20130143 Permit Pkg 03202013 r �' City of Yelm Permit No.: 20130143
Community Development Department Issue Date: 3/20/2013
� (Work must be completed within 180 days)
Building Division
Phone: (360)458-8407
""`" '°" 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: 15331 92ND AVE SE 109 Owner: FREESTONE INC
Assessor Parcel No.: 41610010900 Subdivision: CHERRY MEADOWS Lot: 109
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 109, PLAN 3115B
Sq. Ft. per floor: First 1318 Heat Type(Electric, 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 i e State of W hington.
� Date:
Signature Date Z
Firm Q By�
Cit� of Y�lm
(36 } 458-84Q2
REC#: 00122984 3/20/2013 8:57 AM
OPER: CO TERM: 001
REF#: 197�
TRAN: 33.0000 BUILDING PERMITS
20130143 17,386.61CR
FR�ESTONE
15331 92Np AVE SE 109
BLU-RES1 17,190.36CR
MECH 78,25CR
PL 118.00CR
TRAN: 33.0000 BUILDING PERMITS
2013�144 17,3�6.61CR
FREESTqNE
15345 GALLIE AVE St 140
8LD-R�S1 17,190.36CR
MECH 78,25CR
PL 118,OOCR
TRAN: 3,"s.00U0 BUILDING PERMITS
20130145 16,766,36CR
FRE�STQNE
15417 915T AVE SE 168
BLQ-RES1 16,570.11CR
MECH 78.25CR
PL 118.00CR
TRNN: 33.0000 BUILDING PERMITS
2013Q140 17,38fi.fi1CR
FREESTONE
15323 KAYLA ST SE 56
BLD-RES1 17,190.36CR
MECH 78.25CR
PL 118.00CR
rRAN: 33.0000 BUILDING PERMITS
20130141 17,328.09CR
FREESTQNE
15317 KAYLA ST SE 57
BLq-RES1 17,110,84CR
MECH 78.25CR
PL 139.OQCR
TRAN: 33.OUOU BUILOING PERMITS
20130138 16,'�02.74CR
FREESTONE
15431 KAYLA ST SE 46
BLQ-RES1 16,506.49CR
MEGH 78,25CR
PL 118.00CR
TENDE�ED; 102,957,02 CHECK
APPLIEQ: 102,957.02-
CHANGE: ���� 0.00
YELM COMMUNITY SCHOOLS
PO BOX 476
YELM WA 98597
Clerk: croy
Terminal : ?
Recei pt: 203102
Manual R�ceipt:
NFRtESTQNE
NFREESTONE
FREESTONE, LLC
6820 20TH ST E SUITE A
FIFE, WA 98424
3/2u/2013 8:45 AM
Qty Item Price
1 CPF MITIGATION 3015.00
MITIGATION
03-021/LOT 48/15431 KAYLA ST SE;YELM
1 CPF MITIGATION 3015.00
MITIGATION
03-021/LOT 56/15323 KAYLA ST SE;YELM
1 �PF MITIGATICN 3015.00
MITIGATION
03-021/LOT 57/15371 KAYLA ST SE;YELM
1 CPF MITIGATION 3015.00
MITIGATION
03-021/LOT 109/15331 92ND AVE SE;YELM
1 CPF MITIGATIQN 3015.00
MITIGATION
03-021/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
Check 18090.00
1973
Change Due: 0.00
THANK YOU
-�� 30 ����
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address:_�5�J�� ��" �Q c�l, parcel#: `G'��I On �(� OO
Subdivision:��Q,�_E'�,�l,,{�ot#:�_ Plan#:�Jti�'`—J Zoning:
�1Q New Construction ❑ Re-Model/Re-Roof/Add tii on ❑ Home Occupation Sign
❑ Plumbing ❑ Mechanical 0 Mobile/Manufactured Hom lacement ❑ Other
Project Description/Scope of Work: � 1 Q
Project Value: ��,�,5(�.-
Building Area (sq. ft) 1'`Floor�D 2nd Floor � t-1� Garage Becfc�
Basement ---- Carport '— a io
.�4�
#Bedrooms� #Bathroomsa� Heating��THER or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? �,)C�
/f yes, a completed environmental checklist must accompany permit application.
BUfLDiNC�OIIVNE�NAM�:
ADDRE S O EMAIL ' ,��
C�N � STATE�_ZIP TELEPHONE � fc-
AFtC�-1kTEC�'�'/EN�tNE�F� LICENSE#
ADDRESS - EMAIL_���a � �� �
C�N_.�i�-4►21 STATE ZIP ► TELEPHO--NE �
GENERpL,�'ONTRACTOf� TELEPHONE 5{� =
ADDRESS EMAIL �M
C�TI' SPrN\� STATE IP FqX Co2�.� $q(c-bfo 6p
CONTRACTOR'S LICENSE# E 2 EXP DATE CITY LICENSE#
2vt
PL�JMBIIV�.��►�yT�4i4�'�'QF� t LEPHONE t-
ADDR SS EMAIL
CITY STAT Z P 0 l FAX �25�, 9 l-4�
CONTRACTOR'S LICENSE# .,EXP DATE CITY LICENSE#
� ao
MECHANICA�C�NTR�i�TOA� • 1c TELEPHONE a6 5 -D
ADDRFSS 0 `� � EMAIL
��n' �c�rriCl. STATE ZIP L FAX ( -
CONTRACTOR'S LICENSE#kLrEl�lP�4�0�1 BT EXP DATE�L CITY UCENSE#
� 'a.'1 201�{
Copy of mitigation agreement with Yelm Commurnty Schools, if applicable.
I hereby certliy that the above InformaUon Is eorrect and that the conatructlon on,and the occupancy and the use of the
above escrlbed property wlll ba In acco►dance wlth the laws,rules and regulatlons of the State of Washington and tha
CI ot Y m.
3 0���
Appl( t's Stgnatur Date
Owner t Contractor/Owne�'s Agent/ ontractor's Agent(Please circle one.)
All permits are non-transferable and will expire if work authorized by such permit is not begun
withtn 180 days of Issuance,or if work Is suspended or abandoned for a perlod of 180 days
�� ��...�� -�+ �
� 105 Yelm Aoense Weat ( 60)45 S
� Ytlm, WA 98597 ( 60)458-3144 FAX
wtvw.ct.yelm.wa.ua ��T,
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s �oa� � COV PATIO F� F N
! �Rtunrs ! I t,. .-
I � '
39 f l4� PROPOSED
t
� 3115 B �EV � � �dCKERY
t�,.
� QIAG 63.41' � ����
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1
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`� � GARAGE I �,� �"' ,�1 ,�/,
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2x cavTpaRC� �_ y
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� �o�uTiLrrY��r °
S ,__._�. . _ . __
w c�2 0{� CONC WALK _
PIANTER� Step Tank Excavation In Violation Of '
) The Required 5' Minimum Set Back To '
!�~�^ � CuRgl�u�rr��t Foundation Shall Be Back Filled With �
�� FI L �. � CDF.
�
, Front Porch Foundation And Step Tank �
� Location Shall Be Staked For Set Back
9 `i,���+; �"--� �2t�d A�/�NU� 5���� �nspection. i
���.� �
3 I �t l 3 i'
,
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��..��`����.��
5" EAVE Ef�CRC1ACHMENT �/�(� � �, �Qj� ONNECT 4" PVC R�OF
QN t�UE5T SIDE OF THfS LOT '': RA1NS 70 ORYWEL�. ;
�.C�T 1CJ� - CHERF�Y � - � ��
PAR�EL #: 41610(�} �09 UQ Clrvner: ���E:g�4�1P.
Gherr Mecadows t�LG
Lot 5fze: Pro�ect AddreS�: 682C1 20th 5t. � �v(te A
5,204 Sq. Ft. 15331 92nd AVEI�U� �E ���--8qba�3oo
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- �rescriptive Energy Code Compliance for Single Family and Duplex Housing: Zone 1
Project Information Contact Information
Plan 3115 Freestone Inc, Fif�`WA 98424
253 896-1300;
Yelm Rick Carlils Celi 253=381=6080'
This set of forms has been developed to assist permit appiicants 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 �z 4 4 6
�o Glazing U-Factor poor 9 2 Vautted Wall Wall• int Wall• ext S Slab
Option Area : Ceiling 3 Above Below Below Floor on
%of Floor 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 I�t� ,1,B R-10 R-30 2,
Adv.
R-49 or R-21 R-21 R-10
O II 25% 0.32 0.50 0.20 R-38 R-38 Int.� TB R-10 R-30 2,
Adv.
R-49 or R-21 R-21 R-10
O III Unlimited 0.30 0.50 0.20 R-38 R-38 Int.� Tg R-10 R-30 2,
Adv.
See WSEC table 6-}forfootnotes
Glazing Schedule Attached to Document
� Does not apply. (SEE INSTRUCTIONS) Usin� Prescriptive Option III.All glazing
and doors meet maximum U-factor. Alternate heating size method submitted.
� Option I or II,Glazing to floor area limit (WSEC 60Z.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 Required
Opt. Opt. Description
1a Hi h Efficienc HVAC Equi ment 1 1.0 O
1 b Hi h E�cienc HVAC E uipment 2
1c Hi h Efficienc NVAC Equipment 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 .��c -�+ �vE�
5a Efficient Wafer Heatin
5b Hi h E�ecienc Water Heatin MAR 41 2013
6 Small Dwellin Unit
7 Lar e Dwellin Unit By.
8 Renewable Electric Ener y
Total Credits 1.00
WSEC Prescriptive Worksheet(2010 edition)Zone 1 WSUEEPIO-010 Copyright 2010
Glazing Schedule
Pro%ect/nformation Contact/nformation
Plan 3115 Freestone Inc, Fife WA 98424
253 896-1300
Yelm Rick Carlile Cell 253-381-6080
Conditioned Floor Area ''3t15 Sum of UA for Heating 5ystem 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 Height Glazing Door poor
ID Descri tion Ref. U-factor Glazed Qt. Feet Inch Feet �"`h Area Area UA
Frnt Fiber lass;l'nsulat�c� .:�� � ��`� � ` :. (��� ���0.�16Q - < � � � t- � '��3 ��_ ������� f. �� � 20.0 � 3.2
�i81�=.;� One Exempt Swinging Door<24 Square�Feet � 1,� = - 2 ; ` ��• � �'� � 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 Heating sysfem size onty(include exempt door) 37.8 3.2
Vertical Glazing (Windows,Glazed doors using Exception 602.6#1)
Plan Component Glazing Width Height Glazing
ID Descri tion Ref. U-factor Qt: Feet '"`h Feet-'"`'' Area UA
L&D 2 GI�Vin t Lov�r'�„ . NERG 0,34Q: Z 5�� ,�� , 50A 17.00
Kit°: Z�GIz Vin ��.t:ow E�,::; . NFRC (�:34f� 1` 6': ��=' �. '� 30.0 10.20
Gr R �GI�1/in I Louu�Su er S ace�SGa .. NFRC 4,33E� 1 6rt;'_ _ $ 48.0 15.84
G�R� 2 Gt�Yin !l�ov�E 'F r . � :,': N��tC a:34Q ��� 2 4.:`° ..e: � >�i a'� � 40.0 � 13.60
Gr R 2�Iz�lin l Lovu�PW :°, : � :,;r; ;.�, (��R� 0.32(1: . - 2 24:;'. °` 3 .. 12A 3.84
�r3<� 2 GI��V�n�;��[�ov�E�,:�.� . . ,. ��; . . � �,,��a�,� N�RC (�:340�,° ���. 1�� 5;� �,°`: ��� ��e � 25�.0 8.50
Br�s����. 2:GI�Vin"I��ow E�'; ��,.q� N�F�C 0:34(� ;':,-� � 4 ��:�,x ���� ��� , 80.0� 27.20
Mbr. 2 Gt��in t`k:t�v�E�; SH , � „ N�f�G. C�:34� 2' . 3 : ��, ��, *.µ, 24.0 8.16
.� ��:
M�r; Z Gt�Vin� [I�ou��,=`�� , ,, .., `, �='��. . ��� N�F�� f}:34Ci���_�� �� 1- ��`� ,r�� � . . �:°'� � �4A � � 1�.36
Loft' 2 GIz Vin !Lov�r�,-. �Fl. NFRC �:340= � 4:" P 5 . . . '� 40.0 13.60
Ent; 2�I�Vin��.Low E:�M ,�� ; N�R� t�:34t�� ��� 1`����, � 2:� :` �, .. "� � 8.8 � 2.98
�r �
�. �, �
�;�
Sum of Area and UA 361.8 122.28
Area Weighted U= UA/Area 0.34
WSEC Prescriptive Worksheet(2010 Edition)
WSUEEPIO-010 Copyright 2010
� O�Derhead Glazing
Plan Component Glazing Width Height
I D Descri tion Ref. U Qt. Feet '"`n 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 �"`n Feet �"`n 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
� � Silnple Heating System Size: Climate Zone 1
Project/nformation Contact lnformation
Plan 3115 Freestone inc
253 896-1300
Yelm Rick Carlile Cell 253-381-6080
Indoor Design Temperature 70
Outdoor Design Temperature 17
Design Temperature Difference (aT)
4T=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 Walis U-Factor X Area = UA
2' Depth Walls 0.042
3.5' Depth Walls 0.041
7' De th Walis 0.037
-1 _—�
Slab Below Grade F-Factor X Len th = UA
2' Depth 0.59
3.5' Depth 0.64 :
�. e�_�_��
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�T
Air Leakage Heat Load 15014 Btu/Hour
((Volume X 0.6)X 0�X.018))
Building Design Heat Load 34619 Btu/Hour
Air Leakage+Envelope Neat 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 1.50
WSEC Prescriptive Worksheet(2010 Edition)
WSUEEPIO-010 Copyright 2010 �
�oF TH��� City of Yelm Permit No.: 20130143
� � 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,4ddress: 15331 92ND AVE SE 109 Owner: FREESTONE INC
Assessor Parcel No.: 41610010900 Subdivision: CHERRY MEADOWS Lot: 109
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:
i
Project: NEW RESIDENTIAL BUILDING
Description of Work: LOT 109, PLAN 3115B
I Sq. Ft. per floor: First 1318 Heat Type(Electric, Gas, Other): GAS
� Second 1796
I 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 i e State of W hington.
O Date:
� Signature Date Z
I Firm e , By:
�
I
i
�
�
i
�
Cit� of Yelm
(36 ) 458-8402
REC#: 00122984 3/20/2013 8:57 AM
OPER: CO TERM: 001
REF#; 1972
TRAN: 33.0000 BUILUING PERMITS
20130143 17,386.61CR
FREESTONE
15331 92ND AVE SE i09
BLG-RES1 17,190.36CR
MECN 78.25CR
PL 118.00CR
TRAN: 33.0000 BUILDING PERMITS
20130144 17,3�6.61CR
FREESTqNE
15345 CALLTE AVE Sk 140
8LD-R�S1 17,190.36CR
MECH 78.25CR
PL 118,OOCR
TRAN: 3�.GOUO BUILDING PERMITS
20130145 16,766,36CR
� FRE�STONE
15417 91ST AVE SE 168
BLD-RES1 16,570.11CR
MECH 78.25CR
,
PL 118.00CR
I TRkN: 33.000� BUILDING PERMITS
20130140 17,38fi.61CR
FREESTONE
15323 KAYLA ST SE 56
j BLD-RES1 17,190.36CR
i MECH 78.25CR
� PL 118.00CR
I
7RAN: �3.0000 BUILDING PERMITS
20130141 17,328.09CR
FREESTONE
15317 KAYLA ST SE 57
BLp-RES1 17,110.84CR
MECH 78.25CR
PL 139.OQCR
TRAN: 33.OUOU BUILQING PERMITS
20130138 16,��02.74CR
' FREESTONE
15431 KAYLA ST SE 46
BLD-RES1 16,506.49CR
ME(;H 78.25CR
� PL 118,OOCR
i TENDEREQ: 102,957,02 CNECK
� APPL.IED: 102,957.02-
�
� CHANGE: ���� 0.00
i
i �
YELM CDMMUNITY SCHOOLS
PO BOX 476
YELM WA 98597
Clerk: Croy
Terminal : ?
Recei pt: 203102
Manual Receipt:
NFRtE�TONE
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 �PF MITIGATION 3015.00
MITIGATION
03-021/LOT 56/15323 KAYLA ST SE;YELM
1 CPF MITIGATION 3015.00
MITIGATION
03-021/LOT 57/15371 KAYLA ST SE;YELM
1 CPF MITIGATION 3015.00
MITIGATION
03-021 LOT 109 153�1 92ND AVE SE•YELM
/ / ,
1 CPF MITIGATION 3015.00
MITIGATION
03-021/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
Check 18090.00
1973
Change Due; 0.00
THANK YOU
.
I
� �
�130 �� �
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
� Project Address: �`'J�J�� ��" A1TC �l. Parcel#: `Cl�I Dn �(� �O
Subdivision: �ot#:�_ Plan#:���5 Zoning:
�1Q New Construction ❑ Re-Model/Re-Roof/Add tii on ❑ Home Occupation Sign
❑ Plumbing ❑ Mechanical ❑ Mobile/Manufactured Hom lacement ❑ Other
Project Description/Scope of Work: � 1 Q
Project value: ��,(�,5f�,"�
Building Area (sq. ft) 1°`Floor 131g 2n0 Floor � `-1� Garage @trtic�_
Basement ---- Carport �� ,_�
�
#Bedrooms� #Bathrooms� Heating��THER or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel7 �)(n
� If yes, a completed environmental checklist must accompany permit application.
'� BUfLDING OWNER:NAM�:
� ADDRE S O EMAIL ' ,��
� C�N..�.� STATE�_ZIP TELEPHONE fo- p
ARCHtTECT/ENGINEEI� LICENSE#
ADDRESS a5 - EMAIL�Q�hA CpMC h
C�TY__Ro,,-h¢-1 STATE ZIP � TELEPHONE
GENERAL CONTRACTOF� TELEPHONE ��
ADDRESS EMAIL �
CITY �P4-MIc STATE IP FAX �o'�F.� $q(o-b(o B'O
CONTRACTOR'S LICENSE# E 2 EXP DATE CITY LICENSE#
2vl
PLUMBING CONTRACTOR e i LEPHONE 1- (
ADDR SS EMAIL
CI7Y STAT Z P 0 l FAX C aS�, `� L-9� _
CONTRACTOR'S LICENSE# SO (�_EXP DATE CITY LICENSE#
' � �O
MECHANICAL CONTRAGTOF� • Ic � TELEPHONE a6 5 -D
ADDRESS �}'103 �I�'� 5� ' EMAIL
CITY Ict�ry�[i,,, STATE ZIP (. FAX C
CONTRACTOR'S LICENSE#kI,TEMF�{�0�1 BT EXP DATE.L CITY LICENSE#
� ',Sl 201�{
Copy of mitigation agreement with Yelm Community Schools, if applicable.
I hereby certffy that the above Informatlon Is correct and that the constructlon on,and the oceupancy and the use ot the
I above esc►Ibed property wlll be In accordance wlth the laws,rules and regulatlons of the SUte of Waahington and the
i Cf of Y m.
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� Appli t's Slgnatur Date
�� Owner/Contractor/Owner's Agent/ ontractor's Agent(Please clrcle one.)
Alf permits are non-transferable and will expire if work authorized by such permit Is not begun
� withtn 180 days of Issuance, or(f work Is suspended or abandoned for a period of 180 days
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(�/ Yelm, WA 98597 ( 60)458-3144 FAR
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—�—�- Step Tank Excavation In Violation Of
PIANTER 6'
=� The Required 5' Minimum Set Back To ;;
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��a- � Foundation Shall Be Back Filled With ,'
CURB/GUTTER+
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Front Porch Founda i
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Locati
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�' EAVE E�JCR(7ACHMENT M/�I� � � 201� ONNECT 4" PVC ROOF
�N WEST SIDE QF THES LOT �': RAINS TQ ORYWEl.I. ;
LQ�` 10� - CHERRY � �=� � � �
PA�GEL #: 41610(} 109 QQ o'"ner: Freestane
Gherr� Meadows L�LG
Lat 5ize: Pro�ject Addre�s: 6820 20th 5t. � Sufte A
�Ife, WA a8424
5,204 Sq. Ft. 15331 92nd AVENUE SE
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�rescriptive Energy Code Compliance for Single Family and Duplex Housing: Zone 1
Project/nformation Contact Information
Plan 3115 Freestone Inc, Fife WA 98424
253 896-1300
Yelm Rick Cariile Cell 253-381-6080
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 Wall12 Wall• int4 Wall• ext4 Slabb
io Glazing U-Factor poor 9 2 Vaulted S
Option Area : Ceiling 3 Above Betow Below Floor on
%of Floor 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 Int.' T'B R-10 R-30 z,
Adv.
R-49 or R-21 R-21 R-10
O II 25% 0.32 0.50 0.20 R-38 R-38 Int.� T'$ R-10 R-30 2,
Adv.
R-49 or R-21 R-21 R-10
O III Unlimited 030 0.50 0.20 R-38 R-38 Int.� Tg R-10 R-30 2,
Adv.
See WSEC tab/e 6-1 for footnotes
Glazing Schedule Attached to Document
� Does not apply. �SEE INSTRUCTIONS) Usin� Prescriptive Option III.All glazing .
and doors meet maximum U-factor. Alternate heating size method submitted.
_
O Option I or II,Glazing to floor area limit (WSEC 602.7.2)
❑ Area weighted window, skylight or daor U-factor(WSEC 602J.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 Totat of 1 Credit Required
Opt. Opt. Description
1a Hi h Efficienc HVAC Equi ment 1 1.0 O
1 b Hi h Efficiency HVAC Equipment 2
1 c Hi h Efficiency HVAC Equipment 3
2 High E�ciency HVAC Distribution S stem
3a Efficient Building Envelope 1
3b Efficient Buildin Envelope 2
3c Super-Efficient Building Envelo e 3
4a Air Leakage Control and Efficient Ventilation
4b Additional Air Leakage Control and Efficient Ventilation �c .�� jVED
5a Efficient Water Heatin
5b High Effiecienc Water Heatin MAR �l � 2013
6 Small Dwellin Unit
7 Lar e Dwellin Unit B :
8 Renewable Elecfrie Ener y
Total Credits 1.00
WSEC Prescriptive Worksheet(2010 edition)Zone 1 WSUEEP10-010 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
Giazing to Fioor Area Ratio 11.61% 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 �nch Feet Inch Area Area UA
Frnt Fiber lass Insulated IECC 0.160 1 3 6 20.0 3.2
Gar One Exempt Swinging Door<24 Square Feet 1 2 6 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 Heating system size only(include exempt door) 37.8 3.2
Vertical Glazing (Windows, Glazed doors using Exception 602.6#1)
Plan Component Glazing Width Height Glazing
ID Description Ref. U-factor Qt. Feet '"`n Feet �"`n Area UA
L&D 2 GIz Vin I Low E NFRC 0.340 2 5 5 50.0 17.00
Kit 2 Glz Vin 1 Low E NFRC 0.340 1 6 5 30.0 10.20
Gr R 2 Glz Vin I Low E Super S acer SGD NFRC 0.330 1 6 8 48A 15.84
Gr R 2 Glz Vin I Low E NFRC 0.340 2 4 5 40.0 13.60
Gr R 2 Glz Vin I Low E PW NFRC 0.320 2 2 3 12.0 3.84
Br3 2 Giz Vin I Low E NFRC 0.340 1 5 5 25A 8.50
Br s 2 Glz Vin I Low E NFRC 0.340 4 5 4 80A 27.20
Mbr 2 Glz Vin I Low E SH NFRC 0.340 2 3 4 24.0 8.16
Mbr 2 Glz Vin I Low E NFRC 0.340 1 2 2 4.0 1.36
Loft 2 Glz Vin I Low E NFRC 0.340 2 4 5 40.0 13.60
Ent 2 Glz Vin I Low E NFRC 0.340 1 2 3 8.8 2.98
Sum of Area and UA 361.8 122.28
Area Weighred U= UA/Area 0.34
WSEC Prescriptive Worksheet(2010 Edition)
WSUEEP10-010 Copyright 2010
_ _
O�Derhead Glazing
Plan Component Glazing Width Height
ID Description Ref. U Qt. Feet �ncn Feet �ncn 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 Inch Feet �"`n Area UA
Sum of Area
Sum of Area X 3(This fotal is automatically 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
. � Si9nple Heating System Size: Climate Zone 1
Project/nformation Contact/nformation
Plan 3115 Freestone Inc
253 896-1300
Yelm Rick Carlile Cell 253-381-6080
Indoor Design Temperature 70
Outdoor Design Temperature 17
Design Temperature Difference (�T)
�T=Indoor-Outdoor Design Temp 53
Conditioned Floor 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
I Floors U-Factor X Area = UA
R-30 0.029 1780 51.6
Below Grade Walis U-Factor X Area = UA
2' Depth Walls 0.042
3.5' Depth Walls 0.041
7' Depth Walls 0.037
Siab Below Grade F-Factor X Len th = UA
_ __ _ _
_ _. _ _ _ _ _
2' Depth 0.59 -
3.5' Depth 0.64
7' Depth 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�T
Air Leakage Heat Load 15014 Btu/Hour
((Volume X 0.6)X�T)X.018))
Building Design Heat Load 34619 Btu/ Hour
Air Leakage+Envelope Heat Loss
Building and Duct Heat Load �1 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 8uilding Heat Loss X 1
Maximum Heat Equipment Output 150% 51928 Btu/Hour
Building and Duct Heat Loss X 1.50
WSEC Prescriptive Worksheet(2010 Edition)
WSUEEPIO-010 Copyright 2010
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Duct Leakage Affidavit
Permit#:__�d_����_
House address cr lot number:�.����__�1y�� �--�,J�_�,�___
City: _�( �✓��_---- Z�p� __�C 0 `��� —
Cond. Floor Area(ft2): �1 �____ Source (circle one): lans> Estimated Measured
❑ Duct tightness testing is not required for this residence per exceptions listed at the end of this document
Air Handler in conditioned space? �yes �no Air Handler present during test? ��yes ❑no
_____..___ .,,,..,
Circle Test Method: Leakage to Outside %� Total Leakage
t
Maximum duct leakage: ' �-°
Post Construction,total duct leakage: (floor area x.08) _____CFM@25 Pa
Post Construction, leakage to outdoors: (floor area x.06) ________CFM@25 Pa
Rough-In,total duct leakage with air handler installed: (floor area x.06) =f��CFM@25 Pa
Rough-In,total duct leakage with air handler not installed: (floor area x.04)_______CFM@25 Pa
Test Result:__�_'�Y ____CFM@25Pa
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Ring (circle one if applicable): Open 1 2 3
Duct Tester Location:_____�_ � i
-- Pressure Tap Location:��_����'__ !�
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I certify that these duct leakage rates are accurate and determined using standard duct testing protocol.
Company Name:_�/�1�� ,�f�� �
�- ------�Technician:__��/_�����-
Technician Signature:___�______ Date:_�� ��Phone Number: �����'�sc
J � �---- ��
Washington State Energy Code reference:
503.10.3 Sealing.All ducts,air handlers,filter boxes,and building cavities used as ducts shall be sealed.Joints and seams shall comply
with Section M1601.3 of the International Residential Code or 603.9 of the lnternationalMechanical Code. Duct tightness testing shall be
conducted to verify that the ducts are sealed.A signed affidavit documenting the test results shall be provided to the jurisdiction having
authority by the testing agent.When required by the building o�cial,the test shall be conducted in the presence of department staff.
Exceptions: 1.Duct tightness test is not required if the air handler and all ducts are located within conditioned space.
2.Duct testing is not required if the furnace is a nondirect vent type combustion appliance installed in an unconditioned space.
A maximum of six feet of connected ductwork in the unconditioned space is allowed.All additional supply and return ducts
shall be within the conditioned space.Ducts outside the conditioned space shall be sealed with a mastic type duct sealant and
insulated on the exterior with R-8 insulation for above grade ducts and R-5 water resistant insulation when within a slab or
earth.
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l�T' ORTHWEST
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In�ulation Ce�tificat�/Blo�er I�oor T��t Forrn .
Batts&Blankefs Thermal Performance(AfticApplicafion)
_When installed in accordance rvith the manufacturer's The sfated fl�ennal resistanceSR-value)zs provided bY insfallin�in accordance with the manufacfurer's
zecommendations,KnaufBatts&blankets wiI1 provide instructions,fhe required number of bags per 1,000 sq.ft.of net area,at not Iess than the Iabeled minimum
the fnll R-value. thickuess.Faihire fo insialI,both the required number of bags&ai least the minimum thickness zvi11 result
� in lower insulati_onR-value. �
�-�� P•V�fuz t�tinimum Thi�knecs R-Valu: Ba�s/I,000 sq.f�. �fa�imum Covera,z i�4ininiu�t Wei�ht Atiilii�wm Thid:,i:ss `
To obtain an Installed insulation Ta obtain en T[�e number of Concents of tlus 6ag The 4VeigbF/SF of Installed insulation
insulatian resistance shou[d not be tess iosulation bags/1,000 SF of'ne should not cover more installed insu[ation shou(d not be less �
R-Value of than; resistance area should not 6e tlian: si�ould not 6e less t6an: tlian: �
-Va(ue}of
� 3�l i) ICi25° �R-GO %��`i ;;.i�Si�' c,;� -�, - '
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_ _ - - - --- --- --- -_ -_ __-__-- - ----
Y-38 �� 12,00" R-49 � 23,5 42.5 SF .75�1bs, 16.375"
R-30 HD 8.25" R-44 � 20.9 47.8 SF .6701bs. 14.875"
R-3u iQ60" R-3a � 17.8 56.2 SF .Se9 ibs 13.GUU"
R26 9.00" R-30 I3.6 733 SF .4371bs 10.375"
R-22 6.50" R-26 11.8 85.0 SF .3771bs
� 9.125"
R-21�ID 5,50" R-22 9.8 102.2 SF .3131bs 7.750"
R-19 6.25""r R-19 8.4 1193 SF .2681bs 6.750"
R-15�-ID 3.50" R-13 5.7 1753 SF .1831bs 4.750"
R.-13 3.50" R-11 4.7 210.8 SF .1521bs 4,000"
R-11 3.50" Bag Weighi-Nomina1301bs,Minimum 291bs.This prodnct conforms to 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 with
''�"R-18 in a 5.5"cavity.Conforms to ASTM C 687&C 518."R"means resisiance to heat flow.The higher the R-value,the greafer the insulation power.To get the
C665&Federal Specificafion HH-1-521F inarked R-value,it is essenfial that fhe insulation be installed properly.Ii you do it yourself,gei instructions&follow them.
To achieve 1abeled R-value,fhis product must be applied with a pneumatic blo�ving machine&a corrugaied hose tivith a minimum.25"intemal corrugation,a minimum length
oi 150$.&a diameier of atTeast 3".Coils in the hose should nof be less than 36"in diameter.Acceptable maferial feed rate is 5-35 Ibs./minute.Recommended feed rate is
15-25 Ibs.lminuies.
�nilders Insulation 5fafemeni, .
Ba�is and/or bla�ilce�s liave been insfalled in conformanee with the above �009��EC lze�sidenfial Enei��v Comnlianee CerfiTieate-Buildin�f�ir L�alcage
secoinulenda�ions to rovide afhermal resisiance of....
R Value Stand�d• '$ �diit `&•TestCo�tdi(TOn: . `Coliiluefits: ' n Y'!:z t�� .
Attic.�e2 R- � P.-49 Dafe: '"�• •
-- ------ _----
Ex�.Wail� � R- 2�- -- R 21 - Time (-�3�----- -I ---
Inter.Walls R- R-I1 Indoor Temp:
Sprinkler Tenfing R- R-8 Oufdoor Temp:
Knee Walls R- R-21KF Floor Area(sq ft)
Completed as of: 7' ��' �3 $uildin�Air `LealzaQ�Ta���et� ��A I,ess 7['han 0 00630
Ias:allers Name Prinf: Tesf�l-Dep�ess._�__Fress Frefesf Baselina Pressure (Pa}
Insiallers Name Sign:
""EI 'Press:� �a' ° ;k�Loi� " ':FanPiess:: a�.F:;�FIoirJ ofr�c
1533I °t Z'''=`� AvE SE . . + �-
Site Address: �
��� q Q�Gy Post Test Pressure: Fan Model/SN: M,F� �,�j
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Results:SLA(Specific Leakage Area): . �y���c�/��G{� -�j.Rg'8�
�3ome Builders Signahire: 'I'est�2-Depress Press Prefest Baseline Pressure (Pa)
Home Builders Address:
a�B $ . IAVV _ s �� •1t�'cfiqz
Insulation Confractor: Insulation Northwest LLC
Posf Test Presstue: Fan ModeUSN;
P.253-846-0121 P.O.Box732069
Results:SLA(Specific Leakage Area):
F.253-846-8096 Puvallup,WA 98373
�davif: T certify fhat fhis Specific Leakage Area is accurate&defennined using Blower poor Tesi Sfandard 502.45 Building Air Leakage Tesfing.
Ter.hnir,ian Name Prinf: �`�� Technician Narne Sien: �
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