20130132 Permit Pkg 05082013 o�THEA,p�' City of Yelm Permit ►vo.: 20130132
�o� �`�
� � Community Development Department Issue Date: May 8, 2013
(Work must be completed within 180 days)
�
Building Division
Phone: (360)458-8407
EL
W�RN�M6TOM Fax: (360)458-3144
, Applicant:
I Name: YELM COMMUNITY SERVICES Phone: 458-8600
Address: P.O. BOX 5320
YELM WA 98597
Property Information:
Site Address: 624 CRYSTAL SPRINGS RD owner: YCS�uCao
Assessor Parcel No.: 22719240401 Subdivision: Lot:
Contractor Information:
Name: YELM COMMUNITY SERVICES Phone:
Address:
P.O. BOX 5320
YELM WA 98597
Contractor License No.: Expires: 0/00/0000
Project Information:
Project: LAND SITE PLAN REVIEW
Description of Work: ADDITION TO EXISTING SHELTER BUILDING TO INCLUDE RESTROOM AND LAUNDRY
FACILITIES. Unisex bathroom and laundry addition.
Sq. Ft. per floor: First Heat Type(Electric, Gas, Other):
Second
! Third
� Garage
i Basement
Fees:
Item Contractor Fees
MECHANICAL YELM COMMUNITY SERVICES $ 52.00
PLUMBING YELM COMMUNITY SERVICES $ 55.00
SITE YELM COMMUNITY SERVICES $ 400.00
COMMERCIAL ADDITION YELM COMMUNITY SERVICES $ 733.38
TOTAL FEES: $ 1,240.38
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 and restrictions of rec rd. If applying as a contractor, I further certify that I am currently Final Inspection:
, registered i �# of, on.
' ��g�/?�
� Signatur � � Date Date:
Firm By'
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�,��� T"�A�,f� City of Yelm Permit►vo.: 20130132
� � � Community Development Department Fee Calculation Worksheet
�
Building Division
Phone: (360)458-8407
'YELM
Fax: (360)458-3144
I Applicant:
i Name: YELM COMMUNITY SERVICES Phone:
� Address: P.O. BOX 5320
� YELM WA 98597
Property Information:
site Address: 624 CRYSTAL SPRINGS RD owner: yCS�UC6o
Assessor Parcel No.: 22719240401 Subdivision: Lot:
Project Information:
Project: BUILDING ADDITION PLAN REVIEW
Description of Work: ADDITION TO EXISTING SHELTER BUILDING TO INCLUDE RESTROOM AND LAUNDRY
FACILITIES.
Sq. Ft. per floor: First Heat Type(Electric,Gas, Other):
Second
Third
Ga�age
Basement
Fees:
Item Units Fees
BUILDING PLAN REVIEW 0 $ 287.13
TOTAL FEES: S 287.13
PAYMENTS MADE: a 0.00
BALANCE DUE: $ 287.13
Cit� of Yelm
(3�i ) 458-�402
� R�C#� G012:�57(1 4/02/2(ii3 4:10 PM
fIPER: CO TERM: 001
REF#: 18C�1;i
TRAN; 33.(1t�0U BIJII.[lTN[i l�ERMrTS
20130132 2$7.13CR
YELM COMMUNITY v'ERVICES
�24 GRYSTAL SPFilNGS RL7
81_C�-COM2 287.1�L'R
Tk:�IDERED: 287.13 CHECK
pPPC.�ED: 287.13-
CNANGE: ___ __.._�__—p.GO
CITY OF YELM
COMMERCIAL BUILDING PERMIT APPLICATION FORM
Project Address: 624 Crystal Springs Road Parcel#: 22�19240101
Zoning; Open Space/Institution Current Use:Community Center proposed Use: Community Center
� New Construction ❑ Re-Model/Re-Roof/Tenant Improvement
❑ Plumbing ❑ Mechanical ❑ Fire Prevent/Suppress/Alarm ❑ Other
�
i
Project Description/Scope of Work: Existing Shelter Restroom/Laundry Addition
� Project Value: $30,000.00
�
Building Area (sq. ft) Parking Garage - 1S` Floor 160 2"d Floor - 3rd Floor -
Building Height 14ft.
Are there any environmentally sensitive areas located on the parcel? No If yes, a
completed environmental checklist must accompany permit application.
BUILDI�IG OWNEWTENAN�'��NAM�: YCS/UCBO
ADDRESS P.O. Box 5320 EMAIL marchanc@evergreen.edu
CITY Yelm STATE WA ZIP 98597 TELEPHONE 360-458-8600
ARGHITECTIENGINEER_Helix Design Group LICENSE# 5134
; ADDRESS 6021 12th St. E. Suite 201 EMAIL travisn(a)_helixdesiqngroup.net
CITY Tacoma STATE WA ZIP 98424 TELEPHONE 253-922-9037
G'ENERAL CONTRACTOR TBD TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE# EXP DATE CITY LICENSE#
PLUMBING CONTRACTOR TB� TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE# EXP DATE CITY LICENSE#
MECHANICAL CONTRACTOR TB� TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE# EXP DATE CITY LICENSE#
Copy of City Mitigation documentation(TFC).
1 hereby certity that the above information is correct and that the construction on,and the occupancy and the use of the
above described property will be in accordance with the laws,rules and regulations of the State of Washington and the
City of Yelm. �
, �:r.�-�-� �
Applicant's i'gna�ure � Date
Owner/Contractor/Owner's Agent/Contractor's Agent/Tenant (Please circle one.)
All permits are non-transferable and will expire if work authorized by such permit is not begun
within 180 days of issuance, or if work is suspended or abandoned for a period of 180 days
105 Yelm Auenue West (360)458-�""' __________
PO Box 479 (360)458- 144 FAX •�g
Yelm,WA 98597 www.ci.ye m.wa.us
£�OZ � 0 �dd
ar�nT���
2009 Washington State Energy Code Compliance Forms for Nonresidential and Multifamily
, • � ' . • � - • - ,
2009 Washington State Energy Code Compliance Forms for Nonresidential and Multifamily Residential Revised February 2011
Project Info Project Address Ycs sheitez r�aa�t�on Date 3/29/2013
e2a cnatai Springa Road For Building Department Use
Yelm, Washington 98597
Applicant Name: xcs/ucao
ApplicantAddress: P.o. soX 5320 Yelm, Washington 98597
Applicant Phone: �36oI 458-8678
Project Description ❑ New Building �Addition ❑Alteration ❑Change of Use
� �Prescriptive [� Component Performance (�Seattle EnvStd
� Compliance Option (See Decision Flowchart(over)for qualifications)
U Systems Analysis
; Occupancy Group Q Nonresidential �Multifamily Residential
� Climate Zone n Climate Zone 1 � Climate Zone 2 (See WSEC 302.3 for county list)
Fenestration Area
I Total Fenestration
; Calculation (rough opening) Gross Exterior
These fenestration and wa/I va/ues are (vertical&overhd) divided by Wall Area times 100 equals %Fenestration
ca/culated per inputs provided in the
ENV-UA form. In the e/ectronic form $6.0 - 4 62 .� X �QQ — 18. 6$
these cells auto-fill and cannot be edited.
L� yes Allowable if project meets all requirements as defined in section 13102. Only allowed as
Semi-Heated Path prescriptive path and must be calculated separately from other conditioned spaces. Limited to
� no reduced wall insulation levels. Requires other fuel heating and qualifying thermostat.
Envelope Requirements(enter values as applicable) Envelope Requirements(continued)
Minimum/nsu/ation R-va/ues Maximum U-factors
Roofs-Insulation Above Deck Vertica/Fenestration
Roofs-Metal Building Non-Metal Frame U-0.32
Roofs-Single Rafter R-38 Metal Frame
Roofs-Attic and All Others Entrance Door
Walls-Mass Skylights-Without Curb
Walis-Metal Building Skylights-With Curb
Walls-Steel Framed Opaque Doors-Swinging U-0.40
Walls-Wood Framed and Other R-21
Opaque Doors-Non-Swinging
Floors-Mass Maximum SHGC(or SC)
Floors-Steel Joist Vertical Fenestration
Floors-Wood Framed and Other Non-North
Maximum F-factors North
Slabs-on-Grade-Unheated Skylights
� Slabs-on-Grade-Heated
Notes:
��EIVED
� :��
' APR 0 2 2013
�Y:
2009 Washington State Energy Code Compliance Forms for Nonresidential and Multifamily
• � � • � •
2009 Washington State Energy Code Compliance Forms for Nonresidential and Multifamily Residential, Revised February 2011
Minimum Requirements Use table to determine if project qualifies for the optional
for Prescriptive Option Prescriptive Option. All components must meet the stated
Climate Zone Climate Zone 1 Climate Zone 2
Nonresidential Residential,Other Nonresidential Residential
Occupancy Group than Single-Family Single•
Opaque Elements Insulation Min.R-Value
Roo s
Insulation Entirel above Deck R-30 c.i. R-38 c.i. R-38 c.i. R-3
Metal Buildin R-25+R-11 Ls R-25+R-11 Ls R-25+R-11 Ls R-25+
Sin le-Rafter R-38 R-38 R-38 R
Attic and Other R-38 adv or R-49 R-38 adv or R-49 R-38 adv or R-49 R-38 ad
Walls,Above- rade
Mass R_ i.' R- I 4 c i � R-7.6 c.i. R-13
Metal Buildin R-13+R-7.5 c.i. R-19+R-8.5 c.i. R-13+R-7.5 c.i. R-19+
Steel Framed R-13+R-7.Sc.i. R-19+R-8.5 c.i. R-13+R-7.5 c.i. R-19+
Wood Framed and Other R-21 R-13+R-6 c.i. R-13+R-7.5 c.i.,or R-21 +
R-21 +R-2.5 c.i.
Below Grade Wall Same as above rade Same as above rade
Floors
Mass R-30 c.i. R-30 c.i. R-30 c.i. R-3
Steel Joist R-38+R-4 c.i. R-38+R-4 c.i. R-38+R-4 c.i. R-38.0-
Wood Framed and Other R-30 R-30 R-30 R
Slab-On-Grade Floors
Unheated R-10 for 24 in.(with R-10 for 24 in.(with R-]0 for 24 in.(with R-10 for:
thermal break) thermal break). thermal break) therma
Heated R-10 c.i.(with thermal R-10 c.i.(with thermal R-]0 c.i.(with thermal R-10 c.i.(�
break) break) break) br�
Opaque Doors Maximum U-Factor
Swingin U-0.600 U-0.400 U-0.600 U-C
Non-Swingin U-0.600 U-0.400 U-0.600 U-(
Fenestration 0-40%o Wall Assembly Maximum U-factor(NFRC Rated)
Vertical Fenestrntion
Nonmetal framin U-0.32 U-0.32 U-032 U-�
Metal framin U-0.40 U-0.40 U-0.4 0 U-�
Entrance doors U-0.60 U-0.60 U-0.60 U-�
S [i hts
Without curb(i.e.slo ed U-0.50 U-0.50 U-0.50 U-�
With curb(i.e.individual unit U-0.60 U-0.60 U-0.60 U-�
Fenestration 0-40%o Wall Assembly Maximum SHGC Factor--
Vertical Fenestration SHGC-0.40 all, OR No Requirement SHGC-0.40 all, OR No Requirer
SHGC-0.45 all PLUS SHGC-0.45 all PLUS
permanent PF>0.50 on permanent PF>0.50 on
west,south,east west,south,east
S li hts SHGC-0.35 SHGC-0.35 SHGC-0.35 SHGC-0.35
The following definitions apply:c.i.=continuous insulation,Ls=liner system(see definitions)
Footnote L Zone 1,nonresidential walls may be ASTM C90 concrete block walls,ungrouted or partially grouted at 32 inches or less on c
vertically and 48 inches or less on center horizontally,with ungrouted cores filled with material having a maximum thermal conductivity
0.44 Btu-in/h ft2°F.
I I
2009 Washington State Energy Code Compliance Forms for Nonresidential and Multifamily
, • • - ' . • • ' - • - •
2009 Washington State Energy Code Compliance Forms for Nonresidential and Multifamily Residential Revised February 2011
Project Address xcs Shelter Aaa�t�on Date 03/29/2013
Occupancy Group U Nonresidential �� Multifamily residential Clear For Building Department Use
Cliinate Zone C� z��,A� C� zo„��
Fenestration Area as%gross exterior wall area 18.6� Max.Target: 40.0�
Notes: 1:If fenestration area exceeds maximum allowed,then calculate adjusted areas on Target Area
Adjustment sheet on the backside of the ENV-SHGC form.
2:U-factors shall come from chapter 10 or calculated per 1332.
See the ENV-CHK worksheet for example of how to complete the rows on this form.
Building Component Proposed UA Target UA
Provide assembl ID&pa e/ lan#for each bid .element U-factor x Area(A) =UA(U x A U-factor x Area(A)= UA(U x A)
Y R= ID: 0.031
o R= ID: Above Deck Insulation U-0.031
R= I D:
� -a R= ID: 0.031
�°o °—° R= ��� Metal Building U-0.031
� R= I D:
` R=38 ID:A300 0.027 150 4.1 0.027 is0 4.1
L R= ID: Single raft,attic,other U-0.027
� R= I D:
€ R= ID: 0.057
� R= ID: Steel frame/metal bldg U-0.057
� R= I D:
> � R= I D:
0
Q .c R=21 ID:A300 0.057 376 21.4 0.057 376 21.4
�, � R= ID: Wood Frame,other U-0.057
� °o R= I D:
� � R= I D:
�'a� R= ID: 0.090
� N R= ID: Mass Wall U-0.090
m R= ID:
� R= I D:
Proposed assembly U-factor from Tables 10-5 thru 10-56
y R= ID: 0.090
m
0 3 R= ID: Assumed to be Mass Wall U-0.090
m D R= I D:
m
Proposed assembly U-factor from Tables 10-5 thru 10-56. Do NOT use Table 10-1.
� �, U= ID: 0.40
a o U= ID: All Doors U-0.40
O� U= ID:
` R= ID: 0.029
$ R= ID: Floors U-0.029
" R= I D:
F-factor x Perimeter =UA(U x A) F-factor x Perimeter= UA(U x A)
a� R= ID: 0.540
a� �
� L R= ID: Slab-On-Grade U-0.540
4' � R= I D:
� � R=10 ID:A300 0.360 150 59.0 0.360 150 54.0
� = R= ID: Heated Slab-On-Grade U-0.360
Proposed assembly F-factors can use the unheated values in Table 10-2
"zone 1 MU Ils me tin4 Tab+e 13-1 FQotno�e 1 c�be entered Area UA Area UA
v�th U-v��e���.15 rat�ie�ihan able 10 5b va ues. ans must
ceariy s a e oo note reqwrements. Page 1 676 79 676 79
Subtotal
2009 Washington State Energy Code Compliance Forms for Nonresidential and Multifamily
• � - ' � - • • ' - • - •
Project Address xcs sneitez r.aa�t�on Date 03/29/2013
Fenestration Area as%gross exterior wall area 16.6� Max.Target: 40.0� For Building Department Use
otes:1:If fenestration area exceeds maximum allowed,then calculate adjusted areas on Target Area
Adjustment sheet on the backside of the ENV-SHGC form.
2:Provide NFRC or Table 10-6 U-factor(See Section 1312.1)for fenestration assemby(combined
See the ENV-CHK worksheet for example of how to complete the rows on this form.
Building Component Proposed UA Target UA
Provide assembly ID&page/plan#for each bldg.element U-factor x Area(A) =UA(U x A U-factor x Area(A)= UA(U x A)
£ U= ID: 0.40
� U= ID: Metal Frame
m U= ID: U-0.40
c �
s � U= ID:
� � U=0.32 ID: 0.32 44 14.1 0.32 44 14.1
in ..
� � U= ID: Non-Metal Frame
� o U= ID: U-0.32
� Z U= I D:
r
� °� U=0.4 ID: 0.40 42 16.8 0.60 92 25.2
� U= ID: Metal Entance Door
a�i U= ID: U-0.60
� U= I D:
� U= ID: 0.50
�j �_ ��� Without Curb
�, Z U= ID: U-0.50
a, U= I D:
,� a U= ID: 0.60
� U �_ ��� Including Curb
= U= ID: U-0.60
� U= ID:
Area UA Area UA
Page 2 Subtotal 66 31 86 39
Page 1 Subtotal 676 79 676 79
To comply: Total 762 110 762 119
1)Proposed Total UA shall not exceed Target Total UA.
2)Proposed Total Area shall equal Target Total Area.
2009 Washington State Energy Code Compliance Forms for Nonresidential and Multifamily
• • � •
2009 Washin ton State Ener Code Com liance Forms for Nonresidential and Multifamil Residential Revised February 2011
Project Address Ycs Shelter F.aaition Date 03/29/2013
Fenestration AI'ea as%gross exterior wall area 18.6� P�op 40� Max.Target For Building Department Use
Prescriptive PF Credit ;��res ti�) r�to
Vertical North Facing Credit(1323.3 Exp.2) ��_�Yes ��t r�o
Notes:To comply the Proposed total SHGC x A for all fenestration(vertical&skylights)shall not exceed Target
total SHGC x A. If the north facing credit is used then the north and non-north must comply separately with
skylights being included with the non-north vertical fenestration.
�
Skylights Proposed SHGC Target SHGC
List ID&page#,NFRC or glass only SHGC* x Area(A) =SHGC x SHGC x Area(A)= SHGC x A
ID: 0.35
ID: Criteria SHGC
��� All 0.35
ID:
ID:
`Note:Manufacturer's SC may be used in lieu of SHGC. Totals Totals
Nonresidential compliance is based upon combined skylight and veRical
fenestration performance.Residential compliance is based upon skylight
only.
No Residential Vertical Fenestration SHGC Requirement Proposed SHGC Target SHGC
PF Adjusted
List ID&page#,NFRC or glass only SHGC+ PF x Area(A) =SHGC x SHGC x Area(A)= SHGC x A
Mult' SHGC
ID:
I;� ��� Criteria SHGC
ID: All No Req.
ID: Prescriptive PF No Req.
ID:
ID:
ID: �
ID:
ID:
ID:
++Note:If projection factors or north vertical glazing credit are used Totals Totals
then ve�tical fenestration must be entered according to orientation. If
neither are used then ventical fenestration can be entered in either section. Non-North Total
+Note:Manufacturer's SC may be used in lieu of SHGC. Fenestration that
separates conditioned space from a non-conditioned or semi-conditioned space
shall be listed here with a proposed SHGC equal to the target value.
• Note:Multipliers only apply if prescriptive PF credit not used.
No Residential Vertical Fenestration SHGC Requirement Proposed SHGC Target SHGC
List ID 8 page#,NFRC or glass only SHGC+ pF PF Adjusted x Area(A) =SHGC x SHGC x Area(A)= SHGC x A
Mult' SHGC
ID:
��� Criteria Mixed North
ID: Orientation Separate
ID: All No Req. No Req.
ID: Prescrpt P No Req. No Req.
ID:
North Total
I
For compliance:Proposed total SHGC x A shall not exceed Target total SHGC
x A. If north glazing credit is used then north facing vertical fenestration must Area SHGC x A Area SHGC x A
comply separately from non-north vertical fenestration and skylights. Grand Grand
Total Total
2009 Washington State Energy Code Compliance Forms for Nonresidential and Multifamily
� - � � � •
2009 Washin ton State Ener Code Com liance Forms for Nonresidential and Multifamil Residential Re��Sed Feb��ary zo,i
ProjectAddress xcs Shelter aaaition Date 03/29/2013
IF the total fenestration area as a°/a of gross exterior w all area(ca�ulated on ENV-SUNfj exceeds the maximum allow ed in Table 13-1, I
then this calculation must be subrritted Use the resutting areas in the Target UA and SFIGC calculations above.
SKY=Skylight. Refered to as overhead glazing in WSEC 1333&1334 and equations 13-1 8.13-2.
VF=vertical fenestration. Refered to as vertical glazing in WSEC 1333&1334 and equations 13-1&13-2.
NW=netw all(excludes ferestration,BG,and doors.) DBG =Doors and below gradew all.
Total Fenestration=SKY+V F. Gros s Exte rior Wall Area=V F+NW+DBG
Ropased Areas
Above Grade Walls Doors 8 BG Walls
Fenestration-> SKY= VP= 86.0 R
Opaque-> ' !�= 376.0 �G°
Gross Exterior Ah�x Fenestration% Maximum Target
Wall Area (Table 13-1) Fenestration Area
462.0 X 40.0� _ ��� = 184.8
Total Fenestration IV�cimum Target 6ccess Fenestration 0 Excess Fenestration
86.0 _ 184.8 = -98.8 _ ljlesser =
-98.8
Total Fenestration 5ccess Fenestration Target Fenestration Total Fenestration Target V F M.iltiplier Apply to all Roposed
86.0 _ = 86.0 _ 86.0 - 1.00 FenesVationAreastoget
Target Fenestration Area
Net AG Wall Area 5ccess Fenestration Target Net Wall Area Net Wall Target Net Wall Mult. Apply to all Proposed
376.0 + - 376.0 _ 376.0 - 1.00 Opaque AG Wall Areas to
get Target Area
Vertical Fenestration Proposed Area Target VF Mutt. Target Area
metal frame X =
non-metal frame 44.0 X 1.00 - 44.0
metal entrance 42.0 X 1.00 - 42.0
Skylight Proposed Area Target VF Muft. Target Area
w ithout curb X = B Target areas in shaded
boxes shall be used as
w ith curb X target areas on B�1V-UA.
AG Wall Proposed Area Target Net Wall Mult. Target Area
Steel Frame/metal X =
Wood/Other frame 376.0 X 1.00 - 376.0
Mass X =
Sum of Proposed 462.0 Sum of Target 462.0 Sum of Roposed must
equal Sum of Target.
SHGC Calculation Roposed Area Target VF MuR. Target Area
Skylights(all) X = SFiGC targetareasin
Non-North Vertical Fenestration X _ shaded boxes shall be
entered as target areas m
North Vertical Fenestration X = BJV-SHGC
2009 Washington State Energy Code Compliance Forms for Nonresidential and Multifamily
: � � ' - '
2009 Washington State Energy Code Compliance Forms for Nonresidential and Multifamily Residential Revised February 20�1
ProjectAddress xcs Shelter Addition Date 3/29/2013
The followina information is necessary to check a building permit application for compliance with the building envelope requirements in the
Washington State Nonresidential Energy Code.
Applicability Code Location Building Department
(yes,no,na) Section Component Information Required on Plans Notes
GENERAL REQUIREMENTS(Sections 1301-1314)
1301 Scope Unconditioned spaces identified on plans if albwed
x.A. 1310.2 Semi-heated spaces Semi-heated spaces identified on plans if allowed
x.A. 1310.3 Cold Storage/refrigerffi All refrigerated spaces identified on plans. ENV-RFG completed.
1311 Insulation
Yes 1311.1 General installation Indicate installation nethod,densities and clearances to achieve a300
intended R-vafue of all insulation materials
xes 1311.2 Roof/ceiling insul. Indicate R-value on roof sections for attics and other roofs; A300
Indicate clearances for attic insulation;
Indicate baffles if eave vents installed;
Indicale face sta lin of faced batts
Ye8 1311.3 Wall insulation Indicate R-value and iraming material on wall sections; a300
Indicate face stapling of faced batts;
Indicate above grade exterior insulation is protected;
Indicate mass of masonry walls if mass wall claimed
Indicate bose-fill core insulation for masonry walls as necessary
Indicate fre uenc of routed cores and bond beams as necessa
N.A. 1311.4 Fbor insulation Indicate R-value on floor sections;
Indicate substantial contact with surtace;
Indicate supports not more than 24"o.c.;
Indicate that insulation does not block airtlow throu h foundation vents.
xo 1311.5 Slab-on-grade floor Indicate R-value on watl section or foundation detail; a3oo
Indicate slab insulation extends down vertically 24"from top;
Indicate above rade exterior insulation is rotected
N•A• 1311.6 Radiant floor Indicate R-value on wall section or foundation detail;
Indicate slab insulation extends down vertically 36"from the top;
Indicate above grade exterior insulation is protected;
Indicate insulation also under entire slab where re 'd.b Official
1312 Glazing and doors Provide calculation of vertical and overhead glazing area as percent of gross wall area
1312.1 U-fadors Indicate glazing and door U-fadors on glazing and door
schedule(provide area-weighted calculations as necessary);
Indicate if values are NFRC or default,if defaull then specify
frame t e, lazin la ers, a width,low-e coatin s, as fillin
1312.2 SHGC&SC Indicate glazing solar heat gain coefficient or shading coe�cient on glazing
schedule(provide area-wei hted calculations by orientation as necessa )
1313 Moisture control
1313.1 Vapor retarders Indicate vapor retarders applied to warm side of insulation
1313.2 Roof/ceiling vap.ret. Indicate vapor retarder on roof section;or list exception
Indicate va .relard.with sealed seams for non-wood strudure
1313.3 Wall vapor retarder Indicate vapor retarder on wall section
1313.4 Fbor vapor retarder Indicate vapor retarder on fbor section
1313.5 Crawl space vap.ret. Indicate required grade ground cover with required overlapping.
1314 Airleakage
1314.1 Bldg.envel.sealing Indicate sealing,caulking,gasketing,and weatherstripping
1314.2 Glazing/door sealing Specify maximum air leakage rates for fenestration and door products
1314.3 Assemb.as ducts Indicate sealing,caulking and gasketing
1314.4 Recessed Lighting Fixtu Indicate IC rating,ASTM E283 cert.,and gasketing or caulking to ceiling
1314.5 Loading Dock Seal Indicate weatherseal at cargo and loading dock doors
1314.6 Continuous Air Barrier Indicate air barrier sealing on all roof,wall &floor details
Indicate leakage testing method.
Provide testin resuRs to buildin official. Max.leaka e of 0.40 cfm/fl2 at 0.3 inch w. .
PRESCRIPTIVE PERFORMANCE Sections 1320-1323
ENV-SUM Form Completed and attached.
1323 Glazing Indicate number of glazing panes and location of emissivity coating or exception taken
COMPONENT PERFORMANCE Sections 1330-1338
ENV-SUM,ENV-UA, Completed and attached.
8 ENV-SHGC Forms
If"no"is shown for any question,provide explanation:
2009 Washington State Energy Code Compliance Forms for Nonresidential and Multifamily
. . � � � . .
2009 Washington State Energy Code Compliance Forms for Nonresidential and Multifarr Revised February2011
FENESTRATION,SKYLIGHTS,&DOORS:Per Energy Code Section 1312.1,
• U factors shall be"determined,certified,and labeled in accordance with RS-31 by a certified independent agency
licensed by the National Fenestration Rating Council(NFRC)." ljusing this approach,provide manufacturer,
model number and NFRC rating on the drawings.
• "Unlabeled glazing and doors shall be assigned the default(7 jactor in Table 10-6.': If using this approach,
provide all glazeng characteristics on the drawings:list number ojglazing layers,gap width,low-e coating,gas
fi[l,frame material,thermal break detai[s per footnote 2 to Table 10-6B.
OPAQUEASSEMBLlES:Per Energy Code Section 1332,
• "The U factors for typical construction assemblies are included in Chapter 10. These values sha[l be used jor all
calcu[ations." For examp[e:see Tab[e 10-SA for meta!stud walls and metal building wa[!s/roofs,see Tab[e 10-7A
to E for steel truss ceilings,etc.
FURTHER INFORMATlON:Refer to the Northwest Energy Ejftciency Council website at:www.neec.net
Below are examples of how the Component Information on ENV-UA-1 are to be completed
Building Component Proposed Typical Example
List ID& a e# code table#or calculation a e# U-factor x Area A
Roofs
Othe R=38 �p;Rl Al.5, T.10-7 default 0.031 532 R-38 blown-in attic insulation r default
DeCk R=4� ID:� Al.5, T.10-7G default 0.025 9685 R-40 uniform thickness ri id insulation er default
Walis
3 R=13+7.5 ID:Wl Al.6, T.10-SA(1) default 0.064 7587 R-13 cavity+R-7.5 rigid ins.over metal studs per default
� R=5 ID:�/Al.6, T.10-SB(2) default 0.157 923 R-5 rigid ins.at edge of intermediate concrete floors per def
a R= I D:
� R= ID:
mR=11 �p;w4 Al.6, T.10-5(1) default 0.094 512 R-11 cavity ins.between wood studs on conc.wall per def.
R= ID:
Doors
U=0.6 �p:Dl Al.3, T.10-6 default 0.60 120 Non-NFRC fire-rated exit door per default
U=1.2 �p;D2/A1.3, T.30-6 defauit 1.20 90 Non-NFRC warehouse door er default
Floors and Slabs
Floor R=30 �p;Fl A1.7, T.10-4A default 0.031 10417 R-30 continuous ins. under concrete floor slab per default
R= ID:
Slab R=10 ID: • - e au • R-10 slab ed e ins.for 2 feet without thermal break r def.
Fenestration and Sk li hts
ID:Wl A7.3, NF1tC certified 0.36 12307 Curtainwall rated,certified,and labeled per NFRC
� �p;W2/A1.3, T.10-6 default 0.50 5240 Non-NFRC curtainwall,2 layer,O.OSemis,argon,TB,fixed
� ID:w3/A1.3, T.10-6 default 0.65 282 Non-NFRC curtainwall,2 layer,O.OSemis fixed
� ID:W3/Al.3, T.10-6 default 0.78 282 Non-NFRC curtainwall 2 la er O.OSemis o erable
Y�.c ID:S3/A3.3, NFRC certified 0.50 453 Sloped glazing rated,certified,and labeled per NFRC
�� ID:S2/a1.3, T.10-6 default 0.78 118 Non-NFRC atrium sloped glazing,2 layer,0.05 emis.,6xed
I
o� City of Yelm Permit No.: 20130132
� Community Development Department Issue Date: 3/04/2013
� (Work must be completed within 180 days)
Building Division
Phone: (360)458-8407
"�"'""° Fax: (360)458-3144
Applicant:
Name: YELM COMMUNITY SERVICES Phone: 458-8600
Address: P.O. BOX 5320
YELM WA 98597
Property Information:
Site Address: 624 CRYSTAL SPRINGS RD owner: YCS�UCao
Assessor Parcel No.: 22719240401 Subdivision: Lot:
Contractor Information:
Name: YELM COMMUNITY SERVICES Phone:
Address:
P.O. BOX 5320
YELM WA 98597
Contractor License No.: Expires: 0/00/0000
Project Information:
Project: LAND SITE PLAN REVIEW
Description of Work: ADDITION TO EXISTING SHELTER BUILDING TO INCLUDE RESTROOM AND LAUNDRY
FACILITIES. Unisex bathroom and laundry addition.
Sq. Ft. per floor: First Heat Type(Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item Contractor Fees
MECHANICAL YELM COMMUNITY SERVICES $ 52.00
PLUMBING YELM COMMUNITY SERVICES $ 55.00
SITE YELM COMMUNITY SERVICES $ 400.00
COMMERCIAL ADDITION YCS—REROOF$25.ON S/27/2013 $ 758.38
TOTAL FEES: 5 1,265.38
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 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 and restridions of record. If applying as a contractor,I further certify that I am currently Final Inspection•
registered in the State of Washington. '
Signature Date Date:
Firtn By'
o� "� City of Yelm Permit No.: 20130132
� Community Development Department Fee Calculation Worksheet
�
Building Division
Phone: (360)458-8407
"�""'""`T°" Fax: (360)458-3144
Applicant:
Name: YELM COMMUNITY SERVICES Phone: 458-8600
Address: P.O. BOX 5320
YELM WA 98597
Property Information:
Site Address: 624 CRYSTAL SPRINGS RD owner: YCS�UCBo
Assessor Parcel No.: 22719240401 Subdivision: Lot:
Project Information:
Project: LAND SITE PLAN REVIEW
Description of Work: ADDITION TO EXISTING SHELTER BUILDING TO INCLUDE RESTROOM AND LAUNDRY
FACILITIES. Unisex bathroom and laundry addition.
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item Units Fees
RESIDENTIAL ROOFING 1 $ 25.00
BUILDING PERMIT ESTIMATED VALUE 30,000 $ 441.75
BUILDING PLAN REVIEW 0 $ 287.13
STATE BUILDING FEE 1 $ 4.50
TOTAL FEES: S 758.38
PAYMENTS MADE: S- 733.38
BALANCE DUE: 5 25.00
Cit� of Y�lm
(36 ) 458-$4Q2 ���
�**�� R E P R I N T R EC E I R T��*�*
REC#: OOi3l1�i �/28/2013 1 :58 PM ` ���(t.(�-�
OPER; CO TERM: 001 C�,(�JLQ� U
REF#: LAM
� ��� � �� �
TRAN: 33.00U0 BUILDING PERMT�f�S � � (�
20130132 25.OQCR � (,�/
YCLM COMMUNITY SERVICES ,�`
624 CRYSTAL SPRINGS RD � � � ;1 v
�n
6Ld-COM2 25.00CR i� , (��
�`v�
YENaERED: 25.00 nTHER � ��
APPLIEI�: 25.00-
CHANGE: � 0,00 �" �Cr
o� City of Yelm Permit No.: 20130132
� Community Development Department Fee Calculation Worksheet
�
Building Division
Phone: (360)458-8407
w """`�°" Fax: (360)458-3144
Applicant:
Name: YELM COMMUNITY SERVICES Phone: 458-8600
Address: P.O. BOX 5320
YELM WA 98597
Property Infortnation:
Site Address: 624 CRYSTAL SPRINGS RD owner: YCS�uCBo
Assessor Parcei No.: 22719240401 Subdivision: Lot:
Project Information:
Project: LAND SITE PLAN REVIEW
Description of Work: ADDITION TO EXISTING SHELTER BUILDING TO INCLUDE RESTROOM AND LAUNDRY
FACILITIES. Unisex bathroom and laundry addition.
Sq. Ft. per floor: First Heat Type(Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item Units Fees
RESIDENTIAL ROOFING 1 $ 25.00
BUILDING PERMIT ESTIMATED VALUE 30,000 $ 441.75
BUILDING PLAN REVIEW 0 $ 287.13
STATE BUILDING FEE 1 $ 4.50
TOTAL FEES: $ 758.38
PAYMENTS MADE: $- 733.38
BALANCE DUE: b 25.00
Cit� of Y�lm
(36 ) 458-84�2
�***� R EPR T N T R E C E I P T���*�
REC#: OUi3713i Q/28/2013 1 :58 PM
OPER; CO TERM: 001
REF#: LAM
TRAN; 33.00�0 �UILDING PERMTI�S
20130132 25.OQCR
YCLM COMMUNITY SERVICES
624 CRYSTAL SPRINGS RD
6LD-COM2 25,OOCR
TENDERED: 25,00 OTHER
APPLIED: 25.00-
CHANGE: �� 0.00
�� ���a�� ��r���
���1.�-4 G C� CITY OF YELM � `�— j `�'�� �'���
BUILDING PERMIT APPLICATION FORM
�
Project Address: Y.*t� �'" Z1 :5 � Parcel #:
Zoning; Current Use: Proposed Use:
❑ New Construction � Re-Model/ Re-Roof/Tenant Improvement
❑ Plumbing ❑ Mechanical ❑ Fire Prevent/Suppress/Alarm ❑ Other
Project Description/Scope of Work: /Z� 1=�'�-
Project Value: L�,�
Building Area (sq. ft) Parking GarageG%�� 1� Floor 2"d Floor 3�d Floor
Building Height ���
Are there any environmentally sensitive areas located on the parcel? �_ If yes, a
completed environmental checklist must accompany permit application.
BUILDING OWNER/TENANT NAME: �
ADDRESS 0 ' ° EMAIL
CITY STAT . ZIP TELEPHONE ' �/'�5Z/f�'
ARCHITECT/ENGINEER LICENSE#
ADDRESS ` EMAIL
CITY STATE ZIP TELEPHONE
GENERAL CONTRACTOR � TELEPHONE�-,f/r L/�'-�C/�
ADDRESS O � �'-�-- EMAIL 'lc��� �2�5'/����u.,�c��2hc�ca. �
CITY ST E�ZI P���j:_�FAX 3(0_d ?��i?-�S��
CONTRACTOR' LICENSE#M,���R,3.�N P DATE�CITY LICENSE#
PLUMBING CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STAT ZIP FAX
CONTRACTOR'S LICENSE# EXP DATE CITY LICENSE#
MECHANICAL CONTRACTOR TELEPHONE
ADDRESS ' EMAIL
CITY STATE IP FAX
CONTRACTOR'S LICENSE# EXP DATE CITY LICENSE#
Copy of City Mitigation documentation(TFC).
I hereby certify that the above information is correct and that the construction on,and the occupancy and the use of the
above described property will be in accordance with the laws,rules and regutations of the State of Washington and the
City of Yelm.
�
Applic t's S' ature D e
Owner ontractor/Owner's Agent/Contractor's Agent/Tenant (Please circle one.)
All permits are non-transferable and will expire if work authorized by such permit is not begun
within 180 days of issuance, or if work is suspended or abandoned for a period of 180 days
REC�'�
AU G 2 7 2013
105 Yelm Aue W (360) 45 -3835
(360)45 4 FAX
Yelm, WA 98597 www.ci. . . � -
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