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Home My WebLink About5021 Brookfield Dr - Disclosures/Mechanical - 09/10/2014City 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 Target Measured value Other or limit to compare with Pass Fail Caution data target or limit ADCF = Air Density Correction Factor, based on tool, ADCF altitude (5000'), air temperature through tool Volumetric flow (CFM 5000') = ADCF x Indicated flow (CFM) !701 1 Date of "Residential Address 73/'op� 5ozi v,yf Mechanical Systems Builder �yMi� Design Submittal" information referenced HVAC contractor by testing technicians As -built changes mach design submi Testing date(s) C/of Bath exhaust Testing tech (initials) Flow ow box _ Pilot tube duct traverse Air temp ADCF tool — Passive flow hood — Other (note below) through tool (F) Measured Airflow Design Airflow Minimum Airflow Requirement Indicated Volumetric Exhaust Pickup Location (CFM (CFM 5000') Flow Flow Pass Fail 5000') +Type of Operation (CFM) (CFM 5000') �/1cJ )i�Q Intermittent —20 Continuous �% "L ❑ X50Intermittent—20Continuous lJ� /0� ❑ Gr/�✓ A'01ntermittent —20 Continuous 5 60Intermittent — 20 Continuous ❑ ❑ 50 Intermittent —20 Continuous ❑ ❑ 50 Intermittent —20 Continuous ❑ ❑ 50 Intermittent —20 Continuous ❑ ❑ Testing notes Kitchen exhaust Oven fuel I —Gas ctric Measured airflow N/A - hood does not vent to outside I Testing tech (initials)®i Minimum airflow requirement (CFM 5000') + operation —100 Intermittent — 25 Continuous Flow — Flow box — Flo tube traverse Tool —Interior grille Air temp Passive flow hood —Flow grid Exhaust duct through ADCF tool —Powered flaw hood _Other (note below) location (Exterior to urination not OK) tool (F) I I Indicated flow CFM Volumetric flow CFM 5000' i❑ Pass FQJ Fail Testing i notes L_ I Residential Mechanical Design Submittal V20140101 Page 1 Systems other than sub -structural floor exhaust Testing tech (initials) Code -minimum ventilation airflow CFM �� Design ventilation (based on CFA and # of BR)L--F--JCFM 5000' airflow System 5000' System oust -only _ Supplyanly 1 to , �j CFM 5000' ape _Balanced i Target ventilation airflow range %, (code -minimum). (120°% of design flow) l Measured Airflow Air Temp Indicated Volumetric Measurement Method Tool Location Through ADCF Flow Flow Pass Fall Tool (F) (CFM) (CFM 5000') Total NIA Passive flow hood exhaust _ _ SeF4ow box _ Pitot tube traverse lNC7 �r / �� ❑ airflow Flow collar Other (note below) Total NIA Passive flow hood supply _ _ _ Flow box _ Pitot tube traverse El Elairflow 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 supply + exhaust flows 5000' Testing notes Target flow range CFM (average +/-15%) to 5000, L❑ Pass ❑Fail Sub -structural floor exhaust ONIA — no sub -structural floor exhaust system Testing tech (initials)= Design exhaust airflow (based on Target airflow limits approved design)�CFM 5000' (design +/- 15%) to CFM 5000' ?Measured airflow _ Flow box _ Pitot tube traverse Air temp Flo _ Passive flow hood _ Flow collar location throw h ADCF P 9 _ Powered flow hood _ Other (note below) tool (F) iIndicated flow CFM Volumetric flow CFM 5000' ❑Pass II I!Fail N/A �Louctwork Testing notes uctwork outside conditioned space (Ind multiple Sys) Duct leakage — ' ""y data source —Energy rater (name, company, testing date): House conditioned Floorarea (InUude lull 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 ❑ ❑ ❑ ❑ Lea age to outdoors Complete Included 8 ❑ ❑ ❑ ❑ Residential Mechanical Design Submittal V20140101 Page 2 For multiple systems, attach one page per system System #� Which parts of house does it serve? v` ,, ., _ Installed equipment (Be clear about which AC components are installed at time of testing) Testing tech (initials) i 1 � Furnace or Boiler AC or Heat Pump Condenser AC or ap Heat Pump Coil Manufacturer c> Model# Ati 0(1-Q—P-0 9lZA 05cv i3t-E )aN P-5 A4/aaX,0/)j—alba,16 is fiberglass Electrostatic Filter — Thicknessv V MERV Typ _Basic pleated _Other. j brand �r` _ High-effic pleated (inches) (optional) F1 Static pressures Testing tech (initials)I �Jii/�17— Setup Speed: _ Heating _ Cooling _ Cont. fan _ High -stage for multi -stage equipment Blower speed tap: Humidifier damper. _ NIA _ Open (Heating) _ Closed (Cooling) All registers open i Zone dampers open OP Filter (SP1 - SP2) ' I \ SP2 (Same location SP4 �6`7 for NSOR TFSOP) AP Coil (SP3-SP4) SP3 ry�b OP Total ESP C /� (SP3-SP2) Cooling: Measured air flow through indoor coil ❑ NIA -- no AC installed Testing tech (initials) / Target airflow limits Design cooling airflow i i (high stage) ! ��0 CFM 5000' (design +/_ 15%) /d�+ U to /�ff� CFM 5000' 'Measured airflow ! pi 20 Air temp through tool Flowcos Correction Factor � Measured airflow, no adjustment/correctlen CFM Indicated airflow CFM MeasuredAF%FRCF Volumetric airflow CFM ss i 5000' il IndimtedAFXADCF LE11Fail — Testing notes Heating: Gas manifold pressure (high stage) Testing tech (initials) i i Manifold pressure 6 I OEM spec @ 5000' IWC limit Target manifold P g (Spec +1-5%) 3 to 3 Measured '❑ ass [WC pressure �!5- IWC Fail Heating: Temperature rise Testing tech (initials) S OEM temperature rise limits //G to F (high stage) f /�4�" Supply Measured temps (F): pay (a — Return Tem tt air = rise J� � Caution: within 10F i�Pass [JI Fail Cof top of range Residential Mechanical Design Submittal V20140101 Page 3 Testing tech (initials) Testing approach and targets ❑ N/A: No complete AC system ❑ N/A: House completed November - April Qnstelling contractor responsible for testing in warm weather) i ❑ TXV: Subcooling + SH check '❑ Non-TXV: Superheat ❑ OEM -specific: Approach ❑ Other OEM -specific (documentation required) ! Temperatures Condenser Non-TXV: Retum � Target Target Target { I (F): entering air temp air wet -bulb temp superheat F—Icooling approach LJ Subcooling Discharge Condenser Liquid Actual QTXV Pass: Actual SC within pressure saturation T F line F subcoolin F 3 F of target SC, 2 F min P 9 r9 ^i (PSI) (5eoo'chan) temp (CondT- IiglineT) 10.TXV Fall Superheat —t pS (ti r )❑ Evaporator❑ Suction PActual❑ Non-TXV Pass: Actual SH ressure saturation T F line F su erheat F within +/- 5 F of target SH PSI (5000'ehart) temp (SuctlineT- evapT) Non-TXV Fail t t TXV checks: !Ell Pass: Field -installed TXV installed in accordance with OEM instructions Caution: Actual SH outside mfgr range Approach r -! Liquid line F7F Actual approach F 0-Approach Pass: Actual approach within +/-1 F of target approach j temp (LlgliineT- condenser EAT) LEI Approach Fail Register air flows All registers are cut through finish materials and moving air Wass C Fail (Remainder of register air flow section under development, not yet being enforced) Pressure balance I Testing tech (initials)I ,,,� Testing tech (initials)I-'may Room (match names on plans, include basement if there Is a door) Room -to -Core Pressure Drop Target Range (Pa) Measured Pressure Drop (Pa) Pass Fail jrS -3 to +3 fa_ ❑ -3 to +3 0? G ❑ -3 to +3 ❑ ❑ -3 to +3 ❑ ❑ -3 to +3 ❑ ❑ -3 to +3 ❑ ❑ -3 to +3 ❑ ❑ -3 to +3 ❑ ❑ 3 to +3 ❑ ❑ -3 to +3 ❑ ❑ Residential Mechanical Design Submittal V20140101 Page 4 i I i I Worst -case depressurization performance House setup These doors are cl # 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) i Measured net CAZ depressurization (Pa wrt outside) OK (less negative) I Caution (more negative) i 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 j BPI maximum limit (ppm; Measured CO (ppm; Pass = CO level not exceeding limit Caution = CO level 25 to 100 ppm I Testing notes i safety testing NIA — no natural -draft combustion appliances Types table must be completed for every home) Appliance types Appliance Combustion T NSA Draft -hood Natural -draft Induced -draft Natural -draft Power- vent Direct- vent Powered sealed - combustion Electric Furnace #1 ❑ ❑ ❑ ❑ ❑ ❑ Furnace #2 ❑ ❑ ❑ ❑ ❑ ❑ ❑ Boiler #1 ❑ ❑ ❑ ❑ ❑ ❑ ❑ Boiler #2 ❑ ❑ ❑ ❑ ❑ ❑ ❑ Water heater #1 ❑ ❑ ❑ ❑ ❑ ❑ Water heater #2 ❑ ❑ ❑ ❑ ❑ ❑ ❑ Fireplace #1 ❑ ❑ ❑ ❑ ❑ ❑ Fireplace #2 ❑ ❑ ❑ ❑ ❑ ❑ ❑ Other. ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ JOK 1 ❑ 1 Caution ❑ OK ❑ I Caution I ❑ JOK I ❑ I Caution 60 60 60 ❑ 1pass I ❑ IFail ❑ jPass 1 ❑ IFail ❑ jPass I ❑ IFail ❑ jPass I ❑ IFail ❑ Pass I ❑ IFail 1 ❑ jPass I ❑ Fail 100 100 100 ❑ iPass ❑ Fail ❑ Pass ❑ Fail El Pass I El Fail El Caution ❑ lCaution ❑ Icaution Residential Mechanical Design Submittal V20140101 Page 5 System Controls Operating Per Design Intent Local exhaust (all fans) ❑ N/A Pf Pass El Fail Whole -house ventilation ❑ N/A Ek Pass ❑ Fail Sub -structural floor exhaust NIA ❑ Pass ❑ Fail Heating (all systems) ❑ NIA Zpass ❑ Fail Cooling (all systems) ❑ NIA ass ❑ Fail 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) i i Title Company t � Signature and Date A..,1 A �S 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 1 Signature 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. 1 Name (print) Title Company ( Signature and Date Residential Mechanical Design Submittal V20140101 Page 6