20140177 Permit Pkg 06052014 �'"�o� T"�o,� City of Yelm Permit No.: 20140177
�
� � Community Development Department Issue Date: 6/05/2014
(Work must be completed within 180 days)
Building Division
Phone: (360)458-8407
ELM
,""°" Fax: (360)458-3144
Applicant:
Name: SOUNDBUILT NW LLC Phone: 253-848-0820
Address: PO BOX 73790
PUYALLUP WA 98373
Property Information:
site Address: 14421 99TH AVE SE Owner: SOUNDBUILT NW LLC
Assessor Parcel No.: 78640117700 Subdivision: TAHOMA TERRA Lot: 177
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 177, PLAN 2833A-9-2
Sq. Ft. per floor: First 1130 Heat Type (Electric,Gas, Other): GAS
Second 1703
Third
Garage 550
Basement
Fees:
Item Contractor Fees
NEW RESIDENTIAL BUILDING SOUNDBUILT NW LLC $18,091.50
MECHANICAL SOUND HEATING&AC $ 84.75
PLUMBING RAINIER VIEW ROOTER $ 118.00
TOTAL FEES: $18,294.25
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 nd correct. I also certify that the proposed structure is in conformity with all applicable City of #Sets of Prints:
Yelm reg lations including those governing zoning and land subdivision,and in addition,all covenants,
easeme ts rest ions of r ord. If applying as a contractor, I further certify that I am currently Final Inspection:
registere i the St e of a i t n.
(„ Date:
Signatur • Date
Firm By�
Cit� of Y�lm
(36 } 458-8402
REC#: 00162263 6/05/2014 11 ;33 AM
OPEFt: CO TERM: 001
REF#: 2423
TRAN: 33.00OG BUILDING PERMITS
2014017'7 i8,294.25CR
SOUNDBUILT NW LLC
14421 �9TH AUE SE
BLD-RES1 18,091 .50CR
MECH $������
p� 118.00CR
TEiVDEREO: 18,294.25 CHECK
APPLIED: 18,294.25-
CNANGE; O.QO
YELM COMMUNITY SCHOOLS
PO BOX 476
YELM WA 98597
Receipt #: �59972 Cl�rk: Lroy
Manual #: Terminal: 1
o/4/2Q14 1:3i PM
NSOUNDBUI�T
NSOUND6UILT
SOUND BUILT NW LLC, HOMES
PO BOX 7379Q
PUYALLUP, WA 98373-0790
4ty_ _Ttem ___. _ __ ____ - __ Price
1 GPF MiTIGATIQN 3015.00
MITTGATIQN
05-027JLOT 177/14421 99TN AVE SE;YELM
Subtotal 3015.00
Tax 0,00
Total 3015.00
Check 301�.�0
2422
Change Due t�.GO
THANK YOU
CITY OF YELM `�'"" " �� ����
RESIDENTIAI BUILDING PERMIT APPLICATION FORM
Project Address:�`"fZ�l I I 1r'��r ._ Parce!#:� 11 � '�� v�
Subdivision: Lot#:��, Plan#G��;��Zoning
�New Construction Re-Modei/Re-Roof/Addition Home Occupation Sign
Plumbing : Mechanical Mobile/Manufactured Horr►e Piacement Other
Project De�criptio /Scope of Nh :_,�,t c>�
Pro�ect va�ue: 3O� ��o• �
Building Area(s . ft) 1� Floor�� 2"� Floor�� Garage ,�� Deck�_
Basement Carport Patio�_
#Bedrooms�, #Bathrooms�•5 Heating GAS/ TNER or ELECTRIG (Ci�cle One}
Are there any environmentaliy sensitive areas located on the parcel? _�Q
If yes, a completed enviranmental checklist must accompany permit application.
�»�` �.: �,��� -y �; � t� .
ADDRESS'� '';7` � EMAIt_1�., +i.i��� e�. , ?�,� (t3�c,�-�e� c{ ..--,
' CiTY STATE ZIP ��m TELEPH�NE .�� > f''�' :.,�'���:
� ° - .14 �rzE ° ' UCENSE#
CIT`( ESS, �` ; . ; f STATE ,r.x,� 21 �'�'r` r t` TE E'PH�E`��C r������. �; ��`-"� .t+;e'�
c:r "/
�,� � � �`� .� ��. l;�t � �,t !� �:.: TELEPHQNE �>�� s�-�� : ,�� �� ��.
ADDRESS '. ' �j'`_,I�tC> EMAIL , �, r ,:� � . ,�� ta. , �tr; ;,��•� rc .. ,
CITY � �". � ;,.�..y STATE�, r� ZIP ��.��.' ��= FAX� v, �_� � �= =}t
CONTRACTOR'S UCENSE#� � �; � +�c` EXP DATE-=',_"CITY LICENSE# �
--
I P�� �� �� �:G� r��t a,� �;� ew� �tc� i. �� TELEPHONE "`>.'i � ����� r �1`,+'C:.
; CDDRESS STATE r 4 EMAIL ,
;,; �,�, �� . , — ,
; � , ,�, ZIP ;'�s � FAX "� 7 . `������ � t`f�"�#
CONTRACTOR'S` LICENSE# ='' +r� i� ' ' t:�r" EXP DATE GTY LICENSE #
,� ,� ��-, %
" ' �� t���� ;�� ;.,.� ' TELEPHONE � � �- '`�
�t�
ADORESS � , �4 r �;..( .�� � �a� tY�EMAIL �t = �' .���"
CiTY � �.���,,,� STATE �� ZIP �i 3? � FAX
CONTRAC�R'S LICENSE# ,a,_�. �.{ r�t c ,.c: EXP DATE CITY LICENSE#
�tis
Copy of mitigation agreement with Yelm Community Schools, if applicable.
I hsnby c�rttfy that tfi�abow IMortnatton Is corr�ct a�d that tha conatruction on,artd th�occupancy and the use oi the
abovs dsscrlbed proWety will bs In accordanc�r with tha laws,ruMs and rpulallons ot ths�tat�ot Washir�pton and the
Clty of Yelm.
� a
�i,����� ��. ��,��,�,�.�
Appltcant's gnature i"""`�-� Date
(�rner I Co�tractor er'a Agent I Co�tractor's Agent(Please circle one.)
All pertnits are non-transferable anci will expire if work authorized by su b_ge un ___
w'rthin 180 days of issuance,or if work is suspended or abandoned fo� '�`�fi8b dsr}�,,_�. � �
'� FEB 2 � 1014
� ,
� �3�.---__d____
______
10 Yt�enut Wtat (860)458-3835
Yelm, WA 98597 (36Q) 458-3144 FAX
wr.vu+.ci.,yelm.wa.ua
, �
o�-- THOMA TERRA-
PH . - D V.
_�C�=�7�
�
�99TH AVE SE �
CiJR6 _^``ti...._._,,
�r�r o� ef1')'�, CC�I� � ; �� � �.
SIDE WAC,K�
�i " ` � �'� �r.
��pr�ued � � .,�t ��: � �.
�.��-... � r � i�€ i, ---�
°-----�--.....�..'�' � ��c�nrc� . ,� oi
.I .,�!_ ,�
h � � ---- N .._.. �y ..:.._ __..,....- ,�,r.
� cvI � � +Rl VEWR Y'`' + 'i
c~v } �I�•'������ '`tx+rr`"�u+aeja` � 1 ��
y" {a� � -�1 � �,-�-n _"' "s� � s
� �r '__�__�r f t ���, m
� ..r'1� d' PORCH � � ., � ,"�� �
` + C. �+ '
n�� I�� �� � ,;;
�� �
� � GARAGE
�
'� � � r
� a• _
° �--40'•.------_... ' �o �
;�. �
�
� o� �o
NOTES: Z �` � �5,
1, FRONT PORCH FOUNDATION AND
STEP TANK �OCATION SHALL BE i 25,3,�'Ag—�
STAKED OUT FOR SEf BACK ELEV.—A '
INSPECTION. I �2 STORY� !
2. STEP TANK IN VIOi.ATION OF THE � ���+£o '
REQUIRED 5' MINIMUM SEfBACK TO � 5�I 4 BDRM �
FOUNDATION SHALL BE BACK FILLED � �
WITH CDF. �_ . _ . ... ; :
\ ( � , J �
3. CONNECT PVC ROOF DRAINS TO j \ �� � � 20`—gSBL
DRYWELL. ;n
I �
CONTACT INFO in c�
ANGELA: (253) 848-0820 "'
� 15'Lx5'Wx4'D
DRYWELL
50.�71�
-�.�{C�':F,T�T E �,
� �' � � 7 � -�
t �AR 0 3 �0'�' ��- �A-Y-�- �-
; r r � '�' 4 . , CITY F YELM
ry., T .F.- Q,j �� I THURSTON COUNTY
SOUNDBUILT 14421 99th Ave.SE,
SCALE: 1"=20' HOMES� INC. veim,wA 9s597
� P.O, 80X 73790 PARCEL# 78640117700
� � � PUYALLUP, WA 98373
PH� (253) B48-0820
� 2� 4a i FpX� (253) 539-0514 ^ PZ 03/03/14 R2.0
Pre�criptive 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 SHGCb�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' 21/21`' 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 Dwetling 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 �
1 b Efficient Building Envelope 1 b 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 �ystem 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�v.wsu.edu/Documents/2012%a20Res%20Ener�y.pdf ��' ������' �
FFB 2 6 201�
��': -
Table 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 tabie.
b The fenestration 11-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.+TB" 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" shall 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 Description Ref. U-factor Qt. Feet �"0n Feet Inch 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
BEDRCOM 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
o.o o.00
o.o o.00
o.o o.00
o.o o.00
o.o o.00
o.o o.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 heatinq svstem sizina calculator is based on the Prescriptive Reauirements of the 2012 Washinqton State Enerav Code(WSECI and ACCA
Manuals J and S.This calculator will calculate heatina loads onlv.ACCA procedures for sizina coolinq svstems should be used to determine coolinca
loads.
The glazing(window)and door portion of this calculator assumes the installed giazing 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 appiicable 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 Information
L2M-2833 Elev.A
Heatinq Svstem Tvpe: O Fo�«a n��F���a�e �Heat Pump
To see detailed instructions fo�each section,placs your cursor on the word"Instructions".
Desiqn Temperature
��,��'u�"O"� Design Temperature Difference(4T) 41
__. . _..�.._____._�._,:___ _��
Tatoma CO � oT=Indoor(70 degrees)-Outdoor Design Temp
Area of Buildinq
Conditioned Floor Area
��'�`"„"Ofly Conditioned Floor Area(sq ft) 2,833
Average Ceiling Height Conditioned Volume
i�scr�ciions Average Ceiling Height(ft) 8.5 24,081
Glazinq and Doors U-Factor X Area = UA
lnsvuctione. 0.30 451 135.30
Insulation
Attic U-Factor X Area = UA
snstr���t�o:�.. : 0.026 1,770 46.02
°'wiYJ�21+. �.. .p,...�:.. .ruwWro'..,. -�
Single Rafter or Joist Vaulted Ceilings U-Factor Area UA
Insa:ru,c±��c;ns _ .. .. .__�� ,_,_._ �
� No selection ---
_ .�.,., ., �.�
��.
Above Grade Walls�see Frg�re�� U-Factor Area UA
i :��_�,:t�.;�,� _: �:____ __ � _ � 0.056 2,418 135.41
��
Floors U-Factor Area UA
�n ..r�r„> ;�r; � _,__..___..�___ �—.-_.�:__ ; 0.029 1,770 51.33
.�f.,.,j • i
.....��r....�
Below Grade Walls�SeeF�y�re» U-Factor Area UA
Iz,stru::ti�r�>. -- -- ..— .. __ . . . �� �
� . No selection ---
Slab Below Grade�see F�y�re�� F-Factor Lenath UA
�ns�tructior,s � — -�--.------�_.___ _...__,� ____. � f��l
� � No selection �_� ---
....
_�
Slab on Grade�see F�yure�� F-Factor LeL� UA
Irrc�uctionz. _�:Y.....__....._..—.._�.T_.. ,
. .. � ; No selection ---
� ��
Location of Ducts
"'`�2"""`�,:'~ �( � Duct Leakage Coefficient
__.... --- ------ �u�+
. . � 1.10
Sum of UA 368.06
Envelope Heat Load 15,090 Btu i Hour
Fiqure 1. SumofUAXdT
�^�.�,d Air Leakage Heat Load 10,663 Btu I Hour
� VolumeX 0.6XOTX-018
A6oveGrede Building Design Heat Load 25,753 Btu I Hour
Air Leakage+Envelope Heaf Loss
Building and Duct Heat Load 28,329 Btu/Hour
Ducts in unconditioned space:Sum of Building Heat Loss X 1.10
Ducts in conditioned space:Sum of Building Heat Loss X 1
Maximum Heat Equipment Output 39,660 Btu/Hour
Building and Duct Heat Loss X 1.40 for Forced Air Furnace
Building and Duct Heat Loss X 125 Por Heat Pump
(07/01/13J
��p� THE A
� City of Yelm
a �' Community Deuelopment Department
105 Yelm Auenue West
Yelm, WA 98597
YE LM
(360) 458-8407- (360) 458-3144 FAX
CITY OF YELM BUILDING DEPARTMENT
CORRECTION NOTICE
I have this day inspected this structure and �� �� �� �������i`t ��r�`C
these premises and have found the foilowing PERMIT NO. ��'�� � �� '7
violations of the City of Yelm and/or State laws
governing same:
C �`��.5 �A C-e
C� / �v y„l !�t/y��F— ��'Ul^1 � l"A.yl/ S�f�C�f� �'Ic�n, +,���--- ��T
�
1� �c,� ��n �° /�r� ���� � � c���r �i� �, �
7� G!��-<,�,,/S-- ,�,�
1�� � ��
You are hereby notified that no more work shall be covered upon these premises until the above
violations are corrected. When corrections have been made, call for re-inspection at(360)458-8407.
DO NOT REMOVE THIS TAG DATE � � /� , `��
' nspector
� .,
w^��i,
,.-�v.=� .t''. .
.� , � g,,;.� .:
��
V
4
�
k
�
� �
1
y � .., „
, v.
,
.�. �, . .�', � . " ,t�`�
�k s a�� ,
, � � � , � `' � �
"��� ��� ���� � - '� .�
� � �R > :�
�. ,��, ��� �.� ��_�t �„.� � ..
��„ s�� �� , �,
,. ,
.� �. ,
�
og,
�
� ��. . . � � �°` ?, .;�i��� -
x
• �'
:»r . . . + ��_ ��».��� ��
� ���� �
� � � f
w �, � �
r �
�.: � '-.. �. � � , ..�"F. �r3j
, . x".�' , c. ,='`''�� �-'�'
�:. .. ' � , mr'�.""��"��°c s..��' `,�* a"�
� , . � ��`"a'�,�
.. �
�
� c.
� �
a
�
� _
� -
� � � � , " `� � ���:� ����,,„�_.>.
� ,� �� �
{ ''� ��� �
� ,
� ,, .
�� � �+ �� � � t� ��
� �w:�=t. . �-r . � �` �,�a .
y. •�` � ,a ,"r�'�-x . � � � �
������w �� � � . � - , t
A, �'&� a� ���� "�' .� �, . � � . r� .
�,��r`.�� ��, � „�� �� ,7b t •t��'" �k. .�,��"' /M.
y�r
a„ _
�s���$ * ,P `AC '� '+, � w'� , � � � o�� `�,° . .. .
tr ��, �:?s. �`A �Y��,m #' ��x,��� �t � j; "a � . .
�;' ��� y� ����. .:` �b
{. _:. � ,A���< "� .�.,.
� �. .��';`a�
� � �` � �� ��, ` � �,���
� �� � ��� �+�� ��. a �*�E �. . . ,
a � � ,w � s;�+�� a +��+-� ` '�
�ac++S' �,yR 4 'a�`�+ � � •�. '� �" F fi� , • ��,.,� .
� �� � 3 if , �"yd.x '�""^ ' p„ -
t'� �Ib y $ �i+'a'�t��' ''� ��,, . +" � � � .` �
*« �'�� ,. �dE ; � q .� c, �� + � �
,��, *�� � g,gfF sy f f Fq �
t °c� s!` rV�.:
�� �� � .���y���'�r�t�;s� .T�^@ �p�.�. ."
��," � a� e. � ���'�a�'y`• �' �• . .
„��,7'�.r``,afi c N/F i�.� ���'�"� 9 �.�"�'� '$+
�'�¢ �` � � i.� �t r�' � �� v,�. . . � /(
�y�� '4' �F, y.MIN♦..� E„y � • � .-,.
' , f . . . , �
. i . ' ' ` � _5
�(�. g
�,
� ,
y
;-`T^
s��;� _ � . _ `° . . .. �aDlb
�P
.y
zr _ `�
� �
� ��:. "�' 'r :.. ��.��' :� ��� ",, �`�
�� ; ,.� :�- ��r' . w
�' �'�' .. ..� ' .. ', -
.� �. �'� ., �;.
r� ss� �
. a � . � , '"' . �` . ��d.. `�
ia�°. +�
�
� ��, ',A�t » %� �
��" � � ��v a "�' e�t ,r� •� � .
� �. `���,� � �.
t �.� � t ,
�a n � �, � . � �
� , �' � V
F� , � � . � * .. � � ..�.
i � � � �
.,���m!� :t ;�. , . t � ' � ��
. , . �F. . �! .. �
.,,a �
�X� �.� �.. '� y�4 .
` � � °v , �` i �x> � � ,�, � + 6 ° k R��S
� _,. , �� , e,.. ti
.• � .,
.,, a ^ . ._' i a� �. � .: :,� , �, .: . ,..
� � r�Go G?'7
.e_ ��"����� ��'�.�.�--
�_��� . �— . ��
_��.���������
� .� ���
.�.._.�_.� °~�9Tt� A�V�5� .� ._._._,_.
:�-�� •� ��„�.
�...�� ��� �� ��c����� �„�;�,��„� i � ���p�,� ,�. �._�.,�.
� � �,E, �. ,, � ...�,_.....,.,.�.,,. . �
����Y �� �`�;,�` ,�, -��.���,.�.�:,.�.�.`..;-
� �."'�„
� .....a.� � a
,. �-,� ,.,�. f� ; t � � �.
e _.,.� , ; , � �
.�""" � ,.�"`�.."" � g�� r �:
� �� �
�,...�....__.m., �"�' �� � � �✓t7t t��`4�?A Y� �,
.�.v.W.� `���� ,�.,,...�„„, � � €�: �
.,„p�
.� r��yw,/��r.,w4.�,..« ... , '�Y e� E'� N
. y �"�'^^� "{y !Y� `^YY ��t �
( e �
� �''�; f. _.._,,;,,„� ' i 1: �
•�--..,u.....d � ,
�� � � �� �`
w � = j
« � �� `�' � �
� � ���
� � �
�� �t� � GARAGE �
a� (7r'f��tR/� �� t � , es
' � ��..-.�....�° .�. �, �
1 0� Srd� -�sr�j,ff ,6.� ; � �� �
/a4a1( ; �� � ��
L QMT PORCH FC}ilNR4TlQN ANLt ; � �
sr ,�vx nT�t�rv sr�,�� � = 2+�,33A�--��
stn.x�u QuT � Er � � �� E`C.�V.-A � �' �
tNSPEGT�aN. � r2 St"C?R�',� � �'
2. S7�'F TANK IN V[OtATi{?N t}F TME � � , I �� �'
R£UIJIR�CJ 5' MINIMU�t S�t3AGK TO ¢ �; 4 �D��1 �i
��t;IVpATiC7N SHAt.I. 9E $�K FIll,E6 , —„--�
WITH C�7�, �.�..�.� � . o—. .
��°-- - . �«.. ._ .�..J �
� �. cor,r��c� Pvc �oa� p�rvs To � �,� _� �" �,�sB�
oarx.u... . '"
� a� ��� �
�."°-'��
C��'r� INF"S� +t� �'������ �
ANGE�A: (2g3} �48-482fl q' F �
� '9'La3'Wx4'D � �
� � .w
"�""� �
..��.�
i- bV
�_� 5C1.�1'
. �,�``,{'�'"F''",'��� ��`�
°� �s, ,tl r
i e . �n �,.`�...��.
} � � ��.�_ �—
� � ,, � ,���� e ..WwTHU"R�T{�lV,CC��INTY
. ...W. �..�__�,_
�_____ �_�_._ .. ° SUUNC�SUI�.T : ��azz ����,A„�.s�
�'�'.���: f"-,2�" � HC�MES INC. ..� �'��m,�va�sss7
� � �� �:� s�x ���� PARCEL# �854f�127�C�0
_ PUYALI.UP, VA 99373
CJ x 0 �!�7 40 � �'�" ��sa� a�e-oe�o °
�.�..w .._..,..�_�..
FAX� t253Y 539�4514 P� 03l03l11 R2.tI
-------
__"_^--- -�.--- - �
������:'•*`:��/ �'..�
�
FEB 0 6 2015
�---
�
,_ _ .� � �- :}. ,`s ' � � � '� � �'+. �
� s � � a a� �s
_ J 1 � . ,
Duct Leakage Affidavit (New Construction)
Permit#: °2G���� ! / -
House address or lot number:�.°�, ��l��r'��— �, ,( �7�
_ City: ���.Y`�� Zip:
Cond. Floor Area(ft2): Zg�� Source (circle one): Plans Estimated Measured
,t ❑ Duct tightness testing is not required.The total leakage test is not required for ducts and air handlers located
entirely within the building therma!envelope. Ducts located in crawl spaces do not qualify for this exception.
1
Air Handler in conditioned space? ❑ yes�no Air Handler present during test?�yes❑ no
,
Circle Test Method: � Leakage to Outside Total Leakage
Maximum duct.leakage: ` - ' ,
;,�. .
'' Post Construction,total duct leakage: (floor area x.04)_ ' ;CFM@25 Pa _
' � � .
- Post Construction, leakage to outdoors: (floor area x:0�).= - CFM@25 Pa
Rough-in,total duct leakage with air handler installed: (floor area x.04) _�CFM@25 Pa _
Rough-In,total duct leakage with air handier not installed: (floor area x.03) = CFM@25 Pa
7est Result: � � CG` CFM@25Pa
Ring (circle one if applicable): Open 1 � 2 3
;
Duct Tester Location: � � Pressure Tap Lecation: -�.�� ���
� ' �
1 cerii"ry tt�a#ti�es2 duct leakage rat�s ar�accvrat� and det�srnined usi�g s�3�dzrd duct t2sting protoca9.
' Company Name: t_.X�'C�.��� �� �`��1�,,,Technician: ����,,�1'� �
Technician Si nature� � �'� �
9
� Date: � � "`�'���
Phone Number: � F�����
U
N >
�
Q � �
� �
M p �
C+� N � +r
N � � �
� � V � Q�
N � � U� o
� � _
� � _ �
� � � � vo �
U �
� � -� � � � �
� � � � �
q � Z °' � �
� � -�
�
� � � � � � �
- �
� � � � m �
O � � (�6 � N
� � L � �
� � � � r
� paj � � ��
�•' q � � ca
� -�
?� �' � � N
-I� ,� M '� � �
.�
� � ti � �
� � W J � � � L
� � � � rn � �a ��
.,� W Z Q � .Q-� �
� � �
� p�j Q Hrn � N � o � V
� � � � � j � d' � � �o
� 0 X J f` M � Z fn (6
M uJ � t�
� � m } � N O � � c�
� O � � N � J V i
N a Q � tn
� ti L
� � �
� � �
tA Z H � . . '
N � �' O � O
� � (�
��'l�� c � � � � J � � �U
� �� Q (6 � � � � (� �
�. a� �, z Q � � _ �
�` � � � � c`a v� � c
`�a � � � � � c� �� �
�,�°'�� m o o m � a v� m