24 HOUR SERVICE LINE 604-355-7322

SCROLL DOWN TO SELECT YOUR SERVICE FORM

By Filling Out These Forms, You Are Providing Pertinent & Insightful Information For The Plumbing & Heating Techs Prior To Their Visit.

RESIDENTIAL CUSTOMER SERVICE FORMS

RESIDENTIAL PLUMBING FORM

- Step 1 of 9

Contact Information

Name *

First

Last

Phone Number *

ie. 604-355-7322

Primary Contact Email *

Service Location

Service Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

When applicable, please ensure that you indicate a buzzer and unit number

Site Contact Name + Relation *

First

Last

Name and relation of the person who will be at the service address, ie. Anne - Tenant

Site Contact Phone Number *

Residential Building Type *

House - Single Unit
House - Multi Unit (2+ suites/units)
Duplex
Apartment/Condo
Cottage/Cabin
Other

If you selected "other", please explain in the "Service Details" below

Service Details

Type Of Service(s) *

Repair
Replacement
New Installation
Relocation
Inspection
Backflow
Midliner/Main Drain Machine
Other

If you selected "Other" please explain in the "Service Details" below

Fixture(s) Type *

Hot Water Tank/Heater
Toilet
Kitchen Sink
Kitchen Faucet
Bathroom Sink
Bathroom Faucet
Bathtub/Shower
Bathtub Faucet/Cartridge
Shower Faucet/Cartridge
Dishwasher
Garburator
Piping
Interior Drainage
Exterior Drainage
Other

If you selected "other" please explain in the "Service Details" below

Hot Water Tank Type *

If you selected "unsure/other" please explain in the "Service Details" below

Type Of Gas *

If you selected "unsure/other" please explain in the "Service Details" below

Existing Pipes *

Copper
PEX (Red, Blue, White Plastic)
ABS
Steel
Polybutylene piping (Poly-B)
Unsure/Other

If you selected "unsure/other" please explain in the "Service Details" below

Service Details, Description & Information | Comments *

Describe the situation and provide any important information that you would like us to know.

Upload a Photo of The Situation

Click or drag files to this area to upload. You can upload up to 10 files.

Upload a Photo of The Tank

Click or drag files to this area to upload. You can upload up to 10 files.

Current Fixture Information

Current Fixture Brand & Model Information (If applicable)

Tank Brand *

If you do not know, please try to upload a photo of the tank

Tank Model *

If you do not know, please try to upload a photo of the tank

Tank Serial *

If you do not know, please try to upload a photo of the tank

IMPORTANT NOTICE* All new hot water tanks are now a few inches taller and wider than past models. To ensure a proper fit, please let us know the dimensions of the space that the hot water tank will occupy.

Please assist in measuring the space around the tank in inches. From the ceiling (or nearest structure) to the top of the current tank and the walls (or closest structure) to the sides of the tank.

Upload a Photo of the Room/Space

Click or drag files to this area to upload. You can upload up to 10 files.

Replacement Fixture Information

New or Replacement Fixture Source *

Please let us know how you would like to proceed with acquiring the fixture. D&D can purchase, supply and install all new fixtures.

Make & Model of Replacement Fixture *

Name the make and model that you have sourced, ordered or purchased.

Make & Model of Desired Replacement Fixture

Name the make and model that you would like for D&D to source. If you would prefer the same fixture (if available) type "like for like".

Upload a Photo of Your Desired Replacement Fixture

Click or drag a file to this area to upload.

For additional photos, please e-mail them to info@dripsanddrains.ca

Upload a Web Link of Your Desired Replacement Fixture or Brand

Building Access Details

Do You Have Access To The Shutoff Valve? *

Yes
Yes - Through Strata/Property Manager/Caretaker
No
Unsure/Other

Where Is The Shutoff Located?

Location ie. next to my kitchen sink; in apartment hallway; common area

Do You Have Access To The Gas Meter? *

Yes
Yes - Through Strata/Property Manager/Caretaker
No
Unsure/Other

Location Of Gas Meter

Parking Instructions *

Parking information ie. pay/free street parking available; visitor parking available; service worker/trades parking available; limited parking

Building Access Instructions

Building information ie. enter through side gate; call 30 minutes prior for access; enter through back door

Loading Information (ie. Stairs) *

Are there stairs involved with installation/removal of the hot water tank? If so, how many.

Billing Information

Billing Address *

Billing Name *

First

Last

Billing Phone Number *

ie. 604-355-7322

Billing Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Billing Email Address *

Service Date/Time Preference

What Day(s) Work Best For You? *

Monday
Tuesday
Wednesday
Thursday
Friday
Any Weekday
Saturday (After Hour Fees Apply)

Select a day or two that work best for you so that we can do our best to accommodate your schedule. We will do our best to book your requested day, however, we cannot provide any guarantees.

What Time(s) Work Best For You? *

8:00AM - 12:00PM
10:00AM - 2:00PM
12:00PM - 4:00PM
Anytime
After 4:00PM (After Hour Fees Apply)

Select a time slot that works best for you so that we can do our best to accommodate your schedule. We will do our best to book your requested time, however, we cannot provide any guarantees.

Disclaimers

Missed Appointment Fee: Each time a customer misses an appointment without providing proper notice, another customer is prevented from receiving assistance. Therefore, Drips & Drains Plumbing and Heating Ltd. reserves the right to charge a 1 hour call out fee for all missed appointments (“no shows”) and appointments which, absent a compelling reason, are not cancelled with a 24-hour advance notice. *

I Agree
I Do Not Agree

By checking "agree" you acknowledge that you have received this notice, understand and agree to this policy.

Consent Form: Unless otherwise noted, estimates do not include permit or inspection fees. Material costs are subject to change due to wholesaler price fluctuations. The customer shall be liable to meet the cost of any additional work, services and/or fittings or fixtures required to rectify an event or situation which may arise during the course of work that are unexpected or beyond Drips & Drains Plumbing and Heating Ltd.'s control. *

I Agree
I Do Not Agree

By checking "agree" you acknowledge that you have received this notice, understand and agree to this policy.

Finally, please help us by letting us know how you heard about Drips & Drains - Thanks! *

Google, Yelp, Word of Mouth, D&D Staff Member

Message

24118

RESIDENTIAL HEATING & GAS FORM

- Step 1 of 10

Contact Information

Name *

First

Last

Company

Phone Number *

ie. 604-355-7322

Email *

Service Address

Service Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

When applicable, please ensure that you indicate a buzzer and unit number

Site Contact Name + Relation *

First

Last

Name and relation of the person who will be at the service address, ie. Anne - Tenant

Site Contact Phone Number *

Residential Building Type *

House - Single Unit
House - Multi Unit (2+ suites/units)
Duplex
Apartment/Condo
Cottage/Cabin
Other

If you selected "other", please explain in the "Service Details" on the 3rd page.

Service Information

Type Of Gas

If you selected "other", please explain in the "Service Details" on the next page.

Type Of Service *

Repair
Replacement
New Installation
Relocation
Inspection
Consulting (without approved quote)
Other

If you selected "other", please explain in the "Service Details" on the next page.

Fixture(s) Type *

Hot Water Tank/Heater Mid Efficiency
Pilot Light
Hot Water Tank/Heater High Efficiency
Thermostat
Tankless Water Heater
Boiler
Furnace
Wall Furnace
Dryer
Indoor Oven/Grill/Range
Outdoor Oven/Grill/Range
Fireplace
Fire Pit
Outdoor Heating (Patio heater/tubes)
BBQ Box
Pool Boiler
Gas Line
Other

If you selected "other", please explain in the "Service Details" on the next page.

Existing Pipes *

Copper
PEX (Red, Blue, White Plastic)
ABS
Steel
Polybutylene piping (Poly-B)
Unsure/Other

If you selected "Unsure/Other", please explain in the "Service Details" on the next page.

Service Details

Service Details, Description & Information | Comments *

Describe the situation and provide any important information that you would like us to know.

Upload A Photo Of The Situaiton

Click or drag files to this area to upload. You can upload up to 10 files.

For additional photos, please e-mail them to info@dripsanddrains.ca

Current Fixture Brand & Model Information (If applicable)

New or Replacement Fixture Status *

Please let us know how you would like to proceed with acquiring the fixture. D&D can purchase, supply and install all new fixtures.

Make & Model of Replacement Fixture

Name the make and model that you have or will source.

Make & Model of Preferred Replacement Fixture

Name the make and model that you would like for D&D to source. If you would prefer the same fixture (if available) type "like for like".

Upload A Photo Of Your Desired Replacement Fixture

Click or drag files to this area to upload. You can upload up to 10 files.

For additional photos, please e-mail them to info@dripsanddrains.ca

Enter a Website / URL for the Fixture You Would Like

Building Access Details

Do You Have Access To The Gas Meter *

Yes
Yes - Through Strata/Property Manager/Caretaker
No
Unsure

Where Is The Gas Meter Located? *

Parking Instructions *

Parking information ie. pay/free street parking available; visitor parking available; service worker/trades parking available; limited parking

Building Access Instructions

Building information ie. enter through side gate; call 30 minutes prior for access; enter through back door

Service Date/Time Preference

What Day(s) Work Best For You? *

Monday
Tuesday
Wednesday
Thursday
Friday
Any Weekday
Saturday (After Hour Fees Apply)

Select a day or two that work best for you so that we can do our best to accommodate your schedule. We will do our best to book your requested day, however, we cannot provide any guarantees.

What Time(s) Work Best For You? *

8:00AM - 12:00PM
10:00AM - 2:00PM
12:00PM - 4:00PM
Anytime
After 4:00PM (After Hour Fees Apply)

Select a time slot that works best for you so that we can do our best to accommodate your schedule. We will do our best to book your requested time, however, we cannot provide any guarantees.

Billing Information

Billing Address *

Billing Name *

First

Last

Billing Phone Number *

ie. 604-355-7322

Billing Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Billing Email Address *

Disclosures

I Agree
I Do Not Agree

By checking "agree" you acknowledge that you have received this notice, understand and agree to this policy.

I Agree
I Do Not Agree

By checking "agree" you acknowledge that you have received this notice, understand and agree to this policy.

Finally, please help us by letting us know how you heard about Drips & Drains - Thanks! *

Google, Yelp, Word of Mouth, D&D Staff Member

Updating preview…

This is a preview of your submission. It has not been submitted yet!
Please take a moment to verify your information. You can also go back to make changes.

Name

94352

RESIDENTIAL RENOVATION FORM

- Step 1 of 13

Contact Information

Name *

First

Last

Company

Phone Number *

ie. 604-355-7322

Email *

Service Address

Service Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

When applicable, please ensure that you indicate a buzzer and unit number

Site Contact Name + Relation *

First

Last

Name and relation of the person who will be at the service address, ie. Anne - Tenant; Cathy - Store Manager

Site Contact Phone Number *

ie. 604-355-7322

Building Type *

Detached Home
Multi-Family Dwelling (Duplex)
Condo/Apartment
Storefront
Office
Care Facility, Hospital, Government Facility
Other

If other, please describe in "Scope of Work" below

Service Information

Type Of Service *

Replacement
New Installation
Relocation
Consulting (without approved quote)
Other

If other, please describe in "Scope of Work" below

Fixture(s) Type *

Electric Hot Water Tank
Gas Hot Water Tank
Toilet
Bathroom Sink
Bathroom Faucet
Kitchen Sink
Kitchen Faucet
Bathtub/Shower
Bathtub Faucet/Cartridge
Shower Faucet/Cartridge
Dishwasher
Garburator
Piping
Interior Drainage
Exterior Drainage
Other

Please select any/all fixtures that require attention. You may enter details in the description below. If you selected "other", please describe in "Scope of Work" below.

Type Of Gas *

If "other" please describe the type of gas in "Scope of Work" on the next page.

Existing Pipes *

Copper
Steel
Brass
Iron/Galvonized
Polybutylene piping (Poly-B)
Unsure/Other

Scope Of Work

Scope of Work | Timelines | Important Service Information *

Tank Brand *

If you do not know, please try to upload a photo of the tank

Tank Model *

If you do not know, please try to upload a photo of the tank

Tank Serial *

If you do not know, please try to upload a photo of the tank

Please assist in measuring the space around the tank in inches. From the ceiling (or nearest structure) to the top of the current tank and the walls (or closest structure) to the sides of the tank.

Upload a Photo of the Room/Space

Click or drag files to this area to upload. You can upload up to 10 files.

Documents

Do You Have Site Specs, Plans, Photos and/or Elevation Drawings? *

Upload Floor Plan Documents

Click or drag files to this area to upload. You can upload up to 10 files.

Please include pertinent information ie. Floor plans, schedules etc.

Elevation Drawings / Cabinet Specs Documents

Click or drag files to this area to upload. You can upload up to 10 files.

Secondary Site Documents - Site Plans, Design Plans etc.

Click or drag files to this area to upload. You can upload up to 10 files.

Upload Project Photo

Click or drag files to this area to upload. You can upload up to 10 files.

Fixture Information

Current Fixture Brand | Model | Size | Serial Information *

Please include any fixture brand names, model and serial information.

New Fixture Brand | Model | Size | Serial Information *

Please include any fixture brand names, model and serial information.

New/Replacement Fixtures & Materials Status *

Please notify our techs where the fixtures are being held/stored.

Fixture & Materials Location *

Upload New Fixture Specifications

Click or drag a file to this area to upload.

Please upload fixture documents, invoice/pick up forms (Only 1 upload available, for additional uploads, please email info@dripsanddrains.ca)

Site Access Information

Do You Have Access To The Water Shut Off *

Yes
No
Unsure/Other

Water Shut Off Location *

Location ie. Main mechanical room

Do You Have Access To The Gas Meter *

Yes
No
Unsure/Other

Gas Meter Location *

Location ie. Main mechanical room

Parking Instructions *

Parking information ie. pay/free street parking available; visitor parking available; service worker/trades parking available; limited parking

Parkade Height (We have oversized vehicles in fleet)

Building Access Instructions

Building information ie. enter through side gate; call 30 minutes prior for access; enter through back door

Lock Box Instructions

Location & Instructions ie. code

Loading Information (ie. Stairs) *

Are there stairs involved with installation/removal of the hot water tank? If so, how many.

Site Contacts

Contractor or Key Site Contact Name *

Please include the site contractor name ie. James Franco. This person will be used as a contact for job inquiries, permit applications etc.

Site Contact Phone Number *

ie. 604-355-7322

Secondary Contact (Building Manager/Inspector/Site Manager) *

Please include the site contractor name ie. James Franco. This person will be used as a contact for job inquiries, permit applications etc.

Secondary Site Contact Phone Number *

ie. 604-355-7322

Building Permit Information

Building Permit #

Please include the building permit # if available

Upload Building Permit

Click or drag files to this area to upload. You can upload up to 10 files.

Please upload the building permit so that we can have it on file. Please note, there can be only 1 upload, for additional uploads, please email info@dripsanddrains.ca

Billing Information

Billing Address *

Billing Name *

First

Last

Billing Phone Number *

ie. 604-355-7322

Billing Email Address *

Billing Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Disclosures

Missed Appointment Fee: Each time a customer misses an appointment (including city inspections) without providing proper notice, another customer is prevented from receiving assistance. Therefore, Drips & Drains Plumbing and Heating Ltd. reserves the right to charge a 1 hour call out fee for all missed appointments (“no shows”) and appointments which, absent a compelling reason, are not cancelled with a 24-hour advance notice. *

I Agree
I Do Not Agree

By checking "agree" you acknowledge that you have received this notice, understand and agree to this policy.

I Agree
I Do Not Agree

By checking "agree" you acknowledge that you have received this notice, understand and agree to this policy.

Finally, please help us by letting us know how you heard about Drips & Drains - Thanks! *

ie. Word of Mouth, Yelp, D&D Staff Member, Google

Updating preview…

This is a preview of your submission. It has not been submitted yet!
Please take a moment to verify your information. You can also go back to make changes.

Comment

86324

COMMERCIAL CUSTOMER SERVICE FORMS

COMMERCIAL PLUMBING FORM

- Step 1 of 10

Contact Information

Name *

First

Last

Company

Phone Number *

ie. 604-355-7322

Email *

Service Address

Service Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

When applicable, please ensure that you indicate a buzzer and unit number

Site Contact Name + Relation *

First

Last

Site Contact Name + Relation

Name and relation of the person who will be at the service address, ie. Anne - Tenant; Cathy - Store Manager

Site Contact Phone Number *

ie. 604-355-7322

Commercial Building Type *

Retail
Office
Residential - Multi Unit
Residential - Single Unit
Care Facility, Hospital, Government Facility
Other

If you selected "Other", please describe in "Scope of Work" on the next page

Service Information

Type Of Service *

Repair
Replacement
New Installation
Relocation
Inspection
Backflow
Main Drain/Midliner
Consulting (without approved quote)
Other

If you selected "Other", please describe in "Scope of Work" on the next page

Fixture(s) Type *

Electric Hot Water Tank/Heater
Toilet
Bathroom Sink
Bathroom Faucet
Kitchen Sink
Kitchen Faucet
Bathtub/Shower
Bathtub Faucet/Cartridge
Shower Faucet/Cartridge
Dishwasher
Garburator
Piping
Interior Drainage
Exterior Drainage
Other

Please select any/all fixtures that require attention. You may enter details in the description below. If you selected "Other", please describe in "Scope of Work" on the next page

Existing Pipes *

Copper
Steel
Brass
Iron
Polybutylene piping (Poly-B)
Unsure/Other

If you selected "Unsure/Other", please describe in "Scope of Work" on the next page

Site Specs & Documents

Scope of Work | Timelines | Important Service Information *

Upload Site Documents - Floor Plans, Site Plans, Design Plans etc.

Click or drag files to this area to upload. You can upload up to 10 files.

Please include pertinent information ie. Floor plans, schedules etc.

Upload Project Photo

Click or drag files to this area to upload. You can upload up to 10 files.

Upload any site photo.

Building Permit #

Please include the building permit # if available

Upload Building Permit

Click or drag files to this area to upload. You can upload up to 10 files.

Please upload the building permit so that we can have it on file.

Fixture & Material Information

Current Fixture Brand | Model | Size | Serial Information *

Please include any fixture brand names, model and serial information.

Hot Water Tank - Brand *

Hot Water Tank - Model *

Hot Water Tank - Serial *

Please assist in measuring the space around the tank in inches. From the ceiling (or nearest structure) to the top of the current tank and the walls (or closest structure) to the sides of the tank.

Upload Fixture Specifications

Click or drag files to this area to upload. You can upload up to 10 files.

Please upload fixture documents, invoice/pick up forms

New/Replacement Fixtures & Materials Status *

Fixture & Materials Location *

Please notify our techs where the fixtures are being held/stored.

Site Access Information

Do You Have Access To The Shut Off *

Yes
No
Unsure/Other

Where Is The Shut Off? *

Location ie. Main mechanical room

Parking Instructions *

Parking information ie. pay/free street parking available; visitor parking available; service worker/trades parking available; limited parking

Building Access Instructions

Building information ie. enter through side gate; call 30 minutes prior for access; enter through back door

Site Contact

Contractor or Key Site Contact Name *

Please include the site contractor name ie. James Franco. This person will be used as a contact for job inquiries, permit applications etc.

Site Contact Phone Number *

ie. 604-355-7322

Billing Information

Billing Address *

Billing Name *

First

Last

Billing Phone Number *

ie. 604-355-7322

Billing Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Billing Email Address *

Disclosures

I Agree
I Do Not Agree

By checking "agree" you acknowledge that you have received this notice, understand and agree to this policy.

I Agree
I Do Not Agree

By checking "agree" you acknowledge that you have received this notice, understand and agree to this policy.

Finally, please help us by letting us know how you heard about Drips & Drains - Thanks! *

Google, Yelp, Word of Mouth, D&D Staff Member

Name

60424

COMMERCIAL HEATING & GAS FORM

- Step 1 of 10

Contact Information

Name *

First

Last

Company

Phone Number *

ie. 604-355-7322

Email *

Service Address

Service Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

When applicable, please ensure that you indicate a buzzer and unit number

Site Contact Name + Relation *

First

Last

Name and title of the person who will be on site/at the service address, ie. Shop Owner - Anne

Site Contact Phone Number *

ie. 604-355-7322

Commercial Building Type *

Retail
Office
Residential - Multi Unit
Residential - Single Unit
Care Facility, Hospital, Government Facility
Other

If other, please describe in "Scope of Work" below

Type Of Service *

Repair
Replacement
New Installation
Relocation
Consulting (without approved quote)
Inspection
Other

If other, please describe in "Scope of Work" below

Fixture(s) Type *

Hot Water Tank/Heater Mid Efficiency
Pilot Light
Hot Water Tank/Heater High Efficiency
Thermostat
Tankless Water Heater
Boiler
Furnace
Dryer
Wall Furnace
Indoor Oven/Grill/Range
Outdoor Oven/Grill/Range
Indoor Fireplace
Outdoor Fireplace
Fire Pit
Outdoor Heating (Patio heater/tubes)
BBQ Box
Pool Boiler
Gas Line
Other

Please select any/all fixtures that require attention. You may enter details in the description below. If you select "other", please describe in "Scope of Work" below

Type of Gas

If you selected "Unsure/Other", please describe in "Scope of Work" below

Existing Pipes *

Copper
Steel
Brass
Iron
Polybutylene piping (Poly-B)
Unsure/Other

If you selected "Other/Unsure", please describe in "Scope of Work" below

Site Specs & Documents

Scope of Work | Timelines | Important Service Information *

Upload Site Documents - Floor Plans, Site Plans, Design Plans etc.

Click or drag files to this area to upload. You can upload up to 10 files.

Upload Project Photo

Click or drag files to this area to upload. You can upload up to 10 files.

Building Permit #

Please include the building permit # if available

Upload A Copy Of The Building Permit

Click or drag files to this area to upload. You can upload up to 10 files.

Please upload a copy of the building permit so that we may have it for our records.

Fixture & Material Information

Current Fixture Brand | Model | Size | Serial Information *

Please include any fixture brand names, model and serial information.

New Fixture Brand | Model | Size | Serial Information *

Please include any fixture brand names, model and serial information.

New/Replacement Fixture & Material Status *

If "Unsure/Other", please describe in "Fixture Location"

Fixture Location *

Please notify our techs where the fixtures are being held/stored

Upload Fixture Specifications

Click or drag files to this area to upload. You can upload up to 10 files.

Site Access Information

Do You Have Access To The Gas Meter *

Yes
No
Unsure/Other

Where Is The Gas Meter? *

Location ie. Main mechanical room

Parking Instructions *

Parking information ie. pay/free street parking available; visitor parking available; service worker/trades parking available; limited parking

Building Access Instructions

Building information ie. enter through side gate; call 30 minutes prior for access; enter through back door

Site Contact

Contractor or Key Site Contact Name *

Please include the site contractor name ie. James Franco. This person will be used as a contact for job inquiries, permit applications etc.

Site Contact Number *

ie. 604-355-7322

Billing Information

Billing Address *

Billing Name *

First

Last

Billing Phone Number *

ie. 604-355-7322

Billing Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Billing Email Address *

Disclosures

I Agree
I Do Not Agree

By checking "agree" you acknowledge that you have received this notice, understand and agree to this policy.

I Agree
I Do Not Agree

By checking "agree" you acknowledge that you have received this notice, understand and agree to this policy.

Finally, please help us by letting us know how you heard about Drips & Drains - Thanks! *

Google, Yelp, Word of Mouth, D&D Staff Member

Message

1897

COMMERCIAL RENOVATION FORM

- Step 1 of 13

Contact Information

Name *

First

Last

Company

Phone Number *

ie. 604-355-7322

Email *

Service Address

Service Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

When applicable, please ensure that you indicate a buzzer and unit number

Site Contact Name + Relation *

First

Last

Name and relation of the person who will be at the service address, ie. Anne - Tenant; Cathy - Store Manager

Site Contact Phone Number *

ie. 604-355-7322

Building Type *

Detached Home
Multi-Family Dwelling (Duplex)
Condo/Apartment
Storefront
Office
Care Facility, Hospital, Government Facility
Other

If other, please describe in "Scope of Work" below

Service Information

Type Of Service *

Replacement
New Installation
Relocation
Consulting (without approved quote)
Other

If other, please describe in "Scope of Work" below

Fixture(s) Type *

Electric Hot Water Tank
Gas Hot Water Tank
Toilet
Bathroom Sink
Bathroom Faucet
Kitchen Sink
Kitchen Faucet
Bathtub/Shower
Bathtub Faucet/Cartridge
Shower Faucet/Cartridge
Dishwasher
Garburator
Piping
Interior Drainage
Exterior Drainage
Other

Please select any/all fixtures that require attention. You may enter details in the description below. If you selected "other", please describe in "Scope of Work" below.

Type Of Gas *

If "other" please describe the type of gas in "Scope of Work" on the next page.

Existing Pipes *

Copper
Steel
Brass
Iron/Galvonized
Polybutylene piping (Poly-B)
Unsure/Other

Scope Of Work

Scope of Work | Timelines | Important Service Information *

Tank Brand *

If you do not know, please try to upload a photo of the tank

Tank Model *

If you do not know, please try to upload a photo of the tank

Tank Serial *

If you do not know, please try to upload a photo of the tank

Please assist in measuring the space around the tank in inches. From the ceiling (or nearest structure) to the top of the current tank and the walls (or closest structure) to the sides of the tank.

Upload a Photo of the Room/Space

Click or drag files to this area to upload. You can upload up to 10 files.

Documents

Do You Have Site Specs, Plans, Photos and/or Elevation Drawings? *

Upload Floor Plan Documents

Click or drag files to this area to upload. You can upload up to 10 files.

Please include pertinent information ie. Floor plans, schedules etc.

Elevation Drawings / Cabinet Specs Documents

Click or drag files to this area to upload. You can upload up to 10 files.

Secondary Site Documents - Site Plans, Design Plans etc.

Click or drag files to this area to upload. You can upload up to 10 files.

Upload Project Photo

Click or drag files to this area to upload. You can upload up to 10 files.

Fixture Information

Current Fixture Brand | Model | Size | Serial Information *

Please include any fixture brand names, model and serial information.

New Fixture Brand | Model | Size | Serial Information *

Please include any fixture brand names, model and serial information.

New/Replacement Fixtures & Materials Status *

Please notify our techs where the fixtures are being held/stored.

Fixture & Materials Location *

Upload New Fixture Specifications

Click or drag a file to this area to upload.

Please upload fixture documents, invoice/pick up forms (Only 1 upload available, for additional uploads, please email info@dripsanddrains.ca)

Site Access Information

Do You Have Access To The Water Shut Off *

Yes
No
Unsure/Other

Water Shut Off Location *

Location ie. Main mechanical room

Do You Have Access To The Gas Meter *

Yes
No
Unsure/Other

Gas Meter Location *

Location ie. Main mechanical room

Parking Instructions *

Parking information ie. pay/free street parking available; visitor parking available; service worker/trades parking available; limited parking

Parkade Height (We have oversized vehicles in fleet)

Building Access Instructions

Building information ie. enter through side gate; call 30 minutes prior for access; enter through back door

Lock Box Instructions

Location & Instructions ie. code

Loading Information (ie. Stairs) *

Are there stairs involved with installation/removal of the hot water tank? If so, how many.

Site Contacts

Contractor or Key Site Contact Name *

Please include the site contractor name ie. James Franco. This person will be used as a contact for job inquiries, permit applications etc.

Site Contact Phone Number *

ie. 604-355-7322

Secondary Contact (Building Manager/Inspector/Site Manager) *

Please include the site contractor name ie. James Franco. This person will be used as a contact for job inquiries, permit applications etc.

Secondary Site Contact Phone Number *

ie. 604-355-7322

Building Permit Information

Building Permit #

Please include the building permit # if available

Upload Building Permit

Click or drag files to this area to upload. You can upload up to 10 files.

Please upload the building permit so that we can have it on file. Please note, there can be only 1 upload, for additional uploads, please email info@dripsanddrains.ca

Billing Information

Billing Address *

Billing Name *

First

Last

Billing Phone Number *

ie. 604-355-7322

Billing Email Address *

Billing Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Disclosures

I Agree
I Do Not Agree

By checking "agree" you acknowledge that you have received this notice, understand and agree to this policy.

I Agree
I Do Not Agree

By checking "agree" you acknowledge that you have received this notice, understand and agree to this policy.

Finally, please help us by letting us know how you heard about Drips & Drains - Thanks! *

ie. Word of Mouth, Yelp, D&D Staff Member, Google

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STILL HAVE QUESTIONS?

Name *

First

Last

E-mail *

Phone Number *

Postal Code *

To better serve you, please provide the service location postal code

Your Message *

Photo & Document Upload

Click or drag files to this area to upload. You can upload up to 8 files.

Feel free to submit photos or documents related to your message.

Finally, please help us by letting us know how you heard about Drips & Drains - Thanks! *

ie. Word of Mouth, Yelp, D&D Staff Member, Google

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