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( <br />.. .,,.�. ,� <br />1� u�1� L1 .. M ��A IL 1 � 1 .I .11! �. <br />Testing shall occur at any time after rough in and after installation of penetrations of the building envelope, inGuding <br />penehations for utilities, plumbing, electrical, ventilation, and cembustion appliances and sealing thereaf. �Mien <br />required by the inspector, the test shall be conduded in Me presence of depertment steli. The blower door test <br />resuRs shall be recorded on the certificate required to be posted near the electrical panel. <br />This dowment must be wbmitted at or before the Fnal Inspection. <br />Pertnit N: <br />House address or lot number: <br />City: <br />Zip: <br />Cond. Floor Area (ft ): Source (drde orre): Plans Estimeted Measured <br />❑ Duct tightness testing is not required for!his residence per exceptions listed at the end of this document <br />Air Handler in conditianed space? ❑ Yes ❑ no Air Handler presenl durirg test? ❑ Yes ❑ no <br />Circle Test Method: Leakage to Outside Total Leakage <br />Maximom duct leakage: <br />Poat ConstrucUon, total duct leakage: (floor area x.OB) = CFM@25 Pa <br />Post Construcdon, leakage to outdoors: (floor area x.06) = CFM�25 Pa <br />Rough-In, total duct leakage wkh alr hendler fnsUlled: (floor area x.O6) = CFM(�25 Pa <br />Rough-In, total duct kakage wlth air handler not InsUlled: (floor area x.04) = CFM@25 Pa <br />Teat Resuk: CFM�25Pa <br />Ring (circle one if applicable): Open <br />Dud Tester Location: <br />_ Pressure Tap Location: <br />I ceRify that Mese duct leakage ratea are accurate and deMrtnined using �hndard duct tesNng protocol. <br />Company Name: <br />Technician Signature: <br />Technicien: <br />Date: Phone Number: <br />Washlnpton Stab Emrpy COM M�nnu: <br />607.t0.S SNIInO• Atl Auds, air han0lers, fil�er Eozes, aM building cavities useO as Auds shall ba sealeA. JWnh erM seama shaM comply with <br />Seaion M7601.7 0l ihe Intemalional Residenfial Code or 603.8 01 the Intemafanel Merhenical CMe. Wd tlghtness testkp shall ba mrMucled to <br />verify Uet the ducts ere sealetl. A sipned aRMavit dowman6np the test rewtts Matl be provide0 to Ihe juriadkbon heMrq auCarly Ey the teaN�9 <br />ageM. When require0 by the builAing ofidal, L�e tesl shall be conOuded in Me preaenoe Mdepartmerit stall. <br />Exceptions: 1. Duct tightness Mst is not required if the air handler arW all duds ere bceted wltMm m�ditioneA spaoe. <br />2. Dud IesHrg is not required N the fumece is a nondirect vent lype combusHon appliance InstelleA In en uncoMilioned speae. A <br />macimum uf :ia feel ol connected du4woilc in ihe uncondNiareA space is allowed. AI� a0dfional auppy arM ralum duqs ahal ba <br />within the con,ffioned space. Ducls outsitle Ihe a�nAitioned space ahall De eealed wtth a mastic type Ouct aealaM and inwlakd on <br />Me e�terior with R-B insulaUon tor abo�e Brade duGs and R-5 weter resisGnt hisulation when with� a Neb w eaM. <br />Page 8 oi 9 <br />