2012, 05-04 Duct Leakage Affidavit\V'1.5H1\t_i I�C)\ ,S 11\1' v\I\,'L p... \,-11
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Permit #:
Duct Leakage Affidavit
House address or lot number: / 0 / 5 c w v %N �•
City: S u) VGa,A
06.117 ,,)A
Zip:
Cond. Floor Area (ft2): 22 .1-0 Source (circle one): Plans Estimated Measured
0 Duct tightness testing is not required for this residence per exceptions listed at the end of this document
Air Handler in conditioned space? ® no Air Handler present during test 40111
11111.
Circle Test Method: Leakage to Outside Total Leakage i!
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Maximum duct leakage:
Post Construction, total duct leakage: (floor area x .08) = CFM@25 Pa
Post Construction, leakage to outdoors: (floor area x .06) = CFM@25 Pa
Rough -In, total duct leakage with air handler installed: (floor area x .06) = J 3 ..c—CFM@25 Pa
Rough -In, total duct leakage with air handier not installed: (floor area x .04) = CFM@25 Pa
Ring (circle one if applicable): Open 1 2 / 3 '
Duct Tester Location: 4 sir ii0,v i(f. R Pressure Tap Location: LC.,wvsib1 -F/ o 0 2 5 ,..e iy
1 certify that these duct leakage rates are accurate and determined using standard duct testing protocol.
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Company Name: 1� 6wk1. Wel Y" Ate Ll 1 e (IvTechnician:/Technician: i 18 r0 W (.. ..
Technician Signature:
Date: 51Y/24 Z Phone Number. c q c2 V` 03 J
Washington State Energy Code reference:
503.10.3 Sealing. Al ducts, air handlers, filter boxes, and building cavities used as ducts shall be sealed. Joints and seams shall comply
with Section M1601.3 of the international Residential Code or 603.9 of the International Mechanical Code. Duct tightness testing shall be
conducted to verify that the duds are sealed. A signed affidavit documenting the test results shall be provided to the jurisdiction having
authority by the testing agent. When required by the building official, the test shall be conducted in the presence of department staff.
Exceptions: 1. Duct tightness test is not required if the air handler and all ducts are located within conditioned space.
2. Duct testing is not required if the fumace is a nondired vent type combustion appliance installed in an unconditioned space.
A maximum of six feet of connected ductwork in the unconditioned space is allowed. All additional supply and return ducts
shall be within the conditioned space. Ducts outside the conditioned space shall be sealed with a mastic type dud sealant and
insulated on the exterior with R-8 insulation for above grade ducts and R-5 water resistant insulation when within a slab or
earth.