< JOB REQUEST FORM > Hydraulic Placard /or/ Reverse Engineering

HYDRAULIC PLACARD/REVERSE ENGINEERING JOB REQUEST FORM

** Please complete form in full - be sure to click SUBMIT at the end. **
JOB TYPE:*
COMPANY NAME:*
Enter Your Company's Name
Client Branch Office, City and State *:*
*specify your branch office / city & state if your company has multiple locations
CONTACT NAME:

First NameLast Name
Email:
example@example.com
Phone Number:

Area CodePhone Number
Project Name:*
Project or Job No:
-PROJECT- ADDRESS:

Street Address of -PROJECT- (NOT client address)

Street Address Line 2

CityState

Zip Code
Requested Project Due Date: *

MonthDayYear
ULD Must receive all drawings and flow test in a timely manner to meet deadline.
PROJECT TYPE:*
BID SQ FOOTAGE: ###*
Bid SF
How Many # Placards Required?
CONSTRUCTION
NEW OR EXISTING CONSTRUCTION (specify below:)*

Existing construction with new sprinkler systemExisting construction with new sprinkler system tying into existing sprinkler systemExisting construction with head relocate/spotOther
Any typical floor plan levels? *
*SPECIFY* which floor numbers are typical, and typical head count per floor here:
*Rate may be reduced *IF* details are provided, floors are truly typical and specific head counts per floor are detailed here.
How Many BUILDINGS?
FLOW TEST INFO
HYDRAULIC CALCULATIONS:*

YesNo
FLOW TEST DATA:*

Flow test data will be provided by client.*ULD TO PERFORM flow test* (additional rates apply).Flow test is not necessary for this project.
DRAWINGS NEEDED?*

Hydraulic Calc Plate Only without drawingsHydraulic Calc Plate *WITH* drawings
DRAWINGS: ARE CAD & PDF AVAILABLE?

*specify drawing availability in box below
Existing Building Drawings?*

NoYesN/A
Existing Sprinkler Drawings?*

NoYesN/A
AutoCAD Drawings Available?*

NoYesN/A
*SPECIFY HERE* what drawings -CAD, DWG, PDF, paper or other- will be provided, and other important notes about drawings* (additional fees will be billed on final invoice if CAD and all drawings are not provided): *
*Please be SPECIFIC - if CAD, PDF and what drawings are available here. .
SURVEY:
SURVEY BY ULD?*

NoField check existing building using document drawings (pdf, dwg or scanned)Field check existing sprinkler system using document drawings (pdf, dwg or scanned)Other
BILL OF MATERIALS:

Loose material list ONLY ( -no- fabrication report).
BILL OF MATERIALS?

NoYes
How many systems?
*SPECIFY NUMBER OF SYSTEMS FOR BILL OF MATERIALS
STOCK LIST

Loose material **PLUS** the fabrication report
Stock List by ULD?

NoYes
SYSTEM:
TYPE OF SYSTEM: (check all that apply and specify details)*

WetDryFoamAnti-FreezeESFRRackStorageDelugeOtherOther
DESIGN STANDARD:

NFPAFactory MutualNFPA 13NFPA 13RNFPA13DOther
SITE PLAN:
SMALL SITE PLAN REQUIRED ON DRAWING?:*

YesNoOther
FULL SITE PLAN?:*

Yes (additional rates apply)NoOther
STANDPIPES:
STANDPIPES*

NoYes #Other
*EXISTING OR NEW STANDPIPE? INDICATE HERE WITH OTHER DETAILS:
FIREPUMP:
FIREPUMP?*

NoYes # (If yes, indicate # below)Other
*EXISTING OR NEW FIRE PUMP? INDICATE HERE WITH OTHER DETAILS:
SUBMIT / AND SCOPE OF WORK:
By checking this box, I understand and agree this form is for estimating purposes only and due dates are contingent upon receiving all drawings and design files in ULD office in timely manner.*

I agree
List SCOPE OF WORK and any further Pertinent Job Details here: *
Thank You!
- By submitting this form, I agree:
  
  *ULD will create an estimate based on the specifications recorded on this form
  
  *price is subject to change on the final invoice if scope/design is changed or required
  
  *additional fees will be billed on final invoice if CAD and all drawings are not provided
  
  *design due date is contingent upon receiving all drawings, flow test and design files in ULD's office in a timely manner
  
  I have carefully reviewed details and verified accuracy of this information.
  
  Please allow 2-3 business days to receive quote.
  
  Please send any additional drawings or specs that would be helpful for quote to tanya@uldfire.com and cade@uldfire.com .
- Should be Empty:

HYDRAULIC PLACARD/REVERSE ENGINEERING JOB REQUEST FORM

CONSTRUCTION

FLOW TEST INFO

DRAWINGS: ARE CAD & PDF AVAILABLE?

SURVEY:

BILL OF MATERIALS:

STOCK LIST

SYSTEM:

SITE PLAN:

STANDPIPES:

FIREPUMP:

SUBMIT / AND SCOPE OF WORK: