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
AIR BARRIER AND INSULATION INSTALLATION FINAL INSPECTION CHECKLIST
House Address: Permit #: Date:
Permit holder: Phone:
FINAL INSPECTION
Ceiling/Attic
Recessed light fixtures installed in the building thermal envelope are sealed to the
drywall.
Insulation is installed in each ceiling assembly that separates conditioned space from
unconditioned space or outdoors
Insulation R-value is R-49 or greater.
1
(A minimum of R-38 insulation is allowed if the full
height of uncompressed insulation extends over the top of the walls.)
Access openings, drop down stairs, or knee wall doors to unconditioned attic spaces
are sealed.
1
Exception: Values match those listed in an approved REScheck, Simulated Performance, or ERI report.
Notes:
Testing company: Phone:
_______________________
Tester Name (print): ______________________________ Signature: _________________________________ Date: ______________
BPI or HERS certification number: BPI no: ________________ HERS Rater no: ________________ HERS RFI no: _______________