20130281 Permit Pkg 07252013 O�pF TN�p�' City of Yelm Permit No.: 20130281
� �, Community Development Department Issue Date: 7/25/2013
(Work must be completed within 180 days)
Building Division
Phone: (360)458-8407
L
WARNINGtOM Fax: (360)458-3144
Applicant:
Name: KATHRYN DOTSON Phone: 360-458-7568
Address: 16208 VANCIL LP SE
YELM WA 98597
Property Infortnation:
Site Address: 16208 VANCIL LP SE Owner: KATHRYN DOTSON
Assessor Parcel No.: Subdivision: Lot:
Contractor Information:
Name: BIGFOOT HEATING Phone:
Address:
14510 123RD AVE SE
YELM WA 98597
Contractor License No.: BIGFOHA891J9 Expires: 4/01/2013
Project Information:
Project: MECHANICAL
Description of Work: INSTALL HEAT PUMP
Sq. Ft. per floor: First Heat Type(Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item Contractor Fees
MECHANICAL BIGFOOT HEATING $ 29.50
TOTAL FEES: a 29.50
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 inclu ing those governing zoning and land subdivision,and in addition,all covenants,
easements and restri ions of recor . If applying as a contractor,I further certify that I am currently Final Inspection:
registered in the Sta f hingt n.
�� � Date:
Signature Date t
F�m, � s
By:
Cit� of Y�lm
(36 ) 458-8402
REC#: 00134184 7/25/2U13 3:04 PM
OPER: CO TERM: 001
REF#: MC
TRAN: 33,0000 BUILDING PERMITS
20130261 29.50CR
DOTSQN, KATHRYN
16208 VANCIL LP SE
MECH 29.50CR
TENGEREq: 29.50 OTHER
APPLTED: 29.50-
CNANGE: � 0.00
2v�3� Z�3�
CITY OF YELM
� ��� RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: 12��� �c,d,r-,c.+� 1-�-�� S�- Parcel#:
Subdivision: Lot#: Plan#: Zoning:
o New Construction ❑ Re-Modei/Re-Roof/Addition ❑ Home Occupation Sign
❑ Plumbing ,pJ Mechanical ❑ Mobile/Manufactured Home Placement ❑ Other
Project Description/Scope of Work: Q �, � � .-�-�
Project Value:
Building Area(sq.ft) 1gt Floor 2nd Floor Garage Deck
Basement Carport Patio
#Bedrooms_ #Bathrooms_ Heating: GASIOTHER or ELECTRIC(Circle One)
Are there any environmentally sensitive areas located on the parcet? �
ff yes, a completed environmental checklist must accompany permit application.
BUILD{NG OWNER NAME: �
ADDR�SS L..� EMAIL
CITY �t.l,�--. STATE�ZIP '.�' TELEPHONE �. '�1.�C.ry �
ARCHITECT/ENGlNEER LICENSE#
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
GENERALCONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE# EXP DATE CITY LICENSE#
PLUMBING CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE# EXP DATE CITY LICENSE#
MECHANICALCONTRACTOR� ti TELEPHONE 4S � '' l�a� �
ADDRESS }`�, �+ MAIL
CITY `f'��•, STATE � ZIP ' ' ` FAX
CONTRACTOR'S LICENSE# G � XP DAT CITY LICENSE# 1'3-v:�:Z���• �
Copy of mitigation agreement with Yelm Community Schools, if applicable.
I hereby ceRify that the above information is correct and that the constructlon on,and the occupancy and the use of the
above descri d property will be in accordance with the laws,rules and regulations of the State of Washington and the
City of Yelm
�l-�� 1�
Appl' ant's Sign re Date
Owner/Contractor/Owner's Agent/Contractor's Agent(Please circle one.)
All permits are non-transferable and will expire if work authorized by such pertnit is not begun
within 180 days of issuance,or if work is suspended or abandoned for a period of 180 days
105 Yelm Avenue West (360)458-3835
Yelm,WA 98597 (360)45&3144 FAX
mww.ci.yelm.wa.us
�
Duct Leakage Test Results (Existing Construction)
Permit#: Zd.� �02�1
House address or lot number: ��,� G�S �G.Y7Cc ( (�O�ar� ��
City: `P�i'f� Zip: ��S 1 q
Cond. Floor Area (ft2): ���Q
❑ Duct tightness testing is not required for this residence per exceptions listed at the end of this document
Test Result: �_3 . � CFM@25Pa
Ring (circle one): Open 1 2 3
Duct Tester Location: �e..�vct1 ��c' A�c� \\ _
Pressure Tap Location: C n.�P��- �rk�crr7m Sv����y
Company Name: ���a�-'r �.a,���� � �C.
Duct Testing Technician: .� �.�.�
Technician Signature: ,� � , �.�.- i� Date: 7/.�,��I o
Phone Number: �(n('� — �-1Sf�- � (�G� R
Washington State Energy Code reference:
101.3.2.6 Mechanical Systems: Those parts of systems which are altered or replaced shall comply with Section 503 of this Code.
When a space-conditioning system is altered by the installation or replacement of space-conditioning equipment(including replacement
of the air handler,outdoor condensing unit of a split system air conditioner or heat pump,cooling or heating wil,or the furnace heat
exchanger),the duct system that is connected to the new or replacement space-conditioning equipment shall be tested as specified in
RS-33. The test results shall be provided to the building official and the homeowner.
EXCEPTIONS: 1. Duct systems that are documented to have been previously sealed as confirmed through field verification
and diagnostic testing in accordance with procedures in RS-33.
2. Ducts with less than 40 linear feet in unconditioned spaces.
3. Existing dud systems construded,insulated or sealed with asbestos.