HomeMy WebLinkAbout7163 Shadow Ridge Dr - Disclosures/Mechanical - 11/18/2014�l40IsS-7--
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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
Target
Measured value
h
to compare with
Pass
Fail
Caution
or limit
target or limit
:dataar
1. House Data
As
mech
Testing date(s)
ADCF = Air Density Correction Factor, based on tool,
ADCF altitude (5000'), air temperature through tool
Volumetric flow (CFM 5000') = ADCF x Indicated flow (CFM)
Local••Ventilation)
Bath exhaust Testing tech (initials)
Flow Flow box _ Pitot tube duct traverse Air temp
ADCF ^^''q
1 V
tool —Passive flow hood _ Other (note below) through tool (F)
t
Measured Airflow
Design
Minimum Airflow Requirement
Indicated
Volumetric
Exhaust Pickup Location
Airflow
(CFM 50001,
Flow
Flow
Pass
Fail
(CFM
+Type of Operation
(CFM)
(CFM 5000')
50001
-AW501ntermittent 20 Continuous
—
r
❑
50 Intermittent 20 Continuous
779
,W
❑
fh
_ 50 Intermittent A20 Continuous
7--
f l'
❑
YO
/ 50 Intermittent —20 Continuous
'
❑
450 Intermittent 20 Continuous
/`�
❑
—
50 Intermittent 20 Continuous
❑
❑
50 Intermittent 20 Continuous
❑
❑
Testing
notes
Kitchein
exhaust N/A - hood does not vent to outside Testing tech (initials)
Oven fuel Gas _Electric Minimum airflow requirement (CFM 5000') + operation _ 100 Intermittent _ 25 Continuous
Measured airflow
Flow — Flow box Pitot tube traverse Tool Interior grille Air temp
Passive flow hood _ low grid Exhaust duct through ADCF
n^
!•
tool Powered flow hood —Other (note below) location( erior termination not OK) tool (F) l
Indicated flow .3S0 CFM Volumetric flow 3 5 CFM 5000' Pass CFail
L_
Testing
[Zy
L
notes
l¢.. G " lyl
Residential Mechanical Design Submittal V20140101 Page 11
U
OQ
U
3. Whole -Dwelling -Unit Ventilation
(stems other than sub -structural floor exhaust
Testing tech (initials)wl
Code -minimum ventilation airflow CFM 5000) ' Design ventilation
CFA # BR) airflow CFM
5000,
�( Exhaust-onI y
(based on and of
67to V CFM 5000,
System i�
_Supply -only
type _Balanced
Target ventilation airflow range b
( mum) 14 (12O% of de n flow)
Measured Airflow
Air Temp
Indicated
Volumetric
Measurement Method
Tool Location
Through
ADCF
Flow
Flow
Pass
Fall
Tool (F)
(CFM)
(CFM 5000')
Total
exhaust
N/A _ Passive flow hood
Flow box _ Pitot tube traverse
(�//
�/j
%
( %
-7
17A
❑
airflow
Flow collar Other (note below)
Lei
�
T�
Total
N/A Passive flow hood
supply
_ _
_ Flow box _ Pitot tube traverse
❑
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 Target flow range
g g
supply+ exhaust flows 5000' (average +/_ 15%)
to
CFM
5000'
E�D1
�LJIPass ❑,Fall
LJJ
Testing
notes
Sub -structural floor exhaust C N/A - no sub -structural floor exhaust system Testing tech (initials)
Design exhaust airflow (based onCFM 5000' Target airflow limits to CFM 5000,
approved design) (design +/-15%)
Measured airflow
1 Flow box _ Pitot tube travers Air temp
Flow — e Passive flow hood _ Flow collar Tool through ADCF tool —Powered flow hood — Other (note below) location tool (F)
Indicated Flow CFM Volumetric Flow CFM 5000' Pass Fail
Testing,
notes
N/A — No ductwork Testing notes
No ductwork outside conditioned space (incl multiple sys)
Duct leakage y Energy rater (name,
I ata source company, testing date):
House conditioned floor area
(include full basement) F30 56
Test Parameter and Conditions
Air temp `''�, �j g,Q�
sf through tool (F) V ADCF `�
Maximum Allowed Duct Leakage
Normalized Absolute
(CFM25 5000' / 100 at) (CFM25 5000')
Measured Duct Leakage
Indicated Volumetric
(CFM25) (CFM25 5000')
System #1
System #2
Leakage Type
Timing
Air Handler
Pass
Fail
Pass
Fall
Total leakage
Rough -in
Excluded
4
❑
❑
❑
❑
Total leakage
Rough -in
Included
6
2�
?)
❑
Total leakage
Complete
Included
12
❑
❑
❑
❑
eakage
outdoors
Complete
Included
8
El
1-1
❑
1-1to
Residential Mechanical Design Submittal V20140101
Page 2
c'V
Cooling
For multiple systems, attach one page per system
System #I :/ I Which parts of house does it serve? id z7 / � , �7
Installed e�q-uii-p�ment (Be clear about which AC components are installed at time of testing) Testing tech (initials)IN Iv g
Furnace or Boiler
AC or Heat Pump Condenser
AC or Heat Pump Coil
Manufacturer
n
Tir
a_ 1
'2� <1
Model#
'Aij fia 0 0 f
it/ ,V
r"U G
St
—°
Filter
Basic fiberglass — Electrostatic
Thickness MERV
branType' Basic pleated —Other: (inches) (optional)
_ High-effic pleated
auc
Speed: _ Heating ilcooling _ Cont. fan
V41gh-stage for multi -stage equipment
Blower speed tap:
Humidifier damper: _ N/A
_ Open (Heating)
_ j eClosed (Cooling)
registers open
dampers open
SPt
AP Filter (f
(SPt- SF*)
Cooling: Measured air flow through indoor coil
I
Design cooling airflow CFM 5000'
)
(high stage)
SP2k�:]
❑ N/A -- no AC installed
Testing tech (initials)Wl
(Same location
for NSOP,
TFSOP)
Testing tech (initials)
Target airflow limits i �7 to / CFM 5000,
(design +/- 15%) / l
Measured airflow
Flow grid Airtemp Resistance plate size _ 20 through
l (F) /1 ADCFI NSOP �Q TFSOP Correction Factor
Measured airflow, no
�CFM Indicated airFlow�/p CFM Volumetric airflow[��
CFM APass
adjustment/correctionj��j)MeasuredAFxFRCFI�/IndicatedAFxADCF5000' Fail
Heating: Gas manifold pressure (high stage) Testing tech (initials)
Manifold pressure Ta et manifold P % Measured /�9 �`�/ Pass
OEM spec @ 5000' �+ V IWC limits (spec+/-5%) L• 0.7to /g IWC pressure h • D / IWC Fail
Heating: Temperature rise Testing tech (initials)
OEM temperature rise limits /e
(high stage) V to 70 F
Supply ,,'j _ Return _ Temp ^� �! Caution: within 1OF
'Measured temps (F): air �(/ air rise • v �APass P Fail ❑ of top of range
Residential Mechanical Design Submittal
V20140101
Page 3
. emu,y Opp.
❑ N/A: No complete AC system ❑ N/A: House completed November - April (installing contractor responsible for testing in warm weather)
❑ TXV: Subcooling + SH check ❑ Non-TXV: Superheat ❑ OEM -specific: Approach ❑ Other OEM -specific (documentation required)
Temperatures Condenser Non-TXV: Return � Target Target Target
(F): entering air temp air wet -bulb temp superheat subcooling approach
Subcooling
Discharge
pressure
Condenser
saturation
Liquid
Sine❑F
Actual
Subcooling❑F
❑ TXV Pass: Actual SC within
F of target SC, 2 F min
PSI
rt)
(5000'chart)
temp
(Co�dT-liglineT)
13
❑TXVFeII
Superheat
Suction
pressure
Evaporator
saturation T F
Suction Actual
line F superheat F
❑ Non-TXV Pass: Actual SH
within +)_ 5 F of target SH
(PSI)❑
(5000'chart)❑
tamp (SuctlineT-evapT)
[I Non-TXV Fail
"tl TXV checks: ❑ Pass:
Field -installed TXV installed in accordance with OEM instructions Caution: Actual SH outside mfgr range
Approach
Liquid line�F
Actual approach�F El Approach Pass: Actual approach
within +/-1 F of target approach
temp
(LiglineT- condenser EAT) JE1 Approach Fail
Testing
notes
T60 eloZ-D r7-0 Tf,sz;r-
Room Air FlowBalance
Register air flows Testing tech (initials)
i All registers are cut through finish materials and moving air ass 107, Fail
(Remainder of register air flow section under development, not yet being enforced)
Pressure balance
Testing tech (initials)
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
rpO�ET STUD
-3 to +3
❑
m 1pp
-3 to +3
r D
❑
li n_
3 to +3
— U i7
❑
3 to +3
O c
El
3 to +3
- v
❑
-3 to +3
❑
❑
3 to +3
❑
❑
-3 to +3
❑
❑
-3 to +3
❑
❑
3to+3
❑
❑
Residential Mechanical Design Submittal V20140101
Page 4
8. Combustion Safety
H, Combustion safety testing N/A — no natural -draft combustion appliances Testing tech (initials)
Lj (Appliance Types table must be completed for every home)
Appliance types
Appliance
Combustion
Type
N
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.
❑
❑
❑
❑
❑
❑
Worst -case depressurization 6rformance
These doors are cl
# of bath fans on
Vented range hood on
Clothes dryer on
Air handler on
fans on: I Other setup notes:
Outdoor temperature=F
CAZ pressure
BPI depressurization limit (Pa wrt outside)
Measured net CAZ depressurization (Pa wrtoutside)
OK (less negative) I Caution (more negative)
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
BPI maximum limit
(ppm
Measured CO
(ppm
Pass = CO level not exceeding limit
Caution = CO level 25 to 100 ppm
❑ JOK I❑ Caution ❑ OK I ❑ I Caution I ❑ OK I ❑ I Caution
60
60
60.
❑
1pass
❑ Fail
❑
Pass I ❑ IFail
I ❑
jPass I ❑ Fail
❑ jPass I ❑ lFall ❑ Pass 1❑ IFail 1 ❑ jPass I ❑ IFall
100
100
100
❑
jPass 1 ❑ lFail
❑ jPass
I ❑ Fail
I ❑ IFail
❑
Caution
❑
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
[-I
WA:E1
Pass
ElFail
Sub -structural floor exhaust
N/APass
❑
Fail
Heating (all systems)
f
N/APass
ElFail
Cooling (all systems)
El
N/APass
❑
Fail
Testing tech
Testing Notes
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)
Title
Company
Signature and Date
Dom C-jFot--r
C19-raSUL �
Technician #2 performing inspection and testing docu a ed 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.
Nai
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.
Name (print)
Title
Company
Signature and Date
Residential Mechanical Design Submittal V20140101 Page 6