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Diagnostics
Estimate
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Exposed
Semi Buffered
Buffered
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Measures
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Job Diagnostics
Blower Door
Shell Leakage Target (MVR)
Initial Blower Door Readings
Fan Ring
O
A
B
Wind
Calm
Windy
Catastrophic Sealing Measures
Pre-ESP Blower Door Readings
Fan Ring
O
A
B
Wind
Calm
Windy
Duct Sealing Measure
Shell Sealing Measure
Total CFM50 Reductions
Completion Date
Flu Vent Termination ok
Appliance or CVA 10' from return air
Economic Stop Parameters (ESP)
A/C Present
ESP Target
ASHRAE
Infiltration Credit
Blower Door CFM50
Appendix A Existing Building Credits
Kitchen
Window?
Enter Fan CFM
Bath 1
Window?
Enter Fan CFM
Bath 2
Yes
No
Window
Enter Fan CFM
Bath 3
Yes
No
Window
Enter Fan CFM
Ventilation 'Deficit' CFM
Cost Effective Guidelines
Pressure Pans
Duct Test
Room
Register #
Pre Test
Post Test
Water Heater
Replacement
Repair
Oven & Gas Dryer
Replacement
Repair
Heat Rise
-
=
Zone Pressure Diagnostics
Zone
Path
Replacement
Worst Case Draft Test
Appliance
Draft
All Pass?
Combustion Appliance Safety Report
Ambient Co Levels PPM
Initial Readings
Post Service/Replacement Readings
Main Room
N/A
FAU Supply Register after 2 min
Wall or Floor heater
Gas Fireplace
N/A
Undiluted Flue Gas CO Levels (ppm)
Main Heater
Second Heater
Water Heater
Oven Termination
Gas Dryer
N/A
The following section applies to atmospheric draft appliances that are located within confined spaces.
Comb. Air Requirement
Furnace/Space Heater
Water Heater
Input Rating (Kbtu/hr)
Location
Comb. Air Source
Amount Existing (cu.ft. or nfva)
Amount Added
Draft Test Results
Mech. Draft Reading
Pass Smoke Draft
Initial
Yes
No
Post
Yes
No
CAZ Worst Case Depressurization
Int. Doors Closed-Air Handler On
Int. Doors Open-No Air Handler Present
Final Back Draft OK?
Initial
Yes
No
Post
Yes
No
Final CAZ Test
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