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Home My WebLink About5021 Brookfield Dr - Disclosures/Mechanical - 09/10/2014 (6)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 Tar et g 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 SDate of "Residential Mechanical Systems Design Submittal" Builder C %VTf qD information referenced HVAC contractor by testing technicians As -built changes mech design submi Testing date(s) Bath exhaust 1 Testing tech (initials) Flow Flow box — Pilot tube duct traverse Air temp ADCF tool — Passive flow hood — Other (note below) through tool (F) Measured Airflow Design Minimum Airflow Requirement Indicated Volumetric Exhaust PickupAirflow Location (CFM 5000') Flow Flow Pass Fail (CFM (CF + Type of Operation (CFM) (CFM 5000') 5000.) V-50 Intermittent —20 Continuous S EL ❑ Y 50 Intermittent —20 Continuous j SG ❑ 50Intermittent—20Continuous ❑ ❑ 50Intermittent—20.Continuous ❑ ❑ 50Intermittent 20 Continuous ❑ ❑ 50Intermittent —20 Continuous ❑ ❑ 50 Intermittent _20 Continuous ❑ ❑ Testing notes i Kitchen exhaust N/A - hood does not vent to outside f� l _ Testing tech (Initials)I ,�, *� j Oven fuel -GasElectric Minimum airflow requirement (CFM 5000') +operation —100 Intermittent —25 Continuous i Measured airflow Flow —Flow box — Pilot tube traverse Tool — Interior grille Air temp Passive flow hood Flow grid Exhaust duct through ADCF { tool — — location — _ Powered flow hood _ Other (note below) (F�tExh termination not OK) tool (F) i I Indicated flow CFM Volumetric flow CFM 5000' ❑' Pass � Fail � 1_ _1 L—I i 1 Testing i notes Residential Mechanical Design Submittal V20140101 Page 'I 13. • •Ventilation Systems other than sub -structural floor exhaust Testing tech (initials) Code -minimum ventilation airflow Design ventilation 7�Y CFM 5000' CFM 50001fulaust-only (based on CFAventilation and # of BR) Jp aifiow System _ Supplyonl to L� 4 CFM 5000' Type _Balanced y Target ventilation airflow range j (cod 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 N/A Passive flow hood exhaust airflow _ Q[�low box — Pitot tube traverse Flaw collar Other (note below) `l Total N/A Passive flow hood supply _ _ — Flow box _ Pilot tube traverse El airflow Flow collar Other (note below) i 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 i supply + exhaust flows 5000, Target flow range to CFM -7pass ' �LJ! Fail (average +/-15%) 5000' ED Sub -structural floor exhaust $6 f no sub -structural floor exhaust system Testing tech (initials) l I Design exhaust airflow (based onCFM 5000' Target airflow limits to CFM 5000, approved design) (design +/-15%) Measured airflow i f Flow — Flow box - Flo tube traverse Tool through temp tool —Passive Flow hood Flow collar location irto ADCF — Powered flow hood —Other (note below) tool (F) Indicated flow CFM Volumetric flow CFM 5000' Pass LJIFail �❑ u I notes _I N/A k.,No ductwork Testing notes uctwork outside conditioned space (incl multiple sys) Duct leakage — Testing tech (initials): Energy rater (name, data source — __ . _ _._ _ , _._ House conditioned Floorarea (Include full basement)ment) Test Parameter and Conditions Air temp ADCF sf through tool (F) 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 I Pass Fail Total leakage Rough -in Excluded 4 ❑ ❑ ❑ ❑ Total leakage Rough -in Included 6 ❑ ❑ ❑ ❑ Total leakage Complete Included 12 ❑ ❑ ❑ ❑ --Zee ea age Complete Included 6 ❑ ❑ ❑ ❑ Residential Mechanical Design Submittal V20140101 Page 2 Cooling For multiple ssyste-ms, attach one page per system System #I /stI Which parts of house does it serve? fv 70I Installed equipment (Be clear about which AC components are Installed at time of testing) Testing tech (initials) -7 II � 11 Manufacturer j Model # Furnace or Boiler AC�or Heat Pump Condenser AC or Heat Pump Coil �t , J v gSeu 13L0I�lgP5�_Pr42�3 � sic fiberglass Electrostatic Filter g — Thickness it MERV brand �i Type _ Basic pleated _Other- (inches) % (optional) I G _ High-effic pleated Static pressures Setup Speed: _ Heating _ Cooling _ Cont. fan High -stage for multi -stage equipment I Blower speed tap: Humidifier damper. _ N l Open (Heating) _ Closed (Cooling) _All registers open i j _ Zone dampers open SP1 / J OP Filter (SPi - SP2) �� SP2 _❑� N/A -- no AC installed 55 Testing tech (initials) - (Same location •SP4 Q� for NSOP, TFSOP) AP Coil (SP3-SP4) •SP3 DP Total ESP (SP3SP2) r Measured air flow through indoor coil rCooling: I j Design cooling airflow �%� CFM 5000' Target airflow limits +/-15/0)' SU to l �U CFM 5000, (high stage) (design Measured airflow Flow grid �14 plate size _ 20 Air temp through �% tool (Fj L I ADCF oyy NSOP �� TFSOP Flow Resistance Correction Factor Measured airflow, no adjustment(correction CFM Indicated airflow CFM Measured AF%FRCF � Volumetric airflow CFM &Pass lndioatedAFXAOCF 91z 5000' LIFall Testing tech (initials)( .�„�( Testing { notes u Heating: Gas manifold pressure (high stage) Testing tech (Initials) Manifold pressure IWC Target manifold P 3r2 to j, IWC Measured IWC � ass OEM spec @ 5000' limits (Spec +/-5/e) J pressure ❑ Fail Heating: Temperature rise Testing tech (initials) OEM temperature rise limits'; O to F (high stage) Supply - Return _ Temp S Caution: within 10F Measured temps (F): /. �� Pass ❑Fail ❑ air air rise � U Ljof 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 ❑ NIA: House completed November - April (installing contractor msponslble for testing in warm weather) ❑ TXV: Subcooling + SH check ❑ Non-TXV: Superheat ❑ OEM -specific: Approach -❑ Other OEM -specific (documentation required) iI Temperatures 9ondensepr� Non-TXV: wet-b : b temp Target Targeg[7 Target F : entering air tem air wet -bulb temp superheat subcoolin approach Subcooling ? ( Discharge pressure Condenser saturation T Liquid Actual F line F subcocling F �0_TXV Pass: Actual SC within 3 F of target SC, 2 F min �� (PSI)❑ (5000'chart) temp (fond T-liq line T) L;TXV Fail Superheat Suction Evaporator Suction Actual j0'Non-TXV Pass: Actual SH pressure❑ saturation T❑F line❑F superheat❑F within +/- 5 F of target SH ! (PSI) (5000'chart) temp (SuctlineT-evapT) Non-TXV Fail ` TXV checks: Q Pass: Field -installed TXV installed in accordance with OEM instructions LjCaution: Actual SH outside mfgr range Approach Liquid line JI temp Actual approach�F (uglneT-condenser EAT) :0 Approach Pass: Actual approach within +/- 1 F of target approach Approach Fail Register air flows Fi All registers are cut through finish materials and moving air Pass C Fall (Remainder of register air Flow section under development, not yet being enforced) Pressure balance i Testing tech (initials) Testing tech (initials)7" Room (match names on plans, include basement if there is a door) Roam -to -Core Pressure Drop Target Range (Pa) Measured Pressure Drop (Pa) Pass Fail / /nd j �lf -3 to +3 '_'2_% _" ❑ �S�I^ -3 to +3 ❑ -3 to +3 ❑ ❑ -3 to +3 ❑ ❑ -3 to +3 ❑ ❑ -3 to +3 ❑ ❑ 3to+3 ❑ ❑ 3 to +3 ❑ ❑ -3 to +3 ❑ ❑ -3 to +3 ❑ ❑ Residential Mechanical Design Submittal V20140101 Page 4 �8. Combustion Safety Combustion safety testing N/A — no natural -draft combustion appliances Testing tech (initials Combustion Types table must be completed for every home) Appliance types i Combustion Appliance Type WA Draft -hood Natural -draft Induced -draft Natural -draft Power- vent Direct- vent Powered sealed - combustion Electric Furnace #1 01 ❑ ❑ ❑ ❑ lia— ❑ Furnace #2 ❑ ❑ ❑ ❑ ❑ ❑ Boiler #1 ❑ ❑ ❑ ❑ ❑ ❑ ❑ Boiler #2 ❑ ❑ ❑ ❑ 1 ❑ ❑ ❑ Water heater #1 ❑ ❑ ❑ ❑ ❑ AD_ ❑ Water heater #2 ❑ ❑ ❑ ❑ ❑ ❑ ❑ Fireplace #1 ❑ ❑ ❑ ❑ ❑ ❑ Fireplace #2 ❑ 1 ❑ ❑ ❑ ❑ ❑ ❑ Other. ❑ ❑ ❑ ❑ ❑ ❑ ❑ Worst -case depressurization performance i House setup These doors are closed: _ # of bath fans on _Vented range hood on _ Clothes dryer on Air handler on Other fans on: Other setup notes: i Outdoor temperature F I CAZ pressure BPI depressurization limit (Pa wrt outside) Measured net CAZ depressurization (Pa wrtoutside) OK (less negative) I Caution (more negative) Spillage BPI maximum limit (seconds' Measured spillage duration I (seconds; t Pass = duration not exceeding limit Draft pressure � BPI limit (Pa wrt CAZ' 1 Measured (Pa wrt CAZ' i Pass = pressure more negative than limit i CO concentration in undiluted flue gas BPI maximum limit (ppm; Measured CO (PPm, I Pass = CO level not exceeding limit Caution = CO level 25 to 100 ppm i t Testing notes ❑ OK ❑ Caution ❑ OK I ❑ I Caution ❑ OK I ❑ Caution 60 60 60 ❑ Pass I ❑ Fail ❑ Pass I ❑ Fail ❑ Pass 1 ❑ Fail ❑ Pass I ❑ Fail ❑ Pass I ❑ IFall I❑ Pass ❑ Fail 100 100 100 ❑ jPass I ❑ lFali ❑ 1pass I ❑ Fail ❑ Pass ❑ Fail ❑ Icaution ❑ lCaution ❑ lCaution Residential Mechanical Design Submittal V20140101 Page 5 System Controls Operating Per Design Intent Local exhaust (all fans) ❑ N/A ass ❑ Fail Whole -house ventilation ❑ N/A Pass ❑ Fail Substructural Floor exhaust /A ❑ Pass ❑ Fail Heating (all systems) ❑ N/A Pass ❑ Fail Cooling (all systems) ❑ N/A Pass ❑ Fail Signatures Technician #1 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. Name (print) T., 1 t Title _ (1 Company / 5 S•P.v�V�c��j Signature and Date Technician #2 performing Inspection and testing documented on this report (Approved Agency) 11 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) Title Company Signature and Date 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. Na, Signature Residential Mechanical Design Submittal V20140101 Page 6