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Home My WebLink About2374 Nancy Gray Ave - Disclosures/Mechanical - 12/13/2016B1601090 City of Fort Collins Residential Mechanical Systems Performance Report updated 3f7/2014 This form is a record of testing targets and results, with Pass/Fail outcomes. For information on measurement tools Li ty and testing techniques, see the'Reential New Construction Mechanical Systems Testing Guide.' The guide anda of sid this form may be periodically updated, check the Building Services web site for the current version utamm 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 valuC Other or limit M compare with Pass Ceutlon data target or time HVAC contractor As -built changes meth design submi Testing dates) JADCF = Air Density Correction Factor, based on tool. ADCF attitude (5000'), air temperature through tool Volumetric flow (CFM 5000) = ADCF x Indicated now (CFM) Date of "Ri Mechanical Design information re by testing ten 2. Local Exhaust (Spot Ventilation) Bath exhaust Testing tech m Flow /" Flow boa _ Pilot tube duct traverse Air temp ADCF�� tool _ Passive now hood _ Other (note below) through tool IF)� Measured Airflow Design Minimum Airflow Requirement Indicated Volumetric Exhaust Pickup Location Airflow (CFM (CFM (CFM 5000') Flow Flow Pass Fail Type of Operation (CFM) 00' (CFM 50) 50 Intermittent _ 20 Continuous z ❑ �• YSOIntermittent 20 Continuous �! �j;r ❑ • <v j_60 intermittent — 20 Continuous �!' G/ ❑ Q 50 Intermittent — 20 Continuous ❑ 50 Intermittent _ 20 Continuous ❑ _ 50 Intermittent _ 20 Continuous ❑ • — 50 Intermittent — 20 Continuous ❑ INS Testing notes Kitchen exhaust N/A - hood does not vent to outside El Testing tech Initials)z% Oven fuel Gas — Electric Minimum airflow requirement (CFM 5000') + operation _ 100 Intermittent _ 25 Conbnuous r Measured airflow Flow — Flow box Passive How hood Pitot tube traverse Flow grid Tool - Interior grille Exhaust duct Air temp through 6 Q ADCF J tool — — location V !! i — Powered flow hood — Other (note below) (Exterior lertnination not OK) tool (F) Indicated flow CFM Volumetric flow CFM 5000 Pass �• Fail Testing notes Residential Mechanical Design Submittal V20140307 Page 1 Z—c3—)-0('G0 B1601090 �Vienti""" US o Systems other than substructural floor exhaust Testng tech (mt-e4 Codetmiriumrm ventilation sAbwi Desgnvor imn {based on CPA and of BR) wi3 CFM 623 CFM sans s r F,�-,�•,c. Target ventilation awfaw range�W J to ;:> / C FM 5OW {ow�nxmv"m1 r+2✓r�al G�gt:sa} Y � f ' Balanced a Twin balanced systems Measured AIdIw& Air Temp Indicated Volumetric Measurement Method Tool Location Through ADCF Flaw Flaw Pass Fall Tool (F) (CFM) (CFIt1 WM WA.. _PassiveEsvhoodextuiust b= Pilot tube bavelse Flow�cOw Odw (W below) WA Passive flow hood I _ Flow box Pilot tuba traverse ` Fiaa} collar _ Other (rote below) When supply airflow is circulated by air handler fan, fan speed tot measurement — Heawv —Cod`xlg — Car".,:s' t•.raus•fxst of m easured CFM Target flowAverage to supply- e4mustfows��50W' (average +}-r15%)ngel sow Testing l! nates . Substructural. floor exhaustwA-no sub -structural floor exhaust system Testing tech l i Design. exhaust airflow (based an Target akr 6" SOW(design+/- .._.�... CFM 5 r . l approved design) s (design 15%)1 l [ Measured airflow F Passive flea food _Flow txkiar — Fbwbmc _ Pitottube travers9y) Tod Wcabw[lord Air temp through ADCF _Powered flow hood _Other (rx»e tod (F) i Indicated flow CFM Volumetric flow CFM 50W {n Pass Fad Testing mtae No duct%ork Testing rat" WA No ductwork outside conditioned space fod "O410 but leakage Energy raper (name, data sauce company, testing date): House conditioned floor area sf Air temp ADCF trriroo hA 6ornao)�� through tool(F) system u11 system Leakage Type I Timing I Air Handier (CFM25 50W } 100 sf) (CFM25 S0001 (CFM25) j(CFM255WjPas5j FaillPaSsl Fail Totalleake9e Rough -in Excluded 3 ❑ ❑ ❑ ❑ Total leakage Rough -in included 4 ❑ ❑Hii ❑ Total leakage Complete Included 4 ❑ a Residential Mechanical Design Submittal V20140307 page B1601090 6�.tp4ftwpwog For multiple systems, attach one page per system System am Which parts of house does it serve? , Installed equipment (Be dear 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 Manufecfurer IN MedaiN 06,0 17A C I E,[l pL/7� i ter �e_ "sic fiberglass Electrostatic r sicpieated —other Th(dcness i , High-ef s pleated Off ches) 1/1 MLJ _ Heating A Cooling _ Cont, fan o-stage for multi -stage equipment speed taw. 1114�al fierdamper. _t A _Open (Heating) _ Closed (Cooling) registers open dampers open `� SP2 Testing tech (initials) SP4[.�'/ NS0 TFSOP) AP Coll (SP3-W4) SP3 1P Total ESP 1 (5P3SP2) Cooling: Measured air flow through indoor coil PN1A — no AC installed Testing tech ('mifialsQ2 ) ;F j ' I DesigncooliN ,�C% Target airflow limits CFM.5000' (design +1- 15%) / ,�F, 7 / �../ ! C/ L/ CFM.5000' SM > 1 [Measured airflow i r lowlate srid _ .14 j plate size k 2 t Air p throough® too] '(F� ADCFi / / i NSOP�.. Flow Resi TFSOP Cortection Facto �Q airflow. no CFM Ljl�1 CFM Ispass Vol��AFai /�' CFM h. 5W0' Fail adjustme�nt/conaction MIndicatedai Testing) notes f r�r� Heating: Gas manifold pressure mren�) resting tech (tnitials)zm l Manifold pressure Target manifold P Measured f " M Q iwc I� (yJ;') iwc ' OEM spec @ 5000' U limits (spec +l- 5%) Li O �J+ / Pressure Fail. Heating: Temperature rise Testing tech (initials) OEM temperature rise limits (/ol to C/ F (no a CC//w i ! Supply Return Temp b Pass Fail Of top of within tOF tiMeasured temps (F): air®- air — rise® Of top of range Residential Mechanical Design Subnfrttai V20140307 Page 3 t B1601090 Testing tech (Initials) Testing approach and targets ❑ WA: No ranpleta. AC tsys[orn N/A::House Completed .November - April,(ins sx vw*attarra5ponuuft fm w ugy,wemyweeww). �] TXV: Sub000itng + SH Check ❑ Non+TXV: Superheat ❑. OEM -specific: Approach ❑ Other OEM-spedficidx avabortrarrradl Ttxrtperaturos g air taaera Nr vmt-b : b temp Target Target Target= Target .. (�, enter air rem air wet -bolo temp superheat subcoolirg aPlxoartt Subcooling Discharge Condenser Condenser Uquida Actual ❑ T F of tar : t sC. Z nfnwithin pressure saturation T F line F sub0006ng F 9 F oitargetSC, 2Fmin (PSI) (500a a.7tt temp (coMT-fq lrren QTXV Fail Superheat - - Suction Evaporator Station Actual '.Q'Non-TXV Pww. Actual SH pressure saturation T F ilne F superheat F within+ I- S F of target SH + (PSI)❑ (500aiaer) tempo iSu<iYareT'OY'Pn� Non-77SVFail TXV checks: ''❑' Pass: F(etd-lnstalled.TXV tnstatled'rin accordance with OEM Insfructiorts [`Caution:.Actual SH outside m(gr range. Appreach , Liquid rime F Actual aPixoach F i❑ Approach Pass: Actual approach within */- t F of target approach tam Kp� larglfiet-mr■muarFAT)o UApproach Fell r0 CoL o 7"0 7. Room Air Plow +Pressure Balance Register air flows Testing tact, All reglsters'ara cutu��1(( through finish materials moving 7 Pass:Fail t, (Remainder of register air flow section under developmen. not yet being enforced) Pressure balance Testing tech (inwats Room (match names on plans, include basement if there is a door) Room-i:64ore Pressure Drop Target Range (Pal Measured Pressure Drop (Pa) Pass Fail r -3 to +3 (� ❑ -3co+3 O 3 to +3. ❑ ( -3 to +3 ❑ -3to+3 ❑ ❑ -3 to +3. ❑ ❑ 4to +3 ❑ -3 to +3 ❑ -3 to +3 ❑ Residential Merhanlcal.Design Submittal V20140307 Page 4 s � B1601090 f� o _ o .� , ,'� �..��b�on s8f0ty testing.WA�.,-rio nattrtal�drefl COm�stiOn aPdiancaa� , . . Testin9 terh(initla�s)�j/ J//r . Types tabie must be completed tor every home) fC�„r rv� ApPlianee iypes � Combustlon � . i ., APWianuo :,ry�A ,..Dteft-ho0tl �induoad4rek�� Powery Direat� Powerad�mealed� � ' � . ' Natura4draR NaWrel-dra vent � verd oombusUon .QeGric FumecaAl []. ❑ . �Q ! [] [� CJ. ... FumecO if"1 . .... . � ❑ �' . ❑ . . . BoO�#t � � ❑ , ❑ ❑ � � Baitea^#2' � .... . . ❑ . . �'. .. .. Q .,.... ❑ . ..._ Q ...�. � �❑ �� . Water he&ter ftt . [] ❑ . ❑ .. .❑ ❑ ❑ WBtet taBBYer tt2 � ❑ ❑ ❑ ❑ �] FlraWace ui ❑ ❑ ❑ ❑ ❑ ❑ �� o 0 0 0 0 _ o , o�,�: ❑ ❑ o ❑ ❑ o Wo�sttase depressurizaUon performance tHouse.setu � . ! . . .. . ..._ � � Th¢se d00(9 are cJosCd: � . ... . . _ _. � _�of hath faru on , t �VeMed range:MOod�ort ' � . .� GotheB�dryeron � Air haridler on _ � � Otlier:fans on: . . Otlter.setup�notes:. . . . - .. . . . . . . � � � . . . . .. ' � . . : -�. j �� Tested a I'iances } Outdoortemperature�F Appliance - . . _ .. . . . ' � . . �ocation `.. . '.. . . �. � �CAZ pressure� . � .. � . . �.- . . . . . � BPI depressurization limit (Pa rve oulside) 1 �i MeaSured�netCAZdePressuri7ation�� (Pa�wAoutside) .. . . .. . .. . . .. . . t f � OK(less negative)��Ca�fion(mae tregative) ❑ oK; ..0... cawon ❑ oK [3. ca� p'. oK �.:Gl ca�n:� . ; 'SDfllage � � BPl ma�dmumJimit (seconds) , 60 80 &p j � � Meawred spillage durdtiort (seconds). I Pass=duration not exceeding:.limit ' � ❑ Pass ❑ Fail .❑ Pass (Q Faii �❑ Pass... . [( Fail � ; ? �Draft pressure � . . . . � ;'� BPl,limit ' � (PawrICA� G ! ` Measured� , . , (�`�'��) . . .. . f f � Pass=pressure more negafive than limit ❑ Pass � ❑ Fail �.�❑ Pass � Fafl � ❑ Pess ❑ Fail . . ? kC0 concerrtratton in undiluted flua ges ...... . . . . . . . . . .. . . � BPI maximum limit (ppm), 100 100 iQ0 i � � Measured��CO � (PDm) 1 � � f Pass=CO Ievei not arceeding limil ❑ Pass ❑ Fail ❑ Pass � Fail ❑ Pass ❑ Fail : ; � Caution=CO tevel 25 tu 1�ppm [1 Caution [] Caution Q 'Catidon 1 � . � 4 T�^� , ! � � la,s � , Residential MerharuC�l Design SUbmiCai , V20140307 Page 5 B16Q1094 ,� �� _ �� , T��c�y + GonVats Oparati� � �� ParOcsignln[am 7aeU Noles �� .�_ . . . . . . .. . . ... . . . . . . . .. _. LGaai 6a�uct(atl f�ral [� WA Pese •�1 Faa Vem�lalion j� N!A PesS (� Fafl s�u�cn�cw��a�a+aa,s� ` wn C! Pas4 CI Feii H„�tin9{aG sYsistns) L� NIA ;�, Pass � Q �Eel CoainB{aJi sY�M19) �� (� ktA ,� Pasa [„] Feil '��. � T�haiciand}t�paAarmEng ielspectlon a�nt t�tlng documeMod on lhis report(Approved Agancy} � f�rtify Utat�th8�te=ds�refCretiomd above,in.eediais bearin9 my iniGals,were�PB��F in sc�rd8nce+Mth aoto�ts speafied by tt� _ , -Ciiy t�FMt Colliris Bufklfng Servioes�ePa�tmem.arni that Mie reported resuks are accurate ta the t�of my W�owledge. . Neme(prinU . � � i '(ille , ; ... . . . . . . .. . . . _. . ... ,. 4 ComPe�Y ! k Sipnawre arM Qate � �--f Tethnician�#2 perfortninginspec8on�ami testing documeMed on�thfs report(Approved Aganey) �I��rtiy�tl�ai..the tesffi refererxed��above,in sections bParing�my�iniBals;were perfamed�:in aaordance with�s sPed�ed bN IM' �City oT Fort Collins Buikfing Senices�0epartment,.and that the repatad resutts are axurate to tlie best of my knowledge. � ! Name(Pdnt) .. .. . . . . . � Title co�„��y Signawra and'Date . HVAC ConVattor(C�ty ot FOR Coliins tlee�e holde� 1 certify that I have:revie�+ed�this�report arW that the test results are an accurate represenhatiwY M the performance of the itsta110d mecl�anipl systems. { Name(priM) �l � . . .. . . .^ . . . _ . . � ��/ 11 1 � ✓').. � � � � � Title �� . Comparry (� - � �G►�' �2�C1 t� l LQ_ Sgnature and Date /� Residentiat Mechanical Design Submittal V20140301 Pape B r .