20130100 Permit Pkg 01082013 i
� �oF�N�'�� City of Yelm Permit tvo.: 20130100
` �, Community Development Department Issue Date: 1/08/2013
(Work must be completed within 180 days)
Building Division
I! Phone: (360)458-8407
L
�
""`"'""°" Fax: (360)458-3144
;�ti
Applicant:
Name: ROSE HALL Phone: 253-843-1569
Address: 301 JEFFERSON AVE NW
YELM WA 98597
Property Information:
'i Site Address: 301 JEFFERSON AVE NW Owner: ROSE HALL
Assessor Parcel No.: 64420900100 Subdivision: Lot:
Contractor Information:
Name: ADVANCED FILTER AND MECHANICAL Phone:
Address:
910 VALLEY AVE NW
PUYALLUP WA 98371
Contractor License No.: ADVANFM044RD Expires: 12/29/2014
Project Information:
Project: PLUMBING
Description of Work: INSTALL GAS HOT WATER TANK
Sq. Ft. per floor: First Heat Type(Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
;: Item Contractor Fees
PLUMBING ROSE HALL $ 25.00
TOTAL FEES: $ 25.00
Applicant's 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. f applying as a contractor, I further certify that I am currently Final Inspection:
registered in the State of Washin
v Signature �' Date �� o —� � Date:
� Firm BY�
r:
�
�it �f ��lm
(���) 458-84Q1
� REC�: 00115196
1/U8/201�
O�E�: CQ T�Rt�: OUi 10:42 AM
REF#: 3474
TRAN: 3:�.O000 BUILUING P�RMITS
2U1301�0 �5.����
NAI.L, �OSE
301 JEFFE17�pN AVE NW
p� 25,Ot1GR
TENCEREC�; 25.00 CHECK
APPl.IED; 25.C�U-
CHANGE: � �������p,00
�
� w, �.��._
4
20�3d ��
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address:��L�� V���1���� ��� ��� Parcel#:������ 2-�.�"1��-� ( L`��
Subdivision: Lot#: Plan#: Zoning:
New Construction Re-Modei/Re-Roof/Addition Home Occupation Sign
Piumbing �Mechanical Mobile/ Manufactured Home Placement Other
Project Description/Scope of Work:I n���CG�I,1I l ��1�C�� l,�i�'f � �r�� C��
� - I ��• �1.� e
Project Value: �
Building Area(sq. ft) 1 S`Floor 2"d Floor Garage Deck
Basement Carport Patio
#Bedrooms_ #Bathrooms_ Heating GAS/OTHE or ELECTRIC(Circle One)
Are there any environmentally sensitive areas located on the parcel?
If yes, a completed environmental checklist must accompany permit application.
BUILDING 01N�Ef�NA1N�: �
ADDRE S �: � � - ' EMAIL �i
CITY �. � STATE ZIP TELEPHONE Z�i" ° ) .
�►RCHITfCT� � �! LICENSE#
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
�ENERAL CONTRACTO � �' TELEPHONE Z5" i � >
ADDRESS �% EMAIL � , fG�p')')
CITY ,�� S TE " ZIP� � • ` FAX G��
CONTRA TOR'S LICENSE '— XP DATE CITY LICENSE# 1 :(,�
PLUMBING CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE# EXP DATE CITY LICENSE#
MECHANICAL CONTRACTORJ" � � TELEPHONE 2�a`_ ` � i �L ' ,
ADDRESS . 6':'� r�, �L EMAIL �J��'L- �C1,r[�(j' .��",�':(G���
CITY �� � �� �� STA E � � ZIP � �� FAX 2�".� � � "
CONTRA TOR'S ICENSE XP DATEL�' CITY LICENSE# '� - '� � � ` . i
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 Yelm.
� , \ G-�
�" A p canY ignature Da e
O er/ o ractor/Owner's Agent ontractor's Agent lease circle one.)
All permits are non-transferable and will expire if work authorized by such permit is not begun
within 180 days of issuance, or if work is suspended or abandoned for a period of 180 days
���
105 Yelm Avenue West (360)458-3835
Yelm, WA 98597 (360)458-3144 FAX
www.ci.yelm.wa.us
�
� Oi-07-2013 12:20PM FROM-ADVANCED FILTER � �IECHANICAL 12537702443 T-T92 P.�O1/004 F-047
99 0 Valley Ave. NW,#�oa-z ,�D UANC D .
Puy�llup, WA 9837'�-2538
{253) 770-2440 • Fax: (253) 77��2440 jr�L TERAN
ll��l�CHAN/CAL,lN :
�/���►�'C.
To:_�1 i �\.I,,,(�-F ��� _ From:���.
, (�
Attn: - - t'�'���,S Da�e:_,_._�_a� 2 "� .....�
Fax: ____ # Pages:��
RE� CC:
• Commer�ts: .
�('d��t�C�—D.��t''�M 1� ', �1 CQI.,��a, �
l.'-11L1�L1���S� i�v� �.�-� , 1 �`�1���� 1yJl�,.
�►L{-�--L�} 11SLL1L.1.lJt_L�'�,� �� �„��,��� -�,n �r � -
�����ral1L �L�.�� - I ll���r��l �V1llY'�_��' �
�. �C14�1�'1-F�k�..-��-�� � C1►C��. a►��P..;-�t
Z� �� �1 ��
K�
� ...
, �
a . . . �y �
Quct Leakage Test Results (Existing Construction)
Permit#:�j_�'�/ 3�f d �
House address or lot number: � � � ' ��If"I'��'�� �' I���
City: V''�- l.�c./-�'� ZiP: � � � ��7
Cond. Floor Area (ft2):
❑ Duct tightness testing is not r�quired for this residence per exceptions listed at the end of this document
?,
Test Result: CFM@25Pa
Ring (circle one): Open 1 2 3
Duct Tester Location:���=L'( �f L Y`-�'t��
Pressure Tap Location: ,y��C�f�C�'7 - � �s���'""
Company Name: 6���L��-`�� 'f����� �(��'�
Duct Testing Technician: � � C�"
i �'' �_ I �
Technician Signature: � Date:
Phone Number: �Z ��'/ 7�� � ��1 � �'
Washington State Energy Code reference:
101.3.2.6 Mechanical Systems:Those Rarts of systems which are altered or replaced shall comply with Section b03 of this Code
when a space-conditioning system is altered by the installation or replacement of spaoe-conditioning equipment
(including replacement of the air handler,outdoor condensing unit of a split system air conditioner or heat pump,
cooling or heating coil,or the fumace heat exchanger),.the.duct system that is connected to the new or replacement
' tion and dia nostic testin in
hrou h field verifica 9
s ac�conditionin ui ment shall be sealed,as confirmed t g 9
P 9�9 P
of the
r for duct sealin of existin duct s stems as s ecified in the RS-33,to one
accordance with rocedu es g Y P
P
9
following cequirgnents.
eviousl sealed as confirmed throu
h field verification and
Exce tions: 1.Duct s tems that are documented to have been pr y 9
p YS
r in S-33.
'1� diagnostictesting in accordance with p ocedures R
2. Ducts with less than 40 linear teet in unconditioned spaces.
3...Existing.duct systems constructed, insulated.ot sealed with asbestos.