20150244 Permit Pkg 07072015City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: STEPHEN CID
Address: 14453 98TH WAY SE
YELM WA 98597
Property Information:
Site Address: 1dd -'% 4RTH WAY SF
Assessor Parcel No.: 78640119100
Contractor Information:
Name: BLACK HILLS, INC
Address:
1003 85TH AVE SE
OLYMPIA WA 98501
Permit No.: 20150244
Issue Date: 7107/2015
(Work must be completed within 180 days)
Phone: 253 - 912 -3104
Owner: STEPHEN CID
Subdivision: TAHOMA TERRA Lot: 191
Contractor License No.: BLACKH1066JL Expires
Phone: 360- 705 -8590
03/31/2016
Project Information:
Project: MECHANICAL
Description of Work: DUCT TEST REQUIRED. LOCATE AC UNIT IN BACKYARD OR FACING DOTSON.
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
MECHANICAL
Contractor
BLACK HILLS, INC
TOTAL FEES:
Applicant's Affidavit:
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
Yelm regulations including those governing zoning and land subdivision, and in addition, all covenants,
easements and restrictions of record. If applying as ontractor, I further certify that I am currently
registered in the State of Washington.
�/ 15
Signature Date
Firm
Fees
$ 29.50
$ 29.50
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
City of Ni
(36 } 458 -3244
REC #: 00199955 7/07/2015 2:09 PM
OPER: CO TERM: 001
REF #: 16216
PAID BY:
TRAN: 33,0000 BUILDING PERMITS
20150244 29,50CR
CID, STEPHEN
14453 98TH WAY SE
MECH 29.50CR
TENDERED: 29.50 CHECK
APPLIED: 29.50-
CHANGE: 0.00
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: I�LIS3 St Parcel #: 11 %(.D 4011 at()()
Subdivision
Lot #: Plan #: Zoning:
- New Construction Re -Model / Re -Roof / Addition Home Occupation Sign
Plumbing k `Mechanical - Mobile / Manufactured Home Placement Other
Project Description /Scope of
Project Va
Building Area (sq. ft) 15` Floor 2nd Floor
Covered Patio Covered Porch
A, iED) r aryl
3`d Floor Garage -2 car 3 car V'-
Patio Deck
# Bedrooms # Bathrooms_ Heating: GAS /OTHER 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:
ADDRESS St. EMAIL
CITY m STATE�_ZIP TELEPHONES - lostl4
ARCHITECT /ENGINEER LICENSE #
ADDRESS EMAIL
CITY STATE ZIP TELEPHON
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 CONTRACTOI
ADDRESS I W6 Sa� �ir(
CITY STAT
CONTRA T R'S LICENSE #
TELEPHON
EMAIL
[i7_1
Copy of mitigation agreement with Yelm Commun
CITY LICENSE # OBI ' 0y%>50;4 • O
s
cools, 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
citV.of
1 Yelm.
App icant's 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
105 Yelm Avenue West (360) 458 -3835
Yelm, WA 98597 (360) 458 -3144 FAX
www.ci.velm.wa.us
2
R'
Permit #: C�J -- -I I
House address or lot number:
g-v� L�LA&j 5
(( �� T
City: JIM Zip:
Cond. Floor Area (ft):� Source (circle one): Plans 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
Maximum duct leakage (check method used):
❑ Method 9 .
Total duct leakage, air handler installed: (floor area x .08) _ CFM @25 Pa
❑ Method 2
Leakage to outdoors: (floor area x .06) = CFM @25 Pa
Test Result: '` CFM @25Pa
Ring (circle one): Open 1 2
Duct Blaster Location: Pressure Tap Location:
❑ Method 3
The measured duct leakage shall be reduced by more than 50% relative to the measured leakage prior to the installation or
replacement of the space conditioning equipment. A visual inspection including a smoke test shall demonstrate that all accessible leaks
have been sealed.
Pre - installation test result: CFM @25Pa
Post installation test result: CFM @25Pa
Post installation leakage rate must be less than 50% of pre - installation rate
Company Name: )t„ t F, Duct Testing Technician:
Date: Phone Number:
❑ Method 4
If it is not possible to meet the duct requirements of 1, 2 or 3, all accessible leaks shall be sealed and verified through a visual
inspection and a smoke test by a certified third party.
I certify that these duct leakage rates are accurate and determined using standard duct testing protocol and all accessible
leaks have been sealed.
Company Name: Certified Third Party: Date:
Washington State Energy Code reference:
01 1.3.2,6 Mechanical Systems: Those pans of systems which are altered or replaced shalt comply with Section 503 of this Code 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•condilioning equipment shalt be sealed, as confirmed through
field verification and diagnostic testing in accordance with procedures for duct sealing of existing duct systems as specified in the RS-33, to one of the following requirements.
Exceptions: 1. Duct systems that are documented to have been previously sealed as confirmed through field verification and diagnostic testing in accordance with procedures in RS -33.
2. Ducts with !ess than 40 linear feet in unconditioned spaces.
3. Existing duct systems constructed, insulated or sealed with asbestos.