Job Information

Fill out the following form only if you wish us to do the design for you.

The following information is needed for us to proceed with the needed engineering for your NFPA 13d residential fire sprinkler project.

* Required fields

**Installing Contractor's Info**
Contact name *
Email *
Company name
Phone
Fax
Mailing address

**Job Site Info**
Job name *
Job site/street address
Legal address for job site
Property owner's contact information ( Required by the AHJ)

**Is Keller Supply Supplying Parts?**
Keller branch
Keller contact person

**Water Supply Info**
Water supply for residence
Size of water meter
Manufacturer and model of water meter
Length of pipe from water supply to manifold (feet)
Size of pipe from water supply to manifold
Type of pipe from water supply to manifold (material)
Elevation change from water supply to manifold (feet) Use negative
Static water pressure at water supply (psi) *
Residual water pressure at water supply (psi) * (with hose bib fully flowing)
Available water flow at water supply (gpm) *

**Booster Pump Info**
Is a booster pump required? Nominal requirement 45psi (static) at manifold	Yes No Not known yet
If booster pump required, specify location

**Water Supply Devices**
Back flow preventer?	Yes No
Back flow preventer type
Pressure reducing valve?	Yes No
Pressure reducing valve type
Water filtration system in line with sprinkler system?	Yes No
Water filtration system type
Are there any other devices before the manifold that will reduce the pressure going to the sprinkler system?	Yes No
List any other pressure reducing devices:

**Fire Sprinkler Choices**
What style of fire sprinkler head ?
Specific model of sprinkler head?
Choose which brand of PEX piping and fittings in which you want this job to be designed.

**Building Info**
Specify dry head location if required
List all rooms with vaulted ceilings and their pitch (Up to 2/12 pitch is considered flat)
Will there be exposed beams in the home?	Yes No Not known yet
Rooms with exposed beams and depth of beams
Square footage of residence - Include all living space and attached garage if any
Number of floors in residence
Ceiling height
Location of manifold

**Local Authority Having Jurisdiction (AHJ)**
Title
Title if NOT listed above
AHJ's name
Phone
Email
Mailing address
Jurisdiction state
Jurisdiction county
Jurisdiction city
Allows dead head sprinklers?	Yes No
Requires flow switch?	Yes No
Requires low lead sprinklers?	Yes No
Requires bathrooms to be sprinklered?	Yes No
Requires closets under 55 square feet to be sprinklered?	Yes No
Requires garages to be sprinklered? (If so, a finished ceiling is required)	Yes No

**Additional Comments**

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