Permit Processing and Title 24
Request Form
Company Name:
How can we help? (Please select one or both services)
Permit Processing
Title 24 Testing (ECC Verification)
Homeowner Information
Homeowner Name
*
First Name
Last Name
Homeowner Phone Number
*
Format: (000) 000-0000.
Homeowner Email
*
Project Information
Project Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Project Valuation (Required for most Permit Applications):
How many systems are being installed?
Type of unit being installed:
CONDENSER
GAS FURNACE
HEAT PUMP
AIR HANDLER
PACKAGE UNIT
DUCTED MINISPLIT
Outdoor Unit Tonnage
Outdoor Unit Replacement or Entirely New Cut-In?
Replacement
Entirely New Cut-In
Outdoor Unit Relocation?
Yes
No
Gas to Electric Conversion?
Yes
No
Installing New Ductwork?
No
Yes; Partial Replacement
Yes; Full Replacement
Yes; All New Cut-In (no prior existing ductwork)
Replacing Existing Outdoor Unit?
Yes
No
Replacing Existing FAU?
Yes
No
Entirely New Outdoor Unit?
Yes
No
CONDENSER or HEAT PUMP Tonnage
Entirely New FAU?
Yes
No
SEER Rating:
FURNACE BTUs
New MINISPLIT System?
Ducted
Ductless
MINISPLIT # of Head Units
System #2
Type of unit being installed:
CONDENSER
GAS FURNACE
HEAT PUMP
AIR HANDLER
PACKAGE UNIT
DUCTED MINISPLIT
Outdoor Unit Replacement or Entirely New Cut-In?
Replacement
Entirely New Cut-In
Outdoor Unit Relocation?
Yes
No
Gas to Electric Conversion?
Yes
No
Installing New Ductwork?
No
Yes; Partial Replacement
Yes; Full Replacement
Yes; All New Cut-In (no prior existing ductwork)
System #3
Type of unit being installed:
CONDENSER
GAS FURNACE
HEAT PUMP
AIR HANDLER
PACKAGE UNIT
DUCTED MINISPLIT
Outdoor Unit Replacement or Entirely New Cut-In?
Replacement
Entirely New Cut-In
Outdoor Unit Relocation?
Yes
No
Gas to Electric Conversion?
Yes
No
Installing New Ductwork?
No
Yes; Partial Replacement
Yes; Full Replacement
Yes; All New Cut-In (no prior existing ductwork)
System #4
Type of unit being installed:
CONDENSER
GAS FURNACE
HEAT PUMP
AIR HANDLER
PACKAGE UNIT
DUCTED MINISPLIT
Outdoor Unit Replacement or Entirely New Cut-In?
Replacement
Entirely New Cut-In
Outdoor Unit Relocation?
Yes
No
Gas to Electric Conversion?
Yes
No
Installing New Ductwork?
No
Yes; Partial Replacement
Yes; Full Replacement
Yes; All New Cut-In (no prior existing ductwork)
Additional Information:
Additional Information:
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Type of Unit Being Installed for System #2
CONDENSER
FURNACE
PACKAGE UNIT
HEAT PUMP
AIR HANDLER
MINISPLIT
System Tonnage
System SEER Rating:
System BTUs
MINISPLIT System?
Ducted
Ductless
MINISPLIT # of Head Units
New Ducting for System #3 ?
No
Yes; Partly Replaced
Yes; Entirely Replaced
Yes; All New Cut-In
Type of Unit Being Installed for System #3
CONDENSER
FURNACE
PACKAGE UNIT
HEAT PUMP
AIR HANDLER
MINISPLIT
System Tonnage
System SEER Rating:
System BTUs
MINISPLIT System?
Ducted
Ductless
MINISPLIT # of Head Units:
Should be Empty: