20140237 Permit Pkg 09032014 f��o� THEp,� City of Yelm Permit No.: 20140237
�
� � Community Development Department Issue Date: 9/03/2014
� �
(Work must be completed within 180 days)
Building Division
Phone: (360)458-8407
YELM
w�RN�NGipr� Fax: (360)458-3144
Applicant:
Name: BRADLEY&NAOMI SHOEMAKER Phone:
Address: 14927 PRAIRIE VISTA LP
YELM WA 98597
Property Information:
Site,4ddress: 14927 PRAIRIE VISTA LP SE Owner: BRAD AND NAOMI
SHOEMAKER
Assessor Parcel No.: Subdivision: Lot:
Contractor Information:
Name: PAUL'S CUSTOM HEATING A/C INC Phone:
Address: PAUL GUIRSCH
PO BOX 4595
SPANAWAY WA 98387
Contractor License No.: Expires: 0/00/0000
Project Information:
Project: MECHANICAL
Description of Work: REPLACE GAS FURNACE AND A/C UNIT
Sq. Ft. per floor: First Heat Type(Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item Contractor Fees
MECHANICAL PAUL'S CUSTOM HEATING A/C INC $ 29.50
TOTAL FEES: $ 29.50
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 ate of W ington.
Signature � �ate — 3 -- 1� Date:
Firm BY�
.
Cit� af �e�m
(36 ) 458-B4p2
REC#: 0017C644 9/p3/�0�4
OPER: CO TERM: 001 1:06 PM
REF#: 12256
TRAN; 33,OOOC� BUILDING �'ERt�ITS
20140237
SHOEM�KER 2g�50CR
14977 PRAIRIEAV�IStAL PASEI
MECH
29.50CR
TENDEREp;
ppp�I�p; 2�.50 CHECK
29.50-
CHANGE: �`�""-�----
�.00
�
. ��37
�0/�
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
/1 r 5�=
Project Address: /!�� 7 ''GC i c'��e �5�+�•G t'''� Parcel#:
Subdivision: Lot#: Plan#: Zoning:
i 7 New Construction ❑ Re-Model/Re-Roof/Addition �� Home Occupation Sign
�; Plumbing �Mechanical � Mobile/Manufactured Home Placement �� Other
Project Description/Scope of Work: �e��G�-� C�=+�s 0"�✓��^�� `� ��� �� ° �
-T
Project Value:�� 5r" ��U=�v
Building Area(sq. ft) 1St Floor �U 2"d Floor �� S� Garage Deck
Basement Carport Patio
#Bedrooms� #Bathrooms� Heating� GA THER or ELECTRIC(Circle One)
Are there any environmentally sensitive areas located on the parcel?
lf yes, a completed environmental checklist must accompany permit application.
BUILDING OWNER NAME: �a�f �r ; S ve�� e�
ADDRESS J � 7 .--.."v ° �5 �' MAIL 2 S� <��7,Y,
CITY � STATE L�ii- ZIP �i k 55� TELEPHON - " '
ARCHITECT/ENGINEER LICENSE#
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
GENERALCONTRACTOR 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 /S v,�a� ��'' TELEPHONE � D ^ t S�S " C� '
ADDRESS ^ � EMAIL��:yl�� '/r,� , c "" .�' o�
CITY c, STATE ZIP ° 3 FAX36� � 5"�—D S 1�j
CONT CTOR'S ICENSE# c � v U EXP DATEt ;S�ITY LICENSE#
Copy of mitigation agreement with Yelm Community Schools, if applicable.
f 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
� � �� ..- �
�
Ap IicanYs Signature Date
Owner/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
! �
I C �S
105 Yelm Avenue West (360)458-3835
Yelm,WA 98597 (360)458-3144 FAX
www.ci.yelm.wa.us
�
1 1 � � � �
1 ! / .�� • .�
Duct Leakage Test Results (Existing Construction)
Permit#: ,� C� 2 �-/(� �� �
, , , j �
House address or lot number: l �� z� �vc.._; ��' L � �S t� � (�
City: `� Zip: �l/ �
Cond. Floor Area (ft2): �
❑ Duct tightness testing is not required for this residence per exceptions listed at the end of this document
Test Result: CFM@25Pa ��-.-o `i �G�
Ring (circle one): 6pe�t M��� 1 2 3
Duct Tester Location: I� / 1�t
Pressure Tap Location: G � o S LS"{�
I certify that these duct leakage rates are accurate and determined using standard duct testing protocol
Company Name: �C--��
Duct Testing Technician: c.�� �� �5 r s G
Technician Signature: � Date: � � �� � L�
Phone Number. -� � �� �"� yS�'- � �1 � I
Washington State Energy Code Reference:
R101.4.3.1 Mechanical Systems:When a space-conditioning system is altered by the installation or replacement of space-conditioning equipment(including
replacement of the air handler,outdoor condensing unit of a split system air conditioner or heat pump,cooling or heating coil,or the furnace heat exchanger),
the duct system that is connected to the new or replacement space-conditioning equipment shall be tested as specified in RS-33.The test results shall be
provided to the building official and the homeowner.
Exceptions:
1. Duct systems that are documented to have been previously sealed as confirmed through field verification and diagnostic testing in accordance with
proceduresin RS-33.
2. Ducts with less than 40 linear feet in unconditioned spaces.
3. Existing duct systems constructed,insulated or sealed with asbestos.
4. Additions of less than 750 square feet.
I