In Home Installation Worksheet
Sales Person 1
#
Sales Person 2
#
/
FS
Date
/
Email Address
Home Tel
Site Address
Work Tel
Existing Home
Own
Renovation
Rent
Surcharges
Site Details
Mobile Tel
Number of Floors (Exclude Basement and Attic)
New Construction Condo/High Rise
Site Access Restrictions (specify) i.e.: finished basement, steep stairs, in city, time limits
Contractor / Tel Interior Designer / Tel Electrician / Tel Cabinet Maker / Tel
Was the home built after 1935?
Yes
No
Note: More than one ‘No’ Answer requires that a FS site survey be conducted.
Attic or basement access directly above or below? Is it possible to run wiring through the walls?
Yes
No
Approval
Project Name
Professionals
Client Name
Site Survey
Client Info
Project Info
Site Survey Assoc. Name
Assoc.
GSM
Initials
Are either of the individuals below required for approval:
FS
Name
RTS
Home Theater Flat Panel
Projector
Rear Proj.
Fixed Screen
Existing
Motorized Screen
Drywall
Over Fireplace
Composite
Tilt
Plaster/Lathe
Gas
Component
W
Cantilever
Brick
Wood Burning
HDMI*
H
Ceiling
Stone/Rock
Available Interior Dimensions For Display:
Other
F
Center
C
Primary Surrounds
S
Additional Surrounds
S
Details
Other
Floor Standing
On-Wall
In-Ceiling
In-Wall
D
Front Mains
A/V Cables
Fixed
Pedestal
Details
Speakers
Mounting Surface
Mounting Options
Bookshelf
Display
Display Type
*HDMI cables exceeding 50' require special cable or baluns. Consult FS!
Existing A/C Outlet
Analog Audio
Other Cable Length
(ft.)
Feeds Cable TV
New A/C Outlet
Antenna
Local Surge Prot.
Ethernet
In-Wall Power Kit
Note: Add 6' to total length.
Cable Type In-Wall
Power
Cable Details
Other
Length
New A/C Outlet
Pre-made
Subwoofer(s)
Sources
Description
Existing
Room Layout (Scale: 1 box = 1 ft.)
Cabling / Accessories
Room Name:
1. 2. 3. 4.
Control
Amp
5. AV Receiver
HTIB
Separates
Other (specify)
Cable Box Remote
Hand Held Remote
IR
WiFi
Fav Channels
Amp’s Incl. Remote
Touchscreen
RF
AP
I/O Capability
New Cabinet
Existing Cabinet
A/V Head-End
Rack Furniture
Furniture
W
Custom Built-in
H
Rear Accessible
Total Number of Devices to plug-in Existing A/C Outlet? New A/C Outlet(s)
D
Thermal Mngmt Details
Power
Available Interior Dimensions For Equipment:
Rack
Custom Built
Surge/ Conditioner
Details
UPS
Feeds Cable TV
Sat. Dish
AM
XM
Ethernet
Antenna
HD Radio
FM
Sirius
Phone
Zone
Lighting
Details
Description
Qty. Bulbs
Watts Ea.
1.
x
=
2.
x
=
3.
x
=
In Home Installation Worksheet v23 2007-06-06
Other / Details
Total Watts Dimmer Switch
3-way(s)
Color
©2007 Tweeter Home Entertainment Group, Inc. – Proprietary and Confidential to Tweeter Home Entertainment Group, Inc.
Whole House Integration
Multi-Room Areas
14/4
16/4
Control
Ethernet
Cable TV
Analog Audio
HDMI
Composite
Component
Cabling
On-Wall
F - Fixed T - Tilt C - Cantlvr.
In-Ceiling
Speakers
In-Wall
Wall Mount
New
Existing
Distance to Head-End
Volume Cntrl.
Level
Wall Cntrl.
Area Name
Display Details Remote Cntrl.
Area Details
1. 2. 3. 4. 5. 6. Internet Provider
Switches New
Total No. of Ethernet Devices to Plug In
DSL
WiFi Router
5-Port Switch(s)
Other
Wired Only Router
8-Port Switch(s)
Existing
New
Cable FiOS
Networking
Router Existing
WiFi Access Points Area
16-Port Switch(s) Make / Model
Make / Model
Other Services (i.e.: VoIP)
Details
24-Port Switch(s) Note: Always allow at least 2 unused ports!
Level
PoE
New Hardwired Ethernet Locations New A/C Outlet
1.
1.
2.
2.
3.
3.
4.
4.
5.
5.
If an existing network, does the owner have administration rights?
New UPS Description
Qty. Bulbs
Watts Ea.
Total Watts Dimmer Switch
Yes
Is this network managed by someone other than the owner?
3-way(s)
Color
Zone
If Yes, Network Professional’s Contact Info:
No
7. 8.
Description
Qty. Bulbs
Watts Ea.
Total Watts Dimmer Switch
1.
x
=
11.
x
=
2.
x
=
12.
x
=
3.
x
=
13.
x
=
4.
x
=
14.
x
=
5.
x
=
15.
x
=
6.
x
=
16.
x
=
7.
x
=
17.
x
=
8.
x
=
18.
x
=
9.
x
=
19.
x
=
10.
x
=
20.
x
=
3-way(s)
Color
Notes
Lighting Control
Zone
No
Plate Color
6.
Yes
Existing UPS
Qty.
Note: For best coverage in multi-story or large homes use multiple access points.
General Network Info Network Head-End Location:
Area
Permits
Permit Info (if required) Building Permit #
Date
Building Department
Tel
Electrical Permit #
Date
Building Inspector
Tel
Low Voltage Permit #
Date
Other
Tel
Car
Mobile Solutions iPod Integration
In Home Installation Worksheet v23 2007-06-06
GPS Navigation
Satellite Radio
Bluetooth
Have Mobile Contact Client
©2007 Tweeter Home Entertainment Group, Inc. – Proprietary and Confidential to Tweeter Home Entertainment Group, Inc.