20130144 Permit Pkg 03202013 o� � City of Yelm Permit ►vo.: 20130144
� Community Development Department Issue Date: 3/20/2073
� (Work must be completed within 180 days)
Building Division
Phone: (360)458-8407
w� h«�c=o� FBx: (360)458-3144
Applicant:
Name: FREESTONE Phone: 253-896-1300
Address: 6820 20TH ST E STE A
FIFE WA 98424
Property Information:
Site Address: 15345 CALLIE AVE SE 140 Owner: FREESTONE INC
Assessor Parcel No.: 41610014000 Subdivision: CHERRY MEADOWS Lot: 140
Contractor Information:
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 140, PLAN 3115B
Sq. Ft. per floor: First 1318 Heat Type(E►ectric, Gas, Other): GAS
Second 1796
Third
Garage 555
Basement
Fees:
Item Contractor Fees
NEW RESIDENTIAL BUILDING FREESTONE $17,190.36
MECHANICAL KLIEMANN BROS. $ 78.25
PLUMBING PELTRAM PLUMBING $ 118.00
TOTAL FEES: $17,386.61
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 restrictions of record. If applying as a contractor, I further certify that I am currently Final Inspection:
registered n t State of hi ton.
'� �111 � Date:
Signature Date <7�
Firm By'
Git� of Y�lm
(36 } 458-8402
REC#: 00122984 3/20/2U13 8:57 AM
OPER: CO TERM: 001
REF#: 1972
TRAN: 33.0000 BUILUING PERMITS
20130143 17,386.61CR
FREESTONE
15331 92N0 AVE SE i09
BLU-RES1 17,190.36CR
MECH 78,25CR
PL 118.00CR
TRAN: 33.0000 BUILDING PERMITS
2Q130144 17,386.61CR
FREESTQNE
15345 CALLIE AVE Sk 140
BLD-RES1 17,190.36CR
MEGH 78,25CR
PL 118,OOCR
TRAN: 33.U000 BUILDING PERMITS
20130145 16,766.36CR
FRE�STONE
15417 91ST AVE SE 168
BLD-RES1 16,570.11�R
MECH 78,25CR
PL 118.00CR
TRkN: 33.0000 BUILDING PERMITS
20130140 17,38f,.61CR
FREESTONE
15323 KAYLA ST SE 56
BLD-RES1 17,190.36CR
MECH 7�.25CR
PL 118.00CR
TRAN: 33.00U0 BUILDING PERMITS
20130141 17,328.09CR
FREESTQNE
15317 KAYLA ST 5E 57
BLq-RES1 17,110.84CR
MECH 78.25CR
PL 139.OQCR
TRAN: 33.UU0� BUILDING PERMITS
20130138 16,�102.74CR
FREESTONE
15431 KAYLA ST SE 46
BLD-RES1 1b,506.49CR
MECH 78.25CR
PL 118,OOCR
TENDERED: 1U2,957.02 CHECK
APPLIED: 102,957.02-
CHANGE: ^� 0,00
YELM COMMUNITY SCHiIOLS
PO BOX 476
YELM WA 98597
C;lerk; Croy
Terminal : ?
Recei pt: 203102
Manual R�ceipt:
NFRtESTONE
NFREESTONE
FREESTONE, LLC
6820 20TH ST E SUITE A
FIFE, WA 98424
3J2u/2013 8;45 AM
Q� Item _____� Price
1 CPF MITIGATION 3015.00
MITIGATION
03-021/LOT 46/15431 KAYLA ST SE;YELM
1 CPF MITIGATION 3015.00
MITIGATION
03-021/LOT 56/15323 KAYLA ST SE;YELM
1 CPF MITIGATICN 3015.00
MITIGATION
03-021/LOT 57/15371 KAYLA ST SE;YELM
1 CPF MITIGATION 3015.00
MITIGATION
03-021/LOT 109/15331 92N� AVE SE;YELM
1 CPF MITIGATIQN 3015.00
MITIGATION
03-021/LOT 140/15:�45 CALLIE AUE 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
Check 18090.00
1973
Change Due: 0.00
THANK YOU
���0 � � �1
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
� Project Address:�� �7'"'Oc`7 G �S c.J�Parcel#: `C���On(�D O O
i
Subdivision: �ot#: � Plan#: �� Zoning:
�Q New Construction ❑ Re-Model/Re-Roof/Addition ❑ Home Occupation Sign
❑ Plumbing ❑ Mechanical ❑ Mobile/Manufactured Hom lacement ❑ Other
Project Description/Scope of Work: t ` Q
Project Value: � 5 ,°�
Buiiding Area(sq. ft) 1 g`Floor ���� 2"d Floor ��W Garage �� p�p�
Basement Carport � �o��
#Bedrooms #Bathrooms��
_'d�-- Heating G�, /OTHER or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? �_
/fyes, a completed environmental checklist must accompany permit application.
au��Q�NC�.oww���NaM�:
ADDRE S O EMAII ' ���yy�
C�N � STATE ZIP TELEPHONE �q(o-�3fjp
ARC�1�T��"�`l��I�tIVE�F� LICENSE#
ADDRESS �S _ EMAIL��hq C '�q,.,, �
CITY gp�.h2� STATE ZIP 1 TELEPHONE �
GEN�RAC,CQIV'FR;qC'F'pf� TELEPHONE 5 �
ADDRESS EMAIL � �
CITY STATE IP FAX C��� gq�-d(o 6p
CONTRACTOR'S LICENSE# E 2 EXP DATE CITY LICENSE#
�vt4
PLUMBIN(�C��ITRA�TQ e LEPHONE 1-
ADDR SS EMAIL
CITY STAT ZP 0 t FAX (aS�, 91-9�
CONTRACTOR'S LICENSE# t7C�Qs0'TS EXP DATE�ICENSE#
� ao
MECNANtCa�CONTRa�TOt� � ►c TELEPHONE a6 5 -O
ADDRESS �}'103 III�'� 51- ' EMAIL
CITY IQ.Q.pry�q„ STATE ZIP L F,q)( (
CONTRACTOR'S LICENSE#kITEII�IP�{�OZI BT EXP DATE� CITY UCENSE#
� 'a.'1 201�
Copy of mitigation agreement with Yelm Commurnty Schools, if appiicable.
1 hereby certlfy that the above Information Is correct and that the constructlon on,and the occupa�cy and the use of the
abov cribed property wlil ba In accordanca with the laws,rules and regulatlons of the Stab ot Waahington and tha
CI of Y m.
o� �
App ica s Signatur Date
Owner/Contractor/Owner's Agent/ ontractor's Agent(Please circle one.j
All permits are non-transferable and wili expire If work authorized by such permlt is not begun
withtn 180 days of issuance, o�if work is suspended or abandoned for a perio
REC �VED
� MAR O 1 2013
� 105 Yelm Auenue Weat (36 - 383s
l� Yelm, WA 98597 (360 458-3144 FAX
� wraw.ct.yelm.wa.ua
� �,� �� .���_ � ���-�� r-���- -- y �y--s�-�-s-
52.00
l0 l0 in
939 1�� �"ja GY �
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N ! � .Y. .___ ___. � N
t 18 x 12
I ROOF' � � GQV PATIO � i�
I DRAfNS � � �`
SCALE.���-2at _ ,
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INDICAT�S 1'x 10'ADDI7tOtVAL =° 15' r'? M
UTiLITY�ASEMENT LYtNG 5'ON � � HAMMER �
E17HER S1DE OF TH�CQMMON l.QT � / HEAR ��� �
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\�}-fis f�,s, 39.50 �
CaNc �T � f— ,. --- ' __ ._. ._.
�4
A<9NTF�<� 2� `�iS� �'r Step Tank Excavation In Violation Of ,.
� � �
c�R6 s ! b,`O' j The Required 5' Minimum Set Back To
\\\��F S �'•�,� �f ( ° Foundation Shall Be Back Filled With
�' Q4�p l I CDF.
�'�,� w � � Front Porch Foundation And Step Tank
� Location Shall Be Staked For Set Back
,
;
C��� �� � Inspection. �
_ _ /�.• - - - ' _. '�-� _ _ ,
�4�ti - - ._ � � _ _,
, �_ _-
L�, , C{7NNECT 4" PVC R�OF
`�'�� �� ' .� DRAiNS T4 ORYWELL
�s �.��.��T�.� NO 5' EAVE
'� _ �, ENCROACNM�NT THIS LOT
�oT � 40 - �� _. . ����A ows
-__....._.
�'ARGEL #: 4`!��40 144 00 ��"�'��� �reeston�
Gherr�a Meadows �.LG
l.ot 51ze: pro�eGt f�ddrey5: 6820 2Pth �t. � 5ulte A
Flfe, WA q8424
6,463 Sq. Ft, 15345 CALLIE AVENUE SE ����8q6-i�oo
�
Prescriptive Energy Code Compiiance for Single Family and Duplex Housing: Zone 1
• Project Information Contact/nformation
Pian 3115 Freestone Inc, Fife WA:98424
253'896-1300
Yelm �������� Rick Carlile�Gell 253�381��Q80�����. ��� �
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 sMown 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 �z a a 6
�o Glazing U-Factor poor 9 2 Vaulted Wall Wall• int Wall• ext 5 Slab
Option Area : Ceiling 3 Above Be(ow Below Floor on
%ofFloor Vertical Overhead�� U-Factor Ceiling Grade Grade Grade Grade
R-49 or R-21 R-21 R-10
OO I 13% 0.34 0.50 0.20 R-38 R-38 jnt.� TB R-10 R-30 2,
Adv.
R-49 or R-21 R-21 R-10
O II 25% 032 0.50 0.20 R-38 R-38 Int.' Tg R-1D R-30 2,
Adv.
R-49 or R-21 R-21 R-IO
O III Unlimited 0.30 0.50 0.20 R-38 R-38 Int.� TB R-10 R-30 2,
Adv.
See WSEC tab/e 6-f forfootnotes
Glazing Schedule Attached to Document
� Does not apply. �SEE INSTRUCTIONS) Using Prescriptive Option III.All glazing
and doors meet maximum U-factor.Alternate heating size method submitted.
O Option 1 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 cakulation (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
Opt. Opt. Description
1a Hi h Efficienc HVAC Equi ment 1 1.0 �
1b Hi h Efficienc HVAC Equipment 2
1c Hi h Efficienc HVAC Equi ment 3
2 Hi h Efficienc HVAC Distribution S stem
3a Efficient Buildin Envelo e 1
3b Efficient Buildin Envelope 2
3c Super-Efficient Buildin Envelo e 3
4a Air Leaka e Control and E�cient Ventilation
4b Additional Air Leaka e Control and Efficient Ventilation
5a Efficient Water Heatin
5b Hi h Effiecienc Water Heatin R����v��
6 small Dwellin unit MAR 01 2013
7 Lar e Dwellin Unit
8 Renewable Electrie Ener *1200 kwh
Total Credits � 1.00
WSEC Prescriptive Worksheet(2010 edition)Zone 1 WSUEEPIO-010 Copyright 2010
Glazing Schedule
Project/nformation Contact/nformation
Plan 3115 Freestone Inc, Fife WA 98424
253 896-1300
Yelm Rick Carlile Cell 253-381-6080
Conditioned Floor Area ' 3115 Sum of UA for Heating System Sizing 125.5
Sum of All Glazing Areas From Below 362
Glazing to Floor Area Ratio 11.61% 602.7.2 Exception Ratio(not to exceed 1%)�
Exterior poors
Plan Component Door Percent Width Neight Glazing Door poor
ID Descri tion Ref. U-factor Glazed Qt. Feet �"�' Feet �"0n Area Area UA
Frnt Fibe� lass�insutat�d, � ��;�� IECC� Q�;160�, ��: ��' 1 �'� 3 �:` �. , 6. .;,� 20�.0 3.2
GBF.':��One Exempf Swinging Door<24 Square Feet _ �� 1 ; 2 �- F �� � 17.8
Sum of Glazing Area, Door Area, and UA (do not include exempt door) 20.0 3.2
Area Weighted U= UA/Area 0.16
Sum of Area and UA for Heafing system size onty(include exempt door) 37.8 3.2
Vertical Glazing (Windows,Glazed doors using Exception 602.6#1)
Pfan Component Glazing Width Height Glazing
ID Descri tion Ref. U-factor Qt. Feet '"�'' Feet '"`h Area UA
L&Q 2 Gfz Vin ��-l�a�vt�E� >= NFRG 0.34f1 ` 2' 5� . °F, a ' : 50.0 17.00
Kit° : 2 GIz Vin (Lov���;, °..; NE'RC Q;3'4f� 1 �°" . ; 5. : 30.0 10.20
Gr R 2.Glz Vin k�ouu E Su er S acer SGQ <;.! NFRC t?,33Q 1 6 ; _� 8 48.0 15.84
Gr Ft 2 Gta Vin t�l:ovu�:;:: ,� �� � � � ����� IVFRC� ��,34D' ��� 2 � 4°� �' S.� �� � � � 40.0 � 13.60
GrR 2 G{��/in [.Low�RW -��:F . ���� � :"° NFR� �.32t��� .� 2 .�. 2:��;� ���. �s.�,�� �.'��� ���� � 12.0 � �3.84
Br3« 2 GI�Vir� �L��t�.����; -�, �� �: � =� � �IVFI�G Q:34tk",-:� 1� �:`:,'� _ �,..�� , � � 25A � 8.50
Br� 2 GIz�Vin�t�':ou��,.��x � t � '� ; = N�R� �t�.�4�� ' 4 ��.�z �rf` 4 �� � 80A � 27.20
Mbr` �GI�Vi��C��:c�w,�'�t�! .� .., ����� . , .,.= N�f�G f�:34t3r�`.����� � � .. ���'�; ,:w. � . ,��;� � � � 24.a�� 8.16
Mbr 2 GI�'Vin I���v��.° �,���,�. ,, =� t r N�R� t�3qQ�. � 4°����. 2 ;;, ��� � � � � 4A �� 1.36
Loft 2 GIz Viii I Law�;=; �. � � 4 � NFRC (�.34�` ` 2, 4�;' �, � 40.0 13.60
Ent�� 2.Glz���/(n ,FLovV E�;�.�� '�`, . ��.� v . �'.'� NFRC �:34q. ,�� � 1; � ,� 2�•.� ," � H�� �'�: 8.8� 2.98
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� . , ;. - :,�. �� � ����� . t`� ,�< .:" �; ;. � ;,. °
Sum ofArea and UA 361.8 122.28
Area Weighted U=UA/Area 0.34
WSEC Prescriptive Worksheet(2010 Edition)
WSUEEPIO-010 Copyright 2010
Overhead Glazing
Pian Component Glazing Width Height
I D Descri tion Ref. U Qt. Feet �"`�' Feet �"�' 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 Descri tion Qt. Feet Inch Feet �"�' Area UA
Sum of Area
Sum of Area X 3(This total is automafically included in the glazing area total.)
Glazing UA for Heating System Size Only=Area X 0.63
WSEC Prescriptive Worksheet(2010 Edition)
WSUEEPIO-010 Copyright 2010
Simple Heating System Size: Climate Zone 1
Project lnformation Contact Information
Plan 3115 Freestone Inc
253 896-1300
Yeim Rick Cariile Cell 253-381-6080
Indoor Design Temperature 70
Outdoor Design Temperature 17
Design Temperature Difference (aT)
�T=Indoor-Outdoor Design Temp 53
Conditioned Fioor Area 3115
Conditioned Volume 26230
Glazing
Copy Sum of UA from Glazing Schedule 125
Attic U-Factor X Area = UA
R-49 0.027 1798 48.5
R-38 Advanced 0.026
Single Rafter or Joist Vaulted Ceilings
U-Factor X Area = UA
R-38 Vented 0.027 � �
Above Grade Walls U-Factor X Area = UA
R-21 0.056 2576 144.3
�
Floors U-Factor X Area = UA
R-30 0.029 1780 51.6
Below Grade Walls U-Factor X Area = UA
2' Depth Walls D.04Z
3.5' Depth Walls 0.041
7r' De tp h Wails � 0.0371
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 370
Envelope Heat Load 19605 Btu/Hour
Sum of UA X OT
Air Leakage Heat Load 15014 Btu/Hour
((Volume X 0.6j X On X.018))
Building Design HeatLoad 34619 Btu/Hour
Air Leakage+Envelope Heat Loss
Building and Duct Heat Load �� 34619 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% 51928 Btu/Hour
Building and Duct Heat Loss X 1.5o
WSEC Prescriptive Worksheet(2010 Edition)
WSUEEPIO-010 Copyright 2010
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In�ulatYOn Ce�t7ficat�/Blo�ver T)oor Test FForm .
Batts&Blankets ThermaI Performance(Attic AppIication)
_When installed in accordaace tivith the manufacturer's The sfated th,ermal resistance�-value)is�rovided bY installin�in accordance wifh the manufacturer's
recommendafions,Knauf Batts&blankets wiI1 provide instructions,fhe required number of bags per 1,00�sq.ft.of net area,af not Iess than the Iabeled minimum
the full R-vahie. thicicness.Failure to insfall.both the required number of bags&a�least the minimum thicicness will resulf
in lowe��insulation R-va1_ue.
P�•Valir2 I�linimom Thicknzs� R-Valu� Baes/I,000 sq.fi. bia�im�nn Covera�z t�4inimum lVei�ht I�ti�iim<<m Thiclaizss
To obtain an Instatted insulation To obtain zn The number of Contents of tlus bag The VJeigfit/5F of Iastalled insulation "�
insulaHon resistance shou[d not be less insulation bags11,000 SF of ne should not cover more instal(ed insu[ation should not be less ?;
R-Value of: than; resistance area should not he flian; s[�ould not 6e less than: titan: i'�
-Value}of
_r:-3�7iD 10.25" R-o0 29.'I �3.GSI' .9521bs. 79.'/50"
-- -- --
- -- --
_ _ _
- -- F-:�8 � 12.OD" R-49 � 23.5 a2 s��F� I .7531bs. ���__�,5' -
R-30 HD 8.25" R-44 � 20.9 47.8 SF .6701bs. 14.875"
R-30 lO.OD" R-38 17.8 56.2 SF .569Ibs 13.000"
R26 9.00" R-30 13.6 73.3 SF .4371bs 10.375"
R-22 6.50" R-26 11.8 85.0 SF 3771bs
� 9.125„
R-21 FID 5,50" R-22 9.8 102.2 SF .313 lbs 7.750"
R-19 6.25"'�'r R-19 8.4 1193 SR .268 Ibs 6.750"
R-15�ID � 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 prodtict conforms fo the performauce 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 wiih
'"R-18 in a 5.5"cavity.Conforms to ASTM C 687&C 518."R"means resisiance to heat flow.The higher fhe R-value,fhe greafer the insulation power.To get the
C665&Federal Specification HH-1-521F inarked R value,it is essential that the insulafion be installed properly.If you do it yourself,get insfructions&follow them.
To achieve 1abeled R-value,this product musf be applied with a pneumatic blowing machine&a corrugated hose tivith a minimum.25"intemal corrugation,a minimum length
oi 150$.&a diameter of at least 3".Coils in fhe hose should not be less than 36"in diameter.Acceptable material feed rate is 5-35 Ibs./minute.Recommended feed rate is
� 15-25 Ibs./minutes. :
Bnilders Insulation 5fatemen�,
Batts and/or blanlceis liave been mstailed m conformance�vith the above 2009�a'��C 3be,sidenfial Ener�v Compliance Cerfiricafe-33Lile�in�!�ir Lealra�a
recommendationsfo rovideathermalresistanceof.,..
. ,'��.e:.�s�c'��� � �12'V2lue' 3tau'd�d� E"dut�&Test CoFtd'[tion: :CoIDioeilts:
Attic Area R __- R-49 Dafe: '�• (• �
Ext.Walls R- R-2I Time �(p
Inter.Walls R- R-11 Indoor Temp:
Sprinkler Tenting R- 12-8 Outdoor Temp:
Knee Walls R- R-21KF Floor Area(sq ft) 3 (
Completed as oi: �` ��'�3 Buildin�Air Lea4ra��Tar�et: ��,A I,ess'I'han O.00D30
Installers Name Print: 'T'est#1-Depress � Press Pxetest Baseline Pressure (Pa)
Insfallers Name Sign:
",$ •1'FC°s's.; a F�o�i -s�"�'{:'s�+`".Piess;' a K` °F1oiV ��;
Site Address:
�534s CauaE Av�. S�. , f _ -
�Fr� a8597 PosiTestPressure: FanModel/SN: i��(.f�D �3
Resulfs:SLA(SpecificLeakageArea):.���z� ��+1� ' 4. �-[ �
Home Builders Signahire: 7['esf r 2-Depress Press Pretesf Baseline Pressure (Pa)
�iome Buiiders Address:
�zB 'Pios. � tQ�v `�:�2 t 2�izPtess�� � &t�t�
Insulation Contractor: Insulafion Northwest LLC
Post Test Presstue: Fan ModeUSN:
P.253-846-0121 P.O.Box 732069
Resulfs:SLA(Specific Leakage Area): '
F.253-846-8096 PuvalIun,WA.98373
�davit: I certify tliat this Specific Leakage Area zs accurate&defennined using Blower poor Test Sfandard 502.4.5 Building Air Leakage Testing.
Ter.hnir,ian Name Prinf: ���_ Teclmician Name Sien: /� ,/
'��y`O�i�---
Jul. 24. 2013 10: 22AM Kl iemann Bros HVAC No. 1971��-P, 2
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Duct Leakage Afflda�it (New Construction) .
permit#; � �..� �% � 4
House address or fot number; �� � �/ �/�'� ��
CiIY: �C/rr� � zlp: ��G17
Cond.�Ioor Area{ft2):���� Source(clr�le one): atl �stimated Measured
❑ Duct tlghtness testlhg(s not regulred.7he tota11e2kage test is not requlred for ducts and sir handlers located
entirely wifhln the building thermal envelopa.�uats locatsd In crawl spaces do not qualify for thls exception.
Alr Handler In conditioned space?[_]yes�fio Alr Handler pressnt during test?�ies❑ no
Circle Test Method: Leakage to Oufslde Total l,eakage
Maximum ducf leakage:
Post Construction,total duct leakage: (floor area x.04)� C�MQ25 Pa
Posf Construction,leakage to oufdoors: (floor area x.04)= C�M@25 P� '
Rough-!n,total duct leakage wlth air handler Installed: (floor area x.Q4)_ ���7 CFM@2�Pa
Rougfi-!n,total duct leakags wlth air handler not insgallad: (floor area x.03)� CFM@251�a
Tast Result:� ( `� CFM@25Pa
Ring(circle one ff applicabfe}: Open 1 � 3
Duct Tester Location:_ �� Pressure Tap Location:, �'^���� 5,����
1 cerEif�r that these duct leakage rates are accuratv attd determined using standard duct testing protocol.
Company Nama: �f C.✓��� ��4'� —Technlclan�_�1 �-�''�.:�/�-✓��`�
7echnfclan Slgnature:, -
Date: �
• Phone Numher:_ ��j7 - � �