20130209 Permit Pkg 05232013 o� City of Yelm Permit No.: 20130209
� Community Development Department Issue Date: 5/30/2013
~ (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: 15381 CALLIE AVE SE 134 Owner: FREESTONE INC
Assessor Parcel No.: 41610013400 Subdivision: CHERRY MEADOWS Lot: 134
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 134, PLAN 3088B
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 $17,110.84
MECHANICAL KLIEMANN BROS. $ 7g.25
PLUMBING PELTRAM PLUMBING $ 139.00
TOTAL FEES: $17,328.09
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� cl ding those governing zoning and land subdivision,and in addition,all covenants,
easements an 'res ctions of recor ap ing a a contractor, I further certify that I.am c rently Final Inspection:
registered in ate of W gton.�
/ Date:
Signature Date� � l
Firm By�
Cit� af Y�1�
(36 } 458-84G2
REC#: 00128817 5/30,�2013 3:51 p��
OPER: CO TERM: 001
REF#: 2217
TRAN: 33.OG00 BUTLpING PEI�MIT5
20130207 16,987.56CR
FREESTqNE
15341 KAYLA ST 5E 53
BLD-RES1 16,784.81CR
MECH 84.75CR
PL 118.00CR
TRAN: 33.00f10 BUILDING PERh1IT5
2013a208 16,702.74CR
FREE5TONE
15446 KAYLA ST E 123
BL.D-RES1 16,506.49CR
MECH 78.�5C�
P�. 118.OUCR
I�RAN: 33.OU00 BUILUING PERMTI"S
201�0209 17,328,(?9CR
FREESTONE
15381 CALLIE AUE SE 134
BLQ-RES1 17,1i0.84CR
MECH 78.25CR
PL 139.QOCR
TRAN: 33.OQ�U 6UI�DING PERMITS
20130210 17,044.68CR
FREESTONE
15369 CALLIE AVE SE 136
�LD-RES1 16,648.43CR
MECH 78.25CR
P� 118.OQCR
TRAN: 33.Q000 BUILDING PERMITS
2Q130211 17,051 .18CR
FREESTONE
15357 CALLIE AVE S� 138
8LD-RES1 16,848.43CR
MECH 84.75CH
p� 118.00C�
TRAN; 33:OOU0 BUILDING PERMITS
�0130212 16,858.72CR
FREESTONE
15452 KAYLA ST S� 124
BLn-RE51 16,661 ,97CR
MECN 78,25CR
p� 118.QOCR
1�ENDERED: 101,972.47 CHECK
APpI_IEU: 101,�72.47-
CHANGE: � O.QO
YELM COMMUNITY SCHOOLS
PO BOX 476
YELM WA 98597
Clerk; Croy
Terminal: 1
Recei pt: 210419
Manual Receipt:
NFREESTONE
FREESTONE, LLC
6820 20TH ST E SUITE A
FIFE, WA 98424
5/30/2013 3:34 PM
Qt� Item ____� _,W_ _,., Price
1 CPF MITIGATION 3015.00
MITIGATION
03-021/LOT 53/ 15341 KAYLA ST SE; YELM9
1 CPF MITIGATION 3015.00
MITIGATION
03-021/LOT 123/15446 CHAD DR SE;YELM
1 CPF MITIGATION 3015.00
MITIGATION
03-021/LOT 124/ 15452 CNAD DR SE;YELM
1 CPF MITIGATION 3015.00
MITIGATION
03-021/LOT 134/ 15381 CALLIE AVE SE; YEL
1 CPF MITIGATION 3015.00
MITIGATION
03-021/LOT 136/ 15369 CALLIE AVE 5E;YELM
1 CPF MITIGATION 3015.00
MITIGATION
03-021/LOT 138/ 15357 CALLIE AVE SE;YELM
Subtotal; 18090,00
Total : 18090.00
Check 18090.00
2218
Change Due: 0.00
THANK YUU
�l3 ��.�1
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
� ProjectAddress: IS�J$I ����? parcel#: �«IDO (?J`-i QO
Subdivision: �ot#:� Plan#:_'�(� Zoning:
�Q New Construction ❑ Re-Model/Re-Roof/Addition ❑ Home Occupation Sign
❑ Plumbing 0 Mechanical ❑ Mobile/Manufactured Hom lacement ❑ Other
Project Description/Scope of Work: i t Q
Project Value: J� �j �
�
Building Area (sq. ft) 1 s`Fioor�_ 2"d Floor�� Garage �J I ��_
Basement �— Carport a i�,t b
#Bedrooms� #Bathroomso���
.Z.. Heating:�OTHER or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? �_
/fyes, a completed environmental checklist must accompany permit application.
Bf1tL�ING=.aWNE1�NqM�:
ADDRE S O EMAIL
C�N STATE,J�____Z�p TELEPHONE (o- p ^ .COYv�
A�����������'�'«E�� UCENSE#
ADDRESS - EMAIL Q �MAAA t
C�N-g�Q� STATE ZIP � TELEPHONE ����r ���
GENERA�CUNTl�4GT`C)F� TELEPHONE��
ADDRESS EMAIL
CITY� STATE IP FAX_Coc'�.� $q(o-d(o 90
CONTRACTOR'S LICENSE# 2 EXP DATE r CITY LICENSE#
PLUMIBII��CQNTF,�4�TE�F� c 20l
ADDR SS LEPHONE �-
C�-n, EMAIL
STAT Z 0 FAX (�S�, 9 l -4�
CONTRACTOR'S LICENSE# EXP DATE�t/ CITY LICENSE#
� ao
M�CtiANl�a�'.CE3lVTi�i�Tpt� • tc TELEPHONE a6 5 -O
ADDR�FSS D '�► EMAIL
CITY. 1[f.Qpryt4, STATE ZIP F,qx (
CONTRACTOR'S LICENSE#kt,rElLtP�{�p1]RT EXP DATE� CITY LICENSE#
Copy of mitigation agreement with Yelm Commurn�c�ls if applicable.
I hereby cartffy that the above Informatlon Is corceet and that the constructlon on,and tha occupancy and the use of the
above d crlbed property wI11 bs In accordance wtth the laws,rules and regulatlons of the Stata of Washington and tha
ciry vei .
Applica t's Slgnatur � �� �
Owner/Contractor/Owner's Agent/ ontractor's Agent(Please clrc�le one.)
All permits are non-transferable and will expfre if worlc authorized by such permtt ls not begun
withln 180 days of Issuance, or If work is suspended or abandoned for a period of 180 days
��� �ECE�V�D
� MAY 13 2013
105 Yelm Avenut Weat
Yelm, WA 98597 ( 60)458-3835
www.ci.yelm.wa.ua ( ��$8-3144FAX
;
Rsescriptive Energy Code Compliance for Single Family and Duplex Housing:Zone 1
Project/nPormation Contact Information
Freestone Ffan 3088 Freestone.Companies�
Yelm 682Q 20th St: E. Fife WA. 98424, 253 896-1300
Riek Carlile Ceil#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:/lwww.energy.wsu.eduJcode
Glazing
�o Glazing U-Factor poor 9 Vaulted Wa1t12 Wall• int4 Wall• ext4 Slabb
Option Area : Ceiling2 3 Above Below Below F1oor5 on
%of Floor Vertical Overhead�� U-Factor Ceiling Grade Grade Grade Grade
R-49 or R_21 R_zl R-10
O I 13% 0.34 0.50 0.20 R-38 R-38 jnt.7 TB R-10 R-30 2,
Adv.
R-49 or R_21 R-21 R-10
O II 25% 0,32 0.�0 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,
Adv.
See WSEC tab/e 6-1 forfootnotes
Glazing Schedule Attached to Document
� Does not apply. fSEE 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 602J.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 Reauired
Opt. Opt. Description
1a Hi h Efficienc HVAC E ui ment 1 1.0 �
1 b High Efficienc HVAC Equipment 2
1 c Hi h E�cienc HVAC E uipment 3
2 Hi h Efficienc HVAC Distribution S stem
3a Efficient Buildin Envelope 1
3b Efficient Buildin Envelope 2
3c Su er-Efficient Buildin Envelo e 3
4a Air Leaka e Control and Efficient Ventilation
4b Addifional Air Leaka e Control and Efficient Ventilation ]RE����,1.ED
5a Efficient Water Heatin
5b Hi h Effiecienc Water Heatin MAY 13 2013
6 Small Dwellin tJnit
7 Lar e Dwellin Unit BY:
8 Renewable Electric Ener
Total Credits 1.00
WSEC Prescriptive Worksheet(2010 edition)Zone 1 WSUEEPIO-010 Copyright 2010
Glazing Schedule
Project/nformation Contacf lnformation
Freestone Plan 3088 Freestone Com anies
Yelm 6820 20th St. E. Fife WA. 98424, 253 896-1300
Rick Carlile Cell#253 381-6080
Conditioned Floor Area y 3088 Sum of UA for Heating System Sizing 134.4
Sum of All Glazing Areas From Below 388
Glazing to Floor Area Ratio 12.57% 602.7.2 Exception Ratio (not to exceed 1%)C�
Exterior poors
Plan Component Door Percent Width Height Glazing Door poor
ID Descri tion Ref. U-factor Glazed Qt. Feet �"0h Feet �"`n Area Area UA
Fmt Fi6er las�,Insulated;�� � I��C �x:'0;16� ��.� � � �1� s; 3�`� ` � 6 ;� ��� � 20.0 3.2
Bk Fibe� lass 1�5sulafed ;r �:. ` ,IEGC �°�� fl:340�_.�' 1QQ°lo� �1� `� 2 -; �:�, :' 6 �: 17.8 17.8 6.0
���
T.00� One Exempt Swinging Door<24 Square Feet �` 2 .:- 6 " 17.8
Sum of Glazing Area, Door Area, and UA (do not include exempt door) 17.8 37.8 9.2
Area Weighted U=UA/Area 0.24
Sum of Area and UA for Heating system size only(include exempf door) 17.8 55.6 9.2
Vertical Glazing (Windows, Glazed doors using Exception 602.6#1)
Plan Component Glazing Width Height Glazing
�� Description Ref. U-factor Qt. Feet �"`�'Feet �"`h Area UA
Ent. 2 Gf�Vin l�Lo���PVt� �,; '�. NFR� a:3�0 _ �� � �� 1 .. �4� . , `��: 1" �. �� � � �4.4 � 1,41
Ent. 2 GI�:Vin I Lo�%,E.PW .. � �:: N�'RC �:320 � 1 '�: , T ��., �. 5.0 1.60
F&N 2"G�z.Vin I.�tovv�E�� -`�� NFR� t�:340 _ � 2 . f��.L .:��,�. `� �`� � 66�.0 � 22.44
D&D 2 Glz VIn I Low E ` NFR� Q,34Q, �, : �;;. . = ' S . , 50.0 17.00
Kit�` 2�Gl�llin I.�.dw�.` :���� NFRG Ci:34U�;"` �, �':,_ , �.,�;4�"� 18.0 6.12
Liv,' 2 GI�Vin I.[,o�nl�x� . ' .�- .� NFR� �;340 , 1 6:`� 1; 5`,.,, _:.. 30.0 10.20
Fam 2 Gl�Vin ��,�.ow�,;P1tV _ TM :; ���� f.�; N�RC� ���2�I = �,. �,3: .��: ��
12.5 4.00
Br3 2 Glz�fir� ��aw�k� �� � ;:.' NFRG E}:34�.:: 1 , 8�h,. � � ; 36.0 12.24
�
B&L` 2 GIz V�n [Law��:;' �.. 21 ,� NFI�� f�°34Q ro 3 � �::�s, � . 4 60.0 20.40
Mbr 2.GIz Vin t Low E°. ;,� �:' N�RC (�.34Q �. 'f �r;. �i. 4� , .�`` 24.0 8.16
Mba 2 GIa Vin [�Low�: - , NFRG 0.34Q�� 1 4�! 4 ,� � 16.0 5.44
Br2:� 2 GM�Ufi I�E�ow��` a � ;�_� N�R� (?:�34E�`����� '� �. 3�:; `;� �� ' �15.0 � 5.10
Br2°�,� 2 GI�Vin CL�w E�;� �- `�' NFRG �:34�3���� � t :.� �`��: � �. 3 �, 15.0 � 5.10
Br2, 2;Gfz�n i t.aw�PW" � NFRC f�:320=,.: 1 �°Y.; �.`� 3,, 6.0 1.92
Mbr° 2 Glz�n I Low E:•FVI� : 4-' NFR� 0:32Q: : 2 . �:' y: ��. __ ; � : 12.5 4.00
r
�ti -
� ,
� �-
� N�
���
Sum of Area and UA 370.4 125.13
Area Weighted U= UA/Area 0.34
WSEC Prescriptive Worksheet(2010 Edition)
WSUEEP10-010 Copyright 2010
OvQrhead Glazing
Plan Component Glazing Width Height
�� Descri tion Ref. U Qt. Feet �"`n Feet �"°n Area UA
;
�
.: . �
� �� _
:
e _, ,;-, �
- �� �_ __ � _
,� �,..� �
�
Sum of Area and UA
Area Weighted U=UA/Area
Doube Glazed Garden Windows Section 602.7.2 Exception
Plan Component Width Height
�� Descri tion Qt. Feet �"`�' Feet '"0h Area UA
Sum of Area
Sum of Area X 3(This total is automatically included in the glazing area total.)
Glazing UA for Heafing System Size Only=Area X 0.63
WSEC Prescriptive Worksheet(2010 Edition)
WSUEEPIO-010 Copyright 2010
Simple Heating System Size: Climate Zone 1
� Project lnfo�nation Contact/nformation
Freestone Plan 3088 Freestone Com anies
Yelm 6820 20th St. E. Fife WA. 98424, 253 896-1300
Rick Carlile Cell#253 381-6080
Indoor Design Temperature 70
Outdoor Design Temperature �7
, 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 Walis U-Factor X Area = UA
R-21 0.05fi 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 Wa�ls 0.042
3.5' Depth Walls 0.041
7' Depth Walis 0.037
I� ' T--�
Siab Below Grade F-Factor X Len th = UA
2' Depth 0.59
3.5' Depth 0.64
7' Depth 0.57
� �- �
Siab on Grade F-Factor X Len 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 OT
Air Leakage Heat Load 14948 Btu/Hour
((Volume X 0.6)X�T)X.018})
Building Design Heat Load 34462 Btu/Hour
Air Leakage+Envelope Heat Loss
Building and Duct Heat Load 1.15 39631 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% 59446 Btu/Hour
Building and Duct Heat Loss X 1.50
WSEC Prescriptive Worksheet(2010 Edition)
WSUEEPIO-010 Copyright 2010
S
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6.5' 39' �6.5'
21.33' 17.67'
52.�fl
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�pn EASEMEtdT �
LYING 5'ON CURB/GUTTEF2 �o
EITHER SIDE O� ��'PROXIMAT6 ���� n+.. ., ��
LOCATION OF .€-'�: t ' - .- `
OT CC}MMON STREET TREE �3
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NO 5' EAVE ._.._._.....___._ .._.,__._._.-�_._,..._Cr�L�..I� AVE �..�"E � u�__M1 . .4 � �
ENCROACHMENT TH15 l.OT CQNNECT 4" PVC ROOF
STEP TANK�XCAVATIUN !N ViOLATION DRAlNS TO DRYWELL
OF 7HE REQUIRED 5' MINlMUM 5ET BACK FRONT PQRCH FOUNDATIUN AND STEP
T� FOUNDATION SHALL BE BACKEt� ; �FC�.`]�IZT��l�' TANK l..00ATION SHALL BE 57AKED OU7
FILI.ED WITM CC�F. 1 FOR SET BACK 1NSPECTi�N.
, ,
LUT 134 - �ERRY M AD4WS
PARCEL #: 41��OCl 134 0� own��: �ree5tone
�.__.._.__ Gherru Meadows LLG
l�ot 5ize: Proaect �ddres�. 682D 20th St. E 5ulte P�
�ife, WA q8424
5,200 Sq. Ft. 15381 CAI.LIE AVE SE 2��-aqb-i�oo
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�ct• 22. 2013 10:3dAM Kl i emann Bras HVAC No. 2865 ,�P.��
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Dua�Leak�tge Affidavtt (New Construction) �
� I°ermlt�R: '�`��7 C�Zm��
'' House addres�or Eo�namber:��,�C��f�G ���
;
Cify: � ' Zip; ����7
Cand,FlaorAl'ea(!'t�);�� SoUroe(c+rcle one): '� �stimaYecE Measured
I �]Duct tightness testing 1s not requlred.7he fotal leakage test fs nvt required tor ducGs and sir handters Iocated
entlrely wtthln the buflding thermal envefope.b�cfs Iocated in erawt spaees do not qualffy for thls eaoceptlon.
Atr Har�dler in condtttoned sp$ce?C]�res��'no Air Handler present during test?,Q,yes�no
Cit'cle Tesi Method: Leakage to Outslda ���j�e
. 1l9axlmaum cluct 1'eskgge:
Post C��nstructlon,total duct leakago: (ftoor area x.04)= CFM(g�25 pa
Post C+onstnlctTon,leakage to outdoors: (�lloor area x.04)^ CFM{�25 Pa
Rough-!nY total duct leakagq Wl4h air handler inst'alled:(floor area x.04)�L,a��C�M(g�25 P,a
ftough•In,gota!duct Ieaka�e'wlth air hanciteir noL It�stallad; (floor ares x.03)� CFM(�25 Pa
Te�et Res�tlt: Cl/ �-�CFM(�26Pa
Ring(ctrcla one Ef appllce6le): Open 1 �'j 3
Duct Te�ster Locatlon: �r� I�ressur�e 7gp Locatian: ,�l�avc„P 1- S/� ��,�-
�cer�f�r lhat Yhese duc'�leak�ge 1'�tes are accurato And de4ermlhed usiT�g standerd�uot 4egting protocof.
Compeny N9me: ��' �0�'i/1 __� Technician�_ \12��
Techn►c.i�n Slgneture: ��5 C �
na�: ? —T� �- � 3
Phone i�lumbet:�,s�`7 ��'�rj
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Z000/T000 �j SMOQ���4 �I2I2i�H� �NO,LS��2L3 bLOT8�i�09E X�3 AtdTC�ZI �TOZ/ZZ/Oi
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Insulation Certificate/Blower poor Test Form
Batts&Blankets Thermal Performance(Attic Application)
When installed in accordance with the mumfachuei's The stated thennal resistance(R-value)is provided Uy installing in accordauce with Uie manufacturer's
reconunendations,Knauf batts&blankets will provide instructiovs,the required number of Uags per 1,000 sq.ft.of net area,at not less than the Iabeled minimum
the full R-value. - _ _ .. . _ _tl�ickness.Failure to install both the required number of Uags&at least the minimum tl�iclrness will result .
in lower insulation R-value.
R-+/ali�e i�linSmum Thickeess 2.�T �3�} �Yeishl Arlinimum Thickness
To oUlain an Installed insulation T �--- - iF of Installed insulation
insulation resistance should not be less it �� ��- „,.�,i,,,,,,v�1'C�r�Ei �1.,,.,,./'„��,,.� �� ,S;� i,ja,;on 31,�i�ld��t ba�zss
R-Value of: U�an: resistance area should not be than: should not be]ess ihan: than:
R-Value)of:
R-38 HD _ 1025" R-E�, 29.7 33.6 SP' 9521Us. 19.750"
R-33 12.00" R-4: 23.5 42.5 SI� 7531bs. 16375"
R-30 HD 3.25" R-4� 20.9 47.8 SF .6701bs. 14.875"
R-30 10.00" R-38 17.8 56.2 SF .5691bs 13.000"
R26 9.00" R-30 13.6 73.3 SP .4371bs 10.375"
R-22 6.50" R-26 11.8 85.0 SF 377 Ibs 9125"
R-21 HD 5.50" R-22 9.8 1022 SP 313 lbs 7.750"
R-19 � 6.25"x'� R-19 8.4 1193 SP 2681Us 6.750"
R-15 HD 3.50" R-13 5.7 175.3 SF .183 lbs 4.750"
R-13 3.50" R-11 4.7 210.8 SF .15216s 4.000"
R-11 3.50" Bag Wei�lit-Nominal 301bs,Minimuuz 291bs.This product conforms to the performance requi.rements of ASTM C 764,
R-8 2.50" Type 1,&clncelled 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�18."R"means resistance to heat flow.The I�iglter the R-value,the greater the insulation power.To get tlie
C665&Federal Specification HH-I-521P' marl<ed R-value,it is essential tl�at the insulation Ue installed properly.If you do it yourself,get instructions&follow them.
To achieve labeled R-value,U�is product must be applied with a pneumatic blowing machine&a corrugated hose with a mininnnn 25"internal corrugation,a minimum length
� of 150 fi.&a diameter of at least 3".Coils in the hose sl�ould not be less than 36"in diameter.Acceptable material feed rate is 5-35 Ibs./minute.Reconunended feed rate is
15-25 lbs.hninutes.
Builders Insulation Statement.
Batts and/or bla�zkets I�ave been installed in confornlance with tlie�above 2009 WSEC 12esidential�nergv Compliance Certificate-Buildin�Air Le�lc2�e
recommendations to rovide a tl�ennal resistance of....
R-Value Standard Buildin &Test Condition: Comments:
Attic fll'ea R- R-4S' Date: �Q•((p 'l
Sloped Ceilii7g R- R-3+3 time OqD�
Walls R- R-2l IndoorTemp: /p$�
Floors(over utilleated crawl s ace) R- � R-30 OuYdoor Tem : O
Ploor Area(sq ft) 30
Canpleted as o£ `0'l�i'�3 Buildin�Air Leal<a�e Tareet: SLA Less Than 0.00030
Iustallers Name Print: Test#1-Depress_ � _Press___Pretest Baseline Pressure (pa)
Installers Name Sign:
Bld�Press.(Pa) Flow Rin� Fan Ptess_(Pa) Flo�v cfm)
Site Address: �S�J S� �.�rLGtE ,��[� `J'�.
`14.0� so�-- t-t�a
1'�� �gs�y Post Test Pressure: Fan Model/SN: /•1.4'SD �3
l 1
Results:SLA(Specific Leakage Area):_ � ��Z� / 3•(oq� �
Home Builders Signahire: Test#2-Depress Press Pretest Baseline Pressure (Pa)
Home Builders Address:
Bldg Press.(Pa) Flo�v Rin� Fan Ptess_(Pa Flow(cfm)
Insulation Contractor. Insulation Nortliwest LLC --'
Post Test Pressure: Fau Model/SN:
P.253-840'-0121 P.O.Box 732069
Results:SLA(Specific Lealcage Area):
F.253-846-8096 Puyallup,WA 98373
Affidavit: I certify that this Specific Leakage Area is 3ccurate&determined using Blower poor TesY Statldard 502.4.5 Building Air Leakage Testing.
I �� �
Teclmiciau Name Print: Technician Name Si�i: