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Home My WebLink About6826 Nimitz Dr - Disclosures/Mechanical - 12/16/2013City of Fort Collins Residential Mechanical Systems Performance Report this form Is a record of testing targets and results. with Pass/Fail ovtmnes For Information cn measurement bets and testing techniques. see the'ResieAnhal New Cmstntdion Wchanrd 5ysierrs Testing Guide." The guide and this form tray be peficdcr iy updated, check the &alc5ng Servims web site for the current version This fom m..-t be eorrpteted and signed by an "Approved Agency,' and submtted to DAdirV Services as a ryvrement for receiving a C O Color key Mez_ured value to -. * r Fa.`.5 TargN U limit carpare with fargetor Pass Fail': Cat1Wn "+ Otherdata P:n `_ - Address k '// ill % . Z Dr, •" Builder HVA.0 cmtacta Testing date(s) Bath exhaust Ai:flavmeasuierrentmethod ZFlawbox _Flow o9lar _ Passive flow hood _ Pilot tube lmwme Tern eratura of air through �� F Indica ed flow to Volumetric flay mihpG j�Q ,�_,f/ measurement tool o@ 5000', air te=OV 1 l u tlnx„ra1 Cv1."--------------- Operation Minimum Design Indicated Exhaust Pickup Location Intcmdtlent or a�O'^' arrow Flow Volumetric Flow Pass Fall Continuous Requirement (CFM (CFht) (CFM 5,IXI0j (CFM S11110') SOt10') c KIntertrit _Conlin 1(20 Intemnit Conlin4. t -6,InWfnlit _Conlin- _Internif _Ccntn - Intermit Conlin _Intermit _Colvin - _Intermit _Canon ` _ - S'Wy'�`'3'Yr'�� 'N iiY'{- Intemtt Conlin "' _�__, Ktchen exhaust Oven fuel _ Exhaust airflow . Operation _InlemiVenl —Continua, Measured airflow V/ NA- Ntrhen hood aces not vent outside Mnirru exiatsl airflow recjuirementl ICFM WW Airflow rneasvernentrreUnd—Fbwlxix _Flow odic Passive fbw hootl _Riot tube Vaverse Temper ina u air e F Ir6catzd flaw b Vdtrmebic flaw mdtipli �+'�j rreasu�rerhant ho�d� @ 5000', air temperable 77 Indicated fl 1_� CFM Volur etric flow CFNI Soot)' El Pass 'IjFall Testing riles (fan speed, maskin' now out of range. - .. Medwia! Systars Pvf� Tutrg Suhr!!al Farr V201 :ya 3 4' 6a RefrigerantrChargeAlp_ r 1 Y Y2 3,c�.'=r;7rt,^. 0 �. tr »'=3 w x � 1 ? .�'�"n4's- k 7 ,Roo -qj Flowand Pressare Balance L_:; fi` _ _ ,` `� �=i` N Zn:LSS+i:.+iL T�F•<.._ o��s. s�.t-¢:r..:m i..i�r5. a: 7Js��'ui :z.vsisw:r.`_c:c?i''r AJI registers ana cut through finish rnalefials and mcMrvg airRegister air f1mvsPass Fail (Pe nalnder of section under development, not yet being enforced) Pressure balance Pressure dfferewe Grr1t. rcorntoKzre, -3 to+3 Pa - Room pressure Pass Fall drop drop (Pa) - ❑ � J%� y�rGi� 7 irr Q / �y z k ❑ 4 NR Nr_ar�515yse PeRairarce Teslcq Su to Form V261206ee 4J6 L� PllA — no natural dra4 c busaw appianrEs Worst -case depressurization testing Ps�-e setup . Test--, zppliances Outdoor terrperaturei . �F _# of bath tars hx on These doors are cad Vented range hood en —acthes dryer _a;r trardieron .. . Other tans cn appil2rc TyP I =bo CAZ pressure P.PI dzpnessuriabo haul Pa xrt outside Vr umdl net CAZ depressuiatien Pa Tart outside OK pess negative) I Cauticn (mere negative) Spillage . BPI madmen firm searc!s Measured spillage duration seconds Pass = duration not exceeding Knit Draft pressure BPI hntit Pa vrt CAZ Measu-•d Fa vtirt CAZ Pass = Pressure more negative than lirrit CO Concentration in undiluted flue gas BPI mmdnxrnGrret Ppm Measured CO PPm Pass ? CO level not exceeding link Cautim = CO level 75 to 100 ppm OraP hood Induced -draft _ Oreftfiocd _Induced -draft _ Draft -hood -Induced-draft ❑ oK o ,� ❑ OK ❑ `Cattion o OK Io caution 60 6060 ❑ Pass 1 ❑ Fail ❑ Pau ❑, Fail❑ Pass -,❑ Farb ❑ Pass ; ❑ Fal ❑ Pass ! ❑ Fail ❑ Pau I ❑ Fail 100 100 100 . ._ ❑ Pass (❑ Fail ❑ .Pass I ❑ Fail ❑ Pass ❑ Fal Q Caulim ;❑4 Caution tdeCari¢I Sysur:s Perf=ra Tesdrg Sutxtirtai Fam V".'017JB08 5 a E t w 'S�•� �.s ?. -��'`3F ya'a'**^-5'J j 'a.'�+�3z�';h '�^'v �aa �.ca� 9 System COntroW-- System pass Fail Lod eaha t _: ❑ . WFde-ha venblag n :::. ❑ `:- Substmchh-A floor e#raust ❑ ;sp;-,: F'eating '❑_ Coding ❑ Approved Agency (technician performing Inspection and testing documented on this form) Name (print) Title Carvany Signature and Date V WAC contractor (Fort Collins license holder) Name (pdr t) Title (r L IV\ 'a,.1 4 �.J ccffPany .Signature and Date CL 2 l (o L Nl 0 &%—A' al s)St m Perform. Te bN 5'rdlal -� V2012Cad 6 d e 1] 'j, City of Fort Collins Residential Mechanical Systems Performance Report this four is a record of testing targets and results, with PasslFail outcorres For inforrrabon on reastrarent tools and testing tedtriq es, see the 7asidehtial NeN CmSUvction Mechanical Qysterrs Testing Ctida" The guide and this form may be periodically updated, check the W.1drg Services %eb site for the current version This term. rust be completed and sighed by an "Approved Ageri y; and sr brilted to &ilding Services; as a requirement for receiving a C O . Color key ;. MeasNaed value to . - t . •. - Target cr limit cdrpzie xilh target or Pass ` Fall �:- Caution ``* OthFi Bala Address & !v / 0)/r •' Y •, 7-- I.(�- Testing dale(s) ewll Builder 4-r r "-IX t.fJ.'tis• C� ON . 1-1VACcontradCr r d{! ✓>Z_ 1/'17,1 11-e Bath exhaust Airfow maastrement melted —Flow box _Flow collar Passive flow hood Pilot tube traverse TerrFeratura of air though t-- Indxated flay to Voluretric flaw nUbph mas eurement tool l F @ 5OW, air ten>peraVIH Measured Exhaust Airflow Operatfon Mininxnn Design Indicated Exhaust Pickup Location Intermittent Airflow Alrtiow FlowCFN Volumetric Flow Pass Fall CContinuouss Requirerrerd (CFM (CFh7) (CFM 5.000� - (CFM 50001 5000') _ c 1 Irttertril Ccrtiin — ` . _- _Inta .it Conlin .....p�/'y'� _ r��/� _- ❑ ❑ IntenrYl rJ IJ. 1 I ❑}iF. .., _Curtin _ .,. '•. t.��].:; -.. i> 4t 3k�cvi !�rtermt 50 7.5.7❑ <, fPS _Cordin —Intemit —Conlin ❑ ❑ - - lntemit ❑ Z ❑ —Canon Intermit —Curtin )Gtchen exhaust Oven fuel 6drahst airflow Cperaficn _intemittent—Cor®rtuors 12r�WA- Ktdr hood does nol venl outside MrinYlih e#lausl aiAoN requirement CFM 500P Measured airflow AiAloN measvement method — _Flaw collar —Passlveflowhood _Riot tlbetraverse� �� Temperatteasurerihuough��F Ir6cated flew to Vdumetncflaw mdtlpii j�j rrheasurtnrrent tool JI {� @500 ,air terra erataefuj Indicated flCFM Vdurrelnc flow l CFM 5000' Pass cw�❑ : Fail Testirg roles (fan speed, maskir+ flan out of rarhge... . Medw cad Sysfera Padwran® Tams Subrd W Foxe V2012kM8 i y 6 Systems other than sub -structural floor exhaust T _ So _ �� L �,;,� y (C :1...�x } - 30 fArvmun exhaust zvflav raGuiremerd �� CFTA 5000' Indicated to Measured Airflow Volumetr'a Design Alrflevr Measurement Measurement Location+ Flow Indicated Flow VdumeWe (CFM 5000') Method Air Temperature (F) Multiplier (CFM) Flow PasslFail (CFM 5000') FlON boX Total exhaust eirflav &0 —Flw hood aw assive Coll I Q Foot tube taversa L ..." Total suFply aullm _ now cellar — Ftot tube traverse =Flow box Passive now food . ❑ i I] For systanv in which supply airf)ciiv, is cirafated by the air handler fan, fan speed for measuemerlt Heat Cooling CcrnGnuous fan Balanced drlav In telanced systems Average of measured suppl^ Target flow rang and exhzusl flu 5�, to (average +1- 15%1111 CFM 5000' ❑ Pass ❑ . Fat Sub -structural floor exhaust WA— no sub -structural floor exhaust system Design airflow -,,-7CFM N.W Measured airflav Airlav measurement rrefhod —Flax box _Flow cellar Passive flavtood Pilot lute traverse Temper Indicated flow to Voturretric flawrraGttp4 merit. emmen measuremmt bolbol� F @ 5000', air tamperattn Indicated ll l 1CFM �^'�( Vdcmetric fl ' . CFM 500o' ❑ Pass ❑ . Fail 3 WA — no ducMork or no ductverk outside ccndboned spare Temperature of air uvwcyy tF rrersrrzrrznl t Pause condUcred floor area �sf Indicated flow to Volurnetricflav rruttidi @ 5W, air tenpemtura Maximum Allowed Duct Leafage Measured Duct Leakage Test Parameter and_Conditions - NormaC¢ad Leakage ' (CFM2s 1100 sf) 34"de L (CFM25) Indicated Flow (CFM25) Vo Flui,stil (CFM25 SOM Measurernerd Teeing. Air Handcar Pass*afl Tctef leakage Rai -in 6tduded .. q .:- a .❑.. Trial leakage %ugh4n included - 6 - L s : _ ❑ a . Trial leakage C,drnplete Included 12 - - ❑ I Q. Leakage to ouidcors Complete IrdW d 8 ❑,o f* iA,' W Sysle Fercmianp Twirl; SLEniaal Fora V'1312ma 2148 Static pressures (OPTIONAL) CoolirQ coil irsUeed -,/Y/ N Wee Healing Ming --'Cortinvouz Fan Fan speed tap Hurridlierbypass %,'Cpez n_Clmed jwf'A'�IreGisters open P=- AP filter = -� P + AP AC coil AP Total ESP--// Cooling: Measured a! r flow through Indoor coil using flow grid ❑ WA- no AC system installed Design cooling airflow Do& TICFM 5= Target airilow DmIs (design +/- 15%)l to CFM 5OW Wavered aldfl C4cllng fain speed tap —I- Ter nperature of air ttwugF rneasn-ament tool NSOP Pa TFSOP t.i g Pa Measured airflow, no a4ustrinents a correction �r-Fm Volr elric flow[�CFM SOW 0 Pass Rm9ridplatesize lrdmtedfIixvtoVolurneWcR nVAPF1 m =1 IT, 0 ig 50W, air terr� Fl.w Resistance CorrecOm FactorF:1-F �S- Ac�usled Waded) airfiow®CFM ❑ Fail Heating: Gas manifold pressure 31 JL OEMmianifiAdpresstir speciftaticaMf 7-3S'" fvvc Tnel nvAfdd pressure rirrft (spec WC Measured manifold pressure lwC ..:e Fail Heating: Temperature rise OEM temperature rise firrits Measured terrperature rise Return air F Supply air F FTemp rise 37Caution: Teirp nw vkHr, & - F Pass Fall❑10 F of top of range Wdwie Syvure Pf,.,areaTee' g SL6rt.W R. V201206M 3 d e B'' efrlgerarlL•Charge. t= T� '-:;_ -i t _ r '.' t .1 1.^ YSiT.'C.tkir'Cv"•rt0. �1.134i.[--;.�aa'>f-i: �. a�•.:F st..::ew"ar 1:»..-s3.f..-r'�n.w'v+`.k-si.+} 13�45'C..aar'�iX%�'.. dr �Tt*.(Ns section under d�eloprnenk not yet being enforced) Z ��:r!-•!r<.rt... 4 �.i � w..y tth0- ts+a. {-^?y ..a., � FE�^�"^`+*-+.�.."R-s: y�.:f i 'l 7 ;Room Al •Fund Bressure:Ba)ance g t 5 .'it: 151r�P"_? 3�3:Y��'..Tw-I...�.. �2'-.s ✓.7�aw-S..?si,.;ar� Yii3� !a S�r.3s-+r �i+S�x.ii[is+Y4tT2r-a�'�L+t'Register air flows (Remainder of section under development, not yet being enforced) Pressure balance Pressure dffc ence Gnvt. room to -tore -3 to +3 Pa Roars Measured pressure Pass Fail . drop (Pa) - r° ❑ r� r5 �. ElY yz,:�LF'T. -. a Naha W Systcre Parrm. a Tclvg SLt rt l Fam Y2312CSM 4 cr 6 W . KA—rOnekFmidaft cmttmion appliances. Outdoor tarmIwatm F Wont -case depressurization testing v4ttse setup . . . I Tested appliances #O(bathfanson Them doors are ctosed Vented range hood on acules &yw cn I —Air harder cn OL"wer fans Fcn Appliam TyP Locabor CAZ pressure BPI depressurization Unit Pa vit outside Measured net CAZ depressunzatim Pa tort cutskle OK fiess negative) I CmAjon (acre negative) Spillage BPI rnmdrnun firnit seconds. Measured spillage dLraUm seccnds Paw =duraUon not exceedng rinit Draftioressma 11MI Pa Ad CAZ Measured Pa Art CAZ Pass = pressure more negative elan lirrit CO concentration In undiluted flue gm BPI rnmdrnurn liml PPM Measured CO PPM Pass = CO ILM net exceeding lirit Caution = CO level 25 to 100 ppm SYSa Pedmr W Te g F= — Draft -hood — Induced -draft Draft -Food Induced4iraft Drft-hood Ird"Cl-draft E3T_oK ,eu,,,n 60 ❑ Pass I ❑ Fall'Pass I r_1 7 i IEFailPass El jPass jFaM 700 100 100 ❑ Pass ❑ Fail:[flPass ❑ Fell— Catflon p Catruon V201206M System ccnb-ds cperating W design Intent System PASS Fall Local exhaust V&cfe-limm ventilation Sub-shxtx-.1 floor eh%am-1 El =.r-I Pleating ccding Approved Agency (technician performing Inspection and testing documented an this form) Name (print) Title Company Signature and Date 2.1 (tl AI � WAC contractor (Fort Collins license holder) Nam (print) Title CaTpany Signature and Data " R - m Pat �., TaL-V SLbmetd Fa V2012:eCd 696 DCityof Fort Collins �1207101 Residential Mechanical Systems Performance Report This forth 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 es a requirement for receiving a C.O. . Color key - Messtaed value to •: < ,;r H"' , _ Tirget ors ' � rnrnpare�wHh target or �_ Pass s � . a � c � Other data �"�- � '-.•. limit _ _ �#rh• ..is. - :...r 2 LOCBI E7Ch2USt (3pT. Otj.V@Dtl)dtlOtl Bath exhaust Airflow measurement method r—Flavhox —Flow collar I - II Passive flowhood — Pilot tube traverse Temperature ofu air thrent too F Indicated flow to Volumetric flow perabii measurement too � L (d 5000', air temperetu - - Measured Exhaust Airflow $ Operation Minimum Design Indicated Exhaust Pickup location Intermittent or Airflow Flow Volumetric Flow . Pass Fail continuous Requirement (CFM (CFM) (CFM 5,000� (CFM 50001 5000 STa'c4-S —t. ermit Conlin'u — a x n ' S Z Z ❑ ' �j + L '�"'ev _ IMertnU _Conlin �.,k, ' "{Fi�,,fl .r ti -1_ .-Z-- ❑ M STi`� vR.�T�-. irdermit —CoMm �- v*n �:t� ,� y3 vx.u� 2 \ ❑ ..:.1�'' s �''� " M "h2 gT L �Merrnit ❑ —Collin, C ( —Intermit ? ❑ a =Collin Intermit Conin V „ "$`.k"r� `i ❑ re se.1'x.,s ea., �.,� s Interthft —Conlin tau y� ' ❑ H a - Intermit Conlin's' — ... Elram." E Kitchen exhaust Oven fuel _Gas Electric Exhaust airflow Operation IntermittentConUnucus W. — Measured airflow WA - Kitchen hood does not vent outside Minimum exhaust airflow requirement ` " ": CFM 5000, n- Airflow measurement method — Flow box _ Flow collar Passive flow hood — Pilot tube traverse - '„- Temperaturemeasurement renttohF Indicated flow to Volumetricflow r temp measurement tool (a] 5000', air temperature - Indicated flowCFM Volumetric flow CFM 5000' ❑ Pass Rr Fail ,. t Testing notes (fan speed, masking, flow out of range....) -_ - W nhartiml Sysle= Periemunm TmUn0 SubmRW Form V20120608 .id W 6 Systems other than sub -structural floor exhaust ;Zs `f (0 S1 tv4nimun exhaust aiif, avraGuiremea cmI c�a . Indicated to Measured Airflow Design Airflow Measurement Measurement Location+ Volurnetrlc Flow Indicated Flaw Volumetric (CFM S000') Method Air Temperature (F) Multiplier (CFM) Flow Pass/Fail (Cl 5000) Flowb= YY1.is4e,- V-""t Taal exhaust afrflaw .. Passive new hood —/ ej 2�9 __ Pio�ltraverse / now collar supply airflax Pilot tube traverse I _ Flow box ❑ ElTaal _ Passive f1m hand t For systens in "Hch supply airflav is circulated by them air pander fan fan speed for measurertrnt Heat — Coding Cc Urxnus mfan j Balanced airflav In balanced systems — — Average dmeasredsupPpvlY�tl----�'4 r Target flaw rang .. and ezhausl fie 4—�JCF?A..000' (average +/-15%h - to CFM SIXp i ❑ Pass ❑ Fail , Sub -structural floor exhaust WA— no sub-strvdrsai floor exhaust system Design airflow CFM 5LW Measured airflav Aidlox measurzmanl method now box _ Flaw cellar Passive flow good _ Rtot tube traverse Temrerettre of air Una. F Indictedflow to Vah�tric flux meAprr� measwarrent ��J(----�� Qa S0p17, air temperahrz Indicated 11- ICFM Vclvnetric 1104= CFM 5OW Pass El' Fail Yd WA — ra dtxAwrc or no chxh%ork outsids ccfdUcred sFace House conditioned ffoer area sf Te"pesalure of air arcu 7h F rreasuement loci Indicated flaw to Volurnetdc flaw mulflph @00' 50, air temperst' Maximum Allowed Duct Leakage Measured Dud Leakage Test Pararraterarcd Conditlons Norrnarized Leakage (CFM25 / 100 sf) Linkage (CFM25) � Indicated Flaw (CFM25) VolFliaretric (CFM25 50(00') Measurement :' Taming Air Handler PassNall Total leakage Excluded 4 ::., ❑ Taal leakage Rarghrin " Included 6 I. Toleakage Conva tal te included 12 - .. ,, ❑ �,❑: Leakage culdoors compete Induhed s ❑ , vCC�Or,ical sntars PercRrwu TwtrS s,teVax F� V2=06.e 2 a 8 3Z3 3 S J F 3 �� Systems other than sub -structural floor exhaust 4 8�ac 7•�S• 3:, Minimum exhaust airflow requirement - CFM 50017 - - Indicated to Measured Aldlow Volumetric Yotumetrle • Design Airflow Measurement Measurement Location+ Flow Indicated Flow Flow Pasts/Fall 50001 Method Air Temperature (F) Multiplier -(CFM)_ (CFM 5000') A - Flaw box I Total exhaust airflow Pahl" now hood Flawcollar •--) o ': . i, ! 1 < • , Pitot hrbe traverse Flow collar .. ." ToWsupptyairflow Not tube traverse r , ❑.. - Flow box Passive flow hood _ In which supply sinbw is circulated by the air handler fan, fan speed for measurement _Heat Cooling Conlin fan airflow in balanced systems Average of measured supply Target flow range and exhaust flows�CFM 5000' (average+/- 15e/a), c'�-'`v�" CFM 5000' ❑ Pass `' Fail Sub -structural floor exhaust rl N/A —no sub -structural floor exhaust system Design airflow FR�M I CFM 5000' " Measured alrf aw Airflow measurement method[— box —Flow collar Passive itow hood — Not tube traverse ' Temperature of air throng F Indicated flow to Volumetric flow multipli measurers tool 5000', air temperature n•+�n Indicated flow CFM Volumetric 11 CFM 5000 ❑ Pass Fail - ❑ N/A— no ductwork or no ductwork outside conditioned space Temperature of air nt loought measurement too - tM� . Indicated flow to Volumetric flow multipfi { l; House conditioned Door area 3Z3 3 sl @ 5000', air tem ' - perature -. Maximum Allowed Duet Leakage :,:-, Measured Duct Leakage - fist ... _.. - _d , Parameter arid Conditions . .. , .. Absolute_.> Normaimetl Leakage.'. .., Leakage.';; :: Volumetric Indicated Flow :::; , Fiow...::.: . --Measurement -- ::"Timing - Air Handler .•-. (CF1V1251100 an :;, (CFM25) '(CFM25) - (UNUIS 5000'); pass/Fail' P_ Total leakage -: Rough -in ..: Excluded A. r Tdtal leakage Rough -in - Included - 6 '� "�°+rtl'f -. ...: ❑ Total leakage Complete Included `. 12) -Z . Leakage to. outdoors - Complete Included_.8 ";i'i'-.+;..� -- ❑ MethaNcal Systems Performance Testing Subtmt1W Farm V2012060a 2 016 Finer type Brand 'KQt Z\'_-: '" Type/style 'PlE ti'S Thickness j '-:--:, inches MERV(optioral) Static pressures (OPTIONAL) Coding mil installed ZY _ N . Mode:,_ooing C Coolling .. Fan P = + . . _✓Continuous Fan speed tap . - Huummidifierbypasa_ Open ✓Closed ✓_ AP AC coil = / At] registers open P = G1�r( 54^�-Ti ii - AP filter wAP ' Total ESP = Cooling: Measured airflow through Indoor coil using flow grid ❑ WA -no AC system installed ? �;1 az�r Design coding airflow �� . CFM 5000' _ Target aidlow limits (design +/- 15%) x +~ to 't r�*/. s ` CFM 50W ems; "Measured airflow Y ' Cooling fan speed tap Temperature of air through -t F r rrl messuremerdtool NSOP Pa TFSOP Pa T Measured airflow, no adjustments or eonaction �CFM NM{ Volumetric flow j ?� CFM 5000' Pass Flow grid plate size Indicated flow to Volumetrlc flow mulgplie ff b 5000', air lemperatu- Flow Resistance Correction Facto Ad)usted (indicated) eirflaw CFM ME r.' Fall Heating: Gas manifold pressure OEM manifold pressure IWC Target manifold pressure limits (spec +1- 5%) specification, 5000' 3 — / - Measured manifold pressure IWC Pass Heating: Temperature rise OEM temperature rise limits F " ~ Measured temperature rise Realm air 1 F: Supply air ?J�i F Tamp rise � �i. F CQ S `- N] Pass !!1"r,.t7 Fail - ❑ ml&anlcal Systems Per'mmmm Testing eubmbtai Form V20120808 IWC Milo''- � 5M. Fail Caution: Temp rise within 10 F of top of range 3 of (This section under development not yet being enforced) Register air flows All registers are cut through finish materials and moving air Pass .0 Fag 3�J (Remainder of section underdevelopment not yet being enforced) Pressure balance Pressure difference limit room -to -core to+3=. Pa �t - -Room Measured pressure drop (Pa) P ass Fail .-y _ .. ,1 ❑ fir- s+®,. - - .:: Z a a ,. ❑. If a `5 MIS Mechariul Systems Paft ma T"Uny Submieal Fom V20120608 4 of 8 ld NIA — no natural draft combustion appliances Worst -ease depressurization tesUng Appliance TYPE Locatior k;A4 pressure BPI depressurization remit Pe wtt outside Measured net CAZ depressurization Pa wrt outside OK (less negative) I Caution (more negative) - 'Spillage BPI maximum limit seconds Measured spillage duration seconds Pass = duration not exceeding limit Draft pressure BPI limit Pa wrt CAZ Measured Pa wrt CAZ Pass = pressure more negative than limit CO concentration In undiluted flue gas - BPI maximum limit ppm Measured CO ppm Pass = CO level not exceeding limit Caution = CO level 25 to 100 ppm MeebaNezl Systems Pedcrmsnce Testing Submktal Fmm Outdoor temperature F _ Draft -hood Induced-4raft Draft -hood Induced -draft _ Draft -hood Induced -draft ❑ OK ,Q'' Caution ❑ OK ❑.. Caution ❑ OK ❑r Caution ❑ Pass ice-§ Fag ❑ Pass Fall I ❑ Pass Fall _ f4 f\G�.x^gSii5�z4;ti•'.�`.tS�' 3i�ai17K ❑ Pass [" Fall I Pass FQ Fell❑ Pass _ Fail t3yTioo ❑ Pass IQ) Fail ❑ Pass Fail ❑ Pass ffi, Fait 7❑'s Caution❑�- Caution .fO� Caution V2012OUS ads 9 System Controls Approved Agency (t Name (print) r 'Title Company Signature and Data .. r'0"( stem Pass Fai Local exhaust Whola•house verrtllatlon (•— Sub -structural floor aldreust Heatir 0 <x: , Cooling eenmeran perrormmg mspecuon ano Tesung aoeumenTea on Tree Torus) HVAC contractor (Fort Collins license holder) 1Na(print) [1 me 711a Company Signature and Date • d' 11 Medwrucal Systems PeAmmance Tes1Sry Submittal Famr V2012060B a Of a' -2_ta At- i", - - - 4x- !awl) q NN Static pressures (OPTIONAL) Ccdirg c-41 irzWeed Y N Cooling CIfns Fan Fan speed tap Flurridi'lar bypass Open JOosad Al registers cpen P=- (Zo P=+ O. AP AC coil P=+ - APTotal ESP = Cooling: Measured air flow through indoor coil using flow grid El WA— no AC system it Design cooling airl'Im CFM 5000' Targd airflow (Irnits (design +I. 15%)l to CFM 5OW Measured airflaw Co Urg fan speed tap I I TerrWrature of air throughl rnezzurernent �F NSOP Fa TFSOP Pa Measured ajrflay. no a4ustrnents W correction CFM Volumetric flow Pm . I Rm grid plate size Indicated Om to Vckxrx*ic fl m rr&dbph @ SOON. air terperatarF Flow Resistance Correction Factor Ailiusted findicated) mirfl_E]� CFIVI ❑ Fall Heating: Gas manifoldpressure 3,'32- 3.&S OEiVirniNdpress SpnaedfiC29CR =[=NVC Target neNfdd pressure firnits (spec +,1- 5' Q lwC Meesured rronifold pressure iWC ❑ Pass 0 Fail Heating: Temperature rise OEM temperature rise Gaits F Niaesured lernperature rise Return air F Supply air lY F Terprise7D-7, F 311� pass tE3. Fail Caution: Terrprise mmhr, IOFOftopofrange L&-d-img Sygerm P-f=a TmtVq Sbffgw Fo v2Oi2xQa 3 e a (This section under development, not yet being enforced) -(�- 2>.. `C^nyy:.r �fF..^K-r +. S23C.. e'.. �>"e s-s ve?ef-�}.-i .tl i1 ty."' r'+h.,r;.s...•st s -e's ; 7�Room=A�i'Flowand'Eressure:Balance -„ � _:� � p3�' _ ': �s o �,�a� ��..Js-eRegister air flows (Remalnder of section under dowtopment, not yet being enforced) Pressure balance Pressure differ Omit. roorn-locore -3 to +3 Pa Room Measured pressure Pass Fall - drop (Pa) _ o y41 i # ❑ ,❑1 ❑ x'-❑ Nedradd sys P¢rfert 7eslvg Samtw Form M12060e 4 cfe 19- WA— no raturd drag corrlxstion appdianrns Cuboor tern:era!ure F worst -case depressurization testing P=sa setup - Tested appliances a* or fgih rzrs an These dears are rJoszj _ Vented rare hood m _ _. Qotines dryer on . Alt 'ardlerm Other fats cn - AppRarz T}p Locatia CAZ pressure BPI depressurization 6n61 Pa Hrt outside Measured nat CAZ depressurization Pa wt outside OK less negative) i Caution (rrera negative) Spillage BPI rrkDdn%=6nil sew Measured spillage duration . seconds Pass = duration not exceedng 6rtit Draft pressure i BPI 11m1 Pa vet CAZ Dleasuued Pa wt CAZ Pass = pressor mere negative Can lir it CO concerdration in undiluted flue gas BPI madman Unit ppm . - Measured CO ppm Pass = CO level not eceeding fruit Caution = CO level 25 to 100 ppm _Draft -hood Induced -draft _Draft -hood _Iriduced-draft Draft -hood Irckred-&aft ! ^Dawm ❑ OK .❑ CauSon ❑ oK ❑ Caption p art Q fi0 60 60 1 - -= ❑ Pass ❑ Fail ❑ Pass ❑ Fml ❑ 1pass ❑ FaB ❑ Pass ; ❑Fail ❑ Pass ! ❑ Fail ❑ Pass ❑ Fall 100 100 100 ❑ Pass ❑ `Fail ❑ Faso ... ❑ I I❑ Pass ❑ Faul - - S Caution,;❑i Caution ❑'. Caulem lAee`anal Systy FeAc W -1 W14 Suh-.,I% i Fa V1040606 5 _r 6 "4(/0 r System ccr Dis cpemgrg per design Intent System Pass Fail Local ezhatst := ❑ -' .p...,_ N/hde-house vo-MaUm Suto-sWehral How exhaust ❑ -__,:FQj Healing '..`.'�:•. Coding _: o 05—R(1 MEte5 `t,y Approved Agency (technician perfam-dng Inspection and testing documented on this fam) Tito Qxrpany Date FIVAC contractor (Ft Name (prlra) TiUe Ccnpany .Signature and Date I2�/1p�13 kiecatiral$l4,er,5 Pee rn.. TchN Vb:_'Idl Fu VZ012:6U 6C16 I City of Fort Collins Residential Mechanical Systems Performance Report • - nis form Is a record of testing targehs and results. vilh Pass/Fail outcomes For infcrmabm on measurement tools and testing techniques, es, sees the'Residentid Nev; CasWdicn Mechanical Systems Testing C(ide." The guide and this form fray be peficdcgly updated, check the Budldng Services %eb site for iha cume nt version This form rrust be completed and sigr*d by an'PpFroved Pgony: and sttmitted to WIdIng Services as a requirement for recaivng a C O Color key - Target cc limit frerpzrenrlh target or Pass Fail Cauton.4 Other data -t limit - - sulder r'c' Bath exhaust "Flow Iox Flwoollar Airflowmesswerrentmethod Passive flow hood Pilot tube traverse fi" Terrferatura of air through F Indicated f1cw to e " _ ®' Exhaust Pickup Loc.-tion Operation Intartni or Minimum Airflow Design Airflow Indicated Flow Volumetric Flow Pass Fall Continuous o Requtrerrcnt (CFM (CFM) (CFM 5,0001 (CFM SOOO') 5000') Wenrit _ Conlin _Irderrrit d�n _ Z�! :_i .,;; .❑.-'-�,.. =lrhterrNt _Cardin . J-z3.. , - :.:-. _ ❑ °-.. ri0G. . _Intermit _Conlin 1 (� %Ci i ` ❑ _ _irdemit _Canon _ ❑ ❑ Intermit Conlin Irderrrit _Conic- s.+: �.Ga�'. Vita �-` ❑ :t ❑tea"�i - _Wermit _Cardin t se. _ ❑ - ❑ ." FGtchen exhaust Oven fuel _ �ectric Exhaust aldlow Operation _Intemittent _Cordrufous Measured airflow P".'�A- Kitchen hood does not vent outside Ivtrimnt exhaust airflax requirement l - CFM ww Pirficw measurement me0od —Fkwbox _flow collar Passive kw hood Blot 4be traverse Temperature of air th Indrated Ilm to Volumetric Raw m ltiph mtseasurenni toot F @ 5000', a'r larperal re�� Indicated 0 CFM Vdu metric P CFM SOW 0 pass ❑ - Fail Testing notes (fan speed, rreskln flow out of range.... Me =id Systa Perf� Te UV Suhrif'al Fcm V2w2cma i y s /oz_ Systems other than sub -structural floor exhaust .;13 75 7- & Wire rm exhzust airflav recvirrrent J �. CFM 5000 14 Indicated to Measured Airflow Design Airflow Measurement Measurement Location+ Volumetric F{ow Indicated Flow Volumetric (CFM S000') Method Air Temperaft a (F) Multiplier (CFM) Flow Pass/Fall (CFM 5000') Floc Total:ext3ustairtlav S/_ Passiveve flow heed _Flowcopa ' _Pilot lt#e lntver.,z 4 3 Z t.3 i _Flowmllar-- Trial supply airilcw - _ Pilot tube traverse _- ❑ ❑ Flow bon .. I Passiveflovhaed'+�� For systems In which supply aidlav is ciradated bylte air hander fart fan speed for measurement Heat Cooling Continuous fan lialanred arlav in balanced systems Average of measured suFp'-I SC00' Target flow m g to CFM 5DW and exhaust fla ,��,J�� JCFFA (average +1- 15 ❑ Pass ❑ Fail / Sub -structural floor exhaust WA- no sO-structural floor exhaust system Design airflow 1---`CY CFM 5000' Measured airllav Airflow measurement rre fwd —Flow box _ Flow collar Passive flay toad Pilot tube traverse Temper lhorg Ir rtsd lox to Volurre6icflow nnlfipG meuair mea sr�zment WC F Q 5W(Y. air temperal I�rated0�^'�j L JCFM Vchanetric flan CFM 50M ❑ Pass 11. Fail of eir ea WA - no ductnorle or no d�nofk eadside corrifienetd wTertpera art - measurement of air ror It F House conditioned floor area sf Indicated flow to Volumetric flow mulfipG • Qa 5000', air temperature Maain.m All.u-,t n,,.+ 1 Test Pararneter and Conditions Wirmaraeed Leakage (CFM25f 100 4 Absolute Leakage (CFM25) Indicated Flow (CFM25) VolumstrlC Flow . (CFM25 50M Measurement rureng Air Handier Pass/Fall Trial leakage Raugtrin Excluded 4� -' • ❑ �I . Total leakage . .. Rurgh4n Inducted 6 -. - %_. _o ❑ ,. Q Total leakage - Complete Included 12 Lmka9e tommoors CorrVete Inducted 8 °,.. ❑ ' : . I Kh--_ZHWJ Syslerm Fe. -=AIM Te W4 Fem V1, 012MC6 2&01 Oyo 2_ �:_neanngooung wr aa,ate, A "+:n�: -"— -- �"..'a�a..i�e�:-�GRs..rv-a ,�:f`Hw .�as:.`r::fs* .•_.i:i ,..�._..k�r��.��-. �.:¢S.�---"=Rr,�Xv�.a�_..... .ii-�.R1's3�i�3 Static pressures (OP71ONAL) Coding �coi�l installed •' Y N bbde. �'" Haaling -- — " Coding _ Ccntinucus Fan Fan speed tap Hurriditert:ypass pen ,w'I resisters open P=+ LP filter = / 25v AP AC coil= _ AP Total ESP = �� Cooling: Measured air flow through indoor cal using flow grid ❑ NIA —no AC systen installed .. ... _ .r Desgn ending aidloe ,r7 CFM 5OW airflow (units desi n H- 15% to �rJ - v ( g ) Q CFM S= Measured airflow Cactirg fan speed tap Rgrid plate size Terrperat re of air ihrct rreaslaement odF indicated flom to Vduretrfc Bow muttlpri Q SOOQ, air lemperat ( 0 NSOp 7. 7 Pa TFSoP W/, f Pa ... Flo, Resistance Curecg n Factor� W-a=W aiMow, no acjustrr n a correcticn 90(0 CFM Adjusted (indicated) eirflo jr (p CFM vai rretdc fl��CFDA 5000' Pass'Fair Heating: Gas manifold pressure 3, 3 smaniNdm, ssur , j yJ IWC Target nirirdd pressure knits (spec+;- 51A) j •-fit° IWC OEM narcfdd preMf 73 _ Measured rtwtitdd pressure '" IWC Fail Heating: Temperature rise OEM teaperdure rise lirrits F Measured tenperature rise .... - . Return air �=F Supply air Temp rise �l)�- F ff� Caution Te pnse xithr, Pass `.� Fall �...�. ...:', 10 F of top of rage htrdryid Sys . Pr+famanra Te vN SL6rritw porn+ VI012Xt8 3 d 6