DESIGN REQUEST REHAU SMART CONTROLS QUOTE / CONFIGURATION Note: It is Mandatory that this Design Request Form be filled out completely to ensure accurate quoting of the REHAU Smart Controls. 1. Contractor (Installer) Information Company Name: Last Name: First Name: Street Address: City: State/Province: Zip/Postal Code: Email: Phone: Fax: Distributor: Technical Associate: Sales Office: 2. Customer (End-User) Information Residence / Bldg. Name: First Name: Last Name: Street Address: City: State/Province: Zip/Postal Code: Email: Phone: Fax: 3. Project Information Design Proposal Due Date: Project Install Date: Project Name Project Type: Project Location (City, State/Province): Internet Available on Site Yes No (Internet Router must be available when RSC is installed on site). 4. Mechanical Systems to be Monitored and or Controlled: Mechanical device Heat Pump # of Stages: # of Heat Pumps: Solar Thermal Fancoil/ Air Handlers Radiant Heat: # of Zones: Zone Valves (or Actuator Zone) Mixed Temps: # of Temps: Float Act Mix or Variable Speed Mix Ground Source Heat Exchange Buffer Tank Domestic Hot Water Recirculation Humidity Monitoring Yes No Mechanical Device Boiler Type: # of Boilers: Domestic Hot Water Forced Air: Heat # of zones: Yes Cool No Both Radiant Cooling: # of zones: Pumps # of Variable Speed: # of Fixed Speed Snow and Ice Melt: # of Zones: Heat Recovery Ventilation Kilowatt Hour Counter CO / CO2 Monitoring Other: 0858US_EN 02.12 / 1 of 2 5. Requested Attachments The following attachments are required for REHAU Smart Controls designs. Check the corresponding box of attachments included. Floor Plans: Clearly indicate planned heating/cooling zones (CAD/ DWG files preferred, PDF, JPG or TIFF files accepted). Radiant Design Reports stating supply water temperatures for all radiant zones. Mechanical Room Schematic- showing all mechanicals that are referenced in #4 of this document. Sequence of Operation - Heating Season: Description on how the installer wants the system to operate during heating season. Sequence of Operations - Cooling Season: Description of how the installer wants the system to operate during cooling season. 6. Deliverables Requested Type of Design Request: Estimate of REHAU Smart Controls – Quote\ BOM (Phase I deliverable) Complete REHAU Smart Controls System Design (RSC Wiring Report, RSC Control Panel Build Sheet, RSC Configuration, RSC Computer Set-up) must have REHAU Sales Order No. 7. Notes Sections 1 through 6 must be provided before REHAU can begin the design process. FAILURE TO FULLY COMPLETE THIS FORM WILL SEVERELY COMPROMISE TIMELY DESIGN DELIVERABLES. 8. Additional Information or Special Requests Include other project specifications e.g., interface to Building Automation System, Interface to Home Automation system, special monitored points, alerts (customer/ installer) or alarm conditions, etc. 9. Contact Information Email or fax your design information sheet to the nearest REHAU sales office. For more information, go to http://na.rehau.com/design Canadian Sales US Sales Office Email Fax Email Fax Office Boston, MA designs.bos@rehau.com (703) 777-3053 Moncton, NB designs.mct@rehau.com (506) 538-7458 Leesburg, VA designs.lee@rehau.com (703) 777-3053 Montreal, QC designs.mtl@rehau.com (514) 905-0490 Minneapolis, MN designs.mpls@rehau.com (612) 253-6303 Toronto, ON designs.tor@rehau.com (905) 335-1112 Los Angeles, CA designs.la@rehau.com (951) 549-9018 Vancouver, BC designs.van@rehau.com (604) 626-4667 Important Notice This technical information is provided only for general quotation purposes and is based in part on information you provided. No representations, guarantees or warranties are made regarding the suitability of this technical information to meet requirements for any particular project. This technical information is not intended to be used as final drawings or specifications, or to prepare cost calculations. The user will determine suitability of the information for user’s intended use by employing a licensed local professional to convert this technical information into a final specification that meets the functional, financial and aesthetic needs of the project, as well as complying with all applicable codes and local climate conditions. © 2012 REHAU Customer Signature: Date: REHAU Contact: Sales Office: REHAU Designer: RCP#: 0858US_EN 02.12 / 2 of 2