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20140174 Permit Pkg 06032014 'f'wof TH�A,A�' City of Yelm Permit ►vo.: 20140174 � � �� Community Development Department Issue Date: 6/03/2014 d � (Work must be completed within 180 days) Building Division Phone: (360)458-8407 LM "".°"'""°" Fax: (360)458-3144 Applicant: Name: SOUNDBUILT NW LLC Phone: 253-848-0820 Address: PO BOX 73790 PUYALLUP WA 98373 Property Information: Site Address: 10053 JENSEN DR SE Owner: SOUNDBUILT NW LLC Assessor Parcel No.: 78640104100 Subdivision: TAHOMA TERRA Lot: 41 Contractor Information: Name: SOUNDBUILT NW LLC Phone: Address: PO BOX 73790 PUYALLUP WA 98373 Contractor License No.: Expires: 0/00/0000 Project Information: Project: NEW RESIDENTIAL BUILDING Description of Work: LOT 41, PLAN 2833A-9-3 Sq. Ft. per floor: First 1130 Heat Type (Electric, Gas, Other): GAS Second 1703 Third Garage 813 Basement Fees: Item Contractor Fees NEW RESIDENTIAL BUILDING SOUNDBUILT NW LLC $17,655.24 MECHANICAL SOUND HEATING&AC $ 84.75 PLUMBING RAINIER VIEW ROOTER $ 118.00 TOTAL FEES: $17,857.99 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 zoni and land subdivision, and in addition,all covenants, easements and restrictions of record. If applyi as a contractor, I further certify that I am currently Final Inspection: registered in the S te of Was n. ` � ... L Date: Si nature Date Firm By� REPRIh�T �} Y�lm YELM COtNMUNITY SCNOOLS �ll�j �� PO BQX 476 (36 ) 458-8402 YELM WA 98597 REC#: U0162086 6i�3/2�14 9:58 AM OPER: GO TERM: 001 Fteceipt #: 259502 Clerk: Croy REF#: 2404 Manual #: Terminal: 1 6/3/2014 9:44 AM TRAN; 33.0�00 BUILDING PERMITS 20140172 17,890.29CR SOUNDBIJILT NW LLC NSqUNDBUTLT 14410 99TN WAY SE NS�UNDBUII.T BLD-RES1 17,6�7,04CR SGUND BUILT NW LLC, HOME� M�CH 78.25CR F�0 BOX 73790 p� 125.00CR PUYALLLIP, �JA 98�73-0790 TRAN: 33.0000 BUILDING PERMIYS Qty__Item _ _ __------_ __ __ _ Pr�ce 20140175 17,411 .72CR 1 CPF MIT?GATION 3015.00 SOUNDBUILT NW LLC MITIGATION 14416 99TH WAY SE BLD-RES1 17,201 .97CR 05-Q27/1OQ53 JENSEN DR SE;YELM 4VA MECH 84.75CR 1 CPF MTTIGATION 3015,Q0 PL 125.�OCR MITIGATION TRAN: �3.0000 BUILDING PERMITS 20140171 17,422.08CR 05-U27/9914 JENSEN �� SE;YELM SQUNDBUILT NW LLC 9914 JENSEN DR SE 1 �PF MITIGATION 3015.00 gLD-RES1 17,225.83CR MITIGATION M�� 78.25CR p� 118.00CR 05-Q27/14410 99TH WAY SE;YELf� TRAN: 33.0000 BUILDING PERMITS 1 CPF MItIGATION 3015.OG 1p}401�4 17,857.99CR MITIGATION SOUNDBUILT NW LLC 10053 JENSEN OR SE 05-027J14416 99TH WAY SE;YELM BLD-RES1 17,555.24CR MECH 84.75CR 1 CPF MITIGATION 301�.00 P� 118.00CR hiITIGATION t15-027/14415 99TH AVE SE, YELM TRAN: 33.0000 BUILQING PERMITS 20140176 17,411 .72CR SOUNDBUILT NW LLC Subtatal 15075.OL1 14415 99TH AVE 5E Tax ��aa BL�-RES1 17,201 .97CR Total 15075.00 MECH 84.75CR p� 125.00CR Check 15075.00 �41� TENDEREG: 8i,y93.80 CMECK Change Due O.Oa APPLIED: 87,993.80- CHANGE: G.a� THANK YOIJ i J �� CITY OF YELM RESIDENTIAL BUILDING PERMIT APPLICATION FORM Project Address:1Vv)�. �S� Parcel#:�(!`1�I O'"i�O� Subdivision:_1� �Lot#:� Plan#.��[��- I-3Zoning: � - Home Occu tion Si n �New Construction : Re-Model/ Re Roof/AddiUon pa g ; Plumbing : Mechanical Mabile i Manufactured Home Placement Other Project DescriptioNScope of Work:�1�� 5�� Pro�ect value: �� t— ��o��U� • Building Area(sq. ft) 1� Floor 113b 2"d Floor�� Garage �,,,� Deck,�_ Basement_�_ CarpoR Patio__�__� #BedroQms� #Bathrooms�rj Heatin GAS/ HER or ELECTRiC (Circle One) Ars there any environmentally sensitive areas located on the parcel? �� /f yes, a cornpleted enviranmental checkNst must accompany permit applicatian. � , . , . , 6 yq �,. l�'; . � , ' ADDRF,,SS i <: �� `'�>7�E.> EMA14�.� �rs�.� <"� €�� r-t , �., . ,,.� � .P � .,, ' CITY �4�.�G� STATE ZIP ` �' '} .�' TELEPH NE -l� 3 '� -�'�` ' �,��" � �� ' ,; �.x� ,r��cc � ` UCENSE# ADDRESS .� :��., EMAIL °:��. e.��v��, i �c�r�;` „��:�.ut� .t�� CITY �`'.� � :=�:.� �.:...�� STATE ��:,= ZI TELEPHQ E . 'L- � - �� c:� C F . � ;4 E>.°� tr I�J ��; TELEPHONE �� ; . .� #� 5 a c _ . ADDRESS ' .. ;..:, r 7.�"I`t�� EMAIL R, �:_ � <:� � . «� t��= lt tr �ric•1 �c.r., CITY� 'v...��a�.:�._, STATE L.; r-� ZIP 1 ts".�I"�* FAX .' "� "' �� > �� r CONTRACTOR'S LICENSE# � � .w c` EXP DATE-=� CITY LICENSE# � - , ..,. . �-� 1 ', �►1..��N!�r•° ; �� :=,��r;,r�� ,.ew.' (�c��V.r TELEPHONE . '� `a �f ; _ / f �C:; �� ADDRESS � � -- �'��f�� EMAIL j CITY_,_,= . STATE L�..-i ZIP i'� �, ,, FAX _' ; S .�' �> ��1`�:� � CONTRACTOR' UCENSE# ` -� r� t 4'' Z Pr` EXP DATE CITY LICENSE# � . �, . ;�.�._,-�,,: . ,.� TE�EPNONE � '>_k � `` - �, ,'':� ADDRESS ,> > :�;, . f �.`. :>r� � �� .�z EMAIL :� � �, w ? , 4 .�� GTY--�+��_�, �� STATE ��- ZIP��T ,� FAX CONTRACT�R'S LICENSE# °�:..�,! t��C�r:te� EXP DATE CITY LICENSE# �V'{ Copy of mitigation agreement with Yelm Community Schools, if applicable. 1 hsroby c�rttfy that t!w abow iMortnatlor+is corr�ct a�d that the construction on,and th�xCUpancy and the uss of the abovs desc�ib+d prop�rty will b�1�accordanca with tha laws,rulss and rsgulationa of the Stats ot Washlnsto�and the Clty of Yelm. ��1�� `°�_-•��,L<--`' �.: . .�—�-- -- Applicant's gnature :-°� - `�� Date Owner/Contractor er's Agent I Contractor's Agent(Please circle one.) All peRnita are non-transferabte and will expire if w�ork authorized by such permit is not begun within 180 d�ys of issuance,or if work is suspended or abandoned for a period of 180 days , �� S� ��s�� GJ� �_____ F E B 2 � 2 014 /05 Yelm Ac�ercue West � 360)458-3885 ( Yelm, WA 98597 _______) wmw.ci.yelm.e.va.ua �,��` THOMA TERRA- ��`�r ' PfH . - DIV. 1 ��,a. - � ��_ �- . � LUT- 4 l '�� ~Td. � „ _ ' 2' MINIMUM SETBACK BETWEEN ,. � 4�g� �F�--�, , f - ` SIDEWALKS, DRIVEWAYS, EASEMENTS, �,o� � AND STEP TANK. L= 30.37„ � R= 57.00 �\�:, �S,s. 0• 0=3031'S1" (�p�' .,i\ .2��9 q�� V ...n��, ` � ,�'1 FENCE .. /,� .. 16y$�'\\`�. t� TYt�. S /, �\\�� 4'. � �, / ��\. �� .. - _ �; .�. '�� f 6'• .` DR:YEWAY ��\• ��`b ' s�T�+ ��:��.� ��9,. � '. , , �. � `� ",3.' ��3� �� ':\\� �'�O + `'."� � _ ��., �c� .� ' ', � GARAGE �ry \`�s'� � # � ��. PORCH ��CSf � �� / , � � ,; ,,? "`--- o 8'-�;" '. � / w '� !�� a'��EO�... // � `�� '�" � / � � � � N o � �.a 2833A9-3 / � � � ELEV.—A � � � (2 STORY) / � �5'�s'wXa'D ```.� 4 BDRM /� r� ,lIbPERVfOUS AREA � DRnvE�L ' �`• ROOF= 2537 S.F. � �� .. ,�� DRIVEWAY & .�' S'-7« ,`,°'' � �ry� SIDEWALK= J i25 S.F. �C / �� TAL= 3662 S.F. � �� ' LOT S.F.= 9261 � �-- _' `_ - -�'-�� —_� - - - - - --�'�� Y_4T.ES� � _ 1 _ — _ �'� �� uR PORCH FOUNDATION AND ;�; �q9�NK LOCATION SHALI. BE � �A� QUT FOR 5ET BACK � "- � -- —�� INSPECTIQN. 10' ----._ EASEMENT 2. STEP TANK IN VIOlAT10N OF THE REQUIRED 5' MINIMUM SEfBACK TO / FOUNDATION SHALL BE BACK FILLED WITH CDF. L= 7237 3. CONNEC7 PVC ROOF DRAIN5 TO ft= 670.00 DRYWELL. ---{.��-�.��1J '06'11'20 -° ,��..w,_,�.,..��.. .+ ' ° �ONTACT INFO �+a„��: �zs3 aaa-oazo � �.'��. �a � � ?�?�� CITY OF YELM �a ` THURSTON COUNTY --� ------ � SOUNDBUILT soo�3�e�5en or.sE. SCALE: ?"=20' HOMES, INC. Yelm,WA98597 i P.O. BOX 73790 PARCEL# 78640104100 � PUYALLUP, WA 98373 � �0 20 �a f qX�C?253)85 9 00 14 P2 03/07/14 R3.D � r�-� ��C� +�t� . �� F'rescriptive Energy Code Compliance for Climate Zones 6, 5 and Marine 4 Project Information Contact Information L2M-2833 Elev. A This project will use the requirements of the Prescriptive Path below and incorporate the the minimum values listed. In addition, based on the size of the structure,the appropriate number of additional credits are checked as chosen by the permit applicant. Authorized Representative Date Climate Zone 5 & Marine 4 6 R-Valuea U-Factora R-Valuea U-Factora Fenestration U-Factorb n/a 0.30 n/a 0.30 Skylight U-Factor n/a 0.50 n/a 0.50 Glazed Fenestration SHGC°�e n/a n/a n/a n/a Ceiling 49' 0.026 49 0.026 Wood Frame Wall9�k�� 21 int 0.056 21+5ci 0.044 Mass Wall R-Value' 21/21h 0.056 21+5h 0.044 Floor 309 0.029 309 0.029 Below Grade Wall��k 10/15/21 int+TB 0.042 10/15/21 int+TB 0.042 Slabd R-Value&Depth 10,2 ft n/a 10,4 ft n/a *Table R402.1.1 and Table R402.1.3 Footnotes included on Page 2. Each dwelling unit in one and two-family dwellings and townhouses,as defined in Section 101.2 of the International Residential Code shall comply with sufficient options from Table R406.2 so as to achieve the following minimum number of credits: ❑1. Small Dwelling Unit: 0.5 points Dwelling units less than 1500 square feet in conditioned floor area with less than 300 square feet of fenestration area. Additions to existing building that are less than 750 square feet of heated floor area. 02. Medium Dwelling Unit: 1.5 points All dwelling units that are not included in#1 or#3, including additions over 750 square feet. ❑3. Large Dwelling Unit: 2.5 points Dwelling units exceeding 5000 square feet of conditioned floor area. Table R406.2 Summary O tion Description Credit s 1a Efficient Building Envelope 1a 0.5 � 1b Efficient Building Envelope 1b 1.0 � 1c Efficient Building Envelope 1c 2.0 � 2a Air Leakage Control and Efficient Ventilation 2a 0.5 � 2b Air Leakage Control and Efficient Ventilation 2b 1.0 � 2c Air Leakage Control and Efficient Ventilation 2c 1.5 � 3a High Efficiency HVAC 3a 0.5 � 3b High Efficiency HVAC 3b 1.0 � 3c High Efficiency HVAC 3c 2.0 � 3d High Efficiency HVAC 3d 1.0 � 4 High Efficiency HVAC Distribution System 1.0 � 5a Efficient Water Heating 0.5 � 5b Efficient Water Heating 1.5 ❑,, 1.5 6 Renewable Electric Energy 0.5 *1200 kwh 0.0 Total Credits 1.50 *Please refer to Table R406.2 for complete option descriptions http://www.ener�y.wsu.edu/Documents/2012%20Res%20Ener�v.pdf Tabie R402.1.1 Footnotes For SI: 1 foot .= 304.8 mm, ci .= continuous insulation, int .= intermediate framing. a R-values are minimums. U-factors and SHGC are maximums.When insulation is installed in a cavity which is less than the label or design thickness of the insulation,the compressed R-value of the insulation from Appendix Table A101.4 shall not be less than the R-value specified in the table. b The fenestration U-factor column excludes skylights.The SHGC column applies to all glazed fenestration. Exception: Skylights may be excluded from glazed fenestration SHGC requirements in Climate Zones 1 through 3 where the SHGC for such skylights does not exceed 0.30. `"10/15/21.+T6" means R-10 continuous insulation on the exterior of the wall, or R-15 on the continuous insulation on the interior of the wall, or R-21 cavity insulation plus a thermal break between the slab and the basement wall at the interior of the basement wall. "10/15/21.+TB" shail be permitted to be met with R-13 cavity insulation on the interior of the basement wall plus R-5 continuous insulation on the interior or exterior of the wall. "10/13" means R-10 continuous insulation on the interior or exterior of the home or R- 13 cavity insulation at the interior of the basement wall. "TB" means thermal break between floor slab and basement wall. d R-10 continuous insulation is required under heated slab on grade floors. See R402.2.9.1. e There are no SHGC requirements in the Marine Zone. f Basement wall insulation is not required in warm-humid locations as defined by Figure R301.1 and Table R301.1. g Reserved. h First value is cavity insulation, second is continuous insulation or insulated siding, so "13.+5" means R-13 cavity insulation plus R-5 continuous insulation or insulated siding. If structural sheathing covers 40 percent or less of the exterior, continuous insulation R-value shall be permitted to be reduced by no more than R-3 in the locations where structural sheathing is used to maintain a consistent total sheathing thickness. 'The second R-value applies when more than half the insulation is on the interior of the mass wall. ' For single rafter-or joist-vaulted ceilings,the insulation may be reduced to R-38. k Int. (intermediate framing) denotes standard framing 16 inches on center with headers insulated with a minimum of R-10 insulation. � Log and solid timber walls with a minimum average thickness of 3.5 inches are exempt from this insulation requirement. Table R402.1.3 Footnote a Nonfenestration U-factors shall be obtained from measurement, calculation or an approved source or as specified in Section R402.1.3. Glazing Schedule Project Information Contact Information L2M-2833 Elev. A R402.3.3 Exception (15 sq. ft. max.) 15 Vertical Glazing (Windows and glazed doors) Plan Component Glazing Width Height Glazing ID Descri tion Ref. U-factor Qt. Feet �ncn Feet �ncn Area UA DEN 0.30 1 6 5 6 33.0 9.90 DINING ROOM 0.30 1 8 8 64.0 19.20 DINING ROOM 0.30 3 2 2 12.0 3.60 GREAT ROOM 0.30 1 8 5 40.0 12.00 BEDROOM 4 CLOSET 0.30 2 2 2 8.0 2.40 BEDROOM 4 0.30 1 6 4 6 27.0 8.10 STAIR WELL 0.30 1 5 8 40.0 12.00 UTILITY 0.30 1 3 3 6 10.5 3.15 BEDROOM 2 0.30 1 5 4 20.0 6.00 BEDROOM 3 0.30 1 5 4 20.0 6.00 MASTER BEDROOM 0.30 1 6 4 24.0 7.20 MASTER BATH 0.30 1 5 4 20.0 6.00 MASTER BATH 0.30 1 3 4 12.0 3.60 PLAYROOM 0.30 3 1 6 1 6 6.8 2.03 PLAYROOM 0.30 1 4 4 6 18.0 5.40 GREAT ROOM 0.30 1 12 8 96.0 28.80 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 , 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 Sum of Area and UA 451.3 135.38 Area Weighted U = UA/Area 0.30 , . . Simple Heatin S stem Size: Washin ton State This heatina svstem sizinq calculator is based on the Prescriotive Reauirements of the 2012 Washinaton State Enerqv Code(WSEC)and ACCA Manuals J and S This calculator will calculate heatinq loads onlv.ACCA procedures for sizinq coolinq svstems should be used to determine coolinq loads. The glazing(window)and door portion of this calculatcr assumes the installed glazing and door products have an area weighted average U-factor of 0.30. The incorporated insulation requirements are the minimum prescriptive amounts specified by the 2012 WSEC. Please fill out all of the green drop-downs and boxes that are applicable to your project.As you make selections in the drop-downs for each section, some values will be calculated for you. If you do not see the selection you need in the drop-down options,please call the WSU Energy Extension Program at(360)956-2042 for assistance. Project Information Contact Informafion L2M-2833 Elev.A H@8tltlQ SVSt@�I'1 TVPe: OO Forced Air Furnace �Heat Pump To see detailed instructions for each section,place your cursor on the word"Instructions". Desiqn Temperature tr,st�v�t+°4" Design Temperature Difference(4T) 41 �':�Tacoma 0� � �� T=Indoor(70 degrees)-Outdoor Design Temp Area of Buildinq Conditioned Floor Area �nsEz��c:<.�o�;� Conditioned FloorArea(sq ft) 2,833 Average Ceiling Height Conditioned Volume ""Stri,c:'°"z Average Ceiling Height(ft) 8.5 24,081 Glazinq and Doors U-Factor X Area = UA � � - ��- 0.30 451 135.30 Insulation Attic U-Factor X Area = UA �b�crut;iier;r�: � �� "�" ` 0.026 1,770 46.02 .�,. .. � ., u�� m� .,,,, Single Rafter or Joist Vaulted Ceilings U-Factor Area UA inscruct;ons No selection 0 --- �, _ � Above Grade Walls�see F�y�re�� U-Factor Area UA Instructions ---- 0.056 2,418 135.41 � Floors U-Factor Area UA '',sx'"u�t'°�� ' " �""' 0.029 1,770 51.33 '�^ Below Grade Walls�see Figure�� U-Factor Area UA � ��.��oc,s � . �� . ��.: � 'S 'c ` No selection . .. .. � --- ;,:; , a,�. Slab Below Grade�s�F�y�re�� , F-Factor Le� UA �`5�`�D��"'s � No selection --- . . .. � Slab on Grade�See F�g�re�� F-Factor Le� UA tnstr.ae:tio;,s ��j� . . ..,.. �,...;� No selection --- Location of Ducts !r,�?r��o+:o�,, � Duct Leakage Coefficient . .. . . � ;� ' � 1.10 Sum of UA 368.06 Envelope Heat Load 15,090 Btu/Hour Flqure 1. SumofUAX�T Air Leakage Heat Load 10,663 Btu/Hour VolumeX O.6X�TX.018 AboveGrade Building Design Heat Load 25,753 Btu/Hour ��"" Air Leakage+Envelope Heat Loss Building and Duct Heat Load 28,329 Btu/Hour � � Ducts in unconditioned space.�Sum of Building Heat Loss X 1.f 0 Ducts in conditioned space:Sum of Building Heat Loss X 1 Maximum Heat Equipment Output 39,660 Btu i Hour Building and Duct Heat Loss X 1.40 for Forced Air Furnace Bui/ding and Duct Heat Loss X 125 for Heat Pump (07/01/13) � � i � � � � Y �,��' �� , �=�. ;- ,L , ; THOMA TERRA— ' ��, � �..��pf ��,. � _�, P'H�.�- DIV. 1 ��-� � �� , s LUT— 41 ��' '' ��'�`>cr, �� P�=-,.. � ��fy �� l�elm �� .. '`'�., /� , �= 30.37.. � - � �g� pprav R= 5�.oo Q,r`.�,��°,,� `�o.. /`i► 0=30'31'S1" � �ivice \ �t?R�VE WA Y`L--�.~,,'� � �, r�a+s� .�.`� y !�/y2 .S /�y �� .. � �� , � ,� � \�, 0, � ��` \ ,`�,� ~'\ S `�S'. / , � � ' . :. .S .� �-�' d'�s � ^ f; �` ,:`\ ,5��9`�5��^,.[� �l.{' F� 1+'>' ``�� ` y' � � �•. `� � � C ��l �� l�`T'" N s � � n �f � �� J � 3—CAR ' � � i,,� 7 : �/ GARAGE " ^�\ � v��T•� � N W U �, �a Pona�� . `�,, V ,�d � � ,� .i!'- ` � �i :/ \is�,�� 1�7 m 3 t/� � . , � H Q �L g'_3" % � W W W Z � � � �a�rgED �� / t/� � � Q ` i� � �l �� \ ' �ORYWELL��/ _ � Q � s � �,, J 283389-3 '��t / � W 3 � — � f � ELEV.—B � i�,�' / Z 3 W y � .� t � ($ (2 STORY) � / � � � � U ,�� ! � �� N fn O Q , ' .� ' --''" Go. Q�' tMPERVlOUS AREA 5._ ` � � � 2.�-` � � � ROOF= 2537 S.F. ' ��' '"� ,y�i�'\ DRIVEWAY & � � � ki n,� SIDEWALK= 905 S.F. A f c�� / `�'� TOTAL= 2201 S.F. � mr � �' LOr S.F.= 9261 � � i�L ��0 � s � � �'�S�L' - - - - - - - �h N�TES: i 1. FRQNT PORCH FOUNDATION AND � STEP TANK IOCATION SHALL BE � — ■ � STAKED OUT FOR 5Ef BACK � INSPECTION. -----_ � � E�� 2. 5TEP TANK IN V10l.ATION OF THE J REQUIRED 5' MINIMUM SEfBACK TO FOUNDATION SHALL 8E BACK FII.LED WITH CDF. L= 72.37� 3. CONNECT PVC ROOF DRAINS TO R= 670.�C3 DRYWELL. ��;�`F,'I'�I'I+... `ir'�o � ��1 ��'4 ANGEI,a: �253` 8a�-08ZC� � ��G 19 2�� ..�.�_��---� czn oF Y��M THURSTON COUNTY ' _�.. '��' � t • 10053 Jensen Dr.SE. �-� ��--- SOUNDBUILT :...._....... -..__._.�._,,��..._.f SCALE: 1"-20' HOMES, TNC. Yelm,WA 98597 C�"`°�l["- ___ 7111111III11��"—�� P.o. sox �a�90 PARCEL# 78640104100 `,_,_ PUYALLUP, WA 96373 � �� 20 ¢t� F X� (253) 539�D514 PZ 07/14/14 R5,0 � � �� i ✓ � � d��c'c�� 7 �� 1 ,�� , � �< : � �c�� '�% - �� U � u� � Q � �.n M � �- M N ln �. 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Con�. �loor Area (ft2): �,: Source(circle one): lans Estimated Measured ' ❑ Quct tightness testing is not require . The total leakage test is not required for ducts and air handlers located . = e.�ltirely within the building thermal env lope. Ducts located in crawl spaces do not qualify for this exception. • �:` Air 1-i�ndler in conditioned space? ❑ y s��no Air Handler present during test? (�yes❑ no , , . = � ,. Circle Test Method: Leaka e to Outside Total Leaka�� . • _,_.._......,- . � ' --Maxknum ducf/eakage: �.; - � - Post Construction,total duct leakag ; (floor area x,04) = CFM@25 Pa } � �; Pos��Construction, leakage to outdo rs: (flour area x.04)= CFM@25 Pa � ,Rot�gh-In,total duct leakage with airlhandler installed: (floor area x .04) _ � � CFM@25 Pa � � RougU-In,total duct leakage with air�h�ndler not installed: (floor area x.03) = CFM@25 Pa . _ Test Result: � � CFM@2 Pa , ' Ring-(circle one if applicable): Open 1 2 3 : Duct Teste�r Location: f Pressul�e Tap Location: •_ .I cerkify that these duct leakage rate are accurate and determined using standard duct testing protocol. : ' .. Gorrrpany Name: ii:P h+��i��l�- i�i�:� Technician: � ,�>�;�� - - ' -, _ .` _ . �, .,� ,� ' = `�I'echnician Signature: �' � ! 4 _ y ' �pate" /j� �� Pttone�Number: