RESIDENTIAL DUCT & ENVELOPE TESTING (DET) FORM
House Address: Permit #: Date:
Permit holder: Phone:
I. Building Envelope Air Leakage (mandatory):
Blower door test (Mandatory)
Test Result:
Fan Flow at 50 Pascals = CFM50 Total Conditioned Volume = ft
3
ACH50 = CFM50 x 60 / Volume = ACH50
Visual Inspection (Mandatory)
☐ Air Barrier and Insulation Installation Final Inspection Checklist (on reverse) has been completed and signed
Testing company: Phone:
Tester Name (print): ______________________________ Signature: _________________________________ Date: ______________
BPI or HERS certification number: BPI no: ________________ HERS Rater no: ________________ HERS RFI no: _______________
II. Heating and Cooling System Duct Leakage
☐ I certify that all portions of the ducts are located entirely within the building thermal envelope. Testing is not required.
Owner or approved third party signature: ______________________________________ Date: _____________
Total duct leakage test
Energy code compliance path: ☐ Prescriptive (including REScheck) ☐ Performance or Energy Rating Index
Type of test performed: ☐ Rough-in with air handler ☐ Rough-in without air handler ☐ Post construction
Test Result System 1:
Fan Flow at 25 Pascals (CFM25) ________ CFM Conditioned Floor Area (CFA) served by system = _________ft
2
CFM25 / CFA x 100 = __________ CFM/100 ft
2
Test Result System 2 (if present):
Fan Flow at 25 Pascals (CFM25) ________ CFM Conditioned Floor Area (CFA) served by system = _________ft
2
CFM25 / CFA x 100 = __________ CFM/100 ft
2
Testing company: Phone:
Tester Name (print): ______________________________ Signature: _________________________________ Date: ______________
BPI or HERS certification number: BPI no: ________________ HERS Rater no: ________________ HERS RFI no: _______________
Qualified professionals may be found at:
https://peconewhomes.com/builders/find-participating-raters | http://www.bpi.org/locator-tool/find-a-contractor