38102-1-0318
Page 3
ATTENTION INSTALLER:
Fireplace Installation Checklist
Use this checklist in conjunction with the instructions in this manual.
FIREPLACE INSTALLATION
COMMENTS
Verified clearances to combustibles
(pg. 11)
........................................................................
o
____________________
Fireplace is leveled and secured ..........................................................................................
o
____________________
VENTING/CHIMNEY/PowerFlow™ HEAT DISTRIBUTION
Venting configuration complies to vent diagrams
(pgs. 15 - 18)
..........................................
o
____________________
Venting installed, locked, secured in place with correct clearance .......................................
o
____________________
Firestops installed.................................................................................................................
o
____________________
Exterior wall/roof flashing installed and sealed.....................................................................
o
____________________
Terminations installed and sealed
(pg. 16)
...........................................................................
o
____________________
Light unit and test venting before enclosing the fireplace ....................................................
o
____________________
ELECTRICAL (pgs. 13 and 22)
Unswitched power (110-120 VAC) provided to the fireplace ................................................
o
____________________
GAS (pgs. 12 - 13)
Proper appliance for fuel type...............................................................................................
o
____________________
Was a conversion performed? ..............................................................................................
o
Yes
o
No
Leak check performed and inlet pressure verified ................................................................
o
____________________
FINISHING
Verified all clearances meet installation manual requirements .............................................
o
____________________
Mantels and wall projections meet requirements
(pg. 11)
....................................................
o
____________________
Granite or Clean Face finishing complies with clearance requirements screen ...................
o
____________________
Barrier for glass front properly installed ................................................................................
o
____________________
FIREPLACE SETUP
All packaging and protective materials removed (inside & outside of fireplace) ..................
o
____________________
Media installed correctly .......................................................................................................
o
____________________
Firebox glass door cleaned, installed, and secured .............................................................
o
____________________
Accessories installed properly ..............................................................................................
o
____________________
Started Fireplace and checked for gas leaks .......................................................................
o
____________________
Manual envelope and all contents removed from the fireplace and given homeowner ........
o
____________________
Empire recommends the following:
•
Keep this checklist visible on the fireplace until the installation is complete.
•
Photograph the installation and copy this completed checklist for your file.
Comments:
Further description of any issues, who is responsible (Installer/Builder/Other, etc) and corrective action needed:
___________________________________________________________________________________________________________
Comments communicated to responsible party _____________________by _____________________ on ______________________
Customer: _____________________________________
Lot/Address: ___________________________________
_______________________________________________
Model: ________________________________________
Serial #: ________________________________________
Date Installed: __________________________________
Fireplace Location: ______________________________
Installer: _______________________________________
Dealer Phone #: _________________________________
_______________________________________________