2015, 03-16 Duct Leakage Affidavit!E
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Permit #:
Duct Leakage Affidavit (New Construction)
House address or lot number: 5'41ot Avo.lot, Re
City: Spolc pone \Ic.11ey
Zip: - 91216
Cond. Floor Area (ft'): )'-120 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? 0 yes ® no Air Handler present during test? ® yes 0 no
Circle Test Method:
" Leakage to Outside LTotal Leakage
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) = 56 CFM@25 Pa
Rough -In, total duct leakage with air handler not installed: (floor area x .03) = CFM@25 Pa
Test Result: 99 CFM@25Pa
Ring (circle one if applicable):
Duct Tester Location:
Co\, Air
Open
12etu"n
1
2
Pressure Tap Location
6)
ICI FcLe Sr✓rD ►�
I certify that these duct leakage rates are accurate and determined using standard duct testing protocol.
Company Name: Ductz
Technician Signature:
Date: 3 ` 16-15
Phone Number: (213a) 96-1-5o8el
Technician: Kyle Scarnviso',