Heads up: There are no amended sections in this chapter.

Appendix 5 Statement of Compliance — HVAC System Installation

AMENDMENT
This section has been amended at the state or city level.
Project Name: ___________________________________________________________________

Project Location: ________________________________________________________________

In my professional opinion, the HVAC systems have been installed and are in substantial compliance with the intent of the approved project plans and specifications based on a site observation performed on________________________and upon review of the following:_______________________________________ date(s)

Yes No Not Required Items Comments
Testing and Balance Report
Operations and maintenance manuals
HVAC Equipment
Control sequences


Name: _________________________________________________________________________

Signature: ______________________________________________________________________

Date: __________________________________________________________________________

Seal: __________________________________________________________________________
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