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Home My WebLink About6215 SAKER CT - DISCLOSURES - 6/8/2016City 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 I and testing techniques, see the "Residential New Construction Mechanical Systems Testing Guide." The guide and Ft� Collins this form may be periodically updated; check the Building Services web site for the current version. utlglle, 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 c Target Measured value ' `"��=• Other or limit to compare with Pass data target or limit ADCF = Air Density Correction Factor, based on tool, ADCF altitude (50D0'), air temperature through tool Volumetric flow (CFM 5000) = ADCF x Indicated flow (CFM) Address [� 1 _ ..,/ Date of "Residential i7 6vi Mechanical Systems Builder Design Submittal" nrii information referenced HVAC contractor by testing technicians As -built changes vs mech design submittal 14�% Testing date(s) Bath exhaust Testing tech (initials) Flow Flow box _ Pilot tube duct traverse Air temp iv ADCF tool _ Passive flow hood _ Other (note below) through tool (F) Measured Airflow Design Airflow Minimum Airflow Requirement Indicated Volumetric Exhaust PickupLocation (CFM (CFM 5000') Flow Flow Pass ss Fail + Type of Operation (CFM) (CFM 5000') 50 Intermittent _ 20 Confinuous 50 Intermittent , 20 Continuous .s 60 Intermittent _ 20 Continuous 2 50 Intermittent _ 20 Continuous +� 50 Intermittent _ 20 Continuous El _ 60Intermittent 20 Continuous ❑ _ 50 Intermittent 20 Continuous ❑ Testing notes Kitchen exhaust N/A - hood does not vent to outside El A 4- Testing tech (initials) Oven fuel Gas Electric Minimum airflow requirement (CFM 5000') + operation 700 Intermittent 25 Continu s Measured airflow Flow — Flow box Passive flow hood _Flow tool — {iitot tube traverse Tool nterior grille grid Exhaust duct location Air temp through ADCF 1 Powered flow hood Other (note below) (Exloriortenninauon not oK) tool (F) Indicated flow W CFM Volumetric flow CFM 5000' ❑ Pass ,Fail Testing notes It r Residential Mechanical Design Submittal V20140307 Page 1 3. •Ventilation. Systems other than sub -structural floor exhaust Testing tech (initials) Code -minimum ventilation airflow ^7 CFM 5000' Design ventilation CFM 5000, (based on CFA and # of BR) (� airflow System Exhaust -only IYPe Supply -only Target ventilation airflow range S to 96 CFM 5000' —Balanced — (codeintn)mum) (120% of design flow) Measured Airflow Air Temp Indicated Volumetric . Measurement Method Tool Location Through ADCF Flow Flow Tool(F) (CFM) (CFM 5000')Total exhaust N/A Passive flow hood Flow box Pilot tube traverse V( uttr.airflow 7Total JD Flow collar Other (note Below) 1 � N/A Passive flow hood supply Flow box Pilot tube traverse T airflow 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 CFM supply + exhaust flows 5000' (average +/- 15%) to 5000, ❑ Pass JF,il Sub -structural floor exhaust NIA -- no sub -structural floor exhaust system Testing tech (initials) Design exhaust airflow (based on CFM 50D0' Target airflow limits to CFM 00' approved design) (design +/-15%) Measured airflow Flow —Flow box _ Pilot tube traverse Air temp — Passive flow hood Flow collar local on tool through ADCF Powered flow hood Other (note below) tool (F) Indicated flow CFM Volumetric flow CFM 5000, ❑ Pass ,Fail Testing notes Heating4. + Cooling Duct Leakage NIA No ductwork Testing notes No ductwork outside conditioned space (ind multiple Sys) Testing tech (initials): Duct leakage Energy rater (name, data source company, testing date): House conditioned floor area Air temp (include full basement) sf through tool (F)I� ADCF Maximum Allowed Duct Leakage Measured Duct Leaka a Test Parameter and Conditidns Normalized (CFM25 5000' / 100 sf) Absolute (CFM25 5000') Indicated (CFM25) Volumetric (CFM25 5000') System #1 System #2 Leakage Type Timing Air Handler Pass Fail Pass Fail Total leakage Rough -in Excluded 3 Total leakage Rough -in Included 4 [] 101 Total leakage Complete Included 4 Residential Mechanical Design Submittal V20140307 Page 2 For multiple systems, attach one page per system System #If] Which parts of house does it serve? a r 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 P mp Colt Manufacturer � (4ry Model /`� Sf oo$oS7.t `/ ays vAo% tml) lrz` St _ Basic fiberglass _ Electrostatic Filter Thickness MERV Type Basic pleated _ Other. . brand S�Qi High-effic pleated (inches) RI (optional)® 7LG setup Speed:/ieating _Cooling _ Cont, fan _ High -stage for multi -stage- equipment Blower speed tap: M Humidifier damper. A pen (Heating) _ Closed (Cooling) registers open Zone dampers open SP1 AP Filter L (SP1 - SP2) SP2 Testing tech (initials) (Same location SP4 forNSOP, TFSOP) AP Coil (SP3•SP4) SP3 DP Total ESP (SP3•SP2) Cooling: Measured air flow through Indoor coil ❑ NIA --no, AC installed Testing tech (initials) Design cooling airflow ti�_ /�� CFM 5000' Target airflow lirnits /� to / CFMPOOO" (high stage)[ ((7 7 J (design +1- 15%) 6 $llO Measured airflow Flow grid 14 Air temp�� * ( ❑ Flow Resistance PI ate size 20 through ADCF � ( NSOP TFSOP tool (F) CorrectiononFactor Measured airflow, no `1 CFM Indicated airflow ff (( CFM Volumetric airflow, h CFM Pass adjustmentteorrection� Measured AF x FRCF 111� Indicated AFxADCF�5000' N Fail tfid,l KA 70Fa/saS5pA /-r�T I ►�59�1 Heating: Gas manifold pressure (high stage) Manifold pressurealWC Target manifold P .7 to-? IWC OEM spec @ 5000' limits (spec +A 5%) Y- Heating: Temperature rise OEM temperature rise limits e i to ��jr F (high stage) J Measured temps (F); Supply Returr f Te se Pass r�2 = Testing tech (initials) Measured IsW"® ass pressure Fail Testing tech (initials) ® Fail o Caution: within 1 OF of top of range Residential Mechanical Design Submittal V20140307 Page 3 Testing approach and targets ❑ N/A: No Complete AC system ❑ N/A: House Completed November - April (installing contractor responsible for testing in warn weather) ❑ TXV: Subcooling + SH check ❑ Non-TXV: Superheat ❑ OEM -specific: Approach ❑ Other OEM -specific (documentation required) Temperatures g air Non-TXV: ReturnF superheat Target Target (F): entering air tempi air wet -bulb temp su erheatL__1 subcooling approach Subcooling Discharge Condenser Liquid Q Actual ATXV Pass: Actual SC within pressure 31saturation T S F line -U-7 F subcooling •� 1 F 3 F of target SC, 2 F min (PSI) (5 )OU chart) temp (Coed l - lig line T) NTXV Fail Superheat Suction Evaporator Suction Actual ❑ Non-TXV Pass: Actual SH pressure saturation T F line Kancme F superheat r% F within +1- 5 F of target SH (PSI) (500(Y chart) temp(Suet line T - evap T) t� Non-TXV Fail TXV checks: Pass: Field -installed TXV installed in actorith OEM instructions Caution: Actual SH outside mfgr range Approach Liquid line F Actual approach F ❑ Approach Pass: Actual approach within +/- 1 F of target approach temp (Lig line T - condenser EAT) Approach Fail Testing Jul/9�) notes f Register air flows All registers are out through finish materials and moving air k Pass ® 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 -3 to +3 -3 to +3 b -3 to +3 6 -3 to +3 ❑ -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 Combustion safety testing NIA -- no natural -draft combustion appliances (Appliance Types table must be completed for every home) Appliance types Testing tech (initials) Appliance Combustion T e N/A Draft -hood Natural -draft Induced -draft Natural draft Power- vent Direct- vent Powered sealed - combustion Electric Furnace #1 ❑ ❑ ❑ ❑ ❑ ❑ ❑ Furnace #2 ❑ ❑ ❑ ❑ ❑ ❑ ❑ Boiler #1 ❑ ❑ ❑ ❑ ❑ ❑ ❑ Boiler#2 ❑ ❑ ❑ 1 ❑ ❑ ❑ ❑ Water heater #1 ❑ ❑ ❑ ❑ ❑ ❑ ❑ Water heater #2 ❑ ❑ ❑ ❑ ❑ ❑ ❑ Fireplace #1 ❑ ❑ ❑ ❑ ❑ ❑ ❑ Fireplace #2 ❑ ❑ ❑ ❑ ❑ ❑ ❑ Other: ❑ ❑ ❑ ❑ ❑ ❑ ❑ Worst -case depressurization performance House setup These doors are closed: # of bath fans on Vented range hood on Clothes dryer on Air handler on fans on: Outdoor temperatureF CAZ pressure setup notes: 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; 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 :z-[; Caution ❑ OK Caution ❑ OK p .h Caution ;;,. 60 60 60 ❑ Pass Fail ❑ Pass Fail ❑ Pass Fail ❑ Pass Fail ❑ Pass Fail ❑ Pass Fail 100 100 100 ❑ WICaution Pass Fail ❑ ;; 1pass Fail Caution ❑ `}'•= Pass Fail Caution Residential Mechanical Design Submittal V20140307 Page 5 Testing tech System Controls Operating Per Design Intent Local exhaust (all fans) ❑ NIA191 Pass Fail Whole -house ventilation ❑ NIA Pass Fail Sub -structural floor exhaust NIA ❑ Pass Fail Heating (all systems) ❑ N/A Pass Fail Cooling (all systems) ❑ NIA Pass Fail Signatures 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 ss City of Fort Collins Building Services Department, and that the reported results are accurate to the best of my knowledge. ,w Name (print) t Title Company fSignature and Date QA t&+a1M/ 1 Technician #2 performing Inspe ton and testing documented on this report (Approved Agency) rf:F y 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) t iti� I certify that I have reviewed this report and that the test results are an accurate representation of the performance of the installed mechanical 1.5y systems. >: r Name (I Com Signature and Residential Mechanical Design Submittal V20140307 Page 6