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INSTALLATION CERTIFICATE CF-6R
51- - ) t,.a an-z y
,Site Address Permit Number
DUCT LEAKAGE AND DESIGN DIAGNOSTICS
21"DUCT LEAKAGE REDUCTION
Pressurization Test Results (CFM C 25 PA)
Test Leakage (CFM) -71
Fan Flow
If Fan Flow is Calculated as 400 cfm/ton x number of tons, or as 21.7 x Heating Capacity ,
in Thousands of Btu/hr, enter calculated value here l,�c•'
If fan flow is measured, enter measured value here
Leakage Fraction - Test Leakage/(Measured or Calculated Fan Flow) - 1 ,
Pass if leakage fraction < 0.06 ❑
Pass Fail
❑ For AEROSOL TYPE SEALANTS ONLY - The following diagnostic testing was completed:
Duct Fan Pressurization at rough -in measured leakage (CFM)
CHECK AFTER FINISHING WALL:
❑ Yes ❑ No ❑ Pressure pan test or House pressurization test /J / t4
El Yes El No ❑ Visual Inspection of Duct Connections �(/ ❑ ❑
Pass Fail
THERMOSTATIC EXPANSION VALVE (TXV)
pLl 1'c ❑ No Thermostatic Expansion Valve (or Commission approved ❑
equivalent) is installed and Access is provided for inspection
Yes is a pass Pass Fail
❑ DUCT DESIGN
1. ❑ Yes ❑ No ACCA Manual 1) Design calculations have been completed,
Duct Dcsign is on the plans and duct installation matches
plans.
2. Yes No
TXV is installed or Fan flow has been verified. If no TXV,
❑ ❑
verified fan flow matches design from CF-1R,
Measured Fan Flow =
❑ ❑
Yes for both 1 and 2 is a Pass Pass Fail
eI, the mdersigned, verify that the above diagnostic test results and the work I performed associated with the test(s) is in
conformance with the requirements for compliance credit. [The builder shall provide the HERS provider a copy of the CF-6R
signed by the builder employees or sub -contractors certifying that diagnostic testing and installation meet the requirements for
compliance credit.)
Tests Signature, Date nstalling Subcontr tar (Co. Name) OR
Performed General Contractor (Co, Name)
COPY TO Building Department
HERS Provider (if applicable)
Building Owner at occupancy
- Hula 14 ' b2
1'(: 54 F-K
TO 95644202
P. 01i01
REPORT
OF FIELD COMPACTION
TESTS
CV -, 7EPORT NO.: Q
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