20130145 Permit Pkg 03202013 �pF�H�A� City of Yelm Permit No.: 20130145
� 7
� � Community Development Department Issue Date: 3/20/2013
(Work must be completed within 180 days)
Building Division
Phone: (360)458-8407
L
"'.'"'"`�°" Fax: (360)458-3144
Applicant:
Name: FREESTONE Phone: 253-896-1300
Address: 6820 20TH ST E STE A
FIFE WA 98424
Property Information:
Site Address: 15417 91 ST AVE SE 168 Owner: FREESTONE INC
Assessor Parcel No.: 41610016800 Subdivision: CHERRY MEADOWS Lot: 168
Contractor Information:
�I
Name: FREESTONE Phone: 253-896-1300
Address: RICK CARLILE
6820 20TH ST E STE A
�, FIFE WA 98424
Contractor License No.: FREESI"969NZ Expires:
Project Information:
Project: NEW RESIDENTIAL BUILDING
Description of Work: LOT 168, PLAN 2379A
S . Ft. er floor: Heat T e Electric Gas Other : GAS
q P YP � , ,
First 984 �
,�
Second 1395
Third
Garage 576
Basement
i Fees:
Item Contractor Fees
iNEW RESIDENTIAL BUILDING FREESTONE $16,570.11
I MECHANICAL KLIEMANN BROS. $ 78.25
PLUMBING PELTRAM PLUMBING $ 118.00
,I
TOTAL FEES: $16,766.36
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Applicant's Affidavit: OFFICIAI.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 a restrictions of record. If applying as a contractor, I further certify that I am currently Final Inspection:
registered i t e State of Was ' ton
Signature Date ! Date:
� Firm By
i _
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Git of Yelm
(36�) 458-8402
REC#: 00122984 �/20/2U13 8:57 AM
OPER: CO TERM: 001
REF#: 1972
TRAN: 33.0000 BUILUING PERMITS
�0130143 17,386.61CR
FREESTONE
15331 92ND AVE SE 109
BLU-�RES1 17,190.36CR
MECH 78.25CR
PL 118.00CR
I
TRAN: 33.0000 BUILQING PERMITS
20130144 17,3�6.61CR
� FREESTQNE
15345 GALLIE AVE Sk 140
I BLD-R�S1 17,190.36Ch
i MECH 78.25CR
� PL 118.00CR
TRAN: 33.COU0 BUILDING PERMITS
,,I
20130145 16,766.36CR
FREESTONE
15417 915T AVE SE 166
I�� BLD-RES1 16,570.11CR
MECN 78,25CR
PL 118.00CR
TRHN: 33.0000 BUILDING PERMITS
20130140 17,38fi.61CR
FREESTONE
� 15323 KAYLA ST SE 56
; BLD-RES1 17,190.36CR
� MECH 78.�5CR
PL 118.00CR
! 7RAN: 33.00U0 BUILDING PERMITS
� 20130141 17,328.09CR
i FREESTQNE
I 15317 KAYLA ST SE 57
� BLq-RES1 17,110.84CR
� MECH 78.25CR
� PL 139.OQCR
TRAN: 33.U000 BUILDING PERMITS
20130138 16,702.74CR
FREESTONE
15431 KAYLA ST SE 46
BLR-RES1 1b,506.49CR
MECH 78.25CR
PL 118.00CR
i
I TENDEI�ED; 102,957,02 CHECK
� APPLIEQ: 102,957.02-
� __..__� _
� CHANGE; O.OQ
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YELMI COMIMUNITY SCHOOLS
PO BOX 476
YELM WA 98597
, Clerk: Cray
' Terminal: 1
Recei pt: 203102
Manual Receipt:
NFRtESTQNE
NFREESTONE
FREESTONE, LLC
6820 20TH ST E SUTTE A
FIFE, WA 98424
3/2u/'2013 8:45 AM
C�� Item �_�_ _ Price
1 CPF MITIGATION 3015.00
MITIGATION
03-021/LOT 4B/15431 KAYLA ST SE;YELM
� 1 CPF MITIGATION 3015.00
I MITIGATION
I 03-021/LOT 56/15323 KAYLA ST SE;YELM
1 �PF MITIGATICN 3015.00
MITIGATION
03-021/LOT 57/15371 KAYLA 5T SE;YELM
i 1 CPF MITIGATION 3015.00
i MITIGATION
I
03-021/LOT 109/15331 92NQ AVE SE;YELM
1 CPF MITIGATION 3015.00
MITIGATION
� 03-�21/LOT 140/15345 CALLIE AVE SE;YELM
1 CPF MITIGATION 3015.00
" MITIGATION
03-021/LOT 168/15417 91ST AVE SE;YELM
Subtotal : 18090.00
Tax: 0.00
Total : 18090.00
Ch�ck 18090.00
1973
Change Due: 0.00
� THANK YOU
2��"�c� ��-P'�
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: �S��� q I�``�e-.� parcel#: �I�(On I(v g OO
� Subdivision: �ot#: �bu Plan#:��� Zoning:
�2Q New Construction ❑ Re-Model/Re-Roof/Addition C�� ❑ Home Occupation Sign
❑ Plumbing ❑ Mechanical ❑ Mobile/Manufactured Hom lacement ❑ Other
Project Description/Scope of Work: t ' Q�
� n J�
Project Value: � Y
li� ! V
� Building Area (sq. ft) 1'�Floor 2nd Floor����Garage �P Beek�_
�,
i! Basement ^ Carport -- atio al 6
#Bedrooms� #Bathroom�2 Heating• GA OTHER o�ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? ►vV
If yes, a completed environmental checkiist must accompany permit application.
BUILDINGAWNER NAM�:
ADDRE S O E EMAIL ' ,��
C�N � STATE�_ZIp TELEPHONE (o- �p
ARCHITECT/ENGINEEF� UCENSE#
ADDRESS aS - EMAIL�jQ�hq e La ..
C�TY Ro�-h2I STATE ZIP 1 TELEPHONE
GENERALCOiVTf�AGTOR TELEPHONE__ SRMC=
ADDRESS EMAIL �q �
CITY 5A-MI� STATE IP F,qx� (o-O(�gp
CONTRACTOR'S LICENSE# E 2 EXP DATE CiTY LICENSE#
�vl
PLUMBING CONTRACTOR e � LEPHONE�� $q 1-g� (
ADDR SS EMAIL
CITY STAT Z P O I FAX �25�, 9 L-9�
CONTRACTOR'S LICENSE# O EXP DATE CITY LICENSE#
� ao
MECHANICAL CONTRACTOf� • 1c TELEPHONE aS 5 �D
ADDRESS 0 `� EMAIL
CITY Icu!D►y�CL STATE ZIP L FAX (
CONTRACTOR'S LICENSE#�.1,TEMP�4�0�1 B'�EXP DATE�L CITY LICENSE#
� a.'7 ZO1�{
Copy of mitigation agreement with Yelm Community Schoois, if applicable.
I hereby certlfy that the above Informatlon ts correct and that the constructlon on,and the occupancy and the use of the
above described property wlll be in accordance with the laws,rules and regulatlons of the Stata of Washfngton and th•
CI Im.
pp i anYs Signatur Date '
Owner/Contractor/Owner's Agent/ ontractor's Agent(Please clrcle one.j
All permits are non-transferable and will expire (f work authorized by such permit is not begun
wlthin 180 days of Issuance, or if work is suspended or abandoned for a period ot 180 days
_�,�������
� +
� 2013
` 105 Yelm Auenue Weat (360)46&3835
� Ye[m, WA 98597 , (,76Q),458-3144 FAX
www.ci.yelm.wa.ua
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SCALE:1"=20' 77.76
� OT OT
� ' � � 168 169
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— � �}�� q�j
� � � 18 x 12 � �o $' f` ��,
COV PATIO 18"O.H.@ p
� � - - � EAVES(7YP) — L
� 39� 10'
� � 2379 A REV I�BLES(TY� �
�
� DIAG 54.45 � — — -, ,�
� M I _ 1z' �
M 15.76' S1' � 11' �
W 3 CAR `�'�
�� ' � GARAGE 18.5' i ��
c.o. � �,
� �, cav.,,
PORCH 20, 12' �
' :�— - - - - �_
�'y r STEP� CONC.
10'MIN. TANK � �
� SEPARATION � L — _ J 1 ��� DRIVE Q�!
� OR SLEEVE �, � � ` 10'UTIL ESMT �
WATER LINE �
�I oo w � �
� ' 2.15 6fi.09� CONC WALK
,
PLANTER 6'
�y �1, j� ;
CURB/GUTTER bo
� .� � 1 _;,�� � F'�`'Y;: �� �f '� c�
'� ) �� � . �
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� �--�'x—_�-��._.�--__ �.
Step Tank Excavation In Violation Of
The Required 5'Minimum Set Back To �` —� q�5t ,� .��W� a$�
Foundation Shall B e B a c k F i l l e d W i t h "�'` F `�' ` �' `.°'
CDF. J 1 �C.3 _� �, -�'
Fr ---� �' ' �
_... a�n ...• . . ..- - - _
__ _.�. �__ _ ___ _-- -_ ._ �. _._---.----, __
an -- - ._. ___,__�..�___..._
Location Shall Be Staked For Set Back
Inspection
NO 5' ��rVE �'EC��v�' I� CONNECT 4" PVC ROOF
ENCROACHMEN�'THI�t�T DRAINS TO DRYWELL
LOT 168 - CHE �Y MEADO S
PARCEL #: 416100 168 00 owne�: �reestone
Ghe� Meadows LLG
Lot Slze: Pro�ect Address: 6820 20th St. E Sulte A
Flfe, WA q8424 (;�
6,541 Sq. Ft. 15417 91st AVENUE SE 253-Sa6-1300 �
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'� �rescriptive Energy Code Compliance for Single Family and Duplex Housing: Zone 1
Proiect Information Confact/nformation
Freestone Plan 2379 F�eestone Companies, 6820 20th St E. Suite A
Yelm Fife, WA. 98424
Rick Carlile cell 253 381-6080
,il
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:/lwww.energy.wsu.edu/code
, Glazing i2 a a e
io Glazing U-Factor poor 9 z Vaulted Wall Wall• int Wall• ext 5 Slab
i Option Area : Ceiling 3 Above Below Below Floor on
j %of Floor Vertical Overhead" U-Factor Ceiling Grade Grade Grade Grade
I R-49 or R-21 R-21 R-10
O I 13% 0.34 0.50 0.20 R-38 R-38 Int.7 TB R-10 R-30 2,
Adv.
R-49 or R_21 R-21 R-10
O II 25°/a 0.32 0.50 0.20 R-38 R-38 R-10 R-30
� Adv. Int.' TB 2'
R-49 or
� O III R-21 R-21 R-10
Unlimited 0.30 0.50 0.20 R-38 R-38 Int.� TB R-10 R-30 2,
Adv.
See WSEC tab/e 6-1 for footnotes
' Glazing Schedule Attached to Document
a Does not apply. �SEE INSTRUCTIONS) Usin� Prescriptive Option III.All glaiing
and doors meet maximum U-factor.Alternate heating size method submitted.
_
; � 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)
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❑ As part of the heating system sizing calculation (IRC M140L3&WSEC 503.2.2)
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Radiant slab:
❑ R-10 foam insulation, continuous with thermal break (WSEC 502.1.4.9)
.
�', _ _
_ _ _
Chapter 9 Options Total of 1 Credit Re4uired
Opt. O t. Description
1a Hi h Efficienc HVAC Equi ment 1 1.0 �
1 b Hi h Efficienc HVAC Equipment 2
1c Hi h Efficienc HVAC Equipment 3
2 High Efficiency HVAC Distribution S stem
3a Efficient Buildin Envelope 1
3b Efficient Building Envelope 2
3c Super-Efficient Buildin Envelo e 3
4a Air Leaka e Control and Efficient Ventilation
4b Additional Air Leakage Control and Efficient Ventilation
5a Efficient Water Heatin
5b Hi h Effiecienc Wat r H 'n ��c'-���E�
9
e eati
6 Small Dwellin Unit
2013
7 Lar e Dwellin Unit MAR 0 1
8 Renewable Electric Ener *1200 kwh
Total Credits ----- 1.00
WSEC Prescriptive Worksheet(2010 edition)Zone 1 WSUEEPIO-010 Copyright 2010
i
� Glazing Schedule
Project/nformation Contact/nformation
Freestone Plan 2379 Freestone Companies, 6820 20th St E. Suite A
Yelm Fife, WA. 98424
Rick Carlile cell 253 381-6080
Conditioned Floor Area 2379 Sum of UA for Heating System Sizing 107.4
Sum of All Glazing Areas From Below 309
Glazing to Floor Area Ratio 12.99% 602.7.2 Exception Ratio(not to exceed 1%)�
Exterior poors
Plan Component Door Percent Width Height Glazing Door poor
ID Description Ref. U-factor Glazed Qt. Feet �ncn Feet �ncn Area Area UA
Ent Fiber lass Insulated IECC 0.160 1 3 6 20.0 3.2
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1.00 One Exempt Swinging Door<24 Square Feet 1 2 6 17.8
Sum of Glazing Area, Door Area, and UA (do not inc/ude exempt door) 20.0 3.2
Area Weighted U= UA/Area 0.16
�, Sum of Area and UA for Heating system size only(include exempt door) 37.8 3.2
I
� Vertical Glazing (Windows, Glazed doors using Exception 602.6#1)
i Plan Component Glazing Width Height Glazing
ID Description Ref. U-factor Qt. Feet '�`n Feet ��°n Area UA
I L&G 2 GIz Vin f Low E NFRC 0.340 2 6 5 60.0 20.40
� Din 2 Glz Vin I Low E NFRC 0.340 1 5 5 25.0 8.50
Kit 2 Glz Vin I Low E NFRC 0.340 1 4 4 18.0 6.12
�� Nk 2 Glz Vin I Low E Su er Spacer SGD NFRC 0.330 1 6 8 48.0 15.84
Up 2 Glz Vin I Low E NFRC 0.340 5 5 4 100.0 34.00
� Mbr 2 Glz Vin I Low E NFRC 0.340 1 6 4 24A 8.16
� Mbr 2 Glz Vin f Low E PW NFRC 0.320 2 2 2 8.0 2.56
Mba 2 Glz Vinyl Low E NFRC 0.340 1 4 4 16A 5.44
Gr R 2 Glz Vin I Low E PW NFRC 0.320 2 2 2 10.0 3.20
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Sum of Area and UA 309.0 104.22
Area Weighted U= UA/Area 0.34
WSEC Prescriptive Worksheet(2010 Edition)
WSUEEPIO-010 Co ri ht 2010
PY 9
,
Overhead Glazing
Plan Component Glazing Width Height
iI D Descri tion Ref. U Qt. Feet '"�n Feet '"`h Area UA
�
i Sum of Area and UA
Area Weighted U= UA/Area
Doube Glazed Garden Windows Section 602.7.2 Exception
Plan Component Width Hei ht
�i 9
ID Descri tion Qt. Feet �ncn Feet �nch Area UA
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Sum of Area
: Sum of Area X 3(This total is aufomatically included in the glazing area total.)
' Glazing UA for Heafing Sysfem Size Only=Area X 0.63
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WSEC Prescriptive Worksheet(2010 Edition)
WSUEEPIO-010 Copyright 2010
�
Sirr�ple Heating System Size: Climate Zone 1
Project/nfamation Contact/nformation
Freestone Plan 2379 Freestone Companies, 6820 20th St E. Suite A
Yelm Fife, WA. 98424
Rick Carlile cell 253 381-6080
Indoor Design Temperature 70
Outdoor Design Temperature 17
Design Temperature Difference (aT}
OT=Indoor-Outdoor Design Temp 53
Conditioned Floor Area 2379
Conditioned Volume 20016
Glazing
Copy Sum of UA from Giazing Schedule 107
, �
; Attic U-Factor X Area = UA
�, R-49 0.027 1395 37.7
; R-38 Advanced 0.026
'I
i Single Rafter or Joist Vaulted Ceilings
U-Factor X Area = UA
I! R-38 Vented 0.027 � �
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i Above Grade Walls U-Factor X Area = UA
R-21 0.056 2189 122.6
�
�
Floors U-Factor X Area = UA
'; R-30 0.029 1402 40.7
Below Grade Walls U-Factor X Area = UA
j 2' Depth Walls 0.042
i 3.5' Depth Walls 0.041
'' 7' Depth Walis 0.037
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I Slab Below Grade F-Factor X Length = UA
2' Depth 0.59
3.5' Depth 0.64
7' Depth 0.57 -
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Slab on Grade F-Factor X Len th = UA
R-10 2' perimeter 0.54
� R-10 Full- Heated 0.55
I�
Sum of UA 308
I Envelope Heat Load 16341 Btu/Hour
;
Sum of UA X�T
�� Air Leakage Heat Load 11457 Btu/ Hour
! ((Volume X 0.6)X�T)X.018))
Building Design Heat Load 27798 Btu/Hour
Air Leakage+Envelope Heat Loss
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j Building and Duct Heat Load 1.15 31968 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
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Maximum Heat Equipment Output 150% 47952 Btu/Hour
Building and Duct Heat Loss X 1.50
WSEC Prescriptive Worksheet(2010 Edition)
WSUEEPIO-010 Copyright 2010
' � Aug. 20. 2013 3: 31PM Kl iemann Bros HVAC No, 2284 P. 1
l.--. ��_:. �' r33N`'1
" N��da� ���J
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Duct T.ealGage A�f�idav�tt �
Perm►t#: ��� a I�5 _
House address or lof numbet:���� ��s��
Clty. �� � Zip: �(���7
Cond. Floor Area(ff�:��� Source(circle one): ��fans� �stimafed Measurad
❑Duct tightness testing is not requfred for thfs resldence per exceptions Ilsted at the end of this document
Air Handler in conditioned space?�]yes L9 no A(r Handler present during test?�yes[�no
�> .
Clrcle Test Method: Leakage to Dutside Total�~ .�akage
Maxlmurn ducf/eakage:
Post Gonstructfon,total duct leakage: (floor area x.08)= CFM@25 Pa
post Consfruction,leakage to outdoors: (floor area x.06)= __C�M�25 Pa
Rough-In,total duct leakage wlth alr handler installed: (floor area x.O6)_���CFM(c�25 Pa
Rough-In,tota[duct leakage with air handfer not installed: (floor area x.04)�_ C�M[Q25 Pa
Test Result:�_�__CFM@25Pa
Ring (circle one if appllcable): Open 1 2 3
Duct Tester Location:__ Pressure Tap Locafion: � �t t�,l��S• �
1 certit�l that these d�uct leakage rates are accurate and determined using stanclard duat testing protocol.
CompanyName: .���_����Z�� +cJ�;� Technictan:�p�� / �_
Technician Signature: �_DaEe: � Z l3 Phone Number: ,j�7^�6SS
Washington State EnerOy Code teference:
5p8.�10.9 Sealing.A!I ducfs,alr handlers,filter boxes,and building cavities used as ducts shall bs sealed.JolntG and seams shatl oomply
Wilh Sactlon MiAOi_3 of the lntemaflonal Resfdenflal Code or 603.9 of the Infematlona)Mechanfca)Code. buct fighlness teal'+ng ghall be
condacted to veriiy Ihal lhe ducte are seafad_A slgnad aflldav(t documenlln8 fhe test resulfs shall be provlded to lhe Jurisdiclion havine
authorily by lhe fesUng ageht.When required by Ihe building oifidal,IhA tesl sN�ll ba cnnductad!n ihe presence of depariment slaff.
Excsptlons: 9.Duct Gghtness test is not required iF lhe air handler and a11 ducts ere loca�ed wi�hln wndidon�d space. �
2.Duct lesfing Is not requlred ff ihe fumace is a nondirecf Vent type combus6on applianca installed 1n an unCOndllloned space.
A m��dmum of slx faet of connected ducMrork In lhe uncondltloned space is allowed.A11 addilional supply and teiUm ducts
shall be withln Ihe candllloned spece_Ducls outslde Ihe condllloned space shall be seafed wlth a mastic type duct sealanf and
insulated on lhe exterior wilh R-B insulalion for abavA grade ducls and R�water reslstent InsulaUon when rMlhln a slab or �
earth. /� �
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�5'�A�1 � � 3 ���'`��
� � 1 INSULATION
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NORTHWEST
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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 azea,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.
R-Value Minimum Thickness R-Value Ba s/1,000 s .ft. Maximum Covera e Minimum Wei ht Minimum Thickness
`To obtain an Installed insulation To obtain an The number of Contents ofthis bag The Weight/SF of Installed insulation
insulation resistance should not be less insulation bags/1,000 SF of net should not cover more insYalled insulation should not be less
R-Value of: than: resistance area should not be than: should not be less than: than:
R-Value)of:
R-38 HD 1025" R-60 29.7 33.6 SF .9521bs. 19.7�0"
R-38 12.00" R-49 23.5 42.5 SF .7531bs. 16375"
R-30 HD 825" 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 ..i771bs 9.i25"
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 .268 lbs 6.750"
R-IS 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 29 Ibs.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 aze determined in acwrdance with
**R-18 in a 5.5"cavity.Conforms to ASTM C 687&C 518."R"means resistance 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 5-35 lbs./minute.Recommended feed rate is
15-25 Ibs./minutes.
Builders Insulation Statement.
Batts and/or blankets have becn installed in conformance with the above 2009 WSEC Residential Enerev Compliance Certificate-Buildine Air Leakaae
recommendations to rovide a thermal resistance of....
R-Va ue Standard Buildin &Te t Condition: Comments:
Attic Area R- R-49 Date: ( �j
Ext.Walls R- R-21 Time � sjD
Inter.Walls R- R-11 Indoor Tem : (p
Sprinkler Tentin R- R-8 Outdoor Temp: (os
Knee Walls R- R-21KF Floor Area(s ft) 2°✓'�
Under floor R- R-30
Completed as of. 8 � � ?J Buildine Air Leakaee Tareet: SLA Less Than 0.00030
Installers Name Print: Test#1-Depress__�Press Pretest Baseline Pressure (Pa)
Installers Name Sign:
Bld Press.(Pa) Flow Ring Fan Press.(Pa) Flow(cfin
Site Address: �-l'C Z-1 I� ���. .JC I
Y�� ���� Post Test Pressure: Fan Model/SN: M.B�#,3
Results:SLA(Specific Leakage Area): . 0O0 Z3 /�.l-�t -'�• ��
Home Builders Signature: Test#2-Depress Press Pretest Baseline Pressure (Pa)
Home Builders Address:
Bld Press. Pa Flow Rin Fan Press. Pa Flow cfm)
Insulation Contractor: Insulation Northwest LLC
Post Test Pressure: Fan Model/SN:
P.253-846-0121 P.O.Box 732069
Results:SLA(Specific Leakage Area):
F.253-846-8096 Pu�llup.WA.98373
Affidavit: I certify that this Specific Leakage Area is accurate&determined using Blower poor Test Standard 502.4.5 Building Air Leakage Testing.
Technician Name Print: Technician Name Sign:
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