Request for Lighting Layout, Analysis and Design
The following information is required in order to complete a lighting layout for an indoor or outdoor lighting
project. Please provide as much information as possible. If available, send an AutoCAD file of the area with
relevant details (NOTE: File must be in either *.dwg or *.dxf format. Microstation or Solidworks users can
easily convert drawings to this format using the “Save As” feature). Otherwise, send a sketch showing room or
area size, light fixture locations, etc.
Submitted by: _
_
Date:_
Project Name:
Contact:
Project Address:
Phone:
City/State/Zip:
Fax:
Project Description:
Email:
_
Interior - Room Information: (specify either feet or meters) Area Classification: (check all that apply)
Length:
Non-Hazardous
Class 2
Width:
Class I, Div. 1
Class 3
Height:
Reflectance: (fill in the color of the following)
Class 1, Div. 2
Lighting Device Type:
(indicate CCH cat # if know):
For International use: Write In a “d” if
flame-proof type or “e” for increased safety
type.
Ceiling:
Fluorescent Luminaire
Walls:
Compact Fluorescent Luminare
Floor:
Incandescent Luminaire
Outdoor Properties: (specify either feet or meters)
High Pressure Sodium Luminaire
Length:
Metal Halide Luminaire
Width:
Mercury Vapor Luminaire
Fixture Mounting Height:
Work Plane Height:
Required Light Level
(in Footcandles or Lux):
High Pressure Sodium Floodlight
Metal Halide Floodlight
Mercury Vapor Floodlight
Working area brief description:
Maintenance Factor: (check one)
Very Clean
Clean
Temperature Class (T-Code):
Average
Other Characteristics:
Dirty
Very Dirty
Rev. 081508