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1050 Linden Gate Ct - Disclosures/Mechanical - 08/13/2018
B1707932 h City of Fort Collins Residential Mechanical Systems Performance Report updated 3/7/2014 This form is a record of testing targets and results, with PasslFail outcomes. For information on measurement tools C^ of and testing techniques, see the "Residential New Construction Mechanical Systems Testing Guide." The guide and So Collins this form may be periodically updated; check the Building Services web site for the current version u 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 et Measured value to compare with Pass fiauHon Other o r or limit target or limit date ADCF = Air Density Correction Factor, based on tool, ADCF altitude (5000'), air temperature through tool Volumetric flow (CFM 500(Y) = ADCF x Indicated flow (CFM) HouseData Address IOSO C;fn G+.ga�t_ Date of"Residential R Mechanical Systems !!� Builder Design Submittal' information referenced ��„� H•wst WAC contractor by testing technicians' As -built changes mech design submt 2. Local Exhaust (Spot Ventilation) Bath exhaust Testing tech (initials)® Flow Flow box Pilot tube duct traverse Air temp tool Passive flow hood Other (note below) through tool (F) SO ADCF Measured Airflow Exhaust PickupLocation Design Airflow (CFM1. JCF SCO_- Minimum AidlowRequrremen{ (CFM 5000') + Type of Operation Indicated Flow (CFM) Volumetric Flow (CFM 50W) Pass Fall 0 Intermittent 20 Continuous 2 m d r O 00 Intermittent ❑ 20 Continuous H•.c'e O 501ntermittent 20Continuous M�SFtir Tatc{- a 0Intermittent 20 Continuous SO Intermittent , 20 Continuous s� Q`} c�+Gw [:]50Intermittent ❑ 20 Continuous Li 50Intermitten1E20 Continuous Testing notes Kitchen exhaust N/A - hood does not vent to outside Testing tech (Initial Oven fuel Gas Electric Minimum airflow requirement (CFM 50001 + operation 000 Intermittent a 25 Continuous Measured airflow, FIgFow boz Pitd tube traverse ToolI(E)derlor Olnterior grille Air temp tooPassive flow hood QFlow gdd location[]'Exhaust dud through ADCF Powered flow hood ther (note below) Wnination not OK) tool (F) f Indicated fl I CFM Volumetric flow $ S t CFM SOW Pass Fail Testing notes 11 Kof .nr• Residential Mechanical Design Submittal V20140307 Page 1 Refrigerant. - Tasting tech (initials)® Tasting approach and targets ❑N/A:Nocomplete ACsystem ❑NWHousecompleted November - April ensialonsmnvadwmspGwAWarorteswsinw "aUW) ETXV: Subcooling + SH check ❑ Non-TXV: Superheat ❑ OEM-spedfia Approach []Other OEM-specific(downentaUw req*.d) Temperatures Condenser Non TXV: Return Target Target Target ' ik " ` (F): entering air temp air wet -bulb temp. superheat. subcooling approach Subcooling Discharge pressur' 32 Condenser Liquid Actual , /L saturation T jai F line �� F subcooling�F ❑TXV Pass: Actual SC within +/- F of target SC, 2 F min PSI y (soon dtart) temp (fond T- 6q tine T) ❑3 TXV Fail Superheat Suction pressure t 33 Evaporator Suction Actual saturation T Ctrs F timet F superheat J y F ❑Non-TXV Pass: Actual SH w th n +1- s F of target SH temp (sadfineT- evapT) ❑Non-TXVFell (PSI)[ (5ooachanl TXV checks: ❑ Pass: Field -installed TXV installed in accordance Wth OEM instructions []Caution: Actual SH outside mfgr range Approach Liquid line �F Actual approach�F temp NgIT-condenser FAT) Testing R l A Ck notes COWIP : $ •3 Jl S AT: AT ❑ Approach Pass: Actual approach within +/-1 F of target approach []Approach Fail �q 2.1161 1 oht.. 7. Room Air Flow .Register air flows Testing tech (nitials)PRI, All registers are cut through finish materials and moving air ZoPars Fail (Remainder of register air flow section underdevelopment, not yet being enforced) Pressure balance Testing tech (initials)® Room (match names on plans, include basement it there is a door) Room -to -Core Pressure Drop Target Range (Pa) Measured Pressure Drap (Pa) Pass Fail 3to+3 to +3 -3 to +3 ❑ -3 to +3 ❑ -3 to +3 ❑. -3 to +3 ❑ -3 to+3 ❑, -3 to +3 ❑ -3 to +3 ❑ -3to+3 a, Residential Mechanical Design Submittal V20140307 Page 4 l j4omlwstion safety testing WA — no natural -draft combustion appliances IJ (Appliance Types table must be completed for every home) Appliance types Testing tech (initials)®. Appliance Combustion T e N/A Draft -hood (NaturaEqEqL,(NaturaI-draf1ll Induced -draft Poser- vent Direct- vent Povered sealed- combustion Electric Furnace#1 ❑ ❑ ❑ ❑ ❑ ❑ ❑ Furnace #2 ❑ ❑ ❑ ❑ ❑ ❑ ❑ Boiler#1 ❑ ❑ ❑ ❑ ❑ ❑ ❑ Boller#2 ❑ ❑ ❑ ❑ ❑ ❑ ❑ Water heater#1 ❑ ❑ ❑ 0 ❑ ❑ ❑ Water heater #2 ❑ ❑ ❑ ❑ ❑ ❑ ❑ Fireplace #1 Q . ❑ U ❑ ❑ , ❑ ❑ Fireplace #2 ❑ ❑ ❑ ❑ ❑ ❑ ❑ Other: ❑ ❑ ❑ ❑, ❑ ❑ ❑ Worst -case depressurization performance are # of bath fans on Vented range hood on Clothes dryer on Air handler on tans on: Outdoor temperature=F 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 (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 ❑ OK I❑ Caution ❑ OK ❑ Caution ❑ 1OK 1 ❑ 1 Caution 60 60 60 ❑ Pass Fail ❑ Pass Fail ❑ Pass Fa l ❑ Pass Fail ❑ Pass =Fail ❑ Pass Fat 100 100 100 ❑ Pass Fail ❑ IPass =Fail ❑ Pass Fat ❑` Caution .❑ lCaution ❑ lCaution Residential Mechanical Design Submittal V20140307 Page 5 9. System Controls n' System Controls Operating Per Design Intent Local exhaust (all fans) ❑ WAaftsnsFailWhole-house ventilation ❑ WASub-structural floor exhaust WA Heating (an systems) ❑, WA.Gaoling (all systems) ❑ WA Testing Notes !LSignatures 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 tfre City of Fort Collins Building Services Department, and that the reported results are accuratelto the best of my knowledge. Name (print) Tide Company Signature and Date TGGIn `` 11 �R �— Technician #2 performing Inspection and testing documented on this report (Approved Agency) ;1 oenify 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 Signature HVAC Contractor (City of Fort Collins license holder) 1 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 V20140307 Page 6 Systems other than sub -structural floor exhaust Testing tech (initials) Code -minimum ventilation airflow, Design ventilation r—y (based on CFA and # of BR) (pi CFM 5000' i� airflow CFM 5000' EfExhaust-only System type OSupply-only, Balanced Target ventilation alfiowrange (i-4 to OO CFM 5000, ❑ (coda4nrnkmwn) (126%ofdaslgnilm) Measurement Method 1` Toot Location Total ❑ WA ❑ Passive flow hood Nmausl Wow box ❑ Pilot tube traverse _ airflow nFlowoollar [] Other (note below) Total ❑ WA ❑Passive flow hood supply OFlowbox 'OPilot tube traverse airflow m Flow collar nOther (note below) Through ADCF Flow Flow Tool (F) (CFM) (CFM 50( 1 4� 1765 When supply airflow is circulated by air handier fan, fan speed for measurementio Heating Q Cooling Q Continuous fan Balanced airflow in balanced systems Average of measured CFM Target flow range to CFM pass Fail supply + exhaust flows 5000' (average +/-15%) 5009 11 Sub -structural floor exhaust t WA— no sub -structural floor exhaust system Testing tech C;dtiais)® Design exhaust airflow (based on FM 5000 Target airflow limits to CFM 5000' C approved design) (design +/-15%) Measured airflow Flow Flow box Pilot tube traverse Tool Air temp Passiveflowhood ❑Flowcollar through ADCF toot Powered flow hood Other (note below) locationi. tool (F) r Indicated flow CFM Volumetric flow CFM 500V []Pass []Fail notes) Cooling.g "'�" � '� S N/A No ductwork Testing notes TO f4fFC � toy rw.\Gr No ductwork outside conditioned space (ma mwapre ays) Testing tech Initials): Duct leakage ,/energy rater (name, data source company, testing date): House conditioned floor area f Air temp ud (inaermbasen Q sthrough too] (F) ADCF� Residential Mechanical Design Submittal V20140307 Page 2 Cooling For multiple systems, attach one page per system System #© Which parts of house does it serve? Installed equipment (Be clear about which AC components are installed at time of testing) Testing tech (initials)® Filter 1` —Baste fiberglass —Electrosfiatic Thickness MERV p brand SKK+M� Typo — Basic pleated _ Other. O ,[Ftigh•eftic pleated (inches)Fq] (optional) mal Speed: tp neating [Cooling ❑ Cont fan UHigh-stage for mufti -stage equipment Blower speed tap: K ezk,- La w Humidifier damper. WWA ❑Open(Heating) J]C(osed (Cooling) All registers open Zone dampers open SP1fJ AP Filled \ (SPf - SP2) I > 3 Cooling: Measured air flow through Indoor coil Design cooling stagCFM 5000' (nigh stage) � �5 1 SP2® Testing tech (initials)® �p (Same bcatbn SP4 f8 forNSOP, t\� TFSOP) AP Coil O t • SP3 t�El li�l AP Total ESP .. !:1.1 (SP"K) ❑ WA - no AC installed Testing tech (initials)® Target airflow, limits 1DtN to I J$(p CFM 5000, (design +/-15%) Measured airflow plate size o 20„Flow Resistance too' (; 8l% 1 ADCF I r 4 NSOP �` TFSOPa Correction Factor Measured airflow, no Indicatedairfl ``11� // Volumetric airflow CFM tress adjustmenflconedion 1ILI4 CFM Meae PdAF:FRU 'I4r`� CFM MAtwnF�eruF i�5000' rlr.,n Testing) I notes Heating: Gas manifold pressure (Ugh Stage) Testing tech (initials)® Manifold pressure Target manifold P Measured ass OEM spec Q 5000' 3.3 IWC limits(spec+/- 5°%) 3. L to3 •s/ We pressure 3 • Z IWC Mail Heating: Temperature rise Testing tech (initials) OEM temperature rise limits SS t'vS F (high stage) Measured temps (F): SOPPay . - Refumair®_ Te rise Pass Fa l ❑ oCfauti top of within i Be 10F Residential. Mechanical Design Submittal V20140307 Page 3 '6. Refrigerant Charge Testing tech (mitiais)F2fi] Testing approach and targets ❑N/A:Nocomplete ACsystem ❑NIA: House completed November- April pnstanngcontractorresponsuefor twungInwane weamo ZTXV: Subcooling + SH check ❑Non-TXV-Superheat ❑OEM -specific: Approach❑Other OEM -specific (dwurnentationrequired) Temperatures se bup=liessupetfientenngairlep air we lbtemsubmog ll approach Subcooling Discharge Condenser Liquid Actual []TXV Pass: Actual SC within pressure saturation saturat on T !02 F line Q Z F subcooling /fa ` F 3 F of target SC, 2 F min PSI (s000'ctrarti temp {condr-tgramT) ,QTXV:Fail Superheat Suction Evaporator Suction . Actual ❑Non TXV Pass: Actual SH pressure ! 42 saturationT ys- F line SD F superheat1-5 F within +/- 5 F of target SH (PSI) (500o khan) temp (Suct6neT-evapT) ❑Non TXV Fail TXV checks: '©'Pass: Field4nstalled TXV installed in accordance with OEM instructions ❑Caution: Actual SH outside mfgr range Approach Liquid line F temp l A t3.t. A �a s. A Actual approach[:]F (Uq tine T- condenser EAT) A7 :7 $A-r. ss ❑Approach Pass: Actual approach within +/-1 F of target approach ❑Approach Fail 'L tlo S.a P17. Room Air Flow + ressure Balance Register air flows Testing tech (initials)® All registers are cut through finish materials and moving air 2 Pass OFal (Remainder of register air flow section under development, not yet being enforced) P.ressure.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) Pja" 3to+3 t•9 3 to +3 -3 to +3 b ds -3 to +3 _ CO 3 to +3 3 to +3 ❑ -3 to +3 ❑ 3 to +3 ❑ -3 to +3 ❑ .3 to +3 ❑' Residential Mechanical Design Submittal V20140307 Page 4 8. Combustion 12Combustion safety testing WA -- no natural -draft combustion appliances Testing tech (initials)® L) (Appliance Types table must be completed for every home) Appliance types Appliance Combustion T pe WA Draft -hood Naturatgraft Induced -draft Natural -draft Power- vent Direct- vent Powered sealed- combustion Electric Fumaoe #1 ❑ ❑ ❑ ❑ ❑ ❑ ❑ Fumaoe #2 ❑ ❑ ❑ ❑ ❑ ❑ ❑ Boiler #1 ❑ ❑ ❑ ❑ ❑ ❑ ❑ Boiler #2 ❑ ❑ ❑ ❑ ❑ ❑ ❑ Water beater #1 ❑ ❑ ❑ ❑ ❑ ❑ ❑ Water heater #2 ❑ ❑ ❑ ❑ ❑ ❑ ❑ Fireplace #1 ❑ ❑ [:I ❑ .. ❑ ❑ ❑ Fireplace #2 El ❑ ❑ ❑ ❑ ❑ ❑ Other: El ❑ ❑. ❑ ❑. ❑ Worst -case depressurization performance # of bath fans on Vented range hood on Clothes dryer on Air handler on fans on: Outdoor temperature=F CAZ pressure BPI depressurization limit are notes: (Pa wrt outside) Measured net CAZ depressurization (Pawn outside) OK Bess 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 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 ❑ OKI. ❑ 1 Caution I ❑ OK ❑ Caution 60 60 60 ❑ jPass MFall ❑ Pass =Fail ❑ Pass Fail ❑ jPass I= Fail ❑ Pass =Fail ❑ Pass Fail 100 100 100 ❑ Pass Fail ❑ Pass =Fail ❑ Pass Fail ❑ 1 Caution ❑ Caution lCaulion Residential Mechanical Design Submittal V20140307 Page 5 System Per Des ControlsjftssFail Local exhaust (all fans) ❑ NIA Whole -house ventilation ❑ .NIA Sub -structural floor exhaust WA ❑ Heating (all systems) ❑ ❑ WA N/A Cooling (all systems) 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 Dale Q Te- EC-HA 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 reporter) 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 test results are an accurate representation of the performance of the installed mechanical systems. No Signature Residential Mechanical Design Submittal V20140307 Page 6 City of Fort Collins Residential Mechanical Systiims.Performance Report updated W712014 This form is a record of testing targets and results, with PassfFail outcomes. For information on measurement tools of and testing techniques, see the "Residential New Construction Mechanical Systems Testing Guide." The guide and Four t Collins this form may be periodically updated; check the Building Services web site for the current version. UUMIns 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 tocomparewith � -'" '"'' •-•-'°t� Pass r Other or limn, target or limit in?� 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 ._1,..,. c Date of "Residential q Z 1 ,105D Li —li Mechanical Systems 8(� Builder Design Submittal" H ov%cs information referenced L HVAC contractor F CIA A by testing technicians • Nwr 4r + 14�i mech design Testingdate(s) 'g Bath exhaust Testing tech initials)® Flow ow box Pilot tube dud traverse Air tem 4 toot Passive flow ADC hood Other (note below) through tool () Measured Airflow Design Airflow MinimumAirflow,Requiremenl Indicated Volumetric Exhaust Pickup Location (CFM 60001 Flow Flow Pass Fall 500000')(CFM + Type of Operation (CFM) (CFM 6000') tIlk SA Olntermittent❑20Continuous 14 1:150Internittent ❑ 20 Continuous 501ntermittent E120 Continuous , SD Intermittent M 20 Continuous < 60lydenniCenU , 20 Continuous ; , 60 intermittent El20 Continuous O50lnternittent E]30 Continuous O Testing. . notes Kitchen exhaust N/A - hood does not vent to outside El Testing tech (initials) Oven fuel as Decbic Minimum airflow requirement (CFM 500(Y) + operation 100 Intermittent �26 Continuous, Measured airflow Flow Flow box Pilot tube traverse Tool ❑IntedOrgrille Air temp _ tool Passive flow hood []Flow grid location PExhaust dud through 8Z ADCF 1 Powered flow hood Cher (note below) (Faaerior tem,rnation not OK) tool (F) Indcated flow I &q CFM Volumetric flow 1 gj> CFM 5000' 2Pass 0 Fail Testing notes Residential Mechanical Design Submittal V20140307 Page 1 �3. Whole -House Ventilation 1. Systems other than substructural Roor exhaust Testing tech (initials) Code -minimum ventilation airfl Design ventilation ^.� CFM 5000' CFM 500V System on CFA and # of BR) .47 airtlow�i Fxr�aust-only type Supply only Target ventilation air8owrange 2,3 to Sy CFM5000' ❑^ (code MkIlMum) (12D%0fd&4;ntlox9 Measurement Method Toot Location Through ADCF Flow Flow Pass Fail Tool (F) (CFM) (CFM 5000') Total 0 WA ❑ Passive flow hood exhaust vow box ❑ Pilot tube traverse ,aa�}!.� ter �sl 1, 1 L13 t1 airflow ❑Flow collar ❑ Other (note below) Total , ❑ WA ❑ Passive flow hood supply ❑ Flow box ❑ Pilot tube traverse ❑ airflow Flowcollar ❑ Other (note below) When supply airflow is circulated by air handler fan .fan speed for measurement Heating Cooling El Continuous fan Balanced airflow in balanced systems Average of measured CFM Target flow range CFM ❑ r to Pass I (Fail supply + exhaust flaws 5000' (average +/_15%) 5000, Sub -structural floor exhaust J/A — no sub -structural floor exhaust system Testing tech (initialsOlslI Design exhaust airflow (based on CFM 5000' Target auflow Tamils + approved design) (design +/_ 15%), to CFM 5000' Measured airflow, Flow Flow box Pitat tube traveme Tool Air temp tool ❑ Passive flow hood ❑Flow collar loddon 3 through ADCF ❑Powered flow hood , Other (note below) tool (F) L. 1 Indicated flow CFM Volumetric flow CFM 5000' Pass [] Fail � I Cooling Duct Leakage WA ® No dueheork Testing notes TO 6, 4cs kcA by ❑Noductwork outside conditioned space (ndmwaWeSys) S /p'�I(tYtJA Testing tech (Initials): Duct leakage _ Energy rater (name, data source Company, testing date): House con(indUdafulloned area�sf tool(F) ADCF (Include full basement) through tool {F) System #1 1 System #2 Leakage Type I Timing Air Handler (CFM25 5000' / 100 sill (CFM25 50001 (CFM26) l(CFM2550001IPassl Fall lPass Fail Total leakage Rough4 Excluded 3 11❑ Total leakage Rough -in Included 4 11 Total leakage Complete Included 4 r1 1-1 Residential Mechanical Design Submittal V20140307 Page 2 For multiple systems, attach one page per system System #© Which parts of house does it serve? Installed equipment (Be dear about which AC components are installed at time of testing) Testing tech (initfals)® Furnace or Bolter AC or Heat Pump Condenser AC or Heat Pump Coil Manufacturer 6^la><1 a514A Qf is� r: t 1 pits "Ave., isI-v IS; -[ Model # 2S 4 ILN 1 COP UP Zy Filter '// _ Basic fiberglass _ Electrostatic Thickness MERV brand St�w�1:t Type Basicpieated _Other (inches) (optional) pleated )a Heating QCooling QCont. fan i-stage for multi -stage equipment speed tap: Mc ter damper. CrWA El Open (Heating) Closed (Cooling) registers open Zone dampers open SP1 yy AP Filter. \ (SP1- SP2) Cooling: Measured air flow through indoor cofi Design cooling airflow CFM 5000' (high stage) 55 ,5 11 WA - no AC installed Testing tech Onitials)® (Sartre location • SP4 `'L for NSOP, TFSOP) AP Coil (SP3-SP4) • SP3 �g f48 Testing tech (initials)® Target airflow limits �Z� to CFM 5000' (design +/-15%) Measured airflow grid 14 plate size 1120 ; tool (F) $0 ADCF f 1 1 NSOP 3� TFSOP 3 y Flo, Resistance Measured airflow, no CFM Indicated airflow 67 CFM volumetricairflow i tf CFM Ir-J-� Pass acrjustmenticorrection 5 7 MeawredAFx FRCF'7 -4 InduWAFxADCF' �`T • 50D0' Y 1Fail Testing notes Heating: Gas manifold pressure (Iftigh Stage) Testing tech (initials).: Manifold pressure Target manifold P Measured ✓Pass OEM spec Q5009 S'� Iwo limits (spec +/-5%} t°3LS lWC pressure 3.S IWC (31'ail Heating: Temperature rise Testing tech (initials)® OEM temperature rise limits to O F (high stage) YD Measured temps Supply _ Retum _ Temp �.�! rat 1�I Caution: within 1OF p (�' ai'r '�y3 ' air 91 - rise 52 't- _7 pass 1 _ IFaii L lof top of range Residential Mechanical Design Submittal V20140307 Page 3