3
Outdoor Lifestyles by Hearth & Home Technologies • Palazzo Installation Manual • 4082-311 Rev. A • 06/08/15
Installation Standard work Checklist
Customer:
Lot/Address:
Model (circle one): ODPALG-48
ODPALGST-48
Date Installed:
Location of Fireplace:
Installer:
Dealer/Distributor Phone #
Serial #:
Comments:
Further description of the issues, who is responsible (Installer/ Builder/ Other Trades, etc) and corrective
action needed _____________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
Comments Communicated to party responsible ____________________ by ______________________on ___________
(Builder / Gen. Contractor/) (Installer) (Date)
Appliance Install
Section 3 & 4 (Pg. 7-14)
YES
IF NO, WHY?
Veri
fi
ed that the enclosure is sealed.
___________________________
Required non-combustible board is installed.
___________________________
Veri
fi
ed clearances to combustibles.
___________________________
Fireplace is leveled and secured.
___________________________
Electrical Section 5 (Pg. 1
5
-1
8
)
Unswitched power (110-120 VAC) provided to the appliance.
___________________________
Switch wires properly installed.
___________________________
Gas Section 6 (Pg.1
9
-2
1
)
Proper appliance for fuel type.
___________________________
Was a conversion performed?
___________________________
Leak check performed and inlet pressure veri
fi
ed.
___________________________
Finishing Section 7 (Pg. 2
2-24
)
Combustible materials not
installed in non-combustible areas.
___________________________
Veri
fi
ed all clearances meet installation manual requirements.
___________________________
Mantels and wall projections comply with installation manual requirements.
___________________________
Appliance Setup Section 8 (Pg.
25
)
All packaging and protective materials removed (inside & outside of appliance).
___________________________
M
edia installed correctly.
___________________________
Mesh, doors, or decorative front properly installed.
___________________________
Manual bag and all of its contents are removed from inside/under
the appliance and given to party responsible for use and operation.
___________________________
Started appliance and veri
fi
ed no
gas leaks exist.
___________________________
4082-312 6/15
Hearth & Home Technologies recommends the following:
• Photographing the installation and copying this checklist fo
r your
fi
le.
•
That this checklist remain visible at all times on the appliance until the installation is complete.
This standard work checklist is to be used by the installer in conjunction with, not instead of, the instructions contained in this
installation manual.
WARNING! Risk of Fire or Explosion! Failure to install appliance according to these instructions could
lead to a
fi
re or explosion.
ATTENTION INSTALLER:
Follow this Standard Work Checklist
