elliptipar Applications Checklist

The following information is required so we may provide you with prompt and accurate design assistance.
PROJECT:

Name:

 

Location:

 

Specifier Name:

Firm:

E-mail:

Telephone:

 

Fax:

Please check one of the following:

 

Architect Engineer Interior Designer Lighting Designer Other
Representative:

Name:

Office:

Telephone:

Fax:

SPACE

Use/Function:

Structure:

 wide  X  long  X  high

 

Note: Non-rectangular spaces or those with irregular ceiling require dimensioned plan and section drawings.

Finishes:

Material Reflectance  Matte  Semi-gloss Specular

Ceiling

%

Walls

%

Floor

%

 

Note: Skylights, trusses, beams, exposed ducts or other ceiling obstructions, and large wall openings or windows should be clearly defined on the plans, sections, and/or elevations. Include type of glass, finish on trusses, etc.
LIGHTING:

Preferred Sources:

Tungsten Halogen  Fluorescent  Metal Halide  HPS  LED 

Luminaire Catalog No:

Mounting Height:

  Above finished floor  Below ceiling 
Target Illumination Level: (Footcandles average initial)   fc at (above finished floor)   inches

Total Light Loss Factor for maintained values:

Design Goals/Special Instructions:

FILE ATTACHMENTS:
FILE ATTACHMENTS:

Attach drawings, floor plans, etc., in the fields below.

   
 
 
RUSH - Requested Date and Time: