2014, 02-19 Duct Leakage Affidavit Duct Leakage Affidavit(New Construction)
Permit#:
House address or lot number: 11 ,0 5 . J►V S
City: 5pC 111 e Zip:
Cond. Floor Area(ft2): 1117 5— Source(circle one): (Plans Estimated Measured
❑ Duct tightness testing is not required. The total eakage 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 iim.ccm itiorred ?❑zgs,EI no Air I itami+allerpresent during 0 no
Circle Test Method: Leakage to Outside Total Leakagg
Maximum duct leakage: �l
Post Construction,total duct leakage: (floor area x.04) _ (07 CFM@25 Pa
Post Construction, leakage to outdoors: (floor area x .04) = CFM@25�Pa
7
Rough-In,total duct leakage with air handler installed: (floor area x.04)= L9 CFM@25 Pa
Rough-In,total duct leakage with air handler not installed: (floor area x .03)= CFM@25 Pa
Test Result: CFM@25Pa
Ring (circle one if applicable): Open 1 0 1�3
Duct Tester Location: 1440-1,(A /Je.4 (Ull Pressure Tap Location: J f (- `r f, v-1
I certify that these duct leakage rates_are accurate and determined using standard duct testing protocol.
Company Name: F ?/k'1 1. JQC4?n 62 Technician: --Le-A-1'1
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Technician Signature: V
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Date: / /9 i 2 "
Phone Number: "o`1 °Me '3 5 I