HomeMy WebLinkAbout5021 Brookfield Dr - Disclosures/Mechanical - 09/10/2014 (5)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 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
Target
to compare with
Pass
Fail
Caution
Other
or limit
target or limit
data
ADCF = Air Density Correction Factor, based on tool,
ADCF altitude (5000'), air temperature through tool
Volumetric flow (CFM 5000') = ADCF x Indicated flow (CFM)
Address ,i'QZ t 43rp.1=�% �n`� Date nicResidential
L 1L Mechanical Systems
Builder L information
Submittal"
® referenced
HVAC contractor by testing technicians
As -built changes
mech design submi
Testing date(s)
Bath exhaust
Testing tech (initials)I is
Flow1 Fiow box _ Pitot tube duct traverse Air temp
ADCF
tool Passive flow hood — Other (note below) through tool (F)�
i
i
Measured Airflow
Design
Minimum Airflow Requirement
Indicated
Volumetric
Exhaust PickupAirflow
Location
(CFM
[CFM
(CFM 5000')
Flow
Flow
Pass
Fail
5000.)
+Type of Operation
(CFM)
(CFM 5000')
,qn /
�"/rQ57er
_L50Intermittent _20Continuous
/q
4�'7
❑
�50Intermittent _20Continuous
❑
50Intermittent _20Continuous
❑
❑
50Intermittent _20Continuous
❑
❑
50Intermittent —20 Continuous
❑
❑
50Intermittent—20Continuous
❑
❑
50Intermittent—20Continuous
❑
❑
Testing
notes
Kitchen exhaust N/A - hood does not vent to outside Testing tech (initials) �o
Oven fuel —Gas Electric Minimum airflow requirement (CFM 5000') + operation _ 100 Intermittent — 25 Continuous
;Measured airflow
Flow box Pilot tube traverse Interior grille Air temp
i Flow — — Tool —
flow hood — Flow grid Exhaust duct through ADCF
to
—Passive Powered flow hood — Other (note below) local on (Exterior to mina on not oK) tool (F)
i I
j Indicated flow CFM Volumetric flow CFM 5000' II ]Fail
` LJ
Testing
notes
Residential Mechanical Design Submittal V20140101 Page 1
Systems other than sub -structural floor exhaust Testing tech (initials)
Code -minimum ventilation airflow Design ventilation
(based on CFA and # of BR)D CE] 5000' g airflowCFM 5000' bLExhaust only
System Supply -only
type —
Target ventilation airflow range 3F� to 43 CFM 5000' —Balanced
(code -minimum) (120%of design flow)
Measured Airflow
Air Temp
Indicated
Volumetric
Measurement Method
Tool Location
Through
ADCF
Flow
Flow
Pass
Fall
Tool (F)
(CFM)
(CFM 5000')
Total
Passive flow hood
exhaust
�NI�A� _
E FZ-- box _ Pilot tube traverse
�D�- (t
C7Po
7
��)
3?
� /
f
❑
airflow
Flow collar Other note below
ry
>(
Total
_ NIA _ Passive flow hood
supply
— Flow box _ Pilot tube traverse
❑
❑
airflow
Flow collar Other (note below)
When supply airflow is circulated by air handler fan, fan speed for measurement
Heating Cooling —Continuous fan
Balanced airflow in balanced systems
Average of measured CFM Target Flow range CFM —i �l
supply +exhaust flows 5000' to pass Fail
pp y (average +/_ 15%) 5000' ED
I
Testing
notes
Sub -structural floor exhaust ;P�N/A — no sub -structural floor exhaust system Testing tech (initials)
1 Design exhaust airflow (based on Target airflow limits
j approved design) CFM 5000' (design +I-15%) to CFM 5000'
Measured airflow
I
Flow — Flow box — Pilot tube traverse Tool
tool — — location Air temp
Passive flow hood Flow collar through ADCF
� —Powered Flow hood —Other (note below) tool (F)
Indicated Flow CFM
r -�
Volumetric flow CFM 5000' h❑ Pass ❑'Fail
t-J
NIA — No ductwork Testing notes
_"o ductwork outside conditioned space (Incl multiple sys) F7
Duct leakagel— Energy
.__.. (name,
Energy rater (name,
datasoume—
House conditioned floorarea
(Include full basement)ment)
Test Parameter and Conditions
Air temp
sf through t001 (F)
ADCF
Maximum Allowed Duct Leakage
Normalized Absolute
(CFM25 5000' 1100 sf) (CFM25 5000')
Measured Duct Leakage
Indicated Volumetric
(CFM25) (CFM25 5000')
System #1
System #2
Leakage Type
Timing
Air Handler
Pass
Fail
Pass
Fail
Total leakage
Rough -in
Excluded
4
❑
❑
❑
❑
Total leakage
Rough -in
Included
6
❑
❑
❑
❑
Total leakage
Complete
Included
12
❑
❑
❑
❑
ea age
to outdoors
Complete
Included
S
❑
❑
❑
❑
Residential Mechanical Design Submittal V20140101 Page 2
• + Cooling Equipment
For multiple systems, attach one page per system
System #F/ I Which parts of house does it serve? W AG r 11vv5s'__
Installed equipment (Be clear about which AC components are installed at time of testing) Testing tech (initials)
r;
� I
Manufacturer
Model #
I
Furnace or Boller
AC or Heat Pump Condenser
AC or Heat Pump Coll
�c w. •-i.'
r �.
P
A rt
Eck 134E t
APc609Jan i-75-egoi
asic fiberglass — Electrostatic
Filter Thickness Hated MERV
brand Type _ Basic ple_Other:��Highlepleated (inches)(optional)
Static pressures
Speed: _ Heating �ZCocling _ Cont. fan
_ High -stage for multi -stage equipment
Blower speed tap: Wed ` 4.jA
Humidifier damper: "/A
Open (Heating)
_Closed (Cooling)
registers open
dampers open
SP1
AP Filter \
(SPt-SP2)
Cooling: Measured air flow through indoor coil
r�
Design cooling airflow / CFM 5000'
j J (high stage)
Measured airflow
d
iJ
P N/A — no AC installed
Testing tech (initials)Ta�
(Same location
• SP4 for NSOR
TFSOP)
AP Coll /
(SP3SP4) r
• SP3
AP Total ESP Z
(SP3SP2) �
Testing tech (initials)
Target airflow limits ��o to CFM 5000'
(design+/-15%) i �Sb
FlowI pla�esize 0 tesistance
orou(F' 7� ADCF ��(� NSOP ,q; TFSOP �( Correction Fa tor�
fI Measured airflow, no Indicated airflow
Volumetric Volumetric airflowRl
CFM ss
adjustment/conectionEl Measured AF x FRCFCFM Indicated AF x ADCF5000' EFall
i Testing
U notes
Heating: Gas manifold pressure
r1
11 ; Manifold pressure IWC
OEM spec Q 5000'
(high stage)
Target manifold P to 3, [WC
limits (spec +/- 5%) fY
Testing tech (initials)[ y,,,,a
Measured E— IWC A19i2ass
pressure rLL❑Lli, Fail
Heating: Temperature rise Testing tech (initials)
IOEM temperature rise limits j/� to U F
(high stage) Y
Supply y _ Return !/ _ Temp f �—y'�� n rlCaution: within 10F
f Measured temps (F): air iT air �71 — rise �( yE S°ss 'Fail Eof top of range
Residential Mechanical Design Submittal V20140101 Page 3
6. Refrigerant Charge
Testing tech (initials)
Testing approach and targets
❑ N/A: No complete AC system ;❑ N/A: House completed November -April (installing wntractormsponsiblefortesting in warm weather)
❑ TXV: Subcooling + SH check ❑ Non-TXV: Superheat ❑ OEM -specific: Approach ❑ Other OEM -specific (documentation required)
Temperatures Condenser Non-TXV: Return Ta et Target Target
P (F): entering air temp air wet -bulb temp superheater subcool n9� aPProach�
S_ubcooling
Discharge Condenser Liquid Actual j❑,TXV Pass: Actual SC within +/-
ressure saturation T F line F subcoolin F 3 F of target SC, 2 F min
P ❑ ❑ 9 r9
(PSI) (5000'chart) temp (CondT- IiglineT) j❑TXVFaiI
Superheat
Suction Evaporator Suction Actual jQ' Non-TXV Pass: Actual SH
pressure❑ saturation T F line F superheat F within XV 5 F of target SH
i (PSI) (s000'chart) temp (SuctlineT- evapa) D�Non-TXV
TXV checks: iO Pass: Field -installed TXV installed in accordance with OEM instructions Caution: Actual SH outside mfgr range
Approach
r—;
j Liquid lineF Actual approach�F El Approach Pass: Actual approach within +/-1 F of target approach
j temp (LiglineT- wndenserFAT) jQQApproachFail
Register air flows
.- I
All registers are cut through finish materials and moving air Uass C Fail
(Remainder of register air Flow section under development, not yet being enforced)
Pressure balance
i
I
i
Testing tech (initials
Testing tech (initials)
Room
(match names on plans, include
basement if there is a door)
Room4o-Core
Pressure Drop
Target Range (Pa)
Measured
Pressure
Drop (Pa)
Pass
Fail
-3 to +3
f+
❑
d3r✓t�yr,�
-3 to +3
_
❑
3 to +3
❑
❑
3 to +3
❑
❑
-3 to +3
❑
❑
-3 to +3
❑
❑
-3 to +3
❑
❑
3 to +3
❑
❑
3 to +3
❑
❑
3to+3
❑
❑
Residential Mechanical Design Submittal V20140101 Page 4
18. Combustion Safety
Co bustion safety testing N/A -- no natural -draft combustion appliances Testing tech (initials) /
Appliance Types table must be completed for every home)
Appliance types
i
Worst -case depressurization performance
doors are
' I —
# of bath fans on
_Vented range hood on
_ Clothes dryer on
_Air handler on
Other fans on: Other set
Outdoor temperature F
i
i
CAZ pressure
BPI depressunzation limit
i
(Pa wrt outside)
i
! Measured net CAZ depressurization
(Pa wrtoutside)
OK (less negative) I Caution (more negative)
ISpillage
BPI maximum limit
(seconds)
Measured spillage duration
(seconds)
• I Pass = duration not exceeding limit
I
;Draft pressure
i-
BPI limit (Pa wrt CAZ
I
Measured (Pa wrt CAZ
Pass = pressure more negative than limit
'co concentration in undiluted flue gas
1 BPI maximum limit (ppm
Measured CO (ppm
Pass = CO level not exceeding limit
Caution = CO level 25 to 100 ppm
Appliance
Combustion
Type
N/A
Draft -hood
Natural -draft
Induced -draft
Natural -draft
Power-
vent
Direct-
vent
Powered sealed -
combustion
Electric
Furnace #1
❑
❑
❑
❑
❑
A
❑
Furnace #2
❑
❑
❑
❑
❑
❑
❑
Boiler#1
❑
❑
❑
❑
❑
❑
❑
Boiler #2
❑
❑
❑
❑
❑
❑
❑
Water heater#1
❑
❑
❑
❑
I ❑
W
❑
Water heater #2
❑
❑
❑
❑
❑
❑
❑
Fireplace #1
❑
❑
❑
❑
❑
❑
Fireplace #2
❑
❑
❑
❑
❑
❑
❑
Other:
❑
❑
❑
❑
❑
❑
❑
❑ JOK I ❑ Caution ❑ OK I ❑ I Caution ❑ OK I ❑ I Caution
60
60
60
❑
Pass I ❑ Fail
❑
Pass 1 ❑ Fail
❑
jPass I ❑ I Fail
ElPass ❑ Fail ❑ Pass ElFail ❑ Pass ❑ Fail
100
100
100
❑
jPass ❑ Fail
❑
jPass I ❑ Fail
❑
113ass I ❑ IFail
❑
Icaution
❑
Icaution
❑
lCaution
Residential Mechanical Design Submittal V20140101 Page 5
System
Controls Operating
Per Design Intent
Local exhaust (all fans)
❑
N/A
Pass
❑
Fail
Whole -house ventilation
❑
N/A
Pass
❑
Fail
Sub -structural Floor exhaust
N/A
❑
Pass
❑
Fail
Heating (all systems)
❑
N/A
Pass
❑
Fail
Cooling (all systems)
❑
N/A
OM
ass
❑
Fail
Technician #1 performing Inspection and testing documented on this report (Approved Agency)
P
I 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.
Name (print) I 1 I ,
Ru ( {-tti
Title
Company
i
Signature and Date �}
Technician #2 performing inspection and testing documented on this report (Approved Agency)
I 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.
Na
HSignature
HVAC Contractor (City of Fort Collins license holder)
I certify that I have reviewed this report and that the test results are an accurate representation of the performance of the installed mechanical
systems.
Name (print)
1
Title
Company
Signature and Date
Residential Mechanical Design Submittal V20140101 Page 6