Design Request Form - Combined Radiant Cooling and Heating

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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:
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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#:
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