20140105 Permit Pkg 01292014 '�'/�oF tH�A,�,�"' City of Yelm Permit tvo.: 20140105
7
� � Community Development Department Issue Date: 1/29/2014
(Work must be completed within 180 days)
Building Division
Phone: (360)458-8407
L
`"'""°" Fax: (360)458-3144
Applicant:
Name: MT TERRACE BUILDERS Phone: 360-458-1502
Address: 14730 STATE RT 507
YELM WA 98597
Property Information:
Site Address: 10003 TYLEAH CT SE Owner: MT TERRACE BUILDERS
Assessor Parcel No.: 47130000600 Subdivision: FAIRWAY ESTATES Lot: 6
Contractor Information:
Name: MT TERRACE BUILDERS Phone:
Address:
14730 STATE RT 507
YELM WA 98597
Contractor License No.: Expires: 0/00/0000
Project Information:
Project: NEW RESIDENTIAL BUILDING
Description of Work: LOT 6, PLAN 2668K
Sq. Ft. per floor: First 1452 Heat Type (Electric, Gas, Other): GAS
Second 1541
Third
Garage 433
Basement
Fees:
Item Contractor Fees
NEW RESIDENTIAL BUILDING MT TERRACE BUILDERS $18,086.42
MECHANICAL BEST CHOICE HEATING $ 84.75
PLUMBING JR'S PLUMBING $ 125.00
TOTAL FEES: $18,296.17
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 th State of Washington.
, l Date:
Signature 't/�.� Date �
Firm gy
Cit� of Y�lm
f36 ) 458-84U2
REC#: 00150769 1/29/2014 11:59 AM
OPER: CO TERM: 001
REF#: 2317b
TRAN: 33.00Q0 BUILDING PERMTTS
20140105 18,296.17CR
MT TERRACE �UILDERS
10003 TYLEAH CT SE
BLD-RES1 18,086,4'ZCR
MECH 84.75CR
P� 125.00CR
TENqERED; 18,2g6,17 CHECK
APPLIED: 18,296,17-
CHANGE: U.UO
YELM COMMUNITY SCHOOLS
PO BQX 476
YELM WA 98597
Clerk: Croy
Terminal: i
Receipt: 237495
Manual Receipt:
NMT. TERRACE
NMT. TERRACE
M�730�STRROUfEB50�DERS, LLC
YELM, WA 9B597
1/24/2014 10:55 A�
Qty� Item ___�_�_.��_ Price
1 CPF MTTIGATION 3015,U0
MITIGATION
13-002/LQT 6/1(lOQ3 TYLFAH CT SE; YELM
Subtotal: 3015.00
Tax; 0.00
Total : 31�15.00
Check 3G15,00
23175
Change Due: 0,00
THANK YQU
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CITY OF YELM
. RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address:_ �aaf�S' _ ���s..����G Parcei#: �1�� ��Q� � ��
" Subdivision: �R-�(c.:�t� Lot#:�� Plan#:�LO�Q�- IL Zoning:
(�Vew Construction Re-Model/Re-Roof/Addition ':.: Home Occupation Sign
P{umbing ' Mechanical `-, Mobile/Manufactured Home Plac�ment ' Other
Project Description/Scope of Work:����u�C�vr+�. � ,_ ��✓�q�2 �-"7�1M�
ProjectValue: � 1 'Z�.Cx,;a�[�.�' 355�0�� �
Building Area (sq. ft) 1�' F{oor� 20° Floor��3'd Flaor Garage-2 car�,�3 car
Covered Patio Covered Porch �"l Patio Deck
# Bedrooms� # Bathrooms Z�/Z.- Heatin . GA OTHER or ELECTRIC(Circle One)
Are there any environmentally sensitive areas located on the parcel?
/f yes, a completed environmental checklist must accompany permit application.
� BUILDING OWNER NAME� L.t..-L-.
� ADDRESS 1�1�3c� �T T St:�� EMAIL u '��.lL. -�^--�
E CITY Y`,.��,,rv� STATE_�,-�►o. ZIP '`�'����- TELEPHONE l UZ
ADORESS t�"t � .�t. �...._---- -.---.__--�__.._---_. ......,._____--___..___._� �__._..__._
ARCHITECT/ENGlNEER�l�..�t�`� �,�, LICENSE #
, � EMAI�
` CITY �w.k���c S7A1'E t� ZIP Q'4�}'Ci,9 TELEPHONE Z`�3 - 'S�'���-1 -Co U�
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GENERA�CONTRACTOR TELEPHONE.�,� 4S ,� t�c3L /
ADDRESS ��} 5T T 7- EMAIL i-r,f1�,�;rA h�,,Id rs ,�J1�,rr�e./.t
� CITY STATEE,✓� ZIP� FAX ��
CONTRACTOR'S LICENSE# � EXP �ATE� "CITY IICENSE#
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PIUMBING CONTRACTOR �.n e TELEPHONE ZS3 �ft�'; ,zL/�i�j -�ma�� -._
AODRE55 (`��[1"� ���5F Ln S��EMAIL .�Q<'3 D�c.�� 'r�c,�`n C ,c�n-ar.t;��Gc
CITY �lrv^t STATE t,� ZIP ��$r1"� FAX � �—
CONTRACTOR'S LICENSE#�Q.,�Pt��505 EXP DATE�' CITY LICENSE#
f AODRESS A'2�vc��R 3-�OR�� ��c'c EMAIPHO�� 1.53�- ta �C.�'�
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CONTRACTOR'S LICENSE #gESiGG`�55�.M- EXP DATE�CITY LICENSE #
Copy of mitigation agreement with Yelm Community Schools, rf applicable.
!hereby certify that the above informatjon is carrect and that the construction on,�nd the occupancy and the use of!he
above described property will be tn accordanCe wtth the laws,rutes and regulations ot the States o(Washington and the
City o!Yelm. �'°-�
, T ) -�,����-�-
Applicant s Signature Date
Owner/Con#ractar/ Owner's Agent 1 Cantractor's Agent(Please circle one.)
All permrts are non-transferable and wil! expire if work authorized by such permit is not begun
within 18b days of issuance, or if work is suspended o�abandoned for a period of 180 days
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�LEANING PROS
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Duct Leakage Affidavit
House address or lot number:
����� =� I����� �� �
City: �t'���''°l Zip: �����
Cond. Floor Area (ft2): ��� Source(circle one): lans Estimated Measured
❑ Duct tightness testing is not required for this residence per exceptions listed at the end of this document
Air Handler in conditioned space? � yes�no Air Handler present during test? �yes❑ no
Circle Test Method: Leakage to Outside Total Leaka
Maximum duct leakage: „
Posf Consfruction,total duct leakage: (floor area x.08)_ ��� CFM@25 Pa
Post Construction, leakage to outdoors: (floor area x.06) _ �,. �l CFM@25 Pa
Rough-!n,total duct leakage with air handler installed: (floor area x .06) = CFM�25 Pa
Rough-In,total duct leakage with air handler not installed: (floor area x .04)= CFM@25 Pa
Test Result: GFM@25Pa
Ring (circle one if applicable): Open 1 � 3
Duct Tester Location:�h� ���'° �C�=��"�r9 Pressure Tap Location: �t^J��-� dJ��^�'��
I certify that these duct leakage rates are accurate and determined using standard duct testing protocol.
Company Name: �../°'�A �!j v t t'� ��a+�r�� Technician: � 1�"'�°F� ���-�
Technician Signature: ���'�� .�°�p ate: - ' � ' ' Phone Number: _ � ¢�.�.�� 6��
Washington Sfate Energjr�Code reference:
503.10.3 Sealing.All ducts,air handlers,filter boxes,and building cavities used as ducts shall be sealed.Joints and seams shall comply
with Section M1601.3 of the International Residential Code or 603.9 of the lntemationa!Mechanical Code. Duct tightness testing shall be
conducted to verify that the ducts are sealed.A signed affidavit documenting the test results shall be provided to the jurisdiction having
authorify by the testing agent.When required by the building official,the test shall be conducted in the presence of department staff.
Exceptions: 1.Duct tightness test is not required if the air handler and all ducts are located within conditioned space.
2.Duct testing is not required if the furnace is a nondirect vent type combustion appliance installed in an unconditioned space.
A maximum of six feet of connected ductwork in the unconditioned space is allowed.All additional supply and retum ducts
shall be within the conditioned space.Ducts outside the conditioned space shall be sealed with a mastic type duct sealant and
insulated on the exterior with R-8 insulation for above grade ducts and R-5 water resistant insulation when within a slab or
earth.
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