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HomeMy WebLinkAbout2015, 03-04 Duct Leak AffidavitAASHiN(1(:►N STATE UNI \ ,i SHY Duct Leakage Affidavit (New Construction) Permit #: OLD '2.0ww— tZ68 House address or lot number: \ cc.\c‘uf€ h City: ©kc`v t V..)\ Cond. Floor Area (ft2): `1 C._ 0 Zip: '16t.C3t Source (circle one): ( PI Estimated easured ❑ 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 �n Circle Test Method: 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) _ 7 0 CFM@25 Pa Rough -In, total duct leakage with air handler not installed: (floor area x .03) = CFM@25 Pa Leakage to Outside Air Handier present during test? OA yes ❑ no Total Leakage Test Result: 5 C7 CFM@25Pa Ring (circle one if applicable): ✓11,0. Open Duct Tester Location: \ v (ihc1,C f 1 2 Pressure Tap Location: 3 S Litt' IJ I certify that these duct leakage rates are accurate and determined using standard duct testing protocol. Company Name: Technician Signature: Date: 3111/15 Technician: Phone Number: