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20130178 Permit Pkg 04242013 o� City of Yelm Permit ►vo.: 20130178 � Community Development Department Issue Date: 4/24/2013 � (Work must be completed within 180 days) Building Division Phone: (360)458-8407 w�s�,..�,o.. 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: 15352 92ND AVE SE 90 Owner: FREESTONE INC Assessor Parcel No.: 41610009000 Subdivision: CHERRY MEADOWS Lot: 90 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 90, 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. $ �8.25 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 regulatio�sin�uding those governing zoning and land subdivision,and in addition,all covenants, easements arid restfiictions of rec . If pplying� s a contractor, I further certify tha I am cur ently Final Inspection: registered in t State of Wa � gto ' / - �� � �' Date: Signature �� — Date By: Firm Cit� of V�lm c,3�i ) 4��-84C�2 REC#: O11125��Q 4/24/2G13 3:5U F�M OP Ef�: CO T kRM: 001 REF#: 2U9a �(�APd� �3,ilCit�[� BU���386.fi1GR��S Z0130176 FREESTUNE 15�52 92NU AVF 5E �� E�LU-RE.�1 17,190.35Ck MECFI 7�.25CR f'L l lfl.00GR TRAN: 3�.CiUOU BU�����9 99C�ITS 2013f�14'L FREESTONE 15337 92ND AVE S� 108 �LU-���S1 17,�93,74CR MECN 78,25GR p� 11�.00GR �fENDE:�ED: ��,�76.6(�.- CNECK APPLTED: GHANGE; _� _______-0,00 YEL� COMMUNITY_SCHOOLS PO �ax 4T6 YELM WA 98597 Glerk: Cr�y Terminal� 1 Recei pt: 205376 Manual R2ceipt; NFREESTJNE NFREEST�7NE FREESTONE, LLC 6820 20TH ST E SUIft A FIFE, WA 98424 4/24/2013 3:3y PM i�tY_____It�m _----.._._.__ Price 1 GPr MITIuAiION 3015.U0 MITIGATION u3-021%t.OT 90I15352 92N0 AVE SE;YELM 1 �ITIGATIONT1UN 3015.00 p3-C�21/�.OT 108/15337 92ND AVE SE;YELM 5�aatotal : 6030.00 Tax: 6030.00 Total: Criec;k 6C30.00 2C�96 Ci��ar���� Due: 0.00 TNANK YOU 2�o13D � 7� CITY OF YELM RESIDENTIAL BUILDING PERMIT APPLICATION FORM Project Address: ��.l��a ������,� Parcel#: "C'�(t�C.� (�Q� / Subdivision: �ot#: � Plan#: ��`� Zoning: �Q New Construction 0 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 s�Floor l31� 2"d Floor ��� Garage �� 6eek 1 a� Basement Carport — �atlo�,1(0 #Bedrooms_` #Bathrooms����-- Heating:�OTHER or ELECTRIC (Circle One) Are there any environmentally sensitive areas located on the parcel? �_ If yes, a completed environmental checklist must accompany permit appiication. B111L131Nt�OtNNEI�:NAM�: ADDRE S O EMAII ' ,�� CITY � STATE ZIP TELEPHONE (o- �J __ ARCk��T�4;�;�;lE��[�lE�t� LICENSE# ADDRESS - EMAIL�Q�hA Cdiv� n CITY��e� STATE ZIP ► TELEPHONE GEfVERA�:CpIVTf�4CT'Ot� TELEPHONE S�tMC� ADDRESS EMAIL SIqM CITY 5A-M� STATE IP FAX Co2K.� $q(o-d(o 60 CONTRACTOR'S LICENSE# 2 EXP DATE CITY LICENSE# �l PLUMBI�IC'C�NT[�t='TQA e LEPHONE 1- ADDR SS EMAIL C��' STAT Z 0 FAX �:t��, 9 l-9� CONTRACTOR'S LICENSE# EXP DATE�L/ CITY LICENSE# � ao MECtfiatVlCA��`:E)NTR/��1'OE� • 1c TELEPHONE a5 5 -O ADDRF,SS �}'iO3 III�'� 5}- ' EMAIL C�n' ��ArVl4. STATE ZIP L FAX ( CONTRACTOR'S LICENSE#kI,TE�IP�NOZI BT EXP DATE�L CITY LICENSE# � 'a.'l 201�} Copy of mitigation agreement with Yelm Community Schools, if applicable. I hereby certlfy that the above Iniormatlon is correet and that the construction on,and tha occupaney and the use of tha abov scribed property wlil be In accordanco with the Iaws,rules and regulatlons of the Stab of Washington and th• CI of Y Im. Appltca t's Signatur —"`�"`+ � Date Owner/Contractor 1 Owner's Agent/ ontractors Agent(Please circle one.) All permits are non-transferabie and wiil expire if work authortzed by such permlt is not begun within 180 days of Issuance,or if work is suspended or abandoned for a perlod of 180 days �� �������� PR 18 2013 105 Yelm Auenue Weat (360) 58-3835 Yelm, WA 98597 (360) 144 FAX www.ci.yelm.wa.ua x , 6.5' ' ___18�'.__.__. .._.__ 19' 8.5' �..__..� 52.00 ,,,�. ..___ - �, (�o 0 M � 10 Y � �J a� � a rnrE�.� �� �' � � _ _ � _ _ _ _ — � � SCAl.E:1"=20' N � COV PATIO ��, I N �� i �-� ��°�NS�1 i � - - - -- � - - _ �— 39' � ( S*c���"Fdr��k Exc�uaF�or� ir1 Vir�lai��r, C,l+, � 3� ��-JE✓ S^�-� j 7�r�e R�t�z�ir��t1 5' Ps��nErn��r�r�� Set B�ck Tt� � �}��1t.,.7 63.��� � F���un!�y�ti�ra Shail E3e B�ck Fi!#et1 Witt� I (4 BDRM) ( Ct)� � i � � o� S.5 6.5' � �� � I p I w � � O � o° / � 2 GAR � o �rc�r�i P�arci�r �,��inc��#�c�n t�nd 5te�'Tar��k °' / I � GARAGE � '" t�kc:ati.:3n St,�f� E�e Stakec� �ra� Set Ba�k s•,o e�c.o. � i�s�.>ctk7r7 � � ��,.� z2, I F b - -- - - - � y � CryOpN�C/ . � y. � �(qTEp s�`5� tlil�V� N� 10'MfN,- .. �, SEPARA710N �'-0'�1��a''r� ` -`� +ra• N i b OR SLEEVE �o�uri�es � �.�s%� � WATER LIiVE I ;� ;., b �` \ S W CONC WALK �2,Q0 �� I PLANTER 8' � j�� O �.���4 CUR8/GUTTER APPROXIMATE N �=0�'Z ��W�f LOCATION OF ��� S7REET TRE� � �'� q2nd 1�Y�NUE 5�i � rvo s� �v� �°�� �` ' ' � � � � � �:�: �NCROACMMEN7 THIS LOT � �J �/ � __ CONNECT 4" PVC ROOF __ x.____`.1,¢ pRAIN5 TO DRYWELL STEP TANK EXCAVATlON IN VIOLATIt7N _______ __ .j. , '� OF TME REQUIREq 5 MWIMUM SET BACK FRONT POR�H F{�UNDAT1t3N AND STEP TO F'OUNDATION SHAI.L 8E BACKED � TANK LOCATION SHALL BE STAKED OUT FILLED WiTH CQF. FOR SET BACK INSPECTiON. LOT 90 - CF#ERRY MEAD01lVS -�.�'�'���=��Fr� PARCEL #: 4161 QO 090 �0 �wn�r� �t�y...ees�a� `' , Gherru i1�4eadow� LLG ; Lot Slze: Pro�ect Address: ._ 68 O� 2�E:���1��_---- �lfe, W� �i8424 5,20� Sq. F�. 15352 92nd AVENUE SE 253-8�i6-1300 . Prescriptive Energy Code Compliance for Single Family and Duplex Housing: Zone 1 Project Information Contact/nformation Plan 3115� ?� Freestone.Inc,��Fif�WA 98424�-- : �_ �� � 253 8�6'�300` Yelm Rick Carlile Celt 253-381-608Q 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 atso 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 �i a a 6 �o Glazing U-Factor poor 9 2 Vaulted Wall Wall• int Wall• ext 5 Slab Option Area : Ceiling 3 Above Below Below Floor on %of Floor Vertical Overhead11 U-Factor Ceiling Grade Grade Grade Grade R-49 or R_21 R-21 R-10 O I 13% 0.34 0.50 0.20 R-38 R-38 Int.� TB R-10 R-30 z, Adv. R-49 or R_ZI R-21 R-10 O II 25% 0.32 0.50 0.20 R-38 R-38 Int.' 1'g 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, Adv. See WSEC table 6-1 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. 0 Option I or II,Glazing to floor area limit (WSEC 602J.2) ❑ Area weighted window,skylight or door U-factor(WSEC 602.7.2y 0 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. Deseri tion 1a Hi h Efficienc HVAC Equi ment 1 1.0 � 1 b Hi h Efficienc HVAC Equipment 2 1c Hi h Efficienc HVAC E uipment 3 2 Hi h Efficienc HVAC Distribution S stem 3a Efficient Buildin Envelo e 1 3b Efficient Buildin Envelo e 2 3c Su er-Efficient Buildin Envelo e 3 4a Air Leaka e Control and Efficient Ventilation 4b Additional Air Leaka e Control and Efficient Ventilation ��i I�jE� 5a Efficient Water Heatin 5b Hi h E�ecienc Water Heatin 6 Small Dwellin unit APR 18 2Q13 7 Lar e Dwellin Unit 8 Renewable Electric Ener ;���* _ Total Credits 1.00 WSEC Prescriptive Worksheet(2010 edition)Zone 1 WSUEEPIO-010 Copyright 2010 � Glazing Schedule Project Information Contact Information 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 Alt Glazing Areas From Below 362 Glazing to Floor Area Ratio 41.61% 602.7.2 Exception Ratio(not to exceed 4%)� Exterior poors Plan Component Door Percent Width Height Glazing Door poor ID Descri tion Ref. U-factor Glazed Qt. Feet '"`h Feet �"`n Area Area UA Frnt Fiber lasstnsulated ;' ; = IEGG Q:16Q '=,° � 1 �E 3 ` 6F�= 20.0 3.2 �� ,, � �.. � �Y Ga�^�One Exempt Swinging Door<24 Square Fee4 � � �� '� ��.'�'� �� : =�0 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 onty(include exempt door} 37.8 3.2 Vertical Glazing (Windows, Gfazed doors using Exception 602.6#1) Plan Component Glazing Width Height Glazing ID Descri tion Ref. U-factor Qt. Feet �"�' Feet '"`�' Area UA -,,., L&C} 2��1�1/In �;LQV����:� , � � � ��� ��, [V�R� (��4��:; � �= � ��� 50,0 17.00 Kit:.; 2:�(��li[i �L;pu����-' �,�K,,��� �Ty. ���j� NFR�: f}:340° 1; ; 6,�� �.��- .'� ' ���` 30.0 10.20 Gr R 2 Gl��i� t-[,c�v��;S[I� e�S' acert�GC��.�:: NF�2� 0;33.� :: 1 6�.;, _: � �; 48.0 15.84 Gr.R 2�Iz Vin �:E;o��``-v , y�.� � N�: TM:�:; N�RC Q 3a�.. ; 2,,, � �,,: �� ��j. �.;' 40A 13.60 Gr R 2 GIZ�.W�ri �.L�r+��P�f ,� ; ....,k.>. ` . . . ,. N�I�C; 0s3�(�3.=: �; . � �; `. �.',. . .„�. 12.0 3.84 Br�. �GI�Vitt �:�:ori��, � � �._;�.� � � [��'E�C Q��4�1�;µ 1.: �. �� .��� ��� � 25A 8.50 �r SK 2 GIz���n t t:ou��`"�_'��.,�� � �„� �: � N��� t�t�4E� �' S�, �:: �� � 80.0 27.20 Mb�;. �:G��;������.dV►�,F.�`��F��`� ` � � �����"�.�, IV. �� t��4t'�� �-�� 3� ��', �`� '�= 24.0 8.46 Miii�=�Gt��t�r� ���ovrr�. : � �_;��: � � �}6�f1.v:°' 1'° �,.� . � � � �,�,�� � _ �.,�: ' � ��� ��'. � � �� 4.0 �� 1�.36 Laft �Glz.tnn t�l;ow�f;`: . § t�,�� ," �IFR� �;34�� � �� ,�" �,`: � ,.� `�, ; 40.0 13.60 Enth� �:G�;,Uiii �E:ow� _ #�. �-'� `., NFt�� 0��34f�:°- 1: 2��w, � ��. . � ' 8.8 2.98 � F ^� i„ xF d? r�a "� �. s . '`'a t.+ �, . � . . a .;. t*_ ,.s�, ,� � v �,�.> �� � � k �> +. �- �� �� .t�.. r { .,�c. ''�v '� � - � �„` '�a.�y t �, �. . . . ��... ° § � . � = , s:�� s r "� � c s§r� s ' �� ���_�' ?,,�r, �.� re� � .F n� �3 , 3� ,4x��a�f.�'�y�r�� :�.�. a ro� a #.k r�� ����� . . . , . ��'�d, a '`":�r� �r l>'F ..�ir '' � x;u.x . . ,� '�. §� :``i�. '` � .�.� 'A' vt..<✓ . . ��. � 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 ; • Overhead Glazing Plan Component Glazing Width Height I D Descri tion Ref. U Qt. Feet '"`'' Feet '"`'' Area UA � _ Sum of Area and UA Area Weighted U= UA/Area Doube Glazed Garden Windows Section 602.7.2 Exception Plan Component Width Height ID Descri tion Qt. Feet �"°�' Feet '"`h Area UA :, Sum of Area Sum of Area X 3(This total is automafically included in the glazing area totaL) Glazing UA for Heating System Size Only=Area X 0.63 WSEC Prescriptive Worksheet(2010 Edition) WSUEEPIO-010 Copyright 2010 � Simple Heating System Size: Climate Zone 1 Project lnformation Contact lnformation Plan 3115 Freestone Inc 253 896-1300 Yelm Rick Carlile Cell 253-381-6080 Indoor Design Temperature 7p Outdoor Design Temperature �7 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 1'798 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 Tbepth Walls 0.037 � Slab Below Grade F-Factor X Len th = UA 2' Depth 0.59 3.5' Depth 0.64 r-' °-e t-�---r-� 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 OT)X.018)) Building Design Heat Load 34619 Btu/Hour Air Leakage+Envelope Heat Loss Building and Duct Heat Load � 34619 Btu/Hour If ducts are located in unconditioned space:Sum of Building Heat Loss X 1.15 If ducts are located in conditioned space:Sum of Building Heat Loss X 1 Maximum Heat Equipment Output 150% 51928 Btu/Hour Building and Duct Heat Loss X 1.50 WSEC Prescriptive Worksheet(2010 Edition) WSUEEPIO-010 Copyright 2010 ��,��,t�r��a� �, . r � . , � � � � Q G�J �� �JU [� �� �! Q @ f�� � I�! O� F� �(' 1--1 W E S � �o�r�wQ� lnstila tion �:ertificate/Blowea-lloor`I'est T'o�tn ���� �� '���� � -����' � � �� B atts&Blaakets Thennal PerforAnance(Attic Applicat�on) Wl�en installed iu acco�dance wiih the manufacturei's '1'he stated thennal resistance(R-value)is provided by installi reconunendations,Knauf batts&blankets will provide instructions,the required number of Uags per 1,000 sq.ft.of the full R-value.. - .. . _._ .. . ____ thicknzss.Failure to iuStall both the required number of ba� in lower insulation D ���>>>P R-`N�1i�e hib�irni�mThicMess R-Value Bags/1,004sq. To obtain an lnstalied insulation To o6tain an The number of insulalion resistance should not be less insulalion bags/1,000 SP oFneTshould not cover more ir R-Value of tlifln: resistar�ce area should not be than: st. -Vaiue of � � .,-i:� [_ iU .� - -I I<-6:, � 19.7 336SI� � --- - V I _ _ --_ l�?S 1?GJ' R-4�1 � `Zi 5 + y?S Sl' -- ---�----- - �t _ _ _ _ _,_ _— -R-3{i 1'�D S l�' � i__ t:-'t� 2C�.9 4�.8 SF ----- ---------- ---- - R-30 10 00' _-R-3£ � 17.8 56.2 S�� -- ------ — __._ _. —---- _--- -- R2b-- � _ 9 0€t __ _ R-3� - - 13 b 733 SI' -- __ - --- -- R-?2 6 50 K-26 11.8 35.0 SF �.. R-21 HD -- -SSO" - ---- R-22 _ 9.8 - ---102.2 SP - .; - ----- --- -- ------ -1 � 625"�`� R I5 8.4 119_3 SF .25.. -- -- --__ --- ---- ---- — R-]5 HD 3_SQ" R 13 5_7 1753 SF .1�3�, - --- ---- --- — — R-P3 3.50" R-11 4.� -- 210.3 5�' ------157.lbs ---- ---_---- -- - -- -_---- _- --------- __ R-ll_ 3.50" }3ag Weight-Noinival 301bs,Minimnm 29 Ibs.This product conforms to the performa;ic. R-$ 2.50" Type 1,&cancelled Fede.ral Specificatio�i IIFI-1-1030B,1'ype 1,Blass I3.R-Values are detei,. '�R-18 in a 5.5"cauity.CunForms Yo ASTM C;6R7&C 51$."R"i»eaos resistauce to heat flow.The hi�iter the R vaiue,the breater Yl�e insb�l�. C6b5 c�C Federa!S�eei!ication HH-1-521 r tnark�cs P�-value,if is esse�atial that the iasulatian be iastalied Qragerly_If you�'o it gotsrse3f get i��slnR� To achieve lalYeled R-vai«e,t(tis praduct;nust be applic;d wq?li��neuufatic bfowitig maa(�it�e€L a corru�ated hose wit3i a n�initimni.25'�intenial co3rugation,a minimum lzv�, of 15�ft&a diatueter nf 2t last 3".Coi�s in thel�o�e shoulfl nnt be less tUa��36"i�ti diautieter.Acceptable 3ftaterial feecl rate is 5-35 Ibs./tninute.Rec.enzure�tded feed rate is ,w.. 15-ZS ll�s./n�inutes. 13uildeas IFisulation Sfater,aevt. F3r"s�i�a�o �l��kketshaveh� �fi�r�t:��4e�1 :c;d:��f�rrsz�.nce�-�ni�i�3,a�.�t�� 2DD9�a'ti°S�,i:_iZeside_n_tialLnerovConi�ili�nce�:ea=5fi�afe-Buildi�tkiricti,fi�=e fecu�nin�.ivatinc:s iv ;ror�idc at(��rinal�e�istacaceof.... - _ R Val�e Standard Birildin�Fi Test Conditionn Commer� i ii�.%�2=7 _-�I` - -- -IZ-�9 I)ai�: . . -- — -- i___ 1 _ �Sloped C'eiling I�- --- - _ � �ralls -- � -_- R-38 � T�me (�Q� - � ` - -_ - - f -- - � 1� P 1� , Ind�c� I� - �: �9_ - -- -- -- ---- F ' ��rs�o E t,:.l: �J.r,:. .: ' � 2>,p — Sr0 -- -- — — -- � �,� ,:. ' �? � ' ' Oui4� i. ,,, -- -- � � F1ooi A�c�(��i 1i)_ 3ll� __ _�- __� — �j -- -------- C�u�up!etedasof: �f•p•�3_ l3�il�l��c• _'�.n l,cxlca�;c7'�rect: SLAI,essTha�i0.00030 � Iusfallers Name Prini: 1'est#1-Dc�ress X 1'ress Pietest T3aseline Yressure (Pa) Installers Name Sigtz: -------------__ __ _ � _ - _ _ Btd;Press. a Flow Rin Fan Ptess_(Pa Elow sfr�z � �,:i<._i.:: a":: �73 J7i qZ"� Av� S� I ..��'¢'. � � �80 ... — - -°-- --�-- - f'ust7`csi i'ir.�sure:__ _ _ r�!�i�iur':e1f�N /u'�� 3 :- __ �u�t_ �185q7_ � __ _ - _ -- Kesults:SI.t1(Specific Leakagc;Area):_�_O�D 2� '�.Z�7/IG(-� --.--------_ _ ._-.---__------�___._______. Home Builders Signafure:_ 7'est#Z-Depress______ _Press _ _ pietest Baseline Pressure (pa) Home Buitders Address: ------ Bld Press: a Flow Rin Fan Press: a Ftnw cfm . In�ulation Cun�actor: Insulatio!�Northwest 7 LC - ---------- _ Yost 1'est Pressure: Fan�IodetlSN: P.253-846-0121 P O_Box 732069 �----- __ _ ___ _ Kesulls:Si.A(Specafic 1,cakage Ar�a): F 75�_846_8096 Puvallup t�,���,9$_373 _ __._ ___ __ _---------- ���.�- `� Nov.27.2013 10:39 AM PAGE. 1/ 2 `]:��11'�4? • � `�� f`J�'�j�> (..._...: (,._ <�(�„�� �C�' ! ' + ` �� � . ;:�iu�t;�.',eak�iga`/�►ifldavlt.(Nsw�.Constru�tiiir�).;` Permit#; Houae addrese ar lat number•,j`����� � 2-�"� ���'� `C,'��~' � r ' `� �I fs`��l 7 Ciky: ��P� � ` Cond.�IoorArea(ft�): :.7�f��-_' Source(clrole one): �F`'tans; Estimated Measur+ed e�nt elywlthin the bui�ding tharmafenval pe�Duots located in crawl spacesrdof otqualHyfor this e�xoeptlonated Atr Hand{er In condiWoned spr�cs�'�yes�no Alr Handle�p�osent�iurin�t��t7 yes 0 no Clrcle Test Method: l.eakage ta Oatslde r�CorLo�Slta� �.___r---'. Maxlmum duat leakage: poeE GonstrucHon�total duct feakaga:(floor are�x.p4)� CFMQ25 Pa post Cnnstructlon�teakage to outdoora: (ffoar aree x.04)a CFM�2b P� �lou�h-In,tot�)duct teeka��wlth alr handler lnstalled:(floor area x.04)_�CFM�25 Pa Rough-In�total duct leakage wtth alr handlar not installed:(flooY area X.03)� CFM�25 Pe 7est Reeuit:� C�M�2SPa ; Ring(ctrcle one if appllc�bl�);.,.�--^• ._ dpen� 1 C_2.� a •--- Ducf Test�or Location: If'��- F�reasure Tap Lacafton: (h�"'i1'�'�-�^ �-���.✓�� I Certlfy that thea�duct leaka�e rates are eccursto�nd determined us(ng atandard duat testh�g protocoi. 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