2014, 07-21 9812 Duct Leakage AffidavitDuct Leakage Affidavit (New Construction)
Permit#:
House address or lot number: (J5 1Q E Kv.ox Ave
City: SRoCrnvI a Zip: 942Ot5
Cond. Floor Area (ft2): W oo Source (circle one): Plans 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? ❑ yes 5d no Air Handler present during test? ❑ yes Kno
Circle Test Method: Leakage to Outside Total 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) _ BIZ CFM@25 Pa
Rough -In, total duct leakage with air handler not installed: (floor area x .03) = CFM@25 Pa
Test Result: 3S CFM@25Pa
Ring (circle one if applicable): Open
Duct Tester Location: $ \Qe+urr. Plemup, Pressure Tap Location: LAunanylZ s2??It,/M.rFr. drti}^
T
I certify that these duct leakage rates are accurate and determined using standard duct testing protocol.
Company Name: QLK_lrz. Technician: ,Ic st-Y'AVITOLt
Technician Signature:
Date: 7-21—
Phone Number: "Zo 96�1-So8q
Property Address: yFIZ F—:: Yyiay Ave -JD&kgNe lik. lle�Jpb
Conditioned Floor Area: Date: 1l 6 / l "I
Builder or registered design professional :
VV�1. Sway goo, QUCi-z (200961-50N
Signature:
rlt-Y,tl6llar
Ceiling: Vaulted R-11 Floors: Over unconditioned space R- 3 0
Attic R- 41 Slab on Bade floor R-
Walls: .Above grade R- 21 Doors: R-
Below, int. R- R-
Below, ext. R- R-
Lt-Factors and SHGC
NFRC rating lot) Windows C'- 30 SHGC- N/A
Default rating�ArPrdll A WSt t 20121 Skylights U- SHGC- MA
Table 4M2Option(s) Tolai406.2Credits
Hearing, Catdtng & Domestic Hot Water
System
Type
Efficient.
Heating
L
hl�A-7 t l'ctI �i S y �,,�1 A'i ✓
a /
80 0/u
Cooling
�3'Y
DHW
Duct & Building Air Leakage
All ducts fi HVAC in conditioned space I yes' no Insulation R- g
Air handler prexnt 1 .ta ' no)
lest'I'arget 5.0 CFM;m25Pa Test Result C'FM(g)25Pa
Building air leakage target', ACH, < 5.0 - Tested leakage: ACHv, — LI t %
Onsire Renewable Energy Eicetric Power System
System [ypc: Rated annual generation Kwh