Title Page
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Property Abbreviation and Unit Address
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Prepared by
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Conducted on
Indoor System Specs.
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Identify if the existing equipment is a Straight AC, Heat Pump or Aquatherm
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Identify if system is a Wall Hung or a Ceiling Mount
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Select matching system tonnage to be ordered
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Select matching system tonnage to be ordered
- ABFT24-400G+D-VP4-8KW (for CLT use)
- ABFT30-400G+D-VP4-8KW (for CLT use)
- 1.5 Ton (FMC4Z1800AL)
- 2 Ton (FMC4Z2400AL)
- 2.5 Ton (FMC4Z3000AL)
- 3 Ton (FMC4Z3600AL)
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Identify if system is a Wall Hung, Multi-Positional or Ceiling Mount
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Select matching system tonnage to be ordered
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Select matching system tonnage to be ordered
- FZ4ANP024L (RVA only) Pulling from stock
- 1.5 Ton 17" (FJ4DNXA18L00)
- 2 Ton 17"(FJ4DNXB24L00)
- 2.5 Ton 17" (FJ4DNXB30L00)
- 3 Ton 17" (FJ4DNXB36L00)
- 4 Ton 17" (FJ4DNXC48L00)
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Select matching system tonnage to be ordered
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Select matching system tonnage to be ordered
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Heat Kit to be ordered: First identify if system is a Wall Hung and or a Multi-Positional for parts to order
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Select part number of Heat Kit to be ordered
- 8 KW (KFFEH8801N08) for 17" system
- 5 KW (KFFEH0501N05) for 17" system
- 10 KW (KFFEH0901N10) for 17" system
- 5 KW (FC-0501N05) for 14" system
- 8 KW (FC-0801N08) for 14" system
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Select matching Heat Kit to be ordered
- 5KW (EHK205B)
- 8KW (EHK208B)
- 10KW (EHK210B)
- NC- 5KW (CEFFM0502BT)
- NC-8KW (CEFFM0802BT)
- NC-10KW (CEFFM1002BT)
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Provide details if any specialized transition that will be needed for the duct work (attach photos)
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Select float switch to be ordered
- EZT-210 83210 (3/4" Drain Trap kit w/ Float Switch)
- TP-CS2 (Auxiliary Drain line switch)
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Identify existing breaker/disconnect has the correct max amp per manufacture specs. (Identify what materials will be needed ex. secondary disconnect or new breaker to match existing disconnect)
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Thermostat tested for accuracy and is in fair condition (attach photo)
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Select replacement Thermostat to be ordered
- TP-N-721
- Pro 3000 2H/1C (TH3210D1004) Non-Programmable
- TP-P-521 2H/1C (TP-P-521) Programmable
- T3 2H/1C + 1H/1C (TH3210U2004/U) Non-Programmable
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Confirm that the system has no coil leaks with an electronic sniffer (provide details if the system has a potential leak)
Outdoor System Specs.
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Identify if the existing equipment is an Straight AC or a Heat Pump <br>
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Select matching system tonnage to be ordered
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Select matching system tonnage to be ordered
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Identify if the existing breaker/disconnect has the correct max amp per manufacture specs and or in need of replacement due to wear. (Identify what materials will be needed ex. secondary disconnect or new breaker to match existing disconnect)
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Select correct disconnect that is needed for installation
- TradePro 60 Amp Non-Fusible (TP-60AMP-NF)
- U065P 60 Amp Non-Fused Box (U065P)
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Identify if Electrical Wiring is in need of repair
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Select correct electrical wiring that is needed for installation
- TRADEPRO® - Non-Metallic Connector Whip 1/2" x 6' (TP-WHIP-1/2X6NM
- TRADEPRO® - Non-Metallic Connector Whip 3/4" x 6' (TP-WHIP-3/4X6NM
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Identify if the Thermostat wiring is need of replacement and an LB Box added (attach photos)
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Identify the new system will have adequate clearance from the nearest exterior walls and or any other alternative condensers (mark up on photos). For proper airflow, a 6-in. clearance on 1 side of unit and 12-in. on all remaining sides must be maintained and a distance of 18 in. in-between any other condenser
- Adequate clearance on all sides
- Adjustments needed on 1 or all sides
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Identify if the Landing space for the condenser to rest on will need any additional support (ex. support feet kit or temp pad) (attach photos) Provide detail notes with measurements if the existing concrete pad will need to be extended (mark up photos)
- No repairs needed at this time
- 32x32 Pad (EP-32X32X3-ECO)
- Provide support feet (HPR-6-2PG)
- 30x30 Pad (EP-30X30X2-P)
- 36x36 Pad (EP-36X36X2-P)
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Will any landscaping need to be trimmed and or removed (Identify in detail and mark up photos to provide to the property team to have addressed)
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Will any other condenser need to be replaced before the scheduled unit. (mark up photos in order of replacement suggested) Call out if multiple condensers will need to be replaced at the same time.
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Confirm that the system has no coil leaks with an electronic sniffer (provide details if the system has a potential leak)
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Provide Signature when pre-inspection is complete
Verification of Equipment Delivery
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Does the model number and unit number of the received equipment match the order placed above? (Provide photo of packing slip with the order number)
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Provide information as to why the equipment does not match?
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Provide serial number of the condenser
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Provide serial number of the air handler
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Did any additional accessories arrive and are they correct?
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Provide detailed information of the item that was not accepted and or received (Include order number and part number of the item)
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Signature Confirmation for all items received
Warranty Claim
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Provide description of equipment that has failed including part numbers and serial numbers (attach photos)
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Has Carrier been notified regarding failed equipment? ( Skeeter, Stone <Stone.Skeeter@carrierenterprise.com>)
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Provide repair option being full replacement of system or parts only
- Full Replacement of indoor or outdoor system
- Parts only replaced
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Provide new part number and serial number of system or parts replaced
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Provide claim number from vendor of available
Installation Verification
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Does the model, serial number and unit address match what was verified during delivery above?
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Provide detailed information of the item that is being installed with updated Serial numbers
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Signature Confirmation that installed items match delivery
