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20140125 Permit Pkg 02242014 �aE T"�a,� City of Yelm Permit No.: 20140125 ' � � Community Development Department Issue Date: 2/24/2014 � � (Work must be completed within 180 days) Building Division Phone: (360)458-8407 L '"""'""°" Fax: (360)458-3144 Applicant: Name: MITCHELL WITTSTRUCK Phone: 575-496-9503 Address: 15305 KAYLA ST SE YELM WA 98597 Property Information: site Address: 15305 KAYLA ST SE Owner: MITCHELL WITTSTRUCK Assessor Parcel No.: 41610005900 Subdivision: CHERRY MEADOWS Lot: 59 Contractor Information: Name: MITCHELL WITTSTRUCK Phone: Address: 15305 KAYLA ST SE YELM WA 98597 Contractor License No.: Expires: 0/00/0000 Project Information: Project: MECHANICAL Description of Work: ADD ON AN A/C UNIT PROVIDE DUCT TEST TO COY Sq. Ft. per floor: First Heat Type(Electric,Gas, Other): Second Third Garage Basement Fees: Item Contractor Fees MECHANICAL MITCHELL WITTSTRUCK $ 29.50 TOTAL FEES: $ 29.50 ApplicanYs Affidavit: OFFICIAL USE ONLY I ceRify 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�am currently Final Inspection: registered in the tate of Washing�on. Signature ` Date � � Date: Firm By� � CitY °�5��07 (360) 2/Z4/2a14 1:19 PM REC#: 001535jERM: 001 OPER: Cn R�F#; 8094 TRAN; 33.0000 BUILDI2� 50CR T5 20140125 W5305TKAYLA STTSE LL MECH 29.50CR TENDERED: 29.5� CHECK APPLIEQ: 29.50- CHANGE: �J_ �°�� _ _ _ _ _.,� CITY OF YELM Z�G ��-�._._ RESIDENTIAL BUILDING PERMIT APPLICATION FORM Project Address: i`�3•�S-1��,�' S� 5� Parcel#: �� '� S°� �� Subdivision: Lot#: Plan#: Zoning: ❑ New Construction ❑ Re-Model/ Re-Roof/Addition ❑ Home Occupation Sign ❑ Plumbing �( Mechanical ❑ Mobile/ Manufactured Home Placement ❑ Other Project Description/Scope of Work: �D� E5� �� (�T Project Value: Building Area (sq. ft) 1St Floor 2�'1 2"d Floor�_3�d Floor Garage-2 car 3 car Covered Patio Covered Porch Patio Deck # Bedrooms_ #Bathrooms_ Heating AS/ HER or ELECTRIC (Circle One) Are there any environmentally sensitive areas located on the parcel? � If yes, a completed environmental checklist must accompany permit application. BUILDING OWNER NAME:M-l't'"G�+'�l-� 1.J t-TTS i�2J�-►�-- ADDRESS �3uS- J� L-J� S° S� EMAIL CITY CZ`"� STATE � ZIP �l S� '1TELEPHON E S`b�'� �`�l� °'`��v3 ARCHITECT/ENGINEER LICENSE# ADDRESS EMAIL CITY STATE ZIP TELEPHONE GENERAL CONTRACTOR 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# MECHANICAL CONTRACTOR LxIM�Q Cut''�� TELEPHONE�5 3 --�'1�'�� ADDRESS ��,►�c��1��1 � ��i�''�l EMAIL S�K�'1.�.-�n2 �L��nn✓�,-�=c�.��vt::,�. .c.-�v-^ CITY��u�.�,F1-�-�� STATE LV ZI� P uZS�� FAX Zs3°8`-c -�SZZ CONTRACTOR'S LICENSE# L�4��C��r'�Ir'��1EXP DATE �ITY 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 be in accordance with the laws,rules and regulations of the State of Washington and the City of Yelm. ' �`-� � `� A li ant's Signature Date O r I Contractor/Owner's Agent/Contractor's Agent(Please 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 period of 180 days 7��-� �-�S� Co�•{ T� Ow�� C� ( ]05 Yelm Avenue West (360)458-3835 Yelm, WA 98597 (360)458-3144 FAX www.ci.yelm.wa.us � � � 2�i�� /�� , ':�� Property Address: �S?��_ ��,�,( L� S I 5C �%�__ Conditioned F1oor Area 2'"1"� 3 Date Z �Z� ��k Builder or registered design professional: L�-,�-►�. C,ti.:► ��' �K�,�� .�.,��.. signakwe: _<,: . �,P�: R-Yalues Ceiling: Vaulted R- Floors Over unconditioned space R- Attic R- Slab on grade floor R- Walls: Above grade R- Doors R_ Below,int. R- R_ � Below,ext. R- R_ � „ � ��_. ��Fuctors anriSHGC'� -. NFRC rating(or) Windows U- SHGG Default rating�cnap�r to wsEC zoo9) Skyli�hts U- SHGC- Chr�ter 4 Oplion(s) Tota1 Ch,�t. 4 Credrtr Heatueg, Caoling�4c DornesticHat{�'atei• � System T9Pe Efiicieitcy � Heating '��`� ,�,� �S �� Cooling DH��` � Ditct&Builtlirtg Afr Leal�age � � � � All c�ucts�HVAC iri conditioned space {yes I no Insulation R- Test Method: _Total leakage _Leakage to exterior �ir handler presen[ Test Target�CFM@25Pa Test Result �'�!�� CFM@25Pa Building air leakage target: SLA<0.00030-Tested leakage:SLA= On.siteRenewableEnergy Electrf�P4we�,5j�sterta System type: Rated annual generation Kwh 1