20130149 Permit Pkg 04022013 �oF TN��� City of Yelm Permit No.: 20130149
� �, Community Development Department Issue Date: 4/02/2013
�
(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: 15375 CALLIE AVE SE 135 Owner: FREESTONE INC
Assessor Parcel No.: 41610013500 Subdivision: CHERRY MEADOWS Lot: 135
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 RESIDENTIAL BUILDING
Description of Work: LOT 135, PLAN 3115A
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
ApplicanYs Affidavit: OFFICIAL USE ONLY
1 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 an�!restrictions of FeEord. If�pplyin as a cont or, I further certify that I am currently Final Inspection:
registered in� ate of ' gton. fi`
�f� Date:
Signature `�' ��wG Date , (,�vZ. /
.
Firm By�
I
VELM GOMMiJNITY SCHOOLS
PO BOX 476
YELM WA 98597
C..lerk: �r•�y
Ter�rinal ; 1
Receipt: 204080
Manual Receipt:
NFREEST��iVE
NFREES70NE
FREESTONE, LLG
6820 20TH ST E SUITE A
FIFE, W,4 98424
4/2I201;� 3:3U PM
i�ty__�ltem_�_--,.._____._.__ Price
1 CPF MITIUATII�N 3015.00
MITIGATION
03-021 J LOT 135 /15375 COLLIE AVE; YELM
1 ��PF MITIG.ATIGN 3015.00
MITIGATION
03-021 / LQT 155 / 15435 91ST AVE SE; YE
Subtotal: 6030.00
Tax: 0.00
Tatal ; 6030,00
Cn�ck 6030,00
19�5
Change Due; 0.00
THANK VOU
Cit� o� Y�lm
(36 } 4�g_g�p�
RFC#: ()t�123565 4/02/1(11;3 :3��Q I'hi
UF�FR: Cl� 1�EFdM; U01
REF#: 19��
T�tAN: 33.Q0(iQ BUTLGI�Ni.�; PERMI�CS
?.(l 13U 149 17,;�86.61 CR
FRk�ES��ONF
15375 (sALI.IE AV� St 135
HLU--�F�;1 17,19t).36CR
MEL'H 7D.25CR
p� 118.00CR
�(�AN; ;3�i3OC�(J(7 �U1"I_D;ING i�EF'MITS
2013U 14£i l I,�6fi.13Cf�
F�RE�EST�CJN�
75��5 �1S�f AVE SE 165
�I U-KES1 11,269.88[�R
ME�;FI 7�,25CR
�� 118,D(lCR
TFNi)�REp: iA,851.7� CHECK
A�'PI_iED: 3�,852.74—
__.____.._�_..__.__._
CHANGE�: (7.00
1
\
zo����t
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: IS�J�� c�-� Parcet#: `c��I w �� Q O
/
Subdivision: �ot#: Plan#: � � Zoning:
�2Q New Construction ❑ Re-Model/Re-Roof/Addition ❑ Home Occupation Sign
❑ Plumbing ❑ Mechanical ❑ Mobile/Manufactured Hom lacement ❑ Other
Project Description/Scope of Work: � � Q�
Project Value: �o��J Cj��
Building Area (sq. ft) 1"Floor ��J�U 2"d Ffoor� Garage � [�3ec�c �a�
Basement Carport �a1�
#Bedrooms'? #Bathroomso?��� Heatin • AS/ THER or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? �Jo
H yes, a completed environmental checklist must accompany permit application.
BUILDING`OWNER NAM�:
ADDRE S O EMAIL ' .��
C�N�._ STATEJ�_ZIP TELEPHONE fo- p
ARCHITECT/ENGINEEF� LICENSE#
ADDRESS a5 - EMAIL�q�r- Cp�„q� n
C�TI' �t�-he1 STATE ZIP ► TELEPHONE
GEIVERAL CONTRACTOf� TELEPHONE SRtrc�
ADDRESS EMAIL �`-v1q
CITY SPrtYUc STATE IP F,qx �02�� gq(o-bfo gp
CONTRACTOR'S LICENSE# 2 EXP DATE CITY LICENSE#
�vl�l
v
PL4IMBING GC7NTRAGTCf1� e LEPHONE 1-
ADDR SS EMAIL
CITY STAT Z 0 ( FAX �25�, 9 L-9�
CONTRACTOR'S LICENSE# EXP DATE CITY LICENSE#
� ao
MECHaNICA�CONTFL4�Tt�� • It � TELEPHONE ab 5 -D
ADDR�SS �'!03 111�`� SE- � EMAIL
CITY Ict.Q.pry�CL, STATE ZIP _ -l— FAX
CONTRACTOR'S LICENSE#kl,TE�+lP�4�02]BT EXP DATE�L CITY LICENSE#
� '�.'7 201�{
Copy of mitigation agreement with Yelm Community Schools, if applicable.
I hereby certlfy that ths above InformaUon Is correet and that the construeUon on,and tha oeeupancy and the usa of tha
above sc►Ibad property w111 be In accordanca wlth the laws,rules and regulatlons of ths Stata ot Washington and th•
CI f Y Im.
3 !� 1
Applic Ys Slgnatur Date
Owner/Contractor/Owner's Agent/ ontractor's Agent(Please clrcle one.)
All permlts are non-transferable and will expire if work authorized by such perm(t is not begun
withtn 180 days of Issuance, or If work is suspended or abandoned for a perlod of 180 days
RECEIVED
`l�( MAR 1 S 2013
` � 105 Yelm Auenut Wtat
(36 3835
� Yelm, WA 98597 (36
www.ct.yelm.wa.w
� 19' --- 18' 2' 6.5'
52.00
i�a i�s �
�0 CY �
DRVWEIL �
L
jn I in
N N
I 18 x 72
� I COV PATIO
I I I N
ROOF
DRAINS —I — —
39'
� I Front Porch Foundation And Step Tank
� 3115 A REV � Location Shall Be Staked For Set Back
I DIAG 63.41' � Inspection.
(4 BDRM) I
�
� I
6.5' I � 39' I 6.5'
� I I �
I � I Step Tank Excavation In Violation Of
� The Required 5' Minimum Set Back To
� � 2CAR i °' Foundation Shall Be Back Filled With
I GARAGE
CDF.
I � �
8" '-10"
w
COV.PORCH �T I ! v
22' in
I — — � � M
m
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CONC. 5,5„ ',_�„ i g,
� DRNE
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rn � EP�-,'` v
� in NK�p � N
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10'�ILITY ESMT o0
' I � \
S
W SZ.00 CONC WALK
��1 �
� � �� PLANTER 6'
O APPROX�MATE
LOCATION OF
STREET TREE
CURBIGUTTER
ro
" �� 2 ;� -- R�C'1���;� -
� .._ __
�� __�.,. -.—^"' MQR 2 � 2��3 j SCALE:1"=10'
BY; I
� GALLIE AVENU� SE -_-
5'EAVE ENCROACHMENT CONNECT 4"PVC ROOF
ON WEST SIDE OF THIS LOT DRAINS TO DRYWELL
LOT 135 - CHERRY MEADOWS
PARCEL#: 416100 135 00 o"'"ef Freestone LLG
Lot Size: Project Address: 6820 20th St.E Sulte A
Fife,WA 98424
5,200 Sq. Ft. 15375 CALLIE AVENUE SE 253-896-1300
F'rescriptive Energy Code Compliance for Single Family and Duplex Housing: Zone 1
P�oject lnformation Contact Information
F�ian 3115 Freestone Inc, Fife WA 98424
253 896-1300
Yelm Rick Carlile 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 Ciimate 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 9 Wa1112 Wall• int4 Wall• ext° Slabb
�o Glazing U-Factor poor 2 Vau(ted 5
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 Int.� 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 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.� TB R-10 R-30 2,
aa�.
See WSEC table 6-1 forfootnotes
Glazing Schedule Attached to Document
�
� Does not apply. (SEE INSTRUCTIONSj Usin� Prescriptive Optian III.All glazing
and doors meet maximum U-factor.Alternate heating size method submitted.
� Option l or►I,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 calculation (IRC M1401.3 &WSEC 503.2.2)
Radiant slab:
_ . __ _
Q 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 Efficiency HVAC Equipment 1 1.0 O
1b High Efficiency HVAC Equipment2
1c High Efficiency HVAC Equipment 3
2 High Efficiency HVAC Distribution System
3a Efficient Building 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
5a Efficient Water Heating � -�i C��'�j���
5b High Effieciency Water Heating
6 Small Dwelling Unit MAR � � 2��3
7 Large Dwelling Unit
8 Renewable Electric Energy *1200 kwh
Total Credits --'-`_—` 1.00
WSEC Prescriptive Worksheet(2010 edition)Zone 1 WSUEEP10-010 Copyright 2010
_ _ _
_
__ . _
Gl�zing 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 425.5
Sum of Afl Glazing Areas From Below 362
Glazing to Floor AreaRatio 11.61% 602.7.2 Exception Ratio(not to exceed 1°/a)�
Exterior poors
Plan Component Door Percent Width Height Glazing Door poor
ID Description Ref. U-factor Glazed Qt. Feet Inch Feet �"°n Area Area UA
Fmt Fiberglass Insulated IECC 0.160 1 3 6 20.0 3.2
Gar One Exempt Swinging Door<24 Square Feet 1 2 8 6 17.8
Sum of Glazing Area, DoorArea, 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 Glz Vin I Low E NFRC 0.340 2 5 5 50.0 47.00
Kit 2 Glz Vin I Low E NFRC 0.340 1 6 5 30.0 10.20
Gr R 2 Glz Vin I Low E Super Spacer SGD NFRC 0.330 1 6 8 48.0 15.84
Gr R 2 Glz Vin I Low E NFRC 0.340 2 4 5 40,0 13.60
Gr R 2 Glz Vinyl Low E PW NFRC 0.320 2 2 3 12A 3.84
Br3 2 Glz Vinyl Low E NFRC 0.340 1 5 5 25.0 8.50
Br s 2 Glz Vin I Low E NFRC 0.340 4 5 4 80.0 27.20
Mbr 2 Glz Vinyl Low E SH NFRC 0.340 2 3 4 24.0 8.16
Mbr 2 GIz Vin I Low E NFRC 0.340 1 2 2 4.0 1.36
Loft 2 Glz Vinyl Low E NFRC 0.340 2 4 5 40.0 13.60
Ent 2 Glz Vinyl Low E NFRC 0.340 1 2 6 3 8.8 2.98
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
Ov�rhead Glazing :
Plan Component Glazing Width Height
ID Description 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 Description Qt. Feet '�`n Feet '"`h Area UA
Sum of Area
Sum of Area X 3(This fotal is automatically included in the glazing area tofaL)
Glazing UA for Heating System Size On1y=Area X 0.63
WSEC Prescriptive Worksheet(2010 Edition)
WSUEEP10-010 Copyright 2010
Sim�le Heating System Size: Climate Zone 1
, 'Project Information Contact Information
Plan 3115 Freestone Inc
253 896-1300
Yelm Rick Carlile Cell 253-381-6080
Indoor Design Temperature 70
Outdoor Design Temperature 17
_
_ ____ _ _.
Design TemperatureDifference (oT)
_ _ _ __
4T=Indoor--0utdoor 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
Floors U-Factor X Area = UA
R-30 0.029 1780 51.6
Below Grade Walls U-Factor X Area = UA
2' Depth Walls 0.042
3.5' Depth Walls 0.041
7'bepth Walls 0.037
Slab 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 Length = 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 0.6)X OT)X_018))
Building Design HeatLoad 34619 Btul Hour
Air Leakage+Envelope Heaf Loss
Building and Duct Heat Load �1 34619 Btu/Nour
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
Pre�criptive Energy Code Compliance for Single Family and Duplex Housing: Zone 1
Projecf Information Contacf Information
Plan 3115 Freestone Inc, Fife WA 98424
253 896-1300
Yelm Rick Carlile 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 �z a a 6
lo Glazing U-Factor poor 9 Vaulted Wall Wall• int Wall• ext Slab
Option Area : Ceiling2 3 Above Below Below FloorS on
%of Floor Vertical Overhead" U-Factor Cei(ing Grade Grade Grade Grade
R-49 or R-21 R-21 R-10
OO I 13% 034 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.' 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.� TB R-IO R-30 2,
Adv.
See WSEC table 6-f 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.
0 Option I or II,Glazing to floor area limit (WSEC 60Z.7.2)
O Area weighted window,skylight or doar 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 Reduired :
Opt. Opt. Description
1a Hi h Efficienc HVAC Equipment 1 1.0 O
1b Hi h Efficiency HVAC Equipment 2
1c High Efficienc HVAC Equipment 3
2 Hi h Efficienc HVAC Distribution S stem
3a Efficient Buildin Envelope 1
3b Efficient Building Envelope 2
3c Super-Efficient Buifdin Envelo e 3
4a Air Leaka e Control and Efficient Ventilation
4b Additional Air Leakage Control and Efficient Ventilation
5a Efficient Water Heatin �C�IVED
5b Hi h Effieciency Water Heatin
6 Small Dwellin Unit MAR 13 2013
7 Large Dwellin Unit
8 Renewable Electric Ener �"4?�00 kwh
Total Credits 1.00
WSEC Prescriptive Worksheet(2010 edition)Zone 1 WSUEEPIO-010 Copyright 2010
Glaiing 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 Height Glazing Door poor
ID Descri tion Ref. U-factor G►azed Qt. Feet Inch Feet �"°n Area Area UA
Fmt Fiber lass Insulated IECC 0.160 1 3 6 20.0 3.2
G2f 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
Vertical Glazing (Windows, Glazed doors using Exception 602.6#1)
Plan Component Glazing Width Height Glazing
ID Descri tion Ref. U-factor Qt. Feet �nch Feet '"`n Area UA
L&D 2 Glz Vin I Low E NFRC 0.340 2 5 5 50.0 17.00
Kit 2 Glz Vin I Low E NFRC 0.340 1 6 5 30.0 10.20
Gr R 2 Glz Vin I l.ow E Su er S acer SGD NFRC 0.330 1 6 8 48.0 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 Glz Vin I Low E NFRC 0.340 1 5 5 25.0 8.50
Br s 2 Glz Vin I Low E NFRC 0.340 4 5 4 80.0 27.20
Mbr 2 Glz Vin I Low E SH NFRC 0.340 2 3 4 24.0 8.16
Mbr Z 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 Weighted U= UA/Area 0.34
WSEC Prescriptive Worksheet(2010 Edition)
WSUEEPIO-010 Copyright 2010
Over�tead Glazing
� Plan Component Glazing Width Height
ID Description Ref. U Qt. Feet Inch Feet '"`n Area UA
Sum of Area and UA
Area Weighted U= UA/Area
Doube Glazed Garden Windows Section 602.7.2 Exception
Pian Component Width Height
ID Description Qt. Feet Inch Feet �"`h Area UA
Sum of Area
Sum of Area X 3(This total is automaticalty included in fhe glazing area tofal.)
Glazing UA for Heating System Size Only=Area X Q 63
WSEC Prescriptive Worksheet(2010 Edition)
WSUEEPIO-010 Copyright 2010
I
Sim�e Heating System Size: Climate Zone 1
' Project Information Contect/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 (oT)
�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
Floors U-Factor X Area = UA
R-30 0.029 1780 51.6
Below Grade Walis U-Factor X Area = UA
2' Depth Walis 0.042 :
__ _ .
3.5' Depth Walls 0.041
7' Depth Walis 0.037
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�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 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
OS/05/201� 2:49 PM FA% �604581074 FREESTONE CHERRY MEADOFVS C� 0�01/0002 �
Aug. 5. 2013 12:46PM Kliemann Bros HVAC No. 2096 Zr
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, Duot Leakag�Affidavlt{New Construction) ;
4~
pet�it�: � ��' C�� C�� � � .
egs or tot numbet: � "�� ���- � " " " �
House addr
c,ry: ,—���`' .- zq�= _��l�
Sou�ce(circle one): ans Estirriated Measured
Cond.Ftoor Ar�a(�� -- ��
❑Duct tlghfiess testlng is not cCqutred.The tolal teaka�ge test is not required for ducts a�d aV h�rxJlers loeated
eritlr�ly v+++th�n�f1e bv��ding therrnal enveloPe.�uCW�°���w�spaces do not quall�r tor this eXceptbn.
q�-Mandier ln condi�one4 sPa�e?[]Yes��O �1Ir Handler presont durtng test?�Yes�no
Leaka e to Outside 1 Leakage�
Circle Te$t Melhod: g
Maxlmum duct feaksge:
post Cons�ruction,totat duct leakafle:(floor erea x.04)m _CFM(g326 P�
Post Conatrucf3on,leakag
a to outdoora:(�loor ar�a x.04)' C�M�25 Pa
c wlth sf r Fts�dler It►stailed:(floor area x.Q4)n z.�J' CFM(�25 Ra
Rough�ln,total duct lo�lcag ,
CFM(�2S Pa
Rou�h-!h,total duct ieakege w[th alr handler not instailed:(floor area x.03)=�
Tost Resuit: CFM(�326Pa
1 � 3
Ring(drr(e one(P appllcable): �n � �`'"
Duct
Tester Go
cal�on: � Pressure Tap Locano�►� /�
�ce�ti tltnt these d�ct leakag�1'ates aCe accurate apd determined 4�in�atalldard duct te�ting pt'otoCOl.
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Yechnlolan:
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Date: � Z� �' ;�Ig
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