Residential Electrical New Construction Request for Service Form

Residential Electrical New Construction Request for Service Form

Please fill out the details of your construction project to see an instant quote and make a deposit payment to reserve calendar space for your project and lock in your unit price. You can view the the quote prior to paying a deposit.
Full Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email
example@example.com
Project Location Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Billing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date the project is expected to need Electrical to start*

MonthDayYear
Date
Total Square Footage of the Construction*
Electrical Service Size*
Temp Power Needed*

YesNo
Number of Bedrooms*
Number of Bathrooms*
Number of Water Heaters
Number of Laundry areas
If there is only one washer and one dryer you would select 1 laundry area. If you are installing a stacked unit you would select one for every stacked unit.
Number of Light Fixtures Planned for the House*
These are customer supplied fixtures, no light fixtures are included in the cost. Price is for the box, wire and installation of customer supplied fixture.
Kitchen Appliances

DishwasherElectric RangeMicrowave Hood FanDisposalAdditional OvenGas Only Range or Cook TopIsland with powerHood Fan OnlyUnder Cabinet LightsNone of these
EV Car Charger
Select which HVAC system you are planning or combinations of HVAC systems
Small HVAC System*
3 Ton or less, or 3 head ductless or less, or up to 2 PTAC's
Large HVAC*
Greater than 3.5 Ton or 4-8 heads on a ductless system
Garage Options (standard construction comes only with basic code required outlets, lights should be listed under lighting)

Garage Door OpenerFreezer CircuitWork Bench OutletsHeaterNone of these
Extended Warranty Options*

Standard one year total warranty period2 Year total warranty periodFive Year total warranty period
Electrical Bid Total (NOT Including Tax)
I accept the estimate above and want to reserve services for my New Construction project. *

Powered by Jotform SignClear
After Signing

After signing above you must pay a deposit to finalize the Agreement, click next to pay your deposit. Deposits are refundable for 15 calendar days (subject to processing fees). Once your deposit is paid you will be contacted for scheduling and to obtain builders drawings. All Electrical projects will come with a set of electrical drawings. A site walk through will be done prior to starting the project to ensure all electrical needs are being met, change orders can be done to deduct or add to the quote above. A finalized construction contract will be drawn up after the site walk, prior to the start of construction.

Residential Electrical New Construction Request for Service Form

Select which HVAC system you are planning or combinations of HVAC systems

After Signing