2015, 08-11 Permit: BLD-2015-1085 Energy Compliancei.
Property Address: C°IDoI C V 2AcC ���
Conditioned Floor Area: �/I Z)n Date: IS
Builder or registered design professional
J-- &N Tic N ��.. tv�r S
Signature:
Ceiling: Vaulted R- 61`% Floors: Over unconditioned space R- 30
Attic R- L1 Slab on grade floor R -
Walls: Above grade R- I Doors: R -
Below, int. R- R -
Below, ext. R- R-
NFRC rating (or) Windows U- , Zr3 SHGC- N/A I
Default rating (Appendix A WSK 2012) Skylights U- SHGC- N/A
DHW I C-C.fC?-;eec— 4-.Z
All ducts & HVAC in conditioned space ( yes / l�0 Insulation R-
Air handler present ( yes / no )
Test Target 7 Z CFM@25Pa Test Result 5-7 CFM@25Pa
Building air leakage target: ACHSo < 5.0 - Tested leakage: ACHso = c 5
iQ�tflctrt�wKl�le�lri°Power Syler,14
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System type: Rated annual generation Kwh
Duct Leakage Affidavit (New Construction)
Permit #:
House address or lot number:
City: t-� y� Zip:��-�
Cond. Floor Area (ftz): �°`� Source (circle one): Pias Estimated Measured
❑ Duct tightness testing is not required. The total leakage test is not required for ducts andiair handlers located
entirely within the building thermal envelope. Ducts located in crawl spaces do not qualify fo.t this; exception.
Air Handler in conditioned space? Ryes ❑ no Air Handier present during test?j yes no
Circle Test Method: Leakage to Outside otal Leakage
Maximum duct leakage:
r
Post Construction, total duct leakage: (floor area x .04) _4o. 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) = CFM@25 Pa
Rough -in, total duct leakage with air handier not installed: (floor area x.03) = CFM@25 Pa
Test Result: I CFM@25Pa
Ring (circle one if applicable): Open 1 2 3
Duct Tester Location: Pressure Tap Location: c� �A -
I certify that these duct leakage rates are accurate and determined using standard duct testing protocol.)
Company Nameu��� Technician
Technician Signature:
Date:
Phone Number:",
Test Method
Air Hard!er,? A, -
to Exterioro Total i< -
,-ld, � .1
�aI IU. -31"
Ai- Handler no' Pr sent
<
(Leakage to Exterior or Total Leakage!
J. Test UNA25 musi be eq�7_! to or less than the LdLui6,ced target.
r
Target
Dtuvr 'Tes
Ceiling Hiegh-L _ftp.
;
T_,,' _t, a—,7,2"
Volume (cubic feet)
Test
I CFM25
17�!
Ca'.,Culated Test
�CAI
L 114 0 5r
Result (ACH50)
1<5.0 ACH50
�o
Glossary
Rough -in: Ai',Zei ii,stallation of the complete air distribucion systeivi but before installatio- of iri.ulatiori and
sheet ruck. ANow, Fo�; r aoce�,at; �t -dodard
is not rrct iv. int-ti3! test.
PoSt CCI j A J,'' y7e
"he home
to 25 pa.
71)t�;: L(:;jk,-jgtj: Aggregat.,',5on of !I -!,.e entire �jsterns duc, 1-_-Qka,�e in a diC-t test.
sticr 1-� :nil,
"ge to f ':,v: )(-rior of the (YA ':i 3 dor-I t,:,st
Pascal (w): '_Inst of r7essvr�
CFA, C-)ndit;ored floo- area w l L:artv. .eE,;
C_ 1; w __j . - .
of
CFM50: Cubic feet per rninutE ofair leakage at _0 pascals of pressure
Vott.:ae. V6unte Gi Conditioned space (CF -A kC-diog 1 *e
ACH50.- Air changes per i-ioui- az �O pas: ais cJ pressure
N TF
PMOUIV"A/,'V EVES' 'NSULATION
F ie,fx)kal , va4ey, WA 99216
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Erarch Manager
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,x -,lavidc@iwinsulation.