Blower Door Test Results* T
Blower Door' rig KW
425-312-3914 o BlowerpoorNW.com
blowerdoorschedule(t�D.gmail.com
Job Site Information
Permit #:
Address and Lot Number:
City: Ire i l-A I f t, . I
Cond. Floor Area
Source (check one):ans
'Pest results
]BLOWER DOOR TEST RESULTS
Date of Test:/
Technician Name:
/U
Zip Code:
Age of House: kj�L ) —
Q Estimated Q Measured
Q Fail Q Could Not Complete
Test Target 5 t D
Ring (check one if applicable): Q Open
Volume
qt(40?
ACHso
q 'N
CFM@SOPa
QA x,- - QC
Blower Door Fan Location: do,--)cWeather Conditions:
Cesar
Results shall be reported as Air Changes per Hour at 50 Pascals (ACH50) and shall be calculated as follows:
ACH50 = (CFM50 x 60)/ Volume
Where:
CFM50 = Blower door fan flow at 50 Pascal pressure difference
Volume = Conditioned Floor Area of the housing unit x ceiling height
2015 Washington State Energy Code reference:
R402.4.1.2 Testing. The building or dwelling unit shall be tested and verified as having an air leakage rate of not exceeding 5 air changes per hour. Testing shall be conducted with a blower
door at a pressure of 0.2 inches w.g. (50 Pascals). Where required by the code official, testing shall be conducted by an approved third party. A written report of the results of the test shall
be signed by the party conducting the test and provided to the code official. Testing shall be performed at any time after creation of all penetrations of the building thermal ern -elope. Once
visual inspection has confirmed sealing (see Table R402.4.1.1), operable windows and doors manufactured by small business shall be permitted to be sealed off at the frame prior to the test.
During testing:
1. Exterior windows and doors, {replace and stove doors shall be closed, but not sealed, beyond the intended weatherstripping or other infiltration control measures;
2. Dampers including exhaust, intake, makeup air, backdraft and flue dampers shall be closed, but not sealed beyond intended infiltration control measures;
3. Interior doors, if installed at the time of the test, shall be open, access hatches to conditioned crawl spaces and conditioned attics shall be open;
4. Exterior openings for continuous ventilation systems and heat recovery ventilator shall be closed and sealed;
5. Heating and cooling systems, if installed at the time of the test, shall be turned off; and
6. supply and return registers. if installed at the time of the test, shall be fully open.
Property address: 0 ( �-
Bullder/registered design professional name:
Builderlreg, design pro, signature:
Conditioned Floor area: ft2 (per building permit) _
RL-Values R303.1.
Ceiling/ Vaulted R. (Floors: Over unconditioned space R
Attic:
Attic R- Slab -on -grade floor R
Walls: Above grade R. _ Fully insulated slab? Y/N (Circle one)
Below, int. R-__,___ Doors: R- p-�- R-
Below, ext. R-
U-Value of.Windovus;. Skylights and Doors (R3034.9.3)
Average area weighted U-value from Glazing Worksheet Average U- -
Fuel Normalization Tables R400.2 , and lever Credits ffable 12406.3
System Type Number (1 to 5) (Select one)
•
Energy Credits selected (1 to 7)_
Fuel Normalization Credit + Total Energy Credits = Total Credits
Heating, Cooling and Domestic ?-lot Water :.
S stern
Type Manufacturer and Model ?Number
1=fficlenc
Heating
Cooling
DHW
Drain water heat
--
recovery
®mite. Ri inewable Energy. Ele;ctdc Power System :.:
System type System design capacity kw
'
Rated annual generation ItWh/yr
Aga laerrces .
Energy latar?.
A/lanufacturer and Model
(Circle one)
Dish washer
VorN
Refrigerator
V orw
Washer
Y or:N
Dryer
Vented or u,,,nted? If vented, CEF ratin
Y or7v
Gas fireplace / heating stove (Section R402.4.2) Fireplace efficiency (FE)
Heating or Decorative? (Circle one)
ff.VAC System Duct Leakage Testing (R403.3)'
Circle one
All ductwork and air handler In conditioned space? (See Option 4.2)
Y or N
Ali ductwork in unconditioned spaces buried and tested at 3% total leakage, and air
Y or N
handler In conditioned space? (See Option 4.1 )
All ductwork & air handler outside conditioned space Insulated to minimum R-8?
Y or N
Air handler present at duct leakage test? (Total leakage 4% if yes, 3% if no)
Y or N
HVAC leakage to outside`test conducted at final?
Y or N
Do HVAC duct leakage tests include GP5 and time stamp verification?
Y or N
HVAC system leakage test calculated design target: CFM @ 25 Pa
HVAC system leakage test measured results: CFM @ 25 Pa
Building. eakage.Yesting (f2402.4.9.2)
Dwelling unit leakage test calculated design target: ^ ACH @ 50 Pa
Dwelling unit leakage test, measured results: e- c, ACH @ So Pa
Whole [wilding Leakage test (R2 non -corridor only) design target: CFM/sf @ 50 Pa
Whole Building Leakage test (R2 non -corridor only) measured: CFM/sf @ 50 Pa
Do bulldlln leaks a tests Include GPS and time stamp verification?
Y or N
UVhole.Mous® VenSilaSlon..System,Mewsured Flow at(M9505.�11RC•WA)
Circle one
Are the system controls correctly labeled?
The Whole House Ventilation (WHV) system operation and maintenance (O&M)
Y or N
Y or N
Instructions were provided to the building owner?
Provided to: on
(date)
Whole House Ventilation System Type: (Circle one)
(1) Whole house exhaust fan, location
(2) Balanced HRVI ERV, location
For R2 low-rise, serves more than one unit?
(3) Supply or HRV WHV Integral to the air handler. Describe system control sequence
Y or N
of
operations or reference to tiesign submittal:
Specify run-time: hours per day
WHV caiculated design minimum flow rate per:plan submittal:
_ CFM
WHV measured min flow rate at commissioning: Exhaust CFM, Supply
CFM
Do WHV flow tests include GPS & time stamp verification?
HRV/ERV sensible heat recovery efficiency:
YarN
Commissioning Notes:
.Other.MandatoryRequirements� : " .
Circle one
All other mandatory requlremenls of WSEC-R have been met?
Y or N
* > T
Blower Door: g NW
425-312-3914 o BlowerpoorNW.coin
blowerdoorscheduleRgmail.com
Job Site Information
Permit #:
Address and Lot Number:
City: C' J, Y-vt C)
Cond. Floor Area (ft)
Source (check one)
"Pest results
IpT.-S,
]BLOWER DOOR TEST RESULTS
Date of Test: e
Technician Name:
�0.
Zip Code:
Age of Houser-'
�lans
❑ Estimated Q Measured
Css Q Fail 0 Could Not Complete
Test Target `
l�L Volume
'5't ACH50
/ 0C CFM@50Pa
Ring (check one if applicable): Q Open Q AQ C
Blower Door Fan Location: �(� dC-:"'---- Weather Conditions:
Results shall be reported as Air Changes per Hour at 50 Pascals (ACH50) and shall be calculated as follows:
ACH50 = (CFM50 x 60)/ Volume
Where:
CFM50 = Blower door fan flow at 50 Pascal pressure difference
Volume = Conditioned Floor Area of the housing unit x ceiling height
2015 Washington State Energy Code reference:
R402A.1.2 Testing. The building or dwelling unit shall be tested and verified as having an air leakage rate ofnot exceeding 5 air changes per hour. Testing shall be conducted with a blower
door at a pressure of 0.2 inches w.g. (50 Pascals). Where required by the code official, testing shall be conducted by an approved third parry. A written report of the results of the test shall
be signed by the party conducting the test and provided to the code official. Testing shall be performed at any time after creation of all penetrations of the building thermal em,elope. Once
visual inspection has confirmed sealing (see Table R402.4.1.1), operable windows and doors manufactured by small business shall be permitted to be sealed offat the frame prior to the test.
During testing:
1. Exterior windows and doors, fireplace and stove doors shall be closed, but not sealed, beyond the intended weatherstripping or other infiltration control measures;
2. Dampers including exhaust, intake, makeup air, backdraft and flue dampers shall be closed, but not sealed beyond intended infiltration control measures;
3. Interior doors, if installed at the time of the test, shall be open, access hatches to conditioned crawl spaces and conditioned attics shall be open;
4. Exterior openings for continuous ventilation systems and heat recovery ventilator, shall be closed and sealed;
5. Heating and cooling systems, if installed at the time of the test, shall be turned off; and
6. Supply and return registers. if installed at the time of the test, shall be fully open.
Property address:-
Builder/registered design profession/ name:
BuilderNeg. design pro. signature;_
��
Conditioned Moor area: I /1 1 ••a - ft� (per building permit)
R;-VaiUes(R30,3:9.1)
Ceiling! Vaulted Re _ Floors: Over unconditioned space R
Attic: Attic Rm�_ Slab -on -grade floor R-
Wails: Above grade R- - Fully insulated slab? Y/N (Circle one)
Below, Int, R-.--.... Doors: T�-F;- , R-
Below, ext. R-
U-Valud ot'.Wlaadows,.Skylights and Doors (R3034.13)
Average area weighted U-Value from Glazing Wo&k heet Average U- -
Fuei Normalization Tobles R40&2 : and Energy Credits able R406 3
System Type Number (9 to :5) (Select one)
Energy Credits selected (1 to ;/)^_�J--
Fuel Normalization Credit +'Total (Energy Credits Total Credits
Heating, Coolie and Domestic Hot Water: ..
S stein
TVpe 11/lanufacturee and !Model Number
E'fficlarlc
Heating
Cooling
DHW
o Drain water heat
recovery
Onsite. Renewable Energy. Electric Dowel* gystem . :.. . .
System type _ _ Sys -kern design capacity Bc�iU
Rated annual generation _ kWhlyr
:.Ap
Energy Star?,
Manufactu r and Model
(Circle one)
Y or N
Dish washer
Refrigerator
V or.N
Washer
Y or:N
Dryer
_
Y orN
Vented or unvented? If vented, CEF ratin
Gas fireplace / heating stove (Section R402.4.2) Fireplace efficiency (FE)
Heating or Decorative? (Circle one)
HYAC System Duct Leakage Testing (R403.3)1
Circh, one
All ductwork and air handier In conditioned space? (See Option 4.2) Y or N
Ail ductwork in unconditioned spaces buried and tested at 3% total leakage, and air Y or H
handier In conditioned space? (See Option 4.1.)
All ductwork & air handler outside conditioned space Insulated to minimum R-li? Y or N
Air handier present at duct!leakpge test? (Total leakage 4% if yes, 3% if no) Y or N
HVAC leakage to outside'test conducted at final? Y or N
Do HVAC dudt leakage tests include GPS and time stamp verification? Y or N
HVAC system geakage test calculated design target: CFM @ 25 Pa
34VAC system leakage test measured results: CFM @ 25 Pa
.::::: _..Su6ldingleakage.-Testing (R402.4.9,2)
Dwelling unit leakage test calculated design target: '77 . C.) ACH @ 50 Pa
Dwelling unit leakage test, measured results: `3 `�C-ACI I @ 50 Pa
Whole Building Leakage test (112 non -corridor only) design target: CFM/sf @ 50 Pa
Whole Building Leakage test (R2 non -corridor only) measured: 4-` FM/sf @ 50 Pa
Do building leakage tests Include OPS and time stamp verification? Y or N
Whole blouse Vend ladon..,;Vsteip, MeasuredFlow.Rates (MI S05.41RO-i A) circle one
Are the system controls correctly labeled? Y or N
The Whole blouse Ventilation (WHV) system operation and maintenance (O&M) Y or N
Instructions were provided to the building owner?
Provided to: on - - (date)
Whole House Ventilation System Type: (Circle one)
(1) Whole i ouse exhaust fan, location
(2) Balanced HRV1 ERV, location
For R2 low-rise, serves more than one unit? if or N
(3) Supply or HRV WHV integral to the air handier. Describe system control sequence of
operations or reference to design submittal:
Specify run-time: _ hours per day CFM
_
IAMV calculated design minimum flow rate per:plan submittal:
WHV measured min flow rate at commissioning: Exhaust CFM, Supply FM
Do WHV flood tests include GIPS & time stamp verification? Y or N
HRVIERV sensible heat recovery efficiency:
Commissioning Notes:
Ather.Mandato ulrements_ : • rY Re $, -.. _ -..::
Circle one
All other mandatory requlremen9s of WSEC-R have been met?
Y or N
* T
Blower Door' g Nina'
'425-312-3914 o BlowerpoorNW.com
blowerdoorschedule rr,gmail.com
Job Site Information
BLOWER DOOR TEST RESULTS
Date of Test: V
Technician Name:
Permit #: 1
Address and Lot Number: �✓ L� �' `, l/� f
City
o ortc4
Cond. Floor Area (ft):
��A P CP'
Zip Code:_
Age of House
Source (check one): ans Q Estimated U Measured
'Pest Results
Q Fail Ci Could Not Complete
Test Target
&I-ele---1
Volume
ACH50
�t
CFM@SOPa
Ring (check one if applicable): Q Open Q A �B C) C
�, �
Blower Door Fan Location: `�}`�Aai Weather Conditions: ("`---����0 L,�a
Results shall be reported as Air Changes per Hour at 50 Pascals (ACH50) and shall be calculated as follows:
ACH50 = (CFM50 x 60)/ Volume
Where:
CFM50 = Blower door fan flow at 50 Pascal pressure difference
Volume = Conditioned Floor Area of the housing unit x ceiling height
2015 Washington State Energy Code reference:
R402.4.1.2 Testing. The building or dwelling unit shall be tested and verified as having an air leakage rate of not exceeding 5 air changes per hour. Testing shall be conducted with a blower
door at a pressure of 0.2 inches w.g. (50 Pascals). Where required by the code official, testing shall be conducted by an approved third party. A written report of the results of the test stall
be signed by the party conducting the test and provided to the code official. Testing shall be performed at any time after creation of all penetrations of the building thermal em•elope. Once
visual inspection has confirmed sealing (see Table R402.4.1.1), operable windows and doors manufactured by small business shall be permitted to be sealed off at the frame prior to the test.
During testing:
l . Exterior windows and doors, fireplace and stove doors shall be closed, but not sealed, beyond the intended weatherstripping or other infiltration control measures;
2. Dampers including exhaust, intake, makeup au, backdraft and flue dampers shall be closed, but not sealed beyond intended infiltration control measures;
3. Interior doors, if installed at the time of the test, shall be open, access hatches to conditioned crawl spaces and conditioned attics shall be open;
4. Exterior openings for continuous ventilation systems and heat recovery ventilator shall be closed and sealed;
5. Heating and cooling systems, if installed at the time of the test, shall be turned off; and
6. Supply and return registers. if installed at the time of the test, shall be fully open.
Property address: 1 --.i
Builder/registered design professions name. _
Builder/reg. design pro. signs ur®:
Conditioned floor area: ffz (per building permit)
.
:... R= 4falaaes R303:9 1)
Ceiling/ Vaulted R- Floors: Over unconditioned space RP
Attic:
Attic R- Slab -on -grade floor R.
Walls; Above grade R- _ Fully insulated slab? YIN (Circle one)
Elelow, Int. R Doors: l2- p_ R-
Below, ext. R-
U-Value Of.WNindow+srSkylights. and Doors (R303.9.9.3)::
Average area weighted U-value from Glazing Worksheef Average U--
Fuel Normalization Fables R406.2 : and Energy Credits(Table R406:3
System Type Number (t to 5) (Select one)
Energy Credits selected (N to 7)_
Fuel Normalization Credit + Total Energy Credits = Total Credits —
• —77
,:..
:: _ Heating, Cooling and Domestic Hot Watee...
S stem
Type Mantefacturar and Model Number
Efflclenc
Pleating
Cooling
DHW
� Drain wafer Poeat
_
recovery
®nSite Renewable Energy. Elect ic RowrO sy43tem
System type System design capacity kw
Rated annual generation ItWh/yr
sop IO trces'. ..
Energy,afar?.
li�anufacturer and Model
(Circle one)
Dish washer
YorN
Refrigerator
Y
or N
Washer
Y or.N
Dryer
Vented or unvented? If vented, CEF ratio
Y or7V
Gas fireplace / heating stove (Section R402.4.2) Fireplace efficiency (FE)
_
Heating or Decorative? (Circle one)
HYAG System ®tact Leakage` Testing (R403.3)'
Circle one
All ductwork and air handler In conditioned space? (See Option 4.2)
Y or N
All ductwork in unconditioned spaces buried and tested at 3% total leakage, and air Y or N
handler In conditioned space? (See Option 4.1 )
All ductwork & air handler outside conditioned space Insulated to minimum R-87 Y or N
Air handler present at duct!feakage test? (Total leakage 4% if yes, 3% if no)
Y or N
HVAC leakage to outside'test conducted at final?
Y or N
Do HVAC duct leakage tests include GPS and time stamp verification?
Y or N
HVAC system leakage test calculated design target:
CFM @ a5 Pa
HVAC system leakage test measured results:
CFM @ 25 Pa
I�Widing: LeakageTesting (R402.4.9.2)
Dwelling unit leakage test calculated design target:
ACH @ 50 Pa
Dwelling unit leakage test, measured results:
CH @ 50 Pa
Whole Building Leakage test (112 non -corridor only) design target:
CFM/sf @ 50 Pa
Whole Building Leakage test (R2 non -corridor only) measured:
CFM/sf @ 50 Pa
Do building leaks a tests Include GPS and time stamp verification?
..
Y or N
Whole.Mouse Vendlatlon-S;ys.teni:.Measured Flow.Rates (M1505.4 !RC -WA)
Circle one
Are the system controls correctly labeled?
Y or N
The Whole House Ventilation (WHV) system operation and maintenance (O&M)
instructions were provided to the building owner?
Y or N
Provided to: on
(date)
Whole House Ventilation System Type: (Circle one)
(1) Whole house exhaust fan, location
(2) Balanced HRV/ ERV, location
For R2 low-rise, serves more than one unit?
Y or N
(3) Supply or HRV WHV Integral to the air handler. Describe system control sequence of
operations or reference to design submittal:
Specify run-time: hours per day
CFM
WHV calculated design minimum flow rate per:plan submittal:
_
WHV measured min flow rate at commissioning: Exhaust CFM, Supply
CFM
Do WHV flow tests include GPS & time stamp verification?
HRV/ERV sensible heat recovery efficiency:
YorN
Commissioning Notes:
..
._dther.Mandato Re ulrernentss rY G -..r
.:. ,......
Circle one
All other mandatory requlremenls of WSEC-R have been met?
Y or N
eP T
Blower Door Tung KW
425-312-3914 o BlowerpoorNW.com
bl ow erd o ors ch edul e (rD,g m a il. c om
Job Site Informatiou
Permit #:
Address and Lot Number:
City
BLOWER DOOR TEST RESULTS
Date of Test: I f✓ `'
Technician Name: � -/t7 t4]
Zip Code:
Cond. Floor Area (ft): Age of House:
Source (check one):?*Plans ❑ Estimated C) Measured
';Pest Results
ass C) Fail
Ci Could Not Complete
Test Target C5 t 0
Ring (check one if applicable): U Open U A 0 C
Blower Door Fan Location: Q C Weather Conditions
Volume
ACH50
CFM@50Pa
Cam_
Results shall be reported as Air Changes per Hour at 50 Pascals (ACH50) and shall be calculated as follows:
ACH50 = (CFM50 x 60)/ Volume
Where:
CFM50 = Blower door fan flow at 50 Pascal pressure difference
Volume = Conditioned Floor Area of the housing unit x ceiling height
2015 Washington State Energy Code reference:
R402.4.1.2 Testing. The building or dwelling unit shall be tested and verified as having an air leakage rate of not exceeding 3 air changes per hour. Testing shall be conducted with a blower
door at a pressure of 0.2 inches w.g. (50 Pascals). Where required by the code official, testing shall be conducted by an approved third party. A written report of the results of the test shall
be signed by the party conducting the test and provided to the code official. Testing shall be performed at amv time after creation of all penetrations of the building thermal emelope. Once
visual inspection has confirmed sealing (see Table R402.4.1.1), operable windows and doors manufactured by small business shall be permitted to be sealed offat the frame prior to the test.
During testing:
I . Exterior windows and doors, fireplace and stove doors shall be closed, but not sealed, beyond the intended weatherstripping or other infiltration control measures;
2. Dampers including exhaust, intake, makeup au, backdraft and flue dampers shall be closed, but not sealed beyond intended infiltration control measures;
3. Interior doors, if installed at the time of the test, shall be open, access hatches to conditioned crawl spaces and conditioned attics shall be open;
4. Exterior openings for continuous ventilation systems and heat recovery ventilator shall be closed and sealed;
D. Heating and cooling systems, if installed at the time of the test, shall be turned off; and
6. Supply and return registers. if installed at the time of the test, shall be fully open.
Property address:
Builder/registered design professional name:
Builder/reg. design pro. signature:
Conditioned floor area: --�__ [ � ^ ft2 (per building permit)
LL���rTT
... .. ..
Rm-Values R303.9.9
Ceiling/ Vaulted R- _ (Floors: Over unconditioned space RP
Attic: Attic R-^—_ Slab -on -grade floor Ra
Walls: Above grade R- _ Fully insulated slab? YIN (Circle one)
Below, Int. R :_._. Moors: R-
Below, ext. R-�_
U-Valu6 of.RH(aolof®ws,.Skylighft and Door's (R303.1..9.3) "
Average area weighted U-value from Glazing Worksheei Average U- -
Fuei Normalization Tables R40&2 : and Energy Credits able R406 3):
System Type Number ('I to 5) (Select cane)
Energy Credits selected (4 to 7)_
Fuel Normalization Credit + Total Energy Credits = Total Credits
_ Heating,. Cooling and Domestic Hot Water:.
S stern
T e Manufacturer and Model Number
Efflcle nc
Heating
Cooling _
•
DHW
° Drain water heat
—�
recovery
Onsite. Renewable Energy. Electric PeaeRre9 �y'Gtem ::.
System type System design capacity kW
`
Rated annual generation kWh/yr
_ A��loa�cas:rter
�.
Star?
Manmfacturer and Molded
(Circle one)
Dish washer
Y or N
Refrigerator
Y or N
Washerr
Y or •iV
Dryer
_
Y or lV
Vented or unvented? If vented, CEF ratio
Gas fireplace / heating stove (Section R402.4.2) Fireplace efficiency (FF.)
Heating or Decorative? (Circle one)
HYAC System Duct Lea&aga 'Testing (R403.3)
Circla one
All ductwork and air handler in conditioned space? (See Option 4.2) Y or N
All ductwork In unconditioned spaces buried and tested at 3% total leakage, and air Y or N
handler In conditioned space? (See Option 4.1)
All ductwork & air handler outside conditioned space insulated to minimum R-A? Y or N
Air handier present at duct leakage test? (Total leakage 4% if yes, 3% if no) Y or N
HVAC leakage to outside test conducted at final? Y or N
Do HVAC duct leakage tests include GP ; and time stamp verification? Y or N
HVAC system leakage test calculated design target: CFIVi @ 25 Pa
HVAC system leakage test measured results: CFM @ 25 Pa
SlujidIng:Leakag'e.Testlrlg (R402.4.9,2)
Dwelling unit leakage test calculated design target: C? ACH @ 50 Pa
Dwelling unN leakage test, measured results: AGH @ 50 Pa
Whole Building Leakage test (R2 non -corridor only) design target: C M15f @ 50 Pa
Whole Building Leakage test (R2 non -corridor only) measured: C= CFM/sf @ 50 Pa
Do building leaks a tests Include GPS and time stamp verification? Y or N
whole.Wlouse Ventilation..$ ys.tem. MeasuredF/pwRates (M1505.41RC-WA) Circle one
Are the system controls correctly labeled? Y or N
The Whole House Ventilation (WHV) system operation and maintenance (O&IVI) Y or N
Instructions were provided to the building owner?
Provided to: on (date)
Whole Mouse Ventilation System Type: (Circle one)
(1) Whole house exhaust fan, location
(2) Balancad HRV1 ERV, location
For R2 low-rise, serves mare than one unit? Y or N
(3) Supply or HRV WHV Integr0i to the air handier. Describe system control sequence of
operations or reference to design submittal:
Specify run-time: hours per day CFM
VUHV calculated design minimum flow rate per:plan submittal:
WI1V measured min flow rate at Commissioning: Exhaust CFM, Supply CFM
®o WHV flow tests include GPS & time stamp verification? Y or N
HRV/ERV sensible heat recovery efficiency:
Commissioning (Votes:
0tPer Mandatory Re ulremews::-'.:....... :.r..
Clrele one
All other mandatory requirements of WSEC-R have been met?
Y or N
*IBDT
Blower Door Testing lid
425-312-3914 o BlowerpoorNW.com
blowerdoorsch eduleRumail.com
Job Site lufor>mation
Permit #:
Address and Lot Number:
City: on� J
Cond. Floor Area (ft2):
BLOWER DOOR TEST RESULTS
Date of Test:
Technician Name:
It
Zip Code:
t,4-f '2- �3i
Age of House:
Source (check one): (Flans Q Estimated ❑ Measured
Test Results
S14s Q Fail
Test Target
U Could Not Complete
1(�2JT�1- Volume
ef 1E J ACH5o
l 1 CFM@50Pa
Ring (check one if applicable): E3 Open ❑ A U C
Blower Door Fan Location: � Weather Conditions:
Results shall be reported as Air Changes per Hour at 50 Pascals (ACH50) and shall be calculated as follows:
ACH50 = (CFM50 x 60)/ Volume
Where:
CFM50 = Blower door fan flow at 50 Pascal pressure difference
Volume = Conditioned Floor Area of the housing unit x ceiling height
2015 Washington State Energy Code reference:
R402.4.1.2 'Testing. The building or dwelling unit shall be tested and verified as having an air leakage rate ofnot exceeding 5 air changes per hour. Testing shall be conducted with a blower
door at a pressure of 0.2 inches w.g. (50 Pascals). Where required by the code official, testing shall be conducted by an approved third party. A written report of the results of the test shall
be signed by the party conducting the test and provided to the code official. Testing shall be performed at any time after creation of all penetrations of the building thermal envelope. Once
visual inspection has confirmed sealing (see Table R402.4.1.1), operable windows and doors manufactured by small business shall be permitted to be sealed off at the frame prior to the test.
During testing:
1. Exterior windows and doors, fireplace and stove doors shall be closed, but not sealed, beyond the intended weatherstripping or other infiltration control measures;
2. Dampers including exhaust, intake, makeup air, backdraft and flue dampers shall be closed, but not sealed beyond intended infiltration control measures;
3. Interior doors, if installed at the time of the test, shall be open, access hatches to conditioned crawl spaces and conditioned attics shall be open;
4. Exterior openings for continuous ventilation systems and heat recovery ventilator shall be closed and sealed;
5. Heating and cooling systems, if installed at the time of the test, shall be turned off; and
6. Supply and return registers, if installed at the time of the test, shall be fully open.
'.yn
Property address: _ ! f- z
Bullderlregistered design profess nal name.
Builderlreg. design pro, signature:
r _
Conditioned floor area: ft2 (per building permit)-777777
77
R=Values(R303.1.'1)
Ceiling! Vaulted R- _ Floors: Over unconditioned space R-
Attic:
Attic R- _ Slab -on -grade floor R-
Walls; Above grade R- _ Fully insulated slab? YIN (Circle one)
Below, int. R- Doors: R- p_- R_
Below, ext. R.
U-Value of.W hIdow-9f skylights and Doors (R3031.1.3).
Average area weighted U-value from Glazing Worksheet Average U- -
Fuel Normalization Tobles R406.2 and Enerff Credits ffabie R406.3
System Type Number (f to 5) (Select one)
Energy Credits selected (I to 7)_
Fuel Normalization Credit + Total Energy Credits = Total Credits
Heating, Cooling and Domestic loot Water
S stem
Type Mlanufacturat and Model Number
Efflcletnc
Heating
Cooling
DHW
Drain water heat
recovery
®nsite. ftnewable Energy Electric Powel' �p3tBnf
System type System design capacity kW
Rated annual generation ItWhlyr
Ap lances -
Energy:'star7..
M 01111 cturer and Model
(Circle one)
Dish washer
Y or IV
Refrigerator
Y ortV
Washer
Y or.N
Dryer
Y ortV
Vented or unvented? If vented, CEF ratio
Gas fireplace / heating stove (Section R402.4.2) Fireplace efficiency (FE)
Heating or Decorative? (Circle one)
KVAC System Duct Leakage Testing (R403.3)1
c;rcie one
All ductwork and air handier in conditioned space? (See Option 4.2) Y or N
All ductwork in unconditioned spaces buried and tested at 3% total leakage, and air Y or N
handier In conditioned space? (See Option 4.11 )
All ductwork & air handler outside conditioned space Insulated to minimum R-8? Y or N
Air handier present at duct leakage test? (Total leakage 4% if yes, 3% if no) Y or N
HVAC leaks a to outsidertest conducted at final? Y or N
Do HVAC duet leakage tests include GP5 and time Stamp verification? Y or N
HVAC system leakage test calculated design target: CFM @ 25 Pa
HVAC system leakage test measured results: CFM @ 25 Pa
S.ullpling: Leakage. Vesting (R402.4.9.2)
Dwelling unit leakage test calculated design target: - ACH @ 60 Pa
Dwelling unit leakage test, measured results: ACH @ 50 Pa
Whole Building Leakage test (R2 non -corridor only) design target: C M/sf @ 50 Pa
Whole Building Leakage test (R2 non -corridor only) measured: CFM/sf (Co. 5o Pa
Do building leaks a tests Include GPS and time stamp verification? Y or N
Whole.Mouse Ventllatlon..System;,Measured F19w.Rates (M9505.4 IRC-WA) Circle one
Are the system controls correctly labeled? Y or N
The Whole House Ventilation (WHV) system operation and maintenance (O&M) Y or N
Instructions were provided to the building owner?
Provided to: on (date)
Whole House Ventilation System Type: (Circle one)
(1) Whole (louse exhaust fan, location
(2) Balanced HRVI ERV, location
For R2 low-rise, serves more than one unit? Y or N
(3) Supply or HRV WHV Integrtil to the air handler. Describe system control sequence of
operations or reference to geslgn submittal:
Specify run-time: hours per day CFM
WHV calculated design minimum flow rate per:plan submittal:
WHV measured min flow rate at. commissioning: Exhaust CFM, Supply CFM
Do WHV flow tests include GPS & time stamp verification?
Y or N
HRVIERV sensible heat recovery efficiency:
Commissioning Notes:
Ather..MandatoryRegtrlrements ..''
Circle one
All other mandatory requirements of WSEC-R have been met?
Y or N
*JBDT
Blower Door Testing 1W
425-312-3914 o BlowerpoorNW.com
blowerd oorsch edule(cD gm aii.com
Job Site Information
Permit #:
BLOWER DOOR TESL' RESULTS
Date of Test:
Technician Name:
Address and Lot Number: t'f--C- 114 a'e
City: _=12 �6
Zip Code:
Cond. Floor Area (ft2): Z2 0 Age of House: &)21
Source (check one): Mans U Estimated ❑ Measured
Test Results
ass ❑ Fail
Test Target
Q Could Not Complete
9-6 /%l
Volume
Ring (check one if applicable): 0 Open Q A 0 C
Blower Door Fan Location: ,�� Weather Conditions:
ACH5o
CFM@50Pa
Results shall be reported as Air Changes per Hour at 50 Pascals (ACH50) and shall be calculated as follows:
ACH50 = (CFM50 x 60)/ Volume
Where:
CFM50 = Blower door fan flow at 50 Pascal pressure difference
Volume = Conditioned Floor Area of the housing unit x ceiling height
2015 Washington State Energy Code reference:
R402.4.1.2 Testing. The building or dwelling unit shall be tested and verified as having an air leakage rate ofnot exceeding 5 air changes per hour. Testing shall be conducted with a blower
door at a pressure of 0.2 inches w.g. (50 Pascals). Where required by the code official, testing shall be conducted by an approved third party. A written report of the results of the test shall
be signed by the party conducting the test and provided to the Cade official. Testing shall be performed at any time after creation of all penetrations of the building thermal envelope. Once
visual inspection has confirmed sealing (see Table R402.4.1.1), operable windows and doors manufactured by small business shall be permitted to be sealed off at the frame prior to the test.
During testing:
i. Exterior windows and doors, fireplace and stove doors shall be closed, but not sealed, beyond the intended weatherstripping or other infiltration control measures;
2. Dampers including exhaust, intake, makeup air, backdraft and flue dampers shall be closed, but not sealed beyond intended infiltration control measures;
3. Interior doors, if installed at the time of the test, shall be open, access hatches to conditioned crawl spaces and conditioned attics shall be open;
4. Exterior openings for continuous ventilation systems and heat recovery ventilators shall be closed and sealed;
5. Heating and cooling systems, if installed at the time of the test, shall be turned off; and
6. Supply and return registers, if installed at the time of the test, shall be Fully open.
2i
Property address: _ _ �_� ! .� _ %(—e
Bullderlregistered design professional name: c
Builderlreg. design pro. signature:
Conditioned Floor area: ftl (per building permit)
R�.Values R303.1 1: ,
Ceiling/ Vaulted R- _ (Floors: Over unconditioned space R
Attic:
Attic R- Slab -on -grade floor R.
Walls: Above grade R- _ Fully insulated slab? YIN (Circle one)
t;elow, int. R- Doors: R- p-
Below, ext. R-
U-Vailue of. Windows;, Skylights and Doors (R303 1.1.3).:
Average area weighted U-value from Glazing Worksheet Average U- -
Fue/ Normalization Tables R406.2 .. and Energy Credits able R406.3 ::
System Type Number (t to 5) (Select one)
Energy Credits selected (I to 7)•_
Fuel Normalization Credit + Total Energy Credits Total Credits
Heating,. Cooling and Domestic blot Water.
S stern
Type(Manufacturer and Model Number
1:ffiGenc
Heating
Cooling
DHW
Drain water heat
—
recovery
Onsite. Renewable Energy. Electric Rowel' System
' System type System design capacity kW
Rated annual generation kWh/yr
Manufacturer and Model
(Circle one)
Dish washer
Y or JV
Refrigerator
Y only
Washer
Y or
Dryer
Y or1\1
Vented or unvented? If vented, CEF ratio
Gas fireplace / heating stove (Section R402.4.2) Fireplace efficiency (FE)
Heating or Decorative? (Circle one)
HYAG System Duct Leakage` Testing (R403.3)1
circle one
All ductwork and air handier In conditioned space? (See Option 4.2) Y or N
All ductwork in unconditioned spaces buried and tested at 3% total leakage, and air Y or N
handier In conditioned space? (See Option 4.1.)
All ductwork & air handler outside conditioned space Insulated to minimum R-8? Y or N
Air handler present at duct!Ieakgge test? (Total leakage 4% if yes, 3% if no) Y or N
HVAC leakage to outside`test conducted at final? Y or N
Do HVAC duct leakage tests include GPS and time stamp verification? Y or N
HVAC system leakage test calculated design target: CFM @ 25 Pa
HVAC system leakage test measured results: CFM @ 25 Pa
`. S.ullding: Leakage:.. Testing (R402.4.1.2)
Dwelling unit leakage test calculated design target: r ACH @ 50 Pa
Dwelling unit leakage test, measured results: `3. 1 ACH @ 50 Pa
Whole Building Leakage test (R2 non -corridor only) design target: CFMI/sf @ 50 Pa
Whole Building Leakage test (R2 non -corridor only) measured: —d='�Y CFMlsf @ 50 Pa
Do building leaks a tests Include GPS and time stamp verification? Y or N
Whole.Mouse Ventilation..Sys.tem..measure d Fiow.Rates (M9505.4 PRG-iNlt) Circle one
Are the system controls correctly labeled? Y or N
The Whole House Ventilation (WHV) system operation and maintenance (O&M) Y or N
Instructions were provided to the building owner?
Provided to: on (date)
Whole House Ventilation System Type: (Circle one)
(1) Whole Douse exhaustfan, location
(2) Balanced HRVI ERV, location
For R2 low-rise, serves more than one unit? Y or N
(3) Supply or HRV WHV Integnil to the air handler. Describe system control sequence of
operations or reference to gesign submittal:
Specify run-time: hours per day CFM
_
WHV calculated design minimum flow rate per:plan submittal:
WHV measured min flow rate at. commissioning: Exhaust CFM, Supply CFM
Do WHV flow tests include'GPS & time stamp verification?
Y or N
HRVIERV sensible heat recovery efficiency:
Commissioning Notes:
:...::... ............:.: :. :. :.:,..Other.MandatoryRequirements-:::'.... ....... .
cle one
All other mandatory requlremenls of WSEC-R have been met?
Y or N
*IBDT
Blower Door Testang IWW
'425-312-3914 o BlowerpoorNW.com
blowerdoorscheduleRgmail.com
Job Site Information
Permit #:
]BLOWER DOOR TEST RESULTS
Date of Test:
Technician Name:
Address and Lot Number: F `t
City:
Cond. Floor Area (ft):
r
Zip Code:
Age of House:
Source (check one): Plans Q Estimated ❑ Measured
Zest Results
� ss Q Fail
Test Target r�: >1-
Q Could Not Complete
�'✓ �� Volume
ACH50
CFM@50Pa
Ring (check one if applicable): U Open Q A ID C
Blower Door Fan Location: - Weather Conditions:vi
Results shall be reported as Air Changes per Hour at 50 Pascals (ACH50) and shall be calculated as follows:
ACH50 = (CFM50 x 60)/ Volume
Where:
CFM50 = Blower door fan flow at 50 Pascal pressure difference
Volume = Conditioned Floor Area of the housing unit x ceiling height
2015 Washington State Energy Code reference:
R402.4.1.2 Testing. The building or dwelling unit shall be tested and verified as having an air leakage rate ofnot exceeding 5 air changes per hour. Testing shall be conducted with a blower
door at a pressure of 0.2 inches w.g. (50 Pascals). Where required by the code official, testing shall be conducted by an approved third parry. A written report of the results of the test shall
be signed by the party conducting the test and provided to the code official. Testing shall be performed at any time after creation of all penetrations of the building thermal emmelope. Once
visual inspection has confirmed sealing (see Table R402.4.1.1), operable windows and doors manufactured by small business shall be permitted to be sealed offat the frame prior to the test.
During testing:
1. Exterior windows and doors, fireplace and stove doors shall be closed, but not sealed, beyond the intended weatherstripping or other infiltration control measures;
2. Dampers including exhaust, intake, makeup air, backdraft and flue dampers shall be closed, but not sealed beyond intended infiltration control measures;
3. Interior doors, if installed at the time of the test, shall be open, access hatches to conditioned crawl spaces and conditioned attics shall be open;
4. Exterior openings fcr continuous ventilation systems and heat recovery ventilators shall be closed and sealed;
5- Heating and cooling systems, if installed at the time of the test, shall be turned off; and
6. Supply and return registers. if installed at the time of the test, shall be fully open.
Property address:
Bulkier/registered design professilAal name.
a
Builder/reg. design pro. signatuf e•
Conditioned floor area: fft2 building
/ (per permit)-
.-
Ceiling! Vaulted R- _ Floors- Over unconditioned space R-_
Attic: Attic R- _ Slab -on -grade floor RP
Walls: Above grade R- _ Fully insulated slab? YIN (Circle one)
Below, Int. R-._ Moore;: P2-__Ft-
Below, ext. R-
&_m alud ot'.Nilandows,.Skylights-and Doors (R3011.1.3)
Average area weighted U-value from Glazing Worksherat average U- -
Fuel Normalization Toole s R406e2 : and Energy Credits able R406.3
System Type Number (9 to n) (Select one)
Energy Credits selected (9 to 7)_ �—
Fuel Normalization Credit + Total Energy Credits ='total Credits
" Heatingi Cooling and Domestic Hot tWwea ..:
!System
a Mae' ufacturee and Model Nurnber
Eificle nc
Heating
Cooling
DHW
4
Drain water heat
recovery
Onsite ftnewable Energy. Electric Power �ystem:
System type _ _ System design capacity kW
Rated annual generation ItWhlyr
Manufacturer and Model
(Circle one)
Dish washer
_
Y os N
Refrigerator
Y or N
Washer
Y or:N
Dryer
—
Y or 11
Vented or unvented? if vented, CEF rating
Gas fireplace / heating stove (Section R402.4.2) Fireplace efficiency (FF)
Heating or Decorative? (Circle one)
FGYAC System ®tact Leakage Testing (R403.3)
Circle one
All ductwork and air handier In conditioned space? (See Option 4.2) Y or N
All ductwork in unconditioned spaces buried and tested at 3% total leakage, and air Y or N
handler In conditioned space? (See Option 4.1.)
All ductwork & air handier outside conditioned space Insulated to minimum R-S? Y or N
Air handier present at duct leakage test? (Total leakage 4% if yes, 3% if no) Y or N
HVAC leakage to outside'test conducted at final? Y or N
Do HVAG duct leakage tests include GPS and time stamp verification? Y or N
HVAC system leakage test calculated design target: CFM @ 25 Pa
PAVAC system leakage test measured results: CFM @ 25 Pa
Rujiding: Leakage .Testing (R402.4.9.2)
Dwelling unit leakage test calculated design target: ACH @ 50 Pa
Dwelling unlf leakage test, measured results:
Whole Building Leakage test (112 non -corridor only) design target; CFM/sf @ 50 Pa
Whole Building Leakage test (R2 non -corridor only) measured: i} CFiVI/sf @ So Pa
Do building leakage tests Include OPS and time stamp verification? Y or N
!N/hol®.House Veniila89on..S stem:.Meassrrod Flg►v,Ra8es (M9505.4 !PC-1N9) Circle one
Are the system controls correctly labeled? Y or N
The Whole House Ventilation (WHV) system operation and maintenance (O&NI) Y or N
Instructions were provided to the building owner?
Provided to: on (date)
Whole Mouse Ventilation System! Type: (Circle one)
(1) Whole house exhaust fan, location
(2) Balanced HPVi ERV, location
For R2 low-rise, serves more than one unit? Y or N
(3) Supply or HRV WHV Integral to the air handier. Describe system control sequence of
operations or reference to design submittal:
Specify run-time: hours per day CFM
_
UIiHV calculated design minimum flow rate per:plan submittal:
WI1V measured min flow rate at. commissioning: Exhaust CFM, Supply CFM
Do WHV flows tests include GPS & time stamp verification? Y or N
HRV/ERV sensible heat recovery efficiency:
Commissioning Notes:
..00)er.Mandatoay Regtalrements:
Circle one
All other mandatory requirements of WSEC-R have been met?
Y or N
* T
Blower Door Testing KW
425-312-3914 o BlowerpoorNW.com
blowerdoorschedille rl;gmail.com
Job Site Information
Permit #:
Address and Lot Number:
BLOWER DOOR TEST RESULTS
Date of Test: 1
Technician Name:
v
City: Yj Zip Code:
J 1
3
Cond. Floor Area (ft2): V Age of House: AP11-1
Source (check one): ugans Q Estimated ❑ Measured
'Pest Results
s Q Fail 0 Could Not Complete `E� 1Volume
ACH50
Test Target �` v CFM@50Pa
Ring (check one if applicable): 0 Open D A /'� D C
Blower Door Fan Location: Weather Conditions: t
Results shall be reported as Air Changes per Hour at 50 Pascals (ACH50) and shall be calculated as follows:
ACH50 = (CFM50 x 60)/ Volume
Where:
CFM50 = Blower door fan flow at 50 Pascal pressure difference
Volume = Conditioned Floor Area of the housing unit x ceiling height
2015 Washington State Energy Code reference:
R402.4.1.2 Testing. The building or dwelling unit shall be tested and verified as having an air leakage rate ofnot exceeding 5 air changes per hour. Testing shall be conducted with a blower
door at a pressure of 0.2 inches w.g. (50 Pascals). Where required by the code official, testing shall be conducted by an approved third party. A written report of the results of the test shall
be signed by the party conducting the test and provided to the code official. Testing shall be performed at any time after creation of all penetrations of the building thermal envelope. Once
visual inspection has confirmed sealing (see Table R402.4.1.1), operable windows and doors manufactured by small business shall be permitted to be sealed offat the frame prior to the test.
Dunng testing:
1. Exterior windows and doors, fireplace and stove doors shall be closed, but not sealed, beyond the intended weatherstripping or other infiltration control measures;
2. Dampers including exhaust, intake, makeup au, backdraft and flue dampers shall be closed, but not sealed beyond intended infiltration control measures;
3. Interior doors, if installed at the time of the test, shall be open, access hatches to conditioned crawl spaces and conditioned attics shall be open;
4. Exterior openings for continuous ventilation systems and heat recovery ventilators shall be closed and sealed;
5. Heating and cooling systems, if installed at the time of the test, shall be turned off; and
6. Supply and return registers. if installed at the time of the test, shall be fully open.
'-) ; "J?
Property address:
Builder/registered design profes tonal name: _
Builder/mg. design pro. signat:um: �V
Conditioned floor area: f.' (per building permit)
.• ": ' i?-Ps'alues l�3ab,3:9.9� _
' Ceiling/ Vaulted R- _ Floors: Over unconditioned space Bea
Attic: Attic R---- Siab-on-grade floor Ra
Walls: Above grade R- Fully insulated slab? YIPi (Circle one)
Below, Int. R-M Doors: R-Pl- , R-
Below, ext. F2-
fl9mMue ot'.ii ndowse,Skylights and Doors (R3034.9.3):::
Average area weighted U.value from Glazing Worksheat Average U--
Fuel Normalization (Tobles R40&2 : andEnergy Credits able R406.;
System Type Number (9 to 5) (Select cane)
Energy Credits selected (I to 7)_, —
Fuel Normalization Credit + Total Energy Credits = Total Credits—
He atftj Cooling and Domestic Hot Water. . :.
System
Type l anufactural• and Model Number)
cla�r►c
Heating
Cooling
DHW
Drain water heat
recovery
Of&slte. Renewable Energy Electric Powell' syptem :: .
System type System design capacity kVV
Rated annual generation ItWh/yr
_ Appilopces .:..
Energy Star,
(Circle one)
_ II,Fansaeao>frrrer and Model
Y or N
Dish washer_
Refrigerator
Y or.N
Washer
Y or .iV
Dryer
_
Y or N
Vented or unvented? if vented, CEF rating
Gas fireplace / heating stove (Section R402.4.2) fireplace efficiency (FE)
Heating or Decorative? (Circle one)
f1.1/AG System Duct Leakage`TesgTB7� (R4®3.3)
Circle one
All ductwork and air handier in conditioned space? (See Option 4.2) Y or N
Ail ductwork In unconditioned spaces buried and tested at 3% total leakage, and air Y or N
handler In conditioned space? ($ee Option 4.1.)
All ductwork & air handier outside conditioned space Insulated to minimum R-13? Y or N
Air handier present at duct leakage test? (Total leakage 4% if yes, 3% if no) Y or N
HVAC leakage to outsidetest conducted at final? Y or N
Do HVAC duct leakage tests include GP5 and time stamp verification? Y or N
HVAC system leakage test calculated design target: CFM @ 25 Pa
HVAC system leakage test measured results: CFM @ 25 Pa
r`. B.u6lddng: Leakage`.. Testing (R402.4.1.2)
Dwelling unit leakage test calculated design target: —ACH @ 5® Pa
Dwelling unN leakage test, measured results: t� ACH @ 90 Pa
Whole Building Leakage test (112 non -corridor only) design target: CFM/sf @ 50 Pa
Whole Building Leakage test (RZ non -corridor only) measured: CFM/sf @ 50 Pa
Do building leakage tests Include CAPS and time stamp verification? Y or N
Whole. House Ventllatlop. $ysterp. Measured Fl9WRates (M1505.4 IRC.WA) circle one
Are the system controls correctly labeled? Y or N
The Whole house Ventilation (WHV) system operation and maintenance (O&M) Y or N
instructions were provided to the building owner?
Provided to: _ on (date)
Whole House Ventilation System Type: (Circle one)
(1) Whole f ouse exhaust tan, location
(2) BaiancW HRVI ERV, location _
For R2 low-rise, serves more than one unit? Y or N
(3) Supply or FIRV WHV Integral to the air handier. Describe system control sequence of
operations or reference to design submittal:
Specify run-time: hours per day CFM
_
1AIHV calculated design minimum flow rate per:plan submittal:
WHV measured min flow rate at commissioning: Exhaust CFM, Supply CFM
Do WHV flow tests include GPS & time stamp verification? Y or N
HRV/ERV sensible heat recovery efficiency:
Commissioning Notes:
... rY G' - _:..".... :.
..:.Atlrer.IVlandato Re uirements::
Circle one
All other mandatory requlremenMs of INSEC-R have been met?
Y or N
*JBDT
Blower Door Testing KW
425-312-3914 o BlowerpoorNW.com
blowerdoorschedtlle a gmail.com
Job Site Information
Permit #:
Address and Lot Number:
City:
C d ma-L-j -f
Cond. Floor Area (ft):
13LO VER DOOR TEST RESULTS
Date of Test:
Technician Name:
CD
Zip Code:
Age of House: k jeW
Source (check one). Q" tans ❑ Estimated ❑ Measured
'Pest Results 1 (�
ass U Fail C.t Could Not Complete `�"' Volume
�C l ACH50
Test Target �� C� L' CFM@50Pa
Ring (check one if applicable): U Open U A U C
Blower Door Fan Location: � `TV` - Weather Conditions: '( oujLi
Results shall be reported as Air Changes per Hour at 50 Pascals (ACH50) and shall be calculated as follows:
ACH50 = (CFM50 x 60)/ Volume
Where:
CFM50 = Blower door fan flow at 50 Pascal pressure difference
Volume = Conditioned Floor Area of the housing unit x ceiling height
2015 Washington State Energy Code reference:
R402.4.1.2 Testing. The building or dwelling unit shall be tested and verified as having an air leakage rate ofnot exceeding 5 air changes per hour. Testing shall be conducted with a blower
door at a pressure of 0.2 inches w.g. (50 Pascals). Where required by the code official, testing shall be conducted by an approved third party. A written report of the results of the test shall
be signed by the party conducting the test and provided to the Cade official. Testing shall be performed at any time after creation of all penetrations of the building thermal envelope. Once
visual inspection has confirmed sealing (see Table R402.4.1.1), operable windows and doors manufactured by small business shall be permitted to be sealed offat the frame prior to the test.
During testing:
I . Exterior windows and doors, fireplace and stove doors shall be closed, but not sealed, beyond the intended weatherstripping or other infiltration control measures;
2. Dampers including exhaust, intake, makeup air, backdraft and flue dampers shall be closed, but not sealed beyond intended infiltration control measures;
3. Interior doors, if installed at the time of the test, shall be open, access hatches to conditioned crawl spaces and conditioned attics shall be open;
4. Exterior openings for continuous ventilation systems and heat recovery ventilator shall be closed and sealed;
5 � Hearing and cooling systems, if installed at the time of the test, shall be turned off; and
6. Supply and return registers. if installed at the time of the test, shall be fully open.
Property address:
Bullder/registered design professional name:
Builder/reg. design pro. sig at ®•
Conditioned Floor area: ftl (per building permit)
._ RVaiues R303.9 I) _
Ceiling/ Vaulted R. _ (Floors: Over unconditioned space R•
Attic:
Attic R- _ Slob -on -grade floor R-__
Walls; Above grade R- _ Fully insulated slab? Y/N (Circle one)
Below, Int. R-_ _ Doors: R- p-�- R_
Below, ext. R-
..... .. _......
U-Value of.Win doi�rs,. Skylights. sand Doers (R303.1P 9.3)::
Average area weighted U-value from Glazing Worksheet Average U- -
. Fuel Normaldzatioea TOblee R406.2 , and Energy Credits able R406.3 :.
System Type Number (i to 5) (Select one)
Energy Credits selected ('I to %)_
Fuel Normalization Credit + Total Energy Credits = Total Credits
Heating,Cooling and Domestic Hot Water..
S stern
TYPe Manufacturer and Model Number
Efficlenc
Heating
Cooling
DHW
Drain water heat
—
recovery
®nsite. RLMeWable Energy Electric Poi o �y�teiDl::
' System type System design capacity )(W
Rated annual generation kWhlyr
soda liances .
Energy Star?..
Manufacturer and Model
(Circle one)
Dish washer
YorN
Refrigerator
YorN
Washer
Y or N
Dryer
Y or 1V
Vented or unvented? If vented, CEF ratin
Gas fireplace / heating stove (Section R402.4.2) Fireplace efficiency (FE)
Heating or Decorative? (Circle one) _
H.i/AG System Duct Leakage Testing (R403.3)
Circla one
All ductwork and air handler In conditioned space? (See Option 4.2) Y or N
Ali ductwork In unconditioned spaces buried and tested at 3% total leakage, and air Y or N
handier In conditioned space? (See Option 4.1 )
All ductwork & air handler outside conditioned space insulated to minimum R-87 Y or N
Air handler present at duct eakgge test? (Total leakage 4% if yes, 3% if no) Y or N
HVAC leakage to outside'test conducted at final? Y or N
Do HVAC duet leakage tests include GPS and time stamp verification? Y or N
HVAC system leakage test calculated design target: CFM @ 25 Pa
HVAC system leakage test measured results: CFM @ 25 Pa
.Sulldfn4Leakage.Testing (R402.4.9.2)
Dwelling unit leakage test calculated design target: ACH @ 50 Pa
Dwelling unit leakage test, measured results: AC)t @ 50 Pa
Whole Building Leakage test (112 non -corridor only) design target: CFM/sf @ 50 Pa
Whole Building Leakage test (R2 non -corridor only) measured: CFM/sf @ 50 Pa
Do.building leaks a tests Include GPS and time stamp verification? Y or N
Whole House Ventilation..S,ys.tem.Meosured Flow.Rates (1149505.41RC-WA) Circle one
Are the system controls correctly labeled? Y or N
The Whole House Ventilation (WHV) system operation and maintenance (O&M) Y or N
instructions were provided to the building owner?
Provided to: on (date)
Whole House Ventilation System Type: (Circle one)
0) Whole house exhaust fan, location
(2) Balanced HRV/ ERV, location
For R2 low-rise, serves more than one unit? Y or N
(3) Supply or HRV WHV Integral to the air handler. Describe system control sequence of
operations or reference to design submittal:
Specify run-time: hours per day CFM
_
WHV calculated design minimum flow rate per,plan submittal:
WHV measured min flow rate at. commissioning: Exhaust CFM, Supply CFM
Do WHV tlovd tests include GPS & time stamp verification?
Y or N
HRV/ERV sensible heat recovery efficiency:
Commissioning Notes:
_ ... _ . .
Other Mandatory Requirements-
Circle one
All other mandatory requlremen9s of WSEC-R have been met?
Y or N
* T
Blower Door �g NW
'425-312-3914 o BlowerpoorNW.com
blowerd oorsch edule(ZD.gm ail.com
Job Site Information
Permit #:
BLOWER DOOR TEST RESULTS
Date of Test:
l < < I �k ��
Technician Name: <�%�h
626C,(�,L-
S-�-Lf
Address and Lot Number:
City i >i V
l�� 1
Cond. Floor Area (ft): l L-UL
Zip Code:
Age of House:
Source (check one): Pplans ❑ Estimated ❑ Measured
Test Results
ass Q Fail
Test Target c C j'
C.t Could Not Complete
Ring (check one if applicable): Q Open Q A B ID C
Blower Door Fan Location: ,-�— �`,�/ Weather Conditions:
Volume
ACH50
CFM@50Pa
Results shall be reported as Air Changes per Hour at 50 Pascals (ACH50) and shall be calculated as follows:
ACH50 = (CFM50 x 60)/ Volume
Where:
CFM50 = Blower door fan flow at 50 Pascal pressure difference
Volume = Conditioned Floor Area of the housing unit x ceiling height
2015 Washington State Energy Code reference:
0
R402.4.1.2 Testing. The building or dwelling unit shall be tested and verified as having an air leakage rate ofnot exceeding 5 air changes per hour. Testing shall be conducted with a blower
door at a pressure of 0.2 inches w.g. (50 Pascals). Where required by the code official, testing shall be conducted by an approved third parry. A written report of the results of the test shall
be signed by the party conducting the test and provided to the code official. Testing shall be performed at an}' time after creation of all penetrations of the building thermal envelope. Once
visual inspection has confirmed sealing (see Table R402.4.1.1), operable windows and doors manufactured by small business shall be permitted to be sealed off at the frame prior to the test.
During testing:
1. Exterior windows and doors, fireplace and stove doors shall be closed, but not sealed, beyond the intended weatherstripping or other infiltration control measures;
2. Dampers including exhaust, intake, makeup air, backdra t and flue dampers shall be closed, but not sealed beyond intended infiltration control measures;
3. Interior doors, if installed at the time of the test, shall be open, access hatches to conditioned crawl spaces and conditioned attics shall be open;
4. Exterior openings for continuous ventilation systems and heat recovery ventilator shall be closed and sealed;
5. Heating and cooling systems, if installed at the time of the test, shall be turned off; and
6. Supply and return registers. if installed at the time of the test, shall be fully open.
Property address:
Builder/registered design professional name:
b
Builder/reg. design pro. signature:
Conditioned floor area: fft2 (per buildings permit)
R;-V'aiues R303.1.I
Ceiling/ Vaulted R. (Floors: Over unconditioned space R-
Attic: Attic R- _ Slab -on -grade floor R-
Walls; Above grade R- _ Fully insulated slab? YIN (Circle one)
Below, Int. R Doors:
Below, ext.
U-VOW6 of.W1ndsaWs,. Skylights. and Doors (R303.1..1.3) : .
Average area weighted U-value from Glazing Worksheat Average U- -
Fuel Normalization Tables R40&,and.Ener Credits aisle Ro 3
System Type Number (9 to 5) (Select one)
Energy Credits selected (I to ;r)_ �—
Fuel Normalization Credit + Total (Energy Credits = Total Credits
. and Domestic Hot wow.:...
Heating, Cooling
S stern
TYpe itlianufacturoP and Model Nur bps
Elficlonc
Heating
Cooling
DHW
°
Drain water heat
recovery
Onsi$e. ftnewabie Energy, Electric Powei �ystears
System type _ _ _ System design capacity kW
b
Rated annual generation kWh/yr
Al®does .. '
Energy o�tar..
(Circle vne)
Manufacturer
anufacturer and Model
Y ®h"19i
Dish washer
Refrigerator
Y or N
Washer
You •iV
Dryer
_
Y or iM
Vented or unvented? If vented, CEF rating
Gas fireplace / heating stove (Section R402.4.2) Fireplace efficiency (FE) o
_
D leatIng or Decoratgve? (Circle one)
i1YAC System Duct Leakage: Testing (de4®3.3)
CirCIQ one
All ductwork and air handier In conditioned space? (See Option 4.2) Y or N
Ail ductwork in unconditioned spaces buried and tested at 3% total leakage, and air Y or N
handler In conditioned space? (See Option 4.9 )
All ductwork & air handier outside conditioned space Insulated to minimum R-8? Y or N
Air handler present at duct lleakage test? (Total leakage 4% if lies, 3% if no) Y or N
KVAC leakage to outside test conducted at final? Y or N
Do HVAC duet leakage tests include OP5 and time stamp verification? Y or N
HVAC system geakage test calculated design target: CFNi @ 25 Pa
HVAC system leakage test measured results: CFM @ 25 Pa
.Su ldingLeakaga .Vesting (R402.4.9,2)
Dwelling unit leakage test calculated design target: A Cli @ 50 Pa
Dwelling unit leakage test, measured results: ACH @ 50 Ira
Whole Building Leakage test (112 non -corridor only) design target: CFM/sf @ 50 Pa
Whole Building Leakage test (RZ non -corridor only) measured: CFIUI/sf @ 50 Pa
Do building leakage tests Include GPS and time stamp verification? Y or N
i hoIe.Flouse Ventilagpn..; ;ys.ferra:.Meesureo' FloW,RaBes (MI505.41RG-WA) Circle one
Are the system controls correctly labeled? Y or N
The Whole blouse Ventilation (WHV) system operation and maintenance (O&NI) Y or N
Instructions were provided to the building owner?
Provided to: on (date)
Whole House Ventilation System Type: (Circle one)
(1) Whole house exhaust fan, location
(2) Balanced FiRV/ ERV, location
For R2 low-rise, serves more than one unit? Y or N
(3) Supply or FIRV WHV integral to the air handier. Describe system control sequence of
operations or reference to gesign submittal:
Specify run-time: _______ hours per day CFM
1AifHV calculated design minimum flow rate per:plan submittal:
1AMV measured min flow rate at.commissionbng: Exhaust CFM, Supply CFM
Do WHV flow tests include GPS & time stamp verification?
Y or N
HRVIERV sensible heat recovery efficiency:
Commissioning Notes:
.0ther.Mandatory Requirements:
Circle one
All other mandatory requirements of WSEC-la have been met?
Y or N
B gm
*1 D r.
Blower Door Tesfiing ll
425-312-3914 o BlowerpoorNW.com
blowerdoorschedule@.gmail.com
.Tot➢ Site Information
Permit #:
Address a
City:
Cond. Floor Area (ft): `t
BLOWER DOOR TEST RESULTS
Date of Test:
Technician Name:
Zip Code:
Age of House:
Source (check one): 2551, ❑ Estimated Q Measured
Test Results
Wass U Fail Q Could Not Complete
Test Target C5 to
fj��Vvojume
C� 'T ACH,o
CFM@50Pa
Ring (check one if applicable): U Open U A rD Q C
Blower Door Fan Location: - 0 Weather Conditions:
Results shall be reported as Air Changes per Hour at 50 Pascals (ACH50) and shall be calculated as follows:
ACH50 = (CFM50 x 60)/ Volume
Where:
CFM50 = Blower door fan flow at 50 Pascal pressure difference
Volume = Conditioned Floor Area of the housing unit x ceiling height
2015 Washington State Energy Code reference:
R402.4.1.2 Testing. The building or dwelling unit shall be tested and verified as having an air leakage rate ofnot exceeding 5 air changes per hour. Testing shall be conducted with a blower
door at a pressure of 0.2 inches w.g. (50 Pascals). Where required by the code official, testing shall be conducted by an approved third party. A written report of the results of the test shall
be signed by the party conducting the test and provided to the code official. Testing shall be performed at any time after creation of all penetrations of the building thermal envelope. Once
visual inspection has confirmed sealing (see Table R402.4.1.1), operable windows and doors manufactured by small business shall be permitted to be sealed off at the frame prior to the test.
During testing:
1. Exterior windows and doors, fireplace and stove doors shall be closed, but not sealed, beyond the intended weatherstripping or other infiltration control measures;
2. Dampers including exhaust, intake, makeup air, backdrah and flue dampers shall be closed, but not sealed beyond intended infiltration control measures;
3. Interior doors, if installed at the time of the test, shall be open, access hatches to conditioned crawl spaces and conditioned attics shall be open;
4. Exterior openings for continuous ventilation systems and heat recovery ventilator shall be closed and sealed;
�- Heating and cooling systems, if installed at the time of the test, shall be turned off; and
6. Supply and return registers, if installed at the time of the test, shall be fully open.
Property address: _(S -
Bullder/registered design professional Warne:
Builder/reg. design pro. signature:
e�
Conditioned floor area: r ft1(per building permit)
Ra-Values R303.1.1)
Ceiling/ Vaulted R. _ (Floors: Over unconditloned space R-
Attic: Attic R- _ Siab-on-grade floor Rn
Wails: Above grade P- _ Bully insulated slab? Y/N (Circle one)
Below, Int. R-.__ - Doors: R-!!, F:-, R-
Below, ext. R-_
U-Value of.tii Windows;. Skylights_ and Doors (R30 n4.14
Average area weighted U-value from Glazing Worksheet Average U- -
.:.........
Fuel Norlraalfz40&2). and Energy, Credits able R406.3)... .:
System Type Number ('I to a) (Select one)
Energy Credits selected (I to 7)_ -
Fuel Normalization Credit + Total (Energy Credits--
� Total Credits --
Heating, Cooling and Domestic /°leaf I/ Wei:.
S steal
Type l anufacfuraae and Model Number)
Efflclonc
Heating
Cooling
DHW
o Drain water heat
recovery
®oaslte. Renewable Energy Electric Power
System type _ _ System design capacity k'a(li
Rated annual generation ,— kWh/yr
Applloaaces.:..
Eraer Star
W�nu$'acturer and Model
(Circle one)
Y od"ill
Dish washer
_
Refrigerator
Y or W
Washer
Y or:N
Dryer
_
Y or1V
Vented or unvented? If vented, CEF rating._.
Ga f re / heating stove (Section R402.4.2) Fireplace efficiency (FE)
Heating or Decorative? (Circle one)
HYAC System Duct Leakage: 'testing (R403.3)
Cir612 one
All ductwork and air handier In conditioned space? (See Option 4.2) Y or N
All ductwork in unconditioned spaces buried and tested at 3% total leakage, and air Y or N
handler In conditioned space? (See Option 4.1 )
All ductwork & air handler outside conditioned space Insulated to minimum R-&? Y or N
Air handler present at duct leakage test? (Total leakage 4% if yes, 3% if no) Y or N
HVAC leakage to outside test conducted at final? Y 6r N
Do HVAC duet leakage tests include GPS and time stamp verification? Y or N
HVAC system leakage test calculated design target: CFIVi @ 25 Pa
NVAC system leakage Rest measured results: CFM @ 25 Pa
:.Sullding : Leakage. Testing (R402.4.1.2)
Dwelling uniE leakage test calculated design target: ACH @ 50 Pa
Dwelling unO leakage test, measured results: ACH @ 50 Pa
Whole Building Leakage test (112 non -corridor only) design target, CFM/sf @ 50 Pa
Whole Building Leakage test (R2 non -corridor only) measured: y CFM/sf @ 5o Pa
Do building leakage tests Include GPS and time stamp verification? Y or N
Whol&House;. Ventf/allon.., ys.tetp Measured Flow.Rwes (M1505.4 IIdC-Vi/A) circle one
Are the system controls correctly labeled? )(Or N
The Whole House Ventilation (WHV) system operation and maintenance (O&M) Y or N
instructions were provided to the building owner?
Provided to: _ on (date)
Whole Flouso Ventilation System Type: (Circle one)
(1) Whole house exhaust fan, location
(2) Balancn:d HRVI ERV, location _
For Ra low-rise, serves mare than one unit? Y or N
(3) Supplyor HRV WHV Integral to the air handler. Describe system control sequence of
operations or reference to d®sign submittal:
Specify run-time: _______ hours per day CFM
_
IiUHV calculated design minimum flow rate per:plan submittal:
WHV measured min flow rate at.commissloning: Exhaust CFM, Supply t FM
®o WHV flood tests include GPS & time stamp verification? Y or N
HRV/ERV sensible heat recovery efficiency:
Commissioning Notes:
::...OMer.Mandato Re uirements�
G
Circle one
All other rnalrodatory requirements of WSEC-R have been met?
Y or N
* T
Blower Door Tesiitrg IW
'425-312-3914 o BlowerpoorNW.com
blowerdoorschedule(rDgmail.com
Job Site Information
Permit #:
BLOWER DOOR TEST RESULTS
Date of Test:
Technician Name:
Address and Lot Number:
J Zip P Code:
Cond. Floor Area (ft): )Gv- D---- Age of House:
Source (check one): Bans Q Estimated ❑ Measured
'Pest Results
Pass Q Fail
Test Target (5` ,
Q Could Not Complete
W,
/ Volume
LL L(, ACH50
j
CFM@50Pa
Ring (check one if applicable): Q Open 0 A C U C
Blower Door Fan Location: Weather Conditions: (fl J
Results shall be reported as Air Changes per Hour at 50 Pascals (ACH50) and shall be calculated as follows:
ACH50 = (CFM50 x 60)/ Volume
Where:
CFM50 = Blower door fan flow at 50 Pascal pressure difference
Volume = Conditioned Floor Area of the housing unit x ceiling height
2015 Washington State Energy Code reference:
R402.4.1.2'Testing. The building or dwelling unit shall be tested and verified as having an air leakage rate ofnot exceeding 5 air changes per hour. Testing shall be conducted with a blower
door at a pressure of 0.2 inches w.g. (50 Pascals). Where required by the code official, testing shall be conducted by an approved third party. A written report of the results of the test shall
be signed by the party conducting the test and provided to the code official. Testing shall be performed at any time after creation of all penetrations of the building thermal envelope. Once
visual inspection has confirmed sealing (see Table R402.4.1.1), operable windows and doors manufactured by small business shall be permitted to be sealed offat the frame prior to the test.
Dining testing:
1. Exterior windows and doors, fireplace and stove doors shall be closed, but not sealed, beyond the intended weatherstripping or other infiltration control measures;
2. Dampers including exhaust, intake, makeup air, backdrafi and flue dampers shall be closed, but not sealed beyond intended infiltration control measures;
3. Interior doors, if installed at the time of the test, shall be open, access hatches to conditioned crawl spaces and conditioned attics shall be open;
4. Exterior openings for continuous ventilation systems and heat recovery ventilator shall be closed and sealed;
5. Heating and cooling systems, if installed at the time of the test, shall be turned off; and
6. Supply and return registers. if installed at the time of the test, shall be fully open.
Properly address: —
7--
Builder/registered design professional name: -
e
Builder/reg. design pro, signs ur
Conditioned floor area: Ift2 (per building permit
R-Values 363:9.9 _ ..
Ceiling/ Vaulted R. _ Floors: Over unconditioned space R-
Attic:
Attic R-- Slab -on -grade floor R
Wallis; Above grade R- _ Fully insulated slab? YiN (Circle one)
Below, Int. R---.....6_. Doors: R-__R-
Below, ext. R-
U-Valud c>F.fflndows,.Skylighft and Doors
Average area weighted U-value from Glazing Woftheof Average iJ- -
d°ttel Normalization Tables R406.2 : and Energy, Credi&s able R406.3
System Type Number (I to 5) (Select one)
Energy Credits selected (I to 7)_
Fuel Normalization Credit + Total (Energy Credits -Total Credits
_ H€ewtln Cooling and Domestic Hot Water..
S stern
T e Manufacturat and Model Number
Efficleanc
Heating
Cooling
®FIW
o Drain water heat
recovery
Onsite. ftnew able Energy. Electric Powo M
System type System design capacity kBiU�,
ed annual generation ILWhlyr
Esser o3tal*�,..
(Circle one)
[Dish
Manufaetus'er and Model
®d' 101rigerator
washerY
Y or N
sher
Y or :iV
_
Y orlVVented
or unvented? If vented, CEF ratanfireplace
UGaslDryer
/ heating stove (Section R402.4.2.) Fireplace efficiency (FE)eating
or Decorative? (Circle one)
.. HYAC System Duct Leakage Testingi (R403.3)
Circle one
All ductwork and air handier In conditioned space? (See Option 4.2) Y or N
All ductwork in unconditioned spaces buried and tested at 3% total leakage, and air Y or N
handier In conditioned space? (Sea Option 4.1.)
All ductwork & air handier outside conditioned space insulated to minimum R-8? Y or N
Air handier present at duct!leakege test? (Total leakage 4% if yes, 3% if no) Y or N
HVAC leakage to outside test conducted at final? Y or N
Do HVAC duct leakage tests include GPS and time stamp verification? Y or N
HVAC system leakage test calculated design target: CFM @ 25 Pa
PAVAC system leakage test treasured results: CFM @ 25 Pa
:::::;:;:,:':;:`..:;.:: •:.:.`:':.Rullding:Leakage: .Testing (R402.4.1.2)
Dwelling unit leakage test calculated design target: ACH @ 50 Pa
Dwelling unit leakage test, measured results: i ACH @ 50 Pa
Whole Building Leakage test (R2 non -corridor only) design target: isf @ 55 Pa
Whole Building Leakage test (R2 non -corridor only) measured: r CFMIsf @ 50 Pa
Do building leaks a tests Include GPS and time stamp verification? Y or N
. Whole.hlouse Ventilatlon..Sys.tem.,Measured Flow:Rates (M9595., circle one
Are the system controls correctly labeled? Y or N
The Whole House Ventilation (WHV) system operation and maintenance (O&NI) Y or N
Instructions were provided to the building owner?
Provided to: on ___(date)
Whole House Ventilation System Type: (Circle one)
(1) Whole house exhaust fan, location
(2) Balanced HRVi ERV, location
For R2 low-rise, serves more than one unit? if or N
(3) Suppiypr HRV WHV Integral to the air handier. Describe system control sequence of
operations or reference to gesign submittal:
Specify run-time: hours per clay CFM
INHV calculated design minimum flow rate per:plan submittal:
WHV measured min flow rate at. commissioning: Exhaust CFM, Supply CFM
Do WHV flow tests include GPS & time stamp verification? Y or N
l IRWERY sensible heat recovery efficiency:
Commissioning Notes:
Other.Msndato Re ulrements:
A
Circle one
All othew mandatory requirements of WSEC-R have been met?
Y or N