20140106 Permit Pkg 01152014 Q�O� THEp,�'� City of Yelm Permit No.:
20140106
a � Community Development Department Issue Date: 1/15/2014
Building Division (Work must be completed within 180 days)
Phone: (360)458-8407
EL
w."`�,"`T°" Fax: (360)458-3144
Applicant:
Name: FREESTONE CHERRY MEADOWS LLC Phone: 253-896-1300
Address: 6820 20TH ST E STE A
F I F E WA 98424
Property Information:
site Address: 15512 CHAD DR SE Owner: FREESTONE CHERRY
MEADOWS LLC
Assessor Parcel No.: 41610002900 Subdivision: CHERRY MEADOWS Lot: 29
Contractor Information:
Name: FREESTONE CHERRY MEADOWS LLC Phone: 253-896-1300
Address: RICK CARLILE
6820 20TH ST E STE A
FIFE WA 98424
Contractor License No.: Expires:
Project Information:
Project: NEW RESIDENTIAL BUILDING
Description of Work: LOT 29, PLAN 2103
� Sq. Ft. per floor: Heat T e EI �
First 883 Yp ( ectric, Gas, Other : GAS
Second 1220
Third
Garage 484
Basement
Fees:
Item Contractor
NEW RESIDENTIAL BUILDING FREESTONE CHERRY MEADOWS LLC Fees
MECHANICAL $17,116.22
KLIEMANN BROS. $ 84.75
PLUMBING PELTRAM PLUMBING
$ 118.00
TOTAL FEES: $17,318.97
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
Yelm regulatio s including those governing zoning and land subdivision,and in addition,all covenants, #Sets of Prints:
easements an restrictions o c rd. ing as a contractor, I further certify that I am currently
registered in t State 6f Wa hi n Final Inspection:
Signature Date � � l L Date:
Firm By
cif� of �elm
(�6 � 4�e-eaoz.
REC#: 001�95�6
OPER: CO 1/15/2014 12:52 PM
REF#: tERM: 001
313r
TRAN; 33.OU00 BUILpING PERMITS
2n140106
F�EE'STONE CHERRYg ����
15512 CHAD DR SE ME��aw� LLC
BLp-RE51 17, 116.22CR
MECH
PL 84.75CR
�18•OOCR
TENDERED: 17,318.97
APPLIED: 17,318.97- CHECK
CHANGE; -'-`'---_�--
�.00
YELM COMMUNITY SCHQOLS
PO BOx 476
YELM WA 98597
Clerk: Groy
T�rminal: 1
�eceipt: 236456(Reprint)
Manual Receipt:
NFRE�5TONE
NFREESTONE
FREESTQNE, LLC
6820 20TH ST E SUITE A
FIFE, WA 98424
1/15/2014 12:43 PM
Q�� Item_� ___���._._� Pri�e
1 CPF MITIGATION 3015.00
MITIGATION
03-021/LOT 29/15512 CHAQ DR SE; YELM
Subtntal: 3015.OQ
Total: 3015,00
Check 3015.00
3132
Change Due; 0.00
REPRTNT RECEIPT
THANK YOU
���oi��
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
ProjectAddress: �5���' �1�w.�. ��v2, �� Parcel#: �`���� U��� �UU
Subdivision: Lot#: �--� Plan#: 1 L3 Zoning:
'� New Construction C� Re-Model/Re-Roof/Addition C� Home Occupation Sign
� Plumbing ❑ Mechanical �-� Mobile/Manufactured Home Placement � Other
'� V�
Project DescriptioNScope of Work: �i✓��� v�v�n,��� �5, . C Q
Project Value:_ Z�,�n Cija
h,..
Building Area(sq. ft) 15t Floor �� 2"d Floo� ��-3`b Garage U`�� Deck
Basement Carport Patio ,�
#Bedrooms�� #Bathrooms� Heating: GAS/OTHER or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? �v�
/f yes, a completed environmental checklist must accompany permit application.
�:lll�€?fil�(£"a t�it�NF,�F�IVE�M�: '=�r�.es�Tv.�. 'L,,,�
ADDRESS �a�'�o ���= 5fi � EMAIL ��„�v��a��rr2etrto{�cc•�z��n�eh ;L�'�^
CITY "G,�P STATE�_ZIP ��'-1 � TELEPHONE �- '�� Q�°��,.-t3o�
AF�CNlT�G�"�E��1�F��R LICENSE#
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
G�����`r`�������� TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE# EXP DATE CITY LICENSE#
��'�������������� TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE# EXP DATE CITY LICENSE#
����������������� TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE# EXP DATE CITY LICENSE#
Copy of mitigation agreement with Yelm Community Schools, if applicable.
I hereby certify that the above information is correct and that the construction on,and the occupancy and the use of the
above described property will b ,'n accordance with the laws,ruies and regulations of the State of Washington and the
of Yelm.
.
App ic t's Signatu � � 1�\
Date
Own / ontractor/ wner's Agent ,Contractor's Agent(Piease circle one.)
All permits are non-transferable and will expire if work authorized by such permit is not begun
within 180 days of issuance,or if work is suspended or abandoned for a p ' ,
�'� �.:�. �,� .=_F��TFD
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� � �JAN 0,'7 ZU14
�
105 Yelm Avenue West -
Yelm,WA 98597 �•�E360�.15f�38,3a-_=;,--��
www.ci.yelm.wa.us (360)458-3144FAX
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52.00
SCALE:1"=20� LOT �oT
28 29
10'UTIL ESMT
.°a �� 10 CY � — — �
M
`� ��DRYWELL � N
o r
`° T � 17.5' 18' .5' 7' �O
� M
I - - -
� � 18 x 12 �
`" I ROOF COV PATIO I N
DRAINS
' —
� I 38' I
`- N
� � 2103 B REV � o
4 � D IAG 55.17' � `�
re 7' 38' W �,
I � 11 °
8'-0" 8' I
C�OCOV.PORCH 2 CAR � I
I . GARAGE �I
� " • -: �>�.y t-�;� �
v 20'_SETBACK _ � - N i ' I
� - — 22' ��
l'iANK� � '� I
-� - _ - -
� �.6. ..8,7,_, Z, ... .. ...
10'UT�SMT "� I INDICATES 1'x 10'
� � CONC. ADDITIONAL UTILITY
� / �? DRIVE I . - EASEMENT LYING 5'
� �Z�, � ON EITHER SIDE OF �
S THE COMMON LOT �
�33 46� \ � —�� °
CURB/GUTTER 18' I
�� l
APPROXIMATE C\?�.69 W
LOCATION OF
�STREET TREE
u
cn 24'
w �ity of Ye � �„ � ��
����"EIVED N , ._, � _..
k
? �AN � 3 zo,4 pprov��� \�,� ��__------
�.���- - �_ >�-� ,����
__._" .___ � �.._ _.
NO 5' EAVE � �
ENCROACHMENT THIS LOT ��.. - _
� , CONNECT 4" PVC ROOF
STEP TANK EXCAVATION IN VIOLATION �� / DRAINS TO DRYWELL
OF THE REQUIRED 5' MINIMUM SET BACK � /� FRONT PORCH FOUNDATION AND STEP
TO FOUNDATION SHALL BE BACKED \�� TANK LOCAT►ON SHALL BE STAKED OUT
FILLED WITH CDF. � FOR SET BACK INSPECTION.
LOT 29 - CHERRY MEADOWS
PARCEL #: 416100 029 00 Dqte: o"'ner: �reestone
01 / 13 /14 Gherru Meadows LLG
Lot Size: Pro�ect Address: 6820 20th St. E Suite A
5,182 Sq. Ft. 15512 CHAD DRIVE SE �ife, WA q8424
253-8q6-1300
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Duct Leakage Affidavit(New Cons#ructton}
permlE#:
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House address or lat tiumber: ��7G�� ��. �����`(�,�\Y` `�'C-�
City: ����V`� z�P� � �� ��
Cond.�IoorArea{ft2}; iT���� Source(circle o��e): �� �stlmated Maasured
❑Duct#lghtness testing fs no#requfred.The iotal leakage tesf(s not�equ�red for ducts and air handlers focated
entlrely ti+vithln#ha buildtng thermal envelope.Ducts Iocated tn crawi spaees do not quatify for this exceptton.
A!r Handler ia conditioned spaca?[�yes�no Air Handler present during test?[�yes Q no
�_....._....._ --� .
Circte Tes#Method: Leakage to Outsicfe o a1 I.e-ak`a�% •
�-__------�'
Maxfmum duct(eakage:
�'ost Construction,tetal duct[eakage: (floor area x.Q4)= CFM@25 Pa
Post Consfructian,taakage fo outdoors: (floor area x.Q4)= CFM@2a Pa
Rough-f n,to#al c{uct lea[cage with air handler lnstalied: (floor area x.04)=_�CFM@25 Pa
Rough-In,totat duct(eaicage with air handler not Instaltec[:(�loor area x.03}= CFM@2�Pa
Test Resu[t:^�_..,CFM@25Fa
Ring�circ(e vne if appIlcable): Open �� Z 3
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D[tctTesterl.ocatton: /f�-�"(�`� Pressure Tap Locaflon: '� �.'F'-'f` �-` ��� �`-;�.
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I cer�ify that fhese duct lea{tage rates ars accurate and determined using sfandard duc�testing protocol.
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Company Name: � t 1� � �� � i�j YZ::'.� r _c
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Duct Leakage Affldavit{New Constructfon}
permiE#:, 'Z-°��Y d ,��b — -
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House address or lat tium6er: ���-�� ��. ��t���- , ��'` ����•
CitY: ���
Zlp: � !� `��� _
Gond.FloorArea{ft2): ����2� Source(circte o�1e): �1��tns,! Estimated Measured
❑Duet#tghtness testing is no#required,The fotai leakagQ test is not required for ducts and air handlers located
entirely within the buildtng thermai envelope.Ducts[ocated ln crawl spaces da not qualify for#hts exception.
Atr Handter in conditioned space?[]yes�no APr Handler present during fes#?I�yes�no
. _.._......_.--._ �
C(rcte Test Me#hod: Leakage to Outside �f,et�'` �
Maximum duct teakage:
F'ost Consfruction,total c{uct IeaEcage: (floor area x.Q4)= CFM@25 Pa
Post Consfruction,Ieakage#o outdoors; (ftoor area x A4)= CFM@2v Pa
Rough-!n,tota(duct leakage with air handler lnstalled: (floor area x.04)__�CFM@25 Pa
Rough-!n,total duct leakage wifh a1r handler not Instatled:(flaor area x.03}= CFM a�25 Pa
Test Resu[#:�_ CFM@25Fa
Rtng{circle one if appticable}: Uper► �� 2 3
Duct Tester l.ocation: l��'f�~�`� Pressure Tap L.acatlon: �'���'�":1'f- ��-� `��t ����.
. ����� -
!c�r�tfy thaE these duct lea{cage rafes are accurate and determineci using sfandard duct#esfiing protocol.
Gompany Name: � '11 �_����lw-��`�I/� ��YZ:.� Techntclan: ���`\ �`'�t._
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Technicfan Sigr�afure: �,J .
Date: �` ��(-- j�
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Phone Number: �.a�� -C?Et:.�
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Zz��ulatxon Cerrt�fzcat�/Blo�ex°Door Te�L Fo�rr��
B atts&Blankets Thermal Perfonnance(Afiic AppIication) •• -
When installed in accordance with the mauufacturer's Tlie stated thennal resistance(R-value)is provided by installing in accorda�ice with the manufacturer's
recoznmendations,I�iauf Uat�s 8c Ulai�ets will provide itisintctions,the zequired iiuuiUez of bags pez-1;000 sq.i�.of net area,at not Iess than the labeled mininzun
the full S2.-value, thiclmess.Failure to install both the required number of bags&at least the minimum thiclaiess wiIl result
� ' in lower insulation R-value.
,,:_ �:�;�ai�,; . - ._, •
t � i,�i n,z�am Ih cl:��.e �.•Va�ur ��•I r; C���,
. �I', Ci,,� I.OD65q. ,. � �4a��ii�mn C?�a;��c i,lincirt�iui 1,'c�,�l I n•i i+�,��,}�i h c��� ,
To obt�in an (nstal(ed iG��uiatqo�l " �'o abc�t t��� iiic�t�nTL•er of Conteuts of ihis ba; The�1�ci�ttt/SF af� 3ns�allc�ir?s�iatron ��' !
� ips�[�[ioit«sis[ance sftould�ot6e(ess insula[ian Gaosfl,OOQSI'oi`ne shauidnot cou€rmore ii�sC�fled�nsulslioi� shoul�ratGefe;s
R-Value�f,-. tltan: resistunce ¢[ea'sttou[d9�et 6a tlia��: s[toutc��to[tie�ess thnn: Li��:
_ !j�-V�(ii�l n_f;
R-3S I-ID I0.25" R-60 29.7 33.6 SF .952 Ibs. 19.750"
R-38 17..00" R-49 23.5 42.5 SF ,j5316s. " 16.375"
It-30HD E25" R-44 20.9 47.8SF .6701bs. Iq,g�s�°
R-30 I0.00" R-3S 17,8 56.2SF .569Ibs. 13.000"
R26 9.00" R-30 13.6 73.3 SF .437Ibs 10.375"
R 22 6.50" R-26 11.8 85.0 SP .3771bs 9.125"
1Z-21 I�-D . _ 5.50" R-22 9.8 102.2 SF .313 Ibs 7.750'>
R-19 6.25""�° R-7.9 8.4 1193 S�' .2681bs 6.750"
1Z-15 FiD 3.50" R-13 5.7 175.3 SI' .183 lbs 4.750"
R-13 3.50" R-I1 4.7 210.8 SF .1521Us 4.000»
R-11 3.50" Bag Weiglif-Nominal 301Us,Minimum 291bs.This pzoduci con�orms to the perfoaivance requireinenis of ASTIVI C 764
R-S 2.50" Type 1,&caucelled Pederal Specification HH-1-10308,Type 1,Blass B.R-Values are determined in accordance�vifh
y"R-18 in a 5.5"cavity.Confomis to ASTM C 6�7&C 518."R"means resisfuice io heat flow.The higher tUe R vahte,the greater the insulation power.To gef tIie
C665&Federal Specificafion$FI-1-521F inarked R-value,it is essential that ihe insulation be insfalled properly.If you do if yourself,get lnstntciions&follow ther
� •To achieve laUeled R-value,tfiis pxoduct mnst be appiied with a pneumatic blowing znachine&a cornigated hose wittt a minimum.25"infemal corrugation,a miniimmi length
of 150#t.&a diamefer of at least 3".Coils in iiie hose sl�ould not be less than 36"in dia�nefer.Acceptable material feed rafe is 5-351bs./minute.Reconmiended feed rafe is
�S 251bs./minufes. •
33nilders Instilation Statement,
at(s au or au cefs iaye been msfalIect in confozmance witti tlie above 2009�S�C Jl�esidential�ner�p Complinnee Certificafe-$uiIdin��ir T�eal•a�e
recon�utendations io provide afhennalresistauce of....
. , � , It=Value ." � ,� ,Sta�ida�d ' Iiujldina&Test Con ition: Gofnnienfs:
Attic Area R- R-?9 � Date:
. Sioped CeiIing R- 3$ R-38 Time
Walls ' R- R-21 Tndoor Temp:
Flooas(over ui�lieated crawl space) R- 1Z-30 Outdoor Ternp:
Floor Area(sq ft) Q
Completed es of S�7'� d�uiIdiner�irY,eaTc�ee 7Careef• S�,�Less`I'han 0 400�0
Installers Name Print:_ _ �'est#A-Depress__x Press Pzefest Baseline pxessure
-- �'a
InstaTlers Name Sign:
' Bid�Piess. a� Ffow Rin Fan Pcess: a . I?i'i�v'cfd�
�IZSI z' �O� 5 - t32o
Site Address: Z. �/� �2 S� _
`�� d�.SQ� PosfiTestPressure: FanTVlodel/SN: I��D 3
� \
Results:SLA(Specifc Leakage Area): ,Q��Z 3� 3���9� /�{-{
IiomeBuildersSig�ahire: 1es�#2-Aepress Press PretestBaseli�zeFressure (pa
�Tbme BuiIders Addiess:
. . . ..
' . BW�•1'teSSr a: : • Flaiv Ri,iQ . • Fan�Rr"ose:� .a'� f�lQtv�fdi
InsulationContractor: Iusu]ationNorthwestLLC •
Post Test Pressure: Fan Model/SN: •
P.253-846=0121 P_O.Box 732069 �
Results:SLA(Specific Lealcage Area); .
F.253-846-8096 Pn allup.WA.98373
Affidavit: I eertiCy thatthis Specific Leakage Area is accurate&determined using Blower boor Test Staudard 502.4.5 Building 1�ir Lealcage Testing.
� -�-
TeclmiciauNamePrint: �� TP�1,,,;�;;,,,t�T:,�„P_e;�„• ���