20070135 Permit Pkg 10302013 '�'`�,o� T"�p,�`�' City of Yelm Permit ►vo.: 20070135
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a � Community Development Department Issue Date: 10/30/2013
(Work must be completed within 180 days)
Building Division
Phone: (360)458-8407
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Fax: (360)458-3144
Applicant:
Name: YELM DENTAL CLINIC Phone:
Address: 502 YELM AVENUE WEST
YELM WA 98597
Property Information:
site Address: 502 YELM AVE W Owner: YELM DENTAL CLINIC
Assessor Parcel No.: 21724142200 Subdivision: Lot:
Contractor Information:
Name: YELM DENTAL CLINIC Phone:
Address: JUDD SHERMAN
502 YELM AVENUE WEST
YELM WA 98597
Contractor License No.: Expires: 0/00/0000
Project Information:
Project: TODAY'S DENTAL
Description of Work: Demo existing 2 buildings on 2 parcels, new 4530 sf dental office w/parking, site dev, street
frontage improvements
Sq. Ft. per floor: First Heat Type(Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item Contractor Fees
SITE YELM DENTAL CLINIC $ 750.00
NEW COMMERCIAL BUILDING YELM DENTAL CLINIC $17,807.03
TOTAL FEES: $18,557.03
Applicant's Affidavit:
I certify that I have read and examined the information contained within the application and know the same OFFICIAL USE ONLY
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 Wa i to �-
Signat e Date O� �, I�J Date:
�
Firm BY�
Cit� of Y�lm
(36 ) 458-8402
REC#: OQ142518 1U130/20i3 9:53 AM
Of'ER: CO TERM: 001
REF#: 12623
TRAN; 33.00i)0 BUILDING PERMTTS
2Q070135 15,583.85CR
YELM QENTAL CLINIC
502 YELM AVE W
�Lq-CQM1 15,583.85CR
T�NpEREG: 15,583.65 CHECK
APPLIEQ: 15,583.85-
CHANGE: � � O.OQ
2009 Washington State Energy Code Compliance Forms for Nonresidential and Multifamily Residential
. .
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2009 Washington State Energy Code Compliance Forms for Nonresidential and Multifamily Residential Revised February 2011
Project Address —�Z E E Date 5" 3'2��
The following information is necessary to check a mechanical permit application for compliance with the mechanical requirements in the
Washington State Nonresidential Energy Code.
Applicability Code Location Building DepaRment
( ea,no,na) Section Com onent Information Re uired on Plans Notes
HVAC REQUIREMENTS Sections 1401-1424
1411 Equipment Performance
x.s 1411.1 Minimum efficiency Equipment schedule with type,capacity,efficiency �-1
x.s 1411.1 Combustion htg. Indicate intermittent ignition,flue/draft damper 8 jacket foss �-1
x.�►. 1411.1 Air-cooled chilter Provide total air and water chiiler capacity
N.A. 1411.2.1 Water-cooled chiller Full-load and NPLV values adjusted for any non-standard conditions
rr.�►. 1411.4 Pkg.elec.htg.&clg. List heat pumps on schedule
x.A. 1411.5 Unenciosed Heat Indicate radiant heat system and occupancy controls
1412 HVAC Controls
yos 1412.1 Temperature zones Indicate locations on plans �-2
xes 1412.2 Deadband control Indicate 5 degree deadband minimum �-1
x.A. 1412.3 Humidity control Indicate humidistat
xes 1412.4 Setback and Shutoff Indicate thermostat with 7 day program capability 8 required setback �-1
x.A. 1412.4.1 Dampers Indicate damper location,leakage rate,control type,8 max.leakage
x.a. 1412.4.2 Optimum Start Indicate optimum start controls
x.�►. 1412.5 Heat pump control Indicate heat pump thermostant&outdoor lockout on schedule
xo 1412.6 Combustion heating Indicate modulating or staged control
xa• 1412.7 Balancing Indicate balancing features on pians �-2
xas 1412.8 Ventilation Control Indicate demand control ventilation for high-occupancy areas �-1
x.A. 1412.9 Loading Dock& Indicate enclosed loading dock&parking garage ventilation system
Garage Ventilation activation and control method.
r�.A. 1423 Thermostat interlock Indicate thermostat interlock on plans
Yes 1432.2.1 Temperature Reset Indicate temperature reset method �'1
1413 AIr/Water Economizers
N.A. 1412.1 Single zone systems Indicate multiple cooling stage control capability.
xes 1413.1 Air Econo Operation Indicate 100°�capability on schedule M�1
N.A. 1413.1 Wtr Econo Operation Indicate 100°h capacity at 45 degF db 8 40 deg F wb
x.�►. 1413.2 Wtr Econo Document Indicate max.OSA condition for design clg load&equipment
performance data.
x.A. 1413.3 Integrated operation Indicate capability for partial cooling
N.A. 1413.4 Humidification Indicate direct evap or fog atomization w/air economizer
1414 Ducting Systems
x.�►. 1414.1 Duct sealing Indicate duct design pressures,sealing,and testing requirements
x.A. 1414.1.2 Low press.duct test Indicate applicable low pressure duct systems shall be leak tested
rt.s. 1414.1.3 High press.duct test Indicate high pressure duct systems shall be leak tested,and identify
the location of this ductwork on plans
Yes 1414.2 Duct insulation indicate R-value of insulation on duct �-1
1415 Pfping Systems
x.�►. 1415.1 Piping insulation Indicate R-value of insulation on piping
omp e on equ remen
xas 1416.3.2 System Balancing Indicate air and water system balancing requirements �-Z
Ys• 1416.3.3 Functional Testing Provide sequence of operations and test procedures. �-1
x.A. 1416.3.4 Documentation Indicate O&M manuals,record drawings,staff training
N.A. 1416.3.5 Comm.Report Indicate requirements for final commissioning report
x.A. 1416.4 Compliance Chklist Submit to building official upon substantial completion.
xes Mecha�ical Summary Fortn Completed and attached. Equipment schedule with types,inpuUoutput, �'
efficien ,cfm,h ,economizer
R�C���J�
MAY 2 0 2013 �