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2014, 08-21 Duct Leakage AffidavitENSIGN �r7 Duct lLeakagee Affidavit (New Construction) Permit it: /� LD Tai - IC& House address or lot number: City: . ,(DO h^^e/ V 1) Lie Zip: .7 9907e Cond. Floor Area (fir): Source (circle one) NUM'? PROGRAM Estimated Measured ❑ Duct tightness testing is not required. The total leakage test Is not require. or 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 condltioned space?lyes 0 no Circle Test Method: Leakage to Outside Air Handler .: --n . uring test? I yes ❑ no Maximuin duct leakage: Post Construction, total duct leakage: (floor area x .04) = 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 handler not Installed: (floor area x.03) = CFM@25 Pa CFM©25Pa I (Test Result:1. Ring (circle one if applicable): Open 1 2 3 I 11 M Duct Tester Location: 1 l `l`i ti ` ek `�, Pressure Tap Location: t t- rik- fp� 1 certify that these duct leakage rates are accurate and determined using standard _du/ct testing proto ol. Technician: J l i/ / t kJ-ut JIG`✓Y7 Company Name: 9 ' { e. Technician Signature: / ✓` Date: /DO I11 Phone Number: ti ^rc��'/ / 7 • -- +ear%_ ,- R&R Heating '� 5202 N Florida St Spokane, WA 99217 -. Tel (509) 4M-1405 ,.." Fax (509)483-5255 CbNIXOC wm RandRHeating.tom & Air Conditioning 2261 W Dakota Ave Hayden Lake, ID 83835 Tel (208)765-9355 Fax (208)719-0046 :i Property UConditioned Builder or �: �; Signature: Address: ) 7 g/0 E. Floor Area ,.Z// 6 Date / / registered design professional: Rj Vey bW.1 t-Anklr.4'0 r\ �R � . Ceiling: C 1;4.Walls: Above Below, ti`' C Below, �NRFC rating 4V Default rating ^e ?tfyTF.t Sa Vaulted R- 3�[e Floors: Overuncondidoned space Slab on grade/ floor L{,-./tp R- R- R R- R- Attic R- -fq - grade R- 6Z 1 Doors: int. R- ext. R- (or) Windows (Chapter 10 WSEC 2009) Skylights U- ,7o SHGC- N/A U-__ SHGC-N/A ti-� Type Efficiency :' orce. Air dS°, g it fz 4s4- , Cooling orCe— 4i - t 1 13 SCF✓Z W DHW .5",8 6F N All ducts ~o Test Method:)c N Test Target & HVAC in conditioned space (ye' Total leakage —Leakage to exterior 84 CFM@25Pa Test Result ) - Insulation h Air handler '6 % CFM@25Pa R - present Tested CPM; 1101O (( \t 0 CFM,0 x 60) / (}Q y00ft') ACH5,='153g9 divided by Wj 900 ft' (Building air leakage target: ACH,a< 5.0) — Tested ACH50, .0