2014, 07-01 Permit: BLD-2014-0210 Duct Leakage Affidavit (2)r t.
VASHT VTON STATE UN
CiEXTENSION ENERGY PROGRAM
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ERS1 TY -
Permit #:
Duct Leakage Affidavit (New Construction)
House address or lot number
City:
Yii�He Vo,\ky
1217 N Arc_
St -
Zip: Ctcto16
Cond. Floor Area (ft2): Source (circle one):
Estimated Measured
❑ Duct tightness testing is not required. The total leakage test is not required for ducts and air handlers located
ent rely within the building thermal envelope. Ducts located in crawl spaces do not qualify for this exception.
Air Hand:j in conditioned space? 0 yes no
N
Circle Test Method: Leakage to Outside
Maximum duct leakage:
Post Construction, total duct leakage: (floor area x .04) = CFM@25 Pa
Post Construction, leakage to outdoors: (floor area x .04) = CFM@25 Pa
Rough -In, total duct leakage with air handler installed: (floor area x .04) = 59 CFM@25 Pa
Air Handler present during test? ® yes ❑ no
Rough -In, total duct leakage with air handler not installed: (floor area x .03) = CFM@25 Pa
Test Result: 59 CFM@25Pa
Ring (circle one if applicable):
Duct Tester Location: Fur vw,Ce
Open
1
3
Pressure Tap Location: J�uy�ry Rn,
1 certify that these duct leakage rates are accurate and determined using standard duct testing protocol.
Company Name: Datz
Technician Signature:
Date: 1_l-9
Phone Number: (zos) 969 -so%
Technician: Kyle. S.)c.wbcti