HomeMy WebLinkAbout2933 Joseph Dr - Disclosures/Mechanical - 09/23/2014j31y®Zo77
Gity of Fort Collins Residential Mechanical Systems Pertormance Report
This form Is a record of tesfinq targets and results. with Pass/Fail outcomes. For Information on measurement tools and lestino lechnioues. 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
to compare with
Pass
Fail
Caution
or limit
target or limit
data
Address
Builder ✓ J JI
HVAC contractor
As -built changes vs
mach design submittal
Testing date(s)
Bath exhaust
ADCF = Air Density Correction Factor, based on tool,
ADCF altitude (5000'), air temperature through tool
Volumetric flow (CFM 5000) = ADCF x Indicated flow (CFM)
Date of "Residenllal
Mechanical Systems
Design Submittal"
information referenced
by testing technicians
Testing tech (inftfals)L_L-1
Flow —Flow box _ Pilot tube duct traverse Air temp
5
ADCF r1�1
tool Passive flow hood —Other (note below) through tool (F) �
t l V
Measured Airflow
Design
Airflow
Minimum AlrflowRequirement
Indicated
Volumetric
Exhaust PickupLocation
(CFM
(CFM 5600')
Flow
Flow
Pass
Fail
5000')
+Type of Operation
(CFM)
(CFM 5000')
.D
X50Intermittent —20 Continuous
5
l�
❑
— 60Intermittent AO Continuous
,�
59
❑
T/
50 Intermittent —20 Continuous
Cyr
El
50 Intermittent —20 Continuous
❑
10
50 Intermittent —20 Continuous
❑
I]
50 Intermittent _20 Continuous
El
El
50 Intermittent —20 Continuous
❑
❑
Testing
notes17e—n(�
Kitchen exhaust NIA- hood does not vent to outside IX1 Testing tech (initials)I 1-sL=L rnl
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
P
Flow — Passive flow hood _ Flow grid Tool Exhaust duct through ADCF
tool — Powered flow hood Other note below location -
- — ( ) (Fxreriorterm4ra6onratOK) tool(F)
Indicated flo CFM Volumetric flow CFM 5000' ❑ Pass Iq Fail
Testing
notes
Residential Mechanical Design Submittal V20140101 Page 1
e s�i. oo e�o�a
For multiple 1Tsystems, attach one page per system
System #I ' I Which parts of house does it serve? u
Installed equipment (Be clear about which AC components are installed at time of testing) Testing tech (initials)
Furnace or Boiler
AC or Heat Pump Condenser
AC or Heat Pump Coll
Manufacturer
L'&N (OX
Pr
N
Model #
Gy 05 u! 045A' E 51G$
Basic fiberglass Electrostatic
Thickness MERV
Filter — —
brand S K�' Type Basic pleated _ Other.
High-effic pleated (inches) (optional)
Static pressures
Setup
Speed: _ Heating _ Cooling _ Cont. fan
High -stage for mufti -stage equipment
Blower speed tap:
Humidifier damper: WA
_ Open (Heating)
_ Closed (Cooling)
" A)I registers open
*one dampers open
SP1 a j
AP Filter
(SPI -SP2)
Cooling: Measured air flow through indoor coil
Design cooling airflow CFM 5000'
(high stage)
Measured airflow
Testing tech (infials)54 I
(Same location
-SP4 to forNSOP-
TFSOP)
AP Coil ��tt
(SP3-SP4) I V
SP3Fit B
AP Total ESP
(SP3-SP2) 1
SP2
a
XWA -- no AC installed Testing tech (initials)W
Target airflow limits to CFM 5000'
(design +/-15%)
Air temp
Flow grid _ 14 through ADCFNSOP❑ TFSOP� Flow
rrecti stance
plate size _ 20 too[ (F) Correction Factor
Measured airflow, no CFM Indicated airtow CFM Volumetric airflow CFM �❑- Pass
adjustment/correction Measured AFx FRCF Indicated AFx AOCF 5000' ij iFall
notes
Heating: Gas manifold pressure
(high stage)
Testing tech (initials)
Manifold pressure
OEM spec Q 5000'
2 - C
J %
IWC
Target manifold P
limits (spec +1- 5%)
.
to
13 �j��7
IWC
Measured
pressure
51 � 1
IWC
Pass
,0 Fail
Heating: Temperature rise Testing tech (initials)
OEM temperature rise limits `,
F
(hgh stage) D t0 V
Supply _ Return _ Temp �j� ��� Fail Caution: within 1oF
Measured temps (F): air air® riseL_y� J /'J�\Pass of top of range
Residential Mechanical Design Submittal V20140101 Pape 3
Controls
i System
Controls operating
Per Design Intent
Local exhaust (all fans)
❑
I NIA
I
Pass
El
Fail
Whole house ventilation
❑
NIA
Pass
LI
Fail
Sub -structural tloor exhaust
X
NIA
❑
Pass
1F-f
Fail
Heating (all systems)
❑
NIA
Pass
❑
Fail
Cooling (all systems)
NIA
❑
Pass
❑
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) , c G hn
Title CO nt 5 \Y
Company
Signature and Dale
Technician #2 performing Inspection and testing doct)(r,1<En)ted on this report (Approved Agency)
I certify that the tests referenced above, in sections beanTttj my initials, were performed in accordance with protocols specked by the
City of Fort Collins Building Services Department, and that the reported results are accurate to the best of my knowledge.
Na
Signature
HVAC Contractor (City of Fort Collins license holder)
I certify that I have reviewed this report and that the lest results are an accurate representation of the performance of the installed mechanical
systems.
Na
Signature
Residential Mechanical Design Snhmittal V20140101 Page 6