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Home My WebLink About1921 Raven View Rd - Disclosures/Mechanical - 09/24/2012E ns Residential Energy Code the building & Zoning dept. Of NICAL DISCLOSURE FORM Community Planning and Environmental Services M0Wfsc2.)ds-7n019e 281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522 Voice: 970 221 6760 FAX 970 224 6134 Job Address:. General contractor. Mechanical contractor. INSTRUCTIONS This disclosure form is to be signed by the mechanical contractor or representative of the general contractor. Please type or print, except for the signature. If here are multiple systems serving any function, make multiple entries to describe them. One copy of this form must be provided to the Building and Zoning Department prior to the C.O. One copy of this form must be made available to the original home buyer. A Space heating system Location Fuel ` T Ma rer - . Modei # Input capacity. kBtuh or kW < AFUE or flSPF O/wow B. Space cooling. system _ Location Fuel -TypeManufacturer Model 0 Input capacity kBtuh or kW SEER frrri r1 5Arl �c i ri yX3oC/ A .2`raoJP1I C. Water heating system Location Fuel, T Manufacturer Model thput'capaeity kl3tuh or kW: „ Energy,:; Factor Storage volume Ir Certification I/We certify that the above -listed equipment (including duds and piping) was installed In the building at the above locations in conformance with the requirements of the Fort Collins Residential Energy Code and Mechanical Code; and further, that such equipment was installed in accordance with manufacturers' instructions. Person Certifying Job: Business Firm: fgG�p�-vC Address: Phone: l City of Fort Collins Residential Mechanical Systems Performance Testing Submittal Form This form is a record of testing targets and results, with Pass/Fail outcomes. For information on measurement tools and testing techniques, see the "Residential New Construction Mechanical Systems Testing Guide." The guide and this form may be periodically updated; check the Building Services web site for the current version. This form must be completed and signed by an "Approved Agency," and submitted to Building Services as a requirement for receiving a C.O. Color key Measured value to I -- Target or limit compare with target or Pass Fail Caution Other data limit Address 1921 Raven View Rd I i Builder Anchor Development Corp. " + HVAC contractor A&O Heating and Air Conditioning Testing date(s) 6/20/2012 9/10/2012 9/13/2012 Bath exhaust Airflow, measurement method —x_ Flow box _ Flow collar -. Passive Flow hood Pitot tube traverse Temperature of air through Indicated flow to Volumetric flow multiplie j _ j measurement tool 73 F , @ 5000', air temperatur 1.1 i, Measured Exhaust Airflow Operation Minimum Indicated Exhaust Pickup Location Intermittent or Airflow Flow Volumetric Flow Pass Fail Requirement (CFM 5,000) Continuous (CFM 5000') (CFM) Master Bathroom x_ Intermit Contir 50 . 67 74 ❑x ❑' Main Bathroom x_Intermit —Contir 50 66 73 O El Whole-Dwelling-Unit/Laundry Room Intermit _x_ Contir 20 87 96 ❑x ❑ . _ Intermit Contin ❑ ❑�,, Intermit —Contin ❑ 11 '. Intermit Contin ❑❑r` Intermit — Contin ❑ ❑ Intermit — Contin ❑ ❑. Kitchen exhaust Oven fuel —Gas x Electric Exhaust airflow -i Operation — iIntermittent _Continuous Minimum exhaust airflow requiremen NIA - CFM 5000' r' l {I IMeasured airflow . , Flow box _ Flow collar f'- Airflow measurement method —Passive Flow hood Pitot tube traverse sTemperature ofu airent to through F Indicated flow to Volumetric Dow peratlie measurement toot @ 5000', air temperatur I' <i .� Indicated flowCFM Volumetric flow CFM 5000' ❑ Pass I El 1, Fail t� Testing notes (fan speed, maskin( flow out of range, .. . The kitchen fan is not yet installed. It will be recirculating. There is no gas stub present. Mechanical Systems Performance Testing Submittal Form V20120321 1 or 6 Systems other than sub -structural floor exhaust 1I ,,Minimum exhaust airflow requirement 58 CFM 5000' Indicated to Measured Airflow Volumetric Design Airflow Measurement Measurement Location + Flow Volumetric Indicated Flow Flow Pass/Fail ' (CFM 5000-) ''- Method Air Temperature (F) Multiplier (CFM) (CFM 5000') _x Flow box Laundry room, fan grill Total exhaust airflow _ Passive Dow hood Flow (fan exhausts to roof), 1.1 87 96 S _ collar Pitot tube traverse 730E _ Flow collar Total supply airflow _ Pitot tube traverse El _ Flow box Passive flow hood ra+f �^ For systems in which supply airflow is circulated by the air handler fan, fan speed for measuremen Heat Cooling — Continuous fan airflow in balanced systems ,,',,,Balanced Average of measured suppl Target flow rang and exhaust flow CFM 5000' (average +/. 15%) N/A CFM 5000' ❑ Pass 4 a[] Fail - .„i Sub -structural floor exhaust - .:Design airflow 'Measured airflow N/A CFM 5000' Flow box Flow collar Airflow measurement method — _ t Passive flow hood Pitot tube traverse c s Temperature of air throug Indicated flow to Volumetric flow multiplier '._ measurement tool F @ 5000'. air temperatur Indicated flow CFM Volumetric flow CFM 5000' 1 Pass ElE Fail • + Cooling Duct Leaka • - Temperature of air through 72 F Indicated flow to Volumetric flow multiplie 1 1 measurement tool @ 5000% air temperatur House conditioned floor area 2784 sf r a ., Maximum Allowed Duct Leakage Measured Duct Leakage Test Parameter and Conditions Normalized Leakage (CFM251100 sf) Absolute Leakage (CFM25) Indicated Flow (CFM25) Volumetric Flow (CFM25 5000) Measurement Timing Air Handler Pass/Fail Total leakage Rough -in Excluded 4 ❑ Total leakage Rough -in Included 6 167 67 74 ❑K ❑ Total leakage Complete Included 12 ❑ El Leakage to outdoors Complete Included 8 - ❑ Mechanical Systems Performance Testing Submittal Form V20120321 2 of 6 Filter type Brand Type/ style FibefglaSS Thickness inches MERV(optional)� Static pressures (OPTIONAL) Mode: _ Heating i i x Cooling _ Continuous Fan P=+ 18.3 Fan speed tap High Humidifier bypass _Open _Closed i x None ,P AC coil = 14.1 ;. _.i x All registers open / n/a Zone dampers open j�. r. "i P=+ 32.4 � 1 l . P = - 42.7 AP Total ESP = 83.7 P=- 51.3 Cooling: Measured air flow through indoor coil using flow grid ,Design cooling airflow CFM 5000' Target airflow limits (design +/- 15%) to CFM 5000' L` -'Measured airflow s- Cooling fan speed tap I High Temperature ofair through F measurement tool 74 ;. NSOP 8.6 Pa TFSOP 8.4 Pa Measured airflow, no adjustments or correction 603 CFM 7. 'I Volumetric flow 671 CFM 5000' ❑ Pass Flow grid plate size Indicated flow to Volumetric flow multiplied @ 5000', air temperature 1 1 Flow Resistance Correction Facto 1.012 Adjusted (indicated) airflow 610 CFM ❑ Fail Heating: Gas manifold pressure ( OEM manifold pressure specification, pressure ssure 3.2 IWC Target manifold pressure limits (spec +/- 5%) 3.04 t0 3.36 IWC Measured manifold pressure 3.2 IWC ❑x Pass ❑ Fail Heating: Temperature rise OEM temperature rise limitsl 40 to 70 lF Measured temperature rise ,3si°:{ Return air 69 F _ Supply air 113 F Temp rise 44 F ❑x Pass : Fail El Caution: Temp rise within 10 F of top of range Mechanical Systems Performance Testing Submittal Form V20120321 3 of 6 . - . - (This section under development,not yet being enforced) '. . • . - Supply air flOWs (This section under development,not yet being enforced) .. Pressure balance �'Pressure difference limit,room-to-core -3 to+3 Pa ' ' _,� Room Measured pressure i �� drop(Pa) Pass Fail Master Bedroom -1.5 0 ❑ . i � �.:� . Southwest Bedroom -2.3 � [] West Bedroom -0.6 � �� ,�.,; Laundry Room with Whole-Dwelling-Unit Ventilation 0.6 ❑x � i''i � Upper Level -0.5 � � P ❑ ❑ a . No pressure relief required: � �� Master eathroom 2.3 N/A N/A Main Bathroom ' t.e N/A N!A i ,_,: ❑ ❑ . Mec�anical Systems Pertortnanca Testing Submittal Form V20120321 � 4 of 6 e- r. • • � • Outdoortemperature �F � Worst-case depressurization testing , � !` 'Housesetup � I '� #of bath fans on These doors are closed: ' _Vented renge hood on �., �� , Clothes dryer on ; — Air handler on � � Otherfans on � " '-�Testedappliances } .,: appiiance Furnace Water Heater Fireplace �• , Type Sealed Combustion Electric Sealed Combustion ; i t��•; ' Location ��:�-�CAZ pressure BPI depressurization limit Pa wrt outside N/A N/A N/ ,t Measured net CAZ depressurization Pa wrt outside j� S OK(less negative)�Caution(more negative) ❑ OK ❑�; Caulion ❑ OK ❑ Caution ❑ OK .❑ Caution ��_�Spillage j•;! ; !. BPI maximum limit seconds 60 60 ' 60 <4 � ; �n' �i Measured spillage duration seconds ;�.,.�€ Pass=duration not ezceeding limit � Pass Qr Fail � Pass �: Fail � Pass �.��Fail `� iDraft pressure �.L^F �' �� BPI limit Pa wrt CAZ ; � �. �; Measured Pa wrt CAZ � i '� Pass=pressure more negative than limit ❑ Pass �Q' Fail � Pass ❑ Fail ❑ Pass ❑�� Fail i , :'�CO concentration in undiWted flue gas , , BPI maximum limit ppm 100 100 100 '. �` Measured CO ppm a , Pass=CO level not exceeding limit � Pass � Fail � Pass � Fail � Pass � Fail ; ,� Caution=CO level 25 to 100 ppm ❑ ' Caution ��❑ Caution ❑� �Caution Mechanical Systems Perfottnance Testing Submittal Porm V20720321 5 of 8 � V • • System controls operating per tlesign intent , . , System Pass Fail - . Local exhaust � . ..❑ f Whole-house ventilation � ❑� � .� Sub-strucWralfloorexhaust N/A .-N/A' �; � Heating 0 � ❑ i,-�� Cooling ❑x '❑ . Approved Agency(technician performing inspection and testing documented on this form) , jName(print) Jeff Grezier , 'E' jTltle President s=�; �°��Company JKG Consulting,Inc. ,.^�_��Signature and Date ti 9/13/2012 HVAC contractor(Fort Collins license holder) t.',4 y ,,.�'�Name(pnnt) � ��., �;Title `-'�Company ��Slgnature and Date Mechanical Systems Pertormance Testing Subminal Form V20120327 g a�g