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369 Pilsner St - Disclosures/Mechanical - 08/04/2017 (2)
70092 700923 City of Fort Collins Residential Mechanical Systems Performance Report Updated 3/7/2014 This form is a record of testing targets and results, with Pass/Fail outcomes. For information on measurement tools City of and testing techniques, see the "Residential New Construction Mechanical Systems Testing Guide." The guide and Fort Collins 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 Cartoon data target or limit 369 Pilsner Street Builder FR Development HVAC contractor Air Products As -built changes mech design submit Testing date(s) 08-04-17 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 "Residential Mechanical Systems Design Submittal" information referenced by testing technicians Testing tech (initials) FES Flow x Flow box _ Pitot tube duct traverse Air tem tool Passive flow hood Other below) 81 ADCF 1.1 — _ (note 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') upper bath 50 Intermittent —20Continuous 4651 51 R1 in master toilet x 50 Intermittent —20 Continuous 56 62 0 0 master bath x 50 Intermittent — 20 Continuous 58 64 0 powder x 50 Intermittent — 20 Continuous 56 62 0 0 — 50 Intermittent _ 20 Continuous ❑ ❑® 50 Intermittent _ 20 Continuous ❑ 50 Intermittent _ 20 Continuous ❑ ❑� Testing notes Kitchen exhaust N/A - hood does not vent to outside Testing tech (initials) tits Oven fuel _Gas —Electric Minimum airflow requirement (CFM 5000') + operation 00 Intermittent _ 25 Continuous _ 1 Measured airflow Flow —Flow box — Pilot tube traverse Tool —Interior title Air temp Passive flow hood _ Flow grid _ Exhaust duct through $1 ADCF 1.1 g P tool _ Powered flow hood — Other (note below) location (Exienor termination not OK) tool (F) - Indicated flow 358 CFM Volumetric flow 394 CFM 5000' (]'Pass Fail Testing notes Systems other than sub -structural floor exhaust ? ! Code -minimum ventilation airflow Design ventilation (based on CFA and # of BR) 41 CFM 5000' airflow�CFM 5000' 41 to 49 CFM 5000' Target ventilation airflow range i (code -minimum) (120/ oitlesigntlow) Testing tech (initials) FMS System X Exhaust -only Supply -only type _Balanced Measured Airflow Air Temp Indicated Volumetric Measurement Method Tool Location Through ADCF Flow Flow Pass Fail Tool (F) (CFM) (CFM 5000') Total _N/A _ Passive flow hood exhaust ii Flow box _ Pitot tube traverse laundry 81 1.1 44 48 0 airflow _ Flow collar — Other (note below) 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 supply + exhaust flows 5000' Testing Target flow range to CFM Cpass ®Fail (average +/- 15%) 5000, u Sub -structural floor exhaust®; 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 Flow tool — Flow box —Passive flow hood _ Pitot tube traverse —Flow collar Tool location Air temp through ADCF _ Powered flow hood _ Other (note below) tool (F) Indicated flow CFM Volumetric flow CFM 5000' II J', Pass Fail Heating4. + Cooling Duct Leakage N/A No ductwork Testing notes — No ductwork outside conditioned space (ind multiple sys) Duct leakage _ Energy rater (name, data sourcel company, testing date): House conditioned floor mare eat) f Air temp ADCF through tool (F) (include full basement) For multiple systems, attach one page per system System #E1 I Which parts of house does it serve? entire home Installed equipment (Be clear about which AC components are installed at time of testing) Testing tech (initials) FMS Manufacturer Model # Furnace or Boiler AC or Heat Pump Condenser AC or Heat Pump Coil Amana Amana Amana AMSS960603BNAA ASX130241CIS CHPF2430B6CB Basic fiberglass Electrostatic Filter — p _ Thickness❑ MERV❑ + brand Flanders Type _ Basic leafed Other: _ High-eftic pleated (inches) (optional) Static pressures Setup Speed: _ Heating X Cooling _ Cont. fan _ High -stage for multi -stage equipment Blower speed tap: hi Humidifier damper: X N/A Open (Heating) — Closed (Cooling) X All registers open X Zone dampers open ff?il SPt .16 AP Filter 09 <C (SP1 -SP2) \ sP2 .25 � Testing tech (initials) FMS • SP4(Samelocation 17 NSOP, far NSOP, TFSOP) AP Coil 15 (SP3-SP4) •SP3 .32 AP Total ESP 57 (SP3-SP2) Cooling: Measured air flow through Indoor coil ❑.;N/A -- no AC installed Testing tech (initials) MS Design cooling airflow 1100 CFM 5000' Target airflow limits 935 to 1265 CFM 5000' (high stage) (design +/- 15 % ) Measured airflow Air temp Flow grid _ 14 through $1 ADCF 1.1 NSOP 3g,$ TFSOP[327 Flow Resistance DG700 plate size _ 20 tool (F) Correction Factor Measured airflow, no� Indicated airflow 907 CFM Volumetric airflow CFM ®Pass adjustment/correction DG700 CFM Measured AF x FRCF Intlicated AF x ADCF 99$ 5000' Q Fell Testing notes Heating: Gas manifold pressure (high stage) Testing tech (initials) FMS Manifold pressure 3 5 IWC Target manifold P �] 2 to 3,7 IWC Measured 3 5 IWC ,Pass OEM spec @ 5000' limits (spec +/- 5%) J pressure Fail Heating: Temperature rise Testing tech (initials) ms OEM temperature rise limits 30 to 6Q F (high stage) 11 Supply _ Return Temp ((�'Caution: within 10F `Measured temps (F): pa r 119 air 74 - rise 45 0 Pass ® Fail ILJ'of top of range B r+ 7 t'I i'1i P fl r I I 2 3 Testing tech (initials) Testing approach and targets ❑IN/A: No complete AC system E13N/A: House completed November - April (installing contractor responsible for testing in warm weather) TXV: Subcooling + SH check ,Non-TXV: Superheat (JOEM-specific: Approach Other OEM -specific (documentation required) Temperatures Condenser Non-TXV: Return Target Tar et Target i P 9 9 9 (F): entering air temp air wet -bulb temp superheat subcooling approach Subcooling Dischar a Condenser Liquid Actual TXV Pass: Actual SC within +/- - pre (stir) saturation T❑F gimp subcooling❑F �3 F of target SC. 2 F min 1 l PSI (5000' chart) temp (Good T - liq line T) TXV Fail Superheat Suction Evaporator Suction Actual I Non-TXV Pass: Actual SH ressure saturation T F line F su erheat F within +/- 5 F of target SH P ❑ P ❑ 9 (PSI) (5000' chart) temp (Suct line T - evap T) Non-TXV Fail TXV checks: Pass: Field -installed TXV installed in accordance with OEM instructions LCauiion: Actual SH outside mfgr range Approach Liquid lin�F Actual approach�F L❑'Approach Pass: Actual approach within +/- t F of target approach temp(Liq line T - condenser EAT) uApproach Fail Register air flows Testing tech (initials) ms All registers are cut through finish materials and moving air D Pass IR Fail (Remainder of register air flow section under development, not yet being enforced) Pressure balance Testing tech (initials) r1lS Room Room -to -Core Measured (match names on plans, include Pressure Drop Pressure Pass Fail basement if there is a door) Target Range (Pa) Drop (Pa) master -3 to +3 +0.5 bed -3to+3 +1.5 0 ®. study -3 to +3 +1.7 0 -3 to +3 ❑ -3 to +3 ❑ -3 to +3 ❑ -3 to +3 ❑ 0 -3 to +3 ❑El -3 to +3 ❑in -3 to +3 ❑ ❑N B 1 7 0 1, rJ r, U �O Combustion safety testing N/A -- no natural -draft combustion appliances (Appliance Types table must be completed for every home) Appliance types Testing tech (initials) MS Appliance Combustion Type N/A Draft -hood Natural -draft Induced -draft (Natural -draft) Power- vent Direct- vent Powered sealed - combustion Electric Furnace #1 ❑ ❑ ❑ ❑ ❑ 0 ❑ Furnace #2 ❑ ❑ ❑ ❑ ❑ ❑ ❑ Boiler #1 ❑ ❑ ❑ ❑ ❑ ❑ ❑ Boiler #2 ❑ ❑ ❑ ❑ ❑ ❑ ❑ Water heater #1 ❑ ❑ ❑ ❑ ❑ 0 ❑ Water heater #2 ❑ ❑ ❑ ❑ ❑ ❑ ❑ Fireplace #1 ❑ ❑ ❑ ❑ 0 ❑ ❑ Fireplace #2 ❑ ❑ ❑ ❑ ❑ ❑ ❑ Other: ❑ ❑ ❑ ❑ ❑ ❑ ❑ Worst -case depressurization performance e nese aoors are #of bath fans on Vented range hood on _ Clothes dryer on Air handler on Other fans on: Other setup note Outdoor temperature = F Appliance Locatioi CAZ pressure BPI depressurization limit (Pa wrt outside) Measured net CAZ depressurization (Pa wrt outside) OK (less negative) I Caution (more negative) 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 i I 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 Testing notes Tested appliances ❑ JOK I ❑. I Caution ❑ OK I❑ I Caution 1 ❑ JOK I ❑ ;I Caution 60 60 60 J1 Pass ® Fail El Pass ® Fail ❑ Pass ® Fail ❑ Pass M Fail ❑ Pass I ® Fail ❑ Pass ® Fail 100 100 100 0 Pass LNJ Fail 0 Pass © Fail ® Pass [ Fail ❑ Caution ❑' Caution "❑ _ Caution System Controls Operating Per Design Intent Local exhaust (all fans) ❑ N/A R1 Pass O t' •mc�, Fail Whole -house ventilation ❑ N/A 0 Pass �a + Fail Sub -structural floor exhaust 0 N/A ❑ Pass ®❑ Fail Heating (all systems) ❑ N/A 0 Pass =:; Fail Cooling (all systems) ❑ N/A ® Pass R1 Fail Testing tech (initials) FMS 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 i I Signature and Date Matt Schubert Energy Rater GS Services Imu a nea : M.n Iviof a D�. eH •Men smwen emw Schub6amm7l 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. 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. j Na 1 Signature