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Home My WebLink About6227 SAKER CT - DISCLOSURES - 7/11/2016,-�— ((-7�0fi0 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 CCCiitty, of and testing techniques, see the "Residential New Construction Mechanical Systems Testing Guide." The guide and FVI ` Colons 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 Measured value Target to compare with r, - S Pass ( Other or limit target or limit 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) House1. rrr---rrr Address r „Z2 4 Date of "Residential �Y Mechanical Systems n Builder -r Design Submittal" information referenced r HVAC contractor by testing technicians As -built changes vs mech design submittal 2. Local Exhaust (Spot Ventilation) TestingBath exhaust ■/lid Flow — Flow box _ Pilot tube duct traverse Air temp t ] ADCF r Z 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 Fall + Type of Operation (CFM) (CFM 5000') 0)0 _VV0 Intermittent — 20 Continuous 'j(, El�v — 50 Intermittent _ 20 Continuous GJLj ❑ 50 Intermittent , 20 Continuous] ❑ Intermittent _ 20 Continuous ❑ — 50 Intermittent — 20 Continuous ❑ — 50 Intermittent `20 Continuous ❑ — 50 Intermittent _ 20 Continuous ❑ Testing riotes Kitchen exhaust N/A - hood does not vent to outside Testing tech (initials) Oven fuel Gas Electric Minimum airflow requirement (CFM 5000') + operation 100 Intermittent 25 Continuous Measured airflow Flow — Flow box ZPitot tube traverse Tool — II rior grille Air temp tool —Passive flow hood Flow grid ✓E�diaust duct through ADCF Powered flow hood —Other note below location — ( ) (Exterior torminflon not OK) tool (F) Indicated flow CFM Volumetricflow CFM 5000' ass ,Fall Testing notes OY4,LA NLq, AA)W VA 6Vt *\rK11 6st-3eWN fr,,L-d%,y Residential Mechanical Design Submittal V20140307 Pagel Systems other than sub -structural floor exhaust Cod ( minimum ventilation airflow CFM 5000' Design ventilation (]� CFM 5000' based on CFA and # of BR airflow L Target ventilation airflow range �j to �(� CFM 5000' (cod�inimum) (120%of design flow) Testing tech (initials)I�®t! \ I System — a`ustonly typo —Supply only _ Balanced Measured Airflow Air Temp Indicated Volumetric Measurement Method Tool Location Through ADCF Flow Flow Pass Fail Tool (F) (CFM) (CFM 5000') Total exhaust NIA Passive flow hood _ Flow box — Pilot tube traverse n v% � (4 1 airflow Flow collar Other (note below) j(/. Total NIA Passive flow hood supply _ _ — Flow box Pilot tube traverse , ❑ 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%)F to 5000, Pass Fail Sub -structural floor exhaust ❑ N/A -- no substructural floor exhaust system Testing tech (initials) Design exhaust airflow (based on CFM 5000' Target airflow limits to CFM 5009 approved design) (design +1- 15%) Measured airflow Flow box _Pilot tube traverse Air temp Flow — Passive flow hood _ Flow collar Tool through ADCF tool --Powered flow hood Other (note below) location tool (F) Indicated flow CFM Volumetric flow CFM 5000' ❑ Pass ,Fall Testing Heating4. + Cooling Duct Leakage WA — No ducriwrk Testing notes � ` -- �\I ✓�10 ductwork outside conditioned space pnG multiple sys} Duct leakage data source _ Testing tech (initials): _ Energy rater (name, company, testing date): House conditioned floor area Air temp ADCF � (include full basement) meat) sf through tool (F) Maximum Allowed Duct Leakage Measured Duct Leakage System #1 System #2 Test Parameter and Conditions Normalized (CFM25 5000' / 100 sf) Absolute (CFM25 5000') Indicated (CFM25) Volumetric (CFM25 5000') Leakage Type Timing Air Handler Pass Fail Pass Fail Total leakage Rough -in Excluded 3 ❑ ❑ Total leakage Rough -in Included 4 ❑ ❑ Total leakage Complete Included 4 ❑ ❑ Residential Mechanical Design Submittal V20140307 Page 2 For multiple systems, attach one page per system System #M Which parts of house does it serve? r" 6 V— Installed equipment (Be clear about which AC components are installed at time of testing) Testing tech (initials) St Furnace or Boiler J AC or Heat Pump Condenser AC or Heat Pump Coil Manufacturer IdModel#/ 7 1[ 66D206z-1[�"�t�ji�As®�(y (� �i� � 1"!iZ7—`1 Filter _ Basic fiberglass _ Electrostatic Thickness /_ MERV brand TypeI-Zhligh-effic " sic pleated _ Other. (inches) (optional) pleated auL; p Setup Speed: ✓ Heating _Cooling _ Cont. fan _ High -stage for multi -stage equipment Blower speed tap: V-K Humidifier damper. Open (Heating) _ Closed (Cooling) All registers open ((J kone dampers open SP1 AP Filter \ (SP1 - SP2) l Cooling: Me�sured air flow through Indoor coil Design cooing as (high stage) tage) CFM 5000' � 1 ��`" Measured airflow SP2 ❑ NIA -- no AC installed Testing tech (initials) (Same location • SP4 . / _ for NSOP, �(J TF50P) AP Coil (SP3$P4) '7 . SP3 OP Total ESP G (SP3-SP2) Testing tech (initials) Target airflow limits p (design +1-15%) C/2 to 1, CFM 5000' Flow grid �4 plate size ✓ 20 - Air temp t tool rough® (F) ADCF NSOP r) Flow Resistance TFSOP Correction Factor- Measured airflow, on adjustment/correction (� Qd'� CFM Indicated x airflow (/ j]��—�,�) CFM Measured AF x FRCF r 1 �`� Volumetric airflow CFM ass Indicated AF x ADCF 5000'.Fail Heating: Gas manifold pressure (high stage) Testing tech (initials)�J Manifold pressure5000-�IWC Target manifold P OEM spec Q 5000' � � � limits (spec +/- 5%) to �� 7% Zf � IWC ass Measured rsure WC pressure . Fail Heating: Temperature rise Testing tech (initials) OEM temperature rise limits ` F (high stage)l to Measured temps F : Supply 7, Z� Retum�I]%1.�f�7�I Temp i p () air /3� airL1—J — rise Pass Caution: within 10F Fail .�, top of of range J-�>-£�%GtiN3 e 1330 GFN\, Residential Mechanical Design Submittal V20140307 Page 3 ...y cVV. anu ... ycw ❑ N/A: No complete AC system ❑ NIA; House completed November - April (installing contractor responsible for testing in warm weather) XV: Subcooling + SH check ❑ Non-TXV: Superheat ❑ OEM -specific: Approach ❑ Other OEM -specific (documentation requ,red) Temperatures Condenser Non-TXV: Return Target Target Target (F): entering air temp airwet-bulb temp ® superheater subcooling approach Subcooling Discharge Condenser Liquid Actual a V Pass: Actual SC within +/- pressure V� saturation T J� 1 F line ,� F subcooling r 0 F 3 F of target SC, 2 F min (PSI. (5l) XY chart) ( l temp (Cana T - liq tine l ® TXV Fail Superheat Suction Evaporator Suction Actual ❑ Non-TXV Pass: Actual SH pressure I �Q saturation TIq5 F line F superheatF within +!- 5 F of target SH (PSI) ` �J (SOW chart) temp (Sucl line T- Non-TXV Fail TXV checks: ❑ Pass: Field -installed TXV installed in accordance with OEM instructions ![];Caution: Actual SH outside mfgr range Approach Liquid line�F Actual approach�F El Approach Pass: Actual approach within +/- 1 F of target approach temp (Liq line T- condenser EAT) Approach Fail i?'1 P"-c - 647� - All registers are cut through finish materials and moving air ass .Fail ---------- (Remainder of register air flow section under devolopment, 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 Fall -3 to +3 5 -3 to +3 �-I -3 to +3 r. -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 i safety testing N/A -- no natural -draft combustion appliances Types table must be completed for every home) Appliance types Testing tech (initials) Appliance Combustion T pe N/A Draft -hood Natural -draft Induced -draft Natural -draft Power- vent Direct- vent Powered sealed - combustion Electric Furnace #1 ❑ ❑ ❑ ❑ ❑ ❑ ❑ Fumace #2 ❑ ❑ ❑ ❑ ❑ ❑ ❑ Boiler #1 ❑ ❑ ❑ ❑ ❑ ❑ ❑ Boiler #2 ❑ ❑ ❑ I ❑ ❑ 1 ❑ ❑ Water heater #1 ❑ ❑ ❑ ❑ ❑ ❑ ❑ Water heater #2 ❑ ❑ ❑ ❑ ❑ ❑ ❑ Fireplace #1 ❑ ❑ ❑ ❑ ❑ ❑ ❑ Fireplace #2 ❑ ❑ ❑ ❑ ❑ ❑ ❑ Other: ❑ ❑ ❑ ❑ ❑ ❑ El Worst -case depressurization performance House setup These doors are _ # of bath fans on _ Vented range hood on _ Clothes dryer on _ Air handler on Other fans on: Outdoor temperatureF CAZ pressure BPI depressurization limit setup notes: (Pa wrt outside) Measured net CAZ depressurization (Pawn 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 Q Caution ❑ OK , . i Caution ❑ JOK 1ji,) •' Caution 60 60 60 ❑ Pass Fail ❑ Pass Fail ❑ Pass Faii ❑ Pass Fail ❑ Pass Fail ❑ Pass Fail 100 100 100 ❑ I.OgW_ Pass Fail ❑ Pass Fail ❑ Pass Fail Caution Caution �, Caution Residential Mechanical Design Submittal V20140307 Page 5 Testing tech System Controls Operating Per Design Intent Local exhaust (all fans) ❑ NIA Pass Whole-house ventilation ❑ NIA Pass Sub -structural floor exhaust IA ❑ Pass UFail Heating (all systems) ❑ NIA Pas Cooling (all systems) ❑ NIA Pass 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 Buildingervices Department, and that the reported results are accurate to the best of my knowledge. Name (print) Title Company 'i Signature and Date MINES IWO� '1�7, Technician #2 performing inspection and testing documented on this report (Approved Agency) t 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. y. S. n s Nai w w� �4 t C„ trt Signature HVAC Contractor (City of Fort Collins license holder) I certify that j have reviewed this report and that the test results are an accurate representation of the performance of the installed mechanical systems. ;+ Na �t: f� h Signature Residential Mechanical Design Submittal V20140307 Page 6