2014, 06-17 Duct Leakage Affidavitrrti
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Permit fY.
Duct Leakage Affidavit (New Construction)
House address or lot number: 1246 Al Are SI -
City: hreevIacr,C
Cond. Floor Area (ft2): I1-1RO Source (circle one) -
Estimated Measured
❑ Duct tightness testing is not required. The total leakage test is not required for ducts and air handlers located
entirely within the building thermal envelope. Ducts located in crawl spaces do not qualify for this exception.
Air Handler in conditioned space? ❑ yes g no
Circle Test Method: Leakage to Outside
Maximum duct leakage:
Post Construction, total duct leakage: (floor area x .04) = _CFP;1(g2,25 Pa
Post Construction, leakage to outdoors: (floor area x .04) = CFM a)25 Pa
Rough -In, total duct leakage with air handler installed: (floor area •: 04) = $y_CFM(q25 Pa
Rough-ln, total duct leakage with air handler not installed: (floor area .03) _ CFM(d)25 Pa
Air Handler resent during test? fkil yes ❑ no
Test Result: G) CFM@25Pa
Ring (circle one it applicable):
Open 1
Duct Tester Location: Furv,cg Pressure Tap Location. U+ -i Ii 1-y pM Supply
I certify that these duct leakage rates are accurate and determined using standard duct testing protocol.
Company Name: Qoci-Z
Technician Signature:
Date: C -11-19
Phone Number: (Zo$) Q6`I -,So&c
technician: ILy1e SwO .Vot,