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2012, 08-22 Duct Leakage Affidavit/• 0 •- t( - ( - a ,/I- _ , 0 0 a- C') (� c9 c; Cz r'.�^ S_.0 r,'11 ,t Duct Leakage Affidavit I.• .,. ..�r . �I • i:ril �y� \' •11 l I Nt I t ►N 1411 'l 1\' 1,,lt,Sl`i l? � O,t Penviit I : House address or lot number: %1?/S' City: Va<ajfe---_ Zip: 9/6!1a Cond. Floor Area (ft2): (36/ Source (circle one): Estimated Measured 0 Duct tightness testing is not required for this residence per exceptions listed at the end of this document Aft Handier in conditioned space? 0 yesno Circle Test Method: Leakage to Outside ii/da)coornaanna thact leakage: Porgy: Couos,truta:i:flasuo, total duct Ileekage: (floor area x .08) = CFM025 Pe i°o9A Ciartg rlootIoo, taaattage to outdoors: (floor area x .06) = CFMQ25 Pa It.anutgh-llu7t, total tuna leakage with air handier installed: (floor area x .08) = (c CFM(c25 Pa li,kougtv-tail, total duct leakage vuitth air handler not installed:. (floor area x .04) = CFMt 25 Pa Temt tiseast.uit: 7l CFM©25Pa Air Handler present during test? ,[yes 0 no Riney (circle one if applicable): Duct Tester Location: �� fl Open 1 Pressure Tap Location: /eN4r #oor n:,4trtiifyp that theae leakage rates are accurate and determined using standard) duct tasting protocol. Company Name: Technician Signature: Technician: Coreel/ Date: 5-2Z-14. Phone Number: /Kg r l Cd5---- Ultesloington State Energy Code reference: 503.10.3 Sealing. Ali ducts, air handlers, filter boxes, and building cavities used as ducts shalt be seated. Joints and seams shall comply with Section 11111601.3 of the international Residential Code or 603.9 of the international Mechanical Code. Duot tightness testing shall be conducted to verify that the ducts 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 ars Located within conditioned space. 2. Duct testing Is not required if the furnace Is a nondireot 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 mastiotype duct sealant and insulated on the exterior with R-8 insulation for above grade ducts and R-6 water resistant Insulation when within a slab or earth.