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Home My WebLink About5905 Cross Creek Dr - Disclosures/Mechanical - 06/13/2019D-7a I 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 "Residential City of Fort Collins and testing techniques, see the Now Construction Mechanical Systems Testing Guide." The guide and this form may be periodically updated: check the Building Services web site for the current version. /�— emNos 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 Measured value Target Other or limit to compare with Pass Fall Caution data target or limit ADCF = Air Density Correction Factor, based on tool, ADCF altitude (5000'), air temperature through tool Volumotric flow (CFM 5000') = ADCF x Indicated flow (CFM) NEW Address rJq�S /t _ 9 Date of "Residential Mechanical Systems Builder t tn/lOr�t �y-t Design Submittal" information referenced HVAC contractor Qut c-aa> N CA-c qG Aig by testing technicians As -built changes mech design submit Testing date(s), 2. Lccal E'haft`s #;Veiltllat art ` r ' �� ; t a yy //��t1t1 �... .�.r4?�.+rt. ,erg., F o tR7, tit Bath exhaust Flow Flow box Pitot tube duct traverse Air tomp�� tool Passive flow Hood Other (note below) through tool (F) �pg Testing tech (Inittals)® ADCF OQ� Exhaust PickupMinimum Location Design Airflow (CFM 5000') Airflow Requirement (CFM 5000') + Type of Operation Indicated Flow (CFM) rr, nvvr Volumotric Flow (CFM 5000') Pass Fall ®50 IntermitentO20 Continuous Q $ LK El h[} (OCLt'Z ®SOlplermittenl❑20Co1.ntinuous '�� O5 9 El &ka, lFjsb!nlorrmjlterit *Continuous. 1Z a o 7 M ET 4115 10 SO Ine"IttenVo 20 Continuous f;7/1 D' 501ntermittenC 20:goril)nuous s0lntermiltenl 20•Corilinuous Ej EI 050 'Intemnittent 0 20 Continuous Testing notes Kitchen exhaust N/A - hood does not vent to outside ❑ Testing tech (Initials)2<,—1 1 Oven fuel 0 Gas ❑ Electric Minimum airflow requirement (CFM 5000) + oporation E3100 Intermittent l3 25 Continuous Measured airflow Flow Flow box Pilot tube traverse Interior grille Air temp Passive flow hood Flow rid Tool I— tooi g location ICtExhausl duct through G a ADCF acj ,J Powered flow hood Other (note below) (ExloJar Iorminn0on not OK) tool (F) Indicated flow 3..10 CFM Volumetric flow a.9 7 CFM 5000' RPass Fail Testing notes Residential Mechanical Design Submittal V20140307 Page 1 .. _ ,- + ! r--♦ ,Gr , sa 3 � .".., °¢.�1 Ud Votl Systems other than sub -structural floor exhaust Testing tech (initials)® Cod minimum ventilation oirflow p ' } CFM 5000' Design ventilation CFM 5000, ❑ based on CFA and 11 of BR E — airflow System Exhaust -only Supply -only I typo ❑Balanced Target ventilation airflow range 14 to / 01 I CFM 5000, F(.ode mlNmum) (120%'ot'aoslgnllow) Measured Alrflew AlrTemp Indicated Volumetric Measurement Method Tool Locatlon Through ADCF Flow Flow Pass Fall Tool (� (CFM) (CFM 5000') Total ❑ N/A El flow hood exhaust El Flow box Pilot tube traverse ❑ airflow ❑ Flow collar ❑ Other (note below) Total ❑ NIA [:)Passive flow hood ' supply airflow ] Flow box 0 Pilot tube traverse Flow collar Other (note below) AT 17- grvl•P&P. �� , � 014 B 7 � 5 [� � When supply airflow is circulated by air handler fan, fan speed for measurement E3 floating Cooling ❑. ContinuouLL%ls fan Balanced airflow in balanced systems Average of measured CFM Target flow range x'. , to _ CFM ❑Pass ❑' Fail supply + exhaust (lows 5000' (average +/-15%) 5000' Testing !� notes I GLQ �i J� C-o l nit✓ le Co6i &f,-A ;2 l -2 5'5/o TD(9-Tv Oy cj_� Sub -structural floor exhaust gN/A -- no sub -structural floor exhaust system Testing tech (initials)® Design exhaust airflow (based on CFM 5000' Target airflow limits approved design) to CFM 5000' (design +/- 15%) ' . - Measured airflow FlowILJ Flow box Pilot tube traverse Tool Air temp tool ❑Passive flow hood ❑Flow collar location through❑ gOCF� ❑Powered flow hood ❑Other (note below) tool (F) Indicated flow CFM Volumetric flow CFM 5000' Pass Fail notes �iaw r " . uC,. .�, ,.^..J...r.�^mr, 4,,.)'°e +"-rS�;tRht e:l')nq ./�Yn„ y +...."^�"'"y' a sk ;�xviu�'?o y ae �.' �',• "., r, C��'�L�'i J.NIA111 No ductwork Testing notes Duct leakage L::ni rgyrater (name, rAdui 4 data sourcempany, testing dale): r — House conditioned floor area ro Air lamp � (include da lull basement) of through tool (F) System R7 I System #2 Leakage Typo Timing Air Handler (CFM25 5000' 1100 st) (CFM25 5000') (CFM25) (CFM25 5000') Pass Fail Pass Fall Total leakage Rough -in Excluded 3 1 ❑ ❑ Total leakage Rough -in Included 4 ❑" '❑ Total leakage Complete Included 4 El El El Residential Mechanical Design Submittal V20140307 Page 2 mmmill e For multiple systems, attach one page per system ;2 System 11FI Which parts of house does it servo? &a4O JI i-JOt980,) ryarS�l.IMC 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 AVLAoiA AV,4,qmA AV1,02m {fJ Model # GIN ex—%0603 A GSM 30301 13 I CAAf 3I DC, IZ> F�High-effic asic fiberglass _Electrostatic Filter Typeasic pleated — Other: Thickness If MERV brand F[ pn pleated (inches) { (optional) Static pressures Speed: El Heating JZCooling ❑ Cont. fan ❑ High -stage for multi -stage equipment speed tap: damper: NIA ❑Open (Healing) ❑Closed (Cooling) IN All registers open E]Zone dampers open SPt AP Filter I - SP2) Cooling: Measured air flow through indoor cola Design cooling arflow I O�jC CFM 5000' (high stag-) O J Measured airflow SP2 Testing tech (initials)= (Same tocalion - Spit a3 for NSOP, TFSOP) AP Coil (SP3SP4) +SP3 AP Total ESP rJ(P (SP3•SP2) Testing tech (initials) Target airflow, limits . r�77 r - (design +/-15%) `" �07. to-, I �,r-f'FS ' CFM 5000'. N/A -- no AC Installed Flow grid 14 PI size 20 p � Air to gh & 0 lhrott h toe) (F) ADCF 1 •09 NSOP r (w TFSOP 7 Flow Resistance Correction Factor��yy�� Measured airflow, no adjustment/correction ��q CFM Indicated airflow MeasurodAFxFRCF�CFM Volumotric airflow, (� I CFM ERPass 5000' Indical-OAFxADCF Fail Heating: Gas manifold pressure Manifold pressure u IWC OEM spec Q 5000' 'J ,rJ Heating: Temperature rise (high stags) Target manifold P E�l IWC limits (spec +/- 5%) OEM temperature rise limits to F (high stag-) Measured temps (F): Supply O$ _ Return 6� Temp Lib f4I Pass 1 alr dse n Testing tech (initials)® Measured r! IWC Pass pressure [] Fail Testing tech (initials) ❑ Fail Caution: within 10F of top of range Residential Mechanical Design Submittal V20140307 Page 3 �..Y f$.-I rYn yn �. P "1Y , 5 ':N 6.Re;r� erantCharge t:fl ;. ry K 7 e ram."h pkearr S* t: +""h Testing tech r. Testing approach and targets ❑N/A: No complete AC system ❑ NIA: House completed November - April (instalmr; contractor responsible for tosting in wamt weather) ❑TXV: Subcooling + SH check R Non-TXV: Superheat ❑ OEM -specific: Approach ❑ Other OEM-specllic (documentation required) El Temperatures Condenser e Non-TXV: Return � Targel� Target � Target (Fj: entering air temp air wet -bulb temp �� superheat -� suhcooling \' approach Subcooling Discharge rossuro p g❑ Condenser saturation T F ❑ Liquid q lino Actual F subcoolin F 9 ❑TXV Pass: Actual SC within +/- 3 F of target SC, 2 F min g (PSI) (5000'chon) temp (CondT -f.q line T) pTXV Fail Superheat Suction Evaporator Sucllon Actual ®Non-TXV Pass: Actual SH pressure 1 I $ l saturation T F lino 5O- F superheat r Qo F l within +/- 5 F of target SH ❑Non-TXVFail (PSI) (5000'chnn) lamp isuctfnoT•ovapT) TXV checks: ❑ Pass: Field -Installed TXV installed in accordance Will OEM instructions ❑ Caution: Actual SH outside mfgr range Approach Liquid IinP�F tam Actual approach EXh�F []Approach Pass: Actual approach within +/- 1 F of target approach (Liq@nei-wndonscrFA7) ❑Approach Fail Register air flows Testing tech (inilials)zz�] All registers are cut through finish materials and moving air 13Pass nFail (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 -Coro Pressure Drop Target Range (Pa) Measured Pressure Drop (Pa) Pass Fall Mr3rZ -3tq+3 2 Idf 'CI r C,ptsr�IDfL� -3 to +3 ® ❑ iZ 'Z -3 to +3 ;% ® ❑ .3t6+3 r ® .❑. B A a -3 to +3 ® ❑ M4 •3 to +3 a ® ❑ -3to+3 l ® ❑ 3to+3 1 ® ❑ Residential Mechanical Design Submittal V20140307 Page 4 Combustion safely testing WA — no natural -draft combustion appliances lath (inilials)� (Appliance Types table must be completed for every home) Testing Appliance types Appliance Combustion Type N/A Draft -hood Natural-draft Induced -draft Natural -draft) Power- vont Direct- vent Powered soaled- combustion Electric Furnace 01 ❑ ❑ ❑ ❑ ❑ ❑ ❑ Furnace 112 ❑ Cl ❑ ❑ ❑ ❑ ❑ Boiler #1 ❑ ❑ ❑ ❑ ❑ ❑ ❑ Boiler #2 ❑ ❑ ❑ ❑ ❑ ❑ ❑ Water heater #1 ❑ ❑ ❑ ❑ ❑ ❑ ❑ Water heater 42 ❑ ❑ ❑ ❑ ❑ ❑ ❑ Fireplace #1 ❑ ❑ ❑ ❑ ❑ ❑ ❑ Fireplace #2 ❑ ❑ ❑ ❑ ❑ ❑ ❑ Other: ❑ ❑ ❑ ❑ ❑ ❑ ❑ Worst -case depressurization performance r nose Boors are ct `1t of bath fans on —Vented range hood on _ Clothes dryer on —Air handler on Other fans on: Other setup notes: Outdoor temperature = F CAZ pressure BPI depressurization limit (Pa wrt outside) Measured net CAZ depressurization (Pa wrt outside) OK (less nogativo) 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 turf 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 notes JOK -caution K ❑ Co ❑ OK ' O; Caution❑ 60, ❑ Pass '❑� Fail ❑ Pass ';0_ Fail ❑ Pass ;❑° Fail ❑ Pass []: Fall ❑ Pass ❑` Fall ❑ Pass Fail 100 100 100 ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑. Fail ,❑; Caution .'❑ • Caution ❑" Caution Residential Mechanical. Design Submittal V20140307 Page 5 ..> .. . %iSystem Co:i.r .w. S'r t;sa'�r'.«.r.w+r1F"`M�.�+1. �r,r ��wt+V,Y�h'y1i �'�t n�j+l.oa .�� n •.�.S�t�t .�.'��i, .F T�' Testing tech (initIals)2KZ1 System Controls Operating Per Design Intent Local exhaust (all fans) ❑ NIA Pass ❑ Fail Whole -house ventilation N1 NIA ❑ Pass •❑ Fail Sub -structural floor exhaust 10 NIA ❑ Pass ❑ Fail Healing (all systems) ❑ NIA ® Pass ❑, Fail Cooling (all systems) ❑ NIA CK Pass `-❑': Fell Testing Notes a j•-ws P4y ,.r� •, C:. r i+i'�4'ta ask .-ALIE] Skgnatkq!!;-- 3 .dy C5 , eke FwY ..a ew wFi lays y}�Fy Fy'rrM y f * = of ..LYv Technician 07 performing Inspection and testing documented on this report (Approved Agency) i I certify that the tests referenced above, in sections bearing my initials, were performed In accordance Wth protocols specified by the 4 City of Fort Collins Building Services Department, and that the reported results are accurate to the best of my knowledge. A t-LI iuL> 1-]6A-r,Fr& a(e. to-r3-�9 - Name (print; Title 1 , Company Signature and Date Technician 42 performing inspection and testing documented on tll eporl (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. '1 Na .r Signature HVAC Contractor (city of Fort Collins license holder) r'l I certify that I have reviewed this report and that the lost results are an accurate representation of the performance of the installed mechanical systems. Na Signature Residential Mechanical Design Submittal V20140307 Page 6