..._. P r i ce .N . � �� 1"A . - .. . �� i;Pl= MITIGA�iiiN 3015.00 o g � � MITIGATION � � 05-ii27 / LUT 30 % fAHOhiA TERRA �� i:;�F MITIGATiuhi 3015.00 � �1ITIGATION � ._ � c�. ^� 05-(327 i L.OT 31 % TP,HQM,4 TERRA r�, �`- � o ca � �TTIGATIONiICjN 3015.00 �� , � o � � � � G5-027 ,/ LOT 32 I �AHOMA �TERRA � `� � .�, � � CI F MITIuATTuN 3015.40 c,,� �_ ?�1ITIGATION W � , p5-��27 / I.OT 33 / TAHOM�A TERRA o � � ,z,, J ��N �� ^°� :". a � � ;;ubtafai : 120fi0.00 °° �� ti Tax: W Xa� � � rn Total� 12060.00 ~ m�" � � � O ' 60.00 N �p� � � - �f"I�C',k� �Zd zw°-W � � � 3i9L2 � � � � � � i,rian�e Due: 0.00 ui :� _4 1 W �� --�� =W � REPRIFi�f REGEIPT } ~ a�: t� � ° o o �--- �.��.�...�.��_�__�..�,..� �� r,,.�.�.� iNANK YOU , . ,' � ` � 2�r'_� � 2-� CITY OF YELM RESIDENTIAL BUILDING PERMIT/APPLICATION FORM Project Address: `R�� '►sa �� S�.�y��n �tSflParcel#: ��6� d � � 3 � O� Subdivision �a.�bw., 1 grr� Lot#: �� Plan#: / 3 , Zoning: �New Construction ! i Re-Model!Re-Roof/Addition � ! Home Occupation Sign ! ' Plumbing � � Mechanical � Mobile/Manufactured Home Placement � Other Project Description/Scope of Work: �1� �a�--: ( 1'1e t�.� Co�tJ'i`f'✓c.��h Project va►ue: 21�i�� 3�� Building Area(sq. ft) 1S' Floorl3�� 2"d Floor�8�p Garage �� P�k Basement Carport Patio ;t�;,� #Bedrooms� # Bathrooms� Heating GAS OTHER or ELECTRIC(Circle One) A Are there any environmentaily sensitive areas located on the parcel? �_ If yes, a completed environmental checklist must accompany permit application. BUILDING OWNER NAME: �ti v<< rr ADDRESS ��• 8cb 3 J EMAIL � wy+ `� ��'� �"" CITYLatNc w� STATE�>�ZIP f�Y�6 TELEPHONE 2�.,�-�Ft+=bb2L if ' ARCHITECT/ENGINEER 6ih yvf LICENSE# 7�7Z- ADDRESS �► �� dt•cf• N S� 2 �- EMAIL �[ �-r �•�-t CITY �7� ev STATE �a�' ZIP TELEPH NE�`r3-�'r8'� ;2Y8 ; GENERAL�ONTRACTOR�.�/�['��` Y�•��'�'T TELEPHONE �Y - ?J--�dtZ- � ADDRESS •• a 3 � EMAIL IcfE�.�Qv+f.t�w t 6v.l�lan'• � CITYL�/('ew+►E _STATE ZIP Tfy4' FAX �J"7-4�"��'- �1-7 � CONTRACTOR'S LICENSE#��R6Sf18o PB EXP DATF�,�GITY LfCENSE# /Z� � /v�+'2-_0 PLUMBING ONTRACTOR�O N�� TELEPHONE 360' S/ti/b"bf'a� ADDRESS �o• � 'w7 EMAIL 5<<1�!' 5��''�1-C� hv'F'k«-� 'n""" CITY I�w.+1,�s- STATE �4 ZIP 9�'S'? FAX 360- �F'tb-08'�2- CONTRACTOR'S LICENSE#�?Ne�2'�9a DK EXP DAT�CITY LICENSE# 12�402�js/q, o MECHANICAL CONTRACTOR iaf �� TELEPHONE 23`; '3�� ' ��p ADDRESS 76/� 6�'y' �4� EMAIL 3tfer�la P�.+�+�-+1'• w� CITY '7��+•�� STATE vJ�F ZIP �PY° FAX �I�-3Z'+ - � 6Y11 CONTRACTOR'S LICENSE#ItlutGt Hrqt'�ab EXP DATE�CITY LICENSE# /2. - Od 2 I 1�. O Copy of mitigation agreement with Yelm Community Schools, if applicable. I hereby certify that the above information is correct and that the construction on,and the occupancy and the use of the above described property will be in accordance with the laws,rules and regulations of the State of Washington and the City of Yetm. ��- �--'_ Applicant's Signature Date Owner/Contractor/Owner's Agent/Contractor's Agent(Please circle one.) ,,,a _____�. - isferable and vdill expire if work authorized by such permit is not begun / �/� �nce, or if work is suspended or abandoned for a period of 180 days �l� b ��S - s - ----- ----------- ------- - (360)458-3835 (360)458-3144,F�.Y,r-�G1-++�`+�.e��+r"'.^ ("� 'c.�G' �J'�.�I cS 4/ G.:::. /�ua�P��+i'}�- — 2 En� - - ��'� �s `•, �°� i:=.�;i, r �-z/ / .� ! BY�-------------------- i � �� EVERGREF�N STATF� BUILDF�RS TAHOMA TERR.A 9969 JENSEN DRIVE SOUTH EAST YELM , WA 9859'I PARCEL NUMBER: 78640103100 65.14' _;--___ - - - - - - � , �� , s„ �-;J�, c � E l w i I�6�_4„ �{i `�,i ` W � � so' --� , _ �' —-- ��'_ese�_ � {� ' — �_._ — i I , � i , i ' il ,,i a'xto' T-� � � � � � �� DRY WELL � � � O I �im O I oi�l � �mio J a i m� LAN 3153- I��' � �,I \ARAGE RIGH � � I I I I il -II � I i + il� i � -`- �-- —�,_ DRIVEWAY __1_ I -- - - -- 72"x79" (, 1 . l-15' B BL � YELM STEP — -- — -- - - - TANK �, — � — — � • �p' UTILI Y EASEMENT �-- - - so.� 6' 51DE WATER � _p N71NG _ ,,,�..�u U METER 1 CARBOX� �—_ 24'----�i �� .�r vESUVius �ENSEN DR SE PLUM TREE _ --- --- - --- _ ��Y��,�� . - - ---- Z !/ �.�-:�-R....._.P. � f �� N No��N �� ; ;�� i;;i ioo�� i��i5t�t ��t �r�r�i�r a �,�,��,��-�=t� SGALE �� _ 3�' �Q��,I� `r�rr�esi�n �i- DRAWNG DATE��vISION DATE(��ISION DGTE(2E�I510N DCTE REN510N DG7E�`/1510N DFTE REVISION D/+TE REvISIpJ DGTE INI7�. PROJEC7•-. IO-I9-20i1 10-23-2017 Ie�Ih-2mp ✓0-76-10p II-9-1017 11-3-2012 17-4-2012 12-10-2mp JLS ESB-TdHGnA TERR4 Level Design, LLC 611 S Yakima Ave Tacoma, WA 98405 253.284.3170 Fax 253.284.3183 November 8, 2012 Attention: City of Yelm Building Department Building Location: Lot 31 in Tacoma Terra 9969 Jensen Drive SE, Yelm, WA 98597 Evergreen State Builders is authorized to construct our plan 3153/3 for a single use on the site address referenced above. Any revisions or alterations must be authorized by Leve1 Design LLC prior to commencing work. Si cerely, -, ��;�� John Kilbourne President Level Design LLC 253 284.3170 253 284.3183 (Fax) �,'` � � � �, r, ___, r,.,-- -._ _.--•-- �y�� v �o. �� n�+g �� .. . -� L'�i� ��:�.,--'---°---------- i Myers Engineering , LLC 3206 50t" Street Ct NW, Suite 210-B Gig Harbor, WA 98335 Phone: 253-858-3248 Fax: 253-858-3249 Email: mvenqineer(a�centurvtel.net October 18, 2012 Attn: Building Department Ref: Plan 3153/3T for Evergreen St. Bldrs. Site Location: 9969 Jensen Dr. SE—Yelm,WA This is a Site Specific Enqineerinq Letter for the above referenced plan to be built at the above referenced location. The plan referenced above and described in the accompanying construction documents and calculations, has been designed to meet or exceed the requirements of the 2009 IBC/IRC for the design loads expected at the above referenced site. If you have any questions, please give me a call. Sincerely, z� � ,. �� } A�j, Mark Myers, P.E. ��' ' �' Q� Project Engineer � �� r :_,;� �'. �/� 37�72 �', °"�,,��;�cisr��;� .1� �,��I�N�,�ty `� t--� �� f�.. ^ --1,^�""�"'R'"',�,'�� Page 1 of 1 ��,' � "- 'r��;, V .';" �J � '' ��. r J _ ��.S�� I �. L��y�f.d � 1�� a�rescriptive Energy Code Compliance for Single Family and Duplex Housing: Zone 1 . Project Information Contact lnformation PLAN 3153 Jeff Kelle 253-255-1616 Lot 31 Tahoma Terra 6020 Main St SW Ste H 9969 Jensen Dr. SE, Yelm,WA 98597 Lakewood, WA 98499 This set of forms has been developed to assist permit applicants documenting compliance with the Washington State Energy Code, (2009 edition). This set is for structures built under the IRC and located in Climate Zone 1. The following forms provide much of the required documentation for plan review. The details noted here must also be shown on the drawings(WSEC 104.2). This form is not a substitute for the energy code itself. To obtain a copy of the energy code, go to the following web address. http://www.energy.wsu.edu/code Glazing Wall'� Wall� int4 Wall� e�4 Slab6 lo, Glazing U-Factor poor 9 2 Vaulted s Option �ea • U-Factor Ceiling Ceiling3 Above Below Below Floor on °/a of Floor Vertical Overhead" Grade Grade Grade Grade R-49 or R-21 R-21 R-10 � I 13% 034 0.50 0.20 R-38 R-38 � R-10 R-30 2, Int. TB Adv. R-49 or R_21 R-21 R-10 �Q II 25% 032 0.50 0.20 R-38 R-38 �t, TB R-10 R-30 2, Adv. R-49 or R-21 R-21 R-10 III Unlimited 0.30 0.50 0.20 R-38 R-38 � R-10 R-30 2, Q Int. TB Adv. See WSEC tab/e 6-1 for footnotes Glazing Schedule Attached to Document Does not apply. (SEE INSTRUCTIONS) Usin� Prescriptive Oqtion III.All glazing � � and doors meet maximum U-factor. Alternate heating size method submitted. 1 I ❑ Option I or II,Glazing to floor area limit (WSEC 602.7.2) � ❑ Area weighted window, skylight or door U-factor(WSEC 602.7.2) � ❑ As part of the heating system sizing calculation {IRC M1401.3&WSEC 503.2.2) � Radiant slab: � R-10 foam insulation, continuous with thermal break(WSEC 502.1.4.9) Chapter 9 Options Total of 1 Credit Reauired O t. Opt. Description 1.0 0 1a Hi h Efficienc HVAC Equi ment 1 1 b Hi h Efficienc HVAC E ui ment 2 1c Hi h Efficienc HVAC E ui ment 3 2 Hi h Efficienc HVAC Distribution S stem 3a Efficient Buildin Envelo e 1 3b Efficient Buildin Envelo e 2 3c Super-Efficient Buildin Envelo e 3 4a Air Leaka e Control and Efficient Ventilation 4b Additional Air Leaka e Control and Efficient Ventilation � 5a Efficient Water Heatin , � a � : b 5b Hi h Effiecienc Water Heatin �� -}� � 6 Small Dwellin Unit 7 Lar e Dweflin Unit 8 Renewable Electric Ener *1200 kwh 1.00 Total Credits �,� :� ��, L ; i WSUEEP10-010 Copyright 2010 WSEC Prescriptive Worksheet(2010 edition)Zone 1 � � �s, _ . „ � ; z � : .. � e01� �, BY:-------------------- Glfizing Schedule ,� � Project Information Contact Information PLAN 3153 Jeff Kelie 253-255-1616 Lot 31 Tahoma Terra 6020 Main St SW Ste H 9969 Jensen Dr. SE, elm, WA 98597 Lakewood,WA 98499 Conditioned Floor Area 3153 Sum of UA for Heating System Sizing 132.7 Sum of All Glazing Areas From Below 436 Glazing to Floor Area Ratio 13.81% 602.7.2 Exception Ratio(not to exceed 1%)� Exterior poors Plan Component Door Percent Width Height Glazing Door poor ID Descri tion Ref. U-factor Glazed Qt. Feet �ncn Feet �nch Area Area UA front door 1 3 6 8 20.0 One Exempt Swinging Door<24 Square Feet Sum of Glazing Area, Door Area, and UA (do not include exempt door) 20.0 Area Weighted U= UA/Area Sum of Area and UA for Heating system size only(include exempt door) 20.0 Vertical Glazing (Windows, Glazed doors using Exception 602.6#1) Plan Component Glazing Width Height Glazing ID Descri tion Ref. U-factor Qt. Feet ��'' Feet �"�n Area UA 0.290 2 1 5 10.0 2.90 Atrium Dble lazed LowE Ar on 1 5 $ 5 " 33.5 9.72 Atrium Dble lazed LowE Ar on 0.290 0.310 1 7 6 6 45.0 13.95 Atrium Dble lazed LowE Ar on 36.0 11.16 Atrium Dble lazed LowE Ar on 0.310 1 6 6 0.280 1 6 6 '° 41.0 11.48 Atrium Dble lazed LowE Ar on 60.0 18.60 Atrium Dble lazed LowE Ar on 0.310 2 5 6 0.290 1 6 2 12.0 3.48 Atrium Dble lazed LowE Ar on 50.0 15.50 Atrium Dble lazed LowE Ar on 0.310 2 5 5 0.310 2 3 5 30.0 9.30 Atrium Dble lazed LowE Ar on 6.0 1.86 Atrium Dble lazed LowE Ar on 0.310 1 2 3 0.310 1 5 4 20.0 6.20 Atrium Dble lazed LowE Ar on 60.0 18.60 Atrium Dble lazed LowE Ar on 0.310 4 3 5 Atrium Dble lazed LowE Ar on 0.310 2 4 4 32.0 9.92 Sum of Area and UA 435.5 132.67 Area Weighted U= UA/Area 0.30 WSEC Prescriptive Worksheet(2010 Edition) WSUEEP10-010 Copyright 2010 Simple Heating System Size: Climate Zone 1 �'ro,'ect Information Contact Information PLAN 3153 Jeff Kelle 253-255-1616 Lot 31 Tahoma Terra 6020 Main St SW Ste H 9969 Jensen Dr. SE, Yelm, WA 98597 Lakewood, WA 98499 Indoor Design Temperature 70 Outdoor Design Temperature 17 Design Temperature Difference(oT) �T=Indoor-Outdoor Design Temp 53 Conditioned Floor Area 3153 Conditioned Volume 26568 Glazing Copy Sum of UA from Glazing Schedule 133 Attic U-Factor X Area = UA R-49 0.027 1700 45.9 R-38 Advanced 0.026 Single Rafter or Joist Vaulted Ceilings U-Factor X Area = UA R-38 Vented 0.027 100 2.7 Above Grade Walls U-Factor X Area = UA R-21 0.056 2600 145.6 Floors U-Factor X Area = UA R-30 0.029 1812 52.5 Below Grade Walls U-Factor X Area = UA 2' Depth Walls 0.042 3.5' Depth Walls 0.041 7' De th Walls 0.037 Slab Below Grade F-Factor X Len th = UA 2' Depth 0.59 3.5' Depth 0.64 7' De th 0.57 Slab on Grade F-Factor X Len th = UA R-10 2' perimeter 0.54 R-10 Full - Heated 0.55 Sum of UA 379 Envelope Heat Load 20109 Btu/ Hour Sum of UA X 4T Air Leakage Heat Load 15208 Btu/ Hour ((Volume X 0.6)X 4T)X.018)) Building Design Heat Load 35317 Btu/ Hour Air Leakage+Envelope Heat Loss Building and Duct Heat Load � 35317 Btu/ Hour If ducts are located in unconditioned space:Sum of Building Heat Loss X 1.15 If ducts are located in conditioned space:Sum of Building Heat Loss X 1 Maximum Heat Equipment Output 150% 52975 Btu /Hour Building and Duct Heat Loss X 1.50 WSEC Prescriptive Worksheet(2010 Edition) WSUEEP10-010 Copyright 2010 Overhead Glazing , Plan Component Glazing Width Height ID Descri tion Ref. U Qt. Feet �"�n Feet �"�n Area UA Sum of Area and UA Area Weighted U= UA/Area Doube Glazed Garden Windows Section 602.7.2 Exception Plan Component Width Height ID Description Qt. Feet �"0h Feet '"6h Area UA Sum of Area Sum of Area X 3(This total is automatically included in the glazing area total.) Glazing UA for Heating System Size Only=Area X 0.63 WSEC Prescriptive Worksheet(2010 Edition) WSUEEP10-010 Copyright 2010 d U � � � � M �j }, N Q � � � � � � � � � � � U•�N � � � � � � � U O >+ � � .n � U � � � � � c -° > 0 Z � U � � q � � � � �� v � � a °' �� a� � � � � � �' cmU � o � � � � a � � � � N ti •a � � a� � a � � � � o 0 � q � w � �,-� �. � � � � � � � rn � � N �a �� M m � � � � � '�'' W W a�o U � cn �' N fn H o� c � U� � � � � � � � �� c� O � w Z � � � o � U � � � W M � rn H w� c o° w � � � M M � O ,t� � d� � m W N � � � � � � W � Y � ci O � � rn Wa. � N Z J U � a� a Q U �n .� � � M � ~ � Z � � . . cn �, � o �� N � .� a � N � � � U "� U G � E 'D N � � � �� Q (6 � � � � � � :; � Z Q � Y C U � w � � � � � � � �� m O O m � Q c� m �,.�,�-3 r :� � r��:�� y �5��f�� INSULATION �o �� NORTHWEST �� Insulation Certificate/Blower poor Test Form Batts&Blankets Thermal Performance(Attic Application) When installed in accordance with the manufacturer's The stated thermal resistance�R-value)is provided by installing in accordance with the manufacturer's - - - - - -- - - - - - - - - - - _ . recommendations,Knauf Batts&blankets will provide instructions,the required number of bags per 1,000 sq.ft.of net area,at not less than the labeled minimum the full R-value. thickness.Failure to install.both the required number of bags&at least the minimum thickness will result in lower insulation R-value. � � .�n, �. � ��p._. �� , �� -«„f � 1"t� T�'�i�t �`'''" �"i � , �q3�tehta" �tTil� � �� L� in�'a �s�fC� �s�pnl�o��`��rs�`� msiil"ah'�� gsF�1;�� d�iit �s�o�ld�lot`eoVb�'��r� �atl� �" �if s� �i�! �' � � ,...- � �.._ e_. ._ �� , ...,�� _�,• r �° � «-G.- w F� a ,�,..� t�i�n�� re�isf�d�d �ere�5hout�not�e �thaii: � �s�i°oul��no��`tk�an: t�let►� � -''�a�iie a£ 1 R-38 HD 10.25" R-60 29.7 33.6 SF .9521bs. 19.750" R-38 12.00" R-49 23.5 42.5 SF .7531bs. 16.375" R-30 HD 8.25" R-44 20.9 47.8 SF .6701bs. 14.875" R-30 10.00" R-38 17.8 56.2 SF .5691bs 13.000" R26 9.00" R-30 13.6 733 SF .4371bs 10375" R-22 6.50" R-26 11.8 85.0 SF .377 Ibs 9.125" R-21 HD 5.50" R-22 9.8 102.2 SF .313 lbs 7.750" R-19 6.25"'�"�` R-19 8.4 1193 SF .2681bs 6.750" R-15 HD 3.50" R-13 5.7 175.3 SF .183 lbs 4.750" R-13 3.50" R-11 4,7 210.8 SF .1521bs 4.000" R-11 3.50" Bag Weight-Nomina1301bs,Minimum 291bs.This product conforms to the performance requirements of ASTM C 764, R-8 2.50" Type 1,&cancelled Federal Specification HH-1-1030B,Type 1,Blass B.R-Values are determined in accordance with '�"�`R-18 in a 5.5"cavity.Conforms to ASTM C 687&C 518."R"means resista�ice to heat flow.The higher the R-value,the greater the insulation power.To get the C665&Federal Specification HH-1-521F marked R-value,it is essential that the insulation be installed properly.If you do it yourself,get instructions&follow them. To achieve labeled R-value,this product must be applied with a pneumatic blowing machine&a corrugated hose with a minimum.25"internal corrugation,a minimum length of 150 ft.&a diameter of at least 3".Coils in the hose should not be less than 36"in diameter.Acceptable material feed rate is 5-351bs./minute.Recommended feed rate is 15-25 Ibs./minutes. Suilders Insulation Statement. Batts and/or blankets have been installed in conformance with the aUove 2009 WSEC Residential Ener�v Compliance Certificate-Buildina Air Leakaee recommendations to rovide a thermal resistance of,... ' R.Value` Standard Suildin &Test Condition:; : Comments: Attic Area R- R-49 Date: •�• 'j Ext.Walls R- Z R-21 Time Of� Inter.Walls R- R-11 Indoor Temp: O S rinkler Tenting R- R-8 Outdoor Tem : O Knee Walls R- R-21KF Floor Area(sq$) 3l 3 Completed as of: Buildine Air Leakage Target: �LA Less Than 0.00030 Installers Name Print: �N� Test#1-Depress_��Press Pretest Baseline Pressure (Pa) Installers Name Sign: ��" �� Bld��Press:, a, � .b �(oi+� � � Fan I'iess: a,� �� Flow� cfin SiteAddress: �9�_i �c �tl�S'��'bt � �� l 'LOT�3� ��µ` qas�, Post Test Pressure: Fan Model/SN: I�IEiD �'3 Results:SLA(Specific Leakage Area): • �� Home Builders Signature: Test#2-Depress Press Pretest Baseline Pressure (Pa) Home Builders Address: ;.Bld°'l�ress a"'',> "�lbvw , .Fad<Eiess� g ` � Fluvw ofin; Insulation Contractor: Insulation Northwest LLC Post Test Pressure: Fan ModeUSN: P.253-846-0121 P.O.Box 732069 Results:SLA(Specific Leakage Area): F.253-846-8096 Puyallup,WA.98373 �davit: I certify that this Specific Leakage Area is accurate&detennined using Blower poor Test Standard 502.4.5 Building Air Leakage Testing. TPr.hnir.ian Name Print �•��+1�-� Ter.hnician NamP Sion•