Title Page
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Project name and number (if available)
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Conducted on
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Prepared by
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Location
Natural Gas Service
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Does the site have natural gas?
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Picture of natural gas meter.
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Picture of natural gas piping into building.
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What is gas pressure?
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Additional natural gas comments?
Electrical Service and Exterior Service Equipment
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What is voltage and phase on site?
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Provide photo of service entry for building.
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Show photo of electrical meter for site.
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Show photo of electrical disconnect for site.
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Show photo of electrical transformer on site.
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Provide transformer number if possible.
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Additional electrical service comments?
Interior Electrical Equipment
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How many existing indoor panels?
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Provide existing panels sizes and designations if available.
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Show pictures of existing indoor panels and locate on plan.
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Show pictures of existing indoor disconnects and locate on plan.
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Show pictures of existing indoor transformers and locate on plan.
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Provide description of client's specific electrical equipment. Voltage, phase, and amperage.
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Provide pictures of specific electrical equipment.
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Additional interior electrical equipment comments?
Interior Lighting
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Would the owner like to re-use existing lighting?
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What kind of lighting is existing?
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Provide pictures of existing lighting.
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Would the owner like us to provide any new lights to match existing lights in the space?
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What type of new lighting would the owner like to use?
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Provide description of desired light fixtures and locations if known (i.e. can lights, 2x4 lay-in vs 2x2 lay-in, etc).
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Additional interior lighting comments?
Site Lighting
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Would the owner like to re-use existing site lighting?
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Do any wall-packs or pole lights need to be replaced or updated?
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What is desired new lighting type?
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What type of new site lighting would the owner like to use?
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Provide a description of type of lights and locations if possible.
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Additional site lighting comments?
Water Heaters
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Are there existing water heaters?
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Will existing water heaters remain in use?
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Provide description of water heater sizes, and if water heaters are gas, electric, propane, etc.
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Provide pictures of existing water heaters. Include nameplates.
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If we are required to add any water heaters, what type would the owner like to use?
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Additional comments regarding water heaters?
Sanitary Sewer
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Is there existing sanitary sewer?
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What size is the existing sanitary sewer line?
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Provide any pertinent pictures for estimating sanitary sewer location and locate on plan.
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Is there an existing grease interceptor or grease waste line available?
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Please provide any photos that may be helpful in determining interceptor location relative to space.
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Provide size of interceptor and description of interceptor if possible.
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Additional sewer comments?
Domestic Water
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Is there existing domestic water?
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Provide photos of existing domestic water as possible and locate on plan.
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Is there an existing backflow prevention device?
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Provide picture and locate backflow preventer on plans.
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Provide pictures of existing plumbing fixtures if possible.
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Additional water comments?
Mechanical Equipment
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Are there existing mechanical equipment?
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Would the owner like to re-use existing mechanical equipment?
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Provide photos of existing mechanical equipment.
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List tonnages and electrical information of existing mechanical equipment if possible.
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Will existing ductwork remain?
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How is heating provided by units?
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Please list heating mechanism.
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Type of HVAC system/equipment desired by owner.
- RTU
- Traditional split system
- Ducted mini-split system
- Ductless mini-split system
- VRF system
- Kitchen hood/exhaust system
- Other
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Provide description of desired HVAC system.
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Will we provide new mechanical systems/equipment?
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Will we provide new ductwork?
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What type of ductwork would owner prefer?
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Additional mechanical comments?
