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374 Cajetan St - Disclosures/Mechanical - 02/13/2014
RESIDENTIAL ENERGY CODE MECHANICAL SYSTEMS DISCLOSURE FORM Job Address: 374 CAJETAN STREET General Contractor: FIR DEVELOPMENT AIR PRODUCTS HTG & A/C — —. _. -____.._ ' --_ ------ SPACE HEATING�SYSTEM� ri ����-� �' Location Fuel Type Manufacturer Model No: jlnputBtuj AFUE BASEMENT GAS FAU ARMSTRONG A93UH1007OB12A 70,000 93% SP CE COOLINGSI(STEM-, _tea •a. v _ Location Fuel Type Manufacturer I Model No: BTU SEER OUTDOOR ELECT ARMSTRONG 4SCU13LE124P 24,000 13 NOTE: OUTDOOR UNITS HAVE BEEN ORDERED AND PREPAID - HAVE NOT BEEN RECEIVED FROM MANUFACTURE WAtER' . ft SYSTEM >' M _=02z , Location Fuel Type Manufacturer I Model No: jInputBtuj i4FUE • • 3t:-'`Y E fi'�°+`Yrf= 'e`''df`§' L ",art«% 'z•,yxi. _ a_, '�Ttv ,: .rt `�se.• I/We certify that the above listed equipment will be installed in the building at the above locations in conformance with the current requirements Residential Energy Code and Mechancial Code, and that it will be installed in accordance with manufacturer's instructions. I/We certify that any ductwork has been installed in conformance with the current requirments of the Residential Code and Mechanical Code. Company: Air Products Heating & Air Conditioning Inc 800 Stockton Ave #3 Fort Collins, Co 80574 970-224-3295 Certified By: Michael Giarrusso Signature: Date: 2/13/2014 (�l 30y �(O% City of Fort Collins Residential Mechanical Systems Performance Report 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 forth may be periodically updated; check the Building Services web site for the current version. This forth must be completed and signed by an "Approved Agency," and submitted to Building Services as a requirement for receiving a C.O. Color key y Target Measured value < Other to compare with Pass Fail :C`autiorj•. data or limit target or limit 2a ADCF = Air Density Correction Factor, based on tool, ADCF attitude (5000% air temperature through tool Volumetric flow (CFM 5000') = ADCF x Indicated flow (CFM) Address 3-y C � r— Date "Residential ta. �. Mechanical Systems Design Submittal" Io-13 Builder FSZ T.Q-. information referenced HVAC contractor by testing technicians As -built changes mech design submi Testing date(s) Bath exhaust Testing tech (initials)� FloPilot tube duct traverse Air temp to _Passive flow hood _ Other (note below) through tool (F) Cc� ADCF Measured Airflow Exhaust Pickup Location Design Airflow (CFM 5000' Minimum Airflow Requirement (CFM 5000') + Type of Operation Indicated Flow (CFM) Volumetric Flow (CFM 5000') Pass Fail r, -�?501ntermittent—20Continuous 7Q,Zj�� ❑ IZ46 lntermittent'—20Continuous . 3 AU Intermittent 20 Continuous, ❑ _7- _ 50 Intermittent 20 Continuous; ❑ _ 50Internittent 20 Continuous' ❑ ❑ _ 501ntermittent 20 Continuous` ❑ 0 50 Intermittent 20 Continuous ❑ ❑ Testing notes Kitchen exhaust NIA - hood does not vent to outside El Testing tech (initials)= Oven fuell VGas _ Electric Minimum airflow requirement (CFM 5009) + operationl,_400.Intermittent ._ 25 Continuous Measured airflow p� Flow box Pitot tube traverse Tool Werior grille Air temp F Passive flow hood — Flow grid Exhaust duct through �� ADCF tool = = location — Powered flow hood Other (note below) tExce for to mtrreuon ac ox) tool (F) Indicated flow �L� CFM Volumetric flow �( CFM 5000' -Wass Fail Testing notes Residential Mechanical Design Submittal V20140101 Page 1 • •Ventilation Systems other than substructural floor exhaust Testing tech (initials Code -minimum ventilation airfl Design ventilation CFM 5000' S( CFM 5000' airflow System — F_lchaustanly (based on CFA and # of BR) Supply -only to ! CFM 5000' type _Balanced Target ventilation airflow range (code�ninunum) .' .(120% of design in- Measurement Method Tool Location Air Temp I Through Tool(F) ADCF Indicated Flow (CFM) Volumetric Flow (CFM 50001 Pass Fail Total _ N/A _ Passive flow hood ❑ exhaust A41low box _ Pitot tube traverse &476 airflow _ Flow collar Other (note below) Total _ N/A _ Passive flow hood supply _ Flow box _ Pitot tube traverse airflow Flow collar Other (note below) When supply airflow is circulated by air handier fan, fan speed for measurement _Heating _ Cooling _ Continuous fan Balanced airflow in balanced systems Average of measured = CFM supply + exhaust flows 5000' Substructural floor exhaust Target flow range to CFM IO Pass ILk Fail (average +/-15%) _ _ 5000' L 1 ❑ WA - no sub -structural floor exhaust system Testing tech (initials)= Design exhaust airflow (based on CFM 5000Target airflow limitn ' .'to CFM 5000' approved design) (desig+/-15%)s Measured airflow Fl _ Flow box _ flow hood Tool Air temp❑ through ADCF Flo tube traverse collar tool _Passive _Flow location tool (F) _ Powered flow hood _ Other (note below) Indicated flow CFM Volumetric flow��CFM r-� Fail 5000' iSPass FA Heating14. Cooling No ductwork Testing notes WA = No ductwork outside conditioned apace (ind multiple sys) ' Duct leakage[ Energy rater (name, data source ____........:.... A - House conditioned floor area y/ sf Air temp!/ ADCF l (6asem xlude hdl bent) J through tool (F) a Maximum Allowed Duct Leaks a Measured Duct Leaks a System #1 1 System #2 Test Parameter and Conditions Normalized Absolute Indicated Volurn Leakage Type Timing Air Handler (CFM25 5000' / 100 sf) (CFM25 5000') (CFM25) (CFM25 5000') Passl Fail I Pass Fail Total leakage Rough -In Excluded 4 ❑" ❑ ❑ 1 ❑ Total leakage Rough4n Included 6 ❑ ❑ ❑ Total leakage Complete Included 12 ❑ ❑ ❑ ❑ Complete Included 8 011„Z 2 ( o D El to outdoors Residential Mechanical Design Submittal V20140101 Page 2 Cooling For multiple rfsystte''m�1, s, attach one page per system System # / ITWhich parts of house does it serve? t Installed equipment (Be dear about which AC components are installed at time of testing) Testing tech (initials)= Fumace or Boiler AC or Heat Pump Condenser AC or Heat Pump Co31 Model #1 Mr5 -,A t a I AAb`tZ 17( f 5 - ��tr'ctlf n n LABasic fiberglass _ Electrostatic Thickness f( MERV Filter brand _ Type Basic pleated _Other. (inches) (Optional) (optional) High-effic pleated9 4LIU Speed: _ Heating ,%boding _ Conb fan _ High -stage for multi -stage equipment Blower speed tap: �4 n Humidifier damper. _111' /A _Open (Heating) _ Closed (Cooling) registers open dampers open SP1 �l AP Filter Cooling: Measured air flow through indoor coil Design cooling airflow CFM 5000' (high stage) Testing tech (initials)= (Same location SP4 for NSOP, ! TFSOP) DP Coil 7 y (SP3-SP4) SP3) i AP Total ESP Testing tech (inftials)1;725 .. Target airflow limits . to CFM 500V (design +/-15%) SP2 335' 0 WA — no AC installed Measured airflow, Flow grid Air tempthrough © ❑ Flow Resistance plate size y0 throughADCF , ��% NSOP �% Z TFSOP 3g to Correction Res Fador tool (F)PI ��,, ss Measured airflow, noCFM Indicated airflow�CFM Volumetric airflow Q�% CFM (ICfFail edjUStmenVCorrection Measured AF x FRCF I I t . Indicated AF x AOCF S000' �j j Fail Heating: Gas manifold pressure (high stage) Testing tech (iniflals)� Manifold pressure�IWc OEM spec Q 5000' ✓' Target manifold P to limits (spec +/- 5%) �` IWC Measured�IWC is pressure �' 0 Fail Heating: Temperature rise Testing tech (initials) OEM temperature rise limits totj - F (high sue) supply j Measured temps (F): air `� _ Return //� _ Temp �^ air Y� = rise 7 Z r Caution: within 10F ap Fail of top of range Residential Mechanical Design Submittal V20140101 Page 3 Testing tech (initials)= Testing approach and targets ❑ N/A: No complete AC system 01W"House completed November - April (installbv wno-acw responsible for wstirg in warn weather) ❑ TXV: Subcooling + SH check ❑ Non-TXV: Superheat ❑ OEM -specific: Approach ❑ Other OEM -specific (do entadm required) Temperatures Condenser Non TXV: Return Target Target a Target (F): entering air temp air wet -bulb temp superheat subcoo6ng . approach Subcooling Discharg .Condenser❑ saturation T F Liquid❑ line F Actual subcooling F TXV Pass: Actual SC within +!- 3 F of target SC, 2 F min pressure temp (coedT- tiglineT) Q?XVFaiI (PSI)F )❑ Superheat Suction Evaporator saturation T❑F Suction Iine�F Actual❑;Non-TXV superheat F Pass: Actual SH within +/- 5 F of target SH pre `u j❑ temp (suctrmei-ovepi) Non-TXV PSI (5000'chart) TXV checks: '[]'Pass: Field -installed TXV installed in accordance with OEM instructions io Caution: Actual SH outside mfgr range Approach Liquid Iine�F Actual approach�F j❑_Approach Pass: Actual approach within +/- 1 F of target approach temp (Liq rme T - condenser F) � Approach Fail Register air flows All registers are cut through finish materials and moving air P s l : Fail (Remainder of register air flow section under development, not yet being enforced) Pressure balance Testing tech (initial Testing tech (initials 7 ' Room Room -to -Core Measured (match names on plans, include Pressure Drop Pressure Pass Fail basement if there is a door) Target Range (Pa) Drop (Pa) AST-F l— -3 to +3 -3to+3 3 to +3.. &12- a Wa B 3to+3. ❑:F® 3 to +3 0LE 3 to'+3 ❑ 0 3to+3 ❑CE -3 to +3 ❑ ®. -3to+3 ❑' -3 to +3 0 ®. Residential Mechanical Design Submittal V20140101 Page 4 Co bustion safety testing N/A — no natural -draft combustion appliances �liance Types table must be completed for every tome) Appliance types Testing tech (initials)= Appliance Combustion lype N/A Draft -hood Natural draft Induced -draft Natural draft Power- vent Direct- vent Powered sealed - combustion Electric Furnace #1 ❑ ❑ ❑ ❑ ❑ ❑. ❑ Furnace #2 ❑ ❑ ❑ ❑ 0 ❑ ❑ Boiler #1 ❑ ❑ ❑ ❑ ❑ ❑ ❑ Boiler #2 ❑ ❑ ❑ ❑ ❑ ❑ ❑ Water heater #1 ❑ ❑ ❑ ❑ ❑ ❑ ❑ Water heater #2 ❑ ❑ ❑ ❑ 0 ❑ ❑ Fireplace #1 ❑ ❑ ❑ ❑ ❑ ❑ 0 Fireplace #2 ❑ 0 ❑ ❑ ❑ ❑ ❑. ' Other: ❑ ❑ ❑ ❑ ❑ ❑ o Worst -case depressurization performance These doors are Closed: _ # of bath fans on —Vented range hood on _ Clothes dryer on _ Air handler on n Other fans on: Other setup notes: Outdoor temperature=F CAZ pressure BPI depressurization limit (Pa wrt 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 Dreft 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 ❑ OK , 0 Caution '❑ JOK w❑'' Caution EI OK '! Caution 60 60 60 ' ❑ Pass 7 Fail ❑ Pass '4❑y" Fail .❑ Pass «,0 Fail ❑ 1pass ® Fail ❑ Pass jrjfpFail ❑- Pass :�®g Fail y00 100 . 100 ❑ Pass 0 Fail ❑ Pass®„ Fal ❑ -Pass c Fail �.❑. Caution mO,A Caution I01a Caution Racirl ntial Mechanical Design Submittal V20140101 Page 5 v �'S�/S#L(fl' G'Oil�Tt�fS��.�•-� *�� , � �� �',�I Y N�.��, z,�`� '' .if y��g.�.�i"','�� ���. ' �ii�•i.-{*. ewras..�:^^..js„w.-..nsuz aLa. e?r..,fi.., ...t•[»,�t•.rr.&�°,-�s.�a,. fr�'..,.?�.§, �s !�-fit,;�r,v�, ,....ah.:s...��%`i�m.vzi�,. . c 2t ., C4?#" System Controls Operating Per Design Intent Local exhaust (all fans) ❑ WA Pass Fail Whole•houseventilation ❑. WA Pass s❑ Fail Sub -structural Floor exhaust ` A WA ❑ Pass Fail Heating (all systems) ❑ NIA Pass Fail u Cooling (all systems) ❑ NIA Pass❑h Fail ei Yg.t)Y 1Y,m i I #�F LrtE�! ....T� tfr�'�{�!•�,�`-},e✓ '21e�2*tr ��'�,;:4� ,14�.?kr'y-".'.�.'r•�v.��yyi���%i�b¢`„�5'sn.�T;'`�t�.+,�=i� 7�.'\�f �(:s =snu•,7,wcm,o-s E:rybtax.,� _mt ,� >.S^'�t�z #isi "�m-bIX Technician #1 performing Inspection and testing documented on this report (Approved Agency) _Al certify that the tests referenced above, in sections bearing my initials, were performed in accordance with protocols specified by the City of Fort Collins Building Services Department, and that the reported results are accurate to the best of my knowledge. YFiY {- Na 74- Y4r Signature 9 Technician #2 performing inspection and testing documented on this report (Approved Agency) ;fii:;I certify that the tests referenced above, in sections bearing my initials, were performed In accordance with protocols specified by the F 11City of Fort Collin Building Services Department, and thatthe reported results are accurate to the best of my knowledge. Na .r V ?Y1 'N+ Signature n: HVAC Contractor (City of Fort Collins license holder) r '41 certify that I have reviewed this report and that the test results are an accurate representation of the performance of the installed mechanical systems. �s u2= Name(print) r Title i Company M 3�:. Signature and Date Residential Mechanical Design Submittal V20140101 Page 6 -37y cro 1 r_-J '0 W