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20130183 Permit Pkg 05102013 o City of Yelm Permit No.: 20130183 � Community Development Department Issue Date: 5/10/2013 �" (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: 15432 CHAD DR SE 23 Owner: FREESTONE INC. Assessor Parcel No.: 41610002300 Subdivision: CHERRY MEADOWS Lot: 23 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: 1/24/2011 Project Information: Project: NEW COMMERCIAL BUILDING Description of Work: LOT 23, PLAN 3088A Sq. Ft. per floor: First 1411 Heat Type(Electric, Gas, Other): GAS Second 1677 Third Garage 390 Basement Fees: Item Contractor Fees NEW RESIDENTIAL BUILDING FREESTONE $17,492.54 MECHANICAL KLIEMANN BROS. $ 7g,25 PLUMBING PELTRAM PLUMBING $ 139.00 TOTAL FEES: $17,709.79 ApplicanYs Affidavit: OFFICIAL USE ONLY I certify that I have read and examined the information contained within the application and know the same to be true and corrsct I also certify that the proposed structure is in conformity with all applicable City of #Sets of Prints: Yelm regulations inclu�ing those governing zoning and land subdivision,and in addition,all covenants, easements and restri�tions of rec .-If a lying a contractor, I further certify that I a curr ntly Final Inspection: registered in th �tate of W ton. Signature i.r A� � Date ...� 1 V Date: Firm BY� Cit� of Y�lm (36 ) 458-84U2 REC#: U012�7351 5/10/2013 10:2e Ah1 �P�� C� TERM; �O1 REF#: Z117 TRAN: 33.fJ00G BUTLDING PERMTIS 20130183 17,709.79CR FREES�ONE 15432 CNAQ OR SE 23 Bl.�-RES1 17,452,54CR MECH 78 015Ct7 PL 139.GOCR �I�f�AN: 3;�.Qf)C10 BUILUING NEk7MI1S 2��1�� 1�I,471.23CR FREES�ONC 154�8 CHAD pR �� 4 6LD-RES1 17,253.98CR MECH 78.25CR p� 139,OOCR TRAN: 33,GUOU BUI:LUING PERhi:cl�S 20130185 16,7��.16uR FRf-_E5(ONE 15329 KAYLA ST 5E 55 BI_d�RE51 16,6�1.91CR MECH 78,25GR PL 118.00CR TENDERED: 51,97g, 18 CNECK APF'LIED: 51,979.18- CHkNCE: -- ._._______ �,00 YE'L� COMMuNITY SCHOOLS YELM WA 98597 Glerk; Terminai: ��e'y ReCeipt: 207396 Manual r?eceipt; NrREESTut�t NFREESTONE FREESTONE (.LC 6820 2�TH1ST E SJIfE A FIFE, 4VA 98424 �%1!�%2�i.:i 10;u� AM �'�Y--,_It�m - ____.____.____---- ---- pr�� --_---- 1 �;FF MITIGATIuN MITIGATIUN 3015,00 v3-�21/L01� 23/154:�1 CHAD pR SE;yELM 1 ��FF MITIGpTI�;N MITIGATION 3015.00 �3��211',�r 24/15438 ChAt� DR SE;YELM � '�NF MITIGATIGN hiITIGATIDN 3015.00 d� U21�L�r �5��5329 KAYLA ST SE;YELM �ubtotal; 9045.00 Tax; 1ata1; 0.00 9045.00 ��ck 9045.00 2118 Chang� Due: 0.00 THANK YOU ��i� o i� CITY OF YELM RESIDENTIAL BUILDING PERMIT APPLICATION FORM Project Address: I S�"'i�2. C�.(� �.�,; Parcel#: "C��On Do23 Q O Subdivision: 4 ot#: � Plan#:�8$A 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: � ,— Building Area (sq. ft) 1'�Floor�_ 2nd Floor� Garage �� g�.�_ Basement —' Carport ' �' � � #Bedrooms� #Bathrooms o?.��. Heating:�OTHER or ELECTRiC (Circle One) Are there any environmentally sensitive areas located on the parcel7 �_ If yes, a completed environmental checklist must accompany permit application. BUfLQIN�OW(VEE�,NAME�: ADDRE S O EMAIL � .�Qyy., CITY � STATE�_ZIP TELEPHONE (o- ARC�11'��'l��IC�,��N��I'� UCENSE# ADDRESS - EMAIL�hq (,►q�q b n C�n'�he� STATE ZIP � TELEPHONE G��'��Y��d� TELEPHONE ADDRESS ��-'� CITY `�r11(�I'c STATE �P EMAIL CONTRACTOR'S LICENSE# 2 EXP DA E (CITY LICE SE#�� IK P�UIVIBI(V "'CQNTF�tit�T(�I� e LEPHONE �- ADDR SS EMAIL CITY STAT Z P D 1 FAX �j�ct� CONTRACTOR'S LICENSE#��1�O�L�_EXP DATE�L/ CITY LICENSE# I ap MEC�fiaNICAL:CCiNTFt�1�TOF� • Ic TELEPHONE a6 5 -D ADDRESS 0 `� 5E- � EMAIL CITY IQ.QAry�q„ STATE ZIP = _ _ -/= FqX ( CONTRACTOR'S LICENSE#�,t,rEPAP��p 1 R'r EXP DATE� CITY LICENSE# Copy of mitigation agreement with Yelm Commurnty c�ls if applicable. I hereby certlty that the above Informatlon Is correct and that the constructlon on,and the occupancy and the usa of th• abov scrlbed property wlll bs In accordanca wlth the laws,rules and regulatlons of the Stats of Washington and th• CI f Im. Applicant's Slgnatur °zrO Owner/Contractor/Owner's Agent/ ontractor's Agent(Please circ�le one.) All permits are non-transferable and will expire if work authorized by such permlt is not begun within 180 days of Issuance, or if work Is suspended or abandoned for a perlod of 180 days �� C��VELI �d' 105 Yelm Auenue Weat AP� 2 9 2013 Yelm, WA 98597 (360) 68-3835 www.ci.yelm.wa.ua (360) �;44FAX 52.00 � LO 23 24 $ N A O N N �W SCALE:1"=20' " � — �o cY� ROOF N �� DRYWELLJ DRAIN� REAR SETBACK � � 16.5 x 12 I � I _ J COV PATIO � " — — -� � I 40'O.A. � � 3240 B REV i � DIAG 60.96' � � � � � � I � � � � � � o � � � ��-0• 4�� 5•-0• I � I y W 2 CAR � GARAGE 10'MIN. �� I SEPARATION I OR SLEEVE I, B c.o. WATER LINE 20, � I COV. — — — — � I I � PORCH W INDICATES 1'x 10' N CONC. ADDITIONAL \r-S,EP, DRIVE NN u-nu-rY � �v a,_2. c3"a•_�-� EASEMENT � I — �N LYING 5'ON � EITHER SIDE OF 10'UTIL ESMT � �� THE COMMON � ��.� LOT ��e�\\ C=2 .21 � ��`d.�;:.��,�;.' . W 20.00' S -m.�l. St � / .� ,� =8.96 —�- _.. .__..__ o _�_T. _,�l�.. _._.n.._._._ APPROXIMATE LQCATION OF STREET TREE 5' EAVE �-i ' � �„ GHAD DRIVE 5E ENCROACHMENT ON WEST —�—– SIDE OF THIS LOT ONLY �'� `� CONNECT 4" PVC ROOF STEP TANK EXCAVATION IN VIOLATION DRAINS TO DRYWELL OF THE REQUIRED 5'MINIMUM SET BACK FRONT PORCH FOUNDATION AND STEP TO FOUNDATION SHALL BE BACKED TANK LOCATION SI- OUT FILLED WITH CDF. FOR SET �,III S�g;�']�] LOT 24 - CHERRY MEADO SAPR 29 �013 PARCEL #: 416100 024 00 owne�: gyFreestone Gherru eadows LLG Lot Size: Pro�ect Address: 6820 20th St. E Suite A 5,999 Sq. Ft. 15438 CHAD DRIVE SE �ife, WA a8424 253-Sqb-1300 �.;; ��'�,�� ,' r PreScriptive Energy Code Compliance for Single Family and Duplex Housing: Zone 1 Project Mformation Contact/nformation Freestane Plan �088` Freestane Cam anies Yelm �82C120th St. E. Fife WA, 9842�; �53$96-�13QQ Rick�arlile Ce11#25�38�1-60�0 This sef of forms has been developed to assist permit applicants documenting compliance with the Washington State Energy Code, (2009 edition),This set is for structuresbuilt under the 1RC andJocated in Climate Zone 1: The foliowing forms provide much of the required documentation for plan review. The details noted here must aiso be shown on the drawings (WSEC 104.2). This form is not a substitute for tMe energy code itself. To obtain a copy of the energy code, go to the following web address. http;//www.energy.wsu.edu/code Glazing iz a a 6 �o Glazing U-Factor poor 9 Vaulted Wall Wall• int Wall• e�ct Slab Option Area : CeilingZ . . 3 Above Below Below Floors on %of Floor Vertical Overhead'� U-Factor Ceihng Grade Grade Grade Grade R-49 or R-21 R-21 R-10 OO I 13% 0.34 0.50 0.20 R-38 R-38 Int.� TB R-10 R-30 2, Adv. R-49 or R-21 R-21 R-10 O II 25% -0.32 0.50 0.20 R-38 R-38 Int.� Z'$ R-1D 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 Int.� TB R-10 R-30 2, Aa�. See WSEC tab/e 6-1 forfootnotes Glazing Schedule Attached to bocument � Does not apply. (SEE INSTRUCTIONS) Using Prescriptive Option III.All glazing I and doors meet maximum U-factor. Alternate heating size method submitted. � i 0 Option l orJl,Glazing to floar area limit (WSEG 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 Re4uired Opt. Opt. Description 1a High Efficienc HVAC Equi ment 1 1.0 � 1b High Efficienc HVAC Equipment2 1c High Efficiency HVAC Equipment 3 2 High Efficiency HVAC Distribution System 3a Efficient Buildin Envelope 1 3b Efficient Building Envelope 2 3c Super-Efficient Building Envelo e 3 4a Air Leakage Control and Efficienf Ventilation --_______.,., 4b Additional Air Leakage Control and Efficient Ventilation ��,,TEj� 5a Efficient Water Heatin APR 2 9 2��3 5b High Effieciency Water Heating 6 Small pwelling Unit 7 Large Dwelling Unit BY: 8 Renewable Electric Energy '`1200 kwh Total£redits 1.00 WSEC Prescriptive Worksheet(2010 edition)Zone 1 WSUEEPIO-010 Copyright 2010 Glazing Schedule Project Information Contact/nformation Freestone Plan 3088 Freestone Companies Yelm 6820 20th St. E. Fife WA. 98424, 253 896-1300 Rick Carlile Cell#253 381-6080 Conditioned Floor Area 3q88 Sum of UA for Heating System Sizing 134:4 Sum ofAli GlazingAreas From Below 388 Glazing to Floor Area Ratio 92.57% 602.7.2 Exception Ratia(not to exceed 1%)� Exterior poors Plan Component Door Percent Width Height Glazing Door poor ID Descri tion Ref. U-factor Glazed Qt. Feet '"`'' Feet �"`n Area Area UA Frnt Fib�� lass insulafed I�GC � �1.160 �, �� 1, i 3 �� 6 �� 20.�0 3.2 Bk Fiber lass'°Insulated IECC � 0.340 : 100°ln 1 2 °6 17.8 17.8 6.0 � i � 1.�}�l One Exempt Swinging Door<24 Square Feet '� 2 . �} ' 17.$ Sum of Glazing Area, Door Area, and UA (do not include exempt door) 17.8 37.8 9.2 Area Weighfed U= UA/Area 0.24 Sum of Area and UA for Heating system size only(include exempt door) 17.8 55.6 9;2 Vertical Glazing(Windows, Glazed doors using Exception 602.6#1) Plan Component Glazing Width Height Glazing 1D Description Ref. U-factor Qt. Feet '"`n Feet �"`n Area UA Ent 2�Iz�/'[n I Low E-PW NFRG 0.32Q ; 1 4 � 4.4 1.41 Ent 2 Glz Vin'I:`�:�v�`E.PW NFR� 4.320 1 1 5� 5.0 1.60 F&N 2 GIi.Uin I l�€�w E; N�RC (3.340 ` 2 � � 66.0 22.44 D&a 2 Glz�n I Lc�w E NFRC 0.340 2 5 ' 5 50 0 17.00 Ki# 2 Glz Vin �L,ow E NFRC 0.340 1 4 4 - 18.0 6.12 Liu 2 Glz 1/in L�ow� NFRC Q.340 't 6 5 . 30.0 10.20 Fam 2 Giz Uin I.Law� PW NFRC 4.320 2 2 Z 12.5 4.00 Br3 2 Glz 1/in I Low E �IFRC (�.340 1 8 4 36.0 12.24 B&L 2 Gtz llin I l.c�w� NFRC 4.340 ' 3 5 4 60.0 20.40 Mbr 2 G(z U�n I,Law E ,3 . ' NFR� 0.3�0 ' 1 6 4 24A 8.16 Mba 2 G(z Win I Cow E« NFRC a.�4� 1 4 4 16A 5.44 Br2 �Gt�1('tn I �:civt�E NFRC �.340 1 3 5 15.0 5.10 Br2 2 Gtz Vin I Lo�i E: ! ` NFRC Q.340 1 5 3 15.0 5.10 Br2 2 Glz Uin I�L:ow E PW ' NFRC 0.320 ; 1 2 3 6.0 1.92 Mbr 2 GI�lfin .f'Law E PW ' ' NFRC 0.320 2 2 2 12.5 4.00 Sum af Area and UA 370.4 125.13 Area Weighted U= UA/Area 0.34 WSEC Prescriptive Worksheet(2010 Edition) WSUEEP10-010 Copyright 2010 Overhead Glazing �Plan Component Glazing Width Height 1 D Description 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 �"`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 On1y=Area X 0.63 WSEC Prescriptive Worksheet(2010 Edition) WSUEEP10-010 Copyright 2010 , Simple Heating System Size: Climate Zone 1 Project lnformation Contact Information Freestone Plan 3088 Freestone Companies Yelm 6820 20th St. E. Fife WA. 98424, 253 896-1300 Rick Carlile Cell#253 381-6080 Indoor Design Temperature 70 Outdoor Design Temperature 17 Design Temperature Difference (oT) �T=Indoor-Outdoor Design Temp 53 Conditioned Floor Area 3088 Conditioned Volume 26115 Glazing Copy Sum of UA from Glazing Schedule 134 Attic U-Factor X Area = UA R-49 0.027 1677 45.3 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 2454 137.4 Floors U-Factor X Area = UA R-30 0.029 1762 51.1 Below Grade Walls U-Factor X Area = UA 2' Depth Wails D.042 3.5' Depth Walis 0.041 7'Depth Walls 0:037 Slab Below Grade F-Factor X ien th = UA 2' Depth 0.59 3.5' Depth 0.64 7' Depth 0.57 Slab on Grade F-Factor X �en th = UA R-10 2' perimeter 0.54 R-10 Full - Heated 0,55 Sum of UA 368 Envelope Heat Load 19513 Btu/Hour Sum of UA X 4T Air Leakage Heat toad 14948 Btu/Hour ((Volume X 0.6)X 4T)X.018)) Building Design Heatioad 34462 Btu/Hour Air Leakage+Envelope Heat Loss Building and Duct Heatioad 1.15 39631 Btu/Hour If ducts are located in unconditioned space:Sum of Builtling Heat Loss X 1.15 If ducts areJocated in conditioned space:Sum ofBuilding Heatloss X 1 Maximum Heat Equipment 0utput 150%0 59446 Btu/Hour Building and Duct Heat Loss X 1.50 WSEC Prescriptive Worksheet(2010 Edition) WSUEEPIO-010 Copyright 2010 U M � � � Q O � 0p N �'_ � �-.� M N L � N (6 � � Q � � � � � ` �t � O � � � U Q- � '� � �•U N N � � L O � � � � � � U O >+ � � � � � -� N q p Z � o .>_ � � � � v � � rn �v � � � a� ,c � � � � � � � �3 cmU � O .a � � � O � � � �� o 4� p�j � c p � � q � � � ' �v � � cB -I\), � � � � +� N .� •� N � Q � > � � �'- � L i �� cw W U �-- � '� (A 0 ca �, � •� � U � w N � �� Q Z � 2 � � v � O 2 � � I— Q M W � o .� U �jOo � °r° �Q � � cn � cN WQoLLI ° ao p c� N � � � � CO LL N M Q � � U Z J U � L i J --� N � � Q (� � M '� � N � � � � Z O -p 0 . . �� G � N N � J � � ta ` � � -� N N C `� � �� Q Z � a Q O O , iri U � a� � Q � Y = �, �r � � � L L � L � � 3 '�ri � C C � � � V -� �Q�� m � � m � � Q � Q (� m i� I � . . ,�. .. ._._...._.... . . . .. . . . . .... . . . .. .. . . � 20/3� ld�� . � � � � � � � � N t� f� T 1-� \/\/ � "' �' �o��Q� In�ulation Certificate/Blower poor Test Form B atts&Blankets Thermal Perfomiance(Attic Application) When installed in accordance with the manufach�rei's The stated tliemial resistance(R-value)is provided by installing in accordance�vith the manufacturer's recommendations,Knauf batts&blankets will provide instructions,the required muuber of Uabs per 1,000 sq.ft.of net area,at not less than the Iabeled minimum the full R-value.. . .. ..... .. . -.... tIiickness.Failure to install both the required number of bags&at least the minimum tUiclmess will result . _n lower insulation R-value. !i-�/�l��: � �l�inieo��m�hic9:ness R-Valne_ Bagsl9,00(i s .fi. l�la�imoru�Co��raee �J�nim►avn�'�'ei�bl �flinimu�n 7hicf:o�ss To ob9ain an Inslalled insulation To obtain an "Ihe number of Contents ofihis baa ?he WeighUSF of ]nstalled insulation 11iSiil�iiGii;�sistanc� should not be l�ss insulalion bas;1,000 SF of ne should not cover more installed insulation shadd not be less R-Valoe of; ihan: resistance area should not be ihan: should not be less than: than: (R-Value of R-38 HD 1025" R-60 ?9.7 33.6 ST 9521bs. 19.750" - --- - ------- ------- ---- ----- - ----- R-3S 12.00" R-49 23.5 42.5 SP .7531bs. 16375" 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 .569 Ibs 13.000" R26 9.00" R-30 13.6 73.3 Sr .4371bs 10.375" 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 SP 313 lbs 7.750" R-19 6.25"'� R-19 8.4 119.3 SP' .2681Us 6.750" R-15 HD 3.50" R-13 5.7 1753 SF .1831bs 4.750" R-13 3.50" R-11 4.7 210.8 SI' .1521bs 4.000" R-11 3.50" Bag Wei�ht-Nominal 301bs,Minimum 291bs.This proditct 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 witlt `*R-18 in a 5.5"ca�iry.Confonns to ASTM C 687&C 518."R"means resistauce to heat flo4v.The higher the R-value,the greater the insulation power.To get the C665&Federal Specification HH-1-521P marked R-value,it is essential tl�at the insulation be installed properly.ff you do it yourself,get instnictions&follow them. To achieve labeled R-value,this product umst Ue applied with a pneumatic blowing machine&a cornigated hose with a minimum.25"inteinal cornigation,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.hninute.Recommended feed rate is 15-251bs.hninutes. Buildeas Insulation Statement. B atts aud/or bla�lkets have been installed in conforniance with ihe abot�e 2009�'SEC I2esidential�ner�v Compliance Cer�ificafe-Buildin Air Lealcage reconuneudationsto �rovideatliennatresistauceo£... R-Va Standard B uildin;&Test Conditionn Comments: Attic Area R- R-49 Date: (O- Sloped Ceiling R- R-33 Time (�j,(�O Walls R- R-21 � IndoorTem}�: '[� Floors(over ut�lieated crawl space) R- R-30 Outdoor Temp: I'loor Area(sq ft) Completed as of: � •� _ Btiildine Air Lealca2e Tar�et: SLA Less'i'han 0.00030 Installers Name Print: �� Pretest Base]ine Pressure (Pa) Installers Name Sign: Blda Piess.(Pa Flow Ring Fan Ptess_(Pa) F7o�v cfin} SiteAddress:_ lS�¢Z3 � A�v�s� � s - o �/El� Post Test Pressure: Pan Model/SN: �,�#3 _� Results:SLA(Specific Leakage Area): � ��/3.S Z( 1�C.N Home Builders Signature: Test#2-Depress Press Pretest Baseline Pressure (Pa) Home Builders Address: Bld�Press.(Pa Flow Rin Fan Ptess.(Pa Flow(ofm Insulation Contractor: Insulation Northwest LLC Post Test Pressure: Fau Model/SN: P.253-840'-0121 P.O.Box 732069 Results:SLA(Specific Lealcage Area): F.253-846-8096 Puyailuu.WA.98373 Affidavit: i certify that this Specific Leakase Area is accurate&determined using Blower poor Test Staudard 502.4.5 Building Air Leakage Testing. Tonl,+..n��.�TT.,.,..o n.:..F. ��•I� m . ,.'v.':,,.,,_rr____n:_._. Oc t. 72. 2013 14:30AM K 1 i eman n $r o s NVAC No. 2865- P. 1 . � : � <. � � /uv / O��C� �10 V� Y�. � C�''�C�--3 r; � � ; ,+ @ �' .. II v Duct Leakage Affidavlt(�te�v Gonstructlon) Permit�: House��ddress or(ot number: ��'I� � .,�,��(� �,�Y: _ ��l�. � z,P: 9��z `� . �� ` Cond.F(oor Arva(it�: .7✓C1 ` Source(ofrcle ono): an �stfmatec! Measured' � � ! ❑Duct�$htness festing ls not requtred.'�i�e tol'�1 leekage teet is not requlred fnr ducts�nd air hand(crs locafed entlrety�wifhln the buftding thermal envelape. bucts located in craw!speces do not qusllfy for thls�cepflon. Alr Hendler�n condiiianed a�p�ce?Q yes[�he Air Handler present duNng tesi?(�yes Q no ClrCle Tost Methad: Leakage to Outsfde e � Maximu'm duct leakage: Poat Canett'uctlon,�otal duot leak�qe;(floor ar'e�x.Oa)= CFM�25 Pe Pbst Co�st►'u�1tl�ny le�k�►,ge to outdoors: (floor erea X,04)� C�M(3�2b Pa Rough-�n,total duct leakage wfth air hand)er ins�Callvc�: (floor aroa x.04)= f�CFM(�25!?a Rough-In,total du�t leaka�e w�th air hatedte'r not fh�talled:(floor aree�x.03)= C�M(�25 P� Tas�Re_.uit: C�M(�?.SP� Rin�(Clrcle d�g 1f�pplicable): Opee 9 �� g Duct Tester�ocatlon:��/� Pressuro T2�p Loaatioh: �Y�CS�f� c��j�� 1 certify'�hat these duct ieakage ra4es arg t��cqrPtte and c�etermined ucr�g st.ar�ds�rd c�ue:t testing protocol, Corr�pany Nam9; I..�<<��✓1'1Gi't��S �'echtllClan:��Q��-,S TeChntClan Si�natute; J �s(��i� ' i7ata: ��. /�_ Phone Nu,mb�er; �,�� Z000/Z000 �j SMOQ��t 1i2I2i�H� �NO,LS��2i3 fiL0T8�i�09£ X�,3 �dT��Zi CTOZ/ZZ/Oi