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Commercial Layout Request Form

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IPP Commercial Fixture Solutions Lighting Layout Form (One form per room) Project Name/Description:____________________________________ Room:_______________________ Step 1 Room function (check all that apply) General office Telepresence Auditorium Distance learning Video conferencing Conference room Training/classroom Gymnasium Step 2 Warehouse Primary-use:_______________________________ Other: ____________________________________ __________________________________________ Room dimensions Ceiling height(s)____________________________ Partitions*_________________________________ Length________________________________________ Width_________________________________________ Step 3 Existing lighting Fixture 1*:_____________________ Quantity:______________________ Size:__________________________ # of Lamps/Wattage:____________ Step 4 Table* Step 8 Step 9 Sprinkler/fire detectors* Speakers* HVAC vents* Microphone* Number of doors*:______________________________ Number of windows*:___________________________ Number of wall decor items*:_____________________ Furniture (check all that apply) Seating* Podium/lectern* Other:______________________ Equipment types (check all that apply) Display monitor type*  LCD    Plasma    LED Projector* White board* Controls List existing controls*: ______________________________________________ Step 10 Fixture 3*:______________________ Size:___________________________ # of Lamps/Wattage:_____________ Target light level:________________ Replacement fixture # (Step 3):____ Wall information Projector screen – front* Projector screen – rear*  Existing Wall material:___________________________________ Wall color/finish:_________________________________ Wall decor (i.e. art)*:_____________________________ Step 7 Fixture 2*:_____________________ Size:__________________________ # of Lamps/Wattage:____________ Target light level:_______________ Replacement fixture # (Step 3):___ Ceiling details (check all that apply) Sheetrock (gypsum):     New or   T-bar:     New or    Existing Step 6 Fixture 3*:_____________________ Quantity:______________________ Size:__________________________ # of Lamps/Wattage:____________ New lighting preferences (if applicable) Fixture 1*:_____________________ Size:__________________________ # of Lamps/Wattage:____________ Target light level:_______________ Replacement fixture # (Step 3):___ Step 5 Fixture 2*:_____________________ Quantity:______________________ Size:__________________________ # of Lamps/Wattage:____________ List new controls to be installed*: ______________________________________________ Additional lighting requirements List any additional information required (i.e. energy savings): _______________________________________________ ___________________________________________________________________________________________________ *  Please sketch location of items on design form Room Design Form N W E S Instructions 1. Outline the size and shape of your room on the grid. 2. Include the location of starred items from previous page (i.e. doors, windows). 1 square = 2 ft. x 2 ft. 3. Project documents in Viseo, CAD, PDF and Excel files are acceptable for submission with this form. Please make sure all starred items are outlined on submitted file. Contact info Name:_________________________________ Phone:_______________ Email: _________________________ Job name:___________________________________ Job Location:__________________________________ IPP Account name and number:________________________________________________________________ Lutron primary contact:_______________________________________________________________________ Please scan and email this form along with any other project documents to [email protected] or fax to 610.282.7600 © 04/2014 Lutron Electronics Co., Inc. I P/N 368-3168 REV A