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20160166 Permit Pkg 03112016City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458 -3144 Applicant: Name: PATRICK & ELIZA THAYER Address: PO BOX 3078 YELM WA 98597 Property Information: Site Address: 17(18 rPV -QTAI rT NW Assessor Parcel No.: 43390000700 Subdivision: Contractor Information: Name: BLACK HILLS, INC Address: 1003 85TH AVE SE OLYMPIA WA 98501 Contractor License No.: BLACKH1066JL Permit No.: 20160166 Issue Date: 3/11/2016 (Work must be completed within 180 days) Phone: 253 - 370 -6235 Owner: PAT THAYER Lot: Phone: 360- 239 -3776 Expires: 12/31/2016 Project Information: Project: MECHANICAL Description of Work: INSTALL HEAT PUMP AND REPLACE FURNACE. DUCT TEST REQUIRED Sq. Ft. per floor: First Heat Type (Electric, Gas, Other): Second Third Garage Basement Fees: Item Contractor Fees MECHANICAL BLACK HILLS, INC $ 29.50 TOTAL FEES: $ 29.50 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, easement d restrictions of record. If applying as a contractor, I further certify that I am currently registere in t State of Wa 7*Qq. )� Signature YY l y yy Date 3 Firm OFFICIAL USE ONLY # Sets of Prints: Final Inspection: Date: By: City of Ni (36 ) 458 -3244 REC #: 00225109 OPER: CO TERM: REF #: 17020 PAID BY: 3/11/2016 11 :17 AM 001 TRAN: 33,0000 BUILDING PERMITS 20160166 29.50CR THAYER, PATRICK & ELIZA 1206 CRYSTAL CT NW MECH 29.50CR TENDERED: 29.50 CHECK APPLIED: 29,50- CHANGE: 0.00 -wnt-V_ 0 CITY OF YELM RESIDENTIAL BUILDING PERMIT APPLICATION FORM Project Address: 1� 0 U � �-1 �g l�n (-l) Parcel #: L4 5707) -700 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: _ `1 Project Value: 1 000 Building Area (sq. ft) 1s` Floor 2nd Floor 3`d Floor - Covered Patio Covered Porch Patio Garage -2 car 3 car. 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 N na�6��EWMAIL : ADDRESS L CITY STA EJAJ A- ZIP 5 TELEPHONE 6753 -5'10 ' L0 5E 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 TELEPHONE 5LIE0 'T 0S- 59 d - ADDRESS ( 6 - `65 Sti EMAIL SI,tGan 4 l s Lac Corn CITY�(ymQy�STATE war _ZIP SO( FAX CONTRACtOWS LICENSE #6LAUJ4J:C)U eJL- EXP DATE CITY LICENSE # ' oUA3S(o v -11 l R It -f 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✓ b1m h r I Q Applicant'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.ri.yelm.wa.us House address or lot number: !� d Uj City: _ Zip: Cond. Floor Area (ft): {<_ Source (circle one): Plans Estimated ❑ 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 Handier present during test? ❑ yes Q 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' �� CF Ring (circle one): Open Measured Duct Blaster Location: Q/ Re_ &N, Pressure Tap Location: ,g�'7 le� Method 3 Fhe 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: _211z_ CFM @25Pa Post installation leakage rate must be less than 50% of pre - installation rate l� Company Name: �CcG l / �$ , Duct Testing Technician: Date:o Phone Number: 3 %o` ®� �" �� ❑ 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. 1 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: 101.3.2.6 Mechanical Systems: Those parts of systems wNch are altered or replaced shall 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 - conditioning equipment shall 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 RS33, 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 less than 40 linear feet in unconditioned spaces. 3. Existing duct systems constructed, insulated or sealed with asbestos.