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20130203 Permit Pkg 05302013 o� �s► City of Yelm Permit No.: 20130203 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: EVERGREEN STATE BUILDERS Phone: 253-475-6622 Address: P.O. BOX 39753 LAKEWOOD WA 98496 Property Information: site Address: 14436 98TH WAY SE 6 Owner: EVERGREEN STATE BUILDERS Assessor Parcel No.: 78640100600 Subdivision: TAHOMA TERRA Lot: 6 Contractor Information: Name: EVERGREEN STATE BUILDERS Phone: 253-475-6622 Address: P.O. BOX 39753 LAKEWOOD WA 98496 Contractor License No.: EVERGS6980P6 Expires: 10/02/2006 Project Information: Project: NEW RESIDENTIAL BUILDING Description of Work: LOT 6, PLAN 2835 Sq. Ft. per floor: First 1207 Heat Type(Electric, Gas, Other): GAS Second 1628 Third Garage 546 Basement Fees: Item Contractor Fees NEW RESIDENTIAL BUILDING EVERGREEN STATE BUILDERS $17,214.09 MECHANICAL NUCCIOS HEATING $ 84.75 PLUMBING TOP NOTCH PLUMBING INC $ 132.00 TOTAL FEES: $17,430.84 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 restrictions of record. If applying as a contractor, I further certify that I am currently Final Inspection: registered in the State of Washington. Signature��--� Date S—�3o�3 oate: By: Firm Cit� of Y�lm (36 j 458-840Z RE�C#: U0128806 5/3U/2013 OPER: CO TERM: 0�1 ��:Og �M REF#; MC TRAN; 33,f.)Opp BUILUING pERMItS 701�0202 17,430.84CR EVERGREEN STAT� 6UTLDERS 14�24 98TH WAY SE 4 8L0-RES1 17,Z�q,09CR M��'H 84.75CR P�" 132.0(lCR TRAN: 33.U000 BUILDING F�ERMITS 20130204 18,U1�.58CR EUERGREE"N STATE BUILQERS 14430 98TH WAy S� 5 8LC-R�S1 17,794.33CR MECH g� 25�� P� 132.00CR TRAN: 33,0000 BUILDING pERMITS 20130203 17,430,84CR EVERGREEN STATE gUILDERS 14436 98TN WAY SE 6 BLD-RES1 17,714.Q9CR M�CH 84.75CR p� 132.UOCR 1�ENnF.RE[7: 5�,656.O 1 CHECK APPLTED: 2�3.25 OTHER 52,879,26- CHANGE; �--`-�0 �II _ lll � � YELM COMMUNITY SCHOOLS PO BOX 476 YELM WA 98597 Clerk: Croy Terminal ; 1 Recei pt; 210291(Reprint) Manual Receipt: EUERGREEN EVERGREEN EVERGREEN STATE, BUILQERS LLC , 5/30/2013 9:57 AM Q� _ Item_ .r_...___.�_,�_..�.�___. Price 1 CPF MITIGATION 3015.00 MITIGATION 05-027/LQ 3 1 418 98TH AVE WAY SE; YCLM 1 CPF MITIGATION 3015.00 MITIGATION 05-027/L0�4 14424 98TH WAY SE; YFLM 1 CPF MITIGATION 3015.00 MITIGATION 05-021/LOT 5/ 14430 98TH WAY SE; YELM 1 CPF MITIGATION 3015.00 MITTGATION 05-027�LOT 6/ 14436 98TH WAY 5E; YELM Subtotal: 12060.00 Tax: 0,00 Total : 12060.00 Check 12Q60.00 33373 Change Due; 0.00 REPRINT RECEIPT THANK YOU `1v/3 D��3 CITY OF YELfUI RESIQEhTi�,L BUILDING PERMIT APPLICATIat� FQR(1A Project Address: � �� 3� R F� WQy S� Parcel#: 786 KO � p 6 6 o e Subdivision��.��x ��r�- Lot#: �o Pian#: 2�'3� Zoning: �New Construction � i Re-Model/Re-Roof/Addition , ! Home Occupation Sign !'. Plumbing �_! Mechanical i=� Mobile/Manufactured Home Placement �� Other Project Description/Scope of Work: �1�P'4. i'a�*--: (y �1Q t� C.pvt,)'�rv�`�h Project Value:_�-Sn, o oa 3 0�,l�r,Z.� , Building Area(sq. ft) 1S' Floor IZ.o7 2"d Floor �bLg Garage S`f b Deck Basement 6aCL?g�t �av�"¢� Patio� # Bedrooms `'� # BathroomsZ Y Heating: GA�or ELECTRIC(Circle One) Are there any environmentatly sensitive areas located on the parcel? /fo If yes, a completed environmental checklist must accompany permit application. BUILDING OWNER NAME:E'� �ti v�( r� ADDRESS f�c!• 8oa 3Q�,1'� EMAIL c rw� .�► �d.�+? c�+•� CITY�c/fcasasd STATE_[IV'_�ZIP f°Y�L TELEPHONE 2tj�-�tr=662L ARCNITECT/ENGINEER/tfb�h /N��'1 LICENSE#_ '717�-- ADDRESS �► ,T�� dt•e{• N S'f!- Z .7^- EMAIL �t ��r C✓ e.�•tfvt+��e(•►�e-� CITY � ev STATE ��' ZIP TELEPH NE �,�-�'�t�'- ;2V8' GENERAL ONTRACTOR��t�►. ��.Xf" Z�:lo�?'T TELEPHONE 7�Y - 7�--f�6ZZ- � ADDRESS�e• !�Q'il° Jx??,� EMAIL J��F��1^�'-Qw �vr��/x'• CITY� et�•�►fc� STATE ZIP '�'y4' FAX �•J'3�'rTJ°•- 6✓L7 CONTRACTOR'S LICENSE#E✓'t,d6Si I8a P� EXP DAT[!!��TY LICENSE# PLUMBING ONTRACTOR fe� N'ef� TELEPHONE 360 ° yyb-(S�a� ADDRESS ��• �4'� Yk7 EMAIL 5��}�F- S��`��--C? ho�'�«-� •tr-- CITY 1��.+1,l�.c- STATE �4 ZIP 9PS'7 FAX 360- �F�tB°08n Z-- CONTRACTOR'S LICENSE#TbPNOQ2-Y98DK EXP DAT�CITY LICENSE#_(2�'b0�qy� cs MECHANICAL CONTRACTOR u i� • �•� TELEPNONE �s'� °3 o I - /a g ADDRESS "YO/`f (v�'-� i¢Vrz EMAIL s �r-l.. Pc..�.c.a.,1-• vuu CITY �4h�. STA�E v�� ZIP��'O FAX JtI�-32��p1/ — CONTRACTOR'S LICENSE#�u.tGt H'�`�S�-ab EXP DAT�ITY LICENSE# IL�oO�-il'(• � Copy of mitigation agreement+n�ith Yelm Community Schools, if applicabie. I hereby certify thaf the above information is correct and that the construction on,and the occupanc�and the use of the above described property vdill be in accordance with the laws,rutes and regulations of the State ofi Washington and the City of Yelm. e4ppli ant's Signature A� �ate � C�wner/Gcantr�ctor/Qwner's l��enf f Contr�ctar's �lg�rt(�lease circle ar��.) ��I ��€•r�its ar� r�or��t€°ansferak�le aiic��i16 expire ifi�or�z ��tti�rized b�<s��e� �ermit is r�at f�egun �nfefhir� �8[E day� c�f issi�an�e; ar i#wQrle is s��pend�d �ar�ta�r�d�n�d€�r� �a�r€rst� af i�0 c�atiP� ` : �E�VE D -- - --- ------------ --_--- � Z05� Pel:i�Auenue i3'esP (360)4 8-3835�� Yelm., WA 98537 (360�4 8-3I44 unuw.ci.yelin.wa.us ��; � Y c��,�y � _ , ,�., � 1�� S'-�r.r (�.�'�� —�'�..�- � `��3 c� 2�_�3 EVERGREEN STATE BL.JILDERS TAHOMA TERR.A 14436 98th WAY SOUTH EAST YELM , WA 98597 PARCEL NUMBER: 78640100600 60.00' � � _ _ _ - - 5' 50' S' '� �1� 4'x10' �� DRY WELL p--a-- � 25' BSBIL �.�T� �- - - I I � � � � — — — — — � � � J � � O ., � � � - - � � Z� Q p7 PLAN 2835-3 z �� - o i;� _ �' � (GARAGE LEFT) I "� p � �b S� �c.- iI � _�_ �p 5��,� i� `�� s�v� ii i I � C.P �� I '��M I �— — --- � 'x 5 �'-- �� , ]2�,x,�,�� / - - � _ �� - 7'-1 ' ELM STEP I i � — DRIVEWAY15 BSBL �— J � AN C I I — — \ �7— 10' U7ILITY E SEMEN ^T � , I r� I � 6Q.00� S EWALK CARSON ��P��-�� WATER ANTI G � BOX � �--/.� � � METER� �---'��—� C----- 2 4'-----� . ____ __._._ VESUVIUS 9 8t h WAY S E PLUM TREE � I �� ' ` NORTN Q2013 5herbes�qn 253 531 15�1 1008 5121st 5treet �'arkland WA 9844�i �C��E �° = 2�� DR.dLING OAiE:R2N51qJ DATE REVI810N DATE MIT: PROJECi". I-13-1013 2-"I-7013 2-I5-1013 JLS ESB-iP}IOMA iERR4 � �� EVER�REEN S�"1-�.TE BUILDERS 'TAHOMF� TERRA 14436 98th WAX SOUTH EAST YELM , WA 98597 PARCEL�iTUMBER: 78640100600 60.00' � � - - - - - - - 5' Sp'--- -- 5' 4'x 10' o DRY WELL `�' P- -z, -- � 25' BSB�I � �ri � - - - I � � — — � �� — .� � - _ � � � � II I o O � °° - - — � D I Q r� PLAN 2835 3 Z � �- � � � (GARAGE LEFT) � "� p � �° � ,��-- � I `� tJ� �J' II � , G S ��0 I �I I � i I r� I ��r I C.P � -JJ� ---- ____ �Ys ;r� i- ---- 7�„�`, � l / _ _ _ � - � -� � YELM STEP I � ' DRIVEWAY15' BSBL �� .�ANK _--� """"� -� � - -- - - - � _ ! � �� FI �,. � � � � �p' UTILITY E SEMEN �� ' � S EWALK � � �'�„`.:`t,?� � F)�.00 CARSON �A�� WATER� ANTI G � BOX � �--/� �� M ETER �'��—L� ^ i� f 24, � . VESUVIUS 98th WAY SE PLUM TREE � f �� N cQ2013 SherC�es�qn 253 531 15�1 1008 5121st 5treet I'arkland WA 98�44 �� n _ ��i DRAWING DATE:RENSIGN DATE REVISIGN DATE INIT: FROJECT•: I-13-]ml3 2-1-1013 7-15-7013 JLS E58-iN10MA iERR� Prescriptive Energy Code Compliance for Single Family and Duplex Housing: Zone 1 Project Information Contact Information ' Tahoma Terra Lot 6 Jeff Kelle 253-255-1616 14436 98th Wa SE Ever reen State Builders LLC Yelm, WA 98597 6020 Main St SW ste H, Lakewood, WA 98499 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 Glaaing Wall�� Wall� int`� Wall� ext4 Slab� io Glazin� U-Factor poor�' , Vault�d Option Area : Ceiling- Above Below Below Floor` on °io of Floor Vertical Overhead" U-Factor Ceilin�' Grade Grade Grade Grade R-49 or R-21 R-21 R-10 �) I 13% 0.�4 0.50 0.20 R-38 R-�8 � ,I,B R-10 R-�0 �, Adv. Int. R-49 or R-21 R-21 R-10 �i� II 25°/� 0.32 0.50 0.20 R-38 R-38 , TB R-10 R-30 �, I nt. Adv. R-49 or R-21 R-21 R-10 ;) III Unlimited 0.30 0.50 0.20 R-38 R-38 � j,B R-10 R-30 Adv. Int. �� See WSEC table 6-1 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. �� Option I or II, Glazing to floor area limit (WSEC 602.7.2} ' � Area weighted window, sl<ylight 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 Required Opt. Opt. Description 1a High Efficiency HVAC Equipment 1 1.0 �� 1 b Hi h Efficiency HVAC Equipment 2 __ 1c High Efficienc HVAC Equipment 3 __ 2 High Efficiency HVAC Distribution System '� r- 3a Efficient Buildin Envelope 1 — 3b Efficient Building Envelope 2 " 3c Super-Efficient Buildin Envelope 3 4a Air Leakage Control and Efficient Ventilation 4b Additional Air Leakage Control and Efficient Ventilation ` 5a Efficient Water Heating �_ 5b Hi h Effiecienc Water Heatin ��'�' I�E� 6 Small Dwellin Unit ' �___. 7 Large Dwelling Unit { 8 Renewable Electric Energy ��013 __ Total Credits ��. 1.00 WSEC Prescriptive Worksheet(2010 edition)Zone 1 WSUEEP10-010 Copyright 2010 Glazing Schedule Project Information Contact Information Lot 6 Tahoma Terra Jeff Kelley 253-255-1616 14436 98th Way SE Ever reen State Builders LLC Yelm, WA 98597 6020 Main St SW ste H, Lakewood, WA 98499 Conditioned Floor Area 2835 Sum of UA for Heating System Sizing 109.4 Sum of All Glazing Areas From Below 366 Glazing to Floor Area Ratio 12.91% 602.7.2 Exception Ratio (not to exceed 1%)C� Exterior poors Plan Component Door Percent Width Height Glazing Door poor ID Description Ref. U-factor Glazed Qt. Feet �ncn Feet �ncn Area Area UA 1 2 a 6 8 17.8 1 3 6 a 20.0 One Exempt Swinging Door<24 Square Feet Sum of Glazing Area, Door Area, and UA (do not include exempt door) 37.8 Area Weighted U = UA/Area Sum of Area and UA for Heating system size only (include exempt door) 37.8 Vertical Glazing (Windows, Glazed doors using Exception 602.6#1) Plan Component Glazing Width Height Glazing ID Description Ref. U-factor Qt. Feet Inch Feet ��°n Area UA 0.290 8 3 6 144.0 41.76 0.310 2 3 4 24.0 7.44 0.300 1 1 6 6.0 1.80 0.310 1 1 4 6 4.5 1.40 0.310 7 3 5 105.0 32.55 0.310 1 2 6 4 10.0 3.10 0.290 2 5 4 40.0 11.60 0.290 2 2 6 3 15.0 4.35 0.310 1 5 3 6 17.5 5.43 Sum of Area and UA 366.0 109.42 Area Weighted U = UA/Area 0.30 WSEC Prescriptive Worksheet(2010 Edition) WSUEEPIO-010 Copyright 2010 Overhead Glazing Plan Component Glazing Width Height ID Description Ref. U Qt. Feet Inch Feet '�`h 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 �p Description Qt. Feet '�°h Feet Inch 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 Only =Area X 0.63 WSEC Prescriptive Worksheet(2010 Edition) WSUEEP10-010 Copyright 2010 Simple Heating System Size: Climate Zone 1 Project Information Contact Information Lot 6 Tahoma Terra Jeff Kelley 253-255-1616 14436 98th Way SE Ever reen State Builders LLC ,Yelm, WA 98597 6020 Main St SW ste H, Lakewood, WA 98499 Indoor Design Temperature �� Outdoor Design Temperature �� Design Temperature Difference (oT) �T= Indoor-Outdoor Design Temp 53 Conditioned Floor Area 2835 Conditioned Volume 35484 Glazing Copy Sum of UA from Glazing Schedule 109 Attic U-Factor X Area = UA R-49 0.027 1628 44.0 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 = �A R-21 0.056 2866 160.5 Floors U-Factor X Area = UA R-30 0.029 1207 35.0 Below Grade Walls U-Factor X Area = UA 2' Depth Walls 0.042 3.5' Depth Walls 0.041 7' Depth Walls 0.037 Slab Below Grade F-Factor X Length = �A 2' Depth . 0.59 3.5' Depth 0.64 7' Depth 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 349 Envelope Heat Load 18490 Btu / Hour SumofUAX4T Air Leakage Heat Load 20311 Btu / Hour ((Volume X 0.6)X 4T)X .018)) Building Design Heat Load 38801 Btu / Hour Air Leakage+ Envelope Heat Loss Building and Duct Heat Load � 38801 Btu I 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% 58202 Btu / Hour Building and Duct Heat Loss X 1.50 WSEC Prescriptive Worksheet(2010 Edition) WSUEEPIO-010 Copyright 2010 . � i � i / .t.:J �� " "1�.._,a,�' / .:��iy�'�.'��-. . ��. "� Q I� �S � O � � � �a � � o � ��w�� t� o � �- H w � s �° Tn�ulation C'errtif��ate/Biow�r poo�r Test Fox°nr� ��r�v �0.3 B atts&Blankets Therrnal Performance(Aftic Application) L ti i� (p T� When installed in accordai�ce with the ma�nifachirer's The stated thennal resistauce(R-value)is provided by instaliing in accordauce with Yhe manufacturer's recommendations,Knauf batts&blaukets will provide instructioiis,tlie required number of Uags per 1,000 sq.ft.of net area,at nof less than the(abeled minimuul the full 1Z-value.. _ _ .._._ .. . _.._.. _thickness.Failure to install both the required number of bags&at least the minimum flZiclaiess will result . in lower insulation R-value. R-Value �linimiini Thickness R-Value 8n�s/I,OOG s .ft i�la�in�imi Co�•zraoc �linimum 1:'ei�hl �.lin3n�um Thickaess To oUlain an ]nstalled insulation To obtain¢n The number oF Contenls ofthis baa The Wei�hUSF of Installed insulation insulation resistance should nol be less insulalio❑ bags/],000 SP of net should not cover more installed insulation shoidd not Ue less R-Value of tli�n: resistance area should not be than: sliould no[be]ess than: than: R-Value of: R-38 HD 1025" � R-60 29.7 33.6 S1� 9521bs. 19.750" ---- --_ _..-- - - -- --- -- - --- - - --- - _ ----- _.- ---- R-38 12.00" R-49 23.5 42.5 SI' .7531bs. 16375" R-30 HD 5.25" R-44 20.9 47.8 SP .670 Ibs. 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 l I.8 35.0 SF 377 Ibs 9.125" R-21 HD 5.50" R-22 9.8 1022 SP .313 Ibs 7.750" R-19 6?5"'� R-I9 8.4 1193 SP .2681bs 6.750" R-15 HD 3.50" R-13 5.7 1753 SF .1831bs 4.750" R-13 3.50" 12-11 4.7 210.3 ST' .1521bs 4.000" R-11 3.50" Bag Weight-Nomina]301bs,Minimum 29 Ibs.Tl�is pzoduct confomis to the performance requi.rements of ASTM C 764, R-8 2.50" Type 1,&cancelled Federal Specification HH-1-I030B,Type 1,Blass B.R-Values are determined in accordance with xY R-18 in a 5.5"cavity.Conforms to ASTM C 687&C 518."R"meai�s resistance to heat flo�v.The higl�er the R-vahie,tlie greater the insulation power.To get the C665&Federal Specification HH-1-521P marl<ed R-value,it is essential that the insulatiou Ue installed properly.If you do it yourself,get instructions&follow fhem. To achieve labeled R-value,this product nmst be applied with a pneumatic blowing macl�ine&a corru�ated hose with a minimum.25'�inteinal corrugation,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 5-35 Ibs./minute.Reconunended feed rate is 15-251Us.hniimtes. I;uildea-s Insulation 5tatenenf. Batts and/or blaukets have been installed in conforniance�ith the above 2009�VSEC Residential Enerav Compliance C'ei-iificaf?-Buildin�Air Lelka�e zecommeudations to rovide atl�ennal resistauce of.... R-Valu 5tandard Boilding&Test Condibon: Comments: Attic f�ea R- R-�9 Date: Sloped Ceiling R- R-38 Time �. Q --- -- ---- -- Walls R- R-21 Indoor Temp: Floors(over ui�lieated crawl space) R- R-30 Outdoor Temp: SO Ploor Area(sq fi) $� Completed as of: (b• !1r '�� I3uildins Air Lealtage'I'areef• SLA Less Than 0 00030 Installers Name Print: T�st#1-Depress� Press Pretest Baselii,e:?;ess�ue (Pa} Installers Natne Sign: Bldg Press. a) Flow Ring Fan Pmss_(Pa Flow cfm) �/ /�Q . , ,� Site Address: ��`C 3� l T/% �1� �j� 'S 5� �� Q859'7 Post Test Pressure: Pau Model/SN: �..(.�'yl0 ,3 Results:SLA(Specific Leakage Area): . �U�� 3•S86 /4C�{ HomeBuildersSignahtre; Test#2-Depress Press PretestBaselinePressure_ (pa) Home Builders Address: Bld Press.(Pa Flow Irin Fan Press. a Flow cfm Llsulation Contractor: Insulation Northwest LLC Post Test Pressure: Fan 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 fhaf this Specific Leai<age Area is accurate&detennined using Blower Deer Test Stardard 502.4.5 Building Air Leakage Testing. Ta�l,.,...�o,�TT��,-,oD��.,r� �'V•'�^^ m,..,i_.,....,.._�r...__,.n<�j � � e,. � �� +� � f ' � . � � � x i, � a ,`�. c�- �� l � L�uct L.cs1,:��c A!Y'►cis>yt ��: �o �� c�.� Ho�sse ac�dres�or la#number. � �{�"'�~ �'��` � ��- � ,.� `l ��? G�,. ,,,,�.� _ z��: n� Cor�d.Fltsar Area(ft�). L�-� Sc�urce(circ��on�}: ns Estimated h�easured j�puct tightness testing is nat rer�uired far this res"rderree per excep4'rons issted at the snd af ihis da�cument Air Handler in cor�ditioned spac.�?(�yes(�-no Air Handter pr�esent during test?�Y�� na Circle Test Method: 4eakage ta Outside t�t Le�kage M�rimut»duct fea�Ca�e: Post Construction,total duct leakage:(floa�area x.0&)= CFMQ25 Pa Post Gonstructlon,feakage to ou#daors: (t�oac atea x.{}�);�„_„C�M(c�25 Pa F�oug h-�n,total rluct leakage with atr har►dler trsstatt�d:(flocar�tea x.Q6y=,� ,�' �MC�25 Pa Roug h-tn�tc�tal duct teakage r�rith air hand{�r no#(nst�ll�d: (tk�or area x.UAj= CFM@25 Pa � Test Rese�lti�� .,.��.CFM�2�P� Ring (e�rcle+ar�e'rf applicabte): C7pen '� � � �� Dud'TesterLoc,�tion: ��CC.c.s Pressure't"apl.aca#ipn: ��T I c�rt�fY Wat these duct leakage ratss a�e accurate and determined using standard duct tcasit��prc�tocol. . � Company hlame: � L o� ��,!�,c_ Technician: � � i'es:hnic#an Signature: e' pate: c�aca Phone Number.�`�-�' �`�C��„� Washln3t�n Sute Enar9Y Gode reterenco: 503,10.3 Saatlpg.Alt ducts,air hand4ets,i�er bcacex.arxf buikfing caviUcs used as duGi ahalt De seated.Joints and seams zhalt compy vrit3�5edion IA 1641.3 dt the trttemafiona!Residentiat Cexis or 6C13.9 ot the lntemationa!MechaRkal Goda, �uct�ightness t�siir�g Shatl tx3 ,�dud�d to veriiy that th�ducts are sea�d.A sig�esS affidav"st dc�ckxnet�ing tfw tes!resuits shatl tre provfcfe^d ta the j�trisdis�iQn havitag py it�t�stin9 a9�rit.W't�n nequitexi by Il�buitding o�dal.the test shati be conducied In the pr�sence ot departtttez�staff. a�� 1.Dud�9h�g test is not requined if the air hatWler and aA dud5 at�Ioc�Eed wilh&�tx'�nd'R3osled EpAGB, ��t�� ts not r�quired ti the 4umace is a nondiGect vent cornbuslion appiiancB(nstalled in an uticcx�diGoned g Ce. a��ai s�ieei of connectecf ducttivork in the uncond�tioned sp��is aUworr+ced.A1 add'Rian�l supPly,�tW teturn duds� a��y,��tn tt�e r.onditioncd sp�ce,Duds auttlde the conctitloned sPac�"5ha1i be Sealed with a mastiC fype dt�ct sealant and (nsulated of��C��'�"�R-S insutaUon tor above grade aucts an4 R-5 wat r r i n ' e N�' �n within a afab ot �8sth• ��4� ��.� � ��3 � }• '��>,� �,�,� "�'�.�,��,�� `. . �, ,�a�,�� " � � �.� `"�� `` �' ,��`�,� �� # ��*� � # �, � � �� : ��,. � � �;.� _� � � . �� ,� � ��g „� � �: ¢'� � r� �' �,� � 'h``?€"`^� x � �°3 ��°"�"'''�'s`C� �a��'' : � L�f . . h:. ��t�.�. ,t � �� ,r�"`�'��. � �� a�._ � � � . .. �...��.,. . �" ~``��. . .'�,t � � B. .. :!. •. I. ° .. ... .. .�� .' ...... � ��tt��r�a��;� �R��t` ��`�� i��+�: ��.�' � i�� , �tc�� * ��►�c�� t��:+��;�� ~t�C�.��c��nl : .�. .��.. �.�.�� '�� " � b �,......,... �,;��r�r: 1�-�}�tt��c:� s.: �'r�tt�a�: ��".�t:it�� - ��r�►r.�, t;��r t��a�c��tc�iti�z��c� ;;�:�rc� �.- '� . � ritti�: �,-�� t�t� c�t� �r�c�c �� Ft- � � �11r��: .�� c;r.�i�� R-��t�t�rs. �,- �. ��.��►�•, i��, t�.- �- ,._......� _ ..�. ��[ca�r►•. +�,r;t. �- �.� � � . .. . ,. , , . , �- . �P'..1�'uctc�t�:� ar�d�5��{�C `�fi'E�" r:��ic��: ��.�r� '��i�,d�►��s �- S�i�ii{:- �lA � � i��lt r.�tit��; �,��,��►��►�,t:��►�� S�.�i�is;l�t� E�`- ��I�+�- i�t`A � � T�sl��'+� �tit��' ��`c�tr�',�j , '�"'�t'a�'��t�►�� 'r�di#.� . . �'�nti»�t �'+�ra��rr,� +�- �c��r:est�� .��n�' ��''crt�er� �r�fi�r�� 't';��c E��ic�eac;�t �I��ti� �; Cc�,.�[in� �� . l�uct �'c �'u�l�fi�r�.�ir�:��ka��e . , . . . � . m�� . �: �. r�.�l �u�cts �. H�#�,�' i� c�anditian�ci �p►��c� � y�s � n�► ) tnsc�l�tivn �- .�...�.�..._ ' �� d1�r ��c:��nt � �� ' nc► } "�'�t T�r�� 1�2S�a� Tcst �csult �F� ��,?��'� ��i��d�r�� i� t��a ,� t�s��t; �1►�C��, � ;�.Q -Tc.�st�d l�a�;a�c; ��"�� '� t?�sit� ,�e,��arb��n�r�y Eleetr�c F'n�s��'�*s��r� , : ��n� t��: R�tcc� �nnu�� :r��r�t��►�� vh 1 } i '� ` . �� "' � : ..e . . � �,..�� ,:y.�� n�.., ITurt Lca��e.�f�ida�°it p��►��: '�� 1 J o Z a 7 House a�dress ar iat�umEer. � ��-�� `'j�� ;��' �'��,.. CitY. ��x`� Z'�p: ��;`�j�� Cond. Floor r'lrea ft? ��"� C )� �•C::-�.� Source(circbe ane): E� Estimated hieasured ❑Duct tightness t�sting is not ret�uired for this residence pe�excepfions["rsted ai the end of this do�ument Air Handler in conditioneti space?[�yes(�no Air Nandter present during test?�yes�no Circte Test Me#ho�: leakage to Outside at Leakage Maxfrnum ducf teakaye: Past Construction,total duct teakage;(fk�ar area x_08)= GFM@25 Pa Past Construct(on,leakage to outdaors:(�r area x.O6)= CFM a�25 Pa Rough-In,total duct lealcage w�th air handle�instafled:(floor area x.Q6)_ �- t CFM@25 Pa Rough�n,totaE duct leakage with air handler not instaped:(floor area x.04)= CFM@25 Fa L� Test Result�,sCF��25pa Ring(circle one'rf applicab�e�_ Open � � 3 Duci Tester Loc-ation: t�.��-,�-��r Pressure Tap Location:�= l�t ��Qrti{y that thes�uct leakage rates are accurate and determined us(ng standard duci testing protocol, Company Name. ' � ` "� Technician: t�+l� Technician Signature: �` Date:-� �'".�'��- � c.�O Phone Number. ��Z��j� Washtngton State Engr9Y Code referenee: 501.10.3 Seati�g.A1I Qucts,air har�d��.fitfer troxes,and buiklEng q�;ues used as duds shaii pe seal�.Jants and searns sriail comp�y vrth Section Fdt fi01.3 of U�e Intemational Residentiai Co�de or 603.9 01 the(ntematianal Mechanlca!Code. D�� h �uded to��y�t�d�are sealed,q sigcied affidavit d 9 �ness testi tttie testin9 ageni.When �� °C�e�rg the test results shail be P re�d ta the jurisdidion�w�� a�pority by re4 �ed by the buildr�g p�qai,the(est shall be co�ucEed in the ��p�s: 1.pud tighiness test is noi required if the air hantller and ali ducis are located within cp��0 d af departtner�t$taff. 2.Dud tes��9 is nat required it th�{�ace is a nondirecl vent type crombustion appliance instaltedpn an unconditiw�ed space, A maximum°f 5�teet of c�neqed duchwrk in the unconditioned space is allowecl,!�additional suppty and retufi ducts shatt pe wittd�t��d�t;oned space_puds outside the conditioned space shali be seatetl � insulaled on ihe exterior v�ith R 8 insufaUon for above gratle ducts and R-5 �^�a mas6c type ducf sealant and e�. � �aler r�i t nt m�i�i�ir.., 6�< � ��.,g � g� , . �� .� � �� when within a siab or � � �� ^�, ��"� ° �,��`�A�� '`� � �� p �� i�, »r m`a `'�aa'�r�8�� pil,lra.ti �Wlg � s�� "`, ��a � � � . .�� '� '�� , .or` �� _,` �. �r 4 '4� � "� � ,c $�� ►��;�, w� '��'��""""�"°"�e"� ,� � � � � � ��`�. � �� •' � �� e�, �. a��'a� �' � e�� + 4 �� ' �.P° �tx� �� ( ,. �A �fi `, p��gE a J��L` r�' �j°�� . 7 $, fi +� g� � �a �t� i �; �� ?'I a "� '�7��'n�' '�.�VP�"'�" ,�$ � . . � '�� ` a aA�.�,gs� s .° .�+ i�"rv � z� � u .ae��'��rv, F,. r a �� . ,�� a n r� �'�*��q r � �- =.� 4"�: , c� e� ^�a � � -�� r� � �� '��5��.��w..m�, U � � � � � � � o `� c N N � � � � � ` d' � � � U Q� �� .UN � � � � � � � � O >+ � � � c� V V � �a � s�, � � ° :,� � a, �I � Z � V � � = a� !v � � o- °' .�'� � � o� o> � � � � � � m U �3 0 � � � � •� � � N O 0 � L � o' a� o •� � � cA � o ~ p� � � �,� .N � Q � � � � � N J � � N a •� m � � � � � � w � rn � � `� � .� Q � MQ � Q� � O � = W � � � � Q o � M � O � o~o � X O p � z v_� c�a co � m W ° ,n W � � c`�a M W Y � M � J � � W a a N Z O V i � .Q p., a � � � � � ~ � Z H � . . � � � O � O N !n � ;«_ (6 �t'`��,�etE a � � � � J � -� �U � �. � -v E � a� � � � � �'� Q ca � � � u�'i �j O r z Q c �" a; �' � L �' � �a �' `"a � � N N � � cNa �� ,��f�td � �� 3 3 '� a� � a '� m O O m � Q u� m