Service Request
Ph/Fax to: 561.649.3456 ; otengineering@gmail.com
| Request Date: | Need Engineering report by Date: | ||||
| Request Company: | Project Name | ||||
| Contact, Title: | Owner: | ||||
| Company Address: | Project Address: | ||||
| Cell: | Cell: | ||||
| Tel: | Tel: | ||||
| Fax: | Fax: | ||||
| Email: | Email: | ||||
| Please circle Request Uplift Calculation: | |||||
| Base-sheet, Insulation Board, Woodblock, Coping Cap, Drip Edge, Adhered System, Metal Roofing, Others ? | |||||
| Existing System: Please circle | Proposed System: | ||||
| Deck: wood / metal / light weight concrete / gypsum / tectum / structural concrete , others ? | System: Tile, Metal, SinglePly, BUR, CoalTarPitch, Shingle, Other ? | ||||
| Occupancy: Res. / Com'l / Industrial / School / Hospital, Others ? | Manufacturer: | ||||
| Scope: New / Re-roof / Recover ? | NOA # : | ||||
Roof: Flat, HIP, Gable, Slope: inch per foot ? | System Type / Page # | ||||
| Mean-Roof-Height eave+ridge / 2 ? | Membrane | ||||
| parapet-wall-height all sides ? | Insulation | ||||
| Base Sheet | |||||
| Sketches of related details below : | |||||
| Authorized Signatures : I,______________________________________ (Name, Title) signed this request and authorized above engineering services on behalf of the above referenced company. Upon engineering service/s rendered and delivered, payment shall be made by C.O.D. or within the given terms. | |||||
| On Target Engineering, Inc. 's liability arising out of performance of services to customer will be limited to no more than the contract amount that has agreed to charge the client for the services identified herein. Our Client agrees to indemnify and hold harmless of On Target Engineering, Inc. from and against all liability in excess of the contract amount. | |||||