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We Design and Install Heat Pumps The Right Way
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844.637.3733
Home Electrification
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Gas-Furnace Replacement
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Heat Pump Water Heaters
Benefits
of Electrification
Heating & Cooling Your Home with Electricity
Indoor Air Quality
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Insulation
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TECH Clean California Initiative
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Home Electrification
Services
Gas-Furnace Replacement
Heat Pumps & Mini-Splits
Heat Pump Water Heaters
Benefits
of Electrification
Heating & Cooling Your Home with Electricity
Indoor Air Quality
Resources
Insulation
Services
Insulation
Our Unique
Process
TECH Clean California Initiative
Training Course
The Story of Our
Company
The Mitsubishi Diamond Contractor Difference
Financing
FAQs
Contact Us
No-Visit Energy Assessment
No Visit Appointment Form
Tell Us About You
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Tell Us About Your Home
How large is your home?
*
- Select a value -
less than 1000 sq ft
between 1001 and 2000 sq ft
between 2001 and 3000 sq ft
between 3001 and 4000 sq ft
between 4001 and 5000 sq ft
greater than 5000 sq ft
General square footage of your home
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How many stories?
*
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1
2
3
4
5
6+
My house was built...
- None -
Before 1850
1850 - 1880
1881 - 1900
1901 - 1940
1941 - 1960
1961 - 1980
After 1980
Does your home have knob-and-tube wiring?
N/A
Yes
No
I'm not sure
Does your home have galvanized piping?
N/A
Yes
No
I'm not sure
Does your home have asbestos?
N/A
Yes
No
I'm not sure
Does your home have lead paint?
N/A
Yes
No
I'm not sure
Does your home have balloon framing?
N/A
Yes
No
I'm not sure
Number and Size of bedrooms
Order
Number and Size of bedrooms
Weight for row 1
0
Please enter the approx. square footage for each bedroom
I heat my home with...
*
- Select a value -
Gas
Electric
Gas
- None -
Central Heating with ducting to each room
Wall - Single Side
Wall - Double Side
Floor Furnace
Electric
- None -
Base Board Electric
Forced Hot Air
Heat Pump
Do you have Air Conditioning (AC)?
*
- Select a value -
Yes
No
Does your home have any noticeably uncomfortable rooms?
Have that one room that always makes you shiver, or will
never
cool down? Give us some of the details!
What type of water heater do you have?
*
- Select a value -
Tank - Gas
Tank - Electric
On-Demand (any kind)
What kind of foundation do you have?
*
- Select a value -
Concrete Slab
Poured Concrete Foundation (Full Basement)
Poured Concrete Foundation (Crawl Space)
Other - explain below
How long does it take to get hot water at your furthest faucet?
We know it's an odd question - it's okay if you need to check.
What condition are your windows in?
- None -
They're original to the house
I (or a previous owner) upgraded them
They need to be replaced
Double Pane windows
Single Pane windows
Partially New windows
I'm not sure
Select the answer that best describes your home, and provide more details below if necessary.
Comments
How well insulated are your walls?
*
- Select a value -
They aren't insulated
Not very insulated
Somewhat insulated
Well insulated
Perfectly insulated
I don't know
Are your floors insulated?
*
- Select a value -
Yes
No
I'm not sure
Is your attic insulated?
*
- Select a value -
Not insulated
Somewhat insulated
Well insulated
Perfectly insulated
I don't have an attic
File Upload
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your electrical panel
your water heater
any heating or cooling equipment you have in your home
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