Factory Requirements for System Design www.hi-velocity.com FOR OFFICE USE ONLY Quote #: ESP 310.06 Factory Requirements 062211 Installing Contractor: Requirements: Outdoor Design Temperature: Y N Y N Heating Cooling Heating: Cooling: Single Double Triple Glass: Metal w/ Foam Standard Doors: High Eff. Patio Door Standard Glass Doors: Other: Skylights: Single Double Single w/ Storm No Insulation Slab Edge Insulation Edge and Perimeter Perimeter: Other: Other: Other: Other: R-22 R-410A Cooling: Chilled Water **If Glycol - Percent: Water Temp**: Date: Job Name: Contact Name: Address: Address: City/State: Zip/Postal Code: Phone Number: Fax Number: Email Address: Distributor/Supplier: Contact Name: Phone Number: Fax Number: Elevation: Water Temp**: **If Glycol - Percent: HWT Boiler Water Source Heat Pump Heating: Electrical Strip Send this information along with your architectural drawings* to: PH: 780-453-2093 FAX: 780-453-1932 Toll Free: 1-888-652-2219 12615 - 124 Street, Edmonton Alberta Canada T5L 0N8 or save form and email to: [email protected] *All drawings must clearly show: - Fancoil location - Preferred main plenum location (trunk line) - Orientation of drawing (N,S,E,W) - Ceiling Heights - Windows, doors and skylight locations and sizes - Room Dimensions Other: Floor Ceiling Wall Insulation: Notes: R-12 (3 1/2") Insulation: R-30 (9") Insulation: R-40 (12") Insulation: R-3 No Insulation: R-7 (2") Insulation: R-20 (6") Insulation: