© 2014 Foundation Supportworks
        
        
          ®
        
        
          ,
        
        
          Inc.
        
        
          All Rights Reserved
        
        
          p 197
        
        
          
            APPENDIX 2G
          
        
        
          GUIDELINES AND RECOMMENDATIONS
        
        
          
            Chapter 2
          
        
        
          Helical Foundation Systems
        
        
          
            PRELIMINARY DESIGN REQUEST FORM
          
        
        
          
            Step 1:
          
        
        
          Attention
        
        
          □
        
        
          James Malone
        
        
        
          402.861.4773
        
        
          □
        
        
          Don Deardorff
        
        
        
          402.861.4756
        
        
          □
        
        
          Jake Blessen
        
        
        
          402.885.6608
        
        
          □
        
        
          Jordan Larsen
        
        
        
          402.916.4222
        
        
          
            Step 2:
          
        
        
          Contact Information
        
        
          Date of request:
        
        
          Dealer:
        
        
          Contact name:
        
        
          Phone:
        
        
          Cell:
        
        
          Email:
        
        
          
            Step 3:
          
        
        
          Project Information
        
        
          Project Name:
        
        
          City:
        
        
          State:
        
        
          Bid Date:
        
        
          Date Needed By
        
        
          (allow up to 5 working days)
        
        
          :
        
        
          Project Engineer:
        
        
          Phone:
        
        
          Geotechnical Engineer:
        
        
          Phone:
        
        
          Product
        
        
          Allowable/Working Loads (kips)
        
        
          Factor of
        
        
          Safety
        
        
          Type
        
        
          Model # Quantity Compression Tension Lateral
        
        
          New Construction
        
        
          Helical Piles
        
        
          Retro Helical Piers
        
        
          Helical Tiebacks
        
        
          Soil Nails
        
        
          Push Piers
        
        
          Other
        
        
          Define scope of the project:
        
        
          
            Step 4:
          
        
        
          Attachments:
        
        
          Plans or Design Drawings
        
        
          □
        
        
          None
        
        
          □
        
        
          Mail
        
        
          □
        
        
          Email
        
        
          □
        
        
          Fax
        
        
          Soil Borings or Geotechnical Reports
        
        
          □
        
        
          None
        
        
          □
        
        
          Mail
        
        
          □
        
        
          Email
        
        
          □
        
        
          Fax
        
        
          Project Specifications
        
        
          □
        
        
          None
        
        
          □
        
        
          Mail
        
        
          □
        
        
          Email
        
        
          □
        
        
          Fax
        
        
          Photos
        
        
          (Provide drawing to show photo location and direction.)
        
        
          □
        
        
          None
        
        
          □
        
        
          Mail
        
        
          □
        
        
          Email
        
        
          □
        
        
          Fax